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[1997] SASC 6178
Supreme Court of SA
1997-05-28
Doyle CJ, Lander JJ
Original judgment source is linked above.
For the reasons already given the application of 10 October 1995 for a review was an inappropriate procedure. The Act precludes a review of the making of an assessment. The Review Officer had no jurisdiction to entertain that application.
Between 10 October 1995 and 3 June 1996 the worker and the Corporation engaged in negotiations in respect of these matters and on 5 December 1995 H I H Winterthur, the Corporation's agent, wrote to the appellant: "... you are no longer in receipt of weekly payments & H I H Winterthur have ceased any further Loss of Earning Capacity assessments, therefore I am unsure as to what there is to discuss." 71. On 27 December 1995 the appellant made a further application for review of the decision that 'H I H Winterthur have ceased to make any further LOEC assessments.'
The Review Officer also determined that the Corporation was liable to make weekly payments to the appellant in relation to his stress claim over the same period. It was argued during the appeal that the appellant would be entitled to weekly payments in respect of that stress claim even though the appellant had received a s42A assessment of total incapacity in respect of the injury of 30 June 1990. I have reached no conclusion on that submission. This Court is in no position to offer any opinion on that matter because there is no evidence before this Court, one way or the other, whether that stress claim is a compensable disability. It is not possible therefore to reach a conclusion as to whether the stress claim gives rise to any entitlement to weekly payments. In any event the matter is not before this Court in this appeal.
The Appeal To The Workers Compensation Appeal Tribunal
The decision of the learned Deputy President allowing the appeal to set aside the order for payments to the appellant during the period 18 May 1995 to 3 June 1996 is clearly a matter of law. That is so because it involves a question of the construction of the Act. I respectfully disagree, for the reasons already given, with the construction put upon that section by the learned Deputy President. In my opinion the Review Officer did have power to order the Corporation to make payments to the appellant, at least during the period 7 October 1995 to 3 June 1996. For the reasons already given the Corporation has an obligation to make an assessment for the period 18 May 1995 to 6 October 1996 because it was not until 6 October 1995 that the Corporation determined not to pay compensation in the period of default. The different liabilities for the different periods are important for reasons I will mention later. It follows that the appeal to this Court ought to be allowed at least to that extent.
The other matter decided by the learned Deputy President of which the appellant complains, is the decision that the requirements of the Corporation were reasonable.
The question whether a matter is one of law or one of fact can often be difficult to determine. In this case the construction of s42B(1) and the conclusion that the Corporation's requirements must be reasonable is a matter of law. But the appellant does not complain about the learned Deputy President's construction of the section. This ground of appeal goes to whether the facts as found disclose that the requirements are reasonable. It was not a question of whether the Corporation was entitled to require the appellant to submit to a medical examination or provide information. The question for determination was whether the requirements imposed by the Corporation were reasonable.
However, it is not necessary to determine whether that gives rise to a question of law or fact because in the end, from the parties point of view in this appeal it does not matter. That is because I agree, with respect, with the decision of the learned Deputy President on this matter. She found the Review Officer's determination that the requirements sought were unreasonable to be wrong. The information sought was directly relevant to an assessment of loss of earning capacity under s42A.
The Review Officer found that the Corporation was provided with other information from the appellant and from other sources which ought to have been sufficient to satisfy the Corporation. With respect to the Review Officer that is not to the point. The Corporation is entitled to obtain information from any source who will co-operate with it in providing information. However the fact that the Corporation might obtain information from an independent source does not disentitle the Corporation from exercising its rights under s42B(1). Indeed in most cases the Corporation will have received medical reports from medical practitioners who have either treated the worker or have provided reports on behalf of the worker. The receipt of those reports by the Corporation could not be said to disentitle the Corporation from stipulating that a worker submit to an examination by another medical expert nominated by the Corporation [s42B(1)(a)].
So also the Corporation would not necessarily be acting outside [s42B(1)(b)] if it required a worker to submit information relating to the worker's earning capacity when that information was otherwise available to the Corporation. It would not necessarily be unreasonable for the Corporation to use the section to have a worker effectively verify information.
In the circumstances of this case I agree with the learned Deputy President that the requirements of the Corporation were not unreasonable. I would therefore dismiss that ground of appeal.
In these circumstances the Court ought to allow the appeal and make the order in the nature of mandamus to the extent mentioned.
That will mean, in effect, that the appellant will be entitled to the payments over the whole of the period from 18 May 1995 to 3 June 1996. However in respect of the period between 7 October 1995 and 3 June 1996 the Corporation has a right, in the exercise of its discretion and, subject to any regulations, to recover the amount of the assessment from the appellant as a debt or to set off the amount of the assessment against any liabilities of the Corporation to make payments under the Act. That is a matter for the Corporation.
I propose the following orders. (1) Appeal allowed.
ROBERT HOWARD HILL
WORKERS REHABILITATION & COMPENSATION CORPORATION No. SCGRG-97-12 Judgment No. 6178 Number of pages - 15 Workers' compensation [1997] SASC 6178
(1979) 23 SASR 77