FACTUAL BACKGROUND
11 On 24 April 2006, Mr Engida was employed by Westgate Logistics ("Westgate") as a picker. His work involved him manually lifting packaged goods. Whilst doing so he suffered injuries to his left shoulder and upper back. Mr Engida later suffered injuries to his lower back while working.
12 Liability for the injuries suffered by Mr Engida while he was employed by Westgate was accepted and processed under the Victorian Work Cover Scheme. Linfox acquired Westgate some time after Mr Engida suffered his injuries.
13 In 2008, Mr Engida made claims against Linfox for injuries to his right shoulder and upper back.
14 On 14 February 2008, he made a claim for workers' compensation for an injury to his right shoulder sustained on that day. The claim form stated "lifting boxes" as the cause of the injury.
15 On 24 July 2008, Mr Engida made a claim for workers' compensation for injuries to his shoulder and upper back sustained on 1 July 2008. The claim form identified "lifting heavy boxes" as the cause of the injury.
16 On 14 August 2008, Mr Engida made a claim for workers' compensation for an injury to his upper back sustained on 13 August 2008. The claim form identified "lifting boxes" as the cause of the injury.
17 Linfox accepted liability for each of these claims. He received payments of compensation for short periods of incapacity and small amounts for the cost of treatment. He then returned to work.
18 On 10 May 2012, Mr Engida's former solicitors lodged a claim for payment of lump sum compensation for permanent impairment and non-economic loss pursuant to ss 24 and 27 of the Act. The claim related to "Supraspinatus Tendinopathy and Subacromial bursitis, L4-L5 Disc Bulging and Depression - Major".
19 By letter dated 21 January 2013, Mr Michael Wheeler, Senior Injury Claims Consultant, CGU Self Insurance Services, which was acting on behalf of Linfox, advised Mr Engida about the outcome of his claim for compensation in respect of "midback (Rhomboid) strain" sustained on 13 August 2008, and, in particular, of his claim for permanent impairment compensation under the Act in respect of his "right shoulder". Mr Wheeler determined that Mr Engida was not entitled to a lump sum permanent impairment payment under ss 24 and 27 of the Act. He explained his decision as follows:
"2. To assist in determining the level of Whole Person Impairment (WPI), arrangements were made for the claimant to be assessed by Dr David Fish, Consultant Occupational and Environmental Physician, who is on the Comcare list of trained permanent impairment assessors.
3. In completing this report, Dr Fish advises the following "I assessed that the degree of impairment arising from the right shoulder, figures 9.11.1 (A), (b) and (c) and arrived at 6% whole person impairment. I also assessed his cervical spine pursuant to Table 9.15. I considered that he has no significant clinical findings, no muscular guarding, no documented neurological impairment, no significant loss of motion, segment integrity, no other indication of impairment related to injury or illness. This is equivalent to 0% whole person impairment. His total whole person impairment is therefore 6%. Of these I consider that 4% has arisen from work related factors and 2% as a result of the underlying degenerative disease".
4. Subsection 24(7)(b) of the SRC Act states:
"…Subject to section 25, where Comcare determines that the degree of permanent impairment of the employee is less than 10%, an amount of compensation is not payable to the employee under this section…"
5. Therefore I accept the opinion of Dr Fish that the degree of impairment suffered by the claimant is 6% of the whole person in accordance with the Guide, noting his comments "Of these I consider that 4% has arisen from work related factors and 2% as a result of the underlying degenerative disease" and therefore the claimant is precluded by subsection 24(7) of the SRC Act from receiving an award of compensation for permanent impairment pursuant to Section 24 of the SRC Act.
6. Compensation for non-economic loss pursuant to Section 27 of the SRC Act is only payable where a benefit has been awarded under Section 24 of the SRC Act. On the basis that the claimant does not have entitlement under Section 24 of the SRC Act. On the basis that the claimant does not have entitlement under Section 24 of the SRC Act, nor is there an entitlement to compensation pursuant to Section 27 of the SRC Act."
20 By letter dated 23 January 2013, Mr Wheeler advised Mr Engida that, on the basis of medical evidence provided by Associate Professor George Mendelson, a consultant psychiatrist, in his report dated 28 September 2012, liability was denied under s 14 of the Act for a secondary condition, namely "depression". Associate Professor Mendelson found that Mr Engida did not have any "diagnosable mental disorder" and there was "no indication of any loss of work capacity due to any psychiatric illness or psychiatric impairment".
21 On 12 February 2013, Mr Engida sought review by a Senior Officer of the determinations made by Mr Wheeler on 21 and 23 January 2013.
22 On 25 February 2013, Ms Ciltra Henderson, Litigation - Reconsideration Officer, CGU Self Insurance Services, on behalf of Linfox, wrote to Mr Engida about his claim for permanent compensation under ss 24 and 27 of the Act in respect of "midback (Rhomboid) strain" sustained on 13 August 2008, and, in particular, to his claim for permanent impairment under the Act in respect of his "right shoulder". Ms Henderson informed Mr Engida that she had affirmed the determination dated 21 January 2013 denying his entitlement to permanent impairment compensation.
23 In a second letter of the same date, Ms Henderson informed Mr Engida that she had affirmed the decision dated 23 January 2013 denying liability to pay compensation for a secondary condition, namely "depression", pursuant to s 14 of the Act.
24 On 13 March 2013, Ms Katherine Curro, Senior Injury Claims Consultant, CGU Self Insurance Services, on behalf of Linfox, wrote to Mr Engida about his claim for workers' compensation in respect of his "midback (Rhomboid) strain" sustained on 13 August 2008. Linfox had accepted the claim on 25 August 2008. Having regard to Dr Fish's report dated 10 October 2012, Ms Curro determined that Mr Engida had ceased to suffer the effects of the compensable injury on 13 August 2008. Accordingly, Ms Curro determined that there was no present liability to pay medical treatment expenses and incapacity benefits pursuant to ss 16 and 19 of the Act.
25 On 18 March 2013, Mr Engida made applications to the Tribunal for review of the determinations made by Ms Henderson on 25 February 2013, affirming the decisions of Mr Wheeler made on 21 and 23 January 2013.
26 On 18 April 2013, Mr Engida sought reconsideration and review by a Senior Officer of the determination dated 13 March 2013 finding no present liability to pay medical treatment expenses and incapacity benefits pursuant to ss 16 and 19 of the Act in respect of his "midback (Rhomboid) strain" sustained on 13 August 2008.
27 On 24 April 2013, Ms Henderson wrote to Mr Engida informing him that she had affirmed the decision dated 13 March 2013 finding no present liability to pay compensation in respect of the "midback (Rhomboid) strain" pursuant to ss 16 and 19 of the Act. Ms Henderson stated that she had considered the various submissions made in support of Mr Engida's request for reconsideration. Ms Henderson concluded that "the submissions and the accompanying evidence sought to be relied upon…pre-dates the more recent specialist medical evidence provided by Dr Fish."
28 On 9 May 2013, Mr Engida made an application for review by the Tribunal of the decision dated 24 April 2013 affirming the decision dated 13 March 2013 finding no present liability to pay compensation to Mr Engida in respect of "midback (Rhomboid) strain" pursuant to ss 16 and 19 of the Act.