austlii:nsw/NSWPIC/2025/673
General information, not legal advice.
NSWPIC
2025-12-11
Original judgment source is linked above.
Saadouni v Allianz Australia Insurance Limited [2025] NSWPIC 673
MOTOR ACCIDENTS - Motor Accident Injuries Act 2017; miscellaneous claims assessment; whether claimant wholly or mostly at fault; and ; claimant sustained injury; claimant alleged insured vehicle collided with rear of her scooter; - inconsistency in evidence of claimant; damage to driver's door of insured vehicle; claimant not travelling in front of insured vehicle but lane filtering and in doing so collided with side of insured vehicle; claimant failed to take reasonable care; insured driver conceded he did not see scooter at all; claimant not wholly at fault; as per claimant's contributory negligence assessed at 80%; claimant mostly at fault for the accident.
Issued under s 7.36 of the Motor Accident Injuries Act 2017 (the MAI Act)
The findings of the assessment of this dispute are as follows:
A brief statement of my reasons for this determination is attached to this certificate.
5 February 2025 the insurer affirmed the determination that the claimant was wholly at fault for the accident. 7. The claimant lodged an application in the Personal Injury Commission (Commission) which was registered on 21 October 2025 as to whether for the purposes of ss 3.11 and 3.28 of the MAI Act the motor accident was caused wholly or mostly by the fault of the claimant. 8. That dispute was referred to me for determination.
Ms Saadouni appeared in person and Ms Allen appeared for the insurer. A French interpreter Ms Barbara Dias-Fiegal, NAATI accredited No. CPN2WH075 was available to assist Ms Saadouni where necessary. The insured driver Mr Zhen Zao also attended. 2. There was some difficulty with the parties accessing the Teams link at the outset including the interpreter. Ms Saadouni was concerned at the delay noting she was in France where it was late at night. 3. Initially, Ms Saadouni queried the ability of the interpreter to speak French. Ms Dias-Fiegal was not able to produce her NAATI credentials immediately and Ms Saadouni objected to the matter proceeding in the absence of proof of her accreditation. After a short delay Ms Dias-Fiegal retrieved her NAATI credential from another room. She displayed it to the parties in the Teams conference and provided details of her NAATI number. Having provided proof of her qualifications as a NAATI accredited interpreter no further objections were raised by Ms Saadouni and the matter proceeded. Even though she was a competent English speaker Ms Saadouni utilised the services of Ms Dias-Fiegal extensively throughout the assessment. 4. Ms Saadouni also objected to the presence of Mr Zao, the insured driver. She stated she was not informed he would be present, and she did not want to speak to him. I explained as the insured driver he was a witness, and the insurer was entitled to have him attend. Ultimately, Ms Saadouni indicated she wished to hear from him and indeed, she asked him some questions.
(a) an indexed bundle of documents uploaded by the claimant to the portal on
6 October 2025 paginated from page 1 to 115 (claimant's documents), and
(b) an indexed bundle of documents uploaded by the insurer to the portal on
7 November 2025 paginated from page 1 to 51 (insurer's documents).
"(1) An injured person is not entitled to weekly payments of statutory benefits under this Division for any period of loss of earnings or earning capacity that occurs more than 26 weeks after the motor accident concerned if -
(a) the motor accident was caused wholly or mostly by the fault of the person, or
(b) the person's only injuries resulting from the motor accident were threshold injuries.
(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%.
Section 3.38 provides for a reduction of statutory benefits after 26 weeks for contributory negligence of the person not mostly at fault."
"(1) An injured person is not entitled to statutory benefits under this Division for treatment and care expenses incurred more than 26 weeks after the motor accident concerned if -
(a) the motor accident was caused wholly or mostly by the fault of the person and the person was over 16 years of age at the time of the motor accident, or
(b) the person's only injuries resulting from the motor accident were threshold injuries.
(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%."
"(1) The common law and enacted law as to contributory negligence that applies to an award of damages in respect of a motor accident applies (except as provided by this section) to weekly payments of statutory benefits for any period of loss of earnings or earning capacity that occurs more than 26 weeks after the time of the motor accident.
(2) A finding of contributory negligence must be made in the following cases -
(f) in the case of any other conduct of the injured person that is prescribed by the regulations for the purposes of this section.
(3) The weekly payments of statutory benefits payable in respect of a motor accident are to be reduced on account of contributory negligence--
(a) if subsection (4) requires the statutory benefits be reduced by a fixed percentage--by that fixed percentage, or
(b) by such percentage as the parties agree, or
(c) in any other case--by such percentage as the Commission determines (for the reasons stated) is just and equitable in the circumstances of the case."
If there is a dispute about the percentage of the reduction on account of contributory negligence, the insurer is required to make the weekly payments with the reduction the insurer considers appropriate pending the determination of the dispute by the Commission."
(a) the standard of care required of the person who suffered harm is that of a reasonable person in the position of that person, and
(b) the matter is to be determined on the basis of what that person knew or ought to have known at the time.
Ms Saadouni was wholly or mostly at fault in respect of her entitlement to weekly benefits (Schedule 2, cl 3(d)), her entitlement to treatment and care benefits (Schedule 2, cl 3(e)) and whether statutory benefits should be reduced for her contributory negligence (Schedule 2 cl 3(g)).
"At about 12:00 pm on Monday 01/01/2024 driver 1 was riding west on market street towards Castlereagh street in the middle lane. Driver two was driving next to driver 1 in the left lane and driver 3 was in front of driver 1 in the middle lane. Driver 1 collided with the drivers side front end of driver 2's car in the left lane, causing driver 1 to then bump off the car, back into the middle lane and hit the rear end passenger side of driver 3's car. Driver 1 sustained minor injuries to her left foot and lower leg. Driver 1 and driver 2 have conflicting versions and driver 3 didn't see what happened."
"I was riding my motorcycle at approximately 40 km/hr due to the traffic conditions in my lane, coming from Potts Point. I was driving on the left lane. Given the traffic on my left, I could not have positioned myself in the middle lane at the time. While proceeding on my lane the driver of a Nissan vehicle (license plate: YJQ97B) suddenly drove into me, pushing my motorcycle against another vehicle, identified as "Driver 3" in the police report.
The impact caused me to lose control, and the Nissan driver continued to push my motorcycle further into the outer lane. In the process, my shoes were left behind as I struggled to remove myself from the dangerous situation. The Nissan's actions forced me to extract myself from the motorcycle and escape further injury, but I was ultimately pushed against another car.
As a result of the collision, I landed in front of the Nissan YJQ97B, as depicted in the attached photographs and drawings. I was unable to stand up immediately and bystanders had to assist me in moving to a safer position on the side. The Nissan driver only stopped driving because people on the street began shouting and signalling them to halt."
"I was not filtering during the car accident as per the picture and the witness document. The police report could not determine who was at fault. Plus I could not have been filtering since the driver 3 did not see what happened as I was already in the left lane and the Nissan's driver completely drove into me. In Mr Zhao statement, everything is said is repeating the investigator suggestions. Mr Zhao kept saying I hit the other car but the other car had no damages."[3]
"On the day of the incident, I was riding my motorbike in front of Westfield Sydney, between Castlereagh Street and Pitt Street. At that location, there are three lanes moving in the same direction. I was in the left lane, which was about to merge, and I was preparing to move into the middle lane. Due to heavy and slow traffic, I had not yet put on my indicator. At that moment, a Lexus attempted to pass me on the right. While doing so, I suddenly felt an impact on my legs. Fearing I would be crushed, I pushed my motorbike to extract myself. The vehicle continued moving forward until bystanders shouted for the driver to stop.
It is clear to me that the driver was distracted, most likely on his phone. This would explain why he failed to notice me."
Ms Saadouni said she did not understand the issue where the Lexus has attempted to pass her on the right. Ms Saadouni suggested the referral to the dent on the side wheel of the Lexus which appeared in that statement was probably a typo. 7. In response to questioning from Ms Allen and noting that it all happened very quickly
Ms Saadouni was unclear whether the initial impact was between the Nissan and her leg or between the Nissan and her scooter although she ultimately concluded the initial impact was with the scooter which caused her to lose balance before it touched her leg. 8. Ms Saadouni said at the time of impact she was on the right side of the left lane. She again stated she needed to merge because her lane was going to disappear. Ms Saadouni's attention was drawn to photograph 4 (see below). However, she was not prepared to concede that her evidence that the lanes were going to merge was incorrect. When it was suggested, there was no merging of the lanes for another two or three blocks Ms Saadouni responded, "no two blocks". 9. Ms Saadouni stated after the impact the Nissan continued and did not stop until others yelled at him to stop. Ms Saadouni was referred to photograph 4 but refused to concede the Nissan had not remained in motion given it had stopped behind her scooter.
Record of interview between Paul Horton, investigator and Zhen Yao
5 June 2024 in respect of the accident.[5] 2. Mr Zao was born in China but was comfortable with the interview being conducted in English. He described himself as a very experienced driver with a clear driving record. At the time of the accident, he was driving a new Nissan X-trail. He had been driving for less than one hour at the time of the accident and had not consumed any drugs or alcohol before the accident. Mr Zao was wearing a seatbelt at the time. He was accompanied by a passenger who has now returned to China. 3. Adopting the numbering contained in the record of interview the following relevant paragraphs were reported:
"Q50. ... Just in your own words in as much detail as you can, can you tell me what happened?
Q 60 So, was it a case where you know sometimes how the motorbikes they filter in between the lanes, was that what was happening with the motorbike? It was kind of going in between the cars?
Q 76. So, were you stopped at the time of the accident? ... Were you flowing or were you stopped or going slow?
Q 77. Yeah. Okay. Yeah. So, it sound to me it sounds like she was kind of lane filtering. Would that be accurate? Going in between cars:
Q 78 Like you know how the motorbikes or the scooters kind of filter in between the cars so they go in between you know, the cars and the dividing line and she may have overbalanced. Does that sound about right?
"I witnessed the entire incident during my lunch break on January 1, 2024. From my vantage point, I saw the Nissan vehicle with license plate YJQ97B driving aggressively and appearing to be inattentive. The driver collided with the motorcycle and continued pushing it into another car without stopping. The motorcyclist was forced off their vehicle and onto the road due to the Nissan actions.
It was evident to me that the Nissan driver only stopped because people on the street began shouting and signalling for them to halt. Based on what I observed, the Nissan's driver drove into Alexia's motorcycle, KTD26."
Mr Habelrich did not see either collision. 3. Having regard to the decision of Mitchelmore J in AAI Ltd t/as GIO v Evic the insurer submits the issue for determination is as follows:
(a) did the claimant contribute to the cause of the accident and, if so, the extent to which the claimant departed from the standard of care of the reasonable person based on what she knew or ought to have known as set by s 5R(2)(a) of the CLA;
(b) what is the insured's culpability, determined by considering whether he breached his duty of care to the claimant as a fellow road user. While the claimant does not have to prove breach of duty of care on the part of the insured driver to establish an entitlement to ongoing benefits, Shuk requires a finding to establish whether there is any culpability on the part of the driver to determine the degree of that culpability relative to the claimant's culpability,[10] and
(c) if the claimant has contributed to the cause of this accident, then what is the degree of her contributory negligence?
(a) In the Application for personal injury benefits the claimant reported:
"The driver with Nissan car run into me and crashed the motorbike between the 2 cars";
(b) In the letter for internal review the claimant stated:
"I was driving on the left lane. ... While proceeding on my lane, the driver of a Nissan vehicle (license plate YJQ97B) suddenly drove into me, pushing my motorcycle against another vehicle, ... the impact caused me to lose control and the Nissan driver continued to push my motorcycle further into the outer lane. ... The Nissan's actions forced me to extract myself from the motorcycle and escape further injury, but I was ultimately pushed against another car";
(c) in the letter to the Commission the claimant indicated she believed the driver of the Lexus was at fault: She stated:
"I was in the left lane, which was about to merge, and I was preparing to move into the middle lane. Due to heavy and slow traffic, I had not yet put on my indicator At that moment, A Lexus attempted to pass me on the right. While doing so, I suddenly felt an impact on my legs. Fearing I would be crushed, I pushed my motorbike to extract myself. The vehicle continued moving forward until bystanders shouted for the driver to stop", and
(d) in the application form completed by the claimant for the internal review dated
15 January 2025 the claimant states she did not collide with the third vehicle stating:
"I was not filtering during the car accident.... I was already in the left lane and Nissan's driver completely drove into me. ... Mr Zhao kept saying I hit the other car but the other car had no damages".
(a) the accident occurred on 1 January 2024 at about 12.00pm;
(b) the weather was fine;
(c) at the site of the collision Market Street was a one way street with three lanes;
(d) at the time of the accident the claimant was riding her motor scooter KTD26;
(e) at the time of the accident the insured driver, Zhen Zao was driving a Nissan X-trail YJQ97B in the left lane;
(f) at the time of the accident Elias Habelrich was driving a Lexus station wagon HTD400 in the middle lane;
(g) Mr Habelrich did not see the collision.
(h) at the time of the accident the traffic was moving slowly, according to the claimant at about 20 kmph and according to Mr Zao at about 30 kmph, and
(i) as a result of a collision the claimant sustained injury to her left foot for which she underwent surgery on 3 April 2024.
Whether the left lane was about to end requiring the claimant to merge into the middle lane
Whether the Nissan only stopped because bystanders yelled at him to do so
The location of the scooter on the road immediately prior to the collision
15 January 2025 and in the letter to the Commission dated 10 September 2025. 9. The position of the scooter on the road is consistent with a version of events where the claimant came from behind on her scooter, and in attempting to lane filter between the vehicles bumped the Nissan, resulting in the scratch and dent to the door, and then as she pushed forward she lost balance, knocked the Lexus and her bike fell to the ground. I am also satisfied that this conclusion is consistent with the diagram provided by Ms Saadouni in the Application for personal injury benefits as to how the accident occurred as depicted in paragraph 17 above.
(a) sections 3.11 and 3.28 operate to cease the payment of statutory benefits to a person under Div 3.3 and 3.4, respectively, if one of the two conditions in subs (1) is satisfied. The focus of the condition, and the relevant enquiry, in paragraph (a) is whether the motor accident, as defined in s 1.4, was caused "wholly or mostly by the fault of the person", being the injured person who is in receipt of the relevant benefits. The qualifiers "wholly or mostly" inform each other and are intended to address the same mischief, namely, contributory negligence;[13]
(b) where there is more than one motor vehicle involved in a motor accident, or where a motor accident involves a pedestrian, s 3.11 accommodates an assessment of the contributory negligence of the claimant as per Allianz Australia Insurance Limited v Shuk[14];
(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. The sections (and s 3.36) use the word "fault" accompanied by a qualifying phrase ("wholly or mostly") which clearly invokes contributory negligence. ... the provisions are concerned with contributory negligence not for the injury, but for the motor accident, in a manner that accommodates all types of motor accidents, including single vehicle accidents where the injured person is the owner driver;[15]
(d) the words "wholly or mostly" do not require comparison of the acts of at least two parties;[16]
(e) as per Axiak v Ingram[17] in the context of a blameless accident the concept of contributory negligence requires an assessment of the extent to which the plaintiff departed from the standard of care he or she is required to observe in the interests of his or her own safety;[18]
(f) both Axiak[19] and Davis v Swift[20] illustrate that the inability to balance relative culpability and causal responsibility does not preclude an assessment of contributory negligence (in cases involving what is now known as a "no fault accident");[21]
(g) an injured person may be "wholly at fault", consistently with the enacted law that permits a finding of 100% contributory negligence,[22] and
(h) the exercise to which s 3.38(3)(c) is directed, namely, assessing what is just and equitable in the circumstances of the case, is one that could be carried out in respect of the conduct of an owner driver in the context of a single vehicle accident.[23]
"...the reasonable care that a driver must exercise when driving a vehicle on the road requires that the driver control the speed and direction of the vehicle in such a way that the driver may know what is happening in the vicinity of the vehicle in time to take reasonable steps to react to those events..."
"The making of an apportionment as between a plaintiff and a defendant of their respective shares in the responsibility for the damage involves a comparison both of culpability, i.e. of the degree of departure from the standard of care of the reasonable man ... and of the relative importance of the acts of the parties in causing the damage ...and cases there cited. It is the whole conduct of each negligent party in relation to the circumstances of the accident which must be subjected to comparative examination. The significance of the various elements involved in such an examination will vary from case to case."
For the purposes of s 3.28 of the MAI Act the claimant was mostly at fault for the accident.
[10] Allianz Australia Insurance Limited v Shuk [2023] NSWSC 788.
[11] Australian Broadcasting Tribunal v Bond (1990) CLR 321; [1990] HCA 33 at [367].
[12] Blacktown City Council v Hocking [20098] NSWCA 144.
[13] AAI Limited t/as GIO v Evic [2024] NSWSC 1271 at [56].
[14] Allianz Australia Insurance Limited v Shuk [2023] NSWSC 788 and Evic at [61].
[17] Axiak v Ingram 920120 82 NSWLR 36; [2012] NSWCA 311.
[19] Axiak v Ingram 920120 82 NSWLR 36; [2012] NSWCA 311.
[20] Davis v Swift [2014] NSWCA 458, 69 MVR 375.
[24] Manley v Alexander [2005] HCA 79.
Saadouni
Allianz Australia Insurance Limited [2025] NSWPIC 673;
(1985) 59 ALR 529