Area of functional impairment: self-care and personal hygiene
Class | Level of impairment | Examples of indicators of level of impairment
Note—These must be had regard to under schedule 10 , section 4 (3) (a) (i) . | Percentage impairment ranges Note—These may be had regard to under schedule 10 , section 4 (3) (b) . | |
Class 1 | Little or no impairment | 0 to 3% | ||
Class 2 | Mild impairment | 4 to 10% | ||
• can live independently | ||||
• looks after himself or herself adequately, although may look unkempt occasionally | ||||
• sometimes misses a meal or relies on takeaway food | ||||
Class 3 | Moderate impairment | 11 to 30% | ||
• can not live independently without regular support | ||||
• needs prompting to shower daily and wear clean clothes | ||||
• does not prepare own meals | ||||
• frequently misses meals | ||||
• if living independently, a family member or community nurse visits, or needs to visit, 2 to 3 times a week to ensure a minimum level of hygiene and nutrition | ||||
Class 4 | Severe impairment | 31 to 60% | ||
• needs supervised residential care | ||||
• if unsupervised, may accidentally or deliberately hurt himself or herself | ||||
Class 5 | Totally impaired | more than 60% | ||
• needs assistance with basic functions, for example, feeding or toileting |
Area of functional impairment: social and recreational activities
Class | Level of impairment | Examples of indicators of level of impairment
Note—These must be had regard to under schedule 10 , section 4 (3) (a) (i) . | Percentage impairment ranges Note—These may be had regard to under schedule 10 , section 4 (3) (b) . | |
Class 1 | Little or no impairment | 0 to 3% | ||
• regularly goes to cinemas, restaurants or other recreational venues | ||||
• belongs to clubs or associations and is actively involved in them | ||||
Class 2 | Mild impairment | 4 to 10% | ||
• occasionally goes to social events without needing a support person, but does not become actively involved, for example, by dancing or cheering a team | ||||
Class 3 | Moderate impairment | 11 to 30% | ||
• rarely goes to social events, and usually only when prompted by family or a friend | ||||
• does not become involved in social events | ||||
• will not go out without a support person | ||||
• remains quiet and withdrawn | ||||
Class 4 | Severe impairment | 31 to 60% | ||
• never leaves own residence | ||||
• tolerates the company of a family member or close friend | ||||
• will go to a different room or garden when a person, other than a family member or close friend, comes to visit someone at own residence | ||||
Class 5 | Totally impaired | more than 60% | ||
• can not tolerate living with anybody | ||||
• extremely uncomfortable when visited by a close family member |
Area of functional impairment: travel
Class | Level of impairment | Examples of indicators of level of impairment
Note—These must be had regard to under schedule 10 , section 4 (3) (a) (i) . | Percentage impairment ranges Note—These may be had regard to under schedule 10 , section 4 (3) (b) . | |
Class 1 | Little or no impairment | 0 to 3% | ||
• can travel to new environments without supervision | ||||
Class 2 | Mild impairment | 4 to 10% | ||
• can travel without a support person, but only in a familiar area, for example, to go to the local shops or visit a neighbour | ||||
Class 3 | Moderate impairment | 11 to 30% | ||
• can not travel away from own residence without a support person | ||||
• there may be problems resulting from excessive anxiety or cognitive impairment | ||||
Class 4 | Severe impairment | 31 to 60% | ||
• finds it extremely uncomfortable to leave his or her own residence even with a trusted person | ||||
Class 5 | Totally impaired | more than 60% | ||
• can not be left unsupervised, even at own residence | ||||
• may require 2 or more persons to supervise him or her when travelling |
Area of functional impairment: social functioning
Class | Level of impairment | Examples of indicators of level of impairment
Note—These must be had regard to under schedule 10 , section 4 (3) (a) (i) . | Percentage impairment ranges Note—These may be had regard to under schedule 10 , section 4 (3) (b) . | |
Class 1 | Little or no impairment | 0 to 3% | ||
• has no difficulty in forming and sustaining relationships, for example, with a spouse or close friend lasting years | ||||
Class 2 | Mild impairment | 4 to 10% | ||
• existing relationships are strained | ||||
• tension and arguments between the injured worker and a spouse or close family member | ||||
• some friendships are lost | ||||
Class 3 | Moderate impairment | 11 to 30% | ||
• established relationships are severely strained, as is shown by periods of separation or domestic violence | ||||
• if the injured worker has children, then a spouse, family members or community services are providing most of the care for the children | ||||
Class 4 | Severe impairment | 31 to 60% | ||
• can not form or sustain long-term relationships | ||||
• pre-existing relationships, for example, with a spouse or close friend, have ended | ||||
• can not care for dependants, for example, child dependants (if any) or an elderly parent | ||||
Class 5 | Totally impaired | more than 60% | ||
• can not function within society | ||||
• lives away from populated areas | ||||
• actively avoids social contact |
Area of functional impairment: concentration, persistence and pace
Class | Level of impairment | Examples of indicators of level of impairment
Note—These must be had regard to under schedule 10 , section 4 (3) (a) (i) . | Percentage impairment ranges Note—These may be had regard to under schedule 10 , section 4 (3) (b) . | |
Class 1 | Little or no impairment | 0 to 3% | ||
• can complete vocational education and training or a university course within a normal time frame | ||||
Class 2 | Mild impairment | 4 to 10% | ||
• can undertake a basic or standard retraining course at a slower pace | ||||
• can focus on intellectually demanding tasks for up to 30 minutes, then may feel fatigued or develop headaches | ||||
Class 3 | Moderate impairment | 11 to 30% | ||
• can not read more than newspaper articles | ||||
• finds it difficult to follow complex instructions, for example, operating manuals or building plans | ||||
• can not make significant repairs to motor vehicle or type long documents | ||||
• can not follow a pattern for making clothes or tapestry or knitting | ||||
Class 4 | Severe impairment | 31 to 60% | ||
• able only to read a few lines before losing concentration | ||||
• has difficulty in following simple instructions | ||||
• impaired concentration is obvious even during brief conversation | ||||
• can not live alone or needs regular assistance from family members or community services | ||||
Class 5 | Totally impaired | more than 60% | ||
• needs constant supervision and assistance within an institutional environment |
Area of functional impairment: adaptation
Note—This area of functional impairment deals with employability.
Class | Level of impairment | Examples of indicators of level of impairment
Note—These must be had regard to under schedule 10 , section 4 (3) (a) (i) . | Percentage impairment ranges Note—These may be had regard to under schedule 10 , section 4 (3) (b) . | |
Class 1 | Little or no impairment | 0 to 3% | ||
• can work full-time in the position (the
"pre-injury position" ) in which the injured worker worked immediately before the injury | ||||
• the injured worker’s duties at work and performance of the duties are consistent with the worker’s education and training | ||||
• can cope with the normal demands of the job | ||||
Class 2 | Mild impairment | 4 to 10% | ||
• can work in the pre-injury position, but for no more than 20 hours a week, for example, because the injured worker is no longer happy to work with particular persons | ||||
• can work full-time in a different position where performance of the relevant duties requires the use of comparable skill and intellect to that required to perform the duties of the pre-injury position | ||||
Class 3 | Moderate impairment | 11 to 30% | ||
• can not work at all in the pre-injury position | ||||
• only able to work less than 20 hours a week in a different position where performance of the relevant duties requires less skill or is otherwise less demanding, for example, less stressful | ||||
Class 4 | Severe impairment | 31 to 60% | ||
• can not work more than 1 or 2 days at a time | ||||
• works less than 20 hours a fortnight | ||||
• the pace at which work is done is reduced | ||||
• attendance at work is erratic | ||||
Class 5 | Totally impaired | more than 60% | ||
• needs constant supervision and assistance within an institutional environment |