[2011] SAWCT 1
General information, not legal advice.
Workers Compensation Tribunal (SA)
2011-01-27
President Judge P
Original judgment source is linked above.
Davey v WorkCover Corporation (Construction Industry Training Board) [2011**] SAWCT 1**
WORKCOVER CORPORATION (Construction Industry Training Board)
JURISDICTION: Full Bench determination - Section 94A(2) referral
JUDGMENT OF: His Honour Deputy President Judge P D Hannon
Referral of agreed issues to a Full Bench - Whether in undertaking an assessment of the worker and prior to making a decision under s 35B of the Workers Rehabilitation and Compensation Act 1986, the compensating authority was obliged to afford the worker procedural fairness - Held that the compensating authority is obliged to provide procedural fairness in such circumstances, and that in this case, the compensating authority was in breach of that obligation due to its failure to conduct a s 38 review in the time required before embarking upon the s 35B assessment - Held that the breach of the obligation to afford procedural fairness rendered the disputed determination voidable - Parties to be heard further on whether in the circumstances the Tribunal should exercise its discretion to set aside the determination as invalid - Sections 3, 35, 35A, 35B, 35C, 36, Part 6A and Part 6C of the Workers Rehabilitation and Compensation Act 1986; Workers Rehabilitation and Compensation (Scheme Review) Amendment Act 2008; Regulation 7 of the Workers Rehabilitation and Compensation (General) Regulations 1999.
Kiao v West [1985] HCA 81; (1985) 159 CLR 550
Annetts v McCann [1990] HCA 57; (1990) 170 CLR 596
Re Minister for Immigration and Multicultural Affairs and Another; Ex parte Miah (2001) 206 CLR 57
Saeed v Minister for Immigration and Citizenship [2010] HCA 23; (2010) 241 CLR 252
Plaintiff No M61/2010 v Commonwealth of Australia and Ors [2010] HCA 41
Creek v WorkCover Corporation/Employers Mutual Limited (GI Pty Ltd) [2010] SAWCT 22
Yaghoubi v Employers Mutual Limited (BDS People Pty Ltd) [2010] SAWCT 26
Mitsubishi Motors Australia Ltd v Sosa [1995] SASC 5084
Twist v Randwick Municipal Council [1976] HCA 58; (1976) 136 CLR 106
Mitsubishi Motors Australia Ltd v Kowalski [2004] SASC 302
South Australian Fire and Emergency Services Commission v Workers
Compensation Tribunal & Anor [2009] SASC 213.
Salemi v MacKellar (No 2) [1977] HCA 26; (1977) 137 CLR 396
Robbins v Harbord [1994] SASC 4571; (1994) 62 SASR 229
Staines v WorkCover/Allianz Australia Workers Compensation (SA) Ltd [2004] SAWCT 127
Rundle v WorkCover Corporation/Vero Workers Compensation (SA) Ltd [2006] SAWCT 12
WorkCover Corporation/CGU Workers Compensation (SA) Pty Ltd (Duell's Furniture Removals Pty Ltd) v Davidson [2000] SAWCT 32
Earl v Slater and Wheeler (Airlyne) Ltd (1973) 1AllER 145
Trittenheim v H & H Gill Nominees (1994) 63 SASR 434
"It can now be taken as settled that, when a statute confers power upon a public official to destroy, defeat or prejudice a person's rights, interests or legitimate expectations, the rules of natural justice regulate the exercise of that power unless they are excluded by plain words of necessary intendment...an intention on the part of the legislature to exclude the rules of natural justice [is] not to be assumed nor spelled out from 'indirect references, uncertain inferences or equivocal considerations'.[14] Nor is such an intention to be inferred from the presence in the statute of rights which are commensurate with some of the rules of natural justice...In Kioa v West...Mason J said...that the law in relation to administrative decisions 'has now developed to a point where it may be accepted that there is a common law duty to act fairly, in the sense of according procedural fairness, in the making of administrative decisions which affect rights, interests and legitimate expectations, subject only to the clear manifestation of a contrary statutory intention.' "
"35B - Weekly payments after expiry of designated periods - no work capacity
(1) Subject to section 35C (and to the other provisions of this Act), a worker's entitlement to weekly payments under this Division ceases at the end of the third entitlement period under section 35A (unless brought to an end before this time) unless the worker is assessed by the Corporation as -
(b) likely to continue indefinitely to have no current work capacity.
(4) In connection with the operation of subsection (1), a worker who, immediately before the end of a third entitlement period, is in receipt of weekly payments under paragraph (a) of section 35A(3) is entitled to continue to receive weekly payments at the rate prescribed by that paragraph unless or until the Corporation has assessed whether the worker falls within the category of a worker who may be considered as -
(b) likely to continue indefinitely to have no current work capacity.
(5) An assessment under subsection (4) may be made before or after the end of the third entitlement period.
(6) Despite section 35A, the Corporation must not discontinue weekly payments to a worker who is subject to the operation of subsection (4) until it has given the worker at least 13 weeks notice in writing of the proposed discontinuance (and the requirements of section 36 will not apply with respect to this notice).
(1) Subject to subsection (2), the Corporation may on its own initiative and shall if requested by a worker or an employer review the amount of the weekly payments made to a worker who has suffered a compensable disability.
(1a) If a period of incapacity continues for more than one year, the Corporation must conduct a review under this section in the second year of incapacity and in each subsequent year of the incapacity.
(1b) A request by a worker or employer must be made in a designated manner and a designated form.
(2) The Corporation is not required to comply with a request for a review under subsection (1) if the request is made within three months from the completion of an earlier review.
(3) Before the Corporation begins a review under this section, the Corporation must give the worker notice, in a designated form -
(a) informing the worker of the proposed review; and
(b) inviting the worker to make written representation to the Corporation on the subject of the review within a reasonable time specified in the notice.
(4) If the Corporation finds on a review under this section that the worker's entitlement to weekly payments has ceased, or has increased or decreased, the Corporation must adjust or discontinue the weekly payments to reflect that finding.
For example, if the Corporation finds on the review that there has been a change in the extent of the worker's incapacity with a consequent change in the amount the worker is earning or could earn in suitable employment, the Corporation must adjust the weekly payments to reflect the change in entitlement.
(7) On completing the review, the Corporation must give notice, in a designated form, setting out the Corporation's decision on the review, and the rights of review that exist in respect of the decision, to -
(b) the employer from whose employment the compensable disability arose."[37]
"The legislature in prescribing procedures for the discontinuance or reduction of weekly payments, has recognized that injured workers are dependent for livelihood upon the weekly payments. Arbitrary cessation or reduction could cause great hardship. Procedures are set in place to protect injured workers against arbitrary cessation or reduction of their means of livelihood. The procedures in ss 36, 37, 38, 39 and 41 are designed for that purpose. It is unthinkable that the legislature, having adopted those protective measures, would largely negate them by conferring in s 35 a power on the Corporation or exempt employer to discontinue or reduce weekly payments unilaterally and without compliance with the protective procedures."
"It does seem incongruous that Parliament would through s 38 create a process that requires the compensating authority, when reviewing weekly payments payable to workers who have been incapacitated for work for more than a year, to give the worker an opportunity to be heard prior to any decision being made, to take reasonable steps to obtain all relevant evidence and to reach its conclusion in a fair and unbiased way,[51] and yet would not put in place a similar process where issues of work capacity are being assessed that could lead to the discontinuance of weekly payments for workers who have been in receipt of weekly payments for over two years. However the clear words of the section cannot be ignored. Had Parliament intended a process similar to that provided for by s 38 or that s 38 itself had to be invoked in connection with the assessment of a worker's work capacity under s 35A(1) it would have said so."[52]
74 Kioa also illustrates the necessity to closely consider whether amendments to the legislation in question may now give rise to a presumption that natural justice be observed although that presumption was previously considered to be displaced. Two previous cases had held that the presumption was displaced in the case of the Migration Act having regard to the overall statutory scheme as it then was.[56] The majority in Kioa took the view that subsequent amendments to the Migration Act and related legislation weighed in the balance towards a different outcome.
"...the mere circumstance that there is no apparent likelihood that the person directly affected could successfully oppose the making of a deportation order neither excludes nor renders otiose the obligation of the administrative decision-maker to observe the requirements of procedural fairness. Indeed, the requirements of procedural fairness may be of added importance in such a case in that they ensure an opportunity of raising for consideration matters which are not already obvious."[63]
"Where the decision in question is one for which provision is made by statute, the application and content of the doctrine of natural justice or the duty to act fairly depends to a large extent on the construction of the statute. In Mobil Oil Australia Pty Ltd v Federal Commissioner of Taxation, Kitto J pointed out that the obligation to give a fair opportunity to parties in controversy to correct or contradict statements prejudicial to their view depends on 'the particular statutory framework'. What is appropriate in terms of natural justice depends on the circumstances of the case and they will include, inter alia, the nature of the inquiry, the subject-matter, and the rules under which the decision-maker is acting: Reg v Commonwealth Conciliation and Arbitration Commission; Ex parte Angliss Group; National Companies and Securities Commission v News Corporation Ltd.
In this respect the expression 'procedural fairness' more aptly conveys the notion of a flexible obligation to adopt fair procedures which are appropriate and adapted to the circumstances of the particular case. The statutory power must be exercised fairly, ie in accordance with procedures that are fair to the individual considered in the light of the statutory requirements, the interests of the individual and the interests and purposes, whether public or private, which the statute seeks to advance or protect or permits to be taken into account as legitimate considerations: cf Salemi [No 2], per Jacobs J.
When the doctrine of natural justice or the duty to act fairly in its application to administrative decision-making is so understood, the need for a strong manifestation of contrary statutory intention in order for it to be excluded becomes apparent. The critical question in most cases is not whether the principles of natural justice apply. It is: what does the duty to act fairly require in the circumstances of the particular case? It will be convenient to consider at the outset whether the statute displaces the duty when the statute contains a specific provision to that effect, for then it will be pointless to inquire what the duty requires in the circumstances of the case, unless there are circumstances not contemplated by the statutory provision that may given rise to a legitimate expectation. However, in general, it will be a matter of determining what the duty to act fairly requires in the way of procedural fairness in the circumstances of the case. A resolution of that question calls for an examination of the statutory provisions and the interests which I have already mentioned." (footnotes omitted)
It is the practice of this Tribunal to publish its reasons for decision in full on the Internet. If any party or person contends that these reasons for decision should not be published in full the party or person must make an application within seven days of the delivery of these reasons. The application shall be by an Application for Directions with a supporting affidavit and should be addressed to the presiding member(s). If no such application is lodged within the time specified these reasons will be published in accordance with the Tribunal's usual practice.
[1] Defined in the interpretation provision - s 3 of the Act.
[2] Consent Order 14 March 2008 - Full Bench Referral Book (RB) p 7 (RB/7).
[3] The relevant provisions of s 38 are set out below at para 42. If a period of incapacity extends for more than one year, as in this case, the compensating authority must conduct a review of the amount of weekly payments in the second year of incapacity and in each subsequent year of the incapacity - s 38(1a) of the Act.
[5] Agreed Statement of Facts - para 4 RB/3.
[6] Determination of the compensating authority 3 May 2010 - RB /14-28.
[7] The "third entitlement period" is defined in s 35(8) of the Act.
[8] As opposed to 28 days notice that would otherwise have applied under s 36(3b)(b) of the Act.
[9] That is, he was not assessed as having "no current work capacity", and likely to continue indefinitely to have no current work capacity - s 35B(1)(a) and (b) of the Act.
[13] Mason CJ, Deane and McHugh JJ at 598 - citations omitted.
[14] Commissioner of Police v Tanos [1958] HCA 6; (1958) 98 CLR 383 at 395-396 per Dixon CJ and Webb J.
[20] Brennan J in Kioa at pp 616 - 619; Mason CJ: Deane and McHugh JJ in Annetts at p 599 - 600.
[24] Kioa per Brennan J at 614; Mason J at 584 - 585.
[25] [2010] HCA 23; (2010) 241 CLR 252 per French CJ, Gummow, Hayne, Crennan and Kiefel JJ at paras 11 - 15.
[26] [2010] HCA 41 unanimously at paras 74 and 75.
[28] These amendments were effected by s 15 of the Scheme Review Act and came into force on 1 July 2008.
[29] For the purposes of Sch 1 cl 4(2) the "relevant day" is 1 April 2009 - Workers Rehabilitation and Compensation (Scheme Review) (Relevant Day) Proclamation 2009 - Government Gazette 26 March 2009 at p 1156.
[31] For the sake of convenience, I refer only to discontinuance of weekly payments, although the provisions and my observations apply equally in the case of a proposed reduction.
[32] Reg 7(b) of the Workers Rehabilitation and Compensation (General) Regulations 1999 ("the Regulations").
[33] Specifically, through s 36(1)(h), as it then was, which permitted discontinuance under s 36 if the discontinuance of weekly payments was authorised or permitted by some other provision of the Act.
[34] Mitsubishi Motors Australia Ltd v Sosa [1995] SASC 5084.
[37] The only amendments made to this section by the Scheme Review Act were the addition of subs (1b) and alterations to subsecs (3) and (7) to change the phrase "in the form determined by the regulations" to "in a designated form".
[38] Section 94C(1) of the Act remains in the same terms as previously - see fn 35 above.
[40] Some of the implications arising from these provisions were considered in Yaghoubi v Employers Mutual Limited (BDS People Pty Ltd) [2010] SAWCT 26 - that decision was appealed and together with another matter that appeal was heard by the Full Supreme Court on 8 December 2010. The decision was reserved.
[41] [1995] SASC 5084 at para [15].
[44] Sections 35B(6) and 36(3); reg 7 of the W_orkers Rehabilitation and Compensation (General) Regulations 1999_ ("the Regulations") - the latter provision has been repealed and replaced by reg 35 of the Workers Rehabilitation and compensation Regulations 2010 as from 1 November 2010.
[46] Mitsubishi Motors Australia Ltd v Kowalski [2004] SASC 302; South Australian Fire and Emergency Services Commission v Workers Compensation Tribunal & Anor [2009] SASC 213.
[47] See s 98E(h) which provides that a "medical question" means, among others, a question as to the extent or permanency of a worker 's incapacity for work and the question whether a worker has no current work capacity or a current work capacity.
[48] A matter which may be considered in the Yaghoubi appeal referred to at fn 40 above.
[51] McAvoy v BT and LR Churcher (NZI Workers Comp (SA) Ltd v Workcover) [1998] SAWCT 42.
[54] Per Kirby J in Miah at para 178.
[56] Salemi v MacKellar (No 2) [1977] HCA 26; (1977) 137 CLR 396; Reg v McKellar; ex parte Ratu [1977] HCA 26; (1977) 137 CLR 396.
[59] Part 4 Division 4 of the Act. - and in particular, ss 37 - 39 inclusive.
[60] [1994] SASC 4571; (1994) 62 SASR 229 at 236 per King CJ.
[64] For example, a breach of an obligation or engaging in conduct which allegedly results in a breach of mutuality, where the worker may have the opportunity to take steps to remedy the breach or otherwise restore mutuality and thus the entitlement to ongoing weekly payments.
[65] [2004] SAWCT 127 and in particular at paras 37 and 43.
[70] Kioa v West [1985] HCA 81; (1985) 159 CLR 550 per Brennan J at 609
[71] WorkCover Corporation/CGU Workers Compensation (SA) Pty Ltd (Duell's Furniture Removals Pty Ltd) v Davidson [2000] SAWCT 32 at para 30; Robins v Harbord and General Motors Holden [1994] SASC 4571; (1994) 62 SASR 229 per King CJ at 236
[76] Earl v Slater and Wheeler (Airlyne) Ltd (1973) 1 All ER 145 at 150_; Trittenheim v H & H Gill Nominees_ (1994) 63 SASR 434 at 442
Davey
WorkCover Corporation
(1985) 159 CLR 550
(1990) 170 CLR 596
(2010) 241 CLR 252
(1977) 137 CLR 396
(1994) 63 SASR 434
(1958) 98 CLR 383
(2001) 206 CLR 57
(1976) 136 CLR 106
(1994) 62 SASR 229