(g) 12 October 2010 - Letter from Dr Minogue to Barwick Legal. (EX 1).
41 Having considered that material in particular and all of the other evidence, I find that the applicant has established her case that she is fit for the employment of the kind for which she has nominated: that is, Bus Operator at Willoughby Depot. My reasoning is set out below.
42 Firstly, the Commission only had medical evidence from one party to the proceedings - that is, the applicant. There was no medical evidence put on by the respondent to say that the applicant was not fit for the role.
43 Secondly, Dr Minogue issued a medical certificate on 9 March 2010, advising that the applicant was fit for employment as a Bus Operator. (EX 13, TAB 1). In doing so, the applicant satisfied the legislative criterion that she produce to the employer a medical certificate that she is fit for the nominated employment: s241(3) Workers Compensation Act 1987. This caused the respondent to question this medical assessment up to and including the Hearing before myself. I deal with that questioning below.
44 Mr Paul Gan, Acting Manager Workers Compensation questioned Dr Minogue's medical certificate by correspondence of 24 March 2010. (EX 13, TAB 2). In that letter, Mr Gan refers to the applicant's injury history. He wrote that the applicant's report of injury from 2007 had said that "she developed lower back pain, right leg pain and right knee pain as a result of not being able to reach the accelerator (pedal) with the whole of her foot (and) so had to stretch to be able to drive bus with whole of foot on the accelerator." Mr Gan then asked how the applicant's circumstances had changed in 2010 in order for that injury report to no longer apply. The evidence showed that the applicant was of a smallish stature and the respondent was saying that she had had difficulty in being able to depress the accelerator pedal in 2007 and this was the cause of her injury and what were the changed circumstances that allowed Dr Minogue to say she was now fit for employment.
45 Dr Minogue responded by letter of 7 April, advising of two changed circumstances. Firstly, the applicant had been having very appropriate physiotherapy with a Mr Russell Tuckerman whose methods appeared to be particularly efficacious (effective). Secondly, the type of buses which the applicant had been driving had a rather immovable and rigid seat and position for driving which prevented the applicant from making necessary seat adjustments in order to reach the braking and accelerator pedals. The doctor had now learned that new models of buses are in use which enable the applicant to reach the pedals without any discomfort or disability. In summary, the doctor expressed his opinion that she would be able to drive safely without causing further injury or cause any aggravation of her lower back pain, knee or ankle pain. (EX 13, TAB 3).
46 Mr Gan deposed, that Dr Minogue's assessment appeared to be based on the assumption that the applicant would only be required to drive the "newer models of buses". (EX 13, para 13). Mr Gan, in agreement with Mr Peters (Depot Manager, Willoughby), took the view that the applicant had a potential risk of re-injury if she was to return to work.
47 During the consideration phase before myself, and in an attempt to resolve the applicant's claim for reinstatement, a practical assessment was carried out on 8 July 2010. This exercise required the applicant to sit in the driver's seat for all models of buses she would be required to drive out of Willoughby Depot. The Pre-employment Practical Assessment (Form 450) lists twelve (12) activities against which the applicant was assessed for six (6) types of buses. (EX 3, Annex TMS 33).
48 The practical assessment form shows that for eight of the twelve factors to be assessed, the applicant has been given a tick for all types of buses. One more factor comprises ticks and "N.A".
49 The form shows that for the factor "Pedal reach (leg not fully extended)", the tester has recorded "ALMOST FULL EXTENSION" for three of the buses and ticks for the remaining three buses.
50 The form shows that for the factor "Change Front Side & Rear destination rolls", the tester has recorded "FRONT: STRETCH BUT ABLE" for two of the buses and ticks for the remaining four buses.
51 The form shows that for the factor "Operate Park Brake", the tester has recorded, "STRETCH OF BODY & LEG" for two of the buses and ticks for the remaining four buses.
52 The above assessment was carried out by Mr Craig Berry, Physiotherapist and Mr Ramon Libuano (Bus Operator/Trainer).
53 Craig Berry wrote a report on the practical assessment of the applicant.
(EX 3, Annex TMS 32). The report advised that the applicant was able to
perform the criteria (factors) at the time of the assessment. The report then makes a couple of notations. Thus, the applicant was reported to perform the winding of the front destination winders at extreme stretch. Further, the applicant was reported to be only just able to reach the pedals of the Scania and MAN buses. In respect of both matters, it was said that the applicant was then predisposed to risk of re-injury, because of her shortish stature and the report's observation about her stretching to reach the front winder or say, depress fully the accelerator.
54 The respondent declined to reinstate the applicant based on the practical assessment and Craig Berry's report.
55 In response to the respondent's position, the applicant provided a physiotherapy report from Russell Tuckerman, dated 21 September 2010
(EX 2) and a medical assessment from Dr Minogue, dated 12 October 2010 (EX 1).
56 The Tuckerman physiotherapy report of September 2010, presents the applicant in a positive way as to her fitness to return to full time duties as a Bus Operator. His report provides a comparative report on her physical nature between March 2009 and September 2010. (His earlier report on the applicant is dated 2 March 2010 - EX13, TAB 1). He refers to the treatment she has had under his clinic's care within that time frame. His report answers the posed question as to whether the applicant (Ms Smith) has developed the skills and awareness to avoid re-injuring herself: Thus:
"Ms Smith has definitely developed the skills to avoid re-injury in understanding her neutral spine position, understanding how to maintain this when attempting to flex at her hips, squat, lunge, walk and sit. By understanding postural awareness in sitting and standing she can maintain this neutral position under load and this has allowed her to remain pain free and increase her activity levels as described in the paragraph above.
These skills will certainly assist Ms Smith in avoiding re-injury as she will be able to maintain a sitting posture when working as a bus operator and she knows the importance of not putting her spine into a kyphotic or stressed posture as identified in physiotherapy assessment of her bus sitting position."
57 Mr Tuckerman's report shows that he has read the Craig Berry report.
58 The applicant was cross-examined on Mr Tuckerman's report as to the issue extracted above as to her skills and awareness to avoid re-injuring herself. She confirmed the positive assessment of Mr Tuckerman, her physiotherapist. She said it was he who put her on the right path, during her physiotherapy treatment. He taught her how to use her muscles... have the correct muscles turned on, so as to have support... to have a neutral spine position in order to avoid pain. As a result, she felt a lot better now in 2010 than she did before 2007. (Tr 11, line 14 to Tr 12, line 46)
59 Dr Minogue, the applicant's treating doctor, provided a medical assessment (12 October 2010) in response to Craig Berry's report. Relevantly his medical assessment states:
"6. As regards to Craig Berry's assertion that Ms Smith could be at risk of injury to her lower back and surrounding structures. I am unable to agree with this. I base my opinion on the fact that she was able to drive older model buses over some years without any discomfort nor disability.
7. Taking into consideration all the factors contributing to her symptoms of disability, discomfort and pain, I do not agree with the matters as expressed in the report of Craig Berry. I do not think that Ms Smith is now exposed to any greater degree than any other driver of the appropriate bus. Any potential injuries would, in my opinion come from any fresh and independent injuries."
60 In reviewing all of the foregoing material (and the evidence as a whole), I find that the applicant has medical evidence and supporting physiotherapy report, to establish her case that she is fit for the employment of the kind for which she has nominated. Of importance is the applicant's supporting testimony that the physiotherapy treatment provided her with the technique for the correct use of her muscles for carrying out tasks in order to avoid pain. There is no medical evidence from the respondent to say otherwise. Also of importance, is that the views expressed by Tuckerman and Dr Minogue (21 September and 12 October 2010 respectively) are ones made having regard to the Craig Berry report. Their views were not expressed in ignorance of that report.
CONCLUSION
61 For the reasons set out in this Decision, the Commission has determined that the applicant has satisfied the relevant statutory hurdle to make good her claim for her nominated role of Bus Operator at Willoughby Depot. That is, the role is available and she is medically fit to perform that role.
62 Having made that finding, the Commission was then required, by statute, to consider the exercise of its discretionary power as to whether a reinstatement order should be made, per section 243(2), in favour of the applicant's sought after role as Bus Operator at Willoughby Depot.