austlii:nsw/NSWPICPD/2026/6
General information, not legal advice.
NSWPICPD
2026-02-17
Michael J, Ms J, Centre J
Original judgment source is linked above.
The proper test: material contributing factor, not the cause
(a) Dr Conrad, who found death was caused by stroke, does not explain his reasons. > > (b) Dr Selim, who recorded alcoholism as contributing to death on the death certificate, provides no duration for it. > > (c) Dr Khan's evidence in support of the appellant's claim is premised on Mr McLean only having "consumed alcohol infrequently" prior to his psychiatric injury. Based on the medical material before the Commission, this is not correct and I agree with the Principal Member that, as a result of his opinion not being based on the full information, his conclusion as to the causal link between the injury and the alcoholism is not able to be relied on. While Dr Khan's expertise extends to "how chronic psychiatric illnesses, including post-traumatic stress disorder and alcohol use disorder, increase the individual's risks of cerebrovascular events and cardiovascular diseases",[367] he does not provide any other clear causal link between the psychiatric injury and the death of Mr McLean. However, this does not undermine his diagnosis, made on 17 March 2021, of Mr McLean having alcohol use disorder comorbidly with his PTSD. > > (d) Dr Mark Walker does not explain the bases for his diagnosis and his material does not discuss the alcohol use of the deceased prior to his psychological injury so it is not clear whether his conclusion is based on an accurate history. Accordingly, his evidence does not provide a strong link between the injury with the alcohol use and the death. > > (e) A/Prof Haber finds that death was a result of alcoholism or that alcoholism was a substantial contributing factor to the death. However, he also offers heart attack and pulmonary embolism as possible causes of death in a second report. Even in his first report, he states Mr McLean "obviously had a cardiac arrest, being the stopping of the heart" but that this "may have been a terminal event due to many possible underlying diseases." His evidence should be understood as being inconclusive as to the cause of death, but clear that alcoholism was a substantial contributing factor. The Principal Member's conclusion that his evidence is "really just speculation_"_ should be understood in the context of the Commission endeavouring to determine the cause of death. It does not, to my mind, apply to the evidence as to whether alcoholism substantially contributed to the death of Mr McLean. > > (f) A/Prof Myers found no evidence of a stroke and that death was likely caused by acute arrythmia secondary to coronary heart disease leading to cardiac arrest and death, confirmed in his second report (an assumption on this having to be made in the absence of an autopsy). While he also states that Mr McLean "clearly had a history of alcoholism"[368] he does not specify the duration, so does not tell the Commission whether it predates his psychological injury or otherwise. His evidence also provides no opinion whether Mr McLean's alcoholism was caused by or linked to his employment or the psychological injury. > > (g) Dr George's first two reports can be understood in the context of the psychiatric injury claim, for which the insurer accepted liability. Although they are both stated to be based on the relevant medical records, they do not delve into or discuss the history of Mr McLean's alcohol use prior to the psychiatric injury. Only his third report, prepared for the death claim, does that and as the Principal Member noted, he is the only doctor who examines this material. My summary of his evidence is set out above at [91] which is consistent with the understanding of this evidence by the Principal Member: see [147]-[151] above.
(a) The Principal Member misdirected herself in law by enquiring as to the cause of the death, rather than whether the psychological injury made a material contribution to the death. > > (b) However, the Principal Member properly considered the evidence regarding whether there was the requisite causal nexus between the psychiatric injury and the alcohol use disorder and correctly concluded that the evidence did not establish such a connection. > > (c) The arguments advanced by the appellant and other claimants regarding Ground 1 of the appeal are rejected.
Ground 2: The Principal Member erred in law in assessing the question of cause of death as requiring a finding of medical or scientific certainty
(a) requiring medical or scientific certainty as to the cause of death, when the legal process does not require this;[375] > > (b) failing to analyse and consider the possibilities disclosed by the evidence and reach a decision on the basis of probability, rather than requiring certainty,[376] and > > (c) failing to reach a decision on the cause of death because the medical evidence caused difficulties in determining the cause of death.[377]
(a) did not approach her decision-making in the way complained of and did not use the terminology of medical or scientific certainty; > > (b) performed her functions by weighing "the factual and clinical evidence and ... assess[ed] it in the light of the expert opinions" as the appellant suggests is the correct approach;[379] > > (c) reached findings which were properly open to her on the material and set out clearly in the statement of reasons,[380] and > > (d) could not determine the cause of death because there was insufficient evidence. It was not open to the Principal Member to make a finding on this issue, on the balance of probabilities. To do so would have been in error.[381]
(a) evaluated the evidence before her according to the civil standard and > > (b) weighed the submissions made by the parties.
Ground 3: The Principal Member erred in law in failing to consider whether the deceased's accepted psychological injury made a material contribution to his death
(a) the psychological injury made a material contribution to the cardiac arrest; > > (b) the cardiac arrest made a material contribution to the death, and hence > > (c) whether the psychological injury made a material contribution to the death of Mr McLean.
[1] Application in Respect of Death of Worker (ARDW), p 19.
[2] Variously at pp 507-511 and 620-625 of the first respondent's Reply to Application in Respect of Death of Worker (Reply), which appears to be the complete form filled in by Dr Selim; in particular, at pp 510, 622.
[4] Walker v Secretary, Department of Education [2025] NSWPIC 270 (reasons), [130].
[6] Report of Dr Graham George, 21 May 2020, first respondent's Reply, p 31.
[7] Report of Dr Graham George, 9 June 2021, first respondent's Reply, p 39.
[8] Report of Dr Graham George, 9 June 2021, first respondent's Reply, p 38.
[9] Report of Dr Graham George, 21 May 2020, first respondent's Reply, p 26; Report of Dr Graham George, 9 June 2021, first respondent's Reply, p 36.
[10] Report of Dr Graham George, 22 March 2023, first respondent's Reply, p 47.
[11] Report of Dr Graham George, 22 March 2022, first respondent's Reply, p 46.
[12] Report of Dr Graham George, 22 March 2022, first respondent's Reply, p 46.
[15] Dr Adam Walker Application to Lodge Additional Documents (ALAD), 12 February 2025.
[16] ARDW, pp 31-32; Spiteri Reply, pp 1-2.
[21] Statement of Dr Adam Walker, 12 February 2025, [46]-[50].
[22] Statement of Kayla Byrne, 25 February 2025, [16]-[28], particularly [16]-[17], [20]-[21].
[23] Reasons, [2]; Transcript 3 March 2025 (T), T 76.01-05.
[24] Statement of Dr Adam Walker, 21 November 2023, [9]-[10]; Statement of Benn McLean, undated, [9]-[10].
[25] Statement of Benn McLean, undated, [11]-[17].
[26] Statement of Dr Adam Walker, 21 November 2023, [11]-[13].
[27] Statement of Benn McLean, undated, [12].
[28] Statement of Dr Adam Walker, 21 November 2023, [12]; Statement of Benn McLean, undated, [16].
[29] Statement of Dr Adam Walker, 21 November 2023, [16].
[30] Statement of Benn McLean, undated, [17].
[31] Statement of Dr Adam Walker, 21 November 2023, [17]; Statement of Benn McLean, undated, [18].
[32] Reasons, [134], erroneously numbered [41].
[33] Transcript 3 March 2025, by the Principal Member at T 10.02 and T 57.01-05; by the third respondent's counsel at T 32.01-10; and by the first respondent's counsel at T 48.10-14.
[34] Statement of Karen Spiteri, 21 November 2023, [3]-[5].
[35] Statement of Karen Spiteri, 21 November 2023, [6]-[13]; statement of Karen Spiteri, 10 October 2024, [5]-[8].
[36] Statement of Karen Spiteri, 21 November 2023, [6], [8]-[13]; statement of Karen Spiteri, 10 October 2024, [6].
[37] Statement of Karen Spiteri, 10 October 2024, [8].
[38] Statement of Karen Spiteri, 10 October 2024, [9]-[11].
[49] I understand him to be referring to the other causes of death listed on the death certificate, at ARDW, p 19.
[65] First respondent's Reply, pp 4, 6, 7.
[67] First respondent's Reply, p 5: "This means there is little or no electrical activity in the heart".
[82] First respondent's Reply, pp 13-14.
[113] First respondent's Reply, pp 45-46.
[115] First respondent's Reply, pp 46-47.
[116] First respondent's Reply, p 493.
[118] Pain or discomfort below the ribs in upper abdomen region.
[124] Noting that at [69]-[70] some of the evidence of Dr Adam Walker and Benn McLean is referred to.
[132] Reasons, [130]-[137], noting that [133]-[137] are misnumbered [40]-[44].
[133] Reasons, [15]. I think the reference in the Principal Member's decision to the year 1981 is a typographical error, given the reported age of the deceased and his birth date in the admission records in the first respondent's Reply at pp 824-830.
[134] First respondent's Reply, p 824.
[135] In the hospital records this is stated to be "up to 10 schooners/beer/day": see first respondent's Reply, p 826. This is close to fifteen standard drinks a day.
[138] Reasons, [20]-[21]; ARDW, p 183.
[147] Reasons, [32]-[42], [44]-[47], [50]-[52], [55]-[56], [61], [63]-[65], [68], [73], [78], [81], [109], [114].
[158] ARDW, p 351 and first respondent's Reply, p 64.
[162] First respondent's Reply, p 493.
[164] 'Dr George' is mentioned here in the reasons, which I take to be an incorrect reference to the deceased.
[165] Reasons, [63]; first respondent's Reply, p 504.
[167] Reasons, [68]; first respondent's Reply, p 51.
[170] Reasons, [43]; first respondent's Reply, p 446.
[171] Reasons, [48]; first respondent's Reply, p 60.
[172] Reasons, [49]; first respondent's Reply, p 59.
[176] Reasons, [56]; first respondent's Reply, p 35.
[177] Reasons, [57]; first respondent's Reply, p 54.
[178] Reasons, [58]; first respondent's Reply, p 503.
[180] Reasons, [60]; first respondent's Reply, p 53.
[181] Reasons, [62]; first respondent's Reply, p 52.
[182] First respondent's Reply, p 504.
[184] Reasons, [66]-[67]; ARDW, pp 29, 33.
[186] Incorrectly numbered [41] and [42].
[192] Reasons, [103]; Ambulance records p 41.
[196] Reasons, [77]; Ambulance records, p 59.
[197] Reasons, [78]-[81]; ARDW, pp 19-20; first respondent's Reply, p 508.
[198] First respondent's Reply, p 517.
[199] Reasons, [82]; first respondent's Reply, p 520.
[214] Reasons, [101], [105], [108].
[215] Reasons, [102]-[104]; T 41.23.
[218] It is unclear whether this refers to the clinical notes in the first respondent's Reply, p 49, or the report not provided by Dr Selim.
[223] Reasons, [109], [124], the basis being the evidence summarised at [109] and [114].
[240] Reasons, [130], [136], misnumbered [43].
[242] Reasons, [136], misnumbered [43].
[243] Reasons, [134], misnumbered [41].
[244] Reasons, [135], misnumbered [42].
[245] Reasons, [125]-[128], [131]-[132].
[247] Appellant's submissions, 11 July 2025, [8].
[248] Appellant's submissions, 11 July 2025, [9]-[13].
[249] Appellant's submissions, 11 July 2025, [14].
[250] Appellant's submissions, 11 July 2025, [17].
[251] (1994) 35 NSWLR 452 (Kooragang).
[252] Appellant's submissions, 11 July 2025, [20]-[22].
[253] Appellant's submissions, 11 July 2025, [24].
[254] Appellant's submissions, 11 July 2025, [26], citing Seltsam v McGuinness [2000] NSWCA 29 (Seltsam) and Murray v Shillingsworth [2006] NSWCA 367; 4 DDCR 313 (Murray).
[255] Appellant's submissions, 11 July 2025, [28].
[256] Appellant's submissions, 11 July 2025, [28].
[257] Appellant's submissions, 11 July 2025, [29].
[258] Appellant's submissions, 11 July 2025, [29].
[259] Appellant's submissions, 11 July 2025, [30].
[260] Second respondent's submissions, 11 August 2025, [11]-[14], p 3, erroneously numbered as a second [12].
[261] Second respondent's submissions, 11 August 2025, [15]-[19], p 3, erroneously numbered [13]-[17].
[262] Second respondent's submissions, 11 August 2025, [20], p 4, erroneously numbered [18].
[263] Second respondent's submissions, 11 August 2025, [21], p 4, erroneously numbered [19].
[264] Second respondent's submissions, 11 August 2025, [22], p 4, erroneously numbered [20].
[265] Second respondent's submissions, 11 August 2025, [23], p 4, erroneously numbered as a third [12].
[266] [1970] 2 NSWLR 238 (Bes), 241, per Herron CJ.
[267] Second respondent's submissions, 11 August 2025, [23], p 4, erroneously numbered as a third [13].
[268] (2000) 49 NSWLR 262 (McGuiness), 296, [934] per Spigelman CJ.
[269] Second respondent's submissions, 11 August 2025, [25], p 4, erroneously numbered as a second [14].
[270] [1975] 2 NSWLR 190 (Fernandez), [197] per Glass JA.
[271] Second respondent's submissions, 11 August 2025, [26], p 5, erroneously numbered as a second [15].
[272] (1930) 144 LT 194 (Jones), 197.
[273] [1956] HCA 25; (1956) 94 CLR 470 (Holloway), 480-481.
[274] Second respondent's submissions, 11 August 2025, [27], p 5, erroneously numbered as a second [16].
[275] Second respondent's submissions, 11 August 2025, [28], p 5, erroneously numbered as a second [17].
[276] Second respondent's submissions, 11 August 2025, [29]-[31], p 5, erroneously numbered [21]-[23].
[277] Second respondent's submissions, 11 August 2025, [32], p 5, erroneously numbered [24].
[278] First respondent's submissions, 21 August 2025, [11].
[280] First respondent's submissions, 21 August 2025, [12].
[281] First respondent's submissions, 2 August 2025, [13]-[14].
[284] First respondent's submissions, 21 August 2025, [15]-[17].
[285] First respondent's submissions, 21 August 2025, [20]-[22].
[286] First respondent's submissions, 21 August 2025, [21]-[23], [27]-[29].
[287] First respondent's submissions, 21 August 2025, [24], [26].
[288] [2021] NSWPICPD 2 (Ly), [46].
[289] [2009] NSWCA 15; (2009) 74 NSWLR 419 (Strinic).
[290] First respondent's submissions, 21 August 2025, [25].
[291] First respondent's submissions, 21 August 2025, [32], [33].
[292] First respondent's submissions, 21 August 2025, [34].
[293] First respondent's submissions, 21 August 2025, [36].
[294] First respondent's submissions, 21 August 2025, [34].
[295] First respondent's submissions, 21 August 2025, [35].
[296] First respondent's submissions, 21 August 2025, [36].
[297] First respondent's submissions, 21 August 2025, [34].
[298] First respondent's submissions, 21 August 2025, [37].
[299] First respondent's submissions, 21 August 2025, [38].
[300] First respondent's submissions, 21 August 2025, [38].
[301] First respondent's submissions, 21 August 2025, [39].
[302] First respondent's submissions, 21 August 2025, [41].
[304] [2025] NSWCA 157 (Culhana).
[305] [2011] NSWWCCPD 25 (Raulston).
[307] Rule 34 of the Personal Injury Commission Rules 2021; Procedural Direction PIC1, [38].
[310] [2002] HCA 22; 209 CLR 478, [7].
[312] [2024] NSWPICPD 25, [27], [28].
[313] [2025] NSWPICPD 25, [53], [54].
[314] [2025] NSWPICPD 67, [101].
[315] [2024] NSWPICPD 61, [95].
[316] [2023] NSWPICPD 7, [143].
[317] [2023] NSWPICPD 3, [135].
[318] [2025] NSWCA 229, [74]-[77].
[319] [2024] NSWCA 32; 114 NSWLR 1v Nonconformist) at [50], Kirk JA (Meagher JA and Simpson AJA agreeing).
[325] Incorrectly numbered [41] and [42].
[328] Aluminium Louvres & Ceilings Pty Ltd v Xue Qin Zheng [2006] NSWCA 34 (Aluminium Louvres), [37].
[329] New South Wales Police Force v Winter [2011] NSWCA 330; 10 DDCR 69 (Winter), from [81].
[330] South Western Sydney Area Health Service v Edmonds [2007] NSWCA 16; DDCR 421 (Edmonds), [91].
[332] SZBEL v Minister for Immigration and Multicultural and Indigenous Affairs (2006) 228 CLR 152; (SZBEL), [48].
[333] Hornsby Shire Council v Salman [2024] NSWCA 155, [91], per Adamson JA (White JA agreeing).
[337] Aluminium Louvres, [20]; Edmonds, [55]; Winter, [78].
[338] Aluminium Louvres, [25]; Winter, [79].
[341] 3D Scaffolding Pty Ltd v Commissioner of Taxation [2009] FCAFC 75, [25]; Winter, [85].
[343] Appellant's submissions, 11 July 2025, [9]-[13].
[344] Appellant's submissions, 11 July 2025, [14].
[345] Appellant's submissions, 11 July 2025, [20]-[22], citing Kooragang; second respondent's submissions, 11 August 2025, [21], p 4, erroneously numbered [19].
[346] Appellant's submissions, 11 July 2025, [24].
[347] Appellant's submissions, 11 July 2025, [20]-[22].
[348] Second respondent's submissions, 11 August 2025, [22], p 4, erroneously numbered [20].
[349] Appellant's submissions, 11 July 2025, [24].
[350] First respondent's submissions, 21 August 2025, [13]-[14].
[351] First respondent's submissions, 21 August 2025, [12].
[352] First respondent's submissions, 21 August 2025, [15]-[17].
[357] (1994) 35 NSWLR 452 (Kooragang)
[360] [1991] HCA 12; 171 CLR 506 (March v Stramare).
[364] Kirunda v State of New South Wales (No 4) [2018] NSWWCCPD 45, [136]; Pritchard v Nianah Pty Ltd [2025] NSWPIC 643, [180].
[365] See Tamworth Regional Council v Spicer [2025] NSWPICPD 82, [76], per Perry ADP; Bunnings Group Limited v Harrison [2025] NSWPICPD 74, [62], per Wood DP; Secretary, Department of Family and Community Services v Colleen Jones by Executor of her Estate Carol Hewston [2016] NSWWCCPD 63, per Snell DP at [36]-[40].
[369] First respondent's Reply, p 118.
[370] First respondent's Reply, p 116.
[371] First respondent's Reply, p 107.
[372] First respondent's Reply, pp 46-47.
[374] First respondent's Reply, pp 46-47.
[375] Appellant submissions, 11 July 2025, [26], citing Seltsam and Murray.
[376] Second respondent's submissions, 11 August 2025, [28] p 5, erroneously numbered as a second [17].
[377] Second respondent's submissions, 11 August 2025, [23] p 4, erroneously numbered as a third [12].
[379] First respondent's submissions, 21 August 2025, [20]-[22].
[380] First respondent's submissions, 21 August 2025, [21]-[23], [27]-[29].
[381] First respondent's submissions, 21 August 2025, [24], [26].
[382] Second respondent's submissions, 11 August 2025, p 4, [23], erroneously numbered a third [13].
[383] Second respondent's submissions, 11 August 2025, p 4, [25], erroneously numbered a second [14].
[384] Second respondent's submissions, 11 August 2025, p 5, [26], erroneously numbered a second [15].
[385] Second respondent's submissions, 11 August 2025, p 5, [27], erroneously numbered a second [16].
[386] Culhana, [91] per Leeming JA.
[387] First respondent's Reply, pp 4-7.
[389] First respondent's Reply, pp 5, 14.
[393] [2019] NSWCA 146, [33].
[394] Reasons, [96], first sentence.
Walker
Secretary, Department of Education [2026] NSWPICPD 6;
WORKERS COMPENSATION - 'affected by' in s 352(5) of the Workplace Injury Management and Workers Compensation Act 1998 (the 1998 Act) considered - Toll Pty Limited v Morrisey [2008] NSWCA 197; Mars Australia Pty Limited v Knight [2025] NSWCA 229; Fisher v Nonconformist Pty Ltd [2024] NSWCA 32; 114 NSWLR 1; Hays Specialist Recruitment (Australia) Pty Limited v Akbawy [2025] NSWPICPD 83 applied - practice and procedure - Personal Injury Commission Rules and Procedural Directions, Paterson v State of New South Wales (NSW Police Force) [2025] NSWPICPD 6; New South Wales Police Force v Winter [2011] NSWCA 330 applied - approach to fact finding by Presidential member of the Personal Injury Commission of New South Wales pursuant to s 352 of the 1998 Act - State of New South Wales v Culhana [2025] NSWCA 157 applied - the meaning of civil standard of proof - CEG Direct Securities Pty Ltd v Cooper [2025] FCAFC 47 applied - test for causation - 'results from' s 25 of the 1998 Act considered - Kooragang Cement Pty Ltd v Bates (1994) 35 NSWLR 452; Fisher v Nonconformist Pty Ltd [2024] NSWCA 32; 114 NSWLR 1 applied
Walker v Secretary, Department of Education [2025] NSWPIC 270
"The correct test was that he should allow the appeal from the arbitrator, unless the error of the arbitrator could not possibly have affected the result: see Stead v State Government Insurance Commission [1986] HCA 54; (1986) 161 CLR 141 at 147."
"328. The adequacy of the evidence before the Court is a question directly relevant to whether the Court can be satisfied that the liquidator has discharged his onus of proof. This is because the Court must consider whether the evidence placed before it provides an appropriate basis on which to reach a reasonable decision as to whether that onus has been discharged. In Ho v Powell [2001] NSWCA 168; (2001) 51 NSWLR 572 at 576 ([14] to [15]), Hodgson JA (Beazley JA agreeing) explained:
"The words 'resulting from' have in some cases been said to impose a requirement of proximate cause: see Commonwealth v Butler [1958] HCA 56; 102 CLR 465 at 476 (per Taylor J) and Pickersgill v Freightbases Pty Ltd [1983] 3 NSWLR 117. The High Court, however, in Conkey & Sons Ltd v Miller (1977) 51 ALJR 583 decided unanimously that Butler did not decide any principle of law. Further, this Court in Kooragang Cement Pty Ltd v Bates (1994) 10 NSWCCR 796 at 809-810 (Kirby P, Sheller JA and Powell JA agreeing) declined to follow Pickersgill to the extent that it was authority for the proposition that the phrase 'resulting from' embodied a notion of proximate cause."
(1994) 35 NSWLR 452
(1938) 60 CLR 336
(2000) 75 ALJR 931
(2014) 221 FCR 450
(1977) 51 ALJR 583
(1996) 187 CLR 310
(2000) 48 NSWLR 740
(2013) 247 CLR 613
(1984) 157 CLR 215
(2000) 49 NSWLR 262
(1997) 48 NSWLR 430
(1996) 39 NSWLR 87
(1986) 161 CLR 141
(2001) 51 NSWLR 572
(2023) 97 ALJR 857
(1994) 10 NSWCCR 796
(1991) 171 CLR 506
(2012) 246 CLR 182
(2011) 246 CLR 36
(1956) 94 CLR 470
(1991) 24 NSWLR 156
(2009) 74 NSWLR 419
(2006) 228 CLR 152