austlii:nsw/NSWPIC/2025/194
General information, not legal advice.
NSWPIC
2025-05-09
Original judgment source is linked above.
Mellor-Langham v QBE Insurance (Australia) Limited [2025] NSWPIC 194
MOTOR ACCIDENTS - Motor Accident Injuries Act 2017; claim for statutory benefits; insurer denied liability under and for ongoing statutory benefits on basis that claimant was wholly or mostly at fault; claimant's application for miscellaneous claims assessment under Schedule 2(3)(d) and (e); claimant drove into curve on a wet semi-rural road at 60-65 kms which was below the speed limit (80 kms) but above the speed advisory sign (35 kms) and lost control of car; she says oily film or sheen on the road; - there was oily film on road and claimant departed from the standard of care of a reasonable person by not driving to the conditions and driving too fast; claimant's contributory negligence assessed at 70% and she was therefore wholly or mostly at fault; referred to regarding approach to assessment of wholly or mostly at fault.
In accordance with Division 7.6 of the Motor Accident Injuries Act 2017, the Commission's assessment is:
A statement setting out the Commission's reasons for the assessment is included with this certificate.
Ms Mellor-Langham is wholly or mostly at fault.[1]
INSURER'S DECISIONS, PARTIES' SUBMISSIONS AND PROCEDURAL MATTERS
"I have determined that you were wholly or mostly at fault for the accident as we have considered the accident circumstances and maintain that you are wholly at fault for the subject accident for failing to drive to the prevailing road conditions and failing to maintain control of your vehicle."
(a) in the claim form the claimant identified her own vehicle as the "most at fault" vehicle;
(b) the ambulance report describes the corner where the accident occurred as a "blind corner";
(c) police and ambulance describe the road surface as wet;
(d) the insurer notes the claimant was issued with a fine by the police, but the insurer did not have a copy of it or details of whether it was paid or disputed;
(e) the claimant had suggested there was an oily film on the road. The insurer said:
(i) there was no indication the oil came from another vehicle which would "suggest negligence by another";
(ii) noted that police and ambulance do not refer to oil on the road, and
(iii) that "your description of an oily film is more likely a consequence of the rain encountering the road's surface",
(f) the claimant was not in control of her vehicle leading up to the accident which is a breach of the New South Wales Road Rule 297(1).
"I find on the balance of probabilities that you did not drive to the prevailing wet weather road conditions whilst navigating the bend thus causing your vehicle to veer to the wrong side of the road and collide with another vehicle and a fence."
(a) she acknowledges she was fined by police but that they told her "I wasn't doing anything dangerous" and that she was fined because "whoever is above him...said he had to fine me";
(b) the police officer "showed me how to fight the fine";
(c) there have been 15 accidents in 18 years at the same spot where her accident took place, and
(d) she was not speeding and that there was a bit of water and oil slick on the road.
"Small hatchback into fence with damage to multiple wheels, major deformity to bonnet with intrusion into cab, greater than 30 cms. [Patient] trapped by compression in front driver seat by [bilateral] thighs. Air bag deployment."
(a) the accident occurred on Clothiers Creek Road which is a local road;
(b) the road was sealed, level but curved;
(c) the weather was overcast, and the road surface was wet;
(d) there was natural light (dawn);
(e) the speed limit was said to be 65kmph;
(f) the claimant's vehicle was noted as a Honda Jazz sedan 2008 model and the claimant was said to be driving at 65kmph, and
(g) the other vehicle was noted to be a Mercedes "motor-cycle" although later it was described as a "heavy rigid truck" which sustained damage to its bonnet and was also travelling at 65kmph.
"As driver one [the claimant] approached the 30-degree bend on Clothiers Creek Road ... driver one lost control of vehicle one, in doing so, vehicle one crossed onto the incorrect side of the road and collided with vehicle 2."
(a) the penalty notice issued by the police for "negligent driving (no death or grievous bodily harm)" in the sum of $514;
(b) a screen shot from her phone showing she has no demerit points;
(c) a request for review of the fine which was made to the police due to her good driving record, that she was not doing anything wrong and that she has gone through so much with her injuries, and
(d) a letter from NSW revenue dated 30 May 2024 at the conclusion of the investigations saying the fine still applies:
"We acknowledge your comments that you did not do anything wrong. The issuing officer considered the circumstances such as road, weather and traffic conditions, together with statements that were made and decided it was appropriate to issue a fine."
We have lived here at [xxx][4] Clothiers Creek Rd for 18 years and in that time, there have been numerous accidents out the front of our home. (We are not sure how many). We know the road and particularly that corner where the accident ... occurred is dangerous. We have made the council aware of this in the past. Kind regards [xxx]."
"The road was a sealed tarred road and there were no obstructions on the road, no fallen trees and or any debris where this happened as clearly shown in my scene photos.
I did not see any oil and or liquids or any large amount of leaves on the roadway near where this accident occurred that may have contributed to the Claimant losing control of her vehicle. Again, this is clear through the photos I have provided."
(a) the Constable has been a police officer for eight years and on highway patrol for four;
(b) the speed limit on Clothiers Creek Road was 80kmph;
(c) the accident occurred on a corner with a house on the left and another house and garages on the right;
(d) the area is a rural farm area;
(e) the road was wet;
(f) the impact between the vehicle occurred on the truck's side of the road and he "was pretty much stopped perfectly on the road";
(g) he read out his report (as stated in the police report document);
(h) he took a statement from the claimant on 11 May 2024 (two months after the accident);
(i) he examined the claimant's car after the accident, and it appeared to be roadworthy;
(j) he thought there were no speed advisory signs;
(k) the investigator suggested to the police officer (at question 119) that he had spoken to the neighbours and been told "there's been a few accidents down there" and the police officer agreed with that, and
(l) the police officer says (at 143) that he "sort of worded her up" telling her she was going to get a ticket because the police handbook says he has to give her a ticket, but that she should write in "to maybe get off it."
"I could clearly see the point of impact was on the incorrect side of the road [149];
And, obviously because of the weather conditions. She is familiar with the area [150];
... the conclusion being that she's gone on the wrong side of the road. Whether that is due to speed, or whether she wasn't driving to the conditions, or she was speeding, and so hence the neg drive ticket.[153]
And probably the road, the actual - the position of the road. Obviously that sort of - bit of a - because it is a bit of a tight dog - well it's not that tight but it's a bit of a dog leg in the road. [157]"
(a) the left-hand curve is shown at the top;
(b) 35 kmph is underneath that, and
(c) at the bottom is a red and white sign that says, "reduce speed".
(a) Photograph 1 shows the wet road, double white lines and on the right a chevron alignment marker sign;
(b) Photograph 4 shows the lane the claimant was travelling in and there is virtually no leaf matter on the road that I can see;
(c) Photograph 5 shows the claimant's car in the fence further down the road and the truck and there are almost no leaves on the road between the two vehicles;
(d) Photograph 6 shows the back of the truck and the side of the road where the claimant had come from. While there are some leaves on the road, there are not many leaves;
(e) Photograph 10 shows the road with the lights from ambulance reflecting off the road surface;
(f) Photograph 12 shows a view looking east showing what appear to be small puddles of water near the double white lines and patches of what appears to be smoother possibly patched asphalt on the southern side of the road;
(g) Photographs 14 and 15 show a gouge mark in the road which the other driver says is the point of impact between the two vehicles. It is on the truck driver's side of the road, not the claimant's side, and
(h) Photographs 19 and 20 show the claimant's tyres.
"Heading towards the coast, along Clothiers Creek Road. The road was wet from recent rain, oily film on road. Taking a corner, the car slid or skidded to the other side of the road, into the oncoming truck. On impact the car was pushed across the road, into a fence."
"I was driving my car on Clothiers Creek Road towards Casuarina. I was going around a left-hand ben near the tea farms when I lost control of my vehicle ... it felt like my car had - I fish-tailed a little bit before I slid across, onto the other side of the road."
"Even though I was done for at fault, the cop / highway patrol said to me I wasn't doing any thing dangerous and the only reason I got the at fault was [because of] whoever is above him ... said he had to fine me. He even showed me how to fight the fine.
There's been 15 accidents in 18 years in the exact spot mine was in.
There was a bit of water and oil slick on the road."
(a) she made no allegation of any fault on the part of the truck driver. He just happened to be there and there was nothing he that caused or contributed to the accident;
(b) she does not say there was an oil spill on the road, but there was an oily film on the road as result of rain and possibly leaf debris;
(c) the police report said she was driving at 65kmph. She did not think her speed was that high and she thought she was driving more like 60kmph, but she was not entirely sure;
(d) the police report that says the speed limit on the road is 65kmph is likely incorrect as the speed limit is 80kmph, and
(e) she knows this because she is familiar with the road and drives it almost every day.
(a) she was not speeding, she was driving under the 80kmph speed limit;
(b) she was driving a roadworthy car which she services regularly;
(c) she checks the tyres;
(d) she did not intend to lose control of her car, it was an accident;
(e) there was an oily film and leaf matter on the road, and
(f) the neighbours have reported the road can be like ice when it's wet and they have to walk on it.
"I myself saw an oil film on the road in the split second before the accident. I ask that you please take that into consideration as I've said I saw the film from the start, and I still stand by that."
(a) she did not intend to have an accident;
(b) she was driving within the speed limit;
(c) she was driving a roadworthy car, and the property damage insurer paid her claim;
(d) she was fined by the police but with reluctance from the constable and only because his superior made him do it;
(e) there was an oily film on the road combined with rain that had fallen earlier which caused the road to be slippery;
(f) there was leaf matter on the road surface which also may have caused the road to be slippery, and
(g) there had been other accidents at the same place and the residents have said the road is slippery to walk across.
(a) the accident occurred on 12 March 2024 at about 6.30am. It had been raining earlier but it was not raining at the time of the accident. These findings are made based on the claimant's claim form, the police records and the evidence the claimant gave at the preliminary conferences;
(b) there have been other accidents on this part of the road. This finding is made on the basis of the evidence obtained by the claimant from a long-term resident of one property near where the accident occurred. This is supported by the information obtained by the insurer's investigator. The claimant said in an email to the insurer that there had been 15 previous accidents in 18 years. The claimant has provided no evidence to support this number of accidents at the precise location. In the absence of any evidence about these other accidents I am not prepared to draw an inference and find that the way the road was built or designed had anything to do with the accident;
(c) the claimant was driving a roadworthy car. I make this finding on the basis of the claimant's evidence, the opinion of the police officer and in the absence of any expert or other evidence from the insurer to suggest otherwise;
(d) there may have been some leaf matter on the road at the time of the accident but there was no significant leaf or other debris on the road. I make this finding on the basis of the evidence of the truck driver and the photographs he has taken from the day of the accident;
(e) there was an oily film on the road but not an oil spill. The claimant's evidence has been consistent on this point. She stated in her claim form there was an oily film on the road, she told the insurer this in an email, she gave a statement to the police that mentions it and she told me about it at both of the preliminary conferences;
(f) the road was slippery - Ms Mellor-Langham has said the road was slippery and that was what caused her to lose control of her car. The insurer has led no evidence lay or expert to the contrary;
(g) the claimant saw the oily film on the road in the moments before she lost control of her car. I make that finding on the basis of the claimant's 2 May 2025 message to the Commission;
(h) the speed limit along Clothiers Creek Road was 80kmph. This finding is made on the basis of the claimant's evidence, the insurer's investigation report and the police officer's evidence;
(i) there was a speed advisory sign about 140m before the corner where the accident occurred and that this sign was in place at the time of the accident. I make this finding based on the investigator's film and photograph and the date stamp on the google map photo which was put to the parties but not challenged;
(j) the curve in the road where the accident happened was not a gentle curve in the road but was a blind or dog leg corner. I make this finding on the basis of the ambulance and police evidence, the photographs and because there were three or four Chevron alignment markers in place at the time highlighting the angle of the curve. The insurer's investigator's video and the truck driver's photographs from the day of the accident also show the degree of the curve;
(k) the claimant was driving at 60 - 65km as she drove into the corner before the accident occurred. This finding is made on the basis of the claimant's evidence about her speed which has not been challenged by the insurer, and
(l) there was nothing the truck driver did that caused or contributed to the accident.
What is the approach to a dispute about fault in a statutory benefits claim?
"(1) An injured person is not entitled to statutory benefits ... for treatment and care expenses incurred more than 52 weeks after the motor accident concerned if -
(a) the motor accident was caused wholly or mostly by the fault of the person[9], ...
(2) A motor accident was caused mostly by the fault of a person if the contributory negligence of the person in relation to the motor accident (as referred to in section 3.38) was greater than 61%."
(a) an injured person's entitlement to benefits "does not depend on establishing the fault of a person ..." An injured person such as Ms Mellor-Langham therefore does not need to prove anyone else was negligent or at fault for the motor accident, in order to obtain benefits under Part 3 [55];
(b) statutory benefits cease pursuant to sections 3.11 and 3.28 if the injured person is wholly or mostly at fault. "The qualifiers 'wholly or mostly' inform each other and are intended to address ... contributory negligence". Ms Mellor-Langham's benefits will continue if she is not wholly or mostly at fault but cannot continue if she is [56];
(c) sections 3.11 and 3.28 "are directed at the extent to which the injured person's failure to take reasonable care contributed to the motor accident." That is the contributory negligence relevant to the cause of the accident and accommodates "all types of motor accidents including single vehicle accidents where the injured person is the owner driver" [57];
(d) section 3.38 requires the enacted law of contributory negligence to be applied and includes the provisions of the Civil Liability Act 2002. The test for negligence and contributory negligence in section 5R(2)(a) of that Act is "the standard of care required of the person who suffered harm is that of a reasonable person in the position of that person" [60];
(e) where there is more than one motor vehicle involved, sections 3.11 and 3.28 requires the claimant's contributory negligence to be determined by apportioning the culpability or responsibility between the two drivers. In this case there is no culpability or responsibility on the part of the truck driver, he just happened to be in the path of Ms Mellor-Langham's car after she lost control of it, and
(f) in a single vehicle motor accident in which the claimant is both the owner and driver, contributory negligence for the motor accident can still apply. Because there is no one to measure the claimant's conduct against, contributory negligence is assessed by considering the degree of Ms Mellor-Langham's departure from the standard of care they are required to observe in the interests of their own safety.
(a) whether Ms Mellor-Langham has contributed to the cause of the accident. I do that by deciding whether she has departed from the standard of care identified in point (d) of the paragraph above, that is whether she has acted as a reasonable person in her position would have acted, and
(b) if I find there is some contribution from her to the cause of the accident then I have to determine the degree of her contribution. In deciding this I must consider how far she has departed from that standard of care.
Has the claimant contributed to the cause of the accident?
What is the degree of the claimant's contributory negligence?
[1] Schedule 2, cl 3(d) applies to weekly benefits and Schedule 2, cl 3(e) concerns treatment and care benefits.
[2] The notice was sent by email and is undated.
[3] MacMahon v Insurance Australia Limited t/as NRMA Insurance [2021] NSWPIC 427.
[4] The street number and name of the person provided this information was given but for privacy reasons it is not necessary to include them in these reasons.
[5] While his name and details are known, for privacy reasons, there is no necessity to include his details in these reasons.
[6] Read out and transcribed in the Brooksight Investigations report.
[7] [2023] NSWSC 909 at [45].
[8] (1990) HCA 33 at [367].
[9] Section 3.28(1)(a) adds the words "and the person is over 16 years of age at the time of the motor accident" to create an ongoing entitlement to statutory benefits for treatment and care expenses for children.
[10] See section 2.3 of the MAI Act for the terms of the policy.
[12] Axiak by her next friend Anixak v Ingram [2012] NSWCA 311. The age of the claimant was a factor in the finding of the degree of her contributory negligence.
[13] Davis v Swift [2014] NSWCA 458.
[14] Serrao (by his tutor Serrao) v Cornelius [2016] NSWCA 231. There were mitigating factors including that the claimant had ordered a taxi which had not turned up and he had "no choice" but to walk.
Mellor-Langham
QBE Insurance