austlii:nsw/NSWPIC/2025/295
General information, not legal advice.
NSWPIC
2025-06-25
Original judgment source is linked above.
COA v BPI [2025] NSWPIC 295
Workers Compensation Act 1987; claim for weekly benefits and medical or related expenses resulting from alleged psychological injury; disputed whether injury arose out of the applicant's employment and the employment was a substantial contributing factor considered; Held - the applicant sustained a psychological injury that arose out of his employment and the employment was a substantial contributing factor to the injury; orders for payment of weekly benefits and medical or related expenses resulting from the injury; publishable decision to be de-identified in accordance with rule 132 of the Personal Injury Commission Rules 2021.
(a) 26 October 2024 to 25 January 2025 at $1,426.90 per week pursuant to s 36(1) of the 1987 Act, and
(b) 26 January 2025 to 2 February 2025 at $1,201.60 per week pursuant to s 37(1) of the 1987 Act.
12 November 2024 supported by a Certificate of Capacity dated 7 November 2024 with the diagnosis of adjustment disorders. 6. A notice was issued under s 78 of the Workplace Injury Management and Workers Compensation Act 1998 on 15 November 2024 disputing liability for the claim on the basis that the applicant was not present in Perth at the time of the incident on 26 October 2024, his injury is not the direct result of his employment, and it did not arise in the course of his employment. 7. An internal review was requested and carried out and on 12 February 2025 the decision was maintained and amended. As the applicant was not present during the assault and the injury did not arise while the applicant was doing something reasonably required, expected or authorised by the respondent, it did not arise in the course of his employment and the employment was not the substantial or main contributing factor to the injury. 8. An Application to Resolve a Dispute (ARD) was lodged in the Personal Injury Commission (Commission) on 26 February 2025 for a claim for weekly benefits between 26 October 2024 and 2 February 2025, and past and future medical or related expenses. 9. The dispute was listed for conciliation conference and arbitration hearing on 21 May 2025.
(a) whether the applicant suffered a psychological injury on 26 October 2024 pursuant to ss 4 and 9A and/or s 4(b) of the Workers Compensation Act 1987 (1987 Act);
(b) the extent and quantification of any entitlement to weekly compensation for the period 26 October 2024 to 2 February 2025 pursuant to ss 36 and 37 of the 1987 Act, and
(c) whether the applicant is entitled to the payment of medical expenses pursuant to s 60 of the 1987 Act.
(a) ARD and attached documents, and
(b) Reply and attached documents.
Dr David Kumagaya, independent consultant psychiatrist
7 November. What has transpired in the applicant's submission between those dates which is so injurious so as to form an additional element has already at this point transpired. 6. The applicant reports significant distress since learning about the sexual assault of his sister by the CEO of their company. Upon being notified he arranged a flight to Perth to support his sister, ultimately bringing her back to Sydney, and he became very distressed and unable to focus on doing anything. 7. That document in the respondent's submission stands rather in stark contrast to the way the applicant presents his case now in May 2025. That is the most contemporaneous record of what was said to whom and when, and it is buttressed by the general practitioner's referral to Ms Al Zabin. 8. What is absent is any reference to the way in which the employer had dealt with the applicant either on the night or in the absence from work that follows, and more importantly the applicant did not go back to work after that night or return to work at all. 9. The respondent's attitude in this case is not one of a lack of empathy or sympathy but simply the application of the law relating to injuries arising out of employment. If the injury was received in relation to that event the respondent says the applicant cannot succeed. 10. The applicant submits that there would not have been this assault if the conference had not taken place, that was the association the Commission is asked to accept with employment. That is to misunderstand whose association with employment is relevant to this case. In this case the test relates to the applicant's employment. 11. The applicant was not required to be at the conference. The injurious event was receipt of the text message while he slept at home, out of the course of employment, certainly not in it, and travelling to Perth not at the direction of the employer or at their behest, but on a personal basis to render aid and pastoral care to his sister, very appropriately and commendably, but again not out of the employment. 12. To suggest that because the CEO and some other staff were at another state at a work conference might place them when they suffer injuries there in or out of the course of their employment, does not bear upon the applicant's employment status in this case at the time the injury is received. 13. Dr Kumagaya gives some assistance to the respondent in making its argument. 14. It is necessary at the outset to make a finding as to the nature of the injury sustained more broadly than simply psychiatric injury, as well as to make a finding as to when the injury was received, because the respondent's case is that when is important. 15. There are three options on diagnosis; the pleading of injury is major depressive disorder with anxious distress, Dr Kumagaya diagnoses post-traumatic stress disorder and Ms Al Zabin's diagnosis is of an adjustment disorder. The applicant presents a moveable feast of possible diagnoses and it is important it nails its colours to the mast and says which injury it relies upon because it has implications for the date the injury must have been received. 16. If it is post-traumatic stress disorder it is not plausibly explained by emails being removed but by what as Dr Kumagaya says is the vicarious trauma of learning what happened to his sister, and again as the respondent says with no tether or relationship to the employment. 17. Dr Kumagaya says, consistent with what the general practitioner was told and found, that the injury occurred on 26 October 2024, and again the injury in Dr Kumagaya's mind has been received before anything occurs that involves the employment in a direct sense from the applicant's perspective. It appears Dr Kumagaya found the applicant's injury was on
26 October 2024. The applicant ceases work and has not worked since. 18. In Dr Kumagaya's report he notes the applicant describes upon his return to Sydney that he reported the matter to the police. His psychological symptoms were such, at that moment the respondent says on his return to Sydney, that he was unable to persist with his work for the respondent or since, and also with Woolworths. 19. The respondent says the evidence is in conformity on this point that the injury is received the night the event is reported and the applicant travels to Perth. The respondent urges that finding and the only thing that needs to be decided is whether that is an injury out of employment, because that is the applicant's case, the text messages and travel to Perth is out of the course of employment. 20. Semlitch and Badawi[2] are relevant cases. In Smith v Australian Woollen Mills Ltd Starke J said the expression 'arising out of' imports some kind of causal relation with the employment, but it does not necessitate direct or physical causation; "[w]as it a part of the injured person's employment to hazard, to suffer, or to do that which caused his injury? It must arise out of the work which the worker is employed to do - out of his service."[3] 21. Starke J also said an injury which arises directly out of circumstances encountered because to encounter them falls within the scope of employment is an injury arising out of the employment. The causality is a causality as to the indicia of the characteristics of employment. 22. Turning to what the applicant was doing when he received the messages and travelled to Perth the question is not whether what was happening in Perth was related to some feature of employment, but what was the applicant doing and what service to the employer did he have to give that required that. 23. The respondent says none. There was no connection whatsoever. He travelled there commendably, appropriately and honourably as a good brother but not as an employee of the respondent. 24. On arriving there the evidence discloses that his psychiatric injury was received. If that finding is made then the respondent must succeed. 25. The applicant bears the onus in the case, as it always does, of establishing what it seeks to be found and the basis on which he may receive compensation. This is a persuasion point; are you satisfied with three different opinions on diagnosis, with one date of injury given by Dr Cai and corroborated by Dr Kumagaya, and no date of injury specifically given by Ms Al Zabin. What precisely is the date of injury and the injury the applicant runs on? 26. Ms Al Zabin's report in the first paragraph conforms with the respondent's case. The injury was received following the disclosure of a traumatic event involving his sister on
26 October 2024 and the receipt of distressing messages from her, and at the time the applicant had difficulty processing the situation and felt overwhelmed and uncertain about what actions to take. 27. It may be, and the respondent has no evidence at its call, that the treatment he was exposed to with removal of his access to emails and comments made cannot be controverted, but it says it does not need to address that because once the findings urged by the respondent are made there is no need to consider them, the injury is received and the applicant has with respect lost. 28. The applicant in submissions relies on a specific paragraph in his evidence, however the full reading of the paragraph does not greatly assist the applicant. It is not stated in paragraph 23 that it is because he is the CEO but because they had met on a personal level, and that is not of substantial assistance for the applicant. 29. In paragraph 41 there is mention of idolising the CEO not just as a mentor but almost as a father figure, again there is the personal nature of the relationship. 30. The respondent referred to Nguyen v Cosmopolitan Homes and how the Commission must be persuaded about when the injury is received, what the injury is and its cause. 31. The respondent says the Commission would be satisfied on the evidence, particularly given that the general practitioner at the first consultation says what was described as being causative, that the injury was received on the evening at about the time of going to Perth, and there is no room in the case to consider what comes after. 32. The applicant has left it for the Commission to pick the injury, which is an inadequate basis to prosecute a case for compensation; whether a personal injury is caused by a series of events that causes a disease is to miss the point. 33. The point is if the injury was a personal injury received upon being told 'my sister is in great danger' then it is very germane to the fact finding and decision making to determine whether it is a post-traumatic stress disorder injury. Leaving it open to pick from three diagnoses and the passage of time that might have contributed to them is, the respondent submits, the basis to not be persuaded by any of them. 34. It is unfortunate, and the respondent joins with the applicant in saying, this is clearly a tragic case but the law is what it is, and in the respondent's submission the proper application of it here is a finding for the respondent.
The applicant's psychological injury arose out of his employment
26 October 2024 were clearly causative factors to his injury, however an injury or incapacity may be attributable to more than one cause operating concurrently.[9] 13. The first proposition Starke J discusses in Smith v Australian Woollen Mills Limited, "[w]as it part of the injured person's employment to hazard, to suffer, or to do that which caused his injury? It must arise out of the work which the worker is employed to do - out of his service,"[10] is in my view answered in the affirmative in this case. 14. Service is not confined to the actual performance of the work that the applicant is employed to do, it includes all things incidental to the performance of his work. 15. I accept the applicant's submission that the events of 26 October 2024 and thereafter are interwoven with the applicant's employment. 16. The respondent submits the injury was received on 26 October 2024 when the applicant is significantly distressed on learning of the incident and witnesses his sister's distress on arriving in Perth, factors outside the applicant's employment, and these are the only causative factors of his psychological injury. I do not accept that submission. 17. Dr Cai records the date of injury as 25 October 2024, presumably being the evening the incident took place. As the applicant notes in submissions that cannot be the date of the applicant's injury as he was not aware of the incident until the following morning. 18. Dr Cai includes in the Certificate of Capacity of 7 November 2024 when the applicant first consults him that the adjustment disorders injury is related to work because of the applicant's significant emotional distress since learning about the sexual assault of his sister by the CEO of the respondent, and upon being notified he arranged a flight to Perth to support his sister ultimately bringing her back to Sydney. Later certificates simply record "sexual assault victim, causing distress emotionally".[11] 19. Dr Cai does not provide a medico legal report and I do not place more weight on the doctor's certificates or his referral letter to Ms Al Zabin than on the reports of Dr Kumagaya and Ms Al Zabin. 20. I prefer the opinion of Dr Kumagaya who provides a detailed expert report and of Ms Al Zabin as his treating psychologist who takes a full history of the relevant events. 21. The evidence establishes the injurious events were not confined to learning of the incident and witnessing the applicant's sister's distress on arriving in Perth as the respondent submits. 22. The evidence is that the fact the applicant was employed by the respondent contributed to his injury to a material extent. 23. The employment-related causative factors include;
(a) the applicant and his sister worked for the respondent;
(b) the applicant knew the CEO through his employment and saw him as a mentor;
(c) he realised on 26 October 2024 that he and his sister's lives would change possibly for the worse as they were both happy working for the respondent;
(d) his sister received multiple calls from [COS] on 26 October 2024 while the applicant was with her, [COS] told her [COB] was arriving in Perth that night and the applicant waited for [COB];
(e) the applicant decided not to make a police report until [COB] arrived as not only was [COB] much older than him but as an employer the applicant thought he would guide him as to what to do next;
(f) he was conscious that [COB], [COS] and the CEO are best friends from a long time ago;
(g) when [COB] arrived the applicant explained what had happened and [COB] was shocked;
(h) the applicant said it would be difficult for his sister to work until further notice and [COB] suggested the applicant and his sister continue working at another college;
(i) [COB] insisted and kept on requesting that the applicant not make a police report until the next morning when [COS] was arriving in Perth;
(j) [COB] and the CEO called the applicant many times the next morning after the applicant enquired in the respondent's messaging app Slack for the CEO's father's and wife's numbers;
(k) the applicant and his sister waited for [COS] to arrive in Perth on 27 October 2024;
(l) [COS] told the applicant and his sister that although they were free to do anything they wanted they should try not to hurt the respondent in the process as it would affect multiple lives and not just theirs;
(m) the CEO accused the applicant of framing him and told [COS] that the applicant and his sister were planning a conspiracy against him;
(n) the applicant and his sister were terrified of the three bosses being together and they could not trust them;
(o) the day after the incident the applicant's access to a work email account was removed without prior notice, described as part of a routine reset, and he was removed from a Whatsapp group, and access to a Google account with administrative access to the respondent's college was disabled without notice to him, and
(p) the applicant received an email one week after the incident requesting he return to work with no further support provided to him by the respondent as a result of the incident.
The applicant's employment was a substantial contributing factor to his injury
The applicant is entitled to weekly benefits between 26 October 2024 and 2 February 2025
2 February 2025 at the agreed PIAWE rate of $1,502 in accordance with ss 36 and 37 of the 1987 Act.
The applicant is entitled to payment of reasonably necessary medical or related expenses
26 October 2024 in accordance with s 60 of the 1987 Act.
2 February 2025 at PIAWE of $1,502 in accordance with ss 36 and 37 of the 1987 Act. 4. The respondent is to pay the applicant's reasonably necessary medical or related expenses resulting from the injury pursuant to s 60 of the 1987 Act on production of invoices, receipts and/or Medicare notice of charge. 5. The publishable decision is to be de-identified in accordance with r 132 of the Personal Injury Commission Rules 2021, including de-identification of the applicant, the applicant's sister and the CEO of the respondent.
[1] Federal Broom Co. Pty. Ltd. V Semlitch [1964] HCA 34 (Semlitch).
[2] Badawi v Nexon Asia Pacific Pty Ltd t/as Commander Aust Pty Ltd [2009] NSWCA 324 (Badawi).
[3] Smith v Australian Woollen Mills Ltd [1933] HCA 60; 50 CLR 504.
[4] Dayton v Coles Supermarkets Pty Ltd [2000] NSWCC 14; (2000) 19 NSWCCR 526.
[5] Federal Broom Co Pty Ltd v Semlitch [1964] HCA 34; (1964) 110 CLR 626 at 632.
[6] Tarry v Warringah Shire Council (1974) 48 WCR 1.
[7] Smith v Australian Woollen Mills Ltd [1933] HCA 60; 50 CLR 504.
[8] Nunan v Cockatoo Island Docks & Engineering Co Ltd [1941] NSWStRp 23; (1941) 41 SR (NSW) 119 at 124.
[9] Secretary, New South Wales Department of Education v Johnson [2019] NSWCA 321 at [53].
[10] Smith v Australian Woollen Mills Limited [1933] HCA 60; 50 CLR 504 at 517-518.
[12] Nguyen v Cosmopolitan Homes [2008] NSWCA 246.
COA
BPI [2025] NSWPIC 295
(2000) 19 NSWCCR 526
(1964) 110 CLR 626