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This is a Bill, not an Act. For current law, see the Acts databases.
South Australia
A BILL FOR
An Act to provide for the recovery, return to work and support of workers
in relation to work injuries; to repeal the Workers
Rehabilitation and Compensation Act 1986; to make related
amendments to the Civil
Liability Act 1934, the Judicial
Administration (Auxiliary Appointments and Powers) Act 1988, the
Motor
Vehicle Accidents (Lifetime Support Scheme) Act 2013, the Supreme
Court Act 1935, the WorkCover
Corporation Act 1994 and the Work
Health and Safety Act 2012; and for other purposes.
Contents
Part 1—Preliminary
1Short title
2Commencement
3Objects of Act
4Interpretation
5Average
weekly earnings
6Act to bind
Crown
Part 2—Key
principles, concepts and requirements
Division 1—Connection with
employment
7Injury must arise from
employment
8Effect of misconduct etc
9Evidentiary
provision
Division 2—Connection with
State
10Territorial application
of Act
11Determination of State
with which worker's employment is connected in proceedings under this
Act
12Recognition of previous
determinations
Division 3—Fundamental principles,
rights and obligations
13The Corporation
14Service
standards
15Workers
16Worker's duty to give
notice of injury
17Employers
18Employer's duty to
provide work
19Payment of wages for alternative or modified
duties
20Additional requirement
with respect to termination of employment
Division 4—Seriously injured
workers
21Seriously injured
workers
Division 5—Assessment
of permanent impairment
22Assessment of permanent
impairment
Part 3—Early
intervention, recovery and return to work
23Object
24Early intervention,
recovery and return to work services
25Recovery/return to work
plans
26Return to work
co-ordinators
27Standards and facilities established by
Corporation
28Rates for provision of
services
29Related initiatives
Division 1—Claims
30Claims
31Determination of
claim
32Payment of interim
benefits
Division 2—Medical
expenses etc
33Medical expenses
34Transportation for initial
treatment
Division 3—Property
damage
35Property
damage
Subdivision 1—Preliminary
36Capacity to perform
work
37Prescribed
benefits
38Prescribed
allowances
Subdivision 2—Entitlement
to weekly payments
39Weekly payments over
designated periods for workers other than seriously injured workers
40Supplementary income
support for incapacity resulting from surgery
41Weekly payments for
seriously injured workers
42Federal minimum wage safety
net
43Return to work obligations of
worker
44Termination of weekly
payments on retiring age
Subdivision 3—Adjustment
of weekly payments
45Adjustments due to
change from original arrangements
46Review of weekly
payments
47Economic adjustments to
weekly payments for seriously injured workers
Subdivision 4—Reduction
or discontinuance of weekly payments
48Reduction or discontinuance
of weekly payments
Subdivision 5—Related
matters
49Protection from excess payments
50Weekly payments and leave
entitlements
51Absence of worker from
Australia
52Reports of return to work etc
Division 5—Redemptions
53Redemptions—liabilities
associated with weekly payments
54Redemptions—liabilities
associated with medical services
Division 6—Permanent
impairment—economic loss
55Preliminary
56Lump sum
payments—economic loss
Division 7—Permanent
impairment—non-economic loss
57Prescribed sum
58Lump sum
payments—non-economic loss
Division 8—Payments
on death
59Weekly
payments
60Review of weekly
payments
61Lump sums
62Funeral benefits
63Counselling
services
Division 9—Rules as to
liability
64Incidence of
liability
65Augmentation of weekly
payment in consequence of delay
Division 10—Related
matters
66Rights of action and
recovery against third parties
67Prohibition of double recovery
68Injuries arising
from employment on ships
69Sporting injuries
Division 1—Preliminary
70Preliminary
71Application of Part in
relation to damages and scope and limitation of liability
72No damages unless
whole person impairment of at least 30%
73Seriously injured workers—special
provisions
74General regulation of court
awards
Division 2—General
principles
75Effect of recovery of damages on
compensation
76Retirement age
77Mitigation of damages
78Payment of
interest—limited statutory entitlement
79Contributory negligence
80Defence of
voluntary assumption of risk
81Exemplary or punitive damages
82Court to apportion
damages etc
83Abolition of doctrine of common
employment
84No damages for nervous shock injury to
non-workers
Division 3—Procedural matters and
costs
85Compulsory mediation
86Costs
Division 4—Choice of
law
87The applicable substantive law for work
injury claims
88Claims to which Division applies
89What constitutes
injury and employment
90Claim in respect of death included
91Meaning of
substantive law
92Availability of action in another State not
relevant
Division 5—Related
matters
93Ability of Corporation to conduct and settle
proceedings
94Interaction with Civil Liability
Act 1936
Division 1—Preliminary
95Specific
object
96Interpretation
97Reviewable
decisions
Division 2—Conferral of
jurisdiction
98Conferral of jurisdiction
Division 3—Institution of
proceedings
99Application to Tribunal
100Time for making
application
101Notice to be given by
Registrar
Division 4—Initial
reconsideration
102Initial
reconsideration
103Proceedings on application
Division 5—Related
matters—Tribunal proceedings
104Pre-hearing
conference
105Representation
106Costs
107Costs liability of
representatives
108Recovery of costs of
representation
109Ministerial intervention
110Power to amend or
set aside decisions or orders
111Regulations concerning medical
evidence
112Payment to child
Part 7—Special
jurisdiction to expedite decisions
113Special jurisdiction
114Timing of
application
115Powers of Tribunal on
application
116Costs
Part 8—Independent
medical advice
Division 1—Interpretation
117Interpretation
Division 2—Appointment of
independent medical advisers
118Constitution of board
119Independent
medical advisers
120Related appointment
provisions
Division 3—Referrals
121Referral by
Tribunal or court
122Powers and procedures on a
referral
Division 4—Related
matters
123Provision of report
124Competency to give
evidence
125Further referrals
126Staff and facilities
127Recovery of
costs
Part 9—Registration
and funding
Division 1—Registration
of employers
128Registration of
employers
129Self-insured
employers
130Crown and certain agencies to be
self-insured employers
131Applications for registration
132Changes in details
for registration
133Ministerial appeal on
decisions relating to self-insured employers
Division 2—Delegation
to self-insured employers
134Delegation to self-insured
employers
Division 3—Compensation
Fund
135Compensation Fund
Subdivision 1—Preliminary
136Interpretation
137Average premium
rate ceiling
Subdivision 2—Premiums
(terms and conditions)
138Premiums (terms and
conditions)
Subdivision 3—Premiums (general
principles)
139Liability to pay
premiums
140Employer categories
141Classes of industry
142Industry rates and
base premiums
Subdivision 4—Premiums
(calculation and application)
143Premium
orders
144Premium
stages
145Grouping
provisions
Division 5—Self-insured
employers—fees
146Self-insured
employers—fees
Division 6—Remissions
and supplementary payments
147Remissions and
supplementary payments
Division 7—Administration
of premiums/fees scheme
148Interpretation
149Provision of
information (initial calculations)
150Provision of
information (on-going requirements)
151Revised estimates or
determinations
152Further adjustments
153Deferred payment
154Recovery on
default
155Penalty for late
payment
156Exercise of adjustment powers
157Review
158Payments to be
made to Corporation
159GST
160Transfer of business
161Reasonable mistake about
application of Act
Division 8—Miscellaneous
162Separate
accounts
163Liability to keep accounts
164Person ceasing to
be an employer
165Certificate of registration
166Insurance of
registered employers against other liabilities
167Corporation as insurer of last
resort
Part 10—Scheme
adjustment mechanisms
168Preliminary
169Scheme adjustment/review
events
170Scheme funding/review
events
Part 11—The
Minister's Advisory Committee
171Advisory Committee
172Functions of Advisory
Committee
173Proceedings etc of Advisory
Committee
174Related provisions
Part 12—Miscellaneous
175Extension of the
application of Act to self-employed persons
176Agreements with LSS
Authority
177Payment not to
constitute an admission of liability
178Employer may request progress
report
179Copies of medical reports
180Worker's right of
access to claims file
181Medical examination at request of
employer
182Worker to be supplied with
copy of medical report
183Powers of entry and inspection
184Inspection of
place of employment by recovery or return to work adviser
185Confidentiality to
be maintained
186Confidentiality—employers
187Employer
information
188Injuries that develop gradually
189Certain payments
not to affect benefits under this Act
190No contribution from workers
191No contracting
out
192Non-assignability of benefits
193Payments if worker in
prison
194Service of documents
195Service of documents on
Corporation
196Dishonesty
197Evidence
198Offences
199Expiation fees
200Right of
intervention
201Recovery of
payments
202Regulations
203Review of Act
Schedule 1—Presumptive
employment
1Presumptive employment
Schedule 2—Injuries
presumed to arise from general employment
Schedule 3—Injuries
presumed to arise from employment as a firefighter
1Substantive
provisions
Schedule 4—Adjacent
areas
1Interpretation
2Adjacent areas
Schedule 5—Statement
of service standards
Part 1—Introduction
1Aim of these
standards
2Interpretation
3Spirit of these standards
Part 2—The
standards
4The standards
Part 3—Complaints
about breaches of these standards
5Overview
6Procedures for the Corporation to deal with a
complaint
7Remedies
Part 4—Wider
issues
8Wider issues
Schedule 7—Prescribed
sum—economic loss
Schedule 8—Minimum
amounts of compensation according to degree of impairment under
regulations
Schedule 9—Repeal,
amendments and transitional provisions
Part 1—Preliminary
1Amendment
provisions
Part 3—Amendment of
Civil Liability Act 1936
3Amendment of section 4—Application of
Act
Part 4—Amendment of
Judicial Administration (Auxiliary Appointments and Powers)
Act 1988
4Amendment of section
2—Interpretation
Part 5—Amendment of
Motor Vehicle Accidents (Lifetime Support Scheme)
Act 2013
5Amendment of section 24—Eligibility for
participation in Scheme
6Amendment of section 55—Agreements with
prescribed authorities
Part 6—Amendment of
Supreme Court Act 1935
7Amendment of section 39—Vexatious
proceedings
Part 7—Amendment of
WorkCover Corporation Act 1994
8Amendment of long title
9Amendment of
section 1—Short title
10Amendment of
section 3—Interpretation
11Amendment of
section 4—Continuation of Corporation
12Amendment of
section 7—Allowances and expenses
13Amendment of
section 12—Primary objects
14Amendment of
section 13—Functions
15Amendment of
section 14—Powers
16Amendment of section 14A—Direction of
Minister
17Amendment of
section 16—Committees
18Amendment of
section 17A—Corporation's charter
19Amendment of
section 20—Annual reports
20Amendment of section 21—Chief Executive
Officer
21Amendment of section 26—Protection
of special names
22Insertion of
section 27A
27AApplication of public corporations
provision
Part 8—Amendment of
Work Health and Safety Act 2012
23Amendment of
section 4—Definitions
24Amendment of Schedule 2—Local
tripartite consultation arrangements
25Amendment of Schedule 5—Provisions of
local application
Part 9—Transitional
provisions
Division 1—Interpretation
26Interpretation
Division 2—CPI
adjustment
27CPI adjustment
Division 3—Application of
Act
28General
provision
29Connection with
employment
30Notice of injury
31Employer's duty to provide
work
32Recovery and return to work
33Seriously injured
workers
34Medical expenses
35Provisional
liability for medical expenses
36Weekly payments for
workers
37Federal minimum wage safety
net
38Management of transitional
arrangements for income support
39Retirement age
40Discontinuance of weekly
payments
41Redemptions
42Loss of future
earning capacity
43Permanent impairment assessment
44Payments on
death—lump sums
45Incidence of liability
46Payments by
employers
47Provisional payments
Division 4—Common
law
48Common law
Division 5—Dispute
resolution
49Existing proceedings etc
50Adoption of WCT
decisions
51Dissolution of WCT
Division 6—Registration and
funding
52Continuation of registration
53Premiums and
payments
54Scheme reviews
Division 7—Medical
panels
55Medical panels
Division 8—WorkCover
Ombudsman
56WorkCover Ombudsman
Division 9—1971/1986
Acts
57Interpretation
58Application of 1971 Act
59Mining and
Quarrying Industries Fund
60Statutory Reserve Fund
61Insurance
Assistance Fund
62Management of funds
63Entitlement to
documents
Division 10—Work
health and safety administration costs
64Work health and safety administration
costs
Division 11—Renewal
of authorised contracts
65Renewal of authorised contracts
Division 12—Regulations
66Additional
transitional provisions—regulations
The Parliament of South Australia enacts as
follows:
This Act may be cited as the Return to Work Act 2014.
(1) This Act will come
into operation on a day to be fixed by proclamation.
(2)
Subsection (1)
applies subject to any provision in
Schedule 9 that sets
out a specific day on which a provision will come into operation.
(1) The object of this
Act is to establish a scheme that supports workers who suffer injuries at work
and that has as its primary objective to provide early intervention in respect
of claims so as to ensure that action is taken to support
workers—
(a) in realising the health benefits of work; and
(b) in recovering from injury; and
(c) in returning to work (including, if required, after retraining);
and
(d) in being restored to the community when return to work is not
possible.
(2) In connection with
subsection (1), the
other objectives that apply with respect to this Act are—
(a) to ensure that workers who suffer injuries at work receive
high-quality service, are treated with dignity, and are supported financially;
and
(b) to ensure that employers' costs are contained within reasonable limits
so that the impact of work injuries on South Australian businesses is minimised;
and
(c) to provide a reasonable balance between the interests of workers and
the interests of employers; and
(d) to reduce the overall social and economic cost of work injuries to the
State and to the community; and
(e) to support activities that are aimed at reducing the incidence of work
injuries; and
(f) to reduce disputation when workers are injured at work by improving
the quality of decision making and by reducing adversarial contests to the
greatest possible extent.
(3) A person exercising judicial, quasi-judicial or administrative powers
must interpret this Act in the light of its objects and these objectives without
bias towards the interests of employers on the one hand, or workers on the
other.
(4) The Corporation, the worker and the employer from whose employment a
work injury arises must seek to achieve an injured worker's return to work
(taking into account the objects and requirements of this Act).
(1) In this Act,
unless the contrary intention appears—
actuary means a Fellow or Accredited Member of the Institute
of Actuaries of Australia;
Advisory Committee means the committee established under
Part 11;
apprentice includes—
(a) a person undertaking training as a trainee in a trade, declared
vocation or other occupation under a contract of training under the Training
and Skills Development Act 2008; and
(b) a person undertaking training in a scheme approved by the Corporation
for the purposes of this definition,
and apprenticeship has a corresponding meaning;
authorised officer means a person who is authorised by the
Corporation to exercise the powers of an authorised officer under this
Act;
average premium rate means the average rate for all premiums
declared under
Part 9
Division 4 in relation to a particular financial year when viewed as a
percentage of remuneration expected by the Corporation to be paid by all
employers (other than self-insured employers) during that financial
year;
average weekly earnings, in relation to a worker, means the
worker's average weekly earnings determined in accordance with
section 5;
the board means the board of management of the
Corporation;
business day means any day except Saturday, Sunday or a
public holiday;
child, in relation to a deceased worker, includes a person in
relation to whom the worker stood, at the date of death, in loco
parentis;
close personal relationship means the relationship between
2 adult persons (whether or not related by family and irrespective of their
gender) who live together as a couple on a genuine domestic basis, but does not
include—
(a) the relationship between a legally married couple; or
(b) a relationship where 1 of the persons provides the other with domestic
support or personal care (or both) for fee or reward, or on behalf of some other
person or an organisation of whatever kind;
Note—
Two persons may live together as a couple on a genuine domestic basis
whether or not a sexual relationship exists, or has ever existed, between
them.
compensation means any monetary benefit payable under this
Act (other than under
Part 5);
consequential mental harm means mental harm that is a
consequence of bodily injury to the person suffering the mental harm;
Consumer Price Index or CPI means the Consumer
Price Index (All groups index for Adelaide) published by the Australian Bureau
of Statistics;
contract of service means—
(a) a contract under which 1 person (the worker) is employed by
another (the employer); or
(b) a contract,
arrangement or understanding under which 1 person (the worker) works for
another in prescribed work or work of a prescribed class; or
(c) a contract of apprenticeship; or
(d) a contract, arrangement or understanding under which a person (the
worker)—
(i) receives on-the-job training in a trade or vocation from another (the
employer); and
(ii) is during the period of that training remunerated by the
employer;
Corporation means the Return to Work Corporation of South
Australia;
corresponding law means a law—
(a) of the Commonwealth; or
(b) of a State (other than this State) or a Territory of the Commonwealth;
or
(c) of another country,
that corresponds to this Act or that is prescribed by the regulations for
the purposes of this definition;
current work capacity—see
section 36;
damages means damages for injury or loss sustained by a
worker in circumstances creating, independently of this Act, a legal liability
in the worker's employer (or a person who is vicariously liable for the acts of
the worker's employer), or another person, to pay damages to or in relation
to—
(a) the worker; or
(b) if the injury results in the worker's death—a dependant of the
deceased worker,
but does not include—
(c) a sum required or authorised to be paid under an award or industrial
agreement; or
(d) a sum payable under a superannuation scheme or any life or other
insurance policy; or
(e) any amount paid in respect of costs incurred in connection with legal
proceedings; or
(f) damages of a class excluded from the ambit of this definition by the
regulations;
dependant, in relation to a deceased worker, means a relative
of the worker who, at the time of the worker's death—
(a) was wholly or partially dependent for the ordinary necessities of life
on earnings of the worker; or
(b) would, but for the worker's injury, have been so dependent,
and includes a posthumous child of the worker; and dependent
has a corresponding meaning;
designated weekly earnings means designated weekly earnings
determined under
section 39;
disease includes—
(a) any physical or mental ailment, disorder, defect or morbid condition,
whether of sudden or gradual development; and
(b) any injury to which
section 9
applies;
domestic partner—a person is the domestic partner of a
worker if the person lives with the worker in a close personal relationship
and—
(a) the person—
(i) has been so
living with the worker continuously for the preceding period of 3 years;
or
(ii) has during the
preceding period of 4 years so lived with the worker for periods
aggregating not less than 3 years; or
(iii) has been living with the worker for a substantial part of a period
referred to in
subparagraph (i)
or
(ii) and the
Corporation considers that it is fair and reasonable that the person be regarded
as the domestic partner of the worker for the purposes of this Act; or
(b) a child, of whom the worker and the person are the parents, has been
born (whether or not the child is still living);
educational institution means—
(a) a secondary school; or
(b) a trade or technical school; or
(c) a college of advanced education, university or other institution at
which tertiary education is provided; or
(d) any other educational or training institution approved by the
Corporation for the purposes of this definition;
employer means—
(a) a person by whom a worker is employed under a contract of service, or
for whom work is done by a worker under a contract of service (subject to any
exclusion under
subsection (7));
(b) in relation to persons of whom the Crown is, under
Schedule 1, the
presumptive employer—the Crown;
(c) in relation to persons of whom any other person is, by virtue of a
provision of this Act, the presumptive employer—that other
person,
and includes a former employer and the legal personal representative of a
deceased employer;
employment includes—
(a) work done under a contract of service; and
(b) the work of a self-employed person to whom the Corporation has
extended the protection of this Act; and
(c) the work of persons of whom the Crown is, under
Schedule 1, the
presumptive employer; and
(d) attendance by a worker at a place of pick-up;
evidentiary material means any document, object or substance
of evidentiary value that is relevant to proceedings before the Tribunal and
includes any document, object or substance that should, in the opinion of the
Tribunal, be produced for the purpose of enabling the Tribunal to determine
whether or not it has evidentiary value;
Federal minimum wage—see
subsection (8);
foreign law means any law except a law of this
State;
health practitioner means—
(a) a person who is registered under the Health Practitioners
Regulation National Law (other than as a student) and is—
(i) a medical practitioner; or
(ii) a dentist; or
(iii) a psychologist; or
(iv) an optician; or
(v) a physiotherapist; or
(vi) a chiropractor; or
(vii) a podiatrist; or
(viii) an occupational therapist; or
(ix) a speech pathologist; or
(x) an osteopath; or
(b) a person of a class prescribed by the regulations for the purposes of
this definition;
Impairment Assessment Guidelines means the guidelines
published under
section 22;
independent medical adviser means an independent medical
adviser appointed under
Part 8;
industrial association means—
(a) an association registered under the Fair
Work Act 1994; or
(b) an organisation registered under the Fair Work (Registered
Organisations) Act 2009 of the Commonwealth; or
(c) the United Trades and Labor Council (trading as SA Unions);
or
(d) the Australian Mines and Metals Association; or
(e) Self Insurers of South Australia Inc; or
(f) South Australian Employers' Chamber of Commerce and Industry Inc
(trading as Business SA); or
(g) an association, society or body formed to represent, protect or
further the interests of employers or employees;
industry includes any business or activity in which workers
are employed;
injured worker—an injured worker is any worker who has
suffered an injury (or, where the context admits, has died);
injury, in relation to a worker, means—
(a) any physical or mental injury including—
(i) loss, deterioration or impairment of a limb, organ or part of the
body, or of a physical, mental or sensory faculty; or
(ii) a disease; or
(iii) disfigurement; or
(b) where the context admits—the death of the worker,
and includes an injury that is, or results from, the aggravation,
acceleration, exacerbation, deterioration or recurrence of a prior
injury;
legal personal representative—see
subsection (13);
local government corporation means—
(a) a council under the Local
Government Act 1999; or
(b) the Local Government Association of South Australia; or
(c) any other body—
(i) established for local government purposes; and
(ii) prescribed for the purposes of this definition;
medical practitioner means a person registered under the
Health Practitioner Regulation National Law to practice in the medical
profession (other than as a student);
medical services means—
(a) attendance, examination or treatment by a health practitioner
(including the obtaining of a certificate or report); or
(b) any diagnostic examination or test required for the purposes of
treatment by a health practitioner; or
(c) any services of a class prescribed for the purposes of this
definition;
mental harm means impairment of a person's mental
condition;
motor accident damages means—
(a) damages to which Part 4 of the Motor
Vehicles Act 1959 applies; or
(b) damages to which the law of another State or a Territory of the
Commonwealth that corresponds to Part 4 of the Motor
Vehicles Act 1959 applies;
no current work capacity—see
section 36;
non-economic loss means—
(a) pain and suffering;
(b) loss of amenities of life;
(c) loss of expectation of life;
(d) disfigurement;
(e) any other loss or detriment of a non-economic nature;
notional weekly earnings in relation to a worker
means—
(a) the worker's average weekly earnings; or
(b) where an adjustment has been made under this Act to take account of
changes in levels of earnings, the value of money or remuneration (including
under
section 45,
46 or
60) or other relevant
factors (or 1 or more of these)—the worker's average weekly earnings as so
adjusted but not so as to exceed in any case twice State average weekly
earnings;
officer of the Corporation includes an employee of the
Corporation;
orphan child means a child whose natural or adoptive parents
are dead and includes a child, 1 of whose natural or adoptive parents is
dead and who has no reasonable prospect of being supported by the surviving
natural or adoptive parent;
parent, in relation to a deceased worker, includes a person
who stood in loco parentis to the worker at the time of the worker's
death;
permanent impairment compensation means compensation for
permanent impairment under
Part 4
Division 6 or
Division 7;
permanent impairment matter means any of the
following:
(a) whether an impairment suffered by a worker is permanent;
(b) the extent to which a permanent impairment suffered by a worker is
capable of being accurately assessed;
(c) the extent to which a permanent impairment suffered by a worker is
attributable to a previous injury or a pre-existing condition;
(d) the degree of whole person impairment suffered by a worker;
place of employment means a place where a worker is required
to carry out duties of employment and, if the place is a building, includes land
within the external boundaries of the land on which the building is
situated;
premises means—
(a) a building, structure or place (including an aircraft, ship or
vehicle); or
(b) a part of premises;
prescribed allowance, in relation to the earnings of a
worker, means any amount received by the worker from an employer by way of an
allowance or benefit prescribed for the purposes of this definition;
President means the President of the Tribunal;
presidential member means a presidential member of the
Tribunal;
psychiatric injury means pure mental harm;
pure mental harm means mental harm other than consequential
mental harm;
recognised health practitioner means—
(a) a medical practitioner; or
(b) in relation to injuries of a particular kind—a health
practitioner who is recognised by the Corporation (in a manner determined by the
Corporation) as having specialised knowledge of, and experience in the treatment
of, injuries of that kind;
recovery/return to work plan—see
section 25;
recovery/return to work services—see
section 24;
Registrar means the Registrar of the Tribunal;
relative, in relation to a deceased worker, means a spouse,
domestic partner, parent, grandparent, step-parent, child, grandchild,
stepchild, brother, sister, stepbrother, stepsister, half-brother or half-sister
of the worker;
repealed Act means the Workers
Rehabilitation and Compensation Act 1986 repealed by this
Act;
residence in relation to a worker includes a
place—
(a) at which the worker resides in accordance with the terms of the
worker's employment or at the request of the employer; or
(b) at which it is necessary or convenient for the worker to reside
temporarily for the purposes of employment;
reviewable decision means a decision that is reviewable under
section 97;
RTWSA premium order means a RTWSA premium order published
under
Part 9 Division 4
Subdivision 4;
RTWSA premium provisions means the RTWSA premium provisions
published under
Part 9 Division 4
Subdivision 2;
SACFS means the South Australian Country Fire
Service;
SAMFS means the South Australian Metropolitan Fire
Service;
self-employed worker means a person to whom the Corporation
has extended the protection of this Act pursuant to
section 175;
self-insured employer means an employer who is registered by
the Corporation as a self-insured employer under
Part 9
Division 1;
seriously injured worker—see Part 2 Division
4;
ship includes a boat, vessel or craft;
South Australian ship means a ship—
(a) that is registered in the State; or
(b) that is owned or under charter by the Crown; or
(c) that is owned or under charter by a body corporate or other
person—
(i) whose principal office or place of business is in the State;
or
(ii) whose principal office or place of business with respect to the
control or management of the ship is in the State;
spouse—a person is the spouse of another if they are
legally married;
the State includes the territorial waters of the
State;
suitable employment, in relation to a worker, means
employment in work for which the worker is currently suited, whether or not the
work is available, having regard to the following:
(a) the nature of the worker's incapacity and previous
employment;
(b) the worker's age, education, skills and work experience;
(c) the worker's place of residence;
(d) medical information relating to the worker that is reasonably
available, including in any medical certificate or report;
(e) if any recovery/return to work services are being provided to or for
the worker;
(f) the worker's recovery/return to work plan, if any;
Supreme Court means the Supreme Court of South
Australia;
therapeutic appliance means—
(a) spectacles or contact lenses; or
(b) a hearing aid; or
(c) false teeth; or
(d) a prosthesis; or
(e) a crutch or wheelchair; or
(f) any other appliance or aid for reducing the extent of an injury or
enabling a person to overcome in whole or part the effects of an
injury;
trauma means an event, or series of events, out of which a
work injury arises;
Tribunal means the South Australian Employment Tribunal
established under the
South
Australian Employment Tribunal Act 2014;
unrepresentative injury means an injury arising from an
attendance mentioned in
section 7(5) or
a journey mentioned in
section 7(8)(b);
week means any period of 7 consecutive days;
work injury means an injury that arises from employment under
section 7;
worker means—
(a) a person by whom work is done under a contract of service (whether or
not as an employee);
(b) a person who is a worker by virtue of
Schedule 1;
(c) a self-employed worker,
and includes a former worker and the legal personal representative of a
deceased worker;
working day in relation to a worker means a day on which the
worker works or would, if not incapacitated for work, be normally required to
work in the course of employment.
(2) A member of the crew of a fishing boat who is remunerated by a share
in profits or gross receipts obtained by working the boat is not a worker for
the purposes of this Act.
(3) If a worker has no fixed place of employment, the worker's place of
employment on a particular working day is the place at which, or the area in
which, the worker works or is required to work on that working day.
(4) Where in a prescribed industry or in prescribed circumstances a person
(the principal) contracts with another person (the
contractor) for the performance by the contractor of work
undertaken by the principal, the principal will, for the purposes of this Act,
be taken to be the employer of workers employed by the contractor.
(5) The regulations
may exclude (either absolutely or subject to limitations or conditions stated in
the regulations) specified classes of workers wholly or partially from the
application of this Act.
(6) A regulation under
subsection (5)
may only be made after consultation with the Advisory Committee.
(7) The regulations
may, in prescribing work or work of a specified class for the purposes of
paragraph (b) of
the definition of contract of service in
subsection (1)—
(a) designate a person, or persons of a specified class, as the
presumptive employer of a worker who is within the ambit of the relevant
prescription;
(b) exclude a person who would otherwise be the employer of such a worker
from the definition of employer in
subsection (1).
(8) For the purposes of
this Act, a reference to the Federal minimum wage is a reference to a wage
applying under a national minimum wage order under Part 2-6 of the Fair Work
Act 2009 of the Commonwealth prescribed by the regulations under this
subsection.
(9) For the purposes of this Act, a reference to State average weekly
earnings is a reference to the amount last published before the relevant day by
the Australian Bureau of Statistics as an estimate of Average Weekly Earnings
for Ordinary Hours of Work for each Full-time Employed Adult Male Unit in this
State.
(10) For the purposes
of this Act—
(a) total incapacity for work is the incapacity for work
that is represented by a worker having no current work capacity within the
meaning of this Act; and
(b) partial incapacity for work is the incapacity for work
that is represented by a worker having a current work capacity within the
meaning of this Act.
(11) For the purposes of this Act, the date on which an incapacity for
work first occurs will be taken to be the first day in respect of which the
worker has an entitlement to a payment under
Part 4 Division 4
Subdivision 2 on account of that incapacity.
(12) Any period under this Act that relates to a specified number of weeks
from the date on which an incapacity for work first occurs will be taken to
include (for the purposes of calculating that period) any time when the relevant
worker was not in fact incapacitated for work.
(13) For the
purposes of this Act, a person is the legal personal representative of a
deceased worker if the person is—
(a) a person who is entitled at law to administer the estate of the
deceased worker; or
(b) a person who is authorised by the Tribunal (on application made under
this subsection) to act under this Act as a legal personal representative of the
deceased worker.
(14) For the purposes
of this Act, 2 or more workplaces in close proximity may, if the Corporation so
determines, be regarded as a single workplace.
(15) A reference in a provision of this Act to a designated form is a
reference to a form designated for the purposes of that provision by the
Corporation from time to time by notice in the Gazette (and for the purposes of
this Act the Corporation may specify information that may be provided in a
specified form, not being in the nature of a written or printed form, which will
satisfy a requirement as to the provision of information in a designated
form).
(16) A reference in a provision of this Act to a designated manner is a
reference to a manner designated for the purposes of that provision by the
Corporation from time to time by notice in the Gazette.
(17) If a sum of money fixed by this Act is followed by the word
"(indexed)", that signifies that the amount is to be adjusted as at 1 January in
each year so that the adjusted sum bears to the sum fixed by Parliament the same
proportion as the Consumer Price Index for the September quarter of the
immediately preceding year bears to the Consumer Price Index for the September
quarter of the year immediately preceding the year in which the law fixing the
sum took effect, with the amount so adjusted being rounded up under a scheme
prescribed by the regulations.
(1) Subject to this
section, the average weekly earnings of an injured worker is the average weekly
amount that the worker earned during the period of 12 months preceding the
relevant date in relevant employment.
(2) For the purposes of
subsection (1),
relevant employment is constituted by—
(a) employment with the employer from whose employment the injury arose;
and
(b) if the worker was, at the time of the occurrence of the injury, in the
employment of 2 or more employers, employment with each such
employer.
(3) For the purposes of this section, any amount paid while a worker was
on annual, sick or other leave will be taken to be earnings.
(4) If during the period of 12 months before the relevant date the worker
had changed the circumstances of his or her employment from working casually or
seasonally to working in permanent employment (whether on a full-time or
part-time basis) and the worker was in that permanent employment on the relevant
date, the worker's average weekly earnings may be determined by reference to the
average weekly amount that the worker earned during the period of that permanent
employment rather than during the period of 12 months preceding the
relevant date, unless to do so would disadvantage the worker.
(5) If a worker voluntarily (otherwise than by reason of an incapacity
resulting from a work injury)—
(a) reduces the normal number of hours worked; or
(b) alters the nature of the work performed with the result that a
reduction occurs in the worker's weekly earnings,
any period before the reduction or alteration takes effect will be
disregarded for the purposes of determining average weekly earnings.
(6) In addition, if by reason of the shortness of time during which the
worker has been in employment, the terms of the worker's employment or for any
other reason, it is not possible to arrive at a fair average, the worker's
average weekly earnings may be determined by reference to the average weekly
amount being earned by other persons in the same employment with the same
employer who perform similar work at the same grade as the worker or, if there
is no person so employed, by other persons in the same class of employment who
perform similar work at the same grade as the worker.
(7) If a worker is a contractor rather than an employee, the worker's
average weekly earnings will be determined by reference to the rate of pay that
the worker would have received if the worker had been working as an employee
and, if there is an award or industrial agreement applicable to the class and
grade of work in which the worker was engaged, the worker's average weekly
earnings will be determined by reference to that award or industrial
agreement.
(8) If—
(a) an employer is a body corporate; and
(b) the worker is a director as well as an employee of the
employer,
the worker's average weekly earnings will be determined by reference to the
remuneration (calculated on a weekly basis) last reported in a return from the
employer to the Corporation under
Part 9
Division 7 (unless the Corporation determines that there is good cause
not to apply this subsection in the circumstances of the particular
case).
(9) If because of a work injury or the gradual onset of a work injury it
appears that the level of earnings of an injured worker prior to the relevant
date were affected by the injury, the average weekly earnings of the worker must
be set at an amount that fairly represents the weekly amount that the worker
would have been earning if the level of earnings had not been so
affected.
(10) The average weekly earnings of an injured worker who—
(a) was not a full-time worker immediately before the relevant date;
and
(b) immediately before the relevant date had been seeking full-time
employment; and
(c) had been predominantly during the preceding 18 months a full-time
worker,
will be taken to be the average weekly earnings of the worker while
employed in full-time employment during the period of 18 months preceding the
relevant date.
(11) If a worker
who suffers a permanent incapacity (whether total or partial) is under the age
of 21 years, the average weekly earnings of the worker must be determined
by applying the rate of pay that would have been payable to the worker had the
worker been 21 years old and if a worker who suffers a permanent incapacity
(whether total or partial) is an apprentice, the average weekly earnings of the
worker must be determined by applying the rate of pay that would have been
payable to the worker had the worker completed the apprenticeship (and this
determination may have effect (if not before) when it is determined that a
worker has a permanent incapacity under a redetermination under
section 31).
(12) For the
purposes of determining the average weekly earnings of a worker—
(a) any component
of the worker's earnings attributable to overtime will be disregarded if, at the
relevant date, the worker had no reasonable expectation to work overtime within
the foreseeable future because of a change in employment arrangements or work
practices, or other relevant factors, announced, introduced or occurring on or
before the relevant date, but otherwise payments attributable to overtime will
be taken into account; and
(b) to the extent that a worker has worked overtime that is to be taken
into account, the component for overtime will be an amount calculated as
follows:
where
C is the amount of the component
A is the total of the amounts paid or payable to the worker
for overtime during the period used to calculate the average weekly earnings of
the worker under a preceding subsection (the relevant
period)
B is the number of weeks in the relevant period during which
the worker worked or was on annual, sick or other paid leave.
(13) For the purposes of determining the average weekly earnings of a
worker—
(a) any amount otherwise payable to the worker that has been the subject
of a voluntary salary sacrifice for superannuation purposes by the worker will
be taken into account as earnings; and
(b) any non-cash benefit of a prescribed class provided to the worker by
an employer—
(i) will be taken into account if the worker does not retain the benefit
of the non-cash benefit (and valued after taking into account any principles
specified by this Act or prescribed by the regulations); and
(ii) will not be taken into account if the worker retains the benefit of
the non-cash benefit.
(14) Despite a preceding subsection, the following will be disregarded for
the purposes of determining the average weekly earnings of a worker:
(a) any contribution paid or payable by an employer to a superannuation
scheme for the benefit of the worker;
(b) any prescribed allowances.
(15) Despite a
preceding subsection—
(a) if an injured worker's remuneration was, at the relevant date, covered
by an award or industrial agreement, the worker's average weekly earnings will
not be less than the weekly wage to which the worker was then entitled under the
award or industrial agreement; and
(b) if, but for this paragraph, the average weekly earnings of a worker
(not being a self-employed worker) would be less than the Federal minimum wage
applying in relation to the worker (adjusted, in the case of a worker who was
working at the relevant date on a part-time basis, in accordance with the
regulations so as to provide a pro-rata amount), the average weekly earnings
will be fixed at the Federal minimum wage (or, if relevant, the Federal minimum
wage as so adjusted); and
(c) the average weekly earnings of a worker will in no case be fixed at
more than twice State average weekly earnings.
(16) For the purposes of this section—
(a) a reference to the relevant date is a reference to the date on which
the relevant injury occurs; and
(b) a reference to a worker who is working on a part-time basis is a
reference to a worker who, after taking into account the usual work patterns of
workers in employment of the kind in which the worker is working at the relevant
date and applying any principle prescribed by the regulations, is not working
the number of hours per week that can be taken to constitute full-time
employment.
This Act binds the Crown in right of the State and also, so far as the
legislative power of the State extends, in all its other capacities.
Part 2—Key
principles, concepts and requirements
Division 1—Connection
with employment
7—Injury
must arise from employment
(1) This Act applies to an injury if (and only if) it arises from
employment.
(2) Subject to this
section, an injury arises from employment if—
(a) in the case of an
injury other than a psychiatric injury—the injury arises out of or in the
course of employment and the employment was a significant contributing cause of
the injury; and
(b) in the case of a
psychiatric injury—
(i) the psychiatric injury arises out of or in the course of employment
and the employment was the significant contributing cause of the injury;
and
(ii) the injury did not
arise wholly or predominantly from any action or decision designated under
subsection (4).
(3) In connection with
the application of
subsection (2) to an
injury that is, or results from, the aggravation, acceleration, exacerbation,
deterioration or recurrence of a prior injury (a prescribed
event)—
(a) in the case of an injury other than a psychiatric
injury—employment must be a significant contributing cause of the
prescribed event; and
(b) in the case of a
psychiatric injury—
(i) employment must be the significant contributing cause of the
prescribed event; and
(ii) the prescribed
event must not arise wholly or predominantly from any action or decision
designated under
subsection (4),
and then the injury is only compensable to the extent of and for the
duration of the relevant aggravation, acceleration, exacerbation, deterioration
or recurrence.
(4) The following are
designated for the purposes of
subsection (2)(b)(ii)
and
(3)(b)(ii):
(a) reasonable action taken in a reasonable manner by the employer to
transfer, demote, discipline, counsel, retrench or dismiss the worker or a
decision of the employer not to renew or extend a contract of service;
(b) a decision of the employer, based on reasonable grounds, not to award
or provide a promotion, transfer or benefit in connection with the worker's
employment;
(c) reasonable administrative action taken in a reasonable manner by the
employer in connection with the worker's employment;
(d) reasonable action taken in a reasonable manner under this Act
affecting the worker.
(5) For the
purposes of this Act, a worker's employment includes—
(a) attendance at the worker's place of employment on a working day but
before the day's work begins in order to prepare, or be ready, for work;
and
(b) attendance at the worker's place of employment during an authorised
break from work; and
(c) attendance at the worker's place of employment but after work ends for
the day while the worker is preparing to leave, or in the process of leaving,
the place; and
(d) attendance at an
educational institution under the terms of an apprenticeship or other legal
obligation, or at the employer's request or with the employer's approval;
and
(e) attendance at a
place to receive a medical service, to obtain a medical report or certificate
(or to be examined for the purpose), to receive recovery/return to work services
or for the purposes of a recovery/return to work plan, or to apply for, or
receive, compensation for a work injury.
(6) Any injury attributable to surgery or other treatment or service
performed with due care and skill by a person professing to have particular
skills and undertaken or provided while attending at a place referred to in
subsection (5)(e)
will be taken to constitute part of the original work injury.
(7) An injury does not arise from employment if it arises out of or in the
course of the worker's involvement in a social or sporting activity, except
where the activity forms part of the worker's employment or is undertaken at the
direction or request of the employer.
(8) An injury that
arises out of or in the course of a journey arises from employment if (and only
if)—
(a) the journey is undertaken in the course of carrying out duties of
employment; or
(i) the worker's place of residence and place of employment; or
(ii) the worker's place of residence or place of employment
and—
(A) an educational institution the worker attends under the terms of an
apprenticeship or other legal obligation, or at the employer's request or with
the employer's approval; or
(B) a place the worker attends to receive a medical service, to obtain a
medical report or certificate (or to be examined for that purpose), to receive
recovery/return to work services or for the purposes of a recovery/return to
work plan, or to apply for, or receive, compensation for a compensable
injury,
and there is a real and substantial connection between the employment and
the journey being undertaken at the time of the accident out of which the injury
arises.
(9) However, the fact that a worker has an accident in the course of a
journey to or from work does not in itself establish a sufficient connection
between the accident and the employment for the purposes of
subsection (8)(b).
(10) The journey between places mentioned in
subsection (8)(b)
must be a journey by a reasonably direct route but may include an interruption
or deviation if it is not, in the circumstances of the case, substantial, and
does not materially increase the risk of injury to the worker.
(11) If—
(a) a worker's injury consists of the aggravation, acceleration,
exacerbation, deterioration or recurrence of a pre-existing coronary heart
disease; and
(b) the injury arises in the course of employment,
it will be presumed, in the absence of proof to the contrary, that the
employment was a significant contributing cause of the injury.
(1) A worker who is acting in connection with, and for the purposes of,
the employer's trade or business is presumed to be acting within his or her
employment despite the fact that—
(a) the worker is acting in contravention of a statutory or other
regulation applicable to the employment; or
(b) the worker is acting without, or in contravention of, instructions
from the employer.
(2) However, a
worker will not be entitled to receive any services or benefits under this Act
in relation to an injury if—
(a) the worker is
guilty of misconduct or acts in contravention of instructions from the employer
during the course of an attendance under
section 7(5);
or
(b) it is
established on the balance of probabilities that the injury is wholly or
predominantly attributable to—
(i) serious and wilful misconduct on the part of the worker; or
(ii) the influence of alcohol or a drug voluntarily consumed by the worker
(other than a drug lawfully obtained and consumed in a reasonable quantity by
the worker).
(3)
Subsection (2)(a)
does not apply in a case of death or permanent total incapacity for work and
subsection (2)(b)
does not apply in the case of death or serious and permanent injury.
(1) Subject to this
section, an injury is not compensable under this Act unless it is established on
the balance of probabilities that it arises from employment.
(2)
Subsection (1)
operates—
(a) subject to the
qualification that if a worker suffers an injury of a kind referred to in the
first column of
Schedule 2 and
has been employed in work of a type referred to in the second column of
Schedule 2
opposite the injury, the worker's injury is presumed, in the absence of proof to
the contrary, to have arisen from employment; and
(b) subject to
Schedule 3.
(3) If a worker retires or is retired from employment on account of age or
ill-health and the worker makes a claim for noise induced hearing loss after the
expiration of 2 years from the date of the retirement,
subsection (2)(a)
does not apply in relation to that claim.
(4) A regulation made on the recommendation, or with the approval, of the
Corporation or the Advisory Committee may—
(a) extend the operation of
subsection (2)(a) to
injuries and types of work prescribed in the regulation;
(b) extend the operation of
Schedule 3 to an
injury and corresponding qualifying period prescribed in the
regulation.
Division 2—Connection
with State
10—Territorial
application of Act
(1) This Act applies to a worker's employment if (and only if) that
employment is connected with this State.
(2) The fact that a worker is outside this State when an injury occurs
does not prevent an entitlement to compensation arising under this Act in
respect of employment that is connected with this State.
(3) A worker's
employment is connected with—
(a) the State in
which the worker usually works in that employment; or
(b) if no State or
no one State is identified by
paragraph (a),
the State in which the worker is usually based for the purposes of that
employment; or
(c) if no State or no one State is identified by
paragraph (a) or
(b), the State in
which the employer's principal place of business in Australia is
located.
(4) In the case of
a worker working on a ship, if no State or no one State is identified by
subsection (3),
a worker's employment is, while working on a ship, connected with the State in
which the ship is registered or (if the ship is registered in more than 1 State)
the State in which the ship most recently became registered.
(5) If no State is identified by
subsection (3)
or (if applicable)
(4), a worker's
employment is connected with this State if—
(a) a worker is in this State when the injury occurs; and
(b) there is no place outside Australia under the legislation of which the
worker may be entitled to compensation for the same matter.
(6) In deciding
whether a worker usually works in a State—
(a) regard must be had to the worker's work history with the employer over
the preceding 12 months and the intentions of the worker and employer;
but
(b) regard must not be had to any temporary arrangement under which the
worker works in a State for a period of not longer than 6 months.
(7) Subject to
subsection (6),
in determining whether a worker usually works in a State or is usually based in
a State for the purposes of employment, regard must be had to any period during
which a worker works in a State or is in a State for the purposes of employment
whether or not under the statutory workers compensation scheme of that State the
person is regarded as a worker or as working or employed in that
State.
(8) Compensation under this Act does not apply in respect of the
employment of a worker on a ship if the Seafarers Rehabilitation and
Compensation Act 1992 of the Commonwealth applies to the worker's
employment.
(9) In this section—
ship means any kind of vessel used in navigation by water,
however propelled or moved, and includes—
(a) a barge, lighter, or other floating vessel; and
(b) an air-cushion vehicle, or other similar craft,
used wholly or primarily in navigation by water;
State includes a Territory and, in a geographical sense, a
State's or Territory's relevant adjacent area as described in
Schedule 4.
11—Determination
of State with which worker's employment is connected in proceedings under this
Act
(1) If the question
of whether this State is connected with a worker's employment arises in
proceedings in the Tribunal or a court in relation to a claim for compensation
under this Act, the Tribunal or court must—
(a) determine the State with which the worker's employment is connected in
accordance with
section 10;
and
(b) cause that determination to be entered in its records.
(2) The Tribunal must, in determining a question under
subsection (1),
be constituted of 1 or more presidential members and if the question arises
in proceedings that are not before a presidential member (or presidential
members) then the question is to be referred, on an interlocutory basis, to a
presidential member of the Tribunal.
(3)
Subsection (1) does
not apply if there is a determination that is to be recognised under
section 12.
12—Recognition
of previous determinations
(1) If a
determination of the State with which a worker's employment is connected has
been made—
(a) by the Tribunal or a court under
section 11;
or
(b) by a designated court under a provision of a law that corresponds with
section 11, or
under another provision of a law prescribed by the regulations for the purposes
of this provision; or
(c) by a court of this State or another State in the course of proceedings
that are relevant to the application of this Act or a corresponding law, or that
relate to a claim for compensation or damages,
the State so determined is to be recognised for the purposes of this Act as
the State with which the worker's employment is connected.
(2) This section does not prevent any appeal relating to any such
determination and if the determination is altered on appeal, the altered
determination is to be recognised under
subsection (1).
(3) In this section—
designated court means—
(a) the Supreme Court of a State in which a corresponding law is in force;
or
(b) a court, tribunal or other decision-making body of a State in which a
corresponding law is in force that is declared by the regulations to be a
designated court for the purposes of this section;
State includes a Territory.
Division 3—Fundamental
principles, rights and obligations
(1) The Corporation, in
acting under and for the purposes of this Act, must—
(a) adopt a service-orientated approach that is focused on early
intervention and the interests of workers and employers; and
(b) seek to act professionally and promptly in everything that it does;
and
(c) be responsible and accountable in its relationships with others;
and
(d) without limiting a preceding paragraph, take reasonable steps to
comply with any request made by a worker under
section 15(2).
(2) The Corporation must, in connection with
subsection (1),
develop and maintain plans or strategies that are designed to establish
practices and procedures under which the specific circumstances of an injured
worker and his or her employer will be addressed and with the objective
of—
(a) ensuring early and timely intervention occurs to improve recovery and
return to work outcomes including after retraining (if required); and
(b) achieving timely, evidence based decision making that is consistent
with the requirements of this Act; and
(c) wherever possible, providing a face to face service where there is a
need for significant assistance, support or services; and
(d) ensuring regular reviews are taken in relation to a worker's recovery
and, where possible, return to work; and
(e) ensuring the active management of all aspects of a worker's injury and
any claim under this Act; and
(f) encouraging an injured worker and his or her employer to participate
actively in any recovery and return to work processes; and
(g) minimising the risk of litigation.
(3) The policies and principles set out in this section do not give rise
to substantive rights or liabilities (compared to rights or liabilities
established or prescribed under other relevant provisions of this
Act).
The Corporation must adopt and apply the service standards set out in
Schedule 5 (but
these standards do not, in themselves, give rise to substantive rights or
liabilities (compared to rights or liabilities established or prescribed under
other relevant provisions of this Act)).
(1) A worker who has suffered a work injury is entitled to
expect—
(a) early intervention by the Corporation in providing recovery and return
to work services; and
(b) the Corporation to actively manage the worker's injury and claim and
to provide services in a manner consistent with the requirements of this Act;
and
(c) his or her employer to participate and co-operate in assisting the
worker's recovery and return to work and to reasonably support the worker in
receiving any benefit available under this Act.
(2) A worker may
reasonably request the Corporation to review the provision of any service to the
worker under this Act or to investigate any circumstance where it appears that
the worker's employer is not complying with any requirement of this Act as to
the retention, employment or re-employment of the worker.
(3) A worker who has
suffered a work injury must, in a manner consistent with the objects of this
Act—
(a) participate in all
activities designed to enable the worker to recover and return to work as soon
as is reasonably practicable; and
(b) without limiting
paragraph (a)—
(i) participate and co-operate in the establishment of a recovery/return
to work plan; and
(ii) comply with obligations imposed on the worker by or under a
recovery/return to work plan; and
(c) ensure that the Corporation is provided with current medical
certificates (in the designated form provided by recognised health
practitioners) with respect to any incapacity for work for which weekly payments
are being made to the worker under this Act so as to provide evidence to support
the continuation of those payments; and
(d) return to suitable
employment when reasonably able to do so; and
(e) take reasonable steps to mitigate any possible loss on account of the
work injury.
(4)
Subsection (3)(a),
(b) and
(d) will not apply in
relation to a seriously injured worker (who may decide the extent to which he or
she will seek to participate in any processes designed to have the worker return
to work).
(5) This section does not give rise to substantive rights or liabilities
(but nothing in this section detracts from rights or liabilities established or
prescribed under other relevant provisions of this Act (including
section 16)).
16—Worker's
duty to give notice of injury
(1) If a worker suffers a work injury, notice of that injury must be
given—
(a) to the employer by whom the worker is employed at the time of the
occurrence of the injury; or
(b) if the worker is not in employment or is self-employed—to the
Corporation.
(2) Notice of an injury
should be given—
(a) if practicable within 24 hours after the occurrence of the injury but,
if that is not practicable, as soon as practicable after the occurrence of the
injury;
(b) if the worker is not, immediately after the occurrence of the injury,
aware of the injury—as soon as practicable after the worker becomes so
aware;
(c) if the worker dies without having become so aware or before it is
practicable to give such a notice—as soon as practicable after the
worker's death.
(3) Notice of an injury—
(a) may be given orally or in writing; and
(b) should specify to the best of the knowledge, information and belief of
the person giving the notice—
(i) the day on which the injury occurred; and
(ii) the place at which the injury occurred; and
(iii) the nature of the injury; and
(iv) the cause of the injury.
(4) For the purposes of this section, notice of an injury will be taken to
have been given to an employer if—
(a) it is given to—
(i) the employer at any place of business of the employer; or
(ii) any person under whose supervision the worker was employed at the
time of the injury; or
(iii) any person designated for the purpose by the worker's employer;
or
(b) it is given to the employer in the manner prescribed by the
regulations.
(5) A person by whom a notice under this section is given orally must, at
the request of the person to whom the notice is given, complete a written
statement in a form determined by the Corporation.
(6) Subject to
subsection (8),
if an employer (not being a self-insured employer) receives notice of an injury
given or purportedly given under this section the employer must, within 5
business days after the receipt of the notice, send a copy of the notice to the
Corporation together with the prescribed information.
Maximum penalty: $1 500.
(7) If it appears from a notice under this section that the worker was
not, at the date of the notice, in the employment of the employer from whose
employment the injury arose, the Corporation must (where it is practicable to do
so) send a copy of the notice to that employer.
(8) The Corporation
may, by notice in the Gazette—
(a) exclude from the application of this section injuries of a class
specified in the notice;
(b) vary, in relation to cases of a specified class, the time at which an
employer is required to report to the Corporation under this section.
(1) An employer of a worker who has suffered a work injury is entitled to
expect—
(a) early intervention by the Corporation in providing recovery and return
to work services to the worker;
(b) the Corporation to act fairly and reasonably in a manner consistent
with the requirements of this Act; and
(c) support in managing claims and the provision of services available to
the worker under this Act.
(2) The employer of a worker who has suffered a work injury must, in a
manner consistent with the objects of this Act, so far as is reasonably
practicable—
(a) support the worker
in the worker's participation in activities designed to enable the worker to
recover and return to work; and
(b) without limiting
paragraph (a)—
(i) participate and co-operate in the establishment of any recovery/return
to work plan that is required for the worker; and
(ii) comply with obligations imposed on the employer by or under a
recovery/return to work plan for the worker; and
(c) take reasonable steps to mitigate any possible loss on account of the
work injury.
(3) This section does not give rise to substantive rights or liabilities
(but nothing in this section detracts from rights or liabilities established or
prescribed under other relevant provisions of this Act (including
section 18)).
18—Employer's
duty to provide work
(1) If a worker who
has been incapacitated for work in consequence of a work injury is able to
return to work (whether on a full-time or part-time basis and whether or not to
his or her previous employment), the employer from whose employment the injury
arose (the pre-injury employer) must provide suitable employment
for the worker (the employment being employment for which the worker is fit and,
subject to that qualification and this section, so far as reasonably practicable
the same as, or equivalent to, the employment in which the worker was working
immediately before the incapacity).
(2)
Subsection (1)
does not apply if—
(a) it is not reasonably practicable to provide employment in accordance
with that subsection (and the onus of establishing that lies on the employer);
or
(b) the worker left the employment of that employer before the
commencement of the incapacity for work; or
(c) the worker terminated the employment after the commencement of the
incapacity for work; or
(d) new or other employment options have been agreed between the worker,
the employer and the Corporation under
section 25(10);
or
(e) the worker has otherwise returned to work with the pre-injury employer
or another employer.
(a) a worker who has
been incapacitated for work in consequence of a work injury seeks employment
with the pre-injury employer consistent with the requirements of
subsection (1);
and
(b) the worker, in
seeking the employment—
(i) by written notice to the employer—
(A) confirms that he or she is ready, willing and able to return to work
with the employer; and
(B) provides information about the type of employment that the worker
considers that he or she is capable of performing; and
(ii) complies with any other requirements prescribed by the regulations;
and
(c) the employer fails, within a reasonable time, to provide suitable
employment to the worker,
the worker may apply to the Tribunal for an order under
subsection (5).
(4) If an employer
fails to provide suitable employment under
subsection (3)
within 1 month after the worker seeks such employment in accordance with
that subsection (the prescribed period), the application by the
worker to the Tribunal may be made within 1 month after the end of the
prescribed period unless the Tribunal allows an extension of time.
(5) If, on an
application under
subsection (3), the
Tribunal is satisfied that it is not unreasonable for the employer to provide
employment to the worker, the Tribunal must order the employer to provide to the
worker employment specified by the Tribunal unless the Tribunal, in the exercise
of its adjudicative function, determines otherwise.
(6) A worker who makes an application under
subsection (3) is
entitled, subject to
subsections (7)
and
(8) and to limits
prescribed by the regulations, to an award against the relevant employer for the
worker's reasonable costs of the proceedings before the Tribunal.
(7) Costs may only be
awarded to cover—
(a) the cost of representation by a legal practitioner or an officer or
employee of an industrial association; and
(b) costs of a kind authorised by the regulations that were reasonably
incurred.
(8) If the Tribunal is
of the opinion that a worker acted unreasonably, frivolously or vexatiously in
bringing or in relation to the conduct of proceedings under
subsection (5), the
Tribunal may—
(a) decline to make an award of costs in favour of the worker and may (if
it thinks fit) make an award of costs against the worker; or
(b) reduce the amount of the award of costs to which the worker would
otherwise have been entitled.
(9) Subject to
subsection (10), an
award of costs to cover professional advice or assistance may, if the Tribunal
considers appropriate, be made in favour of the person who provided the
professional advice or assistance.
(10) An award of costs
to cover the cost of representation by an officer or employee of an industrial
association are payable to the industrial association.
(a) the Tribunal orders an employer to provide employment to a worker
under
subsection (5);
and
(b) the employer fails to comply with that order and
(c) the worker applies to the Corporation for financial support under
subsection (12),
the Corporation must, subject to
subsection (13),
provide financial support to the worker under
subsection (12).
(12) The financial
support will be in the form of weekly payments that represent the weekly amounts
that the worker would be expected to receive from the employer if the employer
complied with the order of the Tribunal.
(13) The Corporation is
not required to make a payment under
subsection (12) in
respect of a failure on the part of the employer after the end of the period of
104 weeks from the date on which the incapacity for work referred to in
subsection (3)(a)
first occurred (the prescribed period) and any liability of the
Corporation to provide financial support to the worker under
subsection (12)
ceases at the end of the prescribed period.
(14) The Corporation
may recover any amount paid to a worker under
subsection (12),
together with interest at the prescribed rate, as a debt from the employer in
default.
(15) Nothing in
subsections (11)
to
(14) (inclusive) limits
any other penalty or liability that may be imposed on the employer under this or
any other Act or law on account of the employer's failure to comply with an
order of the Tribunal.
(16) A reference in this section to suitable employment to be provided by
a worker's employer includes employment in respect of which—
(a) the number of hours each day or week that the worker performs work;
or
(b) the range of duties the worker performs,
is suitably increased in stages (in accordance with a recovery/return to
work plan or otherwise).
19—Payment
of wages for alternative or modified duties
If a worker who has been incapacitated for work in consequence of a work
injury undertakes alternative or modified duties under employment or an
arrangement that falls outside the worker's contract of service for the
employment from which the injury arose, the employer must pay an appropriate
wage or salary in respect of those duties unless otherwise determined by the
Corporation.
20—Additional
requirement with respect to termination of employment
(1) If a worker has suffered a work injury, the employer from whose
employment the injury arose must not terminate the worker's employment without
first giving the Corporation and the worker at least 28 days notice of the
proposed termination.
(2) However, notice of termination is not required under this section
if—
(a) the employment is properly terminated on the ground of serious and
wilful misconduct; or
(b) the worker is neither participating in a recovery/return to work plan,
nor receiving compensation, for the work injury; or
(c) the worker's rights to compensation for the injury have been exhausted
or the time for making a claim for compensation has expired.
(3) The burden of establishing that an employer terminated a worker's
employment on the ground of serious and wilful misconduct lies on the
employer.
Division 4—Seriously
injured workers
(1) This Act makes special provision in a number of places for seriously
injured workers.
(2) For the purposes of
this Act, a seriously injured worker is a worker whose work injury has resulted
in permanent impairment and the degree of whole person impairment has been
assessed under
Division 5 for the
purposes of this Act to be 30% or more.
(3) Pending an
assessment of permanent impairment, the Corporation may on its own initiative,
or must on application made by the worker in accordance with the regulations,
make an interim decision to the effect that a worker will be taken to be a
seriously injured worker under this Act if—
(a) it is satisfied, or it appears, that the worker's injury has or will
result in permanent impairment; and
(b) it appears that the degree of whole person impairment is likely to
be 30% or more,
and the Corporation's decision will have effect under this Act in
accordance with its terms.
(4) An interim decision under
subsection (3)—
(a) must be made in accordance with any requirements or principles
prescribed by the regulations; and
(b) has effect until an assessment of whole person impairment has been
made under
Division 5.
(5) Unless or until a worker is assessed or determined to be a seriously
injured worker as contemplated by this section, the worker will be taken not to
be a seriously injured worker for the purposes of this Act.
(6) However, if a
worker is taken not to be a seriously injured worker and the worker at a later
time is characterised as a seriously injured worker under
subsection (2) or
determined to be a seriously injured worker under
subsection (3)—
(a) the worker will be taken to have been a seriously injured worker from
the date of the injury; and
(b) the worker is
entitled to be paid the amounts that would have constituted the worker's
entitlements under this Act had the worker been taken to be a seriously injured
worker from the date on which an incapacity for work in consequence of the
relevant work injury first occurred after taking into account any amount already
paid under this Act.
(7) An amount paid under
subsection (6)(b)
will be increased by interest at the prescribed rate.
(8) In assessing whether the 30% threshold under this section has
been met (that is, whether the degree of whole person impairment resulting from
a work injury is at least 30%)—
(a) impairment resulting from physical injury is to be assessed separately
from impairment resulting from psychiatric injury; and
(b) in assessing impairment resulting from physical injury or psychiatric
injury, no regard is to be had to impairment that results from consequential
mental harm; and
(c) in assessing the degree of whole person impairment resulting from
physical injury, no regard is to be had to impairment that results from a
psychiatric injury or consequential mental harm; and
(d) the 30% threshold is not met unless the degree of whole person
impairment resulting from physical injury is at least 30% or the degree of whole
person impairment resulting from psychiatric injury is at least 30%.
(9) The Corporation is
not required to consider more than 1 application by a worker under
subsection (3)
unless directed to do so by the Tribunal on application made by the worker under
this subsection.
(10) Nothing in this section limits or affects the operation of
Part 4
Division 6 or
Division 7 or
Part 5.
Division 5—Assessment
of permanent impairment
22—Assessment
of permanent impairment
(1) This section sets out a scheme for assessing the degree of impairment
(being whole person impairment) that applies to a work injury that results in
permanent impairment.
(2) An assessment
under this section—
(a) must be made in accordance with the Impairment Assessment Guidelines;
and
(b) must be made by
a medical practitioner who holds a current accreditation under this
section.
(3) The Minister
will publish guidelines (the Impairment Assessment Guidelines) for
the purposes of the assessment of permanent impairment (being whole person
impairment).
(4) The guidelines
under
subsection (3)—
(a) must be published in the Gazette; and
(b) may adopt or incorporate the provisions of other publications, whether
with or without modification or addition and whether in force at a particular
time or from time to time; and
(c) must incorporate a methodology that arrives at an assessment of the
degree of impairment of the whole person (whole person
impairment); and
(d) may specify
procedures to be followed in connection with an assessment; and
(e) may have effect on a day specified by the Minister by notice in the
Gazette; and
(f) may be amended or
substituted by the Minister from time to time.
(5) The Minister must, before publishing or amending the Impairment
Assessment Guidelines, consult with professional associations representing the
class or classes of medical practitioners who hold accreditations under this
section.
(6) An amendment or substitution in relation to the Impairment Assessment
Guidelines under
subsection (4)(f)
will only apply in respect of an injury occurring on or after the date the
amendment or substitution takes effect.
(7) An assessment of the degree of impairment resulting from an
injury—
(a) must not be made until the injury has stabilised; and
(b) must subject to
subsection (8),
be based on the worker's current impairment as at the date of assessment,
including any changes in the signs and symptoms following any medical or
surgical treatment undergone by the worker in respect of the injury;
and
(c) must be made at a time determined or approved by the Corporation;
and
(d) must be made by an accredited medical practitioner selected in
accordance with the Impairment Assessment Guidelines.
(8) An assessment
must take into account the following principles:
(a) if a worker presents for assessment in relation to injuries which
occurred on different dates, the impairments are to be assessed chronologically
by date of injury;
(b) impairments from unrelated injuries or causes are to be disregarded in
making an assessment;
(c) impairments from the same injury or cause are to be assessed together
or combined to determine the degree of impairment of the worker (using any
principle set out in the Impairment Assessment Guidelines);
(d) impairment
resulting from physical injury is to be assessed separately from impairment
resulting from psychiatric injury;
(e) in assessing
impairment resulting from physical injury or psychiatric injury, no regard is to
be had to impairment that results from consequential mental harm;
(f) in assessing the
degree of permanent impairment resulting from physical injury, no regard is to
be had to impairment that results from a psychiatric injury or consequential
mental harm;
(g) any portion of an impairment that is due to a previous injury (whether
or not a work injury or whether because of a pre-existing condition) that caused
the worker to suffer an impairment before the relevant work injury is to be
deducted for the purposes of an assessment;
(h) assessments are to comply with any other requirements specified by the
Impairment Assessment Guidelines or prescribed by the regulations.
(9) A number determined under the Impairment Assessment Guidelines with
respect to a value of a person's degree of whole person impairment may be
rounded up or down according to any principle set out in the Impairment
Assessment Guidelines.
(10) Subject to
subsections (11),
(12) and
(13), only 1
assessment may be made in respect of the degree of permanent impairment of a
worker from 1 or more injuries (including consequential injuries) arising from
the same trauma (and any injury that may subsequently develop or manifest itself
or develop after the assessment of impairment is made will not be
assessed).
(11)
Subsection (10)
operates subject to any assessment made under
Part 8 (and the
exercise of any adjudicative function by the Tribunal or a court).
(12) An interim
decision under
section 21 will not
be taken to constitute an assessment for the purposes of
subsection (10).
(13)
Subsection (10) does
not apply in any circumstances prescribed by the regulations.
(14) For the purposes of this section, the Advisory Committee must
establish an accreditation scheme after consultation with the
Minister.
(15) The accreditation scheme—
(a) will provide for the accreditation of medical practitioners who are
determined, under the scheme, to be suitably qualified to undertake assessments
for the purposes of this section; and
(b) will work on the basis that the Minister will issue the
accreditations; and
(c) may provide for the suspension or cancellation of accreditation by the
Minister on specified grounds; and
(d) may be amended or substituted by the Advisory Committee from time to
time after consultation with the Minister.
(16) An accreditation will be issued by the Minister—
(a) for a period specified by the Minister; and
(b) on conditions determined by the Minister.
Part 3—Early
intervention, recovery and return to work
(1) The object of this
Part is to establish a system that seeks to ensure that a worker who suffers a
work injury—
(a) achieves the best practicable levels of physical and mental recovery;
and
(b) returns to the worker's pre-injury work or, if that is not reasonably
practicable, is in any event restored to the workforce and the community in a
timely, safe and durable way.
(2) Without limiting
subsection (1), the
aim is—
(a) to intervene
and provide services under this Part as early as is reasonably practicable after
a worker suffers a work injury; and
(b) in connection with
paragraph (a)—
(i) to return the
worker to work in the worker's pre-injury duties; or
(ii) if it is not
reasonably practicable to return the worker to work in the worker's pre-injury
duties—to return the worker, either temporarily or permanently, to other
suitable duties with the worker's pre-injury employer; or
(iii) if
subparagraphs (i)
and
(ii) are not reasonably
practicable—to return the worker, either temporarily or permanently, to
work with another employer; or
(iv) if
subparagraphs (i),
(ii) and
(iii) are
not reasonably practicable—to maximise the worker's independent
functioning as a member of the community; and
(c) to ensure that any employer, worker or other person involved in a
recovery or return to work process cooperate to achieve the object referred to
in
subsection (1).
(3) This Part may apply to a worker even if it has not been finally
established that the worker's injury is a work injury.
24—Early
intervention, recovery and return to work services
(1) The services that may be provided under this Part
(recovery/return to work services) may do 1 or more of
the following:
(a) provide for the physical, mental or vocational assessment of a
worker;
(b) provide advisory services to a worker, members of the family of a
worker, an employer and others;
(c) assist a worker in retaining, seeking or obtaining
employment;
(d) assist in the training or retraining of a worker;
(e) assist a worker to find or establish appropriate
accommodation;
(f) provide equipment, facilities and services to assist a worker to cope
with any injury at home or in the workplace;
(g) provide assistance to a person who may be in a position to help a
worker to overcome or cope with an injury;
(h) provide necessary and reasonable costs (including costs of travel,
accommodation and child care) incurred by a worker in order to receive or
participate in any services;
(i) provide anything else that may assist in achieving the objects of this
Part.
(2) The services provided to a worker may recognise that if a return to
work is not reasonably practicable in the short term that the services may
assist a worker's overall recovery by assisting the worker to be restored to the
community at the beginning and to return to work in the medium or longer term
(recognising that some workers may have minimal prospects of returning to work
at all due to the seriousness of the injury).
(3) Action to determine the most appropriate recovery/return to work
services to be provided to an injured worker must be taken as early as possible
after the worker suffers the work injury.
(4) The Corporation must take reasonable steps to ensure that a reasonable
level of recovery/return to work services are provided to an injured worker
taking into account the nature and extent of the worker's injury, the
circumstances of the worker, and any other relevant factor.
(5) Recovery/return to work services will be provided by persons
accredited, approved or appointed by the Corporation.
25—Recovery/return
to work plans
(1) Where it appears
that a worker is (or is likely) to be incapacitated for work by a work injury
for more than 4 weeks, the Corporation must ensure that a plan (a
recovery/return to work plan) is prepared for the
worker.
(2) In connection with
subsection (1)—
(a) a recovery/return to work plan may be prepared even if the period of
incapacity may be less than 4 weeks; and
(b) a recovery/return to work plan may be prepared for a worker who may
not be returning to work in the short or medium term so that the initial focus
of the plan is on restoring the worker to the community at the beginning;
and
(c) a recovery/return to work plan may be prepared for a worker who has no
reasonable prospect of returning to work but where the preparation of a plan
would still assist in restoring the worker to the community; and
(d) a recovery/return to work plan need not be prepared for a worker if
the Corporation considers that, due to the severity of the injury, the focus
should be on other forms of support and services (unless or until the worker
becomes capable of participating in a plan).
(3) Subject to taking into account the provisions of
subsection (2), a
recovery/return to work plan will set out the actions and responsibilities of a
worker, an employer and the Corporation that are to be undertaken or assumed in
order to achieve the earliest possible safe return to work or, if relevant, to
the community on a durable basis.
(4) A recovery/return to work plan may impose obligations on the worker
and on the employer.
(5) In preparing a recovery/return to work plan—
(a) consultation must occur with the worker and, insofar as is necessary
or appropriate, with the employer out of whose employment the injury arose;
and
(b) assistance may be obtained from the relevant return to work
co-ordinator (if appointed) and any person who might be providing services under
the plan; and
(c) insofar as is reasonably practicable—
(i) medical records relevant to the worker's condition should be reviewed;
or
(ii) consultation should occur with any health practitioner who is
treating the worker for a relevant injury; and
(d) consultation may occur with any other person or body as the
Corporation thinks fit.
(6) A recovery/return to work plan must comply with standards and
requirements prescribed by the regulations.
(7) The Corporation must give the worker and the employer a copy of the
recovery/return to work plan.
(8) A recovery/return
to work plan may be reviewed from time to time.
(9) In connection with
the operation of
subsection (8), the
regulations may—
(a) specify when a recovery/return to work plan should be reviewed;
and
(b) prescribe procedures to be followed when a recovery/return to work
plan is being reviewed.
(10) Without limiting
subsections (8) and
(9), if—
(a) a worker who has been incapacitated for work in consequence of a work
injury has not, at the expiration of the period of 6 months from the date
on which the incapacity for work first occurred, returned to work in employment
that is the same as, or equivalent to, the employment in which the worker was
employed immediately before the incapacity; and
(b) the worker is not working to his or her full capacity (after taking
into account the nature and affect of the worker's work injury and any other
relevant factor),
new or other employment options for the worker need to be taken into
account in order to assist the worker to return to work in suitable
employment.
(11) A plan under this section must not impose any obligation on a
seriously injured worker to return to work (but may include processes designed
to assist a seriously injured worker to return to work at the request of the
worker).
26—Return
to work co-ordinators
(1) Subject to this section, an employer must appoint (and retain) a
return to work co-ordinator (referred to in this section as a
co-ordinator).
(2) A co-ordinator must be based in South Australia.
(3) The employer must appoint a co-ordinator—
(a) within 6 months after the requirement to be registered under
Part 9 first
arises (disregarding any exemption that may be available under that Part) or
within a later period approved by the Corporation; and
(b) within 3 months after a vacancy occurs in the office of a
co-ordinator under this section.
Maximum penalty: $10 000.
(4) A co-ordinator has the following functions:
(a) to assist workers suffering from work injuries, where prudent and
practicable, to remain at or return to work as soon as possible after the
occurrence of the injury;
(b) to assist the Corporation in the preparation and implementation of any
recovery/return to work plan for an injured worker;
(c) to liaise with any persons involved in the provision of medical and
other relevant services to workers;
(d) to monitor the progress of an injured worker's capacity to return to
work;
(e) to take steps to, as far as practicable, prevent the occurrence of an
aggravation, acceleration, exacerbation, deterioration or recurrence of an
injury when a worker returns to work;
(f) to perform other functions prescribed by the regulations.
(5) An employer must—
(a) provide such facilities and assistance as are reasonably necessary to
enable a co-ordinator to perform his or her functions under this section;
and
(b) ensure that a co-ordinator plays an active role in achieving a timely,
safe and durable return to work for a worker who has suffered a work injury with
a particular emphasis on early intervention (to the extent contemplated by this
Part); and
(c) comply with any training or operational guidelines published by the
Corporation from time to time for the purposes of this section.
(6) The regulations may exempt an employer, or employers of a prescribed
class, from a requirement under this section.
27—Standards
and facilities established by Corporation
The Corporation may—
(a) enter into arrangements with any government agency or other body under
which facilities and services, including medical services, will be provided to
injured workers; and
(b) with the approval of the Minister, establish clinics and other
facilities and services for the assessment, treatment and recovery of injured
workers and, without limiting this section, the provision of recovery/return to
work services; and
(c) establish and maintain a register of persons and organisations that
are, in the opinion of the Corporation, properly qualified and equipped to
provide facilities and services in connection with the assessment, treatment and
recovery of injured workers and, without limiting this section, the provision of
recovery/return to work services; and
(d) authorise the expenditure of money on behalf of the Corporation for
the purposes of this Part (subject to any limits or conditions set or determined
by the Corporation).
28—Rates
for provision of services
(1) The Minister may from time to time, by notice in the Gazette, on the
recommendation of the Corporation, publish scales of charges that will apply in
relation to the provision of recovery/return to work services.
(2) Before the Corporation makes a recommendation to the Minister about
the publishing of a scale of charges, the Corporation must consult
with—
(a) professional associations representing the providers of services of
the relevant kind; and
(b) associations representing employers (including the South Australian
Employers Chamber of Commerce and Industry); and
(c) associations representing employees (including the United Trades and
Labor Council).
(3) A person who provides a recovery/return to work service for an injured
worker for which a scale of charges has been published under this section,
knowing the worker to be receiving the services under this Act, must not charge
for the service an amount exceeding the amount allowed under that scale of
charges.
Maximum penalty: $2 500.
(4) Nothing in this
section prevents the Corporation from entering into an agreement for the
provision of recovery/return to work services that are not subject to a notice
prescribed under this section at rates set or determined under the
agreement.
The Corporation may, as it thinks fit—
(a) disseminate information that relates to work related injuries with a
view to—
(i) preventing their occurrence; or
(ii) assisting workers with managing such injuries and with their recovery
from such injuries (insofar as may be practicable); and
(b) conduct, participate in or subsidise research that will promote the
objects of this Part; and
(c) encourage and support the work of organisations that provide
assistance to workers who have suffered work related injuries.
(1) Subject to this
section, a claim under this Part—
(a) must be made in a manner and form approved by the Corporation;
and
(b) must be made within the prescribed period; and
(c) must be
supported by a certificate in the designated form by a recognised health
practitioner certifying—
(i) the nature of the injury;
(ii) the probable cause of the injury so far as that is ascertainable by
the health practitioner;
(iii) if the claimant claims to be incapacitated for work—the
claimant's current and likely future capacity;
(iv) any other matter specified by the Corporation with the approval of
the Minister.
(2) If a notice of an
injury is required under this Act, a claim may not be made in respect of that
injury unless notice of the injury has been given as required.
(3) Despite
subsections (1)
and
(2)—
(a) the absence of, or a defect in, a notice of injury is not a bar to the
making of a claim if—
(i) the proper determination of the claim has not been substantially
prejudiced; or
(ii) the failure to give the notice, or the defect in the notice, was
occasioned by ignorance of the claimant, mistake or absence from the State, or
other reasonable cause; and
(b) a failure to make a claim within the prescribed period is not a bar to
the making of a claim if—
(i) the proper determination of the claim has not been substantially
prejudiced; or
(ii) the failure to make the claim within the prescribed period was
occasioned by ignorance of the claimant, mistake or absence from the State, or
other reasonable cause.
(4) A claim must be given at first instance as follows:
(a) where the worker is at the commencement of the incapacity in
employment—the claim must be given to the employer;
(b) in any other case—the claim must be given to the
Corporation.
(5) Within 5
business days after receipt of a claim under this section, an employer (not
being a self-insured employer) must forward to the Corporation—
(a) a copy of the claim;
(b) a statement in the designated form containing such information as may
be prescribed.
Maximum penalty: $1 500.
(6) An employer (not being a self-insured employer) must furnish to the
Corporation, in such manner and form as the Corporation may determine, such
other information as the Corporation may reasonably require in order to assess
or determine a claim.
Maximum penalty: $1 500.
(7) If it appears from a claim that the worker was not, at the time of
making the claim, in the employment of the employer from whose employment the
injury arose, the Corporation must (where it is practicable to do so) notify
that employer of the claim.
(8) The Corporation may dispense with a requirement under this
section.
(9) A self-insured employer may dispense with the requirement for a
certificate under
subsection (1)(c)
if a claim only relates to
Division 2.
(10) In this section—
prescribed period, in relation to the making of a claim under
this section, means the period of 6 months commencing on the day on which the
entitlement to make the claim arises.
(1) On receipt of a
claim, the Corporation may make such investigations and inquiries as it thinks
necessary to determine the claim.
(2) Without
limiting any other provision, for the purpose of satisfying itself of the
nature, extent or probable duration of an injury, the Corporation may require a
worker to submit to an examination by a recognised health practitioner nominated
by the Corporation.
(3) If a claimant—
(a) fails or refuses to furnish information reasonably required by the
Corporation to assess or determine the claim; or
(b) fails or refuses to submit to an examination as required under
subsection (2),
the claim may be rejected.
(4) The Corporation must determine claims for compensation as
expeditiously as reasonably practicable and where the claim is for compensation
by way of income support must, wherever practicable, endeavour to determine the
claim within 10 business days after the date of receipt of the
claim.
(5) If—
(a) the injury results from a road accident; and
(b) no member of the police force attends at the scene of the accident;
and
(c) the claimant is required to report the accident to a member of the
police force or at a police station under the Road
Traffic Act 1961,
the Corporation may refrain from determining the claim until the accident
is so reported.
(6) If an employer notifies the Corporation, before the Corporation
determines a claim, that the employer disputes that the injury is compensable
under this Act, the Corporation must, before determining the claim, make a
reasonable investigation into the grounds on which the employer disputes the
compensability of the injury.
(7) As soon as
practicable after determining a claim the Corporation must give notice in
writing of the determination—
(a) to the claimant; and
(b) to any employer who may be directly affected.
(8) If any part of a claim is rejected, a notice under
subsection (7)
must include—
(a) such information as the regulations may require as to the grounds on
which the claim is rejected; and
(b) a statement of the claimant's rights to have the determination
reviewed.
(9) The Corporation
may, in an appropriate case, by notice in writing to the worker, redetermine a
claim.
(10) For the
purposes of
subsection (9),
an appropriate case is one where—
(a) the redetermination is necessary to give effect to an agreement
reached between the parties to an application for review or to reflect progress
(short of an agreement) made by the parties to such an application in an attempt
to resolve questions by agreement; or
(b) the claimant deliberately withheld information that should have been
supplied to the Corporation and the original determination was, in consequence,
based on inadequate information; or
(c) the redetermination is appropriate by reason of new information that
was not available and could not reasonably have been discovered by due enquiry
at the time that the original determination was made; or
(d) the redetermination is for the purposes of
section 5(11)
and is appropriate by reason of the stabilising of a work injury; or
(e) the original
determination was made as the result of an administrative error and the
redetermination is made within 2 weeks of the making of the original
determination; or
(f) the
redetermination is made in prescribed circumstances.
(11) A regulation made for the purposes of
subsection (10)(f)
cannot come into operation until the time for disallowance has passed.
(12) The redetermination of a claim does not give rise to any right on the
part of the Corporation to recover from the worker money paid under a previous
determination unless the previous determination was made in consequence of the
worker's fraud.
32—Payment
of interim benefits
(1) The Corporation may, pending the final determination of a claim, make
interim payments under this Part to a claimant.
(2) The Corporation
must offer to make interim payments under this section if it fails to determine
the relevant claim within 10 business days after the date of receipt of the
claim.
(3)
Subsection (2) does
not apply in any circumstances prescribed by the regulations.
(4) If on the final determination of a claim it appears that an amount to
which the claimant was not entitled has been paid under this section, the
Corporation may recover that amount as a debt in a court of competent
jurisdiction.
Division 2—Medical
expenses etc
(1) Subject to this
section, a worker is entitled to be compensated for costs of services described
in
subsection (2)
that are reasonable and necessary and reasonably incurred by the worker in
consequence of having suffered a work injury—
(a) in accordance with a scale published by the Minister under this
section; or
(b) if the relevant service is not covered by a scale under this
section—to the extent of a reasonable amount for the provision of the
service.
(2) The costs
referred to in
subsection (1)
are as follows:
(a) the cost of medical services;
(b) the cost of hospitalisation and all associated medical, surgical and
nursing services;
(c) the cost of approved recovery/return to work services;
(d) the cost of travelling, or being transported, to and from any place
for the purpose of receiving medical services, hospitalisation or approved
recovery/return to work services (but not where the worker travels in a private
vehicle);
(e) where it is necessary for the worker to be accommodated away from home
for the purpose of receiving medical services or approved recovery/return to
work services—the cost of such accommodation (but not exceeding limits
prescribed by regulation);
(f) the cost of attendance by a registered or enrolled nurse, or by some
other person approved by the Corporation or of a class approved by the
Corporation, where the injury is such that the worker must have nursing or
personal attendance;
(g) the cost of the provision, maintenance, replacement or repair of
therapeutic appliances;
(h) the cost of medicines and other material purchased on the prescription
or recommendation of a health practitioner;
(i) any other costs (or classes of costs) authorised by the
Corporation.
(3) Compensation in
respect of costs to which this section applies may be paid—
(a) to the worker; or
(b) directly to the person to whom the worker is liable for those
costs.
(4) If a worker has
been charged more than the amount that the worker is entitled to claim for the
provision of a service in respect of which compensation is payable under this
section, the Corporation may reduce the charge by the amount of the
excess.
(5) A decision of the Corporation under
subsection (4)
does not constitute a reviewable decision under
Part 6.
(a) services of a kind to which this section applies were provided to a
worker in relation to a work injury; and
(b) the Corporation considers that the services were, in the circumstances
of the case, unreasonable, unnecessary or unreasonably incurred,
the Corporation may disallow charges for the services.
(7) If the Corporation
disallows or reduces a charge under this section—
(a) it must give to the
provider of the service a notice setting out—
(i) the basis of the Corporation's decision to disallow or reduce the
charge; and
(ii) where the charge
has been disallowed under
subsection (6)
the provider's right to have the decision reviewed under this section;
and
(b) the worker is not liable to the provider for the disallowed charge, or
for more than the reduced charge, (as the case requires) and, if the worker has
in fact paid an amount for which he or she is not liable, the Corporation will
reimburse the worker for that amount and may recover it from the provider as a
debt.
(8) If a worker travels in a private vehicle to or from any place for the
purpose of receiving medical services, hospitalisation or approved
recovery/return to work services, and the travel is reasonably necessary in the
circumstances of the case, the worker is entitled to a travel allowance at rates
fixed by a scale published by the Minister under this section.
(9) A reference in this section to approved recovery/return to work
services is a reference to recovery/return to work services provided by a person
who has an agreement with the Corporation for the provision of those
services.
(10) If a treatment protocol or framework for the provision of services
has been published by the Minister under this section, costs for the provision
of those services are only compensable where—
(a) the services are provided in accordance with the protocol or
framework; or
(b) the provider of the services establishes, to the Corporation's
satisfaction, that services outside the terms of the protocol or framework are
justified in the circumstances of the particular case.
(11) The amount of
compensation for a service covered by a scale of charges published by the
Minister under this section must be in accordance with the scale.
(12) The Minister
may, by notice in the Gazette, on the recommendation of the Corporation,
publish—
(a) scales of charges for the purposes of this section (ensuring as far as
practicable that the scales comprehensively cover the various kinds of services
to which this section applies);
(b) treatment protocols or frameworks as contemplated by this
section.
(13) Subject to
subsection (14),
a scale of charges published under this section must be based on the average
charge to private patients for the relevant service unless the Minister
determines that it is not reasonably practicable or feasible to determine such
an average charge for a relevant service (but in any event the amount fixed for
the service must not exceed the amount recommended by the relevant professional
association).
(14) A scale of
charges for services provided by a public hospital may be based on government
charges for the relevant service.
(15) Before the
Corporation makes a recommendation to the Minister about the publishing of a
scale of charges, or a treatment protocol or framework, the Corporation must
consult with—
(a) professional associations representing the providers of medical
services of the relevant kind; and
(b) associations representing self-insured employers (including
Self-Insurers of South Australia Incorporated); and
(c) associations representing employers other than self-insured employers
(including the South Australian Employers Chamber of Commerce and Industry);
and
(d) associations representing employees (including the United Trades and
Labor Council).
(16) A person who provides a service for an injured worker, knowing the
worker to be entitled to compensation for the service under this section, must
not charge for the service an amount exceeding the amount allowed under a scale
of charges published under this section.
Maximum penalty: $2 500.
(17) A worker is
entitled, in relation to prescribed classes of services, appliances, medicines
or materials referred to in
subsection (2),
to apply to the Corporation for approval to obtain the provision of those
services or otherwise to incur costs on the basis that the Corporation will
agree in advance to be liable for the relevant costs rather than the worker
being required to claim compensation under this section once the costs have been
incurred.
(18) An application under
subsection (17) must
be made in accordance with the regulations and the Corporation must make a
decision in relation to the application within the period prescribed by the
regulations.
(19) The Corporation must give the same consideration to an application
under
subsection (17) that
would be given to an application if the worker were to incur the relevant costs
and then claim compensation under
subsection (1).
(20) Subject to
subsection (21), an
entitlement to compensation under this section (including an entitlement to make
an application under
subsection (17))
comes to an end if the worker has not had an entitlement to receive weekly
payments in relation to the work injury under
Division 4 for a
continuous period of 12 months (or has not had an entitlement to receive
weekly payments under
Division 4 and a
period of 12 months has expired) (insofar as costs are incurred after the
end of that period).
(21)
Subsection (20)—
(a) does not apply in relation to a seriously injured worker;
and
(i) in relation to any
therapeutic appliance required to maintain the worker's capacity; or
(ii) in relation to
surgery, any associated medical, nursing or medical rehabilitation services
(including the cost of hospitalisation), where the Corporation has determined or
accepted before the end of the period referred to in
subsection (20)
that it is reasonable and appropriate for such surgery to be undertaken at a
later time due to the impact (or likely impact) of the work injury on the
worker's health and capacity (or future health and capacity); or
(iii) in relation to
prescribed classes of injury, where the Corporation has determined or accepted
before the end of the period referred to in
subsection (20) that
it is reasonable and appropriate for the services to be provided after the end
of that period (and then, in such a case, the services will be compensable to
the extent determined by the Corporation); or
(iv) in any other circumstances prescribed by the regulations.
(22) The right of review referred to in
subsection (7)(a)(ii)
is a right to have the decision of the Corporation to disallow or reduce a
charge reviewed by the Tribunal by application to the Tribunal under the South
Australian Employment Tribunal Act 2014.
34—Transportation
for initial treatment
(a) a worker is injured at the worker's place of employment during the
course of employment; and
(b) the injury is such as to require immediate medical
treatment,
the employer must, at the employer's own expense, provide the worker with
immediate transportation to a hospital or health practitioner for initial
treatment.
(2) If an employer
fails to provide transportation in accordance with
subsection (1),
the cost may be recovered by the Corporation from the employer as a debt due to
the Corporation.
(3) An amount recovered by the Corporation under
subsection (2)
must, if the worker incurred costs in consequence of the employer's failure to
provide transportation, be paid to the worker.
(4) If the cost of
transportation provided by an employer (other than a self-insured employer) to a
worker in accordance with
subsection (1)
exceeds an amount prescribed by the regulations, the employer is, on application
to the Corporation in a manner and form approved by the Corporation, entitled to
recover the excess from the Corporation.
(5) An amount prescribed by regulation under
subsection (4)
may, if the regulations so provide, be indexed so as to provide annual
adjustments according to changes in the CPI.
(1) If a worker
suffers a work injury and, in consequence of the trauma out of which the injury
arose, damage occurs to any therapeutic appliances, clothes, personal effects or
tools of trade of the worker, the worker is, subject to limitations prescribed
by regulation, entitled to be compensated for the full amount of the
damage.
(2) An entitlement under
subsection (1)
does not extend to compensation for damage to a motor vehicle.
(3) An amount prescribed by regulation under
subsection (1)
may, if the regulations so provide, be indexed so as to provide annual
adjustments according to changes in the CPI.
(1) For the purposes of this Act, the current work capacity of a worker is
constituted by a present inability arising from a work injury such that the
worker is not able to return to his or her employment at the time of the
occurrence of the injury but is able to return to work in suitable
employment.
(2) For the purposes of this Act, a worker has no current work capacity if
the worker has a present inability arising from a work injury such that the
worker is not able to return to work, either in his or her employment at the
time of the occurrence of the injury or in suitable employment.
The following are prescribed benefits for the purposes of
this Division:
(a) any amount paid to the worker by the Corporation or a self-insured
employer in respect of an employment program provided or arranged by the
Corporation or self-insured employer for the purposes of this Act;
(b) any of the following received by the worker from an
employer:
(i) any payment, allowance or benefit related to annual or other
leave;
(ii) any payment, allowance or benefit paid or conferred by the employer
on the worker's retirement;
(iii) any payment, allowance or benefit paid or conferred under a
superannuation or pension scheme;
(iv) any payment, allowance or benefit paid or conferred on the
retrenchment, or in relation to the redundancy, of the worker;
(c) any other payment, allowance or benefit of a prescribed
kind.
In this Division, a reference to weekly earnings, or current weekly
earnings, is a reference to weekly earnings exclusive of prescribed
allowances.
Subdivision 2—Entitlement
to weekly payments
39—Weekly
payments over designated periods for workers other than seriously injured
workers
(1) Subject to this
Act, if a worker, other than a seriously injured worker, suffers a work injury
that results in incapacity for work, the worker is entitled to weekly payments
in respect of that incapacity in accordance with the following
principles:
(a) if any period of
incapacity for work occurs within the period of 52 weeks from the date on
which the incapacity for work first occurs (the first designated
period)—
(i) for any period
during the first designated period when the worker has no current work
capacity—the worker is entitled to weekly payments equal to the worker's
notional weekly earnings; and
(ii) for any period
during the first designated period when the worker has a current work
capacity—the worker is entitled to weekly payments equal to the difference
between the worker's notional weekly earnings and the worker's designated weekly
earnings;
(b) if any period of
incapacity for work occurs within the period of 52 weeks beginning
immediately after the end of the period that applies under
paragraph (a) (the
second designated period)—
(i) for any period
during the second designated period when the worker has no current work
capacity—the worker is entitled to weekly payments equal to 80% of
the worker's notional weekly earnings; and
(ii) for any period
during the second designated period when the worker has a current work
capacity—the worker is entitled to weekly payments equal to 80% of
the difference between the worker's notional weekly earnings and the worker's
designated weekly earnings.
(2) For the purposes of
this section, but subject to
subsection (3), the
designated weekly earnings of a worker will be taken to
be—
(a) the current weekly
earnings of the worker in employment or self-employment; or
(b) the weekly earnings
that the Corporation determines that the worker could earn from time to time
(including, but not limited to, the amount of any current weekly earnings) in
employment, whether in the worker's employment previous to the relevant injury
or in suitable employment, that the Corporation determines the worker is capable
of performing despite the injury,
whichever is the greater, but not so as to include a prescribed
benefit.
(a) if the Corporation
decides to make a determination under
subsection (2)(b),
the first determination so made does not take effect until the Corporation has
given the worker at least 6 months notice of the Corporation's
determination of the worker's designated weekly earnings under
subsection (2)(b)
(but then any subsequent determination will have effect without the need to give
a further notice under this paragraph); and
(b)
subsection (2)(b)
will not apply during any period or periods during which the worker is
incapacitated for work and in which the worker is participating in a
recovery/return to work plan which reasonably prevents the worker from returning
to work.
(4) The state of the
labour market is not relevant to a determination under
subsection (2)(b).
(5) A worker has no
entitlement to weekly payments under this section in respect of a work injury
after the end of the period of 104 weeks from the date on which the
incapacity for work first occurs (that is, after the end of the second
designated period).
40—Supplementary
income support for incapacity resulting from surgery
(1) Subject to this section, an injured worker who has an incapacity for
work as a result of surgery approved by the Corporation under
section 33(21)(b) is
entitled to weekly payments (supplementary income support
payments) as provided by this section if the incapacity occurs after the
end of the second designated period that applies under
section 39(1)(b).
(2) Supplementary income support payments are not payable under this
section in respect of any period of incapacity that occurs more than
13 weeks after the surgery concerned.
(3) Supplementary income support payments under this section are payable
at the rate provided by and in accordance with
section 39(1)(b) as
if the period of incapacity in respect of which the payments are made occurred
during the second designated period subject to any adjustments made under the
regulations to take into account—
(a) changes in the CPI; and
(b) any other matter prescribed by the regulations.
41—Weekly
payments for seriously injured workers
(1) Subject to this
Act, if a seriously injured worker suffers a work injury that results in
incapacity for work, the worker is entitled to weekly payments in respect of
that incapacity in accordance with the following principles:
(a) if any period
of incapacity for work occurs within the period of 52 weeks from the date
on which the incapacity for work first occurs (the first designated
period)—
(i) for any period
during the first designated period when the worker has no current work
capacity—the worker is entitled to weekly payments equal to the worker's
notional weekly earnings; and
(ii) for any period
during the first designated period when the worker has a current work
capacity—the worker is entitled to weekly payments equal to the difference
between the worker's notional weekly earnings and the worker's designated weekly
earnings;
(b) if any period
of incapacity for work occurs after the end of the period that applies under
paragraph (a)—
(i) for any period
when the worker has no current work capacity—the worker is entitled to
weekly payments equal to 80% of the worker's notional weekly earnings;
and
(ii) for any period
when the worker has a current work capacity—the worker is entitled to
weekly payments equal to 80% of the difference between the worker's notional
weekly earnings and the worker's designated weekly earnings.
(2) For the purposes of
subsection (1), the
designated weekly earnings of a worker will be taken to be the
current weekly earnings of the worker in employment or self-employment (if any)
but not so as to include a prescribed benefit.
(3) If—
(a) a worker is paid weekly payments under
subsection (1);
and
(b) the worker is subsequently, on account of an assessment of whole
person impairment under this Act, determined not to be a seriously injured
worker,
the worker will be entitled to continue to receive payments under this
section as if the worker were a seriously injured worker until the expiration of
8 weeks from the date of the assessment (and then any further entitlement
to weekly payments will be determined on the basis that the worker is not a
seriously injured worker and weekly payments paid under this section until then
will not be recoverable from the worker).
42—Federal
minimum wage safety net
(1) Despite the
preceding sections in this Subdivision, if the combined amount that a worker
would receive in respect of any incapacity for work in any week applying under
any such section would result in the worker receiving less than the Federal
minimum wage (adjusted, in the case of a worker who was working at the relevant
date on a part-time basis so as to provide a pro-rata payment), the amount of
compensation payable under this Subdivision will be increased so that the
combined amount equals the Federal minimum wage (or, if relevant, the Federal
minimum wage as so adjusted).
(2) For the purposes of this section—
(a) a reference to the combined amount is a reference to the combined
total of the amount of compensation that would otherwise be payable under this
Subdivision and the amount of the designated weekly earnings of the worker;
and
(b) a reference to the relevant date is a reference to the date on which
the relevant injury occurs; and
(c) a reference to a worker who is working on a part-time basis will be
determined after taking into account the usual work patterns of workers in
employment of the kind in which the worker was working at the relevant date and
applying any principle prescribed by the regulations.
(3) The component of the relevant amount under
subsection (1)
that is constituted by the Federal minimum wage will be adjusted from time to
time to reflect changes to the wages applying under a national minimum wage
order under Part 2-6 of the Fair Work Act 2009 of the Commonwealth
in accordance with a scheme prescribed by the regulations.
43—Return
to work obligations of worker
(1) A worker who has current work capacity must, in co-operation with the
employer or Corporation, make reasonable efforts to return to work in suitable
employment or pre-injury employment at the worker's place of employment or at
another place of employment.
(2) For the purposes of this section, a worker is to be treated as making
a reasonable effort to return to work in suitable employment or pre-injury
employment during any reasonable period in which—
(a) the worker is waiting for the commencement of any recovery/return to
work services that are required to be provided under a recovery/return to work
plan for the worker; or
(b) the worker is waiting for a response to a request for suitable
employment or pre-injury employment made by the worker and received by the
employer; or
(c) if the employer's response is that suitable employment or pre-injury
employment will be provided at some time, the worker is waiting for suitable
employment or pre-injury employment to commence.
44—Termination
of weekly payments on retiring age
(1) In this section—
retiring age means—
(a) if there is a normal retiring age for workers in employment of the
kind from which the worker's injury arose—that age; or
(b) the age at which the worker would, subject to satisfying any other
qualifying requirements, be eligible to receive an age pension under the
Social Security Act 1991 of the Commonwealth,
whichever is the lesser.
(2) Weekly payments are not payable under this Division in respect of a
period of incapacity for work falling after the date on which the worker reaches
his or her retiring age.
(3) However, if a worker who is within 2 years of his or her retiring
age or above his or her retiring age becomes incapacitated for work while still
in employment, weekly payments are payable for any period of incapacity falling
within 104 weeks after the date on which the incapacity for work first
occurred (unless suspended, reduced or discontinued under another provision of
this Act and subject to any other relevant provision).
Subdivision 3—Adjustment
of weekly payments
45—Adjustments
due to change from original arrangements
(1) The Corporation
may, on its own initiative or at the request of the worker, review the
calculation of the average weekly earnings of a worker (and therefore the
notional weekly earnings of a worker) for the purpose of making an adjustment
due to—
(a) a change in a component of the worker's remuneration used to determine
average weekly earnings (including a component constituted by a non-cash
benefit); or
(b) a change in the equipment or facilities provided or made available to
the worker (if relevant to average weekly earnings).
(2) A request by a worker must be made in a designated manner and a
designated form.
(3) Before the Corporation begins a review under this section, the
Corporation must give the worker notice, in a designated form—
(a) informing the worker of the proposed review; and
(b) inviting the worker to make written representations to the Corporation
on the subject of the review within a reasonable time specified in the
notice.
(4) If the Corporation finds on a review under this section that there has
been a change that warrants an adjustment contemplated by
subsection (1),
the Corporation may make the relevant adjustment.
(5) An adjustment under this section—
(a) will take effect as an adjustment to the worker's notional weekly
earnings (and may therefore increase or reduce weekly payments under this
Division); and
(b) operates from a date determined by the Corporation (which may be an
antecedent date but not a date that is before the date of the change on which
the adjustment is based and not so as to result in a retrospective reduction in
weekly payments).
(6) For the
purposes of a review under this section, the Corporation may, by notice in
writing to the worker to whom the review relates, require the worker to furnish
any information that the Corporation determines to be relevant to the
review.
(7) If a worker fails to comply with a requirement under
subsection (6)
within the time allowed in the notice, the Corporation may suspend weekly
payments to the worker.
(8) On completing the review, the Corporation must give notice, in a
designated form, setting out the Corporation's decision on the review, and the
rights of review that exist in respect of the decision to—
(a) the worker; and
(b) the employer from whose employment the compensable injury
arose.
(9) This section does not limit the powers of the Corporation under any
other section of this Act.
(1) Subject to
subsection (3),
the Corporation may, on its own initiative and must if requested by a worker or
an employer, review the amount of the weekly payments made to a worker who has
suffered a work injury.
(2) A request by a worker or employer must be made in a designated manner
and a designated form.
(3) The Corporation
is not required to comply with a request for a review under
subsection (1)
if the request is made within 3 months from the completion of an earlier
review.
(4) Before the Corporation begins a review under this section, the
Corporation must give the worker notice, in a designated form—
(a) informing the worker of the proposed review; and
(b) inviting the worker to make written representation to the Corporation
on the subject of the review within a reasonable time specified in the
notice.
(5) If the Corporation finds on a review under this section that the
worker's entitlement to weekly payments has ceased, or has increased or
decreased, the Corporation must adjust or discontinue the weekly payments to
reflect that finding.
Example—
For example, if the Corporation finds on the review that there has been a
change in the extent of the worker's incapacity with a consequent change in the
amount the worker is earning or could earn in suitable employment, the
Corporation must adjust the weekly payments to reflect the change in
entitlement.
(6) For the
purposes of a review under this section, the Corporation may, by notice in
writing to a worker, who is receiving weekly payments—
(a) require the worker to submit to an examination by a recognised health
practitioner nominated by the Corporation; or
(b) require the worker to furnish evidence of the worker's
earnings.
(7) If a worker fails to comply with a requirement under
subsection (6)
within the time allowed in the notice, the Corporation may suspend weekly
payments to the worker.
(8) On completing the review, the Corporation must give notice, in a
designated form, setting out the Corporation's decision on the review, and the
rights of review that exist in respect of the decision, to—
(a) the worker; and
(b) the employer from whose employment the work injury arose.
(9) This section does not limit the powers of the Corporation under any
other section of this Act.
47—Economic
adjustments to weekly payments for seriously injured
workers
(1) If a seriously injured worker is incapacitated for work or appears
likely to be incapacitated for work for more than 1 year, the Corporation
must, during the course of each year of incapacity, review the weekly payments
for the purpose of making an adjustment to the amount of those payments under
this section.
(2) Before the Corporation begins a review under this section, the
Corporation must give the worker notice, in a designated form—
(a) informing the worker of the proposed review; and
(b) inviting the worker to make written representations to the Corporation
on the subject of the review within a reasonable time specified in the
notice.
(3) An adjustment under this section—
(i) changes in the
rates of remuneration payable to workers generally or to workers engaged in the
kind of employment from which the worker's injury arose; or
(ii) if the worker
applies, in a designated manner and a designated form, for the adjustment to be
made on the basis of changes in rates of remuneration prescribed by an award or
enterprise agreement payable to a group of workers of which the worker was a
member at the time of the occurrence of the injury—changes in those rates
of remuneration; and
(b) operates—
(i) in the case of an adjustment under
paragraph (a)(i)—from
the end of the year of incapacity in which the review is made;
(ii) in the case of an adjustment under
paragraph (a)(ii)—from
the Corporation's decision on the application, back-dated to the date of the
relevant changes in rates of remuneration.
(4) If the Corporation makes an adjustment to weekly payments under this
section, the Corporation must give notice in writing, in a designated form, to
the worker—
(a) containing such information as the regulations may require as to the
grounds on which the adjustment is being made; and
(b) informing the worker of the worker's rights to have the Corporation's
decision reviewed.
Subdivision 4—Reduction
or discontinuance of weekly payments
48—Reduction
or discontinuance of weekly payments
(1) Subject to this
Act, weekly payments to a worker who has suffered a work injury must not be
reduced unless—
(a) the worker consents to the reduction of weekly payments; or
(b) the Corporation is satisfied, on the basis of a certificate of a
recognised health practitioner, that there has been a reduction in the extent
the worker is incapacitated for work by the work injury; or
(c) the reduction is necessary to correct an arithmetical or clerical
error; or
(d) if the weekly payments include a component for overtime—the
Corporation is satisfied that if the worker had continued in the work in which
he or she was last employed before becoming incapacitated, he or she would not
have continued to work overtime or the pattern of overtime would have changed so
that the amount of overtime would have diminished; or
(e) the worker has recommenced work as an employee or as a self-employed
contractor, or the worker has had an increase in remuneration as an employee or
a self-employed contractor; or
(f) the worker's entitlement to weekly payments reduces because of the
passage of time; or
(g) the worker's entitlement to weekly payments reduces because of the
occurrence of some other event or the making of some other decision or
determination that, under another provision of this Act, is expressed to result
in a reduction to an entitlement to weekly payments or the reduction of weekly
payments is otherwise authorised or required under another provision of this
Act.
(2) Subject to this
Act, weekly payments to a worker who has suffered a work injury must not be
discontinued unless—
(a) the worker consents to the discontinuance of weekly payments;
or
(b) the Corporation is satisfied, on the basis of a certificate of a
recognised health practitioner, that the worker has ceased to be incapacitated
for work by the work injury; or
(c) the worker has returned to work; or
(d) the worker has obtained work as an employee, or as a self-employed
contractor, that is providing remuneration equal to or above the worker's
notional weekly earnings; or
(e) the worker is dismissed from employment for serious and wilful
misconduct; or
(f) the worker breaches the obligation of mutuality; or
(g) the worker is, without the Corporation's consent—
(i) residing outside the State; or
(ii) absent from the State for more than 2 months in any continuous period
of 12 months; or
(h) the worker's entitlement to weekly payments ceases because of the
passage of time; or
(i) the worker's entitlement to weekly payments ceases because of the
occurrence of some other event or the making of some other decision or
determination that, under another provision of this Act, brings the entitlement
to weekly payments to an end or the discontinuance of weekly payments is
otherwise authorised or required under another provision of this Act.
(3) A worker
breaches the obligation of mutuality if—
(a) the Corporation has, by written notice to the worker, required the
worker to submit to an examination by a recognised health practitioner nominated
by the Corporation and the worker fails to comply with the requirement within
the time allowed in the notice or obstructs the examination; or
(b) the Corporation has, by written notice to the worker, required the
worker to submit to the Corporation a certificate from a recognised health
practitioner certifying that the work injury continues, and the worker fails to
comply with the requirement within the time allowed in the notice; or
(c) the worker
refuses or fails to submit to proper medical treatment for the worker's
condition; or
(d) the worker refuses or fails—
(i) to participate or co-operate in the establishment of a recovery/return
to work plan for the worker; or
(ii) to comply with obligations imposed on the worker by or under a
recovery/return to work plan for the worker; or
(e) the worker refuses or fails—
(i) to undertake work that the worker has been offered and is capable of
performing; or
(ii) to take reasonable steps to find or obtain suitable employment or to
comply with any other return to work obligation placed on the worker under this
Act,
or having obtained suitable employment, unreasonably discontinues the
employment; or
(f) the worker refuses or fails to participate in assessments of the
worker's capacity, return to work progress or future employment prospects
(including by failing to attend); or
(g) the worker does anything else that is, apart from this subsection,
recognised as a breach of the obligation of mutuality.
(4) However, a worker does not breach the obligation of
mutuality—
(a) by reasonably refusing surgery or the administration of a drug;
or
(b) where there is a difference of medical opinion about the appropriate
treatment for the worker's condition, or the possibility of choice between a
number of reasonable forms of treatment—by choosing 1 form of
treatment in preference to another.
(5) Where the
Corporation decides to reduce or discontinue weekly payments under this section,
the Corporation must give notice in writing to the worker—
(a) containing such information as the regulations may require as to the
reasons for the Corporation's decision; and
(b) informing the worker of the worker's right to have the decision
reviewed.
(6) The notice must
be given at least the prescribed number of days before the decision is to take
effect in any of the following cases:
(a) where a decision to reduce weekly payments is made, without the
consent of the worker, on the ground that—
(i) the Corporation is satisfied that there has been a reduction in the
extent the worker is incapacitated for work by the work injury; or
(ii) the Corporation is satisfied, in the case of a worker whose weekly
payments include a component for overtime, that the worker would not have
continued to work overtime or the pattern of overtime would have changed so that
the amount of overtime would have diminished;
(b) where a decision to discontinue weekly payments is made, without the
consent of the worker, on the ground that—
(i) the Corporation is satisfied that the worker has ceased to be
incapacitated for work by the work injury (although the worker has not returned
to work); or
(ii) the worker has failed to submit to an examination by a recognised
health practitioner or to provide a medical certificate as required by the
Corporation; or
(iii) the worker has been dismissed from employment for serious and wilful
misconduct; or
(iv) the worker has breached the obligation of mutuality;
(c) where a decision to reduce or discontinue weekly payments is made
under
section 46;
(d) where the regulations so provide,
and in any other case the notice must be given as soon as practicable after
the decision is made (but not necessarily before it takes effect).
(7) For the purposes of
subsection (6),
the prescribed number of days is—
(a) if the worker's entitlement to weekly payments relates to a period
that is within 52 weeks from the date on which incapacity for work first
occurred—14 days;
(b) in any other case—28 days.
(8) Subject to
complying with
subsection (6),
a reduction or discontinuance of weekly payments under this section takes effect
in accordance with the terms of the Corporation's notice under
subsection (5).
(9) Subject to
subsection (10), if
a worker, within 1 month after the worker receives notice of a decision by the
Corporation to reduce or discontinue weekly payments under this section, makes
application to the Tribunal for a review of the decision and, as part of that
application, makes an election under this subsection—
(a) the operation of the decision is suspended and—
(i) the weekly payments must continue or, if the decision has already
taken effect, the weekly payments must be reinstated (to their previous level),
until the matter first comes before a member of the Tribunal; and
(ii) the Corporation must make a payment to the worker for any weekly
payments that have not been made between the date that the decision took effect
and the date of their reinstatement; and
(b) the Tribunal
may as it thinks fit and from time to time, and after having regard to the
nature and circumstances of the case:
(i) further suspend
the operation of the decision (from time to time) to allow a reasonable
opportunity for resolution of the dispute by conciliation or determination if
such action is reasonably necessary in order to avoid undue financial hardship
being suffered by the worker and subject to the principle that the Tribunal
should give extra weight to taking action under this subparagraph if it appears
to the Tribunal that it is reasonably open to the worker to dispute the relevant
decision;
(ii) vary or revoke a decision under
subparagraph (i),
including so as to provide that weekly payments will only continue, or continue
at a reduced rate, if the worker complies with conditions determined by the
Tribunal;
(iii) make an order for the payment of an amount to represent some or all
of any weekly payments that have not been made to the worker during the period
of the dispute.
(10) Weekly payments
are not payable under
subsection (9)
after the end of the period of 104 weeks from the date on which the
relevant incapacity for work first occurs (other than in the case of a seriously
injured worker and not, in any event, so as to go beyond a date where the weekly
payments would come to an end in any event under another provision of this
Act).
(11) If a dispute is
resolved in favour of the worker, the worker is entitled to be paid the amount
that, subject to or according to the resolution of the matter, would have
constituted the worker's entitlements under this Act had the weekly payments not
been reduced or discontinued (as the case may be), after taking into account any
amount paid under
subsection (9),
or under another provision of this Act.
(12) An amount paid under
subsection (11) will
be increased by interest at the prescribed rate.
(13) If a dispute is ultimately resolved in favour of the Corporation and
the worker has been paid an amount in excess of the amount of the worker's
lawful entitlements to weekly benefits on account of the operation of
subsection (9),
the Corporation may, at the Corporation's discretion (but subject to the
regulations)—
(a) recover the
amount of the excess (together with any interest on that amount paid by the
Corporation) from the worker as a debt; or
(b) set off the amount recoverable under
paragraph (a)
against liabilities of the Corporation to make payments to the worker under this
Act.
(14) If the Corporation makes a weekly payment to a worker on the
assumption that the worker is incapacitated for work but the worker has in fact
returned to work, the Corporation may, subject to the regulations, recover the
amount of the payment as a debt.
(15) If the Corporation overpays a worker by way of weekly payments in
consequence of—
(a) an arithmetical or clerical error; or
(b) an assumption, subsequently found to be incorrect, that a particular
pattern of overtime would have continued if the worker had continued in the work
in which he or she was last employed before becoming incapacitated,
the Corporation may, subject to and in accordance with the regulations,
recover the amount overpaid as a debt.
(16) An employer
who believes that reasonable grounds exist for the reduction or discontinuance
of weekly payments under this section to a worker employed by, or formerly
employed by, the employer may, in a manner determined by the Corporation,
request the Corporation to review the circumstances of the case and to reduce or
discontinue the weekly payments.
(17) The Corporation must carry out the review as soon as practicable
after receipt of a request under
subsection (16)
unless the request is, in the Corporation's opinion, unreasonable.
(18) If the Corporation declines to carry out a review as requested under
subsection (16),
or it appears that there has been undue delay in carrying out the review, the
Tribunal may, on application by the employer, direct the Corporation to carry
out the review, or give such directions as appear reasonable in the
circumstances to expedite the review (as the case may require).
(19) The Corporation must comply, or take steps to ensure compliance, with
such a direction.
(20) On completing the review, the Corporation must give the employer
notice in writing—
(a) of the Corporation's decision on the review, and the reasons for its
decision; and
(b) of the employer's right to have the Corporation's decision
reviewed.
(21) This section does not apply in relation to the discontinuance of
payments under
Division 5 of this
Part or
Part 5 (and in such
a case no notice of discontinuance need be given).
(22) In connection with the operation of
subsection (2)
(and to avoid doubt), a worker is required to take reasonable steps to attend
any appointment reasonably required for the purposes of this Division (and a
failure to comply with such a requirement constitutes a ground for the
discontinuance of payments under this section).
49—Protection
from excess payments
(1) A worker is not entitled under this Division to receive, in respect of
2 or more injuries, weekly payments in excess of the worker's notional
weekly earnings.
(2) If a liability to make weekly payments is redeemed (whether under this
Act or the repealed Act), the worker is taken, for the purposes of this Act, to
be receiving the weekly payments that would have been payable if there had been
no redemption.
(3) If a liability to make weekly payments is discharged under a deed of
release under
section 66(7),
the injured party (within the meaning of that section) is taken, for the
purposes of this Division, to be receiving the weekly payments that would have
been payable if the deed of release had not been entered into.
50—Weekly
payments and leave entitlements
(1) Subject to this section, neither the liability to make weekly payments
to a worker in respect of a period of incapacity nor the amount of such weekly
payments is affected by a payment, allowance or benefit for annual leave or long
service leave to which the worker is entitled in respect of that
period.
(2) If a worker is absent from employment in consequence of a work injury,
the period of absence must for the purposes of computing the worker's
entitlement to annual leave or sick leave under any Act, award or industrial
agreement, be counted as a period of service in the worker's
employment.
(3) If a worker has
received weekly payments in respect of total incapacity for work over a period
of 52 weeks or more, the liability of the employer to grant annual leave to the
worker in respect of a year of employment that coincides with, or ends during
the course of, that period will be taken to have been satisfied.
(4)
Subsection (3)
does not affect the obligation of an employer to make a payment in the nature of
an annual leave loading.
(a) the entitlement of a worker to annual leave, or payment in lieu of
annual leave, is governed by a law of the Commonwealth or a State or Territory
of the Commonwealth (not being this State); and
(b) the worker is absent from employment in consequence of a work injury;
and
(c) the period of absence is not taken into account as service for the
purpose of calculating the worker's entitlement to annual leave or payment in
lieu of annual leave,
the worker is entitled by way of compensation to the monetary value of the
annual leave that would have accrued if the worker had not been absent from
employment.
(6) Any compensation payable under
subsection (5)
must be paid when the annual leave, or the payment in lieu of annual leave,
would (assuming that the worker had not been absent from employment) have been
granted or made.
(7) If a worker applies
for, and takes, a period of annual leave, the Corporation may suspend weekly
payments that would otherwise be payable to the worker during the period while
the worker is on leave.
(8) A decision of the Corporation under
subsection (7) does
not constitute a reviewable decision under
Part 6.
51—Absence
of worker from Australia
(1) If a worker who
has suffered a work injury and who is receiving weekly payments under this
Division is to be absent from Australia for a period in excess of 28 days,
the worker must, at least 28 days before leaving Australia, give the
Corporation prescribed details of the proposed absence.
(2) If the Corporation is of the opinion that the absence may impair the
prospects of the worker's recovery or return to work, it may, after giving the
worker at least 14 days notice, in a designated form, of its intention to do so,
suspend or reduce the weekly payments to the worker.
(3) The Corporation may suspend weekly payments that are being made to a
worker who is absent from Australia—
(a) if the Corporation cannot obtain, to its satisfaction, information
relating to—
(i) the whereabouts of the worker; or
(ii) the continuance of the worker's injury or incapacity for work;
or
(iii) the earning capacity of the worker; or
(b) if there is, in the opinion of the Corporation, some other proper
reason justifying suspension of the weekly payments.
(4) If an injured
worker leaves Australia without giving the notice required under
subsection (1),
the Corporation may suspend weekly payments to the worker.
52—Reports
of return to work etc
(1) An employer
(other than a self-insured employer) must notify the Corporation
whenever—
(a) a worker who has been receiving weekly payments for total incapacity
returns to work; or
(b) there is a change in the weekly earnings of a worker who is receiving
weekly payments for partial incapacity; or
(c) there is a change in the type of work performed by a worker who is
receiving weekly payments for partial incapacity,
(but notification is not required in a case or class of cases excepted by
the Corporation from the operation of this subsection).
(2) If a worker who
has been receiving weekly payments for total incapacity returns to work with an
employer other than the employer from whose employment the injury arose, the
worker must notify that previous employer of the return to work.
(3) A notification under
subsection (1)
or
(2)—
(a) must be given within 14 days of the occurrence of the notifiable event
or such longer period as the regulations may allow; and
(b) must include full particulars of the notifiable event.
(4) A person who without reasonable excuse fails to comply with this
section is guilty of an offence.
Maximum penalty: $1 500.
53—Redemptions—liabilities
associated with weekly payments
(1) A liability to make weekly payments under
Division 4 may, by
agreement between the worker and the Corporation, be redeemed by a capital
payment to the worker.
(2) An agreement for the redemption of a liability under this section
cannot be made unless—
(a) the worker has received competent professional advice about the
consequences of redemption; and
(b) the worker has received competent financial advice about the
investment or use of money to be received on redemption; and
(c) the Corporation has consulted with the employer out of whose
employment the injury arose and has considered any representations made by the
employer; and
(d) a recognised health practitioner has certified that the extent of the
worker's incapacity resulting from the work injury can be determined with a
reasonable degree of confidence.
(3) The amount of the redemption payment is to be fixed by the
agreement.
(4) If the Corporation
notifies a worker in writing that it is prepared to enter into negotiations for
the redemption of a liability by agreement under this section, the Corporation
is liable to indemnify the worker for reasonable costs of obtaining the advice
required under this section up to a limit prescribed by regulation.
(5) In the case of a seriously injured worker, this section applies
subject to any election made by the worker under
Part 5
Division 1.
(6) The following decisions are not reviewable:
(a) a decision of the Corporation not to agree to a redemption under this
section;
(b) a decision on the amount of a redemption.
54—Redemptions—liabilities
associated with medical services
(1) In this section—
designated liability means—
(a) a liability to make
payments under
section 33 in
relation to a work injury suffered by a worker; and
(b) in association with a liability under
paragraph (a) (if
relevant), a liability to make weekly payments under
section 40.
(2) This section applies (and only applies) in relation to workers who are
not seriously injured workers.
(3) A designated liability may, by agreement between the worker and the
Corporation, be redeemed by a capital payment to the worker.
(4) An agreement for the redemption of a liability under this section
cannot be made unless—
(a) the worker has received competent professional advice about the
consequences of redemption; and
(b) the worker has received advice from a recognised health practitioner
about the future medical services (and, if relevant, therapeutic appliances and
other forms of assistance related to his or her future health) that the worker
will or is likely to require on account of the work injury and any related
surgery, treatment or condition.
(5) The amount of the redemption payment is to be fixed by the
agreement.
(6) If the Corporation notifies a worker in writing that it is prepared to
enter into negotiations for the redemption of a liability by agreement under
this section, the Corporation is liable to indemnify the worker for reasonable
costs of obtaining the advice required under this section up to a limit
prescribed by regulation.
(7) The following decisions are not reviewable:
(a) a decision of the Corporation not to agree to a redemption under this
section;
(b) a decision on the amount of a redemption.
Division 6—Permanent
impairment—economic loss
(1) In this section—
relevant date means the relevant date, as it applies in
relation to a worker, under
section 5.
(2) For the purposes of this Division, the age factor is the
percentage that applies in relation to an injured worker under
Schedule 6 (subject
to the operation of
subsection (3)).
(3) For the purposes of
Schedule 6, the
relevant age of the worker is the worker's age at the relevant date.
(4) For the purposes of
this Division, the hours worked factor is the number of hours per
week being worked by the worker (whether full-time or part-time) at the relevant
date, expressed as a percentage of full-time work.
(5) For the purposes of
subsection (4), what
constitutes full-time or part-time work must be consistent with the
determinations made under
section 5 in
relation to the worker.
(6) However, if by
reason of the worker's circumstances on the relevant date it is not possible to
arrive at a fair determination under
subsection (4), the
Corporation may apply such factors as it thinks appropriate to arrive at a fair
determination of the number of hours per week that will apply for the purposes
of this Division.
(7) For the purposes of
this Division, the prescribed sum is the amount applying under
Schedule 7 in
relation to a worker's whole person impairment.
(8) In connection with the operation of
subsection (7), the
amount to be applied with respect to a particular injury is the amount applying
under
Schedule 7 at the
relevant date.
56—Lump
sum payments—economic loss
(1) Subject to this Act, if a worker, other than a seriously injured
worker, suffers a work injury resulting in permanent impairment as assessed
under
Part 2
Division 5, the worker is entitled (in addition to any entitlement
apart from this section) to compensation for loss of future earning capacity by
way of a lump sum.
(2) An entitlement does not arise under this section if the worker's
degree of whole person impairment from physical injury is less
than 5%.
(3) An entitlement does not arise under this section in relation
to—
(a) a psychiatric injury or consequential mental harm; or
(b) noise induced hearing loss.
(4) Subject to this section, the lump sum will be an amount determined as
follows:
where
LS is the lump sum
PS is the prescribed sum that applies in relation to the
worker's whole person impairment
AF is the age factor applying in relation to the injured
worker
HWF is the hours worked factor applying in relation to the
injured worker.
(5) If a worker suffers 2 or more work injuries arising from the same
trauma, the injuries may together be treated as 1 injury to the extent set
out in the Impairment Assessment Guidelines (and assessed together using any
combination or other principle set out in the Impairment Assessment
Guidelines).
(6) If—
(a) a worker suffers a
work injury that gives rise to an entitlement under this section; and
(b) the worker subsequently suffers—
(i) an aggravation, acceleration, exacerbation, deterioration or
recurrence of the injury referred to in
paragraph (a);
or
(ii) a new work injury,
and the worker, as a result, has a second entitlement under this
section,
there will be a reduction of the lump sum payable under this section in
respect of the second entitlement by the amount of the payment for the earlier
entitlement unless such a reduction is incorporated into the provisions of the
Impairment Assessment Guidelines (and then this subsection will apply in
relation to any third or subsequent entitlement in the same way in order to
ensure that each lump sum previously paid is taken into account as new
entitlements arise).
(7) For the purposes of this section, any degree of impairment will be
assessed in accordance with
Part 2
Division 5 (and the Impairment Assessment Guidelines).
(8) Only 1 claim
may be made under this Division in respect of any impairment or impairments that
result from 1 or more injuries (including consequential injuries) arising
from the same trauma (and any injury that may subsequently manifest itself or
develop after the assessment of impairment is made will not be
compensable).
(9)
Subsection (8) does
not apply in any circumstances prescribed by the regulations.
(10) Compensation is not payable under this section after the death of the
worker concerned.
(11) In the operation of this section, in no case can the lump sum exceed
the prescribed sum adjusted by the age factor.
Division 7—Permanent
impairment—non-economic loss
(1) For the
purposes of this Division, the prescribed sum is—
(a) unless a regulation has been made under
paragraph (b)—$472 000
(indexed); or
(b) a greater
amount prescribed by regulation for the purposes of this definition.
(2) In connection with the operation of
subsection (1)—
(a) the amount to be applied with respect to a particular injury is the
amount applying under that subsection at the time of the occurrence of that
injury; and
(b) an amount prescribed by regulation under
paragraph (b) of
that subsection must be indexed so as to provide annual adjustments according to
changes in the CPI.
58—Lump
sum payments—non-economic loss
(1) Subject to this Act, if a worker suffers a work injury resulting in
permanent impairment as assessed under
Part 2
Division 5, the worker is entitled (in addition to any entitlement
apart from this section) to compensation for non-economic loss by way of a lump
sum.
(2) An entitlement
does not arise under this section if the worker's degree of whole person
impairment from physical injury is less than 5%.
(3) An entitlement
does not arise under this section in relation to a psychiatric injury or
consequential mental harm.
(4) Subject to this
section, the lump sum will be an amount that represents a portion of the
prescribed sum calculated in accordance with the regulations.
(5) Regulations made for the purposes of
subsection (4)
must provide for compensation that at least satisfies the requirements of
Schedule 8
taking into account the assessment of whole person impairment undertaken for the
purposes of this Division.
(6) If a worker
suffers 2 or more work injuries arising from the same
trauma—
(a) the injuries may together be treated as 1 injury to the extent set out
in the Impairment Assessment Guidelines (and assessed together using any
combination or other principle set out in the Impairment Assessment Guidelines);
and
(b) the worker is not entitled to receive compensation by way of lump sum
under
subsection (4)
in respect of those injuries in excess of the prescribed sum.
(a) a work injury consists of the aggravation, acceleration, exacerbation,
deterioration or recurrence of a prior work injury; and
(b) compensation by way of lump sum has been previously paid under this
section, or a corresponding previous enactment,
there will be a reduction of the lump sum payable under this section in
respect of the injury by the amount of the previous payment unless such a
reduction is incorporated into the provisions of the Impairment Assessment
Guidelines.
(8) For the purposes of this section, any degree of impairment will be
assessed in accordance with
Part 2
Division 5 (and the Impairment Assessment Guidelines).
(9) Only 1 claim may be
made under this Division in respect of any impairment or impairments that result
from 1 or more injuries (including consequential injuries) arising from the
same trauma (and any injury that may subsequently manifest itself or develop
after the assessment of impairment is made will not be compensable).
(10)
Subsection (9) does
not apply in any circumstances prescribed by the regulations.
(11) Compensation is not payable under this section after the death of the
worker concerned.
(1) Subject to this
Act, if a worker dies as a result of a work injury, compensation in the form of
weekly payments is payable as follows:
(a) a dependent spouse or domestic partner is entitled to weekly payments
equal to—
(i) in the case of total dependency—50%;
(ii) in the case of partial dependency—such lesser percentage as may
be fixed by the Corporation having regard to the extent of the
dependency,
of the amount of the notional weekly earnings of the deceased
worker;
(b) a dependent
child (being an orphaned child) is entitled to weekly payments equal
to—
(i) in the case of total dependency—25%;
(ii) in the case of partial dependency—such lesser percentage as may
be fixed by the Corporation having regard to the extent of the
dependency,
of the amount of the notional weekly earnings of the deceased
worker;
(c) a dependent child (not being an orphaned child) is entitled to weekly
payments equal to—
(i) in the case of total dependency—12.5%;
(ii) in the case of partial dependency—such lesser percentage as may
be fixed by the Corporation having regard to the extent of the
dependency,
of the amount of the notional weekly earnings of the deceased
worker;
(d) a dependent relative (not being a spouse, domestic partner or child)
is entitled to such compensation by way of weekly payments as may be determined
by the Corporation having regard to—
(i) the extent of the relative's dependency on the deceased
worker;
(ii) the earning capacity of the relative;
(iii) the relative's means;
(iv) the extent of any other benefits provided under this Act in respect
of the worker's death.
(2) For the purposes of
subsection (1),
if a worker and the worker's spouse or domestic partner jointly contributed to
the support of a dependent child immediately before the occurrence of the work
injury that resulted in the worker's death, any contribution to the support of
the child from the worker's spouse or domestic partner will be disregarded in
determining whether the child is a dependant and, if so, the extent of the
child's dependency.
(3) If—
(a) a worker dies leaving a spouse or domestic partner and a dependent
child; and
(b) the spouse or domestic partner subsequently dies,
the child (if still eligible to receive weekly payments under this section)
will then be entitled to receive weekly payments under
subsection (1)(b)
as an orphaned child.
(4) Compensation is payable, if the Corporation so decides, to a spouse or
domestic partner or child of a deceased worker who, although not dependent on
the worker at the time of the worker's death, suffers a change of circumstances
that may, if the worker had survived, have resulted in the spouse or domestic
partner or child becoming dependent on the worker.
(5) Weekly payments will not be made to a dependent child under this
section unless—
(a) the child is under the age of 18 years; or
(b) the child is a full-time student at an educational institution
approved by the Corporation for the purposes of this paragraph and is under the
age of 26 years; or
(c) the child is, by reason of disability, incapable of earning a
living.
(6) Weekly payments will not be paid under this section beyond the date at
which such payments would, assuming that the worker had survived but had been a
seriously injured worker, have ceased to be payable to the worker.
(7) If weekly payments payable under this section would, but for this
subsection, exceed in aggregate the amount of the weekly payments to which the
worker would have been entitled in the event of being a seriously injured
worker, the weekly payments must be proportionately reduced so as not to exceed
that amount.
(8) If a person who is entitled to a payment under this section is under
the age of 18 years, the payment may, if the Corporation so determines, be made
wholly or in part to a guardian or trustee for the benefit of that
person.
(9) Subject to
subsection (10),
if the child of a deceased worker who is entitled to weekly payments under this
section is under the age of 18 years and is in the care of a person other than a
dependent spouse or domestic partner of the worker, that person will, if the
Corporation so determines, be entitled to a supplementary allowance to assist in
the care of the child until—
(a) the child attains the age of 18 years; or
(b) the person ceases to have the care of the child,
whichever first occurs.
(10) If a child is
by reason of a disability incapable of earning a living, the Corporation may pay
a supplementary allowance under
subsection (9)
during the period of that incapacity even though the child has attained the age
of 18 years.
(11) A liability to make weekly payments under this section may, on
application by the person entitled to the weekly payments, be commuted to a
liability to make a capital payment that is actuarially equivalent to the weekly
payments.
(12) However, the liability may only be commuted if the actuarial
equivalent of the weekly payments does not exceed the prescribed sum applying
under
Division 7.
(13) The Corporation has (subject to this section) an absolute discretion
to make or not to make a commutation under this section, and the Corporation's
decision to make or not to make a commutation is not reviewable (but a decision
on the amount of a commutation is reviewable).
(14) If the Corporation decides to make a commutation and makes an offer
under this section, the Corporation cannot, without the agreement of the
applicant, subsequently revoke its decision to make the commutation.
(15) In calculating the actuarial equivalent of weekly payments, the
principles (and any discount, decrement or inflation rate) prescribed by
regulation must be applied.
(16) A commutation discharges the Corporation's liability to make weekly
payments to which the commutation relates.
(17) In this section—
disability means any physical, mental or intellectual
disability.
(1) The Corporation may on its own initiative and must if requested by an
employer or the person to whom weekly payments are payable, review the amount of
weekly payments payable to any person under this Division.
(2) A request for a review of the amount of weekly payments payable under
this Division may not be made within 6 months from the completion of an earlier
review.
(3) The amount of
the weekly payments payable under this Division must be reviewed at least once
in each year.
(4) On a review under this section the Corporation must make any
adjustments to the amount of weekly payments—
(a) to reflect changes in the income from employment or earning capacity
of the person to whom the weekly payments are payable and any other relevant
changes in the circumstances of that person but in any event not so as to take
into account income derived from the investment of a lump sum paid to the person
under this Division; and
(b) if the review is an annual review conducted under
subsection (3)—to
reflect changes in State average weekly earnings since payments were commenced
under this Division or an adjustment was last made under this section (as may be
appropriate).
(5) For the
purposes of a review under this section, the Corporation may, by notice in
writing to a person who is receiving weekly payments under this Division,
require that person to produce evidence to the satisfaction of the Corporation
of—
(a) income from employment;
(b) earning capacity;
(c) any other circumstances that are relevant to the payment, or the
amount, of weekly benefits.
(6) If a person fails to comply with a requirement under
subsection (5)
within the time allowed in the notice, the Corporation may suspend weekly
payments to that person.
(7) If the Corporation proposes the reduction of weekly payments to a
person on a review under this section the Corporation must, at least
21 days before the proposal is to take effect, give notice in writing to
the person—
(a) containing such information as the regulations may require as to the
grounds on which weekly payments are to be reduced; and
(b) informing the person of the person's rights to have the Corporation's
decision reviewed.
(1) In this section—
child means a person who—
(a) is under the age of 18 years; or
(b) is a full-time student at an educational institution approved by the
Corporation for the purposes of this paragraph and is under the age of
26 years; or
(c) is, by reason of disability, incapable of earning a living;
disability means any physical, mental or intellectual
disability;
partner means a spouse or domestic partner;
prescribed sum means the prescribed sum applying under
Division 7 (as at
the time of the occurrence of the work injury that resulted in the death of the
relevant worker) but less any amount paid to the relevant worker under
Division 7, or a
corresponding previous enactment.
(2) Subject to this Act, if a worker dies as a result of a work injury,
compensation in the form of a lump sum is payable in accordance with this
section.
(3) If the worker leaves a partner or partners, and no child, the amount
of compensation is an amount equal to the prescribed sum payable to the partner
or, if there is more than 1 partner, an amount payable to each partner
determined by dividing the prescribed sum into equal shares.
(4) If the worker leaves no partner and a child or children, the amount of
compensation is an amount equal to the prescribed sum payable to the child or,
if there is more than 1 child, an amount payable to each child determined
by dividing the prescribed sum into equal shares.
(5) If the worker leaves a partner, or partners, and 1 (and only 1) child,
the amount of compensation is—
(a) an amount equal to 90% of the prescribed sum payable to the partner
or, if more than 1, an amount payable to each partner determined by dividing 90%
of the prescribed sum into equal shares; and
(b) an amount equal to 10% of the prescribed sum payable to the
child.
(6) If the worker leaves a partner, or partners, and more than 1 and
not more than 5 children, the amount of compensation is an amount equal to
the prescribed sum payable in the following shares:
(a) an amount equal to 5% of the prescribed sum payable to each
child;
(b) the balance to the partner or, if more than 1, an amount payable to
each partner determined by dividing the balance into equal shares.
(7) If the worker leaves a partner, or partners, and more than 5 children,
the amount of compensation is an amount equal to the prescribed sum payable in
the following shares:
(a) an amount equal to 75% of the prescribed sum payable to the partner
or, if more than 1, an amount payable to each partner determined by dividing 75%
of the prescribed sum into equal shares;
(b) an amount equal to 25% of the prescribed sum payable to the children
in equal shares.
(8) If the worker does
not leave any partner or child but leaves a person who is to any extent
dependent on the worker's earnings, the Corporation may, if it considers that it
is justified in the circumstances, pay compensation not exceeding the prescribed
sum that the Corporation considers is reasonable and appropriate to the loss to
that person (and if the Corporation decides to make a payment of compensation to
more than 1 person under this subsection then the sums paid must not in
total exceed the prescribed sum).
(9) If the worker, being under the age of 21 years at the time of the work
injury, leaves no partner and no child but, immediately before the injury, was
contributing to the maintenance of the home of the members of his or her family,
the members of his or her family are taken to be dependent on the worker's
earnings for the purposes of
subsection (8).
(10) If a person who is entitled to a payment under this section is under
the age of 18 years, the payment may, if the Corporation so determines, be
made wholly or in part to a guardian or trustee for the benefit of that
person.
(11) A claimant is entitled to interest at the prescribed rate on an
amount of compensation payable under this section in respect of the period
beginning on the date the claim for compensation was lodged in accordance with
this Act and ending on the date of the payment.
(1) If a worker
dies as a result of a work injury, a funeral benefit is payable equal
to—
(a) the actual cost of the worker's funeral; or
(b) the prescribed amount,
whichever is the lesser.
(2) A funeral benefit payable under
subsection (1)
will be paid—
(a) to the person who conducted the funeral; or
(b) to a person who has paid, or is liable to pay, the funeral expenses of
the deceased worker.
(3) An amount prescribed by regulation under
subsection (1)
may, if the regulations so provide, be indexed so as to provide annual
adjustments according to changes in the CPI.
(1) If a worker dies as a result of a work injury, a family member is
entitled to be compensated for the cost of approved counselling services to
assist the family member to deal with issues associated with the
death.
(2) Compensation in respect of costs under this section may be
paid—
(a) to the family member; or
(b) directly to the person to whom the family member is liable for those
costs.
(3) Compensation under this section—
(a) will be payable in accordance with scales determined or approved by
the Minister and published in the Gazette; and
(b) will be subject, in any particular case, to a maximum entitlement
prescribed by the regulations.
(4) A reference in this section to approved counselling services is a
reference to counselling services of a kind, or provided by a person, approved
by the Corporation for the purposes of this section.
(5) In this section—
family member means a spouse, domestic partner, parent,
sibling or child of the worker or of the worker's spouse or domestic
partner.
Division 9—Rules
as to liability
(1) Subject to this section, the Corporation is liable for the
compensation that is payable under this Part on account of the occurrence of a
work injury.
(2) If a work injury arises from employment by a self-insured employer,
the self-insured employer is liable to make all payments of compensation to
which any person becomes entitled in consequence of the occurrence of that work
injury.
(3) A self-insured
employer is liable to make all outstanding payments of compensation to which a
person is entitled in consequence of the occurrence of a work injury arising
from employment by the employer that occurred before the employer became a
self-insured employer.
(4) The Corporation
must pay a self-insured employer an amount, to be determined in accordance with
the code of conduct for self-insured employers published by the Corporation in
the Gazette under
Part 9, to
offset the self-insured employer's liability under
subsection (3).
(5) Subject to this
section, if a worker is, as a result of a work injury, totally or partially
incapacitated for work and is in employment when the incapacity arises, the
worker's employer is liable to pay compensation by way of income
maintenance—
(a) if the period of incapacity is no more than the excess liability
period—for the whole period of incapacity; or
(b) if the period of incapacity is more than the excess liability
period—for the excess liability period.
(6) For the purposes of
subsection (5), the
excess liability period is the first 2 weeks of the period of
incapacity.
(7) If separate periods of incapacity commence during the course of the
same calendar year (whether attributable to the same injury or not), an employer
is not liable to pay compensation under
subsection (5) for
those periods of incapacity in excess of an amount calculated under the
regulations.
(8) If a worker is, at the commencement of a period of incapacity, in the
employment of 2 or more employers, they are liable to pay the compensation
referred to in
subsection (5) in
proportions determined by agreement between them or, in default of agreement, by
the Corporation.
(9) An employer who is liable to pay compensation to a worker under
subsection (5) must
make the payment—
(a) if the claim for compensation is not disputed—within 14 days
after the date of the claim; or
(b) if the claim for compensation is disputed—forthwith after the
dispute is determined.
(10) If an employer (not being a self-insured employer) pays compensation
under
subsection (5) in
respect of an unrepresentative injury, the employer may recover the amount of
the payment from the Corporation.
(11) If an employer pays compensation under
subsection (5) in
respect of an injury that did not arise from employment by that employer, that
employer may recover the amount of the payment from the Corporation, and the
Corporation may, in turn, recover that amount—
(a) from the employer from whose employment the injury arose; or
(b) if it appears that the worker was not entitled to that
compensation—from the worker.
(12) If the Corporation pays compensation by way of income maintenance to
a worker who was not in employment when the incapacity for work arose, the
Corporation may recover any amount that would, if the worker had been in
employment, have been payable under
subsection (5) by
the employer from whose employment the worker's injury arose.
(13) The regulations may exempt prescribed classes of employers from the
operation of
subsection (5) (and
in that case the Corporation will undertake any liability of those employers
that would otherwise have arisen under that subsection).
(14) The Corporation will also undertake any liability of an employer
under
subsection (5) in
respect of a particular injury if the Corporation is satisfied that the employer
has complied with the employer's responsibilities under
section 30(5)
within 5 days after receipt of the relevant claim (and if an employer pays
compensation despite the operation of this subsection, the employer may recover
the amount of the payment from the Corporation up to the amount of compensation
payable to the worker under this Act in respect of the relevant
period).
(15) No compensation by way of income maintenance is payable to an injured
self-employed worker whose injury arises from self-employment in respect of the
first week of incapacity for work.
(16) An employer may
pay compensation by way of income maintenance after the period that applies
under
subsection (5)
(being compensation that would otherwise be payable by the Corporation) in
accordance with any guidelines published by the Corporation for the purposes of
this subsection.
(17) If an employer
makes a payment under
subsection (16), the
employer may recover the amount of the payment from the Corporation
if—
(a) the employer applies to the Corporation in the designated manner and
form; and
(b) the Corporation receives the application within 3 months from the date
of the payment to the worker, or within such longer period (if any) as the
Corporation may, in its absolute discretion, allow in the particular
case.
(18) If an employer is liable to make weekly payments of compensation, the
Corporation may, at the request of the employer, undertake that liability on the
employer's behalf in consideration of the payment by the employer to the
Corporation of an amount fixed by the Corporation.
(19) If an employer
fails to make a payment of compensation that the employer is liable to make
under this Act, the Corporation will make that payment on behalf of the
employer.
(20) If the Corporation makes a payment of compensation under
subsection (19), the
Corporation is entitled to recover from the employer as a debt—
(a) the amount of the payment; and
(b) an administration fee fixed in accordance with the
regulations,
(and the Corporation will take all reasonable steps to recover that
debt).
(21) Nothing in this section requires an employer (not being a
self-insured employer) to undertake a liability under
section 40.
65—Augmentation
of weekly payment in consequence of delay
(1) Subject to
subsection (2),
if—
(a) a weekly payment, or part of a weekly payment, is not paid as and when
required to be paid under this Act; or
(b) the making of a weekly payment is delayed pending resolution of a
dispute under this Act,
any amount in arrears will be increased by interest at the prescribed
rate.
(2) No interest is
payable under this section if the delay is attributable to some fault on the
part of the worker.
66—Rights
of action and recovery against third parties
(1) Subject to this
section, nothing in this Part affects a liability arising out of the use of a
motor vehicle that gives rise to a liability for motor accident
damages.
(2) A court before which an action is brought against an employer for loss
arising from a work injury (being an injury arising out of the use of a motor
vehicle and gives rise to liability of a kind referred to in
subsection (1)) must
make due allowance for any compensation paid under this Part to the person by or
on whose behalf the action is brought.
(3) If—
(a) a worker suffers a work injury (not being an injury that arises out of
the use of a motor vehicle and gives rise to a liability of a kind referred to
in
subsection (1));
and
(b) the injury is attributable to the negligence of another
worker—
(i) who was acting in the course of employment with the same employer;
and
(ii) whose negligence did not arise from, or in the course of, serious and
wilful misconduct,
the worker has no right of action against the other worker.
(4) If—
(a) a worker suffers a work injury (not being an injury that arises out of
the use of a motor vehicle and gives rise to a liability of a kind referred to
in
subsection (1));
and
(b) action is taken against a person other than the employer for damages
in respect of the injury,
the other person has no right to recover contribution from the
employer.
(a) compensation is paid or payable under this Act in respect of a work
injury;
(b) a right of action exists against a person other than the employer for
damages in respect of the injury,
the person by whom the compensation is paid or payable is entitled to
recover from that other person the amount of the compensation in accordance with
subsection (7).
(a) a work injury arises out of the use of a motor vehicle; and
(b) the employer was or ought to have been insured against liability for
the injury under the law of compulsory third-party motor vehicle insurance;
and
(c) compensation is paid or payable by the Corporation or a self-insured
employer under this Act in respect of the injury,
the Corporation or a self-insured employer (as the case requires) is
entitled to recover the amount of the compensation in accordance with
subsection (7).
(a) compensation is paid or payable to a person (the injured
party) under this Act; and
(b) the injured
party has received, or is entitled to, damages from another person (the
wrongdoer) pursuant to rights arising from the same trauma as gave
rise to the rights to compensation under this Act; and
(c) the person by whom the compensation is paid or payable under this Act
(the claimant) is entitled to recover the amount of the
compensation by virtue of
subsection (5)
or
(6),
then the following provisions apply:
(d) the claimant is entitled to recover the amount of compensation paid or
payable under this Act from the wrongdoer or the injured party but subject to
the following qualifications:
(i) no amount may be recovered from the wrongdoer in excess of the
wrongdoer's unsatisfied liability to the injured party; and
(ii) the claimant must exhaust its rights against the wrongdoer before
recovering against the injured party; and
(iii) no amount may be recovered from the injured party in excess of the
amount of the damages received by the injured party;
(e) the claimant must, on giving notice to a wrongdoer of an entitlement
to recover compensation under this section, have a first charge, to the extent
of the entitlement, on damages payable by the wrongdoer to the injured
party;
(f) any amount recovered by the claimant against a wrongdoer under this
subsection will be taken to be an amount paid in or towards satisfaction of the
wrongdoer's liability to the injured party;
(g) an action for the recovery of compensation under this
subsection—
(i) may be heard and determined in proceedings brought in the District
Court of South Australia; and
(ii) must be commenced within 3 years after the date of the trauma
referred to in
paragraph (b);
(h) the injured party and the claimant may enter into an agreement (a
deed of release) under which the parties agree that after the
claimant has recovered from the injured party or the wrongdoer the full amount
of compensation paid by the claimant to the injured party—
(i) the injured party is then entitled to retain the balance of any
damages paid or payable to him or her by the wrongdoer; and
(ii) any liability by the claimant to the injured party under this Act in
respect of the work injury (including a liability to provide recovery/return to
work services or to provide compensation under Division 4) is discharged;
and
(iii) the employer from whose employment the injury arose has no further
obligation under this Act to provide suitable employment to the injured
party;
(i) a deed of release
cannot be entered into unless the injured party has received—
(i) competent professional advice; and
(ii) competent financial advice,
about the consequences of entering into the deed of release;
(j) if the claimant notifies the injured party that it is willing to enter
into a deed of release, the claimant is liable to indemnify the injured party
for reasonable costs of obtaining the advice required under
paragraph (i) up to
a limit prescribed by regulation.
(8) This section is
intended to apply in relation to any action that arises out of the occurrence of
a work injury—
(a) irrespective of where the injury occurred; and
(b) —
(i) irrespective of whether the action is brought before a court of this
State or before a court of some other state, territory or country; and
(ii) notwithstanding that the court before which the action is brought
would not (but for this subsection) apply, or take into account, South
Australian law.
(a) an action is brought in respect of a work injury in a court that is
not a court of the State; and
(b) despite
subsection (8), the
court awards an amount against an employer that is in excess of the amount (if
any) that would have been awarded in a similar action before a court of the
State; and
(c) the Corporation is liable to pay the amount awarded by virtue of
insurance provided under this Act,
the Corporation is entitled to recover the excess from the person to whom
the amount is awarded.
(10) In the course of proceedings under
subsection (9), a
court may—
(a) receive in evidence any transcript of evidence in proceedings before
the court by which the amount was awarded and draw any conclusions of fact from
the evidence that it considers proper; or
(b) adopt any of the court's findings of fact.
(11) In this section—
damages includes any form of compensation payable apart from
this Act in respect of a work injury;
employer includes—
(a) any person who is vicariously liable for the acts of an
employer;
(b) any person for whose acts an employer is vicariously liable;
the law of compulsory third-party motor vehicle insurance
means—
(a) Part 4 of the Motor
Vehicles Act 1959 (including a policy of insurance under that
Part); or
(b) the law of another State or a Territory of the Commonwealth that
corresponds to Part 4 of the Motor
Vehicles Act 1959 (including a policy of insurance under such a
law).
67—Prohibition
of double recovery
(1) Compensation under this Act is not payable in respect of an injury to
the extent that compensation has been received in respect of the same injury
under the laws of a place other than this State (whether within or outside
Australia).
(2) If a person
receives compensation under this Act in respect of an injury and, in respect of
the same injury, subsequently receives compensation under the laws of a place
other than this State (whether within or outside Australia), the person from
whom compensation under this Act is received may, in a court of competent
jurisdiction, sue and recover (as a debt) from the person the amount described
in
subsection (3).
(3) The amount that
is recoverable under
subsection (2)
is—
(a) the amount of compensation paid under this Act; or
(b) the amount of compensation received under the laws of the place other
than this State,
whichever is the lesser.
(4) The fact that compensation or damages in respect of an injury have
been recovered under a foreign law is a bar to the recovery of compensation in
respect of the same injury under this Act.
68—Injuries
arising from employment on ships
If a work injury arises from employment on a ship the amount of the
compensation is not subject to any limitation imposed by the Merchant
Shipping Act 1894 of the United Kingdom.
(1) Despite any
other provision of this Act, but subject to
subsection (2),
if—
(a) a worker is
employed by an employer solely—
(i) to participate as a contestant in a sporting or athletic activity (and
to engage in training or preparation with a view to such participation);
or
(ii) to act as a referee or umpire in relation to a sporting or athletic
contest (and to engage in training or preparation with a view to so acting);
and
(b) remuneration is not payable under the contract of employment except in
respect of such employment,
an injury arising out of or in the course of that employment is not
compensable under this Act.
(2) This section
does not apply to—
(a) a person authorised or permitted by a racing controlling authority
within the meaning of the Authorised
Betting Operations Act 2000 to ride or drive in a race within the
meaning of that Act; or
(b) a boxer, wrestler or referee employed or engaged for a fee to take
part in a boxing or wrestling match; or
(c) a person who derives an entire livelihood, or an annual income in
excess of the prescribed amount, from employment of a kind referred to in
subsection (1)(a).
(3) In this section—
prescribed amount means $65 600 (indexed).
(1) A reference in this Part to a worker's employer includes a reference
to—
(a) a person who is vicariously liable for the acts of the employer;
and
(b) a person for whose acts the employer is vicariously liable.
(2) A reference in this Part to a percentage (or degree) of permanent
impairment is a reference to a percentage (or degree) of whole person
impairment.
(3) A reference in this Part to compensation payable under this Act
includes a reference to compensation that would be payable under this Act if a
claim for that compensation were duly made.
71—Application
of Part in relation to damages and scope and limitation of
liability
(1) This Part applies
to an award of damages in respect of—
(a) a work injury to a worker; or
(b) the death of a worker resulting from a work injury,
being an injury caused by the negligence or other tort (including breach of
statutory duty) of the worker's employer and arising from employment (and a
reference to damages in this Part must be construed accordingly).
(2) An employer is not
liable to an award of damages in respect of a psychiatric injury under
subsection (1)
unless the psychiatric injury is primarily caused by the negligence or other
tort (including breach of statutory duty) of the worker's employer referred to
in that subsection and an employer is not liable to an award of damages in
respect of consequential mental harm (and
subsection (1)
operates subject to this subsection).
(3) A worker cannot commence proceedings in a court for damages within the
scope of
subsection (1)
unless or until an assessment of the degree of permanent impairment of the
worker has been undertaken under
Part 2
Division 5.
(4) This Part does not apply to an award of motor accident damages
(subject to any express provision about motor accident damages).
(5) This Part applies
to an award of damages in respect of an injury caused by the negligence or other
tort of the worker's employer even though the damages are recovered in an action
for breach of contract or in any other action based on the same act or omission
of the employer that would have founded an action for negligence or on account
of another tort.
(6)
Subsection (5) is enacted
for the avoidance of doubt.
(7) An employer is not
liable to an award of damages in respect of—
(a) a work injury to a worker; or
(b) the death of a worker resulting from a work injury,
unless—
(c) the damages fall within the scope of
subsection (1),
(2) or
(5);
or
(d) the damages constitute motor vehicle damages.
(8) A liability for
damages referred to in
subsection (1),
(2) or
(5) does not
arise unless a successful claim for compensation in respect of the work injury
has been made under
Part 4.
(9) An employer is not
liable to an award of damages in respect of—
(a) a work injury to a worker; or
(b) the death of a worker resulting from a work injury,
if—
(c) the employer is a body corporate; and
(d) the worker is a director as well as an employee of the
employer.
(10)
Subsections (7),
(8) and
(9) do not
derogate from any other provision of this Act which restricts or rules out an
award of damages.
(11) In
subsection (9)—
director, in relation to an employer that is a body
corporate, means a person who—
(a) has a substantial interest in the body corporate; or
(b) has a proprietary interest in any business or undertaking being
carried on by the body corporate.
(12) For the purposes of
subsection (11), a
person has a substantial interest in a body corporate if—
(a) the person is a member of the governing body of the body corporate and
is entitled to exercise 20% or more of the voting power at meetings of the
governing body; or
(b) a member of the governing body of the body corporate who is entitled
to exercise 20% or more of the voting power at meetings of the governing
body is under an obligation, whether formal or informal, to act in accordance
with the direction, instructions or wishes of the person; or
(c) in the case of a body corporate that has a share capital—the
person can, directly or indirectly, exercise, control the exercise of, or
substantially influence the exercise of, 20% or more of the voting power
attached to voting shares, or any class of voting shares, issued by the body
corporate; or
(d) the person satisfies any other criteria prescribed by the regulations
for the purposes of this subsection.
72—No
damages unless whole person impairment of at least 30%
(1) No damages may be
awarded against an employer except in circumstances that are consistent with the
operation of this Part and unless the injury results in—
(a) a degree of permanent impairment of the worker that is at
least 30%; or
(b) the death of the worker.
(2) The degree of permanent impairment resulting from an injury is to be
assessed—
(a) under
Part 2
Division 5; or
(b) if relevant, under
Part 8,
and if there is a difference between an assessment under
paragraph (a) and an
assessment under
paragraph (b), the
assessment under
paragraph (b)
applies and if there is a difference between an earlier decision of the Tribunal
under
Part 8 and a later
decision of a court under the same Part, the decision of the court
prevails.
(3) In assessing whether the 30% threshold referred to in
subsection (1) has
been met (that is, whether the degree of permanent impairment resulting from an
injury is at least 30%)—
(a) impairment resulting from physical injury is to be assessed separately
from impairment resulting from psychiatric injury; and
(b) in assessing impairment resulting from physical injury or psychiatric
injury, no regard is to be had to impairment that results from consequential
mental harm; and
(c) in assessing the degree of permanent impairment resulting from
physical injury, no regard is to be had to impairment that results from a
psychiatric injury or consequential mental harm; and
(d) the 30% threshold is not met unless the degree of permanent impairment
resulting from physical injury is at least 30% or the degree of permanent
impairment resulting from psychiatric injury is at least 30%.
73—Seriously
injured workers—special provisions
(1) This section applies in relation to a seriously injured worker if the
seriously injured worker has a right of action against an employer in the
circumstances to which this Part applies.
(2) A worker to whom
this section applies—
(a) is not entitled in
an action against an employer to damages in respect of any treatment, care or
support services; and
(i) a redemption of a liability to make weekly payments under
Part 4
Division 5; and
(ii) damages for future
economic loss due to the deprivation or impairment of earning capacity in an
action against an employer; and
(c) in any event, is not entitled in an action against an employer to any
damages other than damages that are for economic loss.
(3) For the purposes of
subsection (2)(a),
treatment, care or support services are—
(a) recovery/return to work services provided under
Part 3;
and
(b) services for which compensation is payable under
Part 4
Division 2.
(4) For the purposes of
subsection (2)(b), a
worker to whom this section applies must, in accordance with the regulations,
elect to claim damages of the kind referred to in
subsection (2)(b)(ii)
or to enter into an agreement under
Part 4
Division 5.
(5) A worker to whom this section applies cannot commence an action for
damages referred to in
subsection (2)(b) or
enter into an agreement under
Part 4
Division 5 unless or until an election has been made under
subsection (4).
(6) In addition to any
requirement prescribed by the regulations, a worker cannot make an election
under
subsection (4)
unless the worker has received advice about the consequences of the election
from a legal practitioner who holds a current practising certificate.
(7) A worker is entitled to an amount, prescribed by or under the
regulations, to compensate a worker for the cost of obtaining advice for the
purposes of
subsection (6).
74—General
regulation of court awards
A court may not award damages to a person contrary to this Part or in a
manner or to an extent that is inconsistent with this Part.
75—Effect
of recovery of damages on compensation
(1) If a person (being
a worker or other person) recovers damages in respect of an injury from the
employer and the relevant compensating authority is liable to pay compensation
under this Act in respect of the same injury then (except to the extent that
subsection (3)
or
(5) covers the
case)—
(a) the person ceases to be entitled to any further compensation under
this Act in respect of the injury concerned (including compensation claimed but
not yet paid); and
(b) the amount of any
compensation already paid in respect of the injury concerned is to be deducted
from the damages; and
(c) the person ceases to be entitled to receive recovery/return to work
services under this Act.
(2)
Subsection (1)—
(a) does not extend to an entitlement of a seriously injured
worker—
(i) to receive any services under
Part 3; or
(ii) to receive compensation (or any provision of services) under
Part 4
Division 2; and
(b) does not operate so as to require a deduction under
subsection (1)(b)
with respect to compensation already paid to a seriously injured worker for any
services under
Part 4
Division 2.
(3) If damages in
respect of an injury are recovered pursuant to a cause of action that survives
for the benefit of the estate of a deceased worker under the Survival
of Causes of Action Act 1940, the amount of any weekly payments of
compensation already paid in respect of the injury concerned are to be repaid
out of the estate of the deceased worker to the relevant compensating
authority.
(4) If a person recovers damages as a dependant of a worker in respect of
proceedings in respect of the death of the worker—
(a) the relevant compensating authority is not liable to pay compensation,
or further compensation, in respect of the death; and
(b) the amount of any compensation already paid to the dependant under
Part 4
Division 8 in respect of the death of the worker is to be deducted from
the damages.
(5) If a person
(being a worker or other person) recovers motor accident damages in respect of
an injury under this Act (whether from the employer or another
party)—
(a) the person ceases to be entitled to any further compensation under
this Act in respect of the injury concerned (including compensation claimed but
not yet paid); and
(b) the amount of any compensation already paid in respect of the injury
concerned is to be deducted from the damages (awarded or otherwise paid as a
lump sum) and is to be paid to the relevant compensating authority.
(6) If a person (being
a worker or other person) recovers any other damages in respect of an injury
under this Act from a person other than the employer—
(a) the person ceases
to be entitled to any further compensation under this Act in respect of the
injury concerned (including compensation claimed but not yet paid);
and
(b) the amount of any
compensation already paid in respect of the injury concerned is to be deducted
from the damages (awarded or otherwise paid as a lump sum) and is to be paid to
the relevant compensating authority.
(7)
Subsection (6)(a)
does not extend to an entitlement of a seriously injured worker—
(a) to receive any services under
Part 3; or
(b) to receive compensation (or any provision of services) under
Part 4
Division 2.
(8) Nothing in this section limits or restricts a right of recovery under
section 66.
(9) In this section—
relevant compensating authority means the Corporation or a
self-insured employer, depending on which entity has paid compensation under
this Act, or is liable to pay compensation under this Act, in the particular
case.
In awarding damages for future economic loss due to deprivation or
impairment of earning capacity or loss of expectation of financial support in a
case where this Part applies, the court is to disregard any earning capacity of
the worker after pension age (as defined in the Social Security
Act 1991 of the Commonwealth for persons other than
veterans).
(1) In assessing damages in a case where this Part applies, the court must
consider the steps that have been taken, and that could reasonably have been or
be taken by the injured worker, to mitigate those damages.
(2) In particular,
the court must consider the following matters:
(a) whether the injured worker has undergone appropriate medical
treatment;
(b) whether the
injured worker has duly complied with any other relevant obligation under
Part 3 or
Part 4.
(3) In any proceedings for damages, the person claiming damages has the
onus of proving that all reasonable steps to mitigate damages have been taken by
the injured worker.
(4) However, the person claiming damages does not have the onus of
establishing that the steps referred to in
paragraph (b) of
subsection (2)
have been taken, and the court assessing damages does not have to take the
matters referred to in that paragraph into account, unless it is established
that before those steps could reasonably be expected to have been taken the
worker was made aware by the employer or the Corporation that the worker was
required to take those steps.
(5) In any proceedings for damages, a written report by a person who
provided medical or recovery/return to work services to the injured worker is
admissible as evidence of any such steps taken by that worker.
78—Payment
of interest—limited statutory entitlement
(1) A plaintiff has only such right to interest on damages in a case where
this Part applies as is conferred by this section.
(2) Interest is not
payable (and a court cannot order the payment of interest) on damages
unless—
(a) information that would enable a proper assessment of the plaintiff's
claim has been given to the defendant and the defendant has had a reasonable
opportunity to make an offer of settlement (where it would be appropriate to do
so) in respect of the plaintiff's full entitlement to all damages of any kind
relevant to the operation of this Part but has not made such an offer;
or
(b) the defendant has had a reasonable opportunity to make a revised offer
of settlement (where it would be appropriate to do so) in the light of further
information given by the plaintiff that would enable a proper assessment of the
plaintiff's full entitlement to all damages of any kind relevant to the
operation of this Part but has not made such an offer; or
(c) the defendant has made an offer of settlement, the amount of all
damages of any kind awarded by the court (without the addition of any interest)
is more than 20% higher than the highest amount offered by the defendant
and the highest amount is unreasonable having regard to the information
available to the defendant when the offer was made.
(3) The highest amount offered by the defendant is not unreasonable if,
when the offer was made, the defendant was not able to make a reasonable
assessment of the plaintiff's full entitlement to all damages of any kind
relevant to the operation of this Part.
(4) For the purposes of
subsection (2),
an offer of settlement must be in writing.
(5) If a court is satisfied that interest is payable under
subsection (2)
on damages—
(a) the amount of interest is to be calculated for the period from the
date of the injury to or death of the worker until the date on which the court
determines the damages; and
(b) the amount of interest is to be calculated in accordance with the
principles ordinarily applied by the court for that purpose, subject to this
section.
(6) The rate of interest to be used in any such calculation is the rate
prescribed by the regulations for the purposes of this section.
(7) Nothing in this section affects the payment of interest on a debt
under a judgment or order of a court.
The common law and enacted law as to contributory negligence apply in
relation to awards of damages under this Part.
80—Defence
of voluntary assumption of risk
The defence of voluntary assumption of risk (volenti non fit
injuria) is not available in an action for the award of damages in a case
where this Part applies but, where that defence would otherwise have been
available, the amount of any damages is to be reduced to such extent as is just
and equitable on the presumption that the injured or deceased person was
negligent in failing to take sufficient care for his or her own
safety.
81—Exemplary
or punitive damages
A court may not award exemplary or punitive damages to a person in an award
of damages to which this Part applies.
82—Court
to apportion damages etc
(1) If a judgment is obtained for payment of damages to which this Part
applies as well as for other damages, the court is required, as part of the
judgment, to declare what portion of the sum awarded by the judgment is damages
to which this Part applies.
(2) In any such case the court is required to apportion any costs
awarded.
83—Abolition
of doctrine of common employment
(1) It is not a defence to an employer who is sued in respect of any
personal injury caused by the negligence of a person employed by the employer
that the person so employed was, at the time the personal injury was caused, in
common employment with the person injured.
(2) This section applies to every case in which the relationship of
employer and employee exists, whether the contract of employment is made before
or after the commencement of this section.
(3) In this section—
employer includes the Crown but does not include any person
who, by any provision of this Act, is deemed to be an employer;
personal injury includes—
(a) death; and
(b) any disease; and
(c) any impairment of the physical or mental condition of a
person.
84—No
damages for nervous shock injury to non-workers
No damages for pure mental harm may be awarded against an employer in
respect of the death of or injury to a worker in a case where this Part applies
if the pure mental harm arises wholly or partly from mental or nervous shock in
connection with that death or injury unless the pure mental harm is in itself a
work injury under this Act.
Division 3—Procedural
matters and costs
(1) Subject to this section, a court before which an action for damages to
which this Part applies is brought must not proceed to a trial in the matter
unless or until a pre-trial mediation has been conducted under this
section.
(2) The court is to appoint the person who will conduct the mediation (who
may, but need not be, a member of the court).
(3) Each party to the proceedings is to attend the mediation unless
excused from attendance by the mediator.
(4) The mediator is to use his or her best endeavours to bring the parties
to agreement on the relevant claim.
(5) Failing agreement, the mediator may issue a certificate certifying any
final offers of settlement made by the parties in the mediation.
(6) The amount of any
offer of settlement made by a party in the course of mediation of a claim is not
to be specified in any pleading, affidavit or other document filed in or in
connection with court proceedings on the claim, and is not to be disclosed to or
taken into account by the court, before the court's determination of the amount
of damages in the proceedings.
(7) However, an offer of settlement will be relevant to the question of
costs in any proceedings that do not settle before judgement.
(8) In addition to
subsection (6),
evidence of anything said or done in the course of mediation is inadmissible in
proceedings before the court except by consent of all parties to the
proceedings.
(9) A matter or thing done or omitted to be done by a mediator in the
exercise of the mediator's functions does not, if the matter or thing was done
or omitted in good faith, subject the mediator personally to any action,
liability, claim or demand.
(10) The regulations may make provision for or with respect to the fees to
be paid in connection with mediation under this section.
(11) In particular, the regulations may specify any such fee or the method
by which the fee is to be calculated, and may specify by whom and in what
circumstances the fee is payable.
(12) The rules of the court before which the relevant proceedings have
been brought may make other provision in relation to mediations under this
section.
(1) When, in relation
to an action for damages brought under this Part—
(a) the proceedings are settled; or
(b) a judgment is given; or
(c) the proceedings are otherwise brought to an end,
a legal practitioner acting on behalf of any party must, in accordance with
the regulations, declare the legal costs that the legal practitioner has
charged, or intends to charge, the party.
(2) The regulations under
subsection (1) may
include a requirement that the declaration be furnished to any person specified
by the regulations.
(3) This section does not extend to proceedings before the Supreme Court
on an appeal.
(4) In this section—
legal costs includes disbursements.
87—The
applicable substantive law for work injury claims
(1) If there is an entitlement to compensation under the statutory workers
compensation scheme of a State in respect of an injury to a worker (whether or
not compensation has been paid), the substantive law of that State is the
substantive law that governs—
(a) whether or not a claim for damages in respect of the injury can be
made; and
(b) if it can be made, the determination of the claim.
(2) This Division does not apply if compensation is payable in respect of
the injury under the statutory workers compensation scheme of more than 1
State.
(3) For the purposes of this section, compensation is considered to be
payable under a statutory workers compensation scheme of a State in respect of
an injury if compensation in respect of it—
(a) would have been payable but for a provision of the scheme that
excludes the worker's right to compensation because the injury is attributable
to any conduct or failure of the worker that is specified in that provision;
or
(b) would have been payable if a claim for that compensation had been duly
made, and (where applicable) an election to claim that compensation (instead of
damages) had been duly made.
(4) A reference in this section to compensation payable in respect of an
injury does not include a reference to compensation payable on the basis of the
provisional acceptance of liability.
(5) In this Division—
State includes a Territory.
88—Claims
to which Division applies
(1) This Division
applies to a claim for damages or recovery of contribution brought against a
worker's employer in respect of an injury that was caused by—
(a) the negligence
or other tort (including breach of statutory duty) of the worker's employer;
or
(b) a breach of contract by the worker's employer.
(2) This Division
also applies to a claim for damages or recovery of contribution brought against
a person other than a worker's employer in respect of an injury
if—
(a) the worker's employment is connected with this State; and
(b) the negligence or other tort or the breach of contract on which the
claim is founded occurred in this State.
(3)
Subsections (1)(a)
and
(2) apply even if
damages resulting from the negligence or other tort are claimed in an action for
breach of contract or other action.
(4) A reference in this Division to a worker's employer includes a
reference to—
(a) a person who is vicariously liable for the acts of the employer;
and
(b) a person for whose acts the employer is vicariously liable.
89—What
constitutes injury and employment
For the purposes of this Division—
(a) injury, employer and worker
include anything that is within the scope of a corresponding term in the
statutory workers compensation scheme of another State; and
(b) the determination of what constitutes employment or whether or not a
person is a worker or a worker's employer is to be made on the basis that those
concepts include anything that is within the scope of a corresponding concept in
the statutory workers compensation scheme of another State.
90—Claim
in respect of death included
For the purposes of this Division, a claim for damages in respect of death
resulting from an injury is to be considered as a claim for damages in respect
of the injury.
In this Division—
a State's legislation about damages for a work related injury
means—
(a) for this State—this Part and any other provision of this Act
providing for the interpretation of anything in this Part; and
(b) for another State—any provisions of a law of that State that is
declared by the regulations to be the State's legislation about damages for a
work related injury;
substantive law includes—
(a) a law that establishes, modifies, or extinguishes a cause of action or
a defence to a cause of action;
(b) a law prescribing the time within which an action must be brought
(including a law providing for the extension or abridgment of that
time);
(c) a law that provides for the limitation or exclusion of liability or
the barring of a right of action if a proceeding on, or arbitration of, a claim
is not commenced within a particular time limit;
(d) a law that limits the kinds of injury, loss or damage for which
damages or compensation may be recovered;
(e) a law that precludes the recovery of damages or compensation or limits
the amount of damages or compensation that can be recovered;
(f) a law expressed as a presumption, or rule of evidence, that affects
substantive rights; and
(g) a provision of a State's legislation about damages for a work related
injury, whether or not it would be otherwise regarded as procedural in
nature,
but does not include a law prescribing rules for choice of law.
92—Availability
of action in another State not relevant
(1) It makes no
difference for the purposes of this Division that, under the substantive law of
another State—
(a) the nature of the circumstances is such that they would not have given
rise to a cause of action had they occurred in that State; or
(b) the circumstances on which the claim is based do not give rise to a
cause of action.
(2) In
subsection (1)—
another State means a State other than the State with which
the worker's employment is connected.
93—Ability
of Corporation to conduct and settle proceedings
(1) If a proceeding is
brought for damages in a case where this Part applies, the proceeding must be
against the employer and not against the Corporation.
(2) However, other than
in the case of a self-insured employer, the Corporation is
entitled—
(a) to conduct for the employer all proceedings to which the employer is a
party (and to take any action in connection with the proceedings as if the
Corporation were a party to the proceedings); and
(b) to settle any matter that is the subject of proceedings under this
Part (including by making offers and counter-offers of settlement on behalf of
the employer).
(3) In connection with
subsections (1) and
(2) (other than in the
case of a self-insured employer)—
(a) a copy of any statement of claim and other documentation lodged with a
court for the purposes of bringing an action for damages under this Part must be
served on the Corporation as well as the employer; and
(b) the employer against whom proceedings are brought under this Part must
cooperate fully with the Corporation and give the Corporation all information
and access to documents in relation to such proceedings or the relevant cause of
action that the Corporation reasonably requires; and
(c) the employer immediately on being required to do so by the Corporation
must execute all documents and do everything that the Corporation considers
reasonably necessary to allow any proceedings to be conducted by the
Corporation; and
(d) the Corporation will be subrogated to the rights of the employer to
such extent as the Corporation may determine.
(4) If an employer, other than a self-insured employer—
(a) is absent from the State or, after reasonable inquiry, cannot be
found; or
(b) refuses, fails or is unable to execute any documents required for the
purposes of
subsection (2) or
mentioned under
subsection (3),
the Corporation may execute any document that the Corporation requires in
connection with the operation of this section.
(5) The Corporation may recover from an employer as a debt any additional
costs reasonably incurred by the Corporation in connection with any proceedings
under this Part as a direct result of the employer's noncompliance with this
section.
94—Interaction
with Civil Liability
Act 1936
In the event of an inconsistency between this Act and the Civil
Liability Act 1936, this Act will prevail to the extent of the
inconsistency (but this Act will not otherwise limit the operation of any
provision of that Act in respect of a cause of action for damages under this
Part (as compared to workers compensation under the other parts of this
Act)).
The vesting of jurisdiction in the Tribunal under this Part is intended to
achieve an outcome in any proceedings that is based on quick and efficient
decision making that resolves disputes expeditiously and fairly.
In this Part—
applicant means the person who makes an application to the
Tribunal under this Part;
party to proceedings means—
(a) the applicant; and
(b) the relevant compensating authority; and
(c) if the matter is about a work injury and the worker who suffered or is
alleged to have suffered the work injury is not the applicant—the worker;
and
(d) if the matter is about a work injury and the employer from whose
employment the injury arose or is alleged to have arisen is not the
applicant—the employer; and
(e) a person who has a direct interest in the matter and has notified the
Registrar of the interest;
relevant compensating authority in relation to a particular
decision means—
(a) if the decision was made by the Corporation or a body corporate
exercising powers delegated by the Corporation—the Corporation or the
relevant delegate; or
(b) if the decision was made by a self-insured employer—the
self-insured employer;
rules means the rules of the Tribunal.
The following decisions are reviewable:
(a) a decision made as a result of an application under
section 21(3);
(b) a decision about
the nature or scope of recovery/return to work services provided, or to be
provided, for a worker;
(c) without limiting
paragraph (b)—a
decision relating to a recovery/return to work plan, or a provision of a
recovery/return to work plan (including on a review of a recovery/return to work
plan), on the ground that the decision or the provision is
unreasonable;
(d) a decision as to a
permanent impairment matter under
Part 2
Division 5;
(e) a decision to accept or reject a claim under
section 31
(and, if a claim is accepted, will include the calculation of average weekly
earnings under
section 5 and
the amount of any payment under
Part 4);
(f) a decision to redetermine a claim under
section 31;
(g) without limiting a preceding paragraph—a decision on a claim for
compensation for costs under
section 33(2);
(h) a decision not to approve the provision of services or the incurring
of costs on an application under
section 33(17);
(i) a decision not to approve surgery under
section 33(21)(b)(ii)
or the provision of services under
section 33(21)(b)(iii);
(j) a decision to review, vary, discontinue or suspend weekly payments
under
Part 4 Division 4
Subdivision 2,
Subdivision 3 or
Subdivision 4;
(k) a decision to suspend weekly payments under
section 51(4);
(l) without limiting a preceding paragraph, a decision as to the amount
payable under
Part 4
Division 6 or
Division 7;
(m) a decision on a review under
section 60;
(n) a decision on a claim made by the Tribunal made in the exercise of its
jurisdiction under
Part 7;
(o) a decision declared to be reviewable by regulations made for the
purposes of this section.
Division 2—Conferral
of jurisdiction
The Tribunal has jurisdiction to deal with a reviewable decision.
Division 3—Institution
of proceedings
(1) A person with a direct interest in a reviewable decision may commence
proceedings for a review of the reviewable decision by the Tribunal.
(2) A person has a direct interest in a reviewable decision if the
person—
(a) is directly affected by the decision; or
(b) is the employer from whose employment the work injury arose or is
alleged to have arisen.
100—Time
for making application
(1) An application may
be made to the Tribunal within 1 month after the applicant receives notice of
the reviewable decision unless the Tribunal allows an extension of
time.
(2) The Tribunal must only allow an extension of time under
subsection (1) if
satisfied—
(a) that special circumstances exist; and
(b) that another party will not be unreasonably disadvantaged because of
the delay in commencing the proceedings.
101—Notice
to be given by Registrar
(1) On receiving an application under this Part, the Registrar must
immediately send copies of the application to the other parties to the
proceedings.
(2) The copy of the application sent to the relevant compensating
authority must be accompanied by copies of any documentary materials lodged with
the application.
Division 4—Initial
reconsideration
(1) The relevant compensating authority must, on receiving a copy of an
application under this Part—
(a) assign a suitable person to reconsider the decision to which the
application relates; and
(b) have the decision reconsidered in the light of the matters set out in
the application.
(2) A person assigned to reconsider the decision—
(a) may be (but need not be) an officer of the relevant compensating
authority but must not be the person who made the decision; and
(b) must be a person who has been nominated to the Registrar in accordance
with the regulations as a person who may be assigned to reconsider decisions
under this Division.
(3) On completion of the reconsideration, the relevant compensating
authority must confirm or vary the decision to conform with the result of the
reconsideration and give the Registrar a written notice stating—
(a) the result of the reconsideration; and
(b) whether the compensating authority has confirmed or varied the
decision as a result of the reconsideration and, if the decision has been
varied, how the decision has been varied.
(4) If the disputed decision is varied, the written notice must also be
given to the other parties to the proceedings.
(5) The relevant compensating authority must complete the reconsideration
and give the notice or notices stating the result of the reconsideration as soon
as is reasonably practicable but in any event within 10 business days after
receiving the copy of the application or a longer time allowed by the Registrar
on the authority's application.
Maximum penalty: $5 000.
(6) The variation of a decision under this section is not to be regarded
as a redetermination of a claim under the other provisions of this
Act.
(7) A decision on a claim by the Tribunal itself, made in the exercise of
the Tribunal's special jurisdiction to expedite decisions on claims, is not
liable to reconsideration under this section and if such a decision is the
subject of an application under this Part, the matter will immediately proceed
to be reviewed under Part 3 of the South
Australian Employment Tribunal Act 2014.
(8) This section does not apply in relation to prescribed classes of
cases.
103—Proceedings
on application
(1) If in a case where
section 102
applies—
(a) the relevant compensating authority, on reconsideration of a decision
under this Division, confirms the decision; or
(b) the relevant compensating authority, on reconsideration of a decision
under this Division, varies the decision and a party to the dispute expresses
dissatisfaction with the result of the reconsideration in accordance with the
rules,
the matter will be dealt with under Part 3 of the South
Australian Employment Tribunal Act 2014.
(2) The reconsideration of a matter under this Division should not unduly
delay proceedings before the Tribunal and the Tribunal must, so far as is
reasonably practicable, undertake its processes pending the outcome of the
reconsideration (including by listing the matter, setting up or conducting any
conference, or taking other such steps).
Division 5—Related
matters—Tribunal proceedings
(1) Before the Tribunal
proceeds with the hearing of a matter under this Part, a compulsory conference
between the parties must be held in accordance with section 43 of the South
Australian Employment Tribunal Act 2014.
(2) In connection with
the operation of
subsection (1)—
(a) the Tribunal must not dispense with a conference under
section 43(3) of the South
Australian Employment Tribunal Act 2014 but the member of the
Tribunal presiding at the conference may close the conference at any time if it
appears to him or her that the matter should immediately be referred to the
Tribunal for hearing and determination; and
(b) if settlement of
the matter is not reached at the conference, the member of the Tribunal
presiding at the conference—
(i) must give to the parties an assessment of the merits of the party's
case; and
(ii) must seek to recommend ways to resolve any matter in
dispute.
(1) In addition to
section 49(1)(a) and (b) of the South
Australian Employment Tribunal Act 2014, a party to proceedings
before the Tribunal under this Act is entitled, without leave, to be represented
by an officer or employee of an industrial association acting in the course of
employment with that industrial association.
(2) Section 49(1)(c) of the South
Australian Employment Tribunal Act 2014 does not apply with respect
to proceedings under this Act.
(1) A party (other than the relevant compensating authority) is entitled,
subject to this Part and to limits prescribed by regulation, to an award against
the relevant compensating authority for the party's reasonable costs
of—
(a) any initial reconsideration of a decision under
Division 4;
and
(b) any subsequent proceedings for resolution of the matter before the
Tribunal.
(2) Costs may only be awarded to cover—
(a) the cost of representation by a legal practitioner or an officer or
employee of an industrial association; and
(b) costs of a kind authorised by the regulations that were reasonably
incurred.
(3) If the Tribunal is
of the opinion that a party—
(a) has acted unreasonably—
(i) in bringing proceedings before the Tribunal; or
(ii) in view of an
assessment or recommendation of a member of the Tribunal under
section 104(2)(b);
or
(iii) without limiting
subparagraph (ii)—in
failing to discontinue or settle any proceedings before the conclusion of the
hearing of a matter; or
(iv) in relation to any other aspect of the conduct of proceedings before
the Tribunal; or
(b) has acted frivolously or vexatiously in bringing or in relation to the
conduct of proceedings before the Tribunal,
the Tribunal may—
(c) decline to make an award of costs in favour of the party and may
further (if it thinks fit) make an award of costs against the party;
or
(d) reduce the amount of the award of costs to which the party would
otherwise have been entitled.
(4) Subject to
subsection (5), an
award of costs to cover professional advice or assistance may, if the Tribunal
considers appropriate, be made in favour of the person who provided the
professional advice or assistance.
(5) An award of costs
to cover the cost of representation by an officer or employee of an industrial
association are payable to the industrial association.
(6) An award of legal costs cannot exceed 85% of the amount that would be
allowable under the relevant Supreme Court scale if the proceedings were in the
Supreme Court.
(7) If the amount of permanent impairment compensation is disputed by a
worker and the amount the Tribunal awards is less than, or the same as, or less
than 10% above, an amount offered by the relevant compensating authority to
settle the matter before the matter proceeds to a hearing before the Tribunal,
the worker is not entitled to costs under this section (and evidence of an offer
made in the course of a compulsory conference or mediation is admissible
(without the consent of all parties) in subsequent proceedings for the purpose
of applying this provision).
(8) Section 55 of the South
Australian Employment Tribunal Act 2014 does not apply to
proceedings before the Tribunal under this Act.
107—Costs
liability of representatives
(1) In this section—
professional representative means a legal practitioner or
other person who has been engaged or appointed to represent a party to
proceedings before the Tribunal (whether personally or through an employee or
agent).
(2) If a
professional representative acting for a party to proceedings before the
Tribunal under this Part (whether personally or through an employee or agent)
has caused costs—
(a) to be incurred improperly or without reasonable cause; or
(b) to be wasted by undue delay or negligence or by any other misconduct
or default,
the Tribunal may make an order as specified in
subsection (3).
(a) that all or any of the costs between the professional representative
and his or her client be disallowed or that the professional representative
repay to his or her client the whole or part of any money paid on account of
costs;
(b) that the professional representative pay to his or her client all or
any of the costs which his or her client has been ordered to pay to any
party;
(c) that the professional representative pay all or any of the costs of
any party other than his or her client.
(4) Without limiting
subsection (2),
a professional representative is in default for the purposes of that subsection
if any proceedings cannot conveniently be heard or proceed, or fail or are
adjourned without any useful progress being made, because the professional
representative failed to—
(a) attend in person or by a proper representative; or
(b) file any document which ought to have been filed; or
(c) lodge or deliver any document for the use of the Tribunal which ought
to have been lodged or delivered; or
(d) be prepared with any proper evidence or account; or
(e) otherwise proceed.
(5) The Tribunal may not make an order against a professional
representative under
subsection (3)
unless the Tribunal has informed the professional representative of the nature
of the order proposed and allowed the professional representative a reasonable
opportunity to make representations, and call evidence, in relation to the
matter.
(6) The Tribunal may order that notice of any proceedings or order against
a professional representative under this section be given to the client in such
manner as the Tribunal directs.
(7) The Tribunal's power to make an order under
subsection (3)
is exercisable by—
(a) a presidential member of the Tribunal; or
(b) another member of the Tribunal who is authorised by a presidential
member of the Tribunal to make the particular order.
108—Recovery
of costs of representation
(1) A representative of a party to proceedings before the Tribunal under
this Act must not charge nor seek to recover for work involved in, or associated
with, that representation an amount exceeding the amount allowable under a scale
fixed by regulation.
Maximum penalty: $2 000.
(2) Before proposing a regulation under this section to the Executive
Council, the Minister must consult with the Crown Solicitor.
The Minister may, if satisfied that intervention is justified in the public
interest, intervene in proceedings before the Tribunal under this
Part.
110—Power
to amend or set aside decisions or orders
The Tribunal may amend or set aside a decision or order of the
Tribunal—
(a) by consent of the parties; or
(b) if the interests of justice require that the decision or order be
amended or set aside.
111—Regulations
concerning medical evidence
(1) The regulations
may make provision for or with respect to—
(a) the disclosure, by the furnishing of copies of reports or otherwise,
of the nature of the expert medical evidence to be given in evidence before the
Tribunal (including the exclusion of any such evidence for non-compliance with
any requirement for the disclosure of the nature of the evidence); and
(b) the disclosure of medical reports (including X-rays and the results of
other tests) (including the exclusion of any such medical report for
non-compliance with any requirement for the disclosure of the medical
report).
(2)
Subsection (1)
does not limit any other power of the Tribunal in relation to determining the
procedures of the Tribunal, regulating proceedings before the Tribunal, or
making rules under the South
Australian Employment Tribunal Act 2014.
(1) Although a party to proceedings before the Tribunal may be a child
under a legal disability, the Tribunal may order the payment of money to that
child.
(2) If such an order is made, a receipt given by the child is a valid
discharge for the person to whom it is given.
Part 7—Special
jurisdiction to expedite decisions
(1) A worker or employer who believes there has been undue delay in
deciding a claim or other matter affecting the worker or employer (being a claim
or matter that would, once determined or decided, constitute a reviewable
decision) may apply to the Tribunal, in the manner and form prescribed by
regulation, for expedited determination of the matter.
(2) However, an application cannot be made for expedited determination of
a matter of a class excluded by regulation from the ambit of this
section.
An application for expedited determination of a matter cannot be made until
at least 10 business days after the day the matter was placed before the
decision-maker whose decision is required.
115—Powers
of Tribunal on application
(1) On an
application for expedited determination of a matter, the Tribunal
may—
(a) give directions the Tribunal considers necessary to expedite the
determination of the matter; or
(b) decide the matter itself.
(2) A person to whom a direction is given by the Tribunal under
subsection (1)
must comply with the direction.
Maximum penalty: $10 000.
(3) Prosecution of non-compliance as an offence does not prejudice
enforcement of the direction in other ways.
(4) If the Tribunal
decides a claim under this section, the decision is to be treated as a decision
of the relevant compensating authority.
Regulations may be made about the costs of proceedings under this
Part.
Part 8—Independent
medical advice
In this Part—
medical question means a question about any of the following
matters:
(a) a permanent impairment matter;
(b) the nature and extent of any hearing loss suffered by a
worker;
(c) any other matter that the Tribunal or a court considers should be
subject to assessment or advice under this Part for the purposes of particular
proceedings.
Division 2—Appointment
of independent medical advisers
(1) There will be a body to be called the Independent Medical Advisory
Board (or IMAB).
(2) The IMAB will be constituted by medical practitioners appointed by the
Minister.
(3) For the purposes of making appointments to IMAB, the Minister must
establish a selection committee comprised of persons—
(a) nominated by the Advisory Committee (who may, but need not be, members
of the Advisory Committee); or
(b) nominated by 1 or more professional associations representing medical
practitioners determined by the Minister,
(with the number of persons to be nominated by each entity to be determined
by the Minister).
(4) A member of the selection committee will be appointed on terms and
conditions determined by the Minister.
(5) The proceedings of the selection committee will be—
(a) specified by
the Minister; or
(b) to the extent that a matter is not specified under
paragraph (a)—determined
by the selection committee.
(6) The selection
committee will recommend medical practitioners for appointment by the Minister
to IMAB.
(7) In connection
with the operation of
subsection (6),
the selection committee must invite expressions of interest in accordance with
the regulations.
(8)
Subsection (7)
does not apply if the Minister is simply seeking the advice of the selection
committee about whether a particular medical practitioner should be re-appointed
to IMAB at the expiration of a term of office.
119—Independent
medical advisers
A member of IMAB will be called an independent medical adviser for
the purposes of this Act.
120—Related
appointment provisions
(1) A person appointed as an independent medical adviser will be appointed
on terms and conditions, and for a term (not exceeding 3 years), determined
by the Minister and, on the expiration of a term of office, is eligible for
re-appointment.
(2) The office of a person appointed as an independent medical adviser
becomes vacant if the person—
(a) resigns by written notice addressed to the Minister; or
(b) is removed from office by the Governor for—
(i) breach of, or non-compliance with, a term or condition of appointment;
or
(ii) mental or physical incapacity to carry out duties of office
satisfactorily; or
(iii) misconduct; or
(iv) neglect of duty; or
(v) incompetence; or
(c) completes a term of office and is not re-appointed; or
(d) ceases to be registered as a medical practitioner under the Health
Practitioner Regulation National Law; or
(e) is convicted of an indictable offence or of an offence which, if
committed in South Australia, would be an indictable offence; or
(f) is sentenced to imprisonment for an offence.
(3) A person appointed as an independent medical adviser is entitled to
fees, allowances and expenses approved by the Governor.
(4) The fees, allowances and expenses are payable out of the Compensation
Fund.
(5) An act of an independent medical adviser is not invalid by reason only
of any defect in the appointment of a person.
(6) No personal liability attaches to an independent medical adviser
acting in good faith and in the exercise or purported exercise of powers or
functions under this Part.
121—Referral
by Tribunal or court
(1) The Tribunal or
a court may, on its own initiative or an application by a party to proceedings
before the Tribunal or court, refer any medical question or questions arising in
proceedings before the Tribunal or court to 1 or more independent medical
advisers specified by the Tribunal or court for inquiry and report.
(2) In connection with
subsection (1)—
(a) the rules of the Tribunal or the court may specify when a medical
question must be referred to 1 or more independent medical advisers;
and
(b) the selection of an independent medical adviser must be consistent
with any principle or process prescribed by the regulations (including any
process which determines which independent medical adviser should be used);
and
(c) different medical questions may be referred to different independent
medical advisers as part of the same proceedings; and
(d) to the extent that a medical question is referred to more than
1 independent medical adviser, any dispute between the independent medical
advisers will be resolved in a manner specified or determined by the Tribunal or
the court (as the case may be); and
(e) the question or questions to be referred to an independent medical
adviser will be framed by the Tribunal or court after inviting submissions from
the parties to the proceedings.
122—Powers
and procedures on a referral
(1) An independent
medical adviser to whom a medical question has been referred under this Division
may—
(a) consult with any medical practitioner or other health practitioner who
is treating or has treated the worker to whom the proceedings relate (the
relevant worker); and
(b) consult with such other persons as the independent medical adviser
thinks fit (including another independent medical adviser who has considered or
is considering the same or another medical question that relates to the relevant
worker); and
(c) call for the production of such information (including medical
reports, x-rays and the results of other tests) as the independent medical
adviser considers necessary or desirable for the purpose of determining the
medical question; and
(d) require the relevant worker to submit himself or herself for
examination by the independent medical adviser.
(2) Information (including confidential information) may be disclosed to
an independent medical adviser under
subsection (1)
without the breach of any law or principle of professional ethics.
(3) If a worker
refuses to comply with a requirement under
subsection (1)
or in any way hinders an examination of the worker, the independent medical
adviser may refer the matter to the Tribunal or the court (as the case may
require).
(4) If the Tribunal
or a court, on a referral under
subsection (3),
considers that a worker has acted unreasonably, the Tribunal or court may, by
order—
(a) suspend the worker's rights to recover compensation or damages under
this Act with respect to the relevant injury;
(b) suspend the
worker's rights to weekly payments,
until—
(c) the worker has complied with any requirements specified by the
Tribunal or court; or
(d) the Tribunal or court makes an additional order in relation to the
matter.
(5) Any weekly payments that would otherwise be payable during a period of
suspension under
subsection (4)(b)
are forfeited by force of this subsection.
(6) If a medical question relates to any matter that is relevant to the
assessment of whole person impairment (including as to whether an impairment is
permanent), the following principles are to be taken into account:
(a) an assessment must not be made until the injury has
stabilised;
(b) if a worker presents for assessment in relation to injuries which
occurred on different dates, the impairments are to be assessed chronologically
by date of injury;
(c) impairments from unrelated injuries or causes are to be disregarded in
making an assessment;
(d) impairments
from the same injury or cause are to be assessed together or combined to
determine the degree of impairment of the worker (using any principle set out in
the Impairment Assessment Guidelines);
(e) impairment
resulting from physical injury is to be assessed separately from impairment
resulting from psychiatric injury;
(f) in assessing
impairment resulting from physical injury or psychiatric injury, no regard is to
be had to impairment that results from consequential mental harm;
(g) in assessing
the degree of permanent impairment resulting from physical injury, no regard is
to be had to impairment that results from a psychiatric injury or consequential
mental harm;
(h) any portion of
an impairment that is due to a previous injury (whether or not a work injury or
whether because of a pre-existing condition) that caused the worker to suffer an
impairment before the relevant injury is to be deducted for the purposes of an
assessment;
(i) assessments are
to comply with any other requirements specified by the Impairment Assessment
Guidelines or prescribed by the regulations.
(7) A number determined under the Impairment Assessment Guidelines with
respect to a value of a person's degree of impairment may be rounded up or down
according to any principle set out in the Impairment Assessment
Guidelines.
(8) Subject to the operation of the preceding provisions, an independent
medical adviser may determine any medical question in such manner as the
independent medical adviser thinks fit (including by adopting such processes and
procedures as the independent medical adviser thinks fit).
(9) An assessment by an independent medical adviser as to any of the
following matters is to be taken to be conclusive evidence with respect to the
relevant matter in proceedings before the Tribunal or court (as the case may be)
unless the Tribunal or court, in the exercise of its adjudicative function,
determines otherwise:
(a) a permanent impairment matter;
(b) the nature and extent of any hearing loss suffered by a
worker.
(10) The Tribunal or court (as the case may be) may, as it thinks fit,
accept any other matter contained in a report furnished by an independent
medical adviser as conclusive evidence for the purposes of proceedings before
the Tribunal or court, or give any such matter such other weight as the Tribunal
or court thinks fit.
(11) Information given to an independent medical adviser cannot be used in
subsequent proceedings unless—
(a) the proceedings are before the Tribunal or a court under this Act;
or
(b) the worker consents to the use of the information; or
(c) the proceedings are for an offence against this Act.
(1) An independent medical adviser to whom a medical question is referred
under this Part is to prepare a report (or participate in the preparation of a
joint report) at the conclusion of his or her consideration of the medical
question.
(2) The report is to be in a form specified by the rules of the Tribunal
or court (as the case requires) and must—
(a) set out details of the medical question; and
(b) set out the opinion of the independent medical adviser (or advisers)
with respect to the question; and
(c) set out the reason or reasons for the opinion; and
(d) set out information about the documents and other reports that have
been considered by the independent medical adviser (or advisers); and
(e) set out any other matters that, in the opinion of the independent
medical adviser (or advisers), should be considered or investigated.
(3) The report must be furnished to the Tribunal or the court in
accordance with the rules of the Tribunal or court within any period specified
by the Tribunal or the court (as the case may be).
(4) A report furnished by an independent medical adviser on a referral
under this Part is admissible as evidence in proceedings before the Tribunal or
a court (and will be received in evidence in accordance with the rules of the
Tribunal or court).
124—Competency
to give evidence
An independent medical adviser is competent to give evidence as to any
matter in a report furnished by the independent medical adviser (and any other
relevant matter, as appropriate).
The Tribunal or a court may, if it thinks fit, refer any matter (in the
nature of a medical question or in connection with a medical question) back to
an independent medical adviser who has furnished a report to the Tribunal or
court for further report to the Tribunal or court (and then this Division will
apply in relation to the reference as if it were a new reference of a medical
question).
Any staff or facilities required to support IMAB or independent medical
advisers, in the performance of their functions under this Part, will be
provided by the Tribunal under a scheme established by the Minister after
consultation with the President of the Tribunal.
The costs associated with IMAB, independent medical advisers and any staff
or facilities provided under this Part are payable out of the Compensation
Fund.
Part 9—Registration
and funding
Division 1—Registration
of employers
(1) Subject to
subsection (2),
an employer must not employ a worker in employment to which this Act applies
unless the employer is registered by the Corporation.
Maximum penalty: $10 000 for each worker so employed.
(2) An employer is
not required to be registered if the employer is exempted by the regulations
from the obligation to be registered.
(3) No offence is committed by an employer against this section if the
employer applies for registration within 14 days after the obligation to be
registered arises.
(4) It is a defence
to a prosecution for an offence under
subsection (1)
in respect of the employment of a particular worker if the court is satisfied
that, at the time of the alleged offence, the employer believed on reasonable
grounds that the worker's employment was not connected with this State by virtue
of the operation of
section 10.
(5) If the employer's belief on reasonable grounds was that under
section 10 the
worker's employment was connected with another State,
subsection (4)
does not apply unless at the time of the alleged offence the employer had
workers compensation cover in respect of the worker under the law of that other
State.
(6) In this section—
State includes a Territory;
workers compensation cover means insurance or registration
required under the law of a State in respect of liability for statutory workers
compensation under that law.
(1) Subject to this
section, an employer or a group of employers may apply to the Corporation for
registration as a self-insured employer or as a group of self-insured
employers.
(2) An application may
not be made under
subsection (1)
unless—
(a) in the case of an
application by an individual employer—
(i) the employer is a body corporate; or
(ii) the employer is an indemnified maritime employer;
(b) in the case of an
application by a group—
(i) the members of the group are related bodies corporate or local
government corporations; and
(ii) if the members of the group are related bodies corporate—no
related body corporate of any member of the group that employs a worker or
workers in employment to which this Act applies is not a member of the
group.
(a) an application is made under
subsection (1);
and
(b) the Corporation is satisfied—
(i) that the employer or the employers constituting the group have reached
a standard that, in the opinion of the Corporation, must be achieved before
conferral of self-insured status can be considered; and
(ii) that in all the circumstances it is appropriate to do so,
the Corporation may register the employer or the group as a self-insured
employer or a group of self-insured employers.
(4) Without limiting
subsection (3), the
Corporation may reject an application under
subsection (2)(a) if
the employer is a member of a group comprised of related bodies corporate or
local government corporations.
(5) A registration
under this section—
(a) is subject to—
(i) a condition that the self-insured employer must adopt and apply the
service standards set out in
Schedule 5 (but
these standards do not, in themselves, give rise to substantive rights or
liabilities (compared to rights or liabilities established or prescribed under
other relevant provisions of this Act)); and
(ii) a condition that the self-insured employer must not exercise any
power or discretion delegated to the self-insured employer under this Act
unreasonably; and
(iii) such other terms and conditions as the Corporation determines from
time to time or as are prescribed by the regulations; and
(b) if the self-insured status was conferred on the ground that the
employer is an indemnified maritime employer—is subject to a condition
limiting the effect of the conferral to the workers, or a specified class of the
workers, to whom the relevant indemnity relates; and
(c) if self-insured status was conferred on a group of related bodies
corporate—is subject to the condition that there is at no time a related
body corporate to any member of the group that employs a worker or workers in
employment to which this Act applies that is not a member of the group;
and
(d) is subject to a condition that the self-insured employer will comply
with any code of conduct for self-insured employers determined by the
Corporation from time to time and published in the Gazette; and
(e) takes effect on a date fixed by the Corporation; and
(f) subject to this section—
(i) has effect for an initial period (not exceeding 3 years)
determined by the Corporation; and
(ii) may, on further application to the Corporation, be renewed from time
to time for a further period (not exceeding 5 years) determined by the
Corporation at the time of the renewal.
(6) The Corporation may, at any time, on the application of 2 or more
self-insured employers, amend the registration of each self-insured employer so
as to form a group on the ground that they are now related bodies
corporate.
(7) The Corporation
may, at any time, on application by a self-insured employer or a group of
self-insured employers, amend the registration of the group in order
to—
(a) add another body corporate to the group (on the ground that the body
corporate is now a related body corporate); or
(b) remove a body corporate from the group (on the ground that the body
corporate is no longer a related body corporate); or
(c) amalgamate the registration of 2 or more groups (on the ground that
all the bodies corporate are now related bodies corporate); or
(d) divide the registration of a group into 2 or more new groups (on the
ground that the bodies corporate have separated into 2 or more groups of related
bodies corporate).
(8) For the purposes of
subsection (2)(b)
and
(7), a foreign company
that is a holding company cannot be a member of a group (and, to the extent that
is relevant, will be disregarded when determining the bodies corporate that will
be related bodies corporate for the purposes of the grouping provisions of this
section (including, if the Corporation thinks fit, so as to exclude also any
subsidiary of such a holding company)).
(9) The Corporation may revoke the registration of a self-insured employer
or group of self-insured employers, or reduce the period of registration, if the
employer, or a member of the group, (as the case requires) breaches or fails to
comply with this Act or a term or condition of registration.
(10) The Corporation may revoke the registration of a self-insured
employer under an agreement between the Corporation and the employer (which may
include terms or conditions that the employer must comply with before the
revocation can take effect).
(11) In deciding whether to grant, renew, revoke, or reduce the period of
registration as a self-insured employer or group of employers under this
section, the Corporation may have regard to such matters as it considers
relevant and will have regard to the following:
(a) the number of employees employed by the employer or group;
(b) whether the employer or group is, and is likely to continue to be,
able to meet its liabilities;
(c) the resources that the employer or group has for the purpose of
administering claims under this Act;
(d) the incidence and severity of work injuries arising from employment by
the employer or employers;
(e) the effect, or likely effect, of the working conditions under which
workers are employed by the employer, or any of the employers, on the health and
safety of those workers;
(f) the record of the employer or employers in relation to the
rehabilitation of injured workers and achieving their recovery and return to
work;
(g) the record of the employer or employers in providing suitable
employment to workers who suffer work injuries;
(h) the views of any industrial association that has, in the opinion of
the Corporation, a proper interest in the matter,
but once an employer or group has been registered as self-insured, the
Corporation must not, in deciding whether to renew the registration, consider
the effect of the registration on the Compensation Fund.
(12) If employers
are registered as a group of self-insured employers, 1 of those employers
nominated in the application for registration will, for the purposes of this
Act, be treated as the employer of all workers employed by the various members
of the group.
(13) The Corporation
may, on application by a group of self-insured employers, accept the nomination
of another member of the group as the relevant employer under
subsection (12).
(14) Despite
subsection (12),
the members of the group are jointly and severally liable to satisfy the
liabilities under this Act of the member referred to in
subsection (12).
(15) In this section—
foreign company has the same meaning as it has under the
Corporations Act 2001 of the Commonwealth;
holding company has the same meaning as it has under the
Corporations Act 2001 of the Commonwealth;
indemnified maritime employer means an employer that has the
benefit of an indemnity granted by a member of the International Group of
Protection and Indemnity Associations;
related bodies corporate means—
(a) in the case of corporations—bodies corporate that are related
bodies corporate under section 50 of the Corporations Act 2001 of
the Commonwealth;
(b) in the case of any other kind of bodies corporate—bodies
corporate that are associated entities under section 50AAA of the
Corporations Act 2001 of the Commonwealth.
130—Crown
and certain agencies to be self-insured employers
(1) Subject to
subsection (2),
the Crown and any agency or instrumentality of the Crown will be taken to be
registered as self-insured employers.
(2) The Governor
may, by proclamation, declare that an agency or instrumentality of the Crown is
not to be regarded as a self-insured employer, and in that event the agency or
instrumentality will not be regarded as a self-insured employer.
(3) The Governor may, by further proclamation, vary or revoke a
proclamation under
subsection (2).
agency or instrumentality of the Crown includes any body, or
body of a specified class, prescribed by regulation for the purposes of this
definition.
(5) A regulation for the purposes of
subsection (4)
may, if the regulation so provides, take effect from a day antecedent to the day
on which it is made.
131—Applications
for registration
(1) An application for registration as an employer, a self-insured
employer or a group of self-insured employers—
(a) must be made in the designated manner and the designated form;
and
(b) must be accompanied by the prescribed information; and
(c) in the case of an application for registration of a group of
self-insured employers must nominate a member of the group as the employer who
is, for the purposes of this Act, to be treated as the employer of all workers
employed by the various members of the group.
(2) An application for registration as a self-insured employer or group of
self-insured employers must be accompanied by a fee fixed in accordance with the
regulations.
132—Changes
in details for registration
An employer must, in prescribed circumstances and within a period
prescribed by the regulations, provide to the Corporation in a designated manner
and form information relating to a change in any details or information relevant
to—
(a) the registration of the employer; or
(b) the activities or circumstances of the employer.
133—Ministerial
appeal on decisions relating to self-insured employers
(1) If the Corporation—
(a) refuses the registration of an employer or group of employers as a
self-insured employer or group of self-insured employers; or
(b) grants or renews registration as a self-insured employer or group of
self-insured employers for a period of less than 3 years; or
(c) reduces the period of registration of an employer or group of
employers as a self-insured employer or group of self-insured employers;
or
(d) cancels the registration of an employer or group of employers as a
self-insured employer or group of self-insured employers,
the employer or employers may appeal to the Minister against that
decision.
(2) The appeal must be commenced within 1 month after the employer or
employers receive notice of the Corporation's decision unless the Minister
allows an extension of time for the appeal.
(3) If an employer or a group of employers appeals to the Minister against
a decision of the Corporation to refuse to renew, or to cancel, the registration
of the employer or employers as a self-insured employer or group of self-insured
employers, the Corporation may extend or renew the registration of the employer
or employers for a period of up to 3 months (pending resolution of the
appeal).
(4) The Minister may (but is not obliged to) permit an appellant to appear
personally or by representative before the Minister on an appeal.
(5) The Minister has an absolute discretion to decide an appeal under this
section as the Minister thinks appropriate.
(6) If the Minister decides in favour of the appellant, the Minister must
furnish the Corporation with a statement of the reasons for the
decision.
Division 2—Delegation
to self-insured employers
134—Delegation
to self-insured employers
(1) Subject to this
Act, the following powers and discretions of the Corporation, insofar as they
are exercisable in relation to workers of a self-insured employer, are delegated
to the self-insured employer—
(a) the powers and discretions under the following sections:
section 33 (but not
section 33(12)
or
(15))
(b) any other prescribed powers and discretions.
(2) Delegated powers and discretions referred to in
subsection (1)
will not be exercised by the Corporation in relation to the workers of the
self-insured employer.
(3) Subject to this section, the Corporation must not overrule or
interfere with a decision of a self-insured employer made in the exercise of
delegated powers or discretions.
(4) A decision of a self-insured employer made pursuant to a power or
discretion delegated under
subsection (1)
will have the same force and effect as a decision of the Corporation and will be
subject to review and appeal in the same way as a decision of the
Corporation.
(5) A reference to the Corporation in the provisions of this Act referred
to in
subsection (1)
will, in relation to any matter over which a self-insured employer has delegated
powers or discretions, be construed as a reference to that self-insured
employer.
(6) If the Corporation would, but for this section, be required under a
provision of this Act referred to in
subsection (1)
to take any action or do any thing in relation to a worker of a self-insured
employer—
(a) responsibility for taking the action or doing the thing rests with the
self-insured employer; and
(b) any cost incurred in connection with taking the action or doing the
thing is to be borne by the self-insured employer.
(7) If a self-insured employer exercises a power or discretion delegated
under
subsection (1)
unreasonably, the Corporation may withdraw (in whole or in part) the delegation
effected by
subsection (1).
(8) If an employer ceases to be registered as a self-insured employer
under this Act, the delegation to the employer under this section will, if the
Corporation so determines, continue to such extent as the Corporation thinks fit
in relation to injuries that occurred before that cessation (and any act or
omission of the employer within the scope of the delegation will be taken for
the purposes of this Act to be the act or omission of a self-insured
employer).
(1) The Compensation Fund continues in existence and will continue
to be maintained by the Corporation.
(2) The Compensation Fund will consist of—
(a) amounts received from the imposition of premiums, supplementary
payments or fees under this Part; and
(b) any income and accretions produced by the investment of money from the
Fund; and
(c) any money advanced to the Corporation for the purposes of the Fund;
and
(d) other money received by the Corporation under this Act or in the
administration of this Act; and
(e) to the extent provided by regulation—money received by the
Corporation under, or in the administration of, another Act.
(3) The
Compensation Fund will be applied towards—
(a) the payments of compensation that the Corporation is liable to make
under this Act; and
(b) the payments of damages for which the Corporation is liable to make on
account of indemnifying employers as their insurer under this Act (whether under
Part 5 or
otherwise); and
(c) any payment that the Corporation is required to make to a self-insured
employer under
section 64;
and
(d) the costs incurred by the Corporation in performing its functions or
discharging any liability under this Act; and
(e) any costs incurred by the Minister or the Crown if a decision or
process of the Minister under
section 133
becomes the subject of judicial proceedings; and
(f) a contribution towards the system of the dispute resolution under this
Act (including the costs associated with independent medical advisers)
determined by the Minister from time to time after consultation with the
Treasurer and the Corporation; and
(g) a contribution towards advocacy services for the benefit of injured
workers determined by the Minister from time to time after consultation with the
Corporation; and
(h) any costs to be paid out of the fund under another provision of this
Act (including any amounts to be paid out of the Return to Work Facilitation
Fund under
Part 10);
and
(i) to the extent provided by regulation—the costs incurred by the
Corporation in carrying out its functions under another Act; and
(j) any payment that the Corporation is required to make under
section 27A of the Return
to Work Corporation of South Australia Act 1994; and
(k) any payment that the Corporation is required to make under the Work
Health and Safety Act 2012.
(4) The Corporation may invest money that is not immediately required for
the purposes of the Compensation Fund as the Corporation thinks fit.
(5) Subject to
subsection (6),
in deciding how to invest funds that are available for investment, the
Corporation must endeavour to achieve the highest possible rates of
return.
(6) The Corporation
is not required to comply with
subsection (5)
if the board unanimously decides, in relation to certain funds, to invest those
funds at a lesser rate of return but so as to promote the economy of the
State.
In this Division—
class of industry includes a subclass;
remuneration includes payments made to or for the benefit of
a worker which by the determination of the Corporation constitute remuneration
but does not include payments determined by the Corporation not to constitute
remuneration.
137—Average
premium rate ceiling
(1) Subject to
subsection (2), the
Corporation must, in setting premiums under this Division in relation to a
financial year, achieve an average premium rate that does not
exceed 2%.
(2)
Subsection (1) does
not apply in relation to a financial year if the Minister has, before the
30 April of the immediately preceding financial year, by notice in the
Gazette, declared that the Minister is satisfied (to the extent as the Minister
considers sufficient) that an event has occurred, or a series of events have
occurred, such that there is, or that there is expected to be, a significant
shortfall in the funds available to the Corporation to meet its actual and
contingent liabilities.
(3) For the purposes of
subsection (2), the
funds available to the Corporation will be determined by taking into account the
funds available—
(a) in the Compensation Fund; and
(b) from the investment of any funds of the Compensation Fund.
Subdivision 2—Premiums
(terms and conditions)
138—Premiums
(terms and conditions)
(1) The Corporation
may, from time to time, after consultation with the Minister, publish in the
Gazette a set of terms and conditions that will apply in relation to the
calculation, imposition and payment of premiums for the purposes of this Act
(and these terms and conditions will be referred to as RTWSA premium
provisions).
(2) The Corporation must ensure that RTWSA premium provisions operate on
the basis that the costs of all claims made by an employer's workers that are
relevant to the RTWSA premium provisions in force at the time (including claims
in respect of damages but not including claims in respect of unrepresentative
injuries or injuries of a prescribed kind) are taken into account in relation to
the calculation of premiums.
(3) RTWSA premium provisions may—
(a) apply differently according to—
(i) categories of employers; and
(ii) different factors of a specified kind; and
(b) authorise any matter to be determined, applied or regulated by a
specified person or body.
(4) Without limiting any other provision, RTWSA premium provisions may
specify various principles, weights, adjustments, caps, assumptions or
exclusions that will apply in relation to the constitution or determination of
remuneration or the costs of claims.
(5) RTWSA premium provisions will not apply to—
(a) a self-insured employer; or
(b) an employer who is exempt from the requirement to be registered under
Division 1.
Subdivision 3—Premiums
(general principles)
(1) Subject to this Part, an employer will be liable to pay, in relation
to each period specified by the RTWSA premium provisions or a RTWSA premium
order that applies in relation to the employer, a premium or premiums in
accordance with the requirements of this Act.
(2) An employer—
(a) who is a self-insured employer; or
(b) who is exempt from the requirement to be registered under
Division 1; or
(c) who is exempt from the requirement to pay a premium by a regulation
made for the purposes of this paragraph,
is not required to pay a premium under this Division.
(3) A person who ceases to be an employer may be entitled to a partial
refund of any premium that has been paid calculated in accordance with any
relevant provision of the RTWSA premium provisions or a RTWSA premium order that
applies in relation to the employer.
(4) An employer who
is in breach of the requirement to be registered under this Act will, in
addition to any other penalty, be liable to a fine fixed by the Corporation not
exceeding 3 times the amount of premium that would have been payable under
this Act had the employer been registered as required.
(5) The Corporation may for any proper reason remit a fine imposed under
subsection (4)
wholly or in part.
(6) The imposition of a fine under
subsection (4)
does not satisfy or affect any liability or requirement to pay any premium under
this Act.
(7) Nothing in this section affects the adjustment of a premium or the
imposition of a fine under another provision of this Act.
(1) Subject to
subsection (2),
the Corporation may from time to time, by notice in the Gazette, divide
employers into various categories.
(2) Despite a
notice applying under
subsection (1),
the Corporation may, if it considers it appropriate to do so and after applying
criteria or factors published as part of the RTWSA premium provisions, assign a
particular employer to a category that is different to the category that would
otherwise apply under
subsection (1).
(1) The Corporation may, for the purposes of the calculation of premiums,
divide the industries carried on in the State into various classes.
(2) The Corporation may determine any question as to the class or classes
of industry in which an employer employs workers.
(3) In determining the class or classes of industry in which an employer
employs workers the following provisions will be applied:
(a) if the employer employs a worker in 2 or more classes of
industry—
(i) the worker will, subject to any determination by the Corporation to
the contrary, be treated as if solely employed in the class of industry in which
he or she is predominantly employed; and
(ii) if it is not possible to determine which is the predominant class,
the worker will be treated as if solely employed in a class of industry
determined by the Corporation;
(b) if the employer employs workers in different classes of industry all
workers employed by the employer will, if the Corporation so determines, be
treated as engaged in the predominant class of industry;
(c) if the employer
employs workers at 2 or more workplaces, all workers employed at a
particular workplace will, if the Corporation so determines, be treated as
engaged in the predominant class of industry conducted at that
workplace;
(d) if the employer employs workers in different classes of industry the
Corporation may for the purposes of industry classification at a workplace treat
the workers as engaged in 2 or more classes of industry;
(e) if the employer employs workers at a workplace for the purpose of
supporting a predominant class of industry carried on at 1 or more other
workplaces at which the employer employs workers, that predominant class of
industry will, if the Corporation so determines, apply in relation to the
first-mentioned workplace;
(f) in determining
a predominant class of industry (if relevant), the Corporation will have regard
to—
(i) the importance within the employer's total operations of each class of
industry in which workers are employed; and
(ii) any other factor determined to be relevant by the
Corporation.
(4) The Corporation
may, as it thinks fit, review and revise a determination previously made under
or for the purposes of this section.
(5) A revision may be made under
subsection (4)
at any time (including in respect of a period that is underway).
142—Industry
rates and base premiums
(1) The Corporation
must, in relation to each class of industry, fix a rate (expressed as a
percentage and to be called the industry premium rate) that is to
be applied for the purposes of determining base premiums under
subsection (4).
(2) The rates under
subsection (1)—
(a) must be fixed by the Corporation by notice in the Gazette;
and
(b) may be varied by the Corporation by subsequent notice in the
Gazette.
(3) In fixing the percentage applicable to a particular class of industry
the Corporation must apply any criteria or principles specified by the
regulations.
(4) A base premium
under this Act, in its application to a particular industry, is determined as
follows:
where
BP is the base premium
remuneration is the remuneration payable by an employer to
workers employed in the particular industry
industry premium rate is the industry premium rate for the
relevant class of industry.
Subdivision 4—Premiums
(calculation and application)
(1) A premium
payable by an employer in relation to a particular period (other than an
employer who is not liable to pay a premium under this Division) will
be—
(a) determined in
accordance with a RTWSA premium order under this section; or
(b) to the extent that a RTWSA premium order does not apply to the
employer—the aggregate base premiums applying to that employer in respect
of all classes of industry in which the employer employs workers (subject to any
adjustments or requirements that apply in the circumstances).
(2) For the
purposes of
subsection (1)(a),
the Corporation may, after consultation with the Minister and applying any
principle specified by the Minister for the purposes of this section, fix the
manner in which a premium payable by an employer (or a person who proposes to
become an employer) will be calculated.
(3) The Corporation must, for the purposes of
subsection (2),
publish an order (or orders) in the Gazette (and any such order will be referred
to as a RTWSA premium order).
(4) A RTWSA premium order will take effect from the commencement of a
financial year specified by the order (and will then apply, including in
relation to a succeeding financial year, until superseded by another RTWSA
premium order).
(5) The Corporation must ensure that a RTWSA premium order operates on the
basis that the costs of all claims made by an employer's workers in the relevant
period (including claims in respect of damages but not including claims in
respect of unrepresentative injuries or injuries of a prescribed kind) are taken
into account in relation to the determination of the premium payable by the
employer.
(6) A RTWSA premium order may—
(a) apply generally or be limited in its application by reference to
specified factors or exceptions; and
(b) apply differently according to—
(i) categories of employers; and
(ii) different factors of a specified kind; and
(c) authorise any matter to be determined, applied or regulated by a
specified person or body,
or may do any combination of these things.
(7) Without
limiting a preceding subsection, a RTWSA premium order may—
(a) apply any principle relevant to the claims experience of a particular
category or class of employer, or the size of an employer (after applying such
principles or assumptions as the Corporation thinks fit); and
(b) fix and apply
various principles, weights, adjustments, caps, limits (including limits on the
reduction of premiums), assumptions or exclusions according to specified
factors; and
(c) without limiting any other provision, specify any adjustment or
assumption relating to the remuneration paid to workers over a particular period
(including a period into the future); and
(d) make provision with respect to liabilities for damages under
Part 5;
and
(e) allow employers
who satisfy any specified criteria, on application and at the discretion of the
Corporation, to pay a premium determined by the Corporation according to an
alternative set of principles—
(i) specified in the order; or
(ii) specified in another RTWSA premium order that applies in the
circumstances; or
(iii) agreed between the Corporation and the employer; and
(f) require that employers of a specified class must provide a deposit,
bond or guarantee, or some other form of security, specified in the order;
and
(g) make any other provision or impose any other requirement prescribed by
the regulations.
(8) Subject to any
remission or reduction of premium granted by the Corporation,
where—
(a) the amount of premium payable by an employer in respect of a
designated period would, apart from this subsection, be less than the designated
minimum premium; or
(b) an employer is registered but no premium would, apart from this
subsection, be payable by the employer for a designated period,
the premium payable by the employer for the designated period is the
designated minimum premium.
(9) For the purposes of
subsection (8),
the Corporation may, from time to time, as part of the RTWSA premium provisions,
fix—
(a) the designated period; and
(b) the designated minimum premium.
(10) The
Corporation may, if it considers that there is an error in a RTWSA premium
order, after consultation with the Minister, amend the RTWSA premium order by
notice in the Gazette.
(11) A notice under
subsection (10)
may, if the notice so provides, take effect from a date that is earlier than its
date of publication (being on or after the date on which the relevant RTWSA
premium order took effect).
(1) A premium in relation to a particular period (being a period
determined by the Corporation) may be constituted by—
(a) an initial premium calculated on the basis of estimates
and assumptions made at, or in relation to, the beginning of the period after
applying any principles specified by the Corporation in the RTWSA premium
provisions or in a RTWSA premium order;
(b) an adjusted premium at any time during the period based
on applying any principles or requirements specified by the Corporation in the
RTWSA premium provisions or in a RTWSA premium order;
(c) a hindsight premium calculated on the basis of actual
amounts and information known or determined by the Corporation at the end of the
period after applying any principles or requirements specified by the
Corporation in the RTWSA premium provisions or in a RTWSA premium
order.
(2) Subject to this section, an initial premium will be payable by a date
specified by the Corporation for the purposes of this subsection.
(3) The Corporation may adjust a premium at any time during the relevant
period and any amount that becomes due on account of that adjustment (the
adjusted premium) will, subject to this section, be payable by a date specified
by the Corporation for the purposes of this subsection.
(4) A hindsight premium will be payable after the end of the relevant
period by a date specified by the Corporation for the purposes of this
subsection (unless a hindsight premium does not need to be paid).
(5) If the
Corporation so allows, an employer may elect to pay an initial premium or an
adjusted premium by instalments, at such times and of such amounts as the
Corporation may determine.
(6) Subject to this Act, if the initial premium, and an adjusted premium
(if any), paid by an employer in relation to a particular period exceed the
employer's liability to pay premium for that period, the Corporation may at the
Corporation's discretion (but subject to the regulations)—
(a) refund the difference to the employer; or
(b) set off the difference against existing or future liabilities of the
employer to make payments of premium under this Part.
(7) The Corporation may grant discounts or other incentives in order to
encourage the payment of any premium in advance.
(8) The Corporation may, in prescribed circumstances, remit any premium
payable by an employer under this section wholly or in part.
(9) This
section applies subject to—
(a) any alternative
arrangements agreed between the Corporation and an employer as part of an
alternative set of principles applied under
section 143(7);
or
(b) any alternative
requirements specified by the Corporation (by notice to a particular employer or
by notice in the Gazette); or
(c) without limiting
paragraph (a) or
(b), any alternative
arrangements agreed between the Corporation and the employer that allow the
employer to pay any premium on aggregate remuneration paid during a preceding
period and after taking into account any other matter or factor specified by the
Corporation for the purposes of this paragraph.
(10) A notice under
subsection (9)—
(a) may be varied by the Corporation from time to time by further notice;
and
(b) will have effect according to its terms.
(1) For the purposes of
this section, 2 or more employers will, if the Corporation so determines,
constitute a group if—
(a) they are capable of being treated as a member of a group under the
Payroll
Tax Act 2009; or
(b) they are related in some other way.
(2) Where 2 or more employers constitute a group—
(a) unless the Corporation otherwise determines, each employer in the
group will be liable to pay premiums in accordance with a RTWSA premium order
under this Division (rather than on the basis of aggregate base premiums);
and
(b) the Corporation may apply any claims experience, rating or other
principle to all members of the group on a combined basis (rather than on an
individual basis) in accordance with the provisions of a RTWSA premium order;
and
(c) the Corporation may aggregate the employers in such manner (in any way
or for such other purposes) as the Corporation thinks fit under a RTWSA premium
order (including by treating 1 employer within the group as if the employer
were the employer of all workers employed by the members of the group or by
rating them together or according to a common factor).
(3) Despite being grouped, each employer will be taken to be subject to
the relevant RTWSA premium provisions in its own right (but with premiums being
aggregated or divided according to principles specified in a RTWSA premium
order).
(4) The employers in a group are jointly and severally liable for the
payment of premiums attributable to the group.
(5) This section applies subject to any alternative arrangements agreed
between the Corporation and the members of the group of employers as part of an
alternative set of principles applied under
section 143(7)(e).
(6) The Corporation
may, if it is satisfied that 2 or more employers who should have been
grouped under this section have not been so grouped on account of false or
misleading information, or insufficient or defective information, provided to
the Corporation—
(a) make any determination or redetermination, and impose any premium, on
a retrospective basis; and
(b) impose on each
employer a fine (not exceeding an amount calculated under the regulations) fixed
by the Corporation.
(7) The Corporation may for any proper reason remit a fine imposed under
subsection (6)(b)
wholly or in part.
Division 5—Self-insured
employers—fees
146—Self-insured
employers—fees
(1) A self-insured employer is liable to pay a fee to the Corporation
under this section.
(2) The fee payable by a self-insured employer will be a percentage of the
base premium that would have been payable by the employer if the employer were
not registered as a self-insured employer and liable to pay a base premium under
this Part and will be fixed by the Corporation with a view to raising from
self-insured employers—
(a) a fair contribution towards the administrative expenditure of the
Corporation; and
(b) a fair contribution towards the cost of recovery and return to work
funding; and
(c) a fair contribution towards the costs of the system of dispute
resolution established by this Act (including the costs associated with
independent medical assessors); and
(d) a fair contribution towards the costs associated with the operation of
Part 8;
and
(e) a fair contribution towards actual and prospective liabilities of the
Corporation arising from the insolvency of employers and the other liabilities
of the Corporation as an insurer of last resort.
(3) If the Corporation is satisfied that there are good reasons for
differentiating between different self-insured employers or classes of
self-insured employers, the percentage on which the fee for self-insured
employers is based may vary from self-insured employer to self-insured employer
or from class to class.
(4) If the measures taken by a self-insured employer—
(a) to reduce the incidence of work related traumas and injuries;
and
(b) to provide for the recovery or return to work of workers who have
suffered compensable injuries; and
(c) to provide for the administration of claims,
conform to or exceed standards determined by the Corporation for the
purposes of this subsection, the Corporation may grant to the self-insured
employer such remission of the fee that would otherwise be payable by the
self-insured employer as the Corporation thinks fit.
(5) A fee payable under this section must be paid by a date specified by
the Corporation.
Division 6—Remissions
and supplementary payments
147—Remissions
and supplementary payments
(1) Subject to this
section, the Corporation may, in relation to a particular employer, after having
regard to 1 or more of the matters specified under
subsection (2)
(being a matter that the Corporation determines to be appropriate and
relevant)—
(a) grant the employer a remission of part of a premium or fee that would
otherwise be payable by the employer; or
(b) impose a supplementary payment on the employer (to be paid in addition
to the premiums or fees payable by the employer under this Part).
(2) The following
matters are specified for the purposes of
subsection (1):
(a) the adequacy or
inadequacy of measures taken by the employer to reduce the incidence of work
related traumas and injuries;
(b) the incidence or costs of claims for work injuries suffered by the
employer's workers (disregarding claims of a class excluded from the ambit of
this paragraph by regulation);
(c) the recovery
and return to work facilities or services for injured workers provided by the
employer;
(d) the absence or inadequacy of recovery and return to work facilities or
services provided by the employer;
(e) the employer's practices and procedures in connection with the
appointment and work of a return to work co-ordinator under Part 3
(including with respect to compliance with any relevant guidelines published by
the Corporation for the purposes of
section 26);
(f) the fact that the employer has not been paying a worker who suffers a
work injury the wage to which the worker is entitled under any law (including a
law of the Commonwealth) or under any award or industrial agreement;
(g) the employer's
practices as to the retention, employment or re-employment of injured workers
(and, in particular, any failure on the employer's part to provide, in
accordance with this Act, employment to a worker who has suffered a work injury
in the employer's employment or any breach of this Act that is constituted by
the employer terminating a worker's employment with the employer);
(h) any other
matter (whether similar or dissimilar to those referred to above) that the
Corporation determines to be appropriate and relevant.
(3) The following provisions apply in connection with
subsections (1)
and
(2):
(a) a reference to an employer extends to another employer who is linked
to the employer through a transfer of business;
(b) the matters referred to in
paragraphs (a)
to
(g) (inclusive) of
subsection (2)
are not intended to establish any pattern or principle that must be applied by
the Corporation under
paragraph (h) of
that subsection;
(c) if the
Corporation imposes a supplementary payment, the Corporation may require the
employer to observe conditions stipulated by the Corporation in a written notice
to the employer and if an employer fails to comply with such a condition then
the Corporation may impose on that employer a further supplementary
payment;
(d) the Corporation may establish return to work programs for injured
workers on terms under which an employer who participates in the program by
providing employment for such workers and complying with other conditions of the
scheme determined is entitled to a remission of premium that would otherwise be
payable by the employer on a basis set out in the scheme.
(4) The Corporation may, for any proper reason—
(a) adjust or revoke a remission of any premium or fee granted, or a
supplementary payment imposed, under this section; or
(b) vary or revoke a condition imposed under this section.
(5) A remission or supplementary payment will be provided or payable in
accordance with a scheme approved by the Minister for the purposes of this
section.
Division 7—Administration
of premiums/fees scheme
In this Division—
statutory payment means any of the following under this
Part:
(a) a premium;
(b) a fee;
(c) a supplementary payment.
149—Provision
of information (initial calculations)
(1) Subject to this
Division, an employer must, by a date in each year specified by the Corporation
(which may be specified on an individual or class basis), provide to the
Corporation a return in the designated manner and form that sets out the
information required by the Corporation (by notice to a particular employer or
by notice in the Gazette) for the purposes of the calculation or determination
of any statutory payment under this Part.
(2) The information
required under
subsection (1)
may include information in the form of estimates made according to principles
specified by the Corporation.
(3) The Corporation
may (by notice to a particular employer or by notice in the
Gazette)—
(a) specify an
estimate or estimates that will apply instead of an estimate specified by an
employer under
subsection (2);
(b) require that any information provided under this section be verified
by statutory declaration.
(4) An estimate specified under
subsection (3)(a)
may apply, according to a determination of the Corporation—
(a) despite the provision of an estimate by the employer; or
(b) so as to relieve the employer from the requirement to provide an
estimate under
subsection (2).
(5) If the Corporation specifies an estimate under
subsection (3)(a),
the amount of the estimate will be used for the purposes of the calculation of
any relevant statutory payment under this Part.
(6) The Corporation may, from time to time as the Corporation thinks fit,
vary or revoke a notice under
subsection (3),
or make a new specification or impose a new requirement under
subsection (3).
150—Provision
of information (on-going requirements)
(1) The Corporation
may, from time to time, require an employer to provide to the Corporation in a
designated manner and form information (including information in the form of
estimates) specified by the Corporation—
(a) relating to a period specified by the Corporation; or
(b) relating to any matter specified by the Corporation; or
(c) on the occurrence of any event specified by the Corporation.
(2) The Corporation may require that any information provided under this
section be verified by statutory declaration.
(3) The Corporation may specify an estimate or estimates, or make any
determination, that will apply instead of an estimate or any information
specified by an employer under
subsection (1)
(and any such estimate or determination of the Corporation may apply according
to its terms).
(4) Information required under this section must be provided to the
Corporation within a period determined by the Corporation.
(5) A requirement under this section may be imposed—
(a) under any RTWSA premium provisions or by a RTWSA premium order;
or
(b) by notice to a particular employer or by notice in the
Gazette.
151—Revised
estimates or determinations
(1) The Corporation
may, in addition to the preceding sections of this Division, in its absolute
discretion—
(a) review and revise an estimate or determination previously made under
or for the purposes of this Division; or
(b) correct an error or revise an assessment previously made under or for
the purposes of this Division.
(2) In acting under
subsection (1),
the Corporation may have regard to any matter considered to be relevant by the
Corporation.
(1) If the
Corporation considers that a statutory payment payable by an employer should be
adjusted—
(a) because of a change in—
(i) the category to which the employer belongs; or
(ii) the class of industry or industries in which the employer employs
workers; or
(iii) the workplace or workplaces at which the employer employs workers;
or
(b) because of the specification of an estimate or the making of a
determination under
section 149(3);
or
(c) because of information provided under
section 150;
or
(d) because of the outcome of a review under
section 151;
or
(e) because of any other circumstance prescribed by the
regulations,
the Corporation may issue to the employer a notice of adjustment of the
statutory payment.
(2) If an additional amount is payable under a notice of adjustment under
subsection (1),
the additional amount is payable in accordance with a determination of the
Corporation (and may be recovered as an unpaid statutory payment in a case of
default).
(3) If an excess amount has been paid by the employer on account of a
notice of adjustment under
subsection (1),
the Corporation may at the Corporation's discretion (but subject to the
regulations)—
(a) refund the excess to the employer; or
(b) set off the excess against existing or future liabilities of the
employer for statutory payments under this Part.
(4) An adjustment may be made under this section at any time (including in
respect of any period that has been completed or expired or is still
underway).
(5) Nothing in this section affects the adjustment of a statutory payment
under another provision of this Act.
(1) The Corporation may, on application by an employer, defer the payment
of a statutory payment by the employer if satisfied that—
(a) the employer is in financial difficulties; but
(b) the employer has a reasonable prospect of overcoming the financial
difficulties and the deferment would assist materially in overcoming those
difficulties.
(2) A deferment may be given under this section on conditions that the
Corporation considers appropriate having regard to the objects of this
Act.
(3) The Corporation may, by written notice to the employer, cancel a
deferment under this section.
(4) If a deferment is cancelled, the employer must pay to the Corporation
the amount covered by the deferment as required by the notice of
cancellation.
(5) Nothing in this section affects the ability of the Corporation to
allow an employer to pay a statutory payment by instalments.
(a) fails or neglects to furnish a return when required by or under this
Act; or
(b) furnishes a return that the Corporation has reasonable grounds to
believe to be defective in any respect,
the Corporation may make an assessment of any statutory payment payable by
the employer on the basis of information that has come into the possession of
the Corporation and on the basis of estimates made by the Corporation (or
both).
(2) If an employer
fails to pay a statutory payment, or the full amount of a statutory payment, as
required under this Act, the Corporation may make an assessment of the amount
payable by the employer (including on the basis of estimates made by the
Corporation).
(3) The Corporation
may, as part of an assessment under
subsection (1)
or
(2)—
(a) impose on the employer a fine of an amount (not exceeding 3 times
the amount assessed) fixed by the Corporation; and
(b) impose penalty interest at the prescribed rate (charged from the date
of the original default).
(4) The Corporation may for any proper reason—
(a) remit a fine or penalty interest imposed under
subsection (3)
wholly or in part; or
(b) allow a fine or penalty interest to be paid in instalments.
(5) An employer to whom a notice of an assessment, a fine or penalty
interest under this section is given must pay the amount of the assessment, fine
or penalty interest within the time allowed in the notice.
Maximum penalty: $10 000.
(6) A fine under this section is in addition to a fine payable under
section 139.
(1) If an employer
fails to pay a statutory payment as and when required by or under this
Act—
(a) the amount in arrears will, unless the Corporation determines
otherwise, be increased by penalty interest at the prescribed rate;
and
(b) the Corporation may impose on the employer a fine of an amount (not
exceeding 3 times the amount assessed) fixed by the Corporation (unless a
fine has been imposed under
section 154(3)
on account of a failure to make a statutory payment).
(2)
Subsection (1)
does not apply if—
(a) the employer has not, within the period of 12 months immediately
before the date on which the statutory payment was required to be paid, been in
default for failing to pay a previous statutory payment in accordance with the
requirements of this Act; and
(b) the employer pays the statutory payment within 14 days after the
day on which the statutory payment was required to be paid under this
Act.
(3) The Corporation may for any proper reason—
(a) remit penalty interest or a fine imposed under
subsection (1)
wholly or in part; or
(b) allow penalty interest or a fine to be paid in instalments.
(4) An employer to whom notice of an assessment of penalty interest or a
fine under this section is given must pay the penalty interest or fine within
the time allowed in the notice.
Maximum penalty: $10 000.
156—Exercise
of adjustment powers
The Corporation may exercise its powers under this Part more than once in
relation to any particular period and regardless of whether or
not—
(a) any statutory payment has been fixed, demanded or paid; or
(b) a period to which any determination or adjustment may apply has been
completed or expired; or
(c) the Corporation has already reviewed or adjusted any estimate,
liability or payment under this Part; or
(d) any circumstances have arisen that would, but for this section, stop
the Corporation from conducting a review, or making a determination or
adjustment.
(1) If an employer considers that a decision of the Corporation as
to—
(a) the estimate of remuneration that is to be used for the calculation of
a statutory payment; or
(b) the fixing or assessment of a statutory payment; or
(c) the imposition of penalty interest or a fine; or
(d) the imposition or variation of a condition of a kind that may lead to
the remission or imposition of a supplementary payment,
is unreasonable, the board must, on application by the employer, review the
decision.
(2) An application for review does not suspend a liability to pay a
statutory payment, penalty interest or a fine.
(3) The review will be conducted, in accordance with procedures determined
by the board, by the board itself, or by a committee or person to whom the board
has delegated its powers of review under this section, and the board has an
absolute discretion as to whether it will permit the employer or a
representative of the employer to be heard orally on the review.
(4) On review, the board may—
(a) alter an estimate of remuneration;
(b) alter a statutory payment or an assessment;
(c) quash or reduce penalty interest or a fine;
(d) direct the repayment of amounts overpaid;
(e) quash or vary a condition imposed by the Corporation.
(5) An application under this section for review of a decision of the
Corporation—
(a) must, if the decision relates to a class of employers, be made within
4 months after notice of the decision was given; or
(b) must, if the decision relates to an individual employer, be made
within 2 months after the employer was given notice of the
decision,
unless the board (or its delegate) allows an extension of time for making
the application.
158—Payments
to be made to Corporation
Any statutory payment, penalty interest or fine (other than a fine for an
offence) under this Part will be payable to the Corporation (and may be
recovered by the Corporation as a debt in a court of competent
jurisdiction).
(1) A statutory
payment under this Part is subject to any GST payable under A New Tax System
(Goods and Services Tax) Act 1999 (Commonwealth) and any such GST is
additionally payable by an employer.
(2)
Subsection (1)
does not extend to a fine or any penalty interest imposed under this
Part.
(1) In a case
involving any transfer of business, the Corporation may, as it thinks fit, apply
any claims experience (whether under this Act or at common law) or other factor
applying with respect to the business before the transfer to the employer who
takes over the business on account of the transfer.
(2) For the
purposes of
subsection (1),
a reference to a business includes a reference to any form of
undertaking.
(3) Without limiting
subsections (1)
and
(2), a transfer of
business between 2 employers will be taken to occur if there is a
connection between the 2 employers under section 311 of the Fair
Work Act 2009 of the Commonwealth.
161—Reasonable
mistake about application of Act
(1) Despite any
other provision of this Part, if the Corporation is satisfied that the reason
for an employer failing to pay the correct amount of a statutory payment is that
the employer believed on reasonable grounds that the employer would not be
required to pay a statutory payment in respect of a particular worker because
that worker's employment was not connected with this State by virtue of the
operation of
section 10, the
employer is not liable to pay a fine or penalty interest on account of that
particular failure.
(2) However, if the employer's belief on reasonable grounds under
subsection (1)
was that under
section 10 the
particular worker's employment was connected with another State,
subsection (1)
does not apply unless at the time of the relevant failure the employer had
workers compensation cover in respect of the worker under the law of that other
State.
(3) In this section—
State includes a Territory;
workers compensation cover means insurance or registration
under the law of a State in respect of liability for statutory workers
compensation under that law.
The Corporation must, in a manner and form determined by the Corporation,
maintain a separate account for each employer in which the Corporation
records—
(a) the premiums, fees and supplementary payments charged to the employer;
and
(b) the amounts paid by an employer; and
(c) the costs related to claims (whether under this Act or at common law)
arising from employment by the employer, distinguishing the costs related to
claims for unrepresentative injuries from the other claims; and
(d) all other costs attributable to the employer; and
(e) any other matter that the Corporation thinks fit.
163—Liability
to keep accounts
(1) For the purpose
of completing returns in accordance with this Part, an employer must
keep—
(a) an accurate account of all remuneration paid or payable to the workers
of the employer;
(b) such other information as may be required by the
Corporation.
Maximum penalty: $10 000.
(2) If an employer employs workers in more than 1 class of industry,
the Corporation may require the employer to keep an account and other
information under
subsection (1)
in respect of each separate class.
(3) Any accounts and other information required to be kept under this
section must be kept within the State and in writing in the English language or
so as to be readily accessible and convertible into writing in the English
language.
(4) This section does not apply so as to require the retention of accounts
or other information beyond 7 years or such lesser period as the Corporation may
determine in a particular case from the end of the period to which the accounts
or other information relates.
164—Person
ceasing to be an employer
(1) If a registered employer ceases to be an employer who is required to
be registered under this Part, the person must, within 14 days of ceasing to be
such an employer—
(a) give written notice in a manner and form approved by the Corporation;
and
(b) furnish the Corporation, in a manner and form approved by the
Corporation, with such information as the Corporation may require.
(2) The Corporation may cancel the registration of an employer if it is
satisfied that the person has ceased to be an employer who is required to be
registered under this Part.
(3) The cancellation of registration does not affect any liability that
arose before the date of cancellation.
165—Certificate
of registration
(1) The Corporation must, on the application of an employer who is
registered under this Act, issue a certificate (a certificate of
registration) with respect to—
(a) the registration of the employer under this Act; and
(b) the employer's compliance with any requirement to pay premiums under
this Part.
(2) A certificate of registration will be in a designated form and will
contain information determined by the Corporation.
(3) An employer who
is registered under this Act must, within 5 business days of a request to
do so by a person authorised under this section to make the request, produce a
current certificate of registration for inspection by the person.
Maximum penalty: $1 000.
(4) An employer does not commit an offence against
subsection (3)
if the employer satisfies the court that the employer took reasonable steps to
obtain the relevant certificate within 5 business days of the request for
production but was unsuccessful.
(5) A person who fraudulently alters a certificate of registration issued
under this section is guilty of an offence.
Maximum penalty: $25 000.
(6) An employer to whom a certificate of registration is issued under this
section must notify the Corporation within 5 business days after it is
issued if the certificate contains an error as to the information set out in the
certificate in relation to the employer.
Maximum penalty: $5 000.
(7) A certificate of registration issued under this section is evidence of
the matters that it certifies.
(8) The following persons are authorised to request an employer to produce
the employer's current certificate of registration:
(a) any person who has, in the course of or for the purposes of the
person's trade or business, contracted with the employer for the employer to
carry out the whole or part of any work associated with that trade or business,
or who proposes to enter into such a contract;
(b) an authorised officer;
(c) an officer of an industrial association;
(d) a person authorised by the Corporation in writing for the purposes of
this section.
166—Insurance
of registered employers against other liabilities
(1) An employer who is
registered under this Act, and any employer who is not required to be registered
because of an exemption under the regulations, is insured by the Corporation,
subject to terms and conditions prescribed by regulation, against any liability
that may arise apart from this Act in respect of a work injury arising from
employment (being employment to which this Act applies) by the
employer.
(2) Where an employer
participates in the provision of recovery/return to work services or a
recovery/return to work plan under this Act, and in consequence of that
participation provides work for a person who is not a worker employed by that
employer, that person will be taken to be in the employment of the employer for
the purposes of
subsection (1).
(3) The insurance provided by
subsection (1) does
not extend to a self-insured employer except in relation to persons of the class
referred to in
subsection (2).
(4) The insurance provided by
subsection (1) does
not extend to any liability excluded by the regulations.
167—Corporation
as insurer of last resort
(1) If a
self-insured employer has ceased to be registered as a self-insured employer
under this Act, the Corporation may, in its discretion, undertake, in whole or
part, liabilities related to work injuries arising from employment (including
such injuries for which the employer is liable at common law under this Act)
during the period of that registration.
(2) The Corporation must undertake the liabilities of a formerly
self-insured employer under
subsection (1)
if the employer—
(a) becomes insolvent; or
(b) ceases to carry on business in the State and fails to make provision
that the Corporation considers adequate for dealing with claims, and meeting
liabilities and responsibilities related to work injuries, during the period of
the employer's registration as a self-insured employer.
(3) The Corporation
may recover the amount of liabilities undertaken by the Corporation under this
section as a debt due to the Corporation from the employer (and, if the employer
is being wound up, a claim for the relevant amount may be made in the winding
up).
(4) If a claim is made under
subsection (3)
for an amount representing liabilities that have not fallen due, or have not
been ascertained, as at the date of the claim, the liabilities will be estimated
and capitalised in accordance with principles stated, or referred to, in the
regulations.
Part 10—Scheme
adjustment mechanisms
(1) In this Part—
funding level means the percentage obtained by taking the
value of the total assets of the Corporation and dividing those by the value of
the total liabilities of the Corporation, as determined at the end of a
financial year and by applying any relevant provision of the prescribed standard
and as reported in the Statement of Financial Position of the Corporation in its
annual report for that financial year;
prescribed standard means the Australian Accounting
Standards Board—AASB Standard 1023.
(2) For the purposes of this Part, a probability of sufficiency will be
determined under the prescribed standard.
(3) For the purposes of this Part, an assessment of whether a profit or
loss may arise from the insurance operations of the Corporation in respect of a
financial year will be determined according to the total comprehensive result
reported in the Statement of Comprehensive Income of the Corporation in its
annual report, adjusted by the long term investment earnings rate and any
relevant economic assumptions for investment profit and the cost of
claims.
169—Scheme
adjustment/review events
(1) For the purposes of
this section, a scheme adjustment/review event occurs if—
(a) in respect of each of 2 consecutive financial
years—
(i) the Corporation has achieved a funding level of at least 100% at
a probability of sufficiency of 75%; and
(ii) the Corporation has achieved a profit from its insurance operations;
and
(b) an actuary
reporting on the Corporation's funding level has made a statement under
subsection (2).
(2) The statement
envisaged by
subsection (1)(b) is
that, if a scheme bonus period were to be declared under this section in
relation to a specified financial year—
(a) that the financial position of the scheme established by this Act
would not be expected to fall below a funding level of 100% at a
probability of sufficiency of 75%; and
(b) that a funding level of at least 100% at a probability of
sufficiency of 75% is considered sustainable over the short to medium
term.
(3) If the Minister is
satisfied, on the basis of information contained in the Corporation's annual
reports for 2 consecutive financial years and a statement provided under
subsection (1)(b),
that a scheme adjustment/review event has occurred—
(a) unless
paragraph (b)
applies—the Minister must, by notice in the Gazette, declare a scheme
bonus period in relation to the financial year that next follows the financial
year immediately succeeding the second of those 2 consecutive financial
years; or
(b) if it appears to
the Minister that a declaration of a scheme bonus period would result in the
average premium rate falling below 1.25%—the Minister must initiate a
review of the scheme under
subsection (7) (and
a scheme bonus period cannot be declared under this section until that review
has been completed).
(4) If a scheme bonus period is declared under
subsection (3)(a),
the board must, in consultation with the Minister, determine an amount that is
to be made available for distribution under
subsection (5) (the
prescribed distribution amount) subject to the qualification that
the prescribed distribution amount must take into account factors relevant to
the financial liabilities of the Corporation and must not be an amount that
would cause, in the assessment of the board—
(a) the financial position of the scheme established by this Act to fall
below a funding level of 100% at a probability of sufficiency of 75%
in respect of the relevant financial year; or
(b) a loss from the Corporation's insurance operations in respect of the
relevant financial year; or
(c) a material risk to the ability of the Corporation to achieve a
sustainable funding level of at least 100% at a probability of sufficiency
of 75% over the short to medium term.
(5) The prescribed
distribution amount will be distributed as follows:
(a) half of the amount must be paid into a separate part of the
Compensation Fund called the Return to Work Facilitation Fund;
and
(b) half of the amount must be applied by the Corporation so as to achieve
a reduction in premiums payable under
Part 9
Division 4 in respect of the relevant financial year.
(6) An amount standing to the credit of the Return to Work Facilitation
Fund will be applied by the Corporation towards—
(a) programs designed to assist workers—
(i) who suffer work injuries; but
(ii) who do not achieve a return to suitable employment after they have
recovered (at least to some extent) from any resultant incapacity for
work,
to develop skills, knowledge, capacity and capabilities that will enable
them to transition into employment or work that is reasonably suited to their
circumstances; and
(b) other programs or initiatives approved by the Minister that will
benefit workers who have suffered work injuries.
(7) If the Minister
initiates a review of the scheme under
subsection (3)(b)—
(a) the review must be undertaken by a person appointed by the Minister
after consultation with the Corporation; and
(b) the review must examine—
(i) the level of benefits payable to workers under this Act, and the
extent or level of services available or provided to workers under this Act, and
the extent to which it would be fair and appropriate to increase benefits or
services by the amendment of this Act; and
(ii) the costs of employers on account of payments of premiums under
Part 9
Division 4 and the impact on premiums of any increase to the level of
benefits or services available or provided to workers under this Act;
and
(iii) the sustainability of the Compensation Fund over the short to medium
term; and
(iv) any other matter determined by the Minister; and
(c) the review must be completed within 12 months of the scheme
adjustment/review event.
(8) On the completion of a review under
subsection (7)—
(a) the outcome of the review must be embodied in a written report;
and
(b) the Minister must cause a copy of the report to be laid before both
Houses of Parliament within 12 sitting days after receiving the
report.
(9) To avoid doubt, nothing in the section prevents a series of
declarations being made under
subsection (3)(a) in
relation to rolling periods of consecutive financial years (provided that the
other requirements of this section have been satisfied so that such a
declaration may be made).
170—Scheme
funding/review events
(1) For the purposes of this section, a scheme funding/review event occurs
if in respect of each of 2 consecutive financial years the Corporation has
been operating at a funding level below 90% at a probability of sufficiency
of 75%.
(2) If the Minister is satisfied on the basis of information contained in
the Corporation's annual reports for 2 consecutive financial years that a
scheme funding/review event has occurred, the Minister must initiate a review of
the scheme under
subsection (3).
(3) If the Minister
initiates a review of the scheme under this section—
(a) the review must be undertaken by a person appointed by the Minister
after consultation with the Corporation; and
(b) the review must examine—
(i) the level of benefits payable to workers under this Act, and the
extent or level of services available or provided to workers under this Act;
and
(ii) the costs to employers on account of payment of premiums under
Part 9
Division 4 and the extent to which it would be appropriate to increase
the average premium rate (including by the amendment of this Act to change the
percentage specified in
section 137);
and
(iii) the sustainability of the Compensation Fund over the short to medium
term; and
(iv) any other matter determined by the Minister; and
(c) the review must be completed within 12 months of the scheme
funding/review event.
(4) On the completion of a review under this section—
(a) the outcome of the review must be embodied in a written report;
and
(b) the Minister must cause a copy of the report to be laid before both
Houses of Parliament within 12 sitting days after receiving the
report.
Part 11—The
Minister's Advisory Committee
(1) The Minister's Advisory Committee is established.
(2) The Advisory
Committee consists of 9 members appointed by the Governor of
whom—
(a) 3 will be
appointed on the Minister's nomination; and
(b) 3 (who must include at least 1 suitable representative of
registered employers and at least 1 suitable representative of self-insured
employers) will be appointed on the Minister's nomination made after consulting
with associations representing employers; and
(c) 3 will be appointed on the Minister's nomination made after
consultation with associations representing employees, including the United
Trades and Labor Council.
(3) A member of the Advisory Committee will be appointed on conditions,
and for a term (not exceeding 3 years), determined by the Governor and, on
the expiration of a term of appointment, is eligible for
re-appointment.
(4) A member of the Advisory Committee is entitled to fees, allowances and
expenses approved by the Governor.
(5) The fees, allowances and expenses are payable out of the Compensation
Fund.
(6) The Governor
may remove a member from office for—
(a) breach of, or non-compliance with, a condition of appointment;
or
(b) mental or physical incapacity to carry out duties of office
satisfactorily; or
(c) neglect of duty; or
(d) dishonourable conduct.
(7) The office of a member becomes vacant if the member—
(a) dies; or
(b) completes a term of office and is not re-appointed; or
(c) resigns by written notice addressed to the Minister; or
(d) is removed from office by the Governor under
subsection (6).
(8) On the office of a member of the Advisory Committee becoming vacant, a
person must be appointed, in accordance with this Act, to the vacant
office.
(9) One member of the
Committee must be appointed by the Governor to preside at meetings of the
Committee (who will be referred to in this Act as the presiding
member of the Committee).
(10) An appointment under
subsection (9) must
be made from among the members appointed under
subsection (2)(a).
172—Functions
of Advisory Committee
(1) The functions of the Advisory Committee are—
(a) to investigate or advise the Minister (on its own initiative or at the
request of the Minister) about any matter relating to early intervention,
recovery, return to work or compensation with respect to injured workers;
and
(b) to advise the Minister (on its own initiative or at the request of the
Minister) on—
(i) proposals to make amendments to this Act, or to make regulations under
this Act; or
(ii) other legislative proposals that may affect the operation of this
Act; and
(c) to carry out other functions assigned to the Advisory Committee by the
Minister or under another provision of this Act.
(2) The Advisory Committee may conduct public meetings and discussions and
may, with the approval of the Minister, conduct inquiries, on questions arising
before the Advisory Committee.
(3) The Advisory Committee may on its own initiative, and must at the
direction of the Minister, consult and co-operate with the Corporation, other
government authorities at a State or national level, representatives of
industrial associations and other persons or bodies.
(4) The Advisory Committee may, with the approval of the Minister,
establish subcommittees to assist the Committee.
(5) A subcommittee may, but need not, consist of, or include, members of
the Advisory Committee.
173—Proceedings
etc of Advisory Committee
(1) The Advisory Committee may meet on such occasions as it thinks fit and
must meet at the request or in accordance with any direction of the
Minister.
(2) Six members of the Advisory Committee constitute a quorum of the
Committee.
(3) The presiding member of the Advisory Committee will, if present at a
meeting of the Committee, preside at the meeting and, in the absence of the
presiding member, a member chosen by the members present will preside.
(4) A decision carried by a majority of the votes of the members present
at a meeting of the Advisory Committee is a decision of the Committee.
(5) Each member present at a meeting of the Advisory Committee is entitled
to 1 vote on a matter arising for decision by the Committee, and, if the
votes are equal, the person presiding at the meeting has a second or casting
vote.
(6) The Advisory Committee must ensure that accurate minutes are kept of
its proceedings.
(7) The Advisory Committee may open its proceedings to the public unless
the proceedings relate to commercially sensitive matters or to matters of a
private confidential nature.
(8) Subject to this Act, the proceedings of the Advisory Committee will be
conducted as the Committee determines.
(1) A member of the Advisory Committee who, as a member of the Committee,
acquires information that—
(a) the member knows to be of a commercially sensitive nature, or of a
private confidential nature; or
(b) the Committee classifies as confidential information,
must not divulge the information without the approval of the
Committee.
Maximum penalty: $5 000.
(2) A member of the Advisory Committee will not be taken to have a direct
or indirect interest in a matter for the purposes of the Public
Sector (Honesty and Accountability) Act 1995 by reason only of the
fact that the member has an interest in a matter that is shared in common with
employers generally or employees generally, or a substantial section of
employers or employees.
175—Extension
of the application of Act to self-employed persons
(1) The Corporation
may, on the application of a person who is self-employed, extend to that person
the protection of this Act (or of specified parts of this Act).
(2) An application under
subsection (1)
may be granted by the Corporation subject to such conditions and limitations as
the Corporation thinks fit and any such condition or limitation will, to the
extent of any inconsistency, prevail over the provisions of this Act.
176—Agreements
with LSS Authority
(1) A prescribed authority may, in accordance with section 55 of the
Motor
Vehicle Accidents (Lifetime Support Scheme) Act 2013, enter into an
agreement with the LSS Authority for the provision of services to
persons—
(a) who have suffered work injuries; and
(b) who, in the opinion of the prescribed authority, would benefit from
participating in certain aspects of the Scheme under the Motor
Vehicle Accidents (Lifetime Support Scheme) Act 2013 relating to
treatment, care and support needs and in having other services (whether under
that Act or this Act) provided by the LSS Authority.
(2) If a person is subject to an agreement under this
section—
(a) the person is required to comply with the provisions of the agreement
insofar as it provides for the provision of services by the LSS Authority;
and
(b) the prescribed authority is not required to provide services or
compensation under this Act to the extent that they are provided by the LSS
Authority under this section (and under section 55 of the Motor
Vehicle Accidents (Lifetime Support Scheme) Act 2013);
and
(c) the prescribed authority may, if the agreement so provides and to the
extent provided by the agreement, delegate to the LSS Authority any power or
discretion that is exercisable in relation to the person under any section of
this Act prescribed by the regulations for the purposes of this paragraph
(including, in the case of a self-insured employer, a power or discretion
delegated to the self-insurer employer under
Part 9
Division 2 of this Act); and
(d) the prescribed authority must make any payment contemplated by
section 55(2)(c) of the Motor
Vehicle Accidents (Lifetime Support Scheme) Act 2013 (or under
subsection (3)(c)).
(3) If a power or
discretion is delegated under subsection (2)(c)—
(a) the prescribed authority may direct the LSS Authority how the LSS
Authority is to exercise the power or discretion; and
(b) a decision of the LSS Authority made pursuant to a power or discretion
will have effect as a decision of the prescribed authority and will be subject
to review and appeal as a decision of the prescribed authority; and
(c) the agreement
between the prescribed authority and the LSS Authority may provide
for—
(i) a payment or payments to the LSS Authority to ensure that the LSS
Authority is appropriately funded to provide any relevant services or
compensation under the delegation; and
(ii) other payments in connection with the operation of the
agreement,
(with any such payments to be paid into the Fund under the Motor
Vehicle Accidents (Lifetime Support Scheme) Act 2013).
(4) In this section—
LSS Authority means the Lifetime Support Authority of South
Australia;
prescribed authority means—
(a) in relation to a person who suffered a work injury as a worker of a
self-insured employer—that self-insured employer; and
(b) in any other case—the Corporation.
177—Payment
not to constitute an admission of liability
A payment by the Corporation or an employer to a worker does not constitute
an admission of liability or estop a subsequent denial of liability.
178—Employer
may request progress report
(1) The employer of a
worker may at any time request the Corporation to provide a report
on—
(a) the medical progress being made by the worker;
(b) the worker's capacity for work as assessed under this Act.
(2) A request under
subsection (1)
must be accompanied by the prescribed fee.
(3) The Corporation must prepare a report requested under
subsection (1)
within a reasonable time of the request being made and must send copies of the
report to the employer and the worker.
(1) The Corporation
must, within 7 days after receiving a request from a worker's employer, provide
the employer with copies of reports in the Corporation's possession prepared by
health practitioners and relevant to the worker's medical condition, the
worker's progress in recovery, or the extent of the worker's capacity for
work.
(2) A request under
subsection (1)
must be accompanied by the prescribed fee.
(3) An employer must not disclose confidential information about a worker
in a report obtained under this section except as may be
necessary—
(a) to assist the worker's recovery or return to work; or
(b) for the purposes of proceedings under this Act.
180—Worker's
right of access to claims file
(1) Subject to this
section, the Corporation or a delegate of the Corporation must, at the request
of a worker—
(a) provide the worker, within 45 days after the date of the request, with
copies of all documentary material in the possession of the Corporation or the
delegate relevant to a claim made by the worker; and
(b) make available for inspection by the worker (or a representative of
the worker) all non-documentary material in the possession of the Corporation or
the delegate relevant to a claim made by the worker.
(2) Non-documentary
material is to be made available for inspection—
(a) at a reasonable time and place agreed between the Corporation or
delegate and the worker; or
(b) in the absence of agreement—at a public office of the
Corporation or delegate nominated by the worker at a time (which must be at
least 45 days, but not more than 60 days, after the request is made and during
ordinary business hours) nominated by the worker.
(3) However, the
Corporation or delegate is not obliged to provide copies of material, or to make
material available for inspection by the worker if—
(a) the material is relevant to the investigation of suspected dishonesty
in relation to the claim; or
(b) the material is protected by legal professional privilege;
or
(c) the disclosure of
the material could reasonably be expected to endanger the life or physical
safety of any person.
(4) A worker who is
aggrieved by a decision under
subsection (3) is
entitled to a review of the decision by the Corporation or the delegate (as the
case may be).
(5) An application for review under
subsection (4)—
(a) must be made in accordance with the regulations; and
(b) must be made within 30 days after the day on which notice of the
decision was given to the worker or within such longer period as the Corporation
or delegate may allow.
(6) On an application
for review, the Corporation or delegate may confirm, vary or reverse the
decision under review.
(7) A worker who is
aggrieved by a decision under
subsection (6) may
apply to the Ombudsman for a review of the decision.
(8) An application for a review under
subsection (7)—
(a) must be made in a manner and form determined by the Ombudsman;
and
(b) must be made within 30 days after the day on which notice of the
decision was given to the worker or within such longer period as the Ombudsman
may allow.
(9) The Ombudsman may, in relation to a review under
subsection (7)—
(a) adopt such procedures as the Ombudsman thinks fit; and
(b) at the conclusion of the review confirm, vary or reverse the decision
under review.
(10) If the Corporation or a delegate of the Corporation mistakenly
provides material to a worker to which the worker is not entitled, the worker
must return the material within a reasonable time after requested to do so by
the Corporation or the delegate.
Maximum penalty: $2 500.
(11) In this section, a delegate of the Corporation includes
a self-insured employer.
181—Medical
examination at request of employer
(1) Subject to
subsection (2),
the employer of a worker who has made a claim under this Act may require the
Corporation to have the worker submit to an examination by a recognised health
practitioner nominated by the Corporation.
(2) A worker must
not be required to submit to examinations under this section more frequently
than is permitted by the regulations.
(3) The Corporation may, if it thinks fit, charge the cost of an
examination under this section to the employer.
(4) If it appears that there has been undue delay in having a worker
examined under this section, the Tribunal may, on application by the employer,
give such directions to the Corporation as appear reasonable in the
circumstances to expedite the examination.
(5) The Corporation must comply, or take steps to secure compliance, with
such a direction.
182—Worker
to be supplied with copy of medical report
Where a report is obtained for the purposes of this Act by the Corporation
or an employer on the findings made, or the opinions formed, by a health
practitioner on the examination of a worker, the Corporation or the employer
must, within 7 days after receiving the report, send a copy of the report to the
worker.
183—Powers
of entry and inspection
(1) For the purposes of this Act, an authorised officer may, at any
reasonable time—
(a) enter any workplace;
(b) inspect the workplace, anything at the workplace and work there in
progress;
(c) require a person who has custody or control of books, documents or
records relevant to any matter arising under this Act to produce those books,
documents or records;
(d) examine, copy and take extracts from any such books, documents or
records, or require an employer to provide a copy of any such books, documents
or records;
(e) take photographs, films or video or audio recordings;
(f) take measurements, make notes and records and carry out
tests;
(g) require (directly or through an interpreter) any person to answer, to
the best of that person's knowledge, information and belief, any question
relevant to any matter arising under this Act;
(h) require an employer to produce any document, or a copy of any
document, that is required to be prepared or kept under this Act;
(i) seize any document that has been mistakenly provided by the
Corporation under this Act.
(2) If—
(a) a person whose native language is not English is suspected of having
breached this Act; and
(b) the person is interviewed by an authorised officer in relation to that
suspected breach; and
(c) the person is not reasonably fluent in English,
the person is entitled to be assisted by an interpreter during the
interview.
(3) A person is not required—
(a) to provide information under this section that is privileged on the
ground of legal professional privilege; or
(b) to answer a question under this section if the answer would tend to
incriminate that person of an offence.
(4) An authorised
officer, who suspects on reasonable grounds that an offence against this Act has
been committed, may seize and retain anything that affords evidence of that
offence.
(5) An authorised officer must, at the request of any person from whose
possession evidentiary material is seized under
subsection (4),
provide a receipt for that material.
(6) Where anything has been seized under
subsection (4)
the following provisions apply:
(a) the thing
seized must be held pending proceedings for an offence against this Act related
to the thing seized, unless the Minister, on application, authorises its release
to the person from whom it was seized, or any person who had legal title to it
at the time of its seizure, subject to such conditions as the Minister thinks
fit (including conditions as to the giving of security for satisfaction of an
order under
paragraph (b)(ii));
(b) where
proceedings for an offence against this Act relating to the thing seized are
instituted within 6 months of its seizure and the person charged is found
guilty of the offence, the court may—
(i) order that it be forfeited to the Crown; or
(ii) where it has
been released pursuant to
paragraph (a)—order
that it be forfeited to the Crown or that the person to whom it was released pay
to the Minister an amount equal to its market value at the time of its seizure,
as the court thinks fit;
(c) where—
(i) proceedings are not instituted for an offence against this Act
relating to the thing seized within 6 months after its seizure;
or
(ii) proceedings having been so instituted—
(A) the person charged is found not guilty of the offence; or
(B) the person charged is found guilty of the offence but no order for
forfeiture is made under
paragraph (b),
the person from whom the thing was seized, or any person with legal title
to it, is entitled to recover from the Minister, by action in a court of
competent jurisdiction, the thing itself, or if it has deteriorated or been
destroyed, compensation of an amount equal to its market value at the time of
its seizure.
(7) In the exercise of powers under this section, an authorised officer
may be accompanied by such assistants as may be necessary or desirable in the
circumstances.
(8) An employer whose workplace is subject to an inspection under this
section must provide such assistance as may be necessary to facilitate the
exercise of the powers conferred by this section.
(9) A person must not—
(a) hinder or obstruct an authorised officer in the exercise of a power
conferred by this section; or
(b) refuse or fail, without lawful excuse, to comply with a requirement
under this section.
Maximum penalty: $10 000.
(10) An authorised officer, or a person assisting an authorised officer,
who in the course of exercising powers under this section in relation to an
employer—
(a) unreasonably
hinders or obstructs the employer in the day to day running of his or her
business;
(b) addresses
offensive language to the employer or to any other person at the
workplace;
(c) assaults the
employer or any other person at the workplace,
is guilty of an offence.
Maximum penalty:
(a) for an offence against
paragraph (a) or
(b)—$5 000;
(b) for an offence against
paragraph (c)—$5 000
or imprisonment for 1 year.
184—Inspection
of place of employment by recovery or return to work
adviser
(1) Subject to
subsection (2),
a designated adviser may inspect the place of employment of an injured
worker.
(2) A power of
inspection under
subsection (1)
must be exercised so as to avoid any unnecessary disruption of, or interference
with, the performance of work at a place of employment.
(3) A person must not hinder an inspection under this section.
Maximum penalty: $5 000.
(4) A reference in this section to a designated adviser is a reference to
a person who has been authorised by the Corporation to act under this section in
connection with the provision of recovery/return to work services to a worker or
workers for the purposes of this Act.
185—Confidentiality
to be maintained
(1) A person must not disclose information (except as permitted by
subsection (3))
if—
(a) the person obtained the information in the course of carrying out
functions in, or in relation to, the administration, operation or enforcement of
this Act; and
(b) the information is—
(i) about commercial or trading operations; or
(ii) about the physical or mental condition, or the personal circumstances
or affairs, of a worker or other person; or
(iii) information provided in a return or in response to a request for
information under this Act.
Maximum penalty: $10 000.
(2) The Corporation
may enter into arrangements with corresponding workers compensation authorities
about sharing information obtained in the course of carrying out functions
related to the administration, operation or enforcement of this Act or a
corresponding law.
(3) A disclosure of
information is permitted if it is—
(a) a disclosure in the course of official duties; or
(b) a disclosure of statistical information; or
(c) a disclosure made with the consent of the person to whom the
information relates, or who furnished the information; or
(d) a disclosure made to a corresponding workers compensation authority in
accordance with an arrangement entered into under
subsection (2);
or
(e) a disclosure authorised or required under any other Act or law;
or
(f) a disclosure required by a court or tribunal constituted by law, or
before a review authority; or
(g) a disclosure to the Corporation or a self-insured employer;
or
(h) a disclosure to an injured worker's employer in accordance with this
Act; or
(i) a disclosure to the Lifetime Support Authority of South Australia (the
LSS Authority)—
(i) for purposes
associated with the operation of
section 176 of this
Act, section 55 of the Motor
Vehicle Accidents (Lifetime Support Scheme) Act 2013, or an
agreement envisaged by those sections; or
(ii) without limiting
subparagraph (i), so
that the LSS Authority may provide services and exercise powers and discretions
under this Act or the Motor
Vehicle Accidents (Lifetime Support Scheme) Act 2013; or
(j) a disclosure made under the authorisation of the Minister;
or
(k) a disclosure
authorised by regulation.
(4) A regulation made for the purposes of
subsection (3)(k)
cannot take effect unless it has been laid before both Houses of Parliament
and—
(a) no motion for disallowance is moved within the time for such a motion;
or
(b) every motion for disallowance of the regulation has been defeated or
withdrawn, or has lapsed.
(5) In this section—
corresponding workers compensation authority means any person
or authority in another State or a Territory of the Commonwealth with power to
determine or manage claims for compensation for injuries arising from
employment.
(1) An employer who
is registered under this Act, or a person employed by an employer who is
registered under this Act, must not disclose information about the physical or
mental condition of a worker unless the disclosure is—
(a) reasonably required for, or in connection with, the carrying out of
the proper conduct of the business of the employer; or
(b) required in connection with the operation of this Act; or
(c) made with the consent of the person to whom the information relates,
or who furnished the information; or
(d) required by a court or tribunal constituted by law, or before a review
authority; or
(e) authorised or required under any other Act or law; or
(f) made—
(i) to the Corporation; or
(ii) to the worker's employer; or
(g) made to the Lifetime Support Authority of South Australia (the
LSS Authority)—
(i) for purposes
associated with the operation of
section 176 of this
Act, section 55 of the Motor
Vehicle Accidents (Lifetime Support Scheme) Act 2013, or an
agreement envisaged by those sections; or
(ii) without limiting
subparagraph (i), so
that the LSS Authority may provide services and exercise powers and discretions
under this Act or the Motor
Vehicle Accidents (Lifetime Support Scheme) Act 2013; or
(h) made under the authorisation of the Minister; or
Maximum penalty: $10 000.
(2) A regulation made for the purposes of
subsection (1)(i)
cannot take effect unless it has been laid before both Houses of Parliament
and—
(a) no motion for disallowance is moved within the time for such a motion;
or
(b) every motion for disallowance of the regulation has been defeated or
withdrawn, or has lapsed.
The Corporation may, as it thinks fit, disclose the following information
in relation to any employer registered (or previously registered) under this
Act:
(a) the number of claims (whether under this Act or at common law) in
respect of work injuries made by the employer's workers in a particular
period;
(b) the cost of claims (whether under this Act or at common law) in
respect of work injuries suffered by the employer's workers in a particular
period;
(c) the nature of work injuries suffered by the employer's
workers;
(d) details of any remission of premiums granted to the employer, or any
supplementary payment imposed on the employer, under
Part 9
Division 6.
188—Injuries
that develop gradually
(1) An injury (not being noise induced hearing loss) that develops
gradually or is a disease will be taken to have occurred when the worker first
becomes totally or partially incapacitated for work by the injury.
(2) Subject to this section, where a claim is made under this Act in
respect of noise induced hearing loss by a worker (not being a person who has
retired from employment on account of age or ill-health), the whole of the loss
will be taken to have occurred immediately before notice of the injury was given
and, subject to any proof to the contrary, to have arisen out of employment in
which the worker was last exposed to noise capable of causing noise induced
hearing loss.
(3) If a claim is made under this Act in respect of noise induced hearing
loss by a person who has retired from employment on account of age or
ill-health, the whole of the loss will be taken to have occurred immediately
before the person retired and, subject to any proof to the contrary, to have
arisen out of employment in which the person was last exposed to noise capable
of causing noise induced hearing loss.
(4) The Corporation
may, by notice to the particular employer or employers, or by notice in the
Gazette, require an employer, or employers of a specified class determined by
the Corporation, to carry out (within a period specified by the Corporation)
tests of a kind prescribed by the regulations on workers belonging to classes
determined by the Corporation.
(5) Unless the Corporation otherwise determines, the cost of carrying out
tests under
subsection (4)
must be borne by the employer.
(6) If—
(a) a self-insured
employer establishes in accordance with procedures laid down by the regulations
that a worker was, at the time of undertaking employment with the employer,
suffering from a particular injury; and
(b) the injury is of a prescribed class; and
(c) an aggravation, acceleration, exacerbation, deterioration or
recurrence of the injury arises from employment by the employer referred to in
paragraph (a);
and
(d) the employer pays compensation under this Act in respect of the
injury,
the employer may, by action in the Industrial Relations Court of South
Australia, recover a fair contribution, determined by the Court, towards the
amount of the compensation—
(e) from any self-insured employer from whose employment the injury
established under
paragraph (a)
arose; or
(f) if there is no such self-insured employer—from the
Corporation.
(7) If—
(a) an employer
(not being a self-insured employer) establishes in accordance with procedures
laid down by the regulations that a worker was, at the time of undertaking
employment with the employer, suffering from a particular injury; and
(b) the injury is of a prescribed class; and
(c) an aggravation, acceleration, exacerbation, deterioration or
recurrence of the injury arises from employment by the employer referred to in
paragraph (a);
and
(d) the Corporation pays compensation under this Act in respect of the
injury,
the Corporation may, by action in the Industrial Relations Court of South
Australia, recover a fair contribution, determined by the Court, towards the
amount of the compensation from any self-insured employer from whose employment
the injury established under
paragraph (a)
arose.
189—Certain
payments not to affect benefits under this Act
Compensation provided to a person under this Act must not be reduced or
otherwise affected by—
(a) an ex gratia payment; or
(b) an accident insurance payment; or
(c) a payment or benefit of a class prescribed by regulation for the
purposes of this section.
190—No
contribution from workers
(1) An employer must not deduct from the wages of a worker any part of any
sum that the employer is or may become liable to pay under this Act.
(2) An employer must not discriminate against a worker on the ground that
the employer is liable to pay any sum under this Act to or in relation to the
worker.
(3) An employer must not require or permit a worker to contribute in any
manner towards indemnifying the employer against any liability which the
employer may incur under this Act.
(4) A person who contravenes this section—
(a) is guilty of an offence and liable to a penalty not exceeding $10 000;
and
(b) is liable to compensate a worker for any monetary loss suffered by
virtue of that contravention.
(1) This Act applies
despite any contract to the contrary.
(2)
Subsection (1) does
not apply to or in relation to—
(a) a contract entered into with the consent of the Corporation;
or
(b) any circumstances prescribed by the regulations.
192—Non-assignability
of benefits
(1) Compensation under
this Act—
(a) is not capable of being assigned, charged or attached; and
(b) does not pass to any other person by operation of law,
nor can any claim be set off against that compensation (except as may be
otherwise provided under this Act).
(2)
Subsection (1) has
no effect to the extent to which (but for this subsection) it would operate to
prevent—
(a) the satisfaction of an obligation by the worker to maintain another
person pursuant to an order of a court of competent jurisdiction; or
(b) the passing of accrued rights of a deceased worker to a legal personal
representative.
193—Payments
if worker in prison
(1) If a person who is in receipt of weekly payments under this Act is
convicted of an offence and committed to prison, then during the period of
imprisonment the weekly payments will be suspended by force of this section
unless the Corporation determines that they should be paid to the dependants of
the prisoner (and any determination of the Corporation is not
reviewable).
(2) If the Corporation determines that weekly payments should be paid to
the dependants of a prisoner, they will be so paid in such proportions as the
Corporation may determine.
(1) A notice or
other document required or authorised by this Act to be served or given to any
person may be served—
(a) personally; or
(b) by leaving the notice or document at an address for service;
or
(c) by sending the
notice or document or a sealed copy of the notice or document by post addressed
to the person at an address for service; or
(d) by such other method as is permitted by regulations under this Act or
by any Act.
(2) In any case to which
subsection (1)(c)
applies, unless the contrary is proved, service of a notice or document will be
taken to have been effected 2 business days after the date of posting.
(3) In
subsection (1)—
address for service, in relation to a person,
means—
(a) the person's last known place of residence or business; or
(b) an address for service as shown on a claim or a return made or
furnished by the person, or on the person's behalf, under this Act (not being an
address superseded by a subsequent address for service shown on a later claim or
return).
195—Service
of documents on Corporation
Any claim, notice, return or form to be served on the Corporation for the
purposes of this Act may be served by lodgment at an office of the Corporation
with a person authorised by the Corporation to accept service of documents on
its behalf.
(a) obtains by dishonest means a payment or other benefit under this Act;
or
(b) dishonestly claims to be entitled to a payment or other benefit under
this Act; or
(c) dishonestly makes a statement about a claim under this Act knowing the
statement is false or misleading; or
(d) dishonestly makes an application, or gives a return, under this Act
knowing the application or return to be false or misleading,
is guilty of an offence.
Maximum penalty: $50 000 or imprisonment for 2 years.
(2) A person who—
(a) aids, abets, counsels or procures the commission of an offence against
subsection (1);
or
(b) solicits or incites the commission of any such offence,
is guilty of an offence.
Maximum penalty: $10 000 or imprisonment for 1 year.
(3) If a court convicts a person of an offence against this section, or
finds a person guilty of such an offence without recording a conviction, the
court must, on application by the Corporation or a self-insured employer, order
the person who committed the offence—
(a) to make good any loss to the applicant resulting from the commission
of the offence; and
(b) to reimburse costs incurred by the applicant in investigating and
prosecuting the offence.
(1) In any legal proceedings, a certificate apparently signed by an
officer of the Corporation, certifying—
(a) that a person was, on a day specified in the certificate, an
employer;
(b) that a person was, on a day specified in the certificate, a
worker,
will, in the absence of proof to the contrary, be proof of the matters
stated in the certificate.
(2) In any legal proceedings against a person for failing to register with
the Corporation as an employer, a certificate apparently signed by an officer of
the Corporation, certifying that the person was not, on a specified day,
registered as an employer will, in the absence of proof to the contrary, be
proof of the matters stated in the certificate.
(3) In any legal proceedings, a certificate apparently signed by an
officer of the Corporation, certifying that an amount specified in the
certificate is payable to the Corporation, by way of premium, fee, supplementary
payment or fine, by a person named in the certificate, will, in the absence of
proof to the contrary, be proof of the liability.
(4) In any proceedings against a person for failing to furnish a return
under this Act, a certificate apparently signed by an officer of the Corporation
certifying that the return was not received before the expiration of the period
within which it was required to be furnished will, in the absence of evidence to
the contrary, be proof that the defendant failed duly to furnish the
return.
(5) In any proceedings, a certificate apparently under the seal of the
Corporation certifying that an officer of the Corporation named in the
certificate was, on a day specified in the certificate, invested with specified
delegated powers or functions will, in the absence of evidence to the contrary,
be proof of the matters stated in the certificate.
(6) In this section—
officer of the Corporation includes a person who, although
not an officer of the Corporation, is acting under a delegation of the
Corporation.
(1) A person who
contravenes or fails to comply with a provision of this Act is guilty of an
offence.
(2) A person who is guilty of an offence against this Act for which no
penalty is specifically provided is liable to a fine not exceeding
$5 000.
(3) Proceedings for an offence against this Act will be disposed of
summarily.
(4) A prosecution for an offence against this Act must be commenced within
3 years after the date on which the offence is alleged to have been
committed.
(5)
Subsection (1)
does not render the Corporation, a member of the staff of the Corporation, or
any person acting on behalf of the Corporation, liable to prosecution for any
act or omission related to the administration or enforcement of this
Act.
Expiation fees may be fixed, by regulation, for alleged offences against
this Act.
The Corporation has a right to intervene and be heard in—
(a) any proceedings under this Act before the Tribunal; or
(b) any proceedings before a court—
(i) in which the interpretation or application of this Act or the repealed
Act is in issue; or
(ii) in which the Corporation's interests may be directly or indirectly
affected.
(1) In addition to the
other provisions of this Act, the Corporation may recover (as a debt) from a
worker, an employer or any other person any payment of compensation or other
amount to which the worker, employer or other person is not entitled under this
Act.
(2)
Subsection (1)
extends to a situation where the Corporation is correcting an error, mistake or
oversight, or revising an assessment, previously made by the Corporation under
this Act.
(3) If the Corporation recovers or receives from a worker or other person
an amount on account of compensation paid by the worker's employer, the
Corporation may reimburse the amount to the employer.
(4) This section does not limit any other right of a recovery under
another section of this Act.
(1) The Governor may
make such regulations as are contemplated by this Act, or as are necessary or
expedient for the purposes of this Act.
(2) Without limiting the generality of
subsection (1), the
regulations may—
(a) require the keeping of records, statistics or other information;
and
(b) require the provision of reports, statements, documents or other forms
of information to the Corporation; and
(c) require the giving of notice to the Corporation at specified
intervals, or on the occurrence of any specified event; and
(d) specify any procedure associated with any process under this Act;
and
(e) make provisions with respect to the operation of this Act in relation
to self-insured employers; and
(f) provide for the waiver of any fee prescribed by the regulations;
and
(g) impose penalties, not exceeding $20 000, for a contravention of, or
failure to comply with, a regulation; and
(h) provide that an amount prescribed by the regulations may be adjusted
on an annual basis according to changes in the Consumer Price Index (with
amounts being able to be rounded up under a scheme prescribed by the
regulations).
(3) A regulation may—
(a) refer to or incorporate, wholly or partially and with or without
modification, a document prepared or published by a specified body, either as in
force at the time the regulation is made or as in force from time to time;
and
(b) be of general or limited application; and
(c) make different provision according to the persons or circumstances to
which it is expressed to apply; and
(d) provide that a matter is to be determined according to the discretion
of the Minister or the Corporation.
(1) The Minister must cause a review of this Act and its administration
and operation to be conducted on the expiry of 3 years from its
commencement.
(2) The review must include an assessment of—
(a) the extent to which the scheme established by this Act and the dispute
resolution processes under this Act and the South
Australian Employment Tribunal Act 2014 have achieved a reduction
in the number of disputed matters and a decrease in the time taken to resolve
disputes (especially when compared to the scheme and processes applying under
the repealed Act); and
(b) the extent to which there has been an improvement in the determination
or resolution of medical questions arising under this Act (especially when
compared to the system applying under the repealed Act),
and may include any other matter that the Minister considers to be relevant
to a review of this Act.
(3) The review must be completed within 6 months and the results of the
review embodied in a written report.
(4) The Minister must cause a copy of the report to be laid before both
Houses of Parliament within 12 sitting days after receiving the
report.
Schedule 1—Presumptive
employment
(1) The Crown is the
presumptive employer of persons of a prescribed class who voluntarily perform
work of a prescribed class that is of benefit to the State (and the Crown
therefore has the liabilities of a self-insured employer in relation to persons
of that class).
(2) Where a person of a class prescribed under
subclause (1)
suffers a work injury while performing the work to which the prescription
relates—
(a) the question of whether and, if so, to what extent the person is
incapacitated for work must be determined according to the employment (including
self-employment) in which the person was otherwise engaged at the commencement
of the incapacity or, if the person was not then engaged in other employment, by
reference to employment for which he or she was then reasonably fitted;
and
(b) subject to
paragraph (c),
the average weekly earnings of the person must be determined—
(i) if the person was self-employed, by reference to the remuneration that
the person would have received if he or she had been doing the same work in
employment; or
(ii) if the person was not employed, by reference to the remuneration that
the person would have received if he or she had been working in employment for
which he or she was reasonably fitted,
and if there is an award or industrial agreement applicable to that class
of employment, by reference to that award or agreement; and
(i) the person dies; and
(ii) a claim for compensation is made by a person claiming to be a
dependant of the deceased; and
(iii) the deceased and the claimant were both members of a partnership or
proprietary company and the predominant work of the deceased before the date of
death was in the business of that partnership or company,
then for the purposes of determining whether the claimant was a dependant
of the deceased and, if so, the extent of the dependency, any income derived by
the claimant from the partnership or company during the deceased's lifetime will
(to the extent that the income is attributable to the deceased's work on behalf
of the partnership or company) be taken to be an allowance made by the deceased,
out of the deceased's own income, for the maintenance of the claimant.
(3) For the purposes of this clause—
(a) each of the
following is a prescribed class of persons:
(i) members of
SACFS who voluntarily perform work in connection with that membership;
(ii) other persons of a class prescribed by the regulations; and
(b) work of a prescribed class is constituted by—
(i) in relation to a member of SACFS under
paragraph (a)(i)—
(A) any activity directed towards preventing, controlling or extinguishing
a fire, or dealing with any other emergency that requires SACFS to act to
protect life, property or the environment; or
(B) attending in response to a call for assistance by SACFS; or
(C) attending a SACFS meeting, competition, training exercise or other
organised activity; or
(D) any other activity carried out in relation to the functions of SACFS
under the Fire
and Emergency Services Act 2005; and
(ii) other work of a class prescribed by the regulations.
Schedule 2—Injuries
presumed to arise from general employment
Description of injury |
Description of work |
---|---|
Ankylostomiasis |
Mining. |
Anthrax |
Any work— (a) in connection with animals infected with anthrax; (b) involving handling of animal carcasses or parts of such
carcasses; (c) involving handling of wool, hair, bristles, hides or skins; (d) involving loading or unloading, or transport, of animals, animal
carcasses or parts of such carcasses, wool, hair, bristles, hides or
skins. |
Antimony poisoning or its sequelae |
Any work involving the use of antimony or its preparations or
compounds. |
Arsenic poisoning or its sequelae |
Any work involving the use of arsenic or its preparations or
compounds. |
Asbestosis |
Any work involving exposure to inhalation of asbestos fibres. |
Asthma or asthmatic attacks |
Any work involving contact with, or the inhalation of, the dust of red
pine, western red cedar or blackwood. Any work involving contact with, or the inhalation of, flour or flour
dust. |
Benzene poisoning (ie poisoning by benzene or its homologues or their
nitro- and amido-derivatives) and its sequelae |
Any work involving the production, liberation or utilisation of benzene or
its homologues or their nitro- and amido-derivatives. |
Brucellosis, leptospirosis, or Q fever |
Any work at, in, about, or in connection with, a meat works or involving
the handling of meat, hides, skins or carcasses. |
Carbon monoxide poisoning or its sequelae |
Any work involving contact with, or the inhalation of, carbon monoxide
gas. |
Chrome ulceration or its sequelae |
Any work involving the use of chromic acid or bi-chromate or ammonium
potassium or sodium or their preparations. |
Copper poisoning or its sequelae |
Any work involving the use or handling of copper or its preparations or
compounds. |
Dermatitis |
Any work involving exposure to, or contact with, the dust of
blackwood. |
Halogen poisoning (ie poisoning by the halogen derivatives of hydrocarbons
of the aliphatic series) and its sequelae |
Any work involving the production, liberation or utilisation of halogen
derivatives or hydrocarbons of the aliphatic series. |
Lead poisoning or its sequelae |
Any work involving the use of lead or its preparations or
compounds. |
Mercury poisoning or its sequelae |
Any work involving the use of mercury or its preparations or
compounds. |
Mesothelioma |
Any work involving exposure to inhalation of asbestos fibres. |
Nitrous fumes poisoning and its sequelae |
Any work involving contact with nitric acid or the inhalation of nitrous
fumes. |
Noise induced hearing loss |
Any work involving exposure to noise. |
Pathological manifestations due to— (a) radium and other radioactive substances; (b) X-rays |
Any work involving exposure to the action of radium, radioactive substances
or X-rays. |
Phosphorus, poisoning or its sequelae |
Any work involving the use of phosphorus or its preparations or
compounds. |
Pneumoconiosis, including silicosis |
Any work involving mining, quarrying, cutting, crushing, grinding or
pushing stone or melting, grinding or polishing metal. |
Primary epitheliomatous cancer of the skin |
Any work involving processes which involve the handling or use of tar,
pitch, bitumen, mineral oil, paraffin, or the compounds, products or residues of
those substances. |
Septic poisoning or its sequelae |
Any work involving the handling of meat or the manufacture of meat products
or animal by-products in connection with the trade of butcher or
slaughterman. |
Zinc poisoning or its sequelae |
Any work involving the use of zinc or its preparations or
compounds. |
Schedule 3—Injuries
presumed to arise from employment as a firefighter
(a) a worker suffers an injury of a kind referred to in the first column
of the table in this Schedule; and
(b) the injury occurred on or after 1 July 2013; and
(c) before the injury occurred, the worker was employed by SAMFS as a
firefighter for the qualifying period referred to in the second column of the
table opposite the injury; and
(d) during that period, the worker was exposed to the hazards of a fire
scene (including exposure to a hazard of the fire that occurred away from the
scene),
the worker's injury is presumed, in the absence of proof to the contrary,
to have arisen from employment by SAMFS.
(2) For the purposes of
subclause (1)—
(a) a worker is taken to have been employed as a firefighter if
firefighting duties made up a substantial portion of his or her duties;
and
(b) a worker who was so employed for 2 or more periods that add up to
or exceed the qualifying period is taken to have been employed for the
qualifying period; and
(c) the qualifying period may include a period or periods that commenced
or occurred before 1 July 2013.
(a) a worker suffers an injury of a kind referred to in the first column
of the table in this Schedule; and
(b) the injury occurred on or after 1 July 2013; and
(c) before the injury occurred, the worker was a member of SACFS
presumptively employed by the Crown as a firefighter for the qualifying period
referred to in the second column of the table; and
(d) the worker was exposed to the hazards of a fire scene (including
exposure to a hazard that occurred away from the scene) at least 175 times in
any 5 year period during that employment,
the worker's injury is presumed, in the absence of proof to the contrary,
to have arisen from his or her presumptive employment by the Crown.
(4) For the purposes of
subclause (3)—
(a) a worker is taken to have been presumptively employed by the Crown as
a firefighter if the Crown was his or her presumptive employer under
Schedule 1 because
he or she was a member of SACFS and voluntarily performed firefighting work in
connection with that membership; and
(b) a person performs firefighting work if he or she engages in activity
directed towards preventing, controlling or extinguishing a fire; and
(c) all of the attendances as a firefighter by a worker at any 1 fire
scene on a particular day are to be taken to comprise 1 exposure to the hazards
of a fire scene; and
(d) a worker who was employed for 2 or more periods that add up to or
exceed the qualifying period is taken to have been employed for the qualifying
period; and
(e) the qualifying period may include a period or periods that commenced
or occurred before 1 July 2013.
Description of injury |
Qualifying period |
---|---|
Primary site brain cancer |
5 years |
Primary site bladder cancer |
15 years |
Primary site kidney cancer |
15 years |
Primary non-Hodgkins lymphoma |
15 years |
Primary leukemia |
5 years |
Primary site breast cancer |
10 years |
Primary site testicular cancer |
10 years |
Multiple myeloma |
15 years |
Primary site prostate cancer |
15 years |
Primary site ureter cancer |
15 years |
Primary site colorectal cancer |
15 years |
Primary site oesophageal cancer |
25 years |
(1) In this Schedule—
continental shelf and territorial sea have the
same meanings as those terms have in the Seas and Submerged Lands Act;
Petroleum Act means the Petroleum (Submerged Lands) Act
1967 of the Commonwealth;
Seas and Submerged Lands Act means the Seas and Submerged
Lands Act 1973 of the Commonwealth.
(2) If the Petroleum Act is repealed and re-enacted (with or without
modifications), a reference in this Schedule to that Act, or to a provision or
Schedule of that Act, will be taken to include a reference to the new
Commonwealth Act, or to the corresponding provision or Schedule in the new
Commonwealth Act, (as the case requires).
(1) The adjacent area for South Australia, New South Wales,
Victoria or Tasmania is so much of the area described in Schedule 2 to the
Petroleum Act in relation to that State as is within the outer limits of the
continental shelf and includes the space above and below that area.
(2) The adjacent area for Queensland is—
(a) so much of the
area described in Schedule 2 to the Petroleum Act in relation to Queensland
as is within the outer limits of the continental shelf; and
(b) the Coral Sea
area (within the meaning of subsection (7) of section 5A of the
Petroleum Act) other than the territorial sea within the Coral Sea area;
and
(c) the areas
within the outer limits of the territorial sea adjacent to certain islands of
Queensland as determined by proclamation on 4 February 1983 under section 7
of the Seas and Submerged Lands Act; and
(d) the space above and below the areas described in
paragraphs (a),
(b) and
(c).
(3) The adjacent area for Western Australia is so much of
the area described in Schedule 2 to the Petroleum Act in relation to
Western Australia as—
(a) is within the outer limits of the continental shelf; and
(b) is not within Area A of the Zone of Cooperation,
and includes the space above and below that area.
(4) The adjacent area for the Northern Territory
is—
(a) so much of the
area described in Schedule 2 to the Petroleum Act in relation to the
Northern Territory as—
(i) is within the outer limits of the continental shelf; and
(ii) is not within Area A of the Zone of Cooperation; and
(b) the adjacent
area for the Territory of Ashmore and Cartier Islands (within the meaning of
subsection (3) of section 5A of the Petroleum Act) other than the
territorial sea within that area; and
(c) the space above and below the areas described in
paragraphs (a)
and
(b).
(5) However, the adjacent area for a State does not include any area
inside the limits of any State or Territory.
Schedule 5—Statement
of service standards
Part 1—Introduction
(1) These standards are intended to meet the reasonable expectations of
workers and employers about how the Corporation should deal with them
by—
(a) setting out principles that will be observed by the Corporation when
it is dealing with a worker or an employer; and
(b) providing a procedure for lodging and dealing with complaints about
breaches of these standards; and
(c) providing consequences and remedies for breaches of these
standards.
(2) These standards recognise that when a worker or an employer deals with
the Corporation, it is reasonable for the worker and the employer to expect the
highest standards of service and fairness.
Unless the contrary intention appears, a reference in these standards to
the Corporation includes—
(a) a reference to a self-insured employer; and
(b) a reference to a claims agent or to a provider of services engaged by
the Corporation or a self-insured employer.
These standards encourage positive relationships between the Corporation,
workers and employers and acknowledge that the Corporation, workers and
employers need to work together in order to achieve the best outcomes for all,
especially by adopting early intervention and return to work processes when a
worker is injured at work.
Part 2—The standards
The Corporation will—
(a) view a worker’s recovery and return to work as the primary goal
if a worker is injured while at work;
(b) ensure early and timely intervention occurs to improve recovery and
return to work outcomes including after retraining (if required);
(c) with the active assistance and participation of the worker and the
employer, consistent with their obligations under this Act, ensure that recovery
and return to work processes focus on maintaining the relationship between the
worker and the employer;
(d) ensure that a worker’s employer is made aware of, and fulfils,
the employer’s recovery and return to work obligations because early and
effective workplace-based coordination of a timely and safe return to work
benefits an injured worker’s recovery;
(e) treat a worker and an employer fairly and with integrity, respect and
courtesy, and comply with stated timeframes;
(f) be clear about how the Corporation can assist a worker and an employer
to resolve any issues by providing accurate and complete information that is
consistent and easy to understand (including options about any claim,
entitlements, obligations and responsibilities);
(g) assist a worker in making a claim and, if necessary, provide a worker
with information about where the worker can access advice, advocacy services and
support;
(h) take all reasonable steps to provide services and information in a
worker’s or employer’s preferred language and format, including
through the use of interpreters if required, and to demonstrate respect and
sensitivity to a person’s cultural beliefs and values;
(i) respect and maintain confidentiality and privacy in accordance with
any legislative requirements;
(j) provide avenues for feedback or for making complaints, and to be clear
about what can be expected as a response;
(k) recognise a right of a worker or an employer to be supported by
another person and to be represented by a union, advocate or lawyer.
Part 3—Complaints about breaches of these
standards
A worker or an employer who has a concern about whether the Corporation has
complied with any of these standards may—
(a) raise the issue or concern directly with the Corporation so that it
can be dealt with in an immediate way; or
(b) —
(i) if the matter is a concern in relation to the Corporation, rather than
a self-insured employer or a provider of services engaged by a self-insured
employer, and the matter comes within the scope of the State Ombudsman's
functions—lodge a complaint with the State Ombudsman; or
(ii) if the matter is a concern in relation to a self-insured employer or
a provider of services engaged by a self-insured employer—lodge a
complaint with the Corporation.
6—Procedures
for the Corporation to deal with a complaint
(1) The Corporation
will work with a person who lodges a complaint to help him or her to address and
resolve problems and concerns and to find a resolution to the matter in an
effective way.
(2) As an important part of the steps to be taken under
subclause (1), the
Corporation will advise the person of—
(a) what steps have been taken in relation to the relevant problem or
concern; and
(b) the procedure that can be followed to lodge a complaint with the State
Ombudsman if the person is not satisfied with the resolution of the matter by
the Corporation.
(3) The Corporation will provide a response to a complaint within 10
business days after the complaint is lodged with the Corporation.
(4) If a matter requires extended investigation, the person will, within
10 business days, receive an interim response and an indication of when a final
response will be provided.
If it is found that the Corporation has breached any of these standards,
the Corporation is to do 1 or more of the following:
(a) provide a written or oral apology;
(b) furnish a written explanation;
(c) meet with the worker or employer to consider his or her views and to
achieve a resolution of the matter;
(d) furnish information to the worker or the employer, in an appropriate
form, which outlines, where relevant—
(i) the status of any claim and extent of entitlements; and
(ii) the review rights that exist under this Act; and
(iii) the services that are available and the timeframes that should apply
in relation to a dispute;
(e) provide a worker with a copy of his or her file in accordance with
section 180 of this Act or under the Freedom
of Information Act 1991;
(f) invite feedback about any response and ensure that any questions are
answered or requests are responded to in an appropriate manner;
(g) take any other reasonable steps to remedy the matter.
Part 4—Wider issues
The Corporation will consider and address the wider implications associated
with the operation and effectiveness of these standards and any complaints that
arise under them by—
(a) monitoring and analysing issues that arise from the complaints
processes; and
(b) identifying and addressing concerns with operational policies and
processes; and
(c) informing workers and employers about steps that have been taken under
these standards to address their concerns and by taking steps to prevent the
recurrence of breaches and complaints.
Worker's age at the relevant date (in years) |
Percentage to be applied |
25 or less |
100% |
26 |
99% |
27 |
98% |
28 |
97% |
29 |
96% |
30 |
95% |
31 |
94% |
32 |
93% |
33 |
92% |
34 |
91% |
35 |
90% |
36 |
89% |
37 |
88% |
38 |
87% |
39 |
86% |
40 |
85% |
41 |
84% |
42 |
83% |
43 |
82% |
44 |
81% |
45 |
80% |
46 |
78% |
47 |
76% |
48 |
74% |
49 |
72% |
50 |
70% |
51 |
68% |
52 |
66% |
53 |
64% |
54 |
62% |
55 |
60% |
56 |
56% |
57 |
52% |
58 |
48% |
59 |
44% |
60 |
40% |
61 |
36% |
62 |
32% |
63 |
28% |
64 |
24% |
65 |
20% |
66 |
16% |
67 |
12% |
68 |
8% |
69 |
4% |
70 or more |
0% |
Schedule 7—Prescribed
sum—economic loss
Degree of whole person impairment |
Prescribed sum |
5% |
$5 000 (indexed) |
6% |
$7 785 (indexed) |
7% |
$12 027 (indexed) |
8% |
$20 296 (indexed) |
9% |
$30 067 (indexed) |
10% |
$41 342 (indexed) |
11% |
$48 437 (indexed) |
12% |
$56 105 (indexed) |
13% |
$63 572 (indexed) |
14% |
$73 512 (indexed) |
15% |
$86 453 (indexed) |
16% |
$95 574 (indexed) |
17% |
$106 178 (indexed) |
18% |
$120 643 (indexed) |
19% |
$135 731 (indexed) |
20% |
$153 296 (indexed) |
21% |
$168 781 (indexed) |
22% |
$186 285 (indexed) |
23% |
$204 170 (indexed) |
24% |
$222 389 (indexed) |
25% |
$242 659 (indexed) |
26% |
$263 215 (indexed) |
27% |
$290 602 (indexed) |
28% |
$318 645 (indexed) |
29% |
$350 000 (indexed) |
Schedule 8—Minimum
amounts of compensation according to degree of impairment under
regulations
Degree of whole person impairment |
Minimum compensation payable under
regulations |
5% - 9% (inclusive) |
$11 800 (indexed) |
10% - 29% (inclusive) |
$20 768 (indexed) |
30% - 49% (inclusive) |
$117 668 (indexed) |
50% - 100% (inclusive) |
$472 000 (indexed) |
Schedule 9—Repeal,
amendments and transitional provisions
Part 1—Preliminary
In this Schedule, a provision under a heading referring to the amendment of
a specified Act amends the Act so specified.
Part 2—Repeal
The Workers
Rehabilitation and Compensation Act 1986 is repealed.
Part 3—Amendment of Civil Liability
Act 1936
3—Amendment
of section 4—Application of Act
Section 4(4)—delete "the Workers
Rehabilitation and Compensation Act 1986" and substitute:
Part 4 of the Return
to Work Act 2014
Part 4—Amendment of Judicial Administration
(Auxiliary Appointments and Powers) Act 1988
4—Amendment
of section 2—Interpretation
Section 2, definition of judicial office, (ba)—delete
paragraph (ba) and substitute:
(ba) the office of Deputy President of the South Australian Employment
Tribunal;
Part 5—Amendment of Motor Vehicle Accidents
(Lifetime Support Scheme) Act 2013
5—Amendment
of section 24—Eligibility for participation in Scheme
Section 24(5)(b)—delete paragraph (b) and substitute:
(b) a motor vehicle injury that is also a work injury under the Return
to Work Act 2014 (other than to such extent as applies under
section 55).
6—Amendment
of section 55—Agreements with prescribed authorities
(1) Section 55(1)(a) and (b)—delete paragraphs (a) and (b)
and substitute:
(a) who have suffered work injuries under the Return
to Work Act 2014; and
(b) who, in the opinion of the prescribed authority, would benefit from
participating in certain aspects of the Scheme relating to treatment, care and
support needs and in having other services (whether under this Act or the Return
to Work Act 2014) provided by the Authority.
(2) Section 55(2)(b)—delete "under this Act"
(3) Section 55(3)—delete subsection (3) and
substitute:
(3) The Authority is authorised to exercise any power or discretion
delegated to the Authority under an agreement entered into under this section
and contemplated by section 176 of the Return
to Work Act 2014.
(4) Section 55(4), definition of prescribed authority,
(a)—delete paragraph (a) and substitute:
(a) in relation to a person who has suffered a work injury as a worker of
a self-insured employer under the Return
to Work Act 2014—that self-insured employer; and
Part 6—Amendment of Supreme Court
Act 1935
7—Amendment
of section 39—Vexatious proceedings
Section 39(6), definition of prescribed court,
(c)—delete paragraph (c) and substitute:
(c) the South Australian Employment Tribunal; and
Part 7—Amendment of WorkCover Corporation
Act 1994
Long title—delete "WorkCover Corporation of South Australia" and
substitute:
Return to Work Corporation of South Australia
9—Amendment
of section 1—Short title
Section 1—delete "WorkCover
Corporation Act 1994" and substitute:
Return
to Work Corporation of South Australia Act 1994
10—Amendment
of section 3—Interpretation
Section 3, definition of Corporation—delete the
definition and substitute:
Corporation means the Return to Work Corporation of South
Australia;
11—Amendment
of section 4—Continuation of Corporation
Section 4(1)—delete subsection (1) and
substitute:
(1) The WorkCover Corporation of South Australia continues as the
Return to Work Corporation of South Australia (with its principal trading
name being ReturnToWorkSA).
12—Amendment
of section 7—Allowances and expenses
Section 7(2)—delete "Workers
Rehabilitation and Compensation Act 1986" and substitute:
13—Amendment
of section 12—Primary objects
(1) Section 12(a) and (b)—delete paragraphs (a)
and (b) and substitute:
(a) to ensure that the early intervention, recovery and return to work
scheme under the Return
to Work Act 2014 operates in a fair, effective and efficient
manner; and
(b) to regulate the activities of service providers that are relevant to
the scheme referred to in paragraph (a); and
(2) Section 12—after paragraph (d) insert:
and
(e) to take all reasonable steps to ensure that the scheme mentioned above
is fully-funded on a fair basis.
14—Amendment
of section 13—Functions
(1) Section 13—delete "Workers
Rehabilitation and Compensation Act 1986" wherever occurring and
substitute, in each case:
(2) Section 13(1)(b)—delete "occupational" and
substitute:
work
(3) Section 13(1)(c)—delete "rehabilitation" and
substitute:
recovery
(4) Section 13(1)(e)—delete "workers rehabilitation and
compensation"
(5) Section 13(1)(f)—delete "rehabilitation" and
substitute:
recovery, return to work
(6) Section 13(1)(g)—delete "rehabilitation" and
substitute:
recovery, return to work
(7) Section 13(1)(h)—delete "occupational" and
substitute:
work
(8) Section 13(1)(j)—delete paragraph (j) and
substitute:
(j) to devise, promote or approve courses of training in early
intervention, recovery and return to work in relation to workers who suffer
injuries arising from employment; and
(9) Section 13(1)(k)(i)—delete "occupational" and
substitute:
work
(10) Section 13(1)(k)(iii)—delete subparagraph (iii) and
substitute:
(iii) workers recovery and return to work in cases involving work-related
injuries; or
(11) Section 13(1)(ka)—delete "occupational" and
substitute:
work
(12) Section 13(1)(l)(i)—delete "occupational" and
substitute:
work
(13) Section 13(1)(l)(ii)—delete subparagraph (ii) and
substitute:
(ii) workers recovery and return to work in cases involving work-related
injuries; and
15—Amendment
of section 14—Powers
(1) Section 14(3)(a)(ii)—delete subparagraph (ii) and
substitute:
(ii) to provide recovery/return to work services; or
(2) Section 14(3)(a)(iii)—delete "compensable disabilities" and
substitute:
work injuries
(3) Section 14(4)(a)—delete "Workers
Rehabilitation and Compensation Act 1986" and substitute:
(4) Section 14(4)(b)—delete paragraph (b) and
substitute:
(b) a contract or arrangement with a person who holds an accreditation,
approval or appointment by the Corporation for the provision of recovery/return
to work services under Part 3 of the Return
to Work Act 2014; or
(5) Section 14—after subsection (4a) insert:
(4b) An authorised contract or arrangement cannot confer a power on a
private sector body—
(a) to agree to a redemption under Part 4 Division 5 of the
Return
to Work Act 2014; or
(b) to refuse a worker access to material under section 180(4)(c) of the
Return
to Work Act 2014.
16—Amendment
of section 14A—Direction of Minister
Section 14A(2)—delete "Workers
Rehabilitation and Compensation Act 1986" and substitute:
17—Amendment
of section 16—Committees
Section 16(3)—delete "Workers
Rehabilitation and Compensation Act 1986" and substitute:
18—Amendment
of section 17A—Corporation's charter
Section 17A(2)(b)—delete paragraph (b) and
substitute:
(b) without limiting paragraph (a)—the steps to be undertaken
or the initiatives to be established to ensure that the Corporation has and
maintains systems to provide for the effective recovery and return to work of
workers who suffer work-related injuries, especially through early intervention
and through the administration of section 18 of the Return
to Work Act 2014;
19—Amendment
of section 20—Annual reports
Section 20(2)(b)—delete paragraph (b)
20—Amendment
of section 21—Chief Executive Officer
Section 21(7)—delete "Workers
Rehabilitation and Compensation Act 1986" wherever occurring and
substitute, in each case:
21—Amendment
of section 26—Protection of special names
(1) Section 26(1), definition of prescribed
name—delete the definition and substitute:
prescribed name means—
(a) WorkCover; or
(b) ReturnToWorkSA; or
(c) RTWSA; or
(d) ReturnToWorkAssist; or
(e) ReturnToWorkAssistSA; or
(f) RTWAssistSA.
(2) Section 26(2)—delete "the" and substitute:
a
(3) Section 26(3)—delete "the prescribed name" and
substitute:
a prescribed name
After section 27 insert:
27A—Application of public corporations
provision
(1) Subject to
subsections (2)
and
(3),
section 29(2)(a) and (3) of the Public
Corporations Act 1993 applies to the Corporation.
(2) A liability under
subsection (1) does
not arise in respect of any financial year unless the Corporation has, in
relation to the financial year in respect of which the liability is
imposed—
(a) achieved a funding level of at least 100% at a probability of
sufficiency of 75%; and
(b) achieved a profit from its insurance operations.
(3) A liability under
subsection (1) also
does not arise in respect of a financial year if the Minister, after
consultation with the Treasurer, determines, from a prudential perspective, that
such a liability should not be imposed in respect of that financial
year.
(4) Terms used in this section and also in Part 10 of the Return
to Work Act 2014 have the same meanings in this section as they
have in that Part (unless the contrary intention appears).
Part 8—Amendment of Work Health and Safety
Act 2012
23—Amendment
of section 4—Definitions
(1) Section 4—after the definition reasonably
practicable insert:
RTWSA means the Return to Work Corporation of South
Australia;
(2) Section 4, definition of WorkCover—delete the
definition
24—Amendment
of Schedule 2—Local tripartite consultation
arrangements
Schedule 2, clause 13(1)—delete "Schedule 1 of the
Workers
Rehabilitation and Compensation Act 1986" and substitute:
Schedule 9 of the Return
to Work Act 2014
25—Amendment
of Schedule 5—Provisions of local application
(1) Schedule 5, clause 1(1)—delete "WorkCover" wherever
occurring and substitute, in each case:
RTWSA
(2) Schedule 5, clause 1(2)—delete "section 112 of
the Workers
Rehabilitation and Compensation Act 1986" and substitute:
section 185 of the Return
to Work Act 2014
(3) Schedule 5, clause 1(3)—delete subclause (3) and
substitute:
(3) In this clause—
related Act means—
(a) the Return
to Work Act 2014; or
(b) the Return
to Work Corporation of South Australia Act 1994.
(4) Schedule 5, clause 2—delete "Workers
Rehabilitation and Compensation Act 1986" wherever occurring and
substitute, in each case:
(5) Schedule 5, clause 2—delete "WorkCover" wherever
occurring and substitute, in each case:
RTWSA
(6) Schedule 5, clause 2(6)(c)—delete "section 67"
and substitute:
section 139
(7) Schedule 5, clause 2(6)(c)—delete "levy" and
substitute:
premium
(8) Schedule 5, clause 2(7)—after "the Treasurer" insert:
to be applied towards the costs associated with the administration of this
Act
(9) Schedule 5, clause 2(11)—delete "unpaid levy under
Part 5" and substitute:
unpaid premium under Part 9
(10) Schedule 5, clause 3—delete clause 3
Part 9—Transitional
provisions
Division 1—Interpretation
(1) In this Part—
designated day means a day appointed by proclamation as the
designated day for the purposes of the provision in which the term is
used;
existing injury—see
clause 28(1)(a);
new injury—see
clause 28(1)(b);
SAET means the South Australian Employment Tribunal
established under the
South
Australian Employment Tribunal Act 2014;
WCT means the Workers Compensation Tribunal under the
repealed Act.
(2) A reference in this Part to the Corporation in a clause prescribed by
regulations made for the purposes of this subclause will be taken to include a
reference to a self-insured employer.
Division 2—CPI adjustment
(1) If a sum of
money fixed by this Act at the time of enactment is followed by the word
"(indexed)", that signifies—
(a) that the amount is to be adjusted as at 1 January 2015 so
that the adjusted sum bears to the amount fixed by Parliament the same
proportion as the Consumer Price Index for the September quarter 2014 bears
to the Consumer Price Index for the September quarter 2013; and
(b) that the amount is to be adjusted as at 1 January in each
subsequent year so that the adjusted sum bears to the amount fixed by the
Parliament the same proportion as the Consumer Price Index for the September
quarter of the immediately preceding financial year bears to the Consumer Price
Index for the September quarter 2013.
(2) An amount
determined under
subclause (1)
will be rounded up to the nearest dollar.
(3)
Subclauses (1)
and
(2) apply to a sum
fixed by a provision that has not come into operation on
1 January 2015 so that when the provision comes into operation then
the sum as adjusted will apply.
(4) This clause comes into operation on
1 January 2015.
Division 3—Application of
Act
(1) Subject to the
other provisions of this Part, this Act applies to and in relation
to—
(a) an injury that is
attributable to a trauma that occurred before the designated day and that is a
compensable injury under the repealed Act (an existing injury);
and
(b) an injury that is
attributable to a trauma that occurred on or after the designated day (a
new injury).
(2) For the purposes of
subclause (1), an
injury that is partially attributable to a trauma that occurred before the
designated day and partially attributable to a trauma that occurred on or after
the designated day will be taken to be a new injury within the ambit of
subclause (1)(b).
(3) Subject to the
other provisions of this Part—
(a) a reference in this Act to a work injury will be taken to include a
reference to a compensable injury under the repealed Act; and
(b) this Act will apply to a compensable injury under the repealed Act as
if this Act had been in operation before the injury occurred.
(4) Nothing in this Part is intended to give rise to an entitlement under
this Act and the repealed Act so as to give rise to double
entitlements.
(1) The question about
whether an existing injury is compensable will be determined under
sections 30 and 30A of the repealed Act (as in existence immediately
before the designated day).
(2) However,
section 7(3) of this
Act extends to an injury (the designated injury) that is, or
results from, the aggravation, acceleration, exacerbation, deterioration or
recurrence of a prior injury where—
(a) the prior injury is wholly or partially attributable to a trauma that
occurred before the designated day; and
(b) the designated injury is wholly or partially attributable to a trauma
that occurred on or after the designated day.
A notice of an injury given by a worker under section 51 of the
repealed Act will be taken to be a notice given under
section 16 of
this Act.
31—Employer's
duty to provide work
Section 18(3) of
this Act extends to a worker who has been incapacitated for work before the
designated day.
32—Recovery
and return to work
(1) A rehabilitation program in force under the repealed Act immediately
before the designated day will continue for the purposes of this Act in
connection with providing recovery/return to work services until reviewed or
discontinued by the Corporation.
(2) A rehabilitation and return to work plan in force under the repealed
Act immediately before the designated day will, on the designated day, be taken
to be a recovery/return to work plan under this Act.
(3) A person who, immediately before the designated day, held an
appointment as a co-ordinator under section 28D of the repealed Act will,
on the designated day, be taken to be an accredited return to work co-ordinator
under
section 26 of
this Act.
(4) A reference in any instrument or agreement to a rehabilitation and
return to work co-ordinator will, on the designated day, be taken to be a
reference to a return to work co-ordinator under
section 26 of
this Act (unless the context otherwise requires).
(1) A person whose degree of whole person impairment has been assessed
under Part 4 Division 5 of the repealed Act to be 30% or more will be taken to
be a seriously injured worker under this Act.
(2) In addition, the
Corporation may determine that a worker who has an existing injury will be taken
to be a seriously injured worker for the purposes of this Act.
(3) A determination under
subclause (2)—
(a) may be made on any basis determined by the Corporation (including in a
case where the worker would not qualify to be a seriously injured worker under
section 21 of this
Act); and
(b) will have effect according to its terms.
(4) A decision to make, or not to make, a determination under
subclause (2) is not
reviewable under this Act.
(1) In relation to the application of
subsection (20) of
section 33 of this
Act to an existing injury, a period of 12 months referred to in that
subsection must be a period of 12 months—
(a) that runs from the
designated day; or
(b) that commences on
or after the designated day,
(and so, in the case of an existing injury, a reference in
subsection (21) of
section 33 of this
Act to the period referred to in
subsection (20) will
be taken to be a reference to a period applying under
paragraph (a)
or
(b) of this
clause).
(2)
Section 33(21)(b)(ii)
of this Act does not apply in relation to an existing injury.
35—Provisional
liability for medical expenses
A right of set off under section 32A(8) of the repealed Act may be
exercised in relation to a right to the payment of compensation under this Act
(including in relation to a new injury).
36—Weekly
payments for workers
(1) In this clause—
(a) the first transitional period is the period of
52 weeks from the designated day; and
(b) the second transitional period is the period of 52 weeks
beginning immediately after the end of the initial transitional period;
and
(c) a reference to an entitlement period is a reference to an entitlement
period under Part 4 Division 4 of the repealed Act; and
(d) a Category A worker is, in respect of an existing injury, a worker
who, immediately before the designated day, was still entitled to receive a
weekly payment during the first entitlement period in respect of any incapacity
for work in respect of that injury; and
(e) a Category B worker is, in respect of an existing injury, a worker
who, immediately before the designated day, was still entitled to receive a
weekly payment during the second entitlement period in respect of any incapacity
for work in respect of that injury; and
(f) a Category C worker is, in respect of an existing injury, a worker
who, immediately before the designated day, was still entitled to receive a
weekly payment during a period occurring after the end of the second entitlement
period in respect of any incapacity for work in respect of that
injury.
(2) Subject to this
Part, a worker who, in respect of an existing injury, is incapacitated for work
at any time during the period beginning on the designated day and ending
104 weeks from the designated day, will be entitled to weekly payments in
respect of that incapacity in accordance with the following
principles:
(a) if any incapacity
for work occurs within the first transitional period—
(i) in the case of a
Category A worker—the worker is entitled to weekly payments under
section 39(1)(a)(i)
or
(ii) of this Act as if
references to the first designated period in
section 39(1)(a)
were references to the first transitional period; and
(ii) in the case of a Category B worker—the worker is entitled to
weekly payments under
section 39(1)(b)(i)
or
(ii) as if references to
the second designated period in
section 39(1)(b)
were references to the first transitional period and as if references to "80%"
in
section 39(1)(b)(i)
or
(ii) were substituted
with "90%"; and
(iii) in the case of a Category C worker—the worker is entitled to
weekly payments under
section 39(1)(b)(i)
or
(ii) of this Act as if
references to the second designated period in
section 39(1)(b)
were references to the first transitional period;
(b) if any incapacity for work occurs within the second transitional
period—the worker is entitled to weekly payments under
section 39(1)(b)(i)
or
(ii) of this Act as if
references to the second designated period in
section 39(1)(b)
were references to the second transitional period.
(3)
Section 39(2)(b) of
this Act will not apply in relation to a period applying under
subclause (2) until
the expiration of the period of 26 weeks from the designated day (but the
Corporation may give a notice under
section 39(3)(a) of
this Act before the expiration of that period).
(4) Subject to
subclauses (5) and
(6), a worker has no
entitlement to weekly payments under this Act or the repealed Act in respect of
an existing injury after the end of the second transitional period (and this
subclause will apply instead of
section 39(5) of
this Act in relation to existing injuries).
(5) An entitlement
under this clause has effect subject to any other provision of this Act
(including any provision that applies under or subject to this Part) that
provides for the suspension, reduction or discontinuance of weekly
payments.
(6)
Subclause (4) does
not apply in relation to a seriously injured worker.
(7) To avoid doubt, a person who, before the designated day, has ceased to
have an entitlement to weekly payments on account of a discontinuance under
section 36 of the repealed Act is not entitled to weekly payments under
this clause (or under the repealed Act).
37—Federal
minimum wage safety net
Section 42 of this
Act extends to the amount of compensation payable under
Part 4
Division 4 Subdivision 2 of this Act on account of the operation
of this Part.
38—Management
of transitional arrangements for income support
(1) The Corporation
may, in connection with the operation of
clauses 36 and
37 (and the other
relevant provisions of this Part), establish a scheme to provide for the
transition from making weekly payments under the repealed Act to making weekly
payments in accordance with those clauses and this Act more generally.
(2) To the extent that the Corporation, in establishing and implementing
the scheme referred to in
subclause (1), does
not begin to make weekly payments to a worker at the rates that apply under this
Act rather than the repealed Act on the designated day, the worker will, when
weekly payments commence in accordance with the provisions of this Part, be
entitled to—
(a) back payments to the extent necessary to ensure that the worker
receives (in due course) his or her full entitlement (as applying from the
designated day); and
(b) the payment of interest (at the prescribed rate) calculated and
applied (from the designated day) in accordance with the regulations.
To avoid doubt, section 44 of this Act extends to weekly payments being
paid to a worker under this Part.
40—Discontinuance
of weekly payments
(1)
Subsection (9)
of
section 48 of this
Act extends to and in relation to a notice of a decision of the Corporation
under section 36 of the repealed Act unless the worker has lodged a notice
of dispute under section 36 of the repealed Act before the designated day
(but subject to the operation of
subclause (2)(b)).
(2) If a worker has
lodged a notice of dispute under section 36 of the repealed Act before the
designated day—
(a) if the worker has made an application to the WorkCover Ombudsman under
subsection (15) of section 36 of the repealed Act and the WorkCover
Ombudsman has made a decision in relation to the application before the
designated day—subsection (15), (16) and (17) of section 36
of the repealed Act, and all other relevant provisions of the repealed Act, will
continue to apply to and in relation to the matter until the dispute is finally
resolved as if the repealed Act had not been repealed by this Act; and
(b) in any other
case—any application to the WorkCover Ombudsman under subsection (15)
of section 36 of the repealed Act (if made) will lapse, but the worker may
make an election under
subsection (9)
of
section 48 of this
Act.
(3) In the case of a
worker within the ambit of
subclause (2)(b)—
(a) the election must be made within 28 days after the designated
day; and
(b) if the worker makes an election—
(i) if the dispute has already come before a conciliator—the
Tribunal may act (if it thinks fit) under
subsection (9)(b)
of
section 48 of this
Act so as to provide for the reinstatement of weekly payments; and
(ii) the liability of the Corporation to make a payment for any weekly
payments that have not been made will be limited to a period commencing on the
date of the election.
(4)
Subclause (3)
operates subject to
section 48(10) of
this Act.
(1) Nothing in this
Part affects the application of section 42 of the repealed Act with respect
to negotiations, and any agreement, for a redemption under the repealed Act
commenced or entered into in accordance with that section before the designated
day.
(2) Except as provided by
subclause (1) (and
to avoid doubt), section 42 of the repealed Act will not apply to or in relation
to a liability under the repealed Act with respect to an existing
injury.
42—Loss
of future earning capacity
To avoid doubt,
Part 4
Division 6 of this Act does not apply to or in relation to an existing
injury.
43—Permanent
impairment assessment
(1) A person whose
entitlement for non-economic loss has been determined under Part 4 Division 5 of
the repealed Act in respect of an existing injury is not entitled to an
assessment under
Part 2
Division 5 of this Act in relation to the same injury (or any other
injury arising from the same trauma).
(2)
Subclause (1) does
not apply in any circumstances prescribed by the regulations.
44—Payments
on death—lump sums
(1) The Corporation
may, in relation to the death of a worker occurring on or after
1 July 2008 and before the designated day, in its absolute discretion,
on the application of a person who was the spouse or domestic partner of the
worker at the time of death, make an ex gratia payment (of an amount
determined by the Corporation) after taking into account the amount (or
additional amount) that would have been payable under
section 61 of
this Act had this Act been in operation before that trauma.
(2) The Corporation may make a payment under
subclause (1) even
if an amount has been paid under section 45A of the repealed Act in
relation to the death of the worker (including an amount equal to the prescribed
sum under that section).
(3) The Corporation may, in relation to the death of a worker that is
subject to a claim for compensation under section 45A of the repealed Act
that has not been determined before the designated day (including by the
resolution of any dispute by proceedings under the repealed Act), deal with the
claim in all respects under
section 61 of this
Act.
(4) A decision of the Corporation not to make a payment under
subclause (1) (or
the amount of any such payment) is not reviewable under this Act (or under the
repealed Act).
Section 64(3)
and
(4) of this Act extends
to outstanding payments of compensation under the repealed Act.
(1) The Corporation
may, if it thinks fit, on the application of an employer who has paid
compensation by way of income maintenance under the repealed Act, being
compensation that would otherwise have been payable by the Corporation, make a
payment that would have been payable under
subsection (17) of
section 64 of this
Act had
subsections (16)
and
(17) of that section been
in operation at the time of the payment by the employer.
(2) An application under
subclause (1) must
be made within 3 months after the designated day.
A right of set off under section 50H of the repealed Act may be
exercised in relation to a right to the payment of compensation under this Act
(including in relation to a new injury).
Division 4—Common law
Part 5 of this Act
does not apply to or in relation to an existing injury or the death of a worker
resulting from an existing injury (and section 54(1) of the repealed Act
will continue to apply in respect of such an injury or death).
Division 5—Dispute
resolution
(1) Subject to this
Part, an application or other proceedings commenced before WCT under the
repealed Act before the designated day may be continued and completed (and any
appeals initiated or completed) under the repealed Act (and, if relevant, after
applying any provision of this Part that is relevant to the
proceedings).
(2) A right to make an
application or to bring proceedings before WCT under the repealed Act in
existence before the designated day and not exercised before that day will be
exercised as if
Part 6 of this Act
were in operation before that right arose so that the relevant proceedings will
be commenced before SAET rather than WCT.
(3) Without limiting any other provision—
(a) the regulations may make provision for or with respect to the
interaction between this Part and the repealed Act in order to ensure that SAET
and WCT can operate under both sets of provisions (including, if necessary, by
modifying any provision of the repealed Act or
section 7 of this
Act so that SAET can exercise the jurisdiction conferred by
subclause (2));
and
(b) the President of SAET may take other steps to ensure the smoothest
possible transition from 1 jurisdiction to the other in connection with the
operation of this clause (including by giving directions as to any procedural
matter which will then have effect according to their terms).
SAET may—
(a) draw any conclusions of fact from evidence that has been before WCT;
or
(b) adopt any findings or determinations of WCT; or
(c) adopt any decision, direction or order of WCT; or
(d) set aside any decision, direction or order of WCT,
that may be relevant to proceedings before SAET.
(1) The Governor may,
when he or she thinks that it is appropriate to do so, by proclamation, dissolve
WCT.
(2) When a proclamation is made under
subclause (1)—
(a) subject to subclause (3), any member of WCT (being either a
presidential member or a conciliation officer) holding office under the repealed
Act at the time of the making of the proclamation will cease to hold that office
and any contract, agreement or arrangement relating to that office held by the
member is terminated by force of this paragraph at the same time (and no right
of action will arise against the Minister or the State on account of that
termination); and
(b) any proceedings before the WCT will be dealt with in accordance with
provisions made by the regulations.
(3) A member of WCT who is a Judge of the Industrial Relations Court of
South Australia will continue as a member of SAET under the provisions of the
South
Australian Employment Tribunal Act 2014.
Division 6—Registration and
funding
52—Continuation
of registration
(1) An employer
registered under the repealed Act immediately before the designated day will be
taken to be registered under this Act (and, in the case of a self-insured
employer under the repealed Act the employer will continue as a self-insured
employer under this Act).
(2) A registration under this Act under
subclause (1) is
subject to any conditions specified by this Act and is subject to the other
provisions of this Act in all respects.
(1)
Section 137 of this
Act does not apply in relation to the 2015/2016 or 2016/2017 financial
years.
(2) A RTWSA premium order under this Act may take into account the claims
experience of any employer under the repealed Act.
(3) A hindsight premium under the repealed Act is payable as if the
relevant period applied under this Act (and will be payable by a date specified
by the Corporation).
(4) Unless otherwise determined by the Corporation, a group constituted
under section 72A of the repealed Act will continue as a group under
section 145 of this
Act.
(5) In acting under
section 147 of this
Act, the Corporation may have regard to matters that arose during the time that
the repealed Act was in operation.
(6) Any right of
recovery, fine, penalty or other step that may be exercised, imposed, taken or
enforced under Part 5 of the repealed Act in relation to any assessment,
default or failure may, on and from the designated day, be exercised, imposed,
taken or enforced under
Part 9 of this
Act.
(7) Without limiting
subclause (6), the
Corporation may exercise any power or do any thing in relation to a matter under
Part 5 of the repealed Act as if this Act had been in operation at the time
that the matter under Part 5 of the repealed Act arose.
(1) A reference in
Part 10 of this Act
to a financial year is a reference to a financial year commencing on or after
the designated day.
(2) In addition, the Minister cannot initiate a review under
section 170 of this
Act until after the expiration of 3 financial years from the designated
day.
Division 7—Medical panels
(1) If a Medical Panel
is, immediately before the designated day, still considering a medical question
on a reference under Part 6C of the repealed Act—
(a) the Medical Panel must give its opinion as quickly as is reasonably
practicable after the designated day; and
(b) in any event the
reference will, subject to
subclause (2), be
brought to an end, by operation of this clause, 60 days after the
designated day (even if the Medical Panel has not given its opinion on the
relevant medical question by then and even if a longer period would otherwise
apply due to an extension of time under section 98H(1) of the repealed
Act).
(2) WCT may grant an
extension of the period that applies under
subclause (1)(b).
(3) WCT may grant an extension of time under
subclause (2) on
such conditions as it thinks fit.
(4) The costs of Medical Panels will be payable out of the Compensation
Fund until the Medical Panels cease operations in all respects.
Division 8—WorkCover
Ombudsman
The person holding office as the WorkCover Ombudsman immediately before the
designated day will, on the designated day, cease to hold office and any
contract, agreement or arrangement relating to the office is terminated by force
of this clause at the same time (and no right of action will arise against the
Minister or the State on account of that termination).
Division 9—1971/1986 Acts
In this Division—
appointed day means the day on which the 1971 Act was
repealed by the
Workers
Rehabilitation and Compensation Act 1986;
compensating authority means the Corporation or a
self-insured employer;
1971 Act means the Workers
Compensation Act 1971.
(1) Subject to this clause, the 1971 Act continues to apply in respect of
an injury that is attributable to a trauma that occurred before the appointed
day.
(2) This Act applies in relation to an injury (referred to in this clause
as a transitional injury) that is partially attributable to a
trauma that occurred before the appointed day and partially attributable to a
trauma that occurred on or after the appointed day, but does not affect rights
(referred to in this clause as antecedent rights) that had accrued
before the appointed day in respect of a transitional injury.
(3) The following
provisions apply in relation to a transitional injury:
(a) where a
compensating authority pays or is liable to pay compensation to a claimant under
this Act in relation to a transitional injury, the compensating authority is
subrogated, to an appropriate extent, to the antecedent rights of the
claimant;
(b) where the
claimant has received, in pursuance of antecedent rights, damages or
compensation (not being weekly payments for a period of incapacity that
concluded before the appointed day), there will be an appropriate reduction in
the amount of compensation payable under this Act in respect of the
injury;
(c) the extent of a subrogation under
paragraph (a),
or a reduction in the amount of compensation under
paragraph (b),
will be determined having regard to—
(i) the amount of the compensation payable (apart from this subclause)
under this Act in respect of the transitional injury; and
(ii) the extent to which the transitional injury is attributable to a
trauma that occurred before the appointed day; and
(iii) any other relevant factors.
(4) Where a compensating authority—
(a) pays compensation to a claimant under this Act; and
(b) becomes entitled to recover a proportion of the payment from an
employer by virtue of subrogation to the rights of the claimant under
subclause (3)(a);
and
(c) notifies that employer in writing of the payment,
the amount recoverable from the employer will be increased by interest at
the prescribed rate as from the date of the notification.
(5) The Corporation will, in the first instance, make a determination
of—
(a) the extent of a subrogation under
subclause (3)(a)
or a reduction in the amount of compensation under
subclause (3)(b);
and
(b) the amount of any consequential liability.
(6) Before making such a determination the Corporation must allow any
person whose interests may be affected by the determination a reasonable
opportunity to make representations to the Corporation on the subject matter of
the determination and when the determination is made the Corporation must give
written notification of the terms of the determination to every person whose
interests are affected by it.
(7) Any such person may, by written notice served personally or by post on
the Corporation within 1 month after receiving notice of the determination
or such longer period as the Corporation may allow, dispute the
determination.
(8) Any such dispute may be referred on the application of any party
affected by the determination to SAET.
(9) Where a dispute is so referred, SAET will review the Corporation's
determination and may confirm, vary or revoke it.
(10) Subject to the regulations, a determination by the Corporation under
this clause may be enforced in the same way as a decision of SAET.
(11) A determination by the Corporation may be enforced notwithstanding
that it is disputed, but if it appears from the result of a review that a
compensating authority has recovered an amount in pursuance of the determination
to which the compensating authority is not entitled, that amount must be repaid
together with interest at the prescribed rate.
59—Mining
and Quarrying Industries Fund
(1) The scheme
established under Part 9 of the 1971 Act continues in existence for the
settlement of claims and other matters arising in relation to death or
disablement from silicosis suffered before the appointed day except that the
Corporation will be liable to satisfy any claim made under the scheme.
(2) The money held by the Corporation in connection with the operation of
subclause (1)
must be held in a special account entitled the Mining and Quarrying
Industries Fund.
(3) The Mining and Quarrying Industries Fund is to be notionally divided
into 2 parts (Part A and Part B), 1 part (Part A) to be available to
the Corporation to satisfy its liabilities under
subclause (1)
and the balance (Part B) to be available to the Mining and Quarrying
Occupational Health and Safety Committee under Schedule 2 of the Work
Health and Safety Act 2012 for the purposes referred to in that
Schedule.
(4) For the purposes of the division of the Mining and Quarrying
Industries Fund into 2 parts—
(a) the Corporation must at 3 yearly intervals arrange for an actuary to
estimate the extent of the Corporation's existing and prospective liabilities
under
subclause (1) at
that date; and
(b) —
(i) if it appears from any such estimate that the amount standing to the
credit of Part A exceeds the amount required to satisfy the Corporation's
liabilities under
subclause (1),
the amount of the excess must be transferred from Part A to Part B;
(ii) if it appears from any such estimate that the amount standing to the
credit of Part A is less than the amount required to satisfy the Corporation's
liabilities under
subclause (1),
the amount required to make up the deficiency must be transferred from Part B to
Part A.
(5) The Corporation must keep separate accounting records for Parts A and
B.
(6) Money standing to the credit of the Mining and Quarrying Industries
Fund (and not immediately required for the purposes of the fund) may be invested
as if it were part of the Compensation Fund.
(7) Income and accretions produced by the investment of the money must be
shared between Parts A and B (the amount of the shares being determined
according to the extent to which money held on each account has contributed to
the amount invested).
(8) The Corporation may debit the Mining and Quarrying Industries Fund
with the reasonable costs of administering the fund.
(1) The Statutory
Reserve Fund (referred to in section 118c of the 1971 Act) must continue to be
held as a separate part of the Compensation Fund.
(2) Division 4 of Part 10A (ie sections 118d to 118e) of the 1971 Act, and
related interpretative provisions, continue in force subject to the following
modifications:
(a) references to the Commission are to be read as references to the
Corporation;
(b) references to the fund are to be read as references to the Statutory
Reserve Fund held under
subclause (1);
(c) references to the Treasurer are to be read as references to the
Corporation;
(d) references to the Court are to be read as references to
SAET;
(e) section 118d(10) is modified to read as follows:
(10) On an appeal under this section, SAET has power to review all aspects
of the Corporation's determination.;
(f) after section 118d(12) subsections are inserted in the following
terms:
(13) Any amounts recovered by the Corporation in the exercise of rights to
which it is subrogated under subsection (12) must be paid into the
fund.
(14) A claim made under this section before the date of transition that
had not been disposed of at the date of transition (a pre-transition
claim), is taken to have been made against the Corporation as if this
section had been in force in its modified form when the claim was made and it
was then made against the Corporation.
(15) It follows that the Corporation assumes responsibility for
administering pre-transition claims and is substituted for the Commission or the
Treasurer (as the case requires) in any legal proceedings relating to such
claims.
(16) Any rights of subrogation that existed in favour of the Treasurer
immediately before the date of transition are transferred to the
Corporation.
(17) The Corporation may recoup administrative expenses and legal costs
related to claims under this section from the fund.
(18) The Corporation may intervene and be heard in proceedings before a
court if there is a prospect that a claim before the court, or a judgment of the
court, may lead to a claim under this section.
(19) In this section—
date of transition means the date on which the Workers
Rehabilitation and Compensation (SGIC) Amendment Act 1996 came into
operation.
(1) The Insurance Assistance Fund must continue to be held as a separate
part of the Compensation Fund.
(2) The Governor
may, by proclamation, transfer rights and liabilities of the insurer under a
section 118g policy from the Motor Accident Commission to the
Corporation.
(3) The Motor
Accident Commission may delegate to the Corporation its responsibility for
administering claims under section 118g policies.
(4) The Corporation may, by an authorised contract or
arrangement—
(a) delegate its responsibility for administering claims under section
118g policies in relation to which the rights and liabilities of the insurer
have been transferred to the Corporation under
subclause (2);
or
(b) subdelegate a responsibility for administering claims under section
118g policies delegated to it under
subclause (3).
(5) The Motor Accident Commission or the Corporation (as the case
requires) may recoup expenditure covering liabilities under section 118g
policies and associated administrative and legal costs (other than expenditure
and costs covered by a contract of reinsurance) from the Insurance Assistance
Fund and, if that proves insufficient, from the Statutory Reserve
Fund.
(6) In this clause—
authorised contract or arrangement means a contract or
arrangement authorised by regulation under section 14 of the
WorkCover
Corporation Act 1994;
section 118g policy means a policy of insurance issued under
section 118g(3) of the 1971 Act.
(1) The Statutory Reserve Fund and the Insurance Assistance Fund may be
invested in common with the Compensation Fund as if they formed part of the
Compensation Fund.
(2) For the purposes of financial reporting and actuarial valuations, the
Statutory Reserve Fund and the Insurance Assistance Fund will be taken to form
part of the Compensation Fund.
(3) If the Corporation is of the opinion that the balance of the Statutory
Reserve Fund or the Insurance Assistance Fund exceeds the amount reasonably
required for the purposes for which the relevant fund exists, the Corporation
may, with the Minister's consent, transfer the surplus to the Compensation
Fund.
The Corporation is entitled to possession of all documents and other
materials in the possession or power of the Motor Accident Commission relevant
to claims against the Statutory Reserve Fund or to liabilities under policies of
insurance transferred to the Corporation in connection with the scheme continued
under this Schedule.
Division 10—Work health and safety
administration costs
64—Work
health and safety administration costs
(1) In this clause—
WHS Act means the Work
Health and Safety Act 2012.
(2) The prescribed percentage of the prescribed amount under Schedule 5,
clause 2(7) and (8) of the WHS Act (as amended by this Act) for the
2015/2016 financial year must be at least equal to the total of the prescribed
percentage of the prescribed amount under Schedule 5, clause 2(7)
and (8) of the WHS Act for the 2014/2015 financial year and the amount
payable under Schedule 5, clause 3 of the WHS Act for the 2014/2015
financial year (and if a regulation is not made under Schedule 5,
clause 2(7) or (8) of the WHS Act (as amended by this Act) for the
2015/2016 financial year then the total amount described in this subclause will
apply under that clause).
Division 11—Renewal of authorised
contracts
65—Renewal
of authorised contracts
Section 14(4a)(a) of the WorkCover
Corporation Act 1994 does not apply to a regulation under
section 14(4)(d) of that Act that is expressed to come into operation
1 July 2015.
Division 12—Regulations
66—Additional
transitional provisions—regulations
(1) The Governor
may, by regulation, make additional provisions of a saving or transitional
nature consequent on the enactment of this Act.
(2) A provision of
a regulation made under
subclause (1)
may, if the regulations so provide, take effect from the commencement of this
Act or from a later day.
(3) To the extent that a provision takes effect under
subclause (2)
from a day earlier than the day of the regulation's publication in the Gazette,
the provision does not operate to the disadvantage of a worker by decreasing a
right that existed immediately before that date of publication in the
Gazette.