austlii:nsw/NSWPICPD/2025/23
General information, not legal advice.
NSWPICPD
2025-03-21
Original judgment source is linked above.
WORKERS COMPENSATION - Section 57 of the Personal Injury Commission Act 2020 - reconsideration of decisions - principles to be applied - Procedural Direction WC 7; ; ; ; ; applied
Islam v Eureka Operations Pty Ltd t/as Coles Express [2024] NSWPICPD 80
(a) an injury to his back on 11 July 2015;
(b) a further injury to his back on 10 January 2018, and
(c) a psychological injury on 6 November 2019, or, in the alternative, on 26 August 2020.
(a) whether the appellant's incapacity was caused by his back injury/injuries, his psychological injury or a combination of those injuries;
(b) whether the appellant's psychological condition was a primary injury or was secondary to the back injury/injuries, and
(c) if the psychological condition was a primary injury, whether the appellant's entitlement to compensation was defeated by s 11A of the Workers Compensation Act 1987 (the 1987 Act).
(a) the appellant's date of injury in respect of his back was 11 July 2015;
(b) the appellant's pre-injury average weekly earnings figure was $733.38;
(c) Order 1 of the original Certificate of Determination was amended to add "as indexed or adjusted";
(d) leave was given to the respondent to apply to the Commission if it was alleged that the weekly amount awarded was incorrect;
(e) Order 2 of the original Certificate of Determination (the Order that the respondent was to pay the appellant's s 60 expenses on production of account, receipts and/or a current Notice of Charge) was withdrawn and instead the respondent was ordered to pay the appellant's s 60 expenses resulting from the injuries sustained on 11 July 2015 upon production of accounts, receipts and/or current Notice of Charge, and
(f) an award was made in favour of the respondent in respect of the alleged psychological injury which was said to have occurred on 19 November 2019.
(a) failing to make specific orders for payment of each particular treatment expense;
(b) finding that his psychological injury was secondary to the physical injury occurring in 2015, and
(c) miscalculating his pre-injury average weekly earnings figure.
(a) a letter dated 10 January 2024 from Dr Evagelos Koumoulas, general practitioner, certifying that certain treatments were reasonably necessary;
(b) the functional capacity report issued by Mr Michael Chrysanthou, exercise physiologist from Wellness Within Consulting dated 15 July 2021;
(c) the report of Dr Robert Drummond dated 19 November 2015;
(d) email correspondence between August and September 2020 passing between the respondent and two of its employees in respect of the appellant's claim that he had been bullied;
(e) a clinical note recorded by Ms Liela Vergara from New Vision Psychology dated 1 May 2021;
(f) a letter from A/Prof Peter Illingworth dated 9 August 2022 in respect of the need for IVF treatment;
(g) a NSW Police Mental Health incident report involving the appellant dated 23 September 2021;
(h) an Activities of Daily Living Assessment Report dated 14 September 2020 compiled by Ms Annette Chamberlain, rehabilitation consultant from Pinnacle Rehabilitation;
(i) an Enterprise Agreement decision made by Commissioner Gay from Fair Work Australia dated 29 May 2012 in respect of the Eureka Operations Fuel and Convenience Team Member Agreement 2011 (the 2011 Fair Work Agreement), with the 2011 Fair Work Agreement attached;
(j) the appellant's Earnings History Report for the period 1 January 2014 to 31 July 2015;
(k) invoices for house cleaning and lawn mowing;
(l) a report of Dr Vladimir Sazhin, psychiatrist, dated 1 December 2023;
(m) a schedule of medications prescribed to the appellant between 3 November 2022 and 31 March 2024 and the cost of the medication, and
(n) various certificates of capacity.
"(a) The Member's order that the respondent is to pay the appellant's treatment expenses pursuant to s 60 of the Workers Compensation Act 1987 on production of accounts, receipts and/or current Notice of Charge is confirmed.
(b) The Member's determination that the appellant's psychological condition was secondary to his physical conditions is confirmed.
(c) The Member's determination of the appellant's pre-injury average weekly earnings is revoked.
(d) The matter is remitted to a different member for the calculation of the appellant's entitlement to weekly payments of compensation in accordance with these reasons."
(a) submissions lodged on the Commission's portal on 28 January 2025, directed to the Registrar and raising an issue that the respondent had refused to pay certain treatment expenses;
(b) an application for release of the appellant's superannuation on compassionate grounds lodged on the portal on 30 January 2025, signed by the appellant's psychiatrist, Dr Vladimir Sazhim on 8 September 2022, and
(c) a letter directed to me, lodged on 30 January 2025, seeking intervention by me in relation to the respondent's request for the appellant to be re-examined by Dr John Bentivoglio, orthopaedic surgeon.
(a) whether he suffered a primary psychological injury in the form of post-traumatic stress disorder with major depression and generalised anxiety disorder (with accompanying symptoms);
(b) whether his employment was a substantial contributing factor to the injury in accordance with s 9A of the 1987 Act;
(c) whether he suffered a secondary psychological disorder in the form of fibromyalgia and an adjustment disorder arising from the injury to the spine;
(d) the calculation of his pre-injury earnings as $715.95, without indexation, and
(e) why the respondent has failed to comply with the Commission's order that the respondent was to pay his ongoing treatment expenses.
(a) behaving unreasonably and making threatening statements;
(b) targeting and criticising him unfairly;
(c) threatening his employment, and
(d) intentionally failing to submit statement evidence form important witnesses.
(1) The Commission may reconsider any matter that has been dealt with by the Commission in the Workers Compensation Division or Police Officer Support Scheme Division and rescind, alter or amend any decision previously made or given by the Commission in that Division.
(2) If after the making of a decision by the Commission (and without limiting subsection (1)), the President is satisfied that the decision contains an obvious error, the President may -
(a) alter the decision to correct the error, or
(b) direct a registrar to alter the decision to correct the error.
(3) Without limiting subsection (2), if the decision is contained in a certificate, the President may -
(a) issue a replacement certificate with the error corrected, or
(b) direct a registrar to issue a replacement certificate with the error corrected.
(4) If a decision is altered, the altered decision is taken to be the decision and notice of the alteration is to be given to the parties in the proceedings in the manner directed by the President.
(5) If a replacement certificate is issued, the certificate prevails over any previous certificate.
(6) Examples of obvious errors in a decision are where -
(a) there is an obvious clerical or typographical error in the text of the notice or statement, or
(b) there is an error arising from an accidental slip or omission, or
(c) there is a defect of form, or
(d) there is an inconsistency between the stated decision and the stated reasons."
(a) to establish an independent Personal Injury Commission of New South Wales to deal with certain matters under the workers compensation legislation and motor accidents legislation and provide a central registry for that purpose,
(b) to ensure the Commission -
(i) is accessible, professional and responsive to the needs of all of its users, and
(ii) is open and transparent about its processes, and
(iii) encourages early dispute resolution,
(c) to enable the Commission to resolve the real issues in proceedings justly, quickly, cost effectively and with as little formality as possible,
(d) to ensure that the decisions of the Commission are timely, fair, consistent and of a high quality,
(e) to promote public confidence in the decision-making of the Commission and in the conduct of its members,
(f) to ensure that the Commission -
(i) publicises and disseminates information concerning its processes, and
(ii) establishes effective liaison and communication with interested parties concerning its processes and the role of the Commission,
(g) to make appropriate use of the knowledge and experience of members and other decision-makers."
PRINCIPLES RELEVANT TO AN APPLICATION FOR RECONSIDERATION
"It is important, naturally, to keep well in mind the distinction between the existence of the power and the occasion of its exercise, and courts should not lose sight of the general rule that public interest requires that litigation should not proceed interminably. A party who seeks or opposes an order must produce all the available evidence at the original hearing, and courts must be on their guard to refuse to allow the same matter to be litigated again and again. But at the same time it is clear that the legislature intended to leave with the prescribed courts the power of reviewing any decision to see that justice is done between the parties."[8]
"The task of the Court is to balance the policy requirement of finality of litigation with the obligation to rectify any clear cut injustice. The cases do not comprehensively indicate how the Court is to approach this task, but it does seem that two broad requirements are laid down. The first of these is that the material leading to an application for reconsideration must be what can broadly be described as 'fresh evidence', namely material that with reasonable diligence could not have been put before the Court at the time of the original proceedings and the application for reconsideration has to move with appropriate speed and diligence to bring that matter to the Court's attention. The second point is that the fresh evidence must be of such a nature that if it had been before the Court when the original proceedings were heard it would more likely than not have affected the outcome of the proceedings."[10]
(a) the section gives the Commission a wide discretion to reconsider its previous decisions;
(b) the discretion must be exercised fairly;
(c) the public interest that litigation should not proceed indefinitely is a factor to be weighed;
(d) reconsideration may be allowed if new evidence that could not with reasonable diligence have been obtained at the first Arbitration is subsequently obtained and, if it had been put before [a Member] in the first hearing, would have been likely to lead to a different result, and
(e) the Commission has a duty to do justice between the parties according to the substantial merits of the case.
"The discretion to reconsider is to be exercised for reasons and with a view to advancing the objects of the 2020 Act. It is not, in my view, intended to be a substitute for the rights of appeal given by s 353 of the 1998 Act."[12]
(a) "The text of s 57(2)-(6) identifying the types of error otherwise contemplated by the section, albeit 'without limiting the generality of subsection (1)', are plainly not errors of law."[13]
(b) "The objects of the 2020 Act include the disposition of proceedings with 'as little formality as possible' in a timely, fair, consistent and high quality manner. This has to be read in the context of a clearly defined appellate procedure set out in ss 352 and 353 of the 1998 Act",[14] and
(c) "... where there was a serious possibility of an altered outcome it is plainly convenient and in line with the objects of the 2020 Act for the decision to be reconsidered and dealt with in accordance with s 57. This is not such a matter."[15]
(a) despite the appellant's attention being drawn to the requirements of Procedural Direction WC7 [9]:
(i) no submissions were provided as to Procedural Direction WC7 [9(c)], which requires the appellant to attach reasons as to why a reconsideration of the decision should be considered, rather than an appeal pursued. No such submission was made, and
(ii) no submissions were provided as to Procedural Direction WC7 [11(c)] and [11(d)], which require submissions to be made as to why the evidence sought to be adduced in the reconsideration is fresh evidence or evidence in addition to or in substitution for the evidence received in the proceedings below, or that evidence could not reasonably have been obtained before my decision;
(b) all of the documents sought to be relied upon (apart from the letter to the "Registrar") are not "fresh evidence" as they all pre-date the non-Presidential Member's decision and the appeal proceedings and were clearly available to the appellant;
(c) the documents do not constitute evidence that, had they been available they would more likely than not have affected the outcome of the proceedings;
(d) the letter to the Registrar seeks to agitate a complaint that, inconsistent with the Member's order for treatment expenses to be paid, which was confirmed on appeal, the treatment expenses have not been met. No remedy falls within the jurisdiction of the Registrar or at the appellate level of the Commission to enforce any order for treatment expenses, and in any event, it is not "evidence";
(e) I have no jurisdiction to intervene in respect of the respondent arranging for the appellant to attend Dr Bentivoglio;
(f) the exercise of discretion in favour of the appellant would not advance the objectives of the 2020 Act, particularly to resolve the real issues in proceedings justly, quickly, cost effectively and with as little formality as possible;
(g) the respondent's weekly payments entitlement is yet to be determined;
(h) the issues raised by the appellant include allegations of error of law, which should be more appropriately dealt with by an appeal to the Court of Appeal in accordance with s 353 of the 1998 Act;
(i) I have a duty to do justice between the parties. These proceedings have been on foot since 5 December 2022 and litigation should not proceed indefinitely, and
(j) there is no serious possibility that a reconsideration would result in a different outcome.
[1] Islam v Eureka Operations Pty Ltd t/as Coles Express [2024] NSWPICPD 80.
[2] Citing Castro v State Transit Authority (NSW) [2000] NSWCC 12; (2000) 19 NSWCCR 496.
[3] Citing Lyons v Master Builders Association of NSW Pty Ltd (2003) 25 NSWCCR 422.
[5] [2022] NSWPICPD 29 (McCall).
[6] Islam v Eureka Operations Pty Ltd t/as Coles Express [2023] NSWPIC 515 (reasons), [2] and [304].
[7] [1962] SR (NSW) 244 (Hardaker).
[9] [1993] NSWCC 36; (1993) 9 NSWCCR 642 (Maksoudian).
[11] [2006] NSWWCCPD 141 (Samuel), [58].
Islam
Eureka Operations Pty Ltd t/as Coles Express
(2003) 25 NSWCCR 422
(2000) 19 NSWCCR 496
(1993) 9 NSWCCR 642