austlii:nsw/NSWPICPD/2025/62
General information, not legal advice.
NSWPICPD
2025-09-04
Original judgment source is linked above.
DETERMINATION OF APPEAL AGAINST A DECISION OF THE COMMISSION CONSTITUTED BY A MEMBER
Leuzzi v Primo Concrete Pty Ltd [2025] NSWPICPD 62
WORKERS COMPENSATION - Section 352(5) of the Workplace Injury Management and Workers Compensation Act 1998 - approach to be taken on appeal in respect of alleged errors of fact - _State of New South Wales v Culhan_a [2025] NSWCA 157; Fox v Percy [2003] HCA 22; Warren v Coombes [1979] HCA 9 considered and applied - failure to refer to evidence may not always be indicative of error - Lu v Heinrich [2014] NSWCA 349 applied - failing to consider a point not raised does not constitute error of law - Brambles Industries Limited v Bell [2010] NSWCA 162 applied - where a party fails to provide appropriate assistance to the decision-maker in relation to the evidence - rule 67D of the Personal Injury Commission Rules 2021; Caruana v Darouti [2014] NSWCA 85 applied
Leuzzi v Primo Concrete Pty Ltd [2025] NSWPIC 9
(a) entered an award in favour of the respondent in respect of the claimed injury to the cervical spine;
(b) declined to remit the claim pursuant to s 66 to the President of the Commission for referral to a Medical Assessor;
(c) determined that during the period of the claim for weekly payments, the appellant had "current work capacity" and worked for less than 15 hours per week;
(d) calculated the appellant's current weekly earnings, and
(e) ordered the respondent to pay the appellant $961.35 per week for the period from 2 November 2023 to 30 November 2023.
"(3) If the Commission is satisfied that sufficient information has been supplied to it in connection with proceedings, the Commission may exercise functions under this Act and enabling legislation without holding any conference or formal hearing."
"There is a possibility for him to work in some capacity but he would have to be retrained. He would struggle to work more than 20 to 25 hours a week. He would need to begin four hours a day, three days a week and slowly upgrade, but I think it unlikely he will ever get past 20 or 25 hours a week."[24]
"The training alternatives offered by Pinnacle Rehab include residential site supervisor and I believe that would be a possible alternative. He would struggle to do more than 20 to 25 hours per week. Personal transport service may be unsuitable in the longer term because he cannot work any significant hours to earn an income without aggravating his shoulder. Similarly, the delivery van driver might be tolerable, but there would have to be short driving periods and light delivery work."[25]
Mr Anjel Alias, physiotherapist, High Performance Health
Dr Alan Skapinker, general practitioner and injury management consultant
Current weekly earnings, of an injured worker in relation to a week, means whichever of the following is the greater amount -
(a) the worker's actual gross earnings in respect of that week,
(b) the weekly amount that the worker is able to earn in suitable employment."
"9 Meaning of 'current work capacity' and 'no current work capacity'
(1) An injured worker has current work capacity if the worker has a present inability arising from the injury such that the worker is able to return to the worker's pre-injury employment, or is able to return to work in suitable employment, but the weekly amount that the worker has the capacity to earn in any such employment is less than the weekly amount that the worker had the capacity to earn in that employment immediately before the injury.
(2) An injured worker has no current work capacity if the worker has a present inability arising from an injury such that the worker is not able to return to work, either in the worker's pre-injury employment or in suitable employment."
"suitable employment, in relation to a worker, means employment in work for which the worker is currently suited -
(i) the nature of the worker's incapacity and the details provided in medical information including, but not limited to, any certificate of capacity supplied by the worker (under section 44B), and
(ii) the worker's age, education, skills and work experience, and
(iii) any plan or document prepared as part of the return to work planning process, including an injury management plan under Chapter 3 of the 1998 Act, and
(iv) any occupational rehabilitation services that are being, or have been, provided to or for the worker, and
(v) such other matters as the Workers Compensation Guidelines may specify, and
(i) whether the work or the employment is available, and
(ii) whether the work or the employment is of a type or nature that is generally available in the employment market, and
(iii) the nature of the worker's pre-injury employment, and
(a) the appellant's current weekly earnings for the period from 4 October 2023 to 1 November 2023 and from 1 December 2023 to 25 January 2023 were $1,960 per week, which was the amount the appellant was able to earn in suitable employment on a full-time basis with the respondent, and
(b) the current weekly earnings for the period from 2 November 2023 to 30 November 2023 were $222.65 for 6 hours per week.
(a) for the periods from 4 October 2023 to 1 November 2023 and from 1 December 2023 to 25 January 2024, is $1,960 per week, being the weekly amount that the [appellant] would be able to earn during the claim period in 'suitable employment', specifically managerial work with the respondent on a full-time basis, and
(b) for the period from 2 November 2023 to 30 November 2023, is $222.65 per week, being the weekly amount that the [appellant] would be able to earn during the claim period in 'suitable employment', specifically managerial work with the respondent on the basis of six hours work per week.
(a) $961.35 per week from 2 November 2023 to 30 November 2023.
(a) Ground One: "the determination relied on an erroneous reading of the certificates of capacity", and
(b) Ground Two: "the factual error concerned a matter that was material within the process of reasoning adopted by the Member in reaching the determination appealed against, amounting to a legal error."
"Having carefully considered the evidence as a whole and counsel's submissions, I do feel a sense of persuasion and I am satisfied on the balance of probabilities that the [appellant] was able to earn income, performing the work of manager of the respondent for the periods from 4 October 2023 to 1 November 2023 and from 1 December 2023 to 25 January 2024 on a full-time basis, and for the period from 2 November 2023 to 30 November 2023 on the basis of six hours per week because:
(a) during the entire of the claim period, the [appellant] was certified to have capacity to work full-time hours of eight hours per day, five days per week, subject to physical work restrictions, with the exception of the period from 2 November 2023 to 30 November 2023 when the [appellant] was certified to have no current work capacity for any employment;
"The misapprehension of the certification of capacity across part of the claim period affects the entire determination, because it changes the Member's characterisation of the appellant's capacity across the entire claim period as being full-time, subject to a four week exemption."[40]
(a) the certificates in respect of the period from 15 September 2023 and 5 November 2023, which indicate that the appellant was fit for work in suitable duties for 8 hours per day, 5 days per week;
(b) the certificate for the period from 2 November 2023 to 30 November 2023, certifying that the appellant had no capacity for work;
(c) the certificate for the period 30 November 2023 to 23 December 2023, which the respondent submits could be read as certifying either nil capacity or capacity for some work 3 hours per day, 3 days per week, and
(d) the certificate bearing date 23 December 2024, which the respondent says should be read to be 23 December 2023, and which certified the appellant as having either no capacity or capacity for suitable employment for 8 hours, 5 days per week from 23 December 2023 to 2 May 2024.
"... the performance of such managerial work for the respondent on a full-time basis for the whole claim period, with the exception of the period from 2 November 2023 to 30 November 2023, is substantially consistent with the [appellant's] incapacity as certified for those periods".[41]
(a) Dr Bodel's opinion was unpersuasive because it was inconsistent with the fact that the appellant worked throughout the entire period, even when he was certified as having no capacity, and
(b) the appellant provided no direct evidence as to why he would be unable to perform full-time work in a managerial capacity.
The appellant's submissions in respect of the application of Culhana
The respondent's submissions in respect of the application of Culhana
"Future appeals under s 352 should apply the approach in Warren v Coombes[49] and Fox v Percy.[50] Appropriate deference is to be given to members where their findings are based on evidence in respect of which they have an advantage (such as the kind identified in Lee v Lee at [55]) over the Presidential member hearing an appeal. But it is not sufficient for an appeal to be dismissed on the basis that an inference was 'open' to the member, as if the member were a jury and there was some evidence supporting it. If the Presidential member, after making appropriate allowance for the advantages enjoyed by the member, would reach a different conclusion on a question of fact, he or she should not shrink from giving effect to it. Otherwise, the Presidential member will be dismissing an appeal but without fully addressing whether there is an error of fact, law or discretion."[51]
"Appellate courts are not excused from the task of 'weighing conflicting evidence and drawing [their] own inferences and conclusions, though [they] should always bear in mind that [they have] neither seen nor heard the witnesses, and should make due allowance in this respect'. In Warren v Coombes, the majority of this Court reiterated the rule that:
'[I]n general an appellate court is in as good a position as the trial judge to decide on the proper inference to be drawn from facts which are undisputed or which, having been disputed, are established by the findings of the trial judge. In deciding what is the proper inference to be drawn, the appellate court will give respect and weight to the conclusion of the trial judge but, once having reached its own conclusion, will not shrink from giving effect to it.'"[52]
Ground One: The determination relied on an erroneous reading of the Certificates of Capacity
(a) the appellant had only ever worked as a concreter;
(b) the appellant had no prospects of being retrained and had limited ability to perform physical work such as reaching and lifting;
(c) the appellant's role as a director and manager of his own company was the only suitable role, which he took up immediately following the closed period, and
(d) basically, the appellant would not be suitable for retraining and had physical limitations on his capacity.
(a) The Pinnacle Rehab report dated 24 October 2023 recorded that the agreed return to work goal was either as a building associate (residential site supervisor), personal transport service or delivery driver,[57] with physical restrictions in place as certified by Dr Amir.
(b) On 2 November 2023, Dr Amir downgraded the appellant's work capacity to "no work capacity" on the basis of Dr Davé's recommendation.[58]
(c) In the Certificate of Capacity dated 2 November 2023, the appellant was certified as having no capacity for work from 2 November 2023 to 30 November 2023[59] and on 30 November 2023, the appellant was certified as having capacity to work 3 hours per day, 3 days per week with lifting restrictions from 30 November 2023 to 23 December 2023.[60]
(d) A certificate dated 18 April 2024 certified that the appellant was fit for work 8 hours per day 5 days per week with restrictions on lifting, carrying, pushing and pulling of 7 kilograms for the period 23 December 202[3] to 2 May 2024.[61]
(e) Dr Scott, who treated the appellant in respect of his carpal tunnel syndrome, cleared the appellant for full duties in respect of that condition from 18 January 2023.[62]
(f) Dr Bodel, who examined the appellant opined that:
(i) the appellant had no capacity for work that was appropriate, given his physical limitations and his education, training and experience;
(ii) there was a possibility of having some capacity, but he would require retraining;
(iii) the recommendation that the appellant was fit for work as a site supervisor was a possibility, but the other options were not suitable, and
(iv) the appellant would struggle with more than 20 to 25 hours per week.
(g) Mr Alias, the appellant's physiotherapist, recorded that the pain and overall function in the appellant's shoulder had reduced following the cortisone injection. He assessed the appellant as being unfit for his previous work as a concreter. He considered that the appellant had the capacity to perform sedentary work or physical work at a low level, such as a director and manager of his own company.[63]
(h) Dr Powell, who had first seen the appellant in July 2023, was of the view that he would not recommend that the appellant return to his pre-injury duties, but the appellant could perform full-time work avoiding repetitive use of the right arm, should restrict using his arm away from his body or overhead, and should not lift more than 2 to 3 kilograms.[64]
(i) Dr Davé, the appellant's treating orthopaedic surgeon, advised in a report dated 6 November 2023, that the appellant could continue in his management role, as well as perform office-based duties and that, at the time of the appellant's last consultation, he was fit for normal hours on selected duties, with no lifting greater than 5 kilograms, and no lifting above shoulder height.[65] In a subsequent report dated 29 February 2024, Dr Davé advised that:
(i) the appellant had a very good result from the cortisone injection on 10 November 2023;
(ii) on review on 18 January 2024, the pain relief had been maintained and the appellant had full range of motion of the shoulder with minimum pain and only mild weakness, and
(iii) the appellant "has already returned back to work as a manager within his concreting company and he is ideally suited to this."[66]
(j) In his report dated 13 December 2023, Dr Skapinker agreed with Dr Davé that the appellant had the capacity to perform office-based work and supervisory roles for 8 hours per day, 5 days per week, with lifting limited to 5 kilograms and no above shoulder work. Dr Skapinker remarked that Dr Amir had downgraded the appellant's capacity to nil hours on the basis of advice from Dr Davé. Dr Skapinker observed that Dr Amir had misunderstood Dr Davé's opinion expressed in reports dated 26 October 2023 and 6 November 2023, which was that the appellant could continue in his managerial role and in office duties and was fit for normal hours performing those duties with no lifting greater than 5 kilograms.[67]
Ground Two: the factual error concerned a matter that was material within the process of reasoning adopted by the Member in reaching the determination appealed against, amounting to a legal error
"Having carefully considered the evidence as a whole and counsel's submissions, I do feel a sense of persuasion and I am satisfied on the balance of probabilities that the [appellant] was able to earn income, performing the work of manager of the respondent for the periods from 4 October 2023 to 1 November 2023 and from 1 December 2023 to 25 January 2024 on a full-time basis ..."[69] (my emphasis).
"The appropriate decision-maker for proceedings is not required to have regard to a document not specifically referred to in submissions made by a party to the proceedings."
"A party who fails to provide a trial judge with appropriate assistance in relation to evidence generally (and expert evidence in particular) should expect to have a difficult time in persuading an appellate court that some different approach to the expert evidence should be taken."[71]
[1] [2025] NSWCA 157 (Culhana).
[4] [2011] NSWWCCPD 25 (Raulston).
[5] Application to Resolve a Dispute (ARD), pp 1-3.
[6] Appellant's Application to Admit Late Documents (AALD) dated 4 December 2024, pp 1-3.
[24] Dr Bodel's report dated 20 February 2024, p 6, [11], ARD, p 46.
[25] Dr Bodel's report dated 20 February 2024, p 6, [12], ARD, p 46.
[27] Reply to Application to Resolve a Dispute (reply), pp 117-118.
[39] Leuzzi v Primo Concrete Pty Ltd [2025] NSWPIC 9 (reasons), [104].
[45] Culhana, per Leeming JA, [91].
[46] Respondent's submissions 14 August 2025, [2].
[50] [2003] HCA 22 (Fox v Percy).
[53] [2024] HCA 30, [14].
[54] Lu v Heinrich [2014] NSWCA 349.
[55] Transcript of proceedings (T) 10 December 2024, T 14.25-T 17.31.
[68] Lu v Heinrich [2014] NSWCA 349.
[70] [2014] NSWCA 85 (Caruana).
Leuzzi
Primo Concrete Pty Ltd [2025] NSWPICPD 62;
(1966) 39 ALJR 505