[2011] AATA 277
General information, not legal advice.
Administrative Appeals Tribunal of Australia
2011-04-27
Original judgment source is linked above.
DECISION AND REASONS FOR DECISION [2011] AATA 277
The decision under review is varied, and remitted to Comcare for further calculation.
....................[sgd]..........................
WORKERS' COMPENSATION - Incapacity payments - calculation of normal weekly earnings - whether relevant injury is original injury or aggravation injury − whether employment at the same level − whether 'relevant period' for calculation is two weeks prior to injury − decision under review varied
PRACTICE AND PROCEDURE - estoppel - where applicant paid higher amounts of NWE - where respondent induced reliance on higher amounts - Tribunal not estopped from redressing error in NWE calculation
Formosa v Secretary, Department of Social Security [1988] FCA 291; (1998) 15 ALD 657
McDonald v Department of Defence [1999] FCA 882
Minister for Immigration, Local Government and Ethnic Affairs v Kurtovic [1990] FCA 22; (1990) 21 FCR 193
Re De La Cruz and Australian Postal Corporation (AAT 12496, 18 December 1997)
Re Moon and Telstra Corporation Ltd [2006] AATA 996; (2006) 93 ALD 740
Re Prica and Comcare (1996) 44 ALD 46
Re Smith and Comcare [2002] AATA 249
Riddell v Secretary, Department of Social Security [1993] FCA 261; (1993) 42 FCR 443
(8) A reference in this Act to an injury suffered by an employee is, unless the contrary intention appears, a reference to an injury suffered by the employee in respect of which compensation is payable under this Act.
(9) A reference in this Act to an incapacity for work is a reference to an incapacity suffered by an employee as a result of an injury_, being:_
(b) an incapacity to engage in work at the same level at which he or she was engaged by the Commonwealth or a licensed corporation in that work or any other work immediately before the injury happened.
(b) an injury (other than a disease_) suffered by an_ employee_, that is a physical or mental_ injury arising out of, or in the course of, the employee_'s employment; or_
(c) an aggravation of a physical or mental injury (other than a disease) suffered by an employee (whether or out that injury arose out of, or in the course of, the employee's employment), that is an aggravation that arose out of, or in the course of, that employment;
19 Compensation for injuries resulting in incapacity
(1) This section applies to an employee who is incapacitated for work as a result of an injury_, other than an_ employee to whom section 20, 21, 21A or 22 applies.
(2) Subject to this Part, Comcare is liable to pay to the employee in respect of the injury_, for each week that is a maximum rate compensation week during which the_ employee is incapacitated, an amount of compensation worked out using the formula:
(a) the amount per week (if any) that the employee is able to earn in suitable employment;
(b) the amount per week (if any) that the employee earns from any employment (including self-employment) that is undertaken by the employee during that week.
"NWE" is the amount of the employee_'s_ normal weekly earnings_. ..._
(1) For the purposes of this Act, the normal weekly earnings of an employee (other than an employee referred to in subsection (2)) before an injury shall be calculated in relation to the relevant period under the formula:
"NH" is the average number of hours worked in each week by the employee in his or her employment during the relevant period;
"RP" is the employee_'s average hourly ordinary time rate of pay during that period; and_
"A" is the average amount of any allowance payable to the employee in each week in respect of his or her employment during the relevant period, other than an allowance payable in respect of special expenses incurred, or likely to be incurred, by the employee in respect of that employment.
(2) Where an employee is required to work overtime on a regular basis, the normal weekly earnings of the employee before an injury shall be the amount calculated in accordance with subsection (1) plus an additional amount calculated in relation to the relevant period under the formula:
"NH" is the average number of hours of overtime worked in each week by the employee in his or her employment during the relevant period; and
"OR" is the employee_'s average hourly_ overtime rate of pay during that period.
... (5) Where, because of the shortness of the relevant period, the normal weekly earnings as calculated in relation to the relevant period under subsection (1) or (2) would not fairly represent the weekly rate at which the employee was being paid in respect of his or her employment before the injury_, the_ normal weekly earnings before the date of the injury shall be calculated in relation to such other period as Comcare considers reasonable for the purpose of arriving at an amount that does fairly represent the weekly rate at which the employee was being so paid. ...
(1) For the purposes of calculating the normal weekly earnings of an employee before an injury_, a reference in section 8 to the relevant period is, subject to this section, a reference to the latest period of 2 weeks before the date of the_ injury during which the employee was continuously employed by the Commonwealth or a licensed corporation_. ..._
(4) If, during any part of the period calculated under the preceding subsections, the employee_'s earnings were reduced, or the_ employee did not receive any earnings, because of absence from his or her employment for any reason, that part of that period shall be disregarded for the purposes of calculating the relevant period.
A reference in this Act to an injury suffered by an employee is, unless the contrary intention appears, a reference to an injury suffered by the employee in respect of which compensation is payable under this Act.
Prior to aggravating his previous condition on 17 July 2008, [Mr Keys] had not returned to either 'suitable employment' or to duties (roster) for which he received pay equivalent to his pre-injury earnings.
(9) A reference in this Act to an incapacity for work is a reference to an incapacity suffered by an employee as a result of an injury_, being: ..._
(b) an incapacity to engage in work at the same level at which he or she was engaged by the Commonwealth or a licensed corporation in that work or any other work immediately before the injury happened. (emphasis added).
The definition of 'incapacity for work' in subsection 4(9) refers to an incapacity to engage in work 'at the same level'; it does not require a return to precisely the same duties. The decisions in Re Prica and Comcare and Smith v Comcare referred to the nature and quality of the work being carried out and similarly, did not suggest that the Act requires an injured employee be able to perform each and every pre-accident duty before it can be said that he or she is no longer incapacitated.[2]
The reference to 'level' could be construed as a reference to a grade or salary level or could be a reference to the nature of the work in the sense of its characteristics, which will include its degree of difficulty. If the former construction were adopted it would produce the apparently anomalous result that a person with severe (or moderate) disabilities would be found to lack any incapacity for work as long as they continued to occupy the same grading or earn the same salary as at the date of the injury. The anomaly would not arise under the latter construction. A finding of an incapacity itself does not necessarily result in any entitlement to periodic or lump sum compensation under the Act. There are additional requirements in ss 19, 24 and 27 concerning those issues. Hence a construction of s 4(9)(b) which permits a finding of an incapacity for work in circumstances where the applicant subsequent to an injury is engaged in light duties at their former salary does not produce any anomaly within the Act and recognises that incapacity for work is a relative concept and a matter of degree. [3]
For the purposes of this Act, the normal weekly earnings of an employee ... before an injury shall be calculated in relation to the relevant period under the formula (NH x RP) + A where
NH is 'the average number of hours work in each week by the employee in ... employment during the relevant period;
RP is the employee's average hourly ordinary time rate of pay during that period; and
A is the average amount of any allowance payable to the employee in each week in respect of ... employment during the relevant period...
... should be estopped from denying the correctness of its determination of the Applicant's NWE in respect to the aggravation of the Applicant's injury on 17 July 2008, as being equivalent to the amount of his NWE in respect of the injury he sustained on 21 October 2005, as well as the Respondent's affirmation of that determination, and the consequent making of weekly incapacity payments to the Applicant at the determined weekly rate for the period from 17 July 2008 and continuing, as adjusted in accordance with section 8
I certify that the 70 preceding paragraphs are a true copy of the reasons for the decision herein of Professor RM Creyke, Senior Member.
Signed: .................[sgd]..............................
[2] Re Moon and Telstra Corporation Ltd [2006] AATA 996; (2006) 93 ALD 740 at 744.
[3] Re Prica and Comcare (1996) 44 ALD 46 at 51. See also Re Smith and Comcare [2002] AATA 249 at [84].
[4] Riddell v Secretary, Department of Social Security [1993] FCA 261; (1993) 42 FCR 443 at 449.
[5] McDonald v Department of Defence [1999] FCA 882, at [10].
[6] Re De La Cruz and Australian Postal Corporation (AAT 12496, 18 December 1997)
[7] Formosa v Secretary, Department of Social Security [1988] FCA 291; (1988) 15 ALD 657, at 665. See also Minister for Immigration, Local Government and Ethnic Affairs v Kurtovic [1990] FCA 22; (1990) 21 FCR 193 at 207 per Gummow J.
Formosa
Secretary, Department of Social Security
(1990) 21 FCR 193
(1993) 42 FCR 443