austlii:nsw/NSWPIC/2026/176
General information, not legal advice.
NSWPIC
2026-03-24
Original judgment source is linked above.
"7. My duties involved heavy physical work, which involved stacking heavy truck tyres and truck tyre caps, re-treading tyres, driving a forklift, jacking up trucks and taking wheels off trucks, repairing punctures and tyre damage, as well as supervising other employees. My job required me to walk, stand for prolonged periods, repetitive bending and twisting of my lower back and repetitive lifting of heavy items frequently weighing in excess of 50kg and in some cases up to 100kg. My job required me to stack about 80 new tyres per day and this would involve manoeuvring tyres that would weigh up to 100kg.
"2. Since my injury occurred, my lower back symptoms have been getting progressively worse. I consulted my treating doctors, and a lumbar fusion surgery was recommended.
"[The applicant] used to work as a tyre fitter in 2005 when he suffered an injury at work when tyres fell on him. He continued to try to work for a bit but his last permanent employment was in 2006. He has had several more casual employments since then but he tells me he's been given the sack when they've found out he's been on Workcover. [The applicant] has had symptoms of axial low back pain which has been severe [sic] radiating to both buttocks and both hamstrings and also both thighs, really since 2005. He has had various reviews from orthopaedic and other surgeons and has been offered surgery several times. He's had numerous cortisone injections. He's had many attempts at conservative measures such as physiotherapy and rehabilitation.
[The applicant] does think his symptoms have become worse in the last six months or so. This has prompted the review by you [Dr Giblin] and the suggestion that surgery should be considered."[22]
"[The applicant] woke up on the 3rd of March with severe lumbar pain. It was so severe it caused him to vomit and he went to Camden Hospital. No scan was done and it sounds as though the symptoms have improved since then. He experienced dysaesthesiae in the soles of his feet at the same time. This dysaesthesiae appears to have improved and sensation appears to be almost normal back in his feet. The back pain also appears to be improved. He tells me it feels comfortable when he is upright and walking around but there is a tightness or stiffness in the mid- to upper lumbar spine - he says above the fusion."[26]
"... he had a slow sit to stand pace velocity. There was severe allodynia over the lumbar spine in multiple compartments both mid line and paravertebrally. The surgical scar was completely healed. The piriformis were also tender. The superior cluneal nerves were tender. There was increased tone in the paravertebral muscles. He reported persistent numbness in his lower limbs during the examination. Reflexes were symmetrically reduced in his upper and lower limbs. SLR test was positive bilaterally at 30°. On gait examination he had a wide base of support but I did not appreciate any antalgia. He mobilised unaided. There was no evidence of foot drop bringing the power examination to normal."[28]
"His main complaint is that he has constant unremitting pain and aching in his low back radiating around towards his lower abdomen and it's associated with sharp stabbing pains and there is permanent numbness or at least decreased sensation around the foot and ankle in both his legs.
He has put on weight, can only walk ten minutes, stand for ten minutes and cannot sit for more than fifteen minutes. He no longer holds a driver's license and he never gets more than three hours of sleep a night in a stretch. His sex life is tabled as totally absent. He has troubles going up and down stairs. His legs feel weak and unreliable. He says he is unable to do anything in terms of his domestic responsibilities except make some bread and tea. He spends most of the day sitting outside."[32]
"His condition is stable and his general prognosis is guarded.
He is never going to get any better than he is now.
He has the perennial and insoluble problem of a blue collar worked [sic: worker] with a bad back for which there is just no satisfactory medical or surgical solution.
He will now spend the rest of his life as a picture of spinal misery with ongoing symptoms, increasing disabilities, and the prospect of post-fusion complications. These will include but not be limited to adjacent segment disease at L3/4, infection, loosening, periprosthetic fracture and chemical toxicity.
This gentlemen's condition is stable. He is permanently unfit for paid employment. Any attempt at paid employment will be associated with the significant liability of further material injury from innocuous physical events."[34]
"He now rates his low back pain as 7/10 going into both legs, left side equals right, with numbness of his feet and weakness of his legs. His walking is restricted to 5 minutes. He does minimal driving. His sitting is restricted. He lives in a boarding house where there are no cleaning duties."[36]
"His gait was normal. There was wasting of his right calf. Straight leg raising on the right side was 60° and on the left side was 60°. He had decreased back movement. His tone was normal. Power revealed bilateral weakness of toe extension. There was decreased sensation in the L5 territory of both feet. His reflexes revealed bilaterally absent knee and ankle reflexes."[37]
"My working diagnosis in this man is a gentleman with persistent axial low back pain, questionably a failed fusion, who has bilateral L5 radiculopathies with weakness of toe extension and altered sensation in the L5 territory with significant decrease in back movement."[38]
"At this stage, he is certainly not able to get back to his pre-injury duties which entailed heavy lifting and repetitive bending and twisting as he has had a two level fusion and he will never be able to do that sort of work again. At best, he would be able to get back to appropriate duties, light duties not lifting more than 5-10kg and avoiding anything which puts a lot of stress and strain on his back."[39]
"The further investigations that are required to confirm or clarify the treatment options is to do a CT scan to make sure that the fusion at the L4/5 and L5/S1 level has taken. If it has not, he may well have to have further surgery in the form of an anterior fusion. He also has significant degenerative disease in his sacroiliac joint which will need to be referred to a pain clinic for cortisone injections and also consideration of radiofrequency ablation to the sacroiliac joints but only after we are convinced that the fusion at the L4/5 and L5/S1 level has taken."[40]
(a) a reconsideration of the Certificate of Determination dated 14 November 2016 under s 57(1) of the PIC Act, and
(b) a referral for a further medical assessment by the President of the Commission under s 329(1)(b) of the 1998 Act.
"(1) Only one assessment may be made of the degree of permanent impairment of an injured worker.
(1A) A reference in subsection (1) to an assessment includes an assessment of the degree of permanent impairment made by the Commission in the course of the determination of a dispute about the degree of the impairment that is not the subject of a referral under this Part.
(2) The medical assessment certificate that is given in connection with that assessment is the only medical assessment certificate that can be used in connection with any further or subsequent medical dispute about the degree of permanent impairment of the worker as a result of the injury concerned (whether the subsequent or further dispute is in connection with a claim for permanent impairment compensation, the commutation of a liability for compensation or a claim for work injury damages).
(3) Accordingly, a medical dispute about the degree of permanent impairment of a worker as a result of an injury cannot be referred for, or be the subject of, assessment if a medical dispute about that matter has already been the subject of -
(a) assessment and a medical assessment certificate under this Part, or
(b) a determination by the Commission under Part 4.
(4) This section does not affect the operation of section 327 (Appeal against medical assessment) or 352 (Appeal against decision of Commission constituted by
"(1) A party to a medical dispute may appeal against a medical assessment under this Part, but only in respect of a matter that is appealable under this section and only on the grounds for appeal under this section.
(3) The grounds for appeal under this section are any of the following grounds -
(a) deterioration of the worker's condition that results in an increase in the degree of permanent impairment,
(b) availability of additional relevant information (but only if the additional information was not available to, and could not reasonably have been obtained by, the appellant before the medical assessment appealed against),
(c) the assessment was made on the basis of incorrect criteria,
(d) the medical assessment certificate contains a demonstrable error.
(6) The President may refer a medical assessment for further assessment under section 329 as an alternative to an appeal against the assessment (but only if the matter could otherwise have proceeded on appeal under this section).
(7) There is to be no appeal against a medical assessment once the dispute concerned has been the subject of determination by a court or the Commission or agreement registered under section 66A of the 1987 Act.
"(1) A matter referred for assessment under this Part may be referred again on one or more further occasions for assessment in accordance with this Part, but only by -
(a) the President as an alternative to an appeal against the assessment as provided by section 327, or
(b) a court or the Commission.
(1A) A matter referred for assessment under this Part may be referred again on one or more further occasions by the President to the medical assessor for reconsideration.
(2) A certificate as to a matter referred again for further assessment or reconsideration prevails over any previous certificate as to the matter to the extent of any inconsistency."
"(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."
"58. Having regard to the above authorities and the provisions and objectives of the 1998 Act I believe that the following principles are applicable to reconsideration applications under section 350(3) of the 1998 Act:
"26. The intended function of s329 is far from clear. It is a question that was not the subject of full argument. It may be that it affords a remedy which should have been pursued with the Commission by the plaintiff in lieu of the application for leave to appeal.
[18] Application at page 21 at [7]-[8].
[19] Application at page 23 at [2]-[3].
[42] Martinovic v Workers Compensation Commission of New South Wales & Ors [2019] NSWSC 1532.
[43] Samuel v Sebel Furniture Ltd [2006] NSWWCCPD 141.
[44] Target Australia Pty Ltd v Mansour [2006] NSWWCCPD 286.
[45] Miloslavjevic v Medina Property Services Pty Ltd [2008] NSWWCCPD 56.
[46] Read v Liverpool City Council [2007] NSWSC 320.
[48] Samuel v Sebel Furniture Ltd [2006] NSWWCCPD 141 at [58].
[49] Target Australia Pty Ltd v Mansour [2006] NSWWCCPD 286 at [68].
[50] Read v Liverpool City Council [2007] NSWSC 320 at [26]- [27].
Matthews
Goodyear Tyres Pty Ltd [2026] NSWPIC 176;
(1981) 147 CLR 589