Workers Compensation and Injury Management Act 2023
Workers Compensation and Injury Management Act 2023
Western Australia
Workers Compensation and Injury Management Act 2023
Contents
Part 1 — Preliminary
Division 1 — General
1.Short title2
2.Commencement2
3.Act binds Crown2
4.No contracting out3
Division 2 — Terms used
5.Terms used3
Division 3 — Injury and injury from employment
6.Injury9
7.Exclusion of injury: reasonable administrative action10
8.Injury from employment: work related attendances11
9.Journeys11
10.Prescribed diseases taken to be from certain employment12
11.Diseases of firefighters taken to be from employment13
Division 4 — Worker and employer
12.Meaning of “worker” and “employer”16
13.Prescribed workers and excluded workers18
14.Labour hire arrangements18
15.Jockeys19
16.Working directors20
Part 2 — Compensation for injury
Division 1 — General principles
17.Employer liable for compensation22
18.Forms of compensation22
19.Employment must be connected with this State23
20.Compensation excluded: serious and wilful misconduct23
21.Compensation excluded: certain employment on ship24
22.Person not to be paid twice24
Division 2 — Claiming compensation
Subdivision 1 — Preliminary
23.Terms used25
24.Application of Division25
Subdivision 2 — Claim process
25.Making claim for compensation25
26.Insured employer must give claim to insurer26
27.Worker may give claim to insurer if employer defaults27
28.Insurer or self‑insurer to make decision on liability27
29.Requirements when decision on liability deferred30
30.Determination by arbitrator of question about liability for compensation31
31.Claims on uninsured employers31
32.Worker to provide information about other employment32
33.Incapacity after claim made33
34.Claiming compensation when question as to liability or apportionment between employers33
35.Claiming compensation for certain diseases when more than 1 employer liable35
Subdivision 3 — Provisional payments
36.Requirement for provisional payments37
37.Compensation for which provisional payments are required38
38.Calculating the amount of a provisional payment38
39.How and when provisional payments are to be made38
40.Provisional payments of medical and health expenses compensation38
41.Provisional payments of income compensation39
42.Insurer required to indemnify for provisional payments39
43.Status and effect of provisional payments39
44.Other employer or insurer liable40
Division 3 — Income compensation
Subdivision 1 — Preliminary
45.Terms used41
Subdivision 2 — Entitlement to income compensation
46.Entitlement to income compensation for incapacity for work42
47.Obligation to pay income compensation42
48.Total or partial incapacity for work43
49.Worker not to be prejudiced by resuming work44
50.Order that worker is taken to be totally incapacitated44
51.General limit on total income compensation45
52.Additional income compensation45
Subdivision 3 — Calculation of income compensation
53.Terms used47
54.Worker’s pre‑injury weekly rate of income47
55.Amount of income compensation49
56.Maximum weekly rate of income compensation50
57.Minimum weekly rate of income compensation50
58.Monetary value of board and lodging53
59.Working directors55
60.Public holidays56
61.Leave while entitled to income compensation57
Subdivision 4 — Reducing, suspending and discontinuing income compensation
62.Restrictions on reduction, suspension or discontinuation of income compensation58
63.Reducing or discontinuing income compensation on basis of worker’s return to work59
64.Reducing or discontinuing income compensation on basis of medical evidence59
65.Worker not residing in State: failure to provide declaration61
66.Suspension of income compensation while worker in custody63
67.Effect of suspension of income compensation payments64
68.Power of arbitrator to review disputed income compensation payments64
Division 4 — Compensation for medical and health expenses
69.Terms used65
70.Medical and health expenses compensation under this Division66
71.Expenses that are medical and health expenses66
72.Requirement that medical and health expenses be reasonable67
73.Medical and health expenses order68
74.Eligibility to provide compensable medical and health services70
75.General limit on compensation for medical and health expenses70
76.Notice to worker that 60% of general limit reached71
77.Standard increase in compensation limit71
78.Increase for special expenses in the medical and health expenses general limit amount72
79.Assessment of degree of permanent impairment for special increase74
80.Effect of participation in catastrophic injuries support scheme75
Division 5 — Compensation for miscellaneous expenses
81.Term used: miscellaneous expense75
82.Compensation for reasonable miscellaneous expenses75
83.Expenses that are miscellaneous expenses76
84.Requirement that miscellaneous expenses be reasonable76
85.First aid and emergency transport77
86.Wheelchair77
87.Surgical appliance or artificial limb77
88.Clothing77
89.Repair or replacement of artificial aids78
90.Travel79
91.Assessment of permanent impairment80
92.Effect of participation in catastrophic injuries support scheme80
Division 6 — Compensation for workplace rehabilitation expenses
93.Compensation for workplace rehabilitation expenses80
94.Workplace rehabilitation fees and charges order81
95.General limit on compensation for workplace rehabilitation expenses82
96.Effect of participation in catastrophic injuries support scheme83
Division 7 — Lump sum compensation for permanent impairment from personal injury by accident
97.Entitlement to lump sum permanent impairment compensation83
98.Amount of permanent impairment compensation based on degree of permanent impairment83
99.Worker’s degree of permanent impairment84
100.Limit on permanent impairment compensation84
101.Calculating permanent impairment compensation85
102.Further permanent impairment from subsequent injury90
103.Compensable impairment not to exceed 100%90
104.Special provisions for AIDS91
105.Agreement as to degree of permanent impairment92
106.Determination by arbitrator when worker and employer fail to agree degree of permanent impairment93
Division 8 — Lump sum compensation for noise‑induced hearing loss
107.Terms used94
108.Lump sum compensation for noise‑induced hearing loss95
109.Minimum compensable hearing loss95
110.Calculation of amount of compensation95
111.Assessment and evidence of noise‑induced hearing loss96
112.Apportionment of NIHL compensation between employers96
113.Disputes about hearing loss97
114.Regulations97
Division 9 — Compensation for dust disease
Subdivision 1 — Preliminary
115.Terms used99
116.Dust disease taken to be from certain employment99
117.Day on which dust disease injury is suffered100
118.Dust diseases taken to be single injury101
Subdivision 2 — Compensation for dust disease
119.Entitlement to lump sum compensation for permanent impairment from dust disease101
120.No entitlement to compensation until Panel determination102
121.Claiming dust disease compensation102
122.Compensation claims to be referred to CEO102
123.Referral of claim to Panel102
Subdivision 3 — Dust Disease Medical Panels
124.Constitution of Panel103
125.Panel practice and procedure104
126.Panel powers104
127.Determination of Panel105
128.Effect of determination106
129.Variation or remaking of determination106
130.Remuneration and allowances of Panel members106
Division 10 — Compensation for death of worker
131.Terms used107
132.Compensation only payable as provided by compensation order108
133.Lump sum compensation for death resulting from injury108
134.Allowance for eligible dependent children112
135.Funeral and medical expenses113
136.Lump sum compensation for death not resulting from injury114
137.Claim for compensation under this Division115
138.Claims procedure: insured employer115
139.Claims procedure: self‑insurer or uninsured employer116
140.Determination of claim by arbitrator117
141.Manner of payment: lump sum compensation118
142.Manner of payment: child’s allowance118
143.Effect of recovery of damages on applying trust money120
144.Application procedure121
145.Inconsistency with other provisions121
Division 11 — Other matters to do with compensation
146.Recovery of erroneous payments of compensation121
147.Deductions from wages towards compensation not lawful122
148.Recovery of cost of services provided to worker122
Division 12 — Settlement of compensation claim
149.Commuting compensation liabilities by settlement agreement123
150.Lump sum compensation required to be included in settlement agreement124
151.Effect on settlement of participation in catastrophic injuries support scheme124
152.Applying for registration of settlement agreement125
153.Settlement agreement cannot apply to common law damages125
154.Scrutiny by Director of settlement agreement126
155.Cancellation of registration of settlement agreement127
156.Implementation of settlement agreement127
157.Limit on lump sum compensation included in settlement agreement127
Part 3 — Injury management
Division 1 — General
158.Term used: treating medical practitioner129
159.Employer must establish injury management system129
Division 2 — Return to work
Subdivision 1 — Duties of employer, insurer and worker
160.Duty of employer to establish and implement return to work program130
161.Employer may be ordered to establish and implement return to work program131
162.Duties of insurer132
163.Duties of worker132
164.Consequences of refusal or failure to comply with s. 163 duty133
Subdivision 2 — Return to work case conferences
165.Attendance at return to work case conference134
Subdivision 3 — Employment obligations relating to return to work
166.Employer must provide position during incapacity136
167.Host must cooperate with labour hirer136
168.Dismissal of injured worker137
Division 3 — Certificates of capacity
169.Issue of certificate of capacity138
170.Treating medical practitioner139
171.Employer, insurer and agent of insurer must not be present at examination or treatment140
Division 4 — Workplace rehabilitation providers
172.Approval of workplace rehabilitation providers140
173.Determination of application for approval140
174.Conditions of approval140
175.Duration of approval141
176.Suspension or cancellation of approval142
177.Register of approved workplace rehabilitation providers142
178.Performance monitoring and review of approved workplace rehabilitation providers143
Part 4 — Medical assessment
Division 1 — Preliminary
179.Term used: Permanent Impairment Guidelines144
Division 2 — Medical examination of worker
180.Power to require medical examination of worker144
181.Worker contravening requirement for medical examination145
Division 3 — Assessing degree of permanent impairment
182.Assessments to which Division applies146
183.Method of assessment147
184.Assessing degree of permanent impairment when multiple injuries arise from single event147
185.Secondary conditions disregarded in certain cases147
186.Assessment by approved permanent impairment assessor or Dust Disease Medical Panel148
187.Permanent Impairment Guidelines148
188.Requirement for injury to have stabilised148
189.Asymptomatic pre‑existing disease149
190.Request for assessment of permanent impairment149
191.Powers of approved permanent impairment assessors150
192.Report on results of assessment151
Division 4 — Permanent impairment assessors
193.Approval of permanent impairment assessors152
194.Conditions of approval152
195.Minister may fix scale of fees and charges for permanent impairment assessment153
196.Duration of approval154
197.Suspension or cancellation of approval154
198.Compliance audits and investigations155
199.Register of approved permanent impairment assessors155
Part 5 — Insurance
Division 1 — General
200.Terms used156
201.Agency arrangements158
Division 2 — Employer obligations
Subdivision 1 — Insurance requirements for employers
202.Requirement for employers to be insured159
203.Information to be provided by employer to insurer159
204.Offences161
205.Evidence of non‑compliance with insurance requirements161
206.Defence: employment not connected with this State161
207.Recovery of premiums avoided by employer162
208.Liability of responsible officers of corporations163
209.Records to be kept by employer164
210.Insurer may recover underpaid premiums from employer166
211.Recovery of costs of audit of employer167
212.Certificate of currency167
213.Workers compensation insurance brokers167
Subdivision 2 — Contractors and subcontractors
214.Terms used168
215.Both principal and contractor taken to be employers169
216.Claim or proceedings against principal170
217.Indemnity170
218.Effect of judgment against principal or contractor170
219.Application of Subdivision to subcontractors171
220.Subdivision does not extend right to damages171
221.Contractor remuneration information171
Subdivision 3 — Avoidance arrangements
222.What constitutes an avoidance arrangement172
223.Offence if work done under avoidance arrangement173
224.Arbitrator’s determination about avoidance arrangement173
225.Effect of avoidance arrangement on compensation and insurance174
Division 3 — Licensed insurers
Subdivision 1 — Licensing of insurers
226.Offence: unlicensed insurers175
227.Application for licence175
228.Determination of licence application176
229.Conditions of licence176
230.Duration of licence177
231.Suspension, cancellation or surrender of licence177
232.Performance monitoring and review of insurers178
233.Improvement notice to licensed insurer179
234.Specialised insurers179
235.Special arrangements for Insurance Commission and public authorities180
Subdivision 2 — Insurance obligations of licensed insurers
236.Obligation of licensed insurers to insure employers181
237.Terms of insurance and form of policies182
238.Adjustable premium policies183
239.Insurer to indemnify employer for compensation payments184
240.Coverage of insurance policy not limited by employer representations184
241.Refusal of indemnity184
242.Cancellation of insurance policy186
243.Lapsing of insurance policy187
244.Worker’s rights against insurer when employer cannot be proceeded against188
Division 4 — Self‑insurance
Subdivision 1 — Licensing of self‑insurers
245.Application for self‑insurer licence189
246.Coverage of related entities by group self‑insurer licence189
247.Liability of holder of group self‑insurer licence190
248.Application of licensed insurer provisions to self‑insurers191
Subdivision 2 — Self‑insurer securities
249.Terms used191
250.Requirement for security192
251.Review and variation of required security amount192
252.Calling on security192
Division 5 — Insurance premiums
253.Fixing of recommended premium rates193
254.Reports as to recommended premium rates194
255.Review of premium charged194
Division 6 — Default Insurance Fund
Subdivision 1 — Establishment of Default Insurance Fund
256.Establishment of Default Insurance Fund196
257.Payments to and from DI Fund196
258.Payments to and from General Account197
259.Advances to DI Fund197
Subdivision 2 — Contributions to DI Fund
260.Terms used198
261.Required contributions by insurers and self‑insurers to DI Fund199
262.Arrangements for payment of contributions201
263.Additional insurer contribution for unexpected claims202
264.Provision of information by licensed insurers and self‑insurers203
Division 7 — Uninsured employers
265.Uninsured employer204
266.Payment of compensation when employer uninsured204
267.Payment of damages when employer uninsured205
268.Payment of compensation for dust disease or prescribed disease when insurer unknown or has ceased operation206
269.Recovery of compensation or damages paid for uninsured employer207
270.Setting aside certain judgments and agreements207
271.Recovery of uninsured employer payment from officer of body corporate208
272.Exercise by WorkCover WA of rights of uninsured employer209
273.WorkCover WA’s rights of indemnity and subrogation210
274.Employer’s duty to assist WorkCover WA211
275.Liability of employer if employment believed to be not connected with this State211
276.Payment to employer not required212
Division 8 — Insurer and self‑insurer insolvency
277.Terms used212
278.Claims against WorkCover WA for insolvent insurer and self‑insurer liabilities213
279.Payment of claims215
280.Recovery by WorkCover WA of payment made in satisfaction of claims215
281.Control of powers of liquidator of insurer or self‑insurer216
282.Payment into DI Fund of money recovered by liquidator216
283.Liquidator to notify WorkCover WA of dissolution of insurer or self‑insurer217
284.WorkCover WA may accept final payment from liquidator218
Division 9 — Acts of terrorism
285.Terms used218
286.Division does not apply to public authority covered by Insurance Commission219
287.Term used: act of terrorism219
288.Declaration of act of terrorism220
289.Exclusion of declared act of terrorism from insurance220
290.Claims for compensation in respect of declared act of terrorism220
291.Limits on claims for declared acts of terrorism221
292.WorkCover WA’s rights of indemnity and subrogation222
Division 10 — Special provisions for waterfront worker dust diseases if employer unknown
293.Terms used222
294.Claim for compensation if last relevant employer unknown222
295.Payment of claim223
296.Recovery of money paid in satisfaction of claim223
Division 11 — Contributions to Motor Vehicle and Workplace Accidents (Catastrophic Injuries) Fund
297.Terms used224
298.Insurance Commission to determine required contributions to CIF224
299.Calculation of required insurer contributions to CIF225
300.Requirement for payment of CIF contributions by insurers and self‑insurers225
301.Transfer from DI Fund to CIF226
302.Additional insurer contribution for unexpected liabilities227
Part 6 — Dispute resolution
Division 1 — General
303.Terms used228
304.Exclusive jurisdiction of arbitrators229
305.Object of this Part229
306.Relevant documents229
Division 2 — Conciliation Service and Arbitration Service
307.Establishment of Conciliation Service and Arbitration Service231
308.Designation and functions of Director and Registrar232
309.Designation of conciliators and arbitrators233
310.Delegation by Director or Registrar234
Division 3 — Conciliation
Subdivision 1 — Process for conciliation
311.Application for conciliation234
312.Requirements for acceptance of application for conciliation234
313.Director may certify dispute not suitable for conciliation235
314.Allocation of dispute235
315.Duties of conciliators235
316.Scope of conciliation236
317.Powers of conciliators236
318.Finalising orders236
319.Conclusion of conciliation and certificate of outcome237
Subdivision 2 — Directions for payment of compensation
320.Interim compensation directions238
321.Amendment, suspension or revocation of interim compensation directions239
322.Payment by insurer if employer fails to comply with interim compensation direction240
323.Suspending and reducing income compensation payments240
Subdivision 3 — General provisions about conciliation directions, orders and agreements
324.Terms used242
325.General provisions about conciliation decisions243
326When conciliation decision or agreement has effect243
327.Correcting mistakes243
328.Enforcing conciliation decisions and agreements243
329.Conciliation decisions not reviewable244
330.Recovery of compensation paid under conciliator direction244
Division 4 — Arbitration
Subdivision 1 — Determination of disputes by arbitration
331.Application for arbitration245
332.Requirements for acceptance of application for arbitration245
333.Registrar to allocate dispute246
334.Information exchange by parties246
335.Duties of arbitrators248
Subdivision 2 — Arbitration practice and procedure
336.General practice and procedure248
337.Relief or redress granted need not be restricted to claim249
338.Directions by arbitrator250
339.Dismissal of proceeding250
340.Illegal contracts of employment may be treated as valid250
341.Arbitrator’s powers to obtain information251
342.Use of experts by arbitrators252
343.Summoning witnesses252
344.Arbitrator’s powers as to witnesses252
345.Communication between worker and WorkCover WA employee not admissible253
346.Oaths and affirmations253
347.Arbitrator may authorise another person to take evidence253
Subdivision 3 — Arbitrator decisions
348.Decisions generally254
349.Conditional and ancillary orders and directions254
350.Form and content of decision and reasons254
351.Validity of decision not affected by contravention of this Subdivision256
352.When decision has effect256
353.Correcting mistakes256
354.Reconsideration of decision on basis of new information256
355.Arbitration decision not reviewable257
356.Enforcing decision258
357.Publication of decision and reasons258
Subdivision 4 — Interest
358.Interest on sums to be paid258
359.Interest on unpaid sums259
360.Interest on unpaid amount of agreed sum259
361.Regulations may exclude interest260
Division 5 — General provisions about conciliation and arbitration procedures
362.Term used: relevant rules260
363.Functions conferred by this Division260
364.Provision of information to another party or medical practitioner261
365.Representation261
366.Meaning of prohibited person: s. 365(4)262
367.Litigation guardians263
368.Interpreters and assistants263
369.Ways of conducting proceedings264
370.Proceedings to be in private265
371.Notice of proceedings and failure to attend265
372.Abrogation of privilege against self‑incrimination265
373.Legal professional privilege in relation to medical reports266
374.Other claims of privilege267
375.Powers in relation to documents produced267
376.To whom compensation must be paid267
377.Payment of compensation to worker under legal disability268
378.Admissibility of statements made to conciliator268
379.Statements to arbitrators not admissible in common law proceedings269
Division 6 — Regulations, rules and practice notes
380.Regulations269
381.Conciliation rules269
382.Arbitration rules270
383.General provisions about rules271
384.Practice notes271
Division 7 — Offences
385.Failure to comply with decision of dispute resolution authority272
386.Failure to comply with summons or requirement to attend273
387.Failure to give evidence as required273
388.Giving false or misleading information274
389.Misbehaviour and other conduct274
390.Referral of offence to CEO274
Division 8 — Appeals to District Court
391.Appeal against arbitrator’s decision274
392.Effect of appeal on decision under appeal276
393.Appeal from District Court to Court of Appeal276
Division 9 — Costs
Subdivision 1 — General
394.Terms used277
395.Costs to which Division applies277
396.Division prevails over Legal Profession Uniform Law (WA)278
Subdivision 2 — Determination, assessment and limitations as to costs
397.Costs to be determined by dispute resolution authority278
398.Costs unreasonably incurred by representative279
399.Agent’s costs279
400.Appeal costs280
401.Regulations for assessment of costs280
Subdivision 3 — Maximum costs
402.Costs Committee established281
403.Remuneration and allowances of Costs Committee members281
404.Constitution and procedure of Costs Committee281
405.Determinations as to maximum costs282
406.Making a costs determination283
407.Approval and publication of costs determinations283
408.Effect of approved costs determination284
409.Limit on agreement as to costs284
410.Costs in relation to actions for damages284
Part 7 — Common law
Division 1 — General
411.Terms used285
412.References to employer include person for whom employer vicariously liable285
413.Liability independent of this Act not affected286
414.Requirements for motor vehicle claims not affected286
Division 2 — Constraints on common law proceedings and damages: actions against employer
415.Application of Division286
416.Damages to which this Division does not apply286
417.Application of Division depends on when cause of action accrues287
418.Limit on powers of courts to award damages against employer287
419.No damages for noise‑induced hearing loss287
420.No damages if compensation settlement agreement registered287
421.Threshold requirements for commencement of proceedings and award of damages288
422.Commencement of court proceedings against employer of worker with terminal disease290
423.Effect of election to retain right to seek damages on entitlement to compensation290
424.Maximum damages award for less than 25% impairment291
425.Special provisions for HIV and AIDS292
426.Special provisions for dust disease damages claims293
427.Effect of this Division on contribution required from employer295
428.Limits on agreements as to solicitor‑client costs296
429.Regulations296
Division 3 — Prevention of double recovery
430.Application of Division297
431.Worker to be given opportunity to discontinue action for damages297
432.Deduction or repayment of compensation if action for damages proceeds to judgment297
433.Compensation proceedings not permitted if action for damages succeeds298
Division 4 — Remedies against third parties
434.Worker entitled to proceed against third party for damages299
435.Employer’s right to be indemnified by third party300
436.Recovery of third party indemnity payment from worker300
437.Employer’s right to recover unpaid damages from third party301
Division 5 — Choice of law
438.Terms used302
439.Extended meaning: injury, employer and worker303
440.Applicable substantive law for work injury claims303
441.Claims to which Division applies304
442.Claim in respect of death included305
443.Availability of action in another State not relevant305
Part 8 — Administration
Division 1 — General
444.Terms used306
Division 2 — WorkCover WA
445.WorkCover WA established306
446.Status307
447.Objective307
448.Functions307
449.Powers generally308
450.Delegation309
451.Execution of documents309
Division 3 — Administration of WorkCover WA
Subdivision 1 — The Board
452.Board is governing body310
453.Board membership311
454.Term of office of appointed members312
455.Casual vacancies, resignation and removal from office312
456.Extension of term of office during vacancy313
457.Leave of absence313
458.Alternate appointed members314
459.Remuneration and allowances of appointed members314
Subdivision 2 — Meetings
460.Meetings314
461.Quorum315
462.Presiding member315
463.Procedure at meetings315
464.Voting315
465.Holding meetings remotely315
466.Decision without meeting316
467.Minutes316
Subdivision 3 — Committees
468.Committees316
469.Directions to committee317
470.Committee procedures317
471.Remuneration and allowances of committee members317
Subdivision 4 — Disclosure of interests
472.Disclosure of material personal interest317
473.Interested member cannot participate318
474.Board may resolve s. 473 is inapplicable319
475.Quorum if s. 473 applies319
476.Minister may declare s. 473 and 475 inapplicable319
Division 4 — Staff of WorkCover WA
477.Chief executive officer320
478.Delegation by CEO320
479.Other staff320
480.Use of other government staff321
Division 5 — Ministerial directions
481.Minister may give directions321
482.Protection for disclosure or compliance with directions322
Part 9 — Financial provisions
Division 1 — General provisions
483.Application of Financial Management Act 2006 and Auditor General Act 2006323
484.Borrowing powers323
485.Guarantee by Treasurer323
486.Effect of guarantee324
Division 2 — General Account
487.Terms used324
488.WorkCover WA General Account established325
489.Estimate of funds needed for General Account327
490.Calculation of estimate327
491.Required contributions by insurers and self‑insurers to General Account328
492.Arrangements for payment of contributions330
493.Provision of information by licensed insurers and self‑insurers330
Division 3 — Trust account
494.WorkCover WA Trust Account established330
495.Investment of money standing to credit of Trust Account331
Part 10 — Management and disclosure of information
Division 1 — Approved forms and electronic processes
496.Approved forms332
497.Service, documents and information, including facilitation of electronic processes332
Division 2 — Disclosure of information
498.Minister to have access to information333
499.Information held by Conciliation Service or Arbitration Service334
500.Licensed insurers and self‑insurers must provide information to WorkCover WA334
501.Direction to provide WorkCover WA with information335
502.Disclosure of information to work health and safety officers336
503.WorkCover WA may disclose information336
504.Confidentiality337
505.Authorised use or disclosure of information338
506.Disclosure of claim information for pre‑employment screening338
Part 11 — Regulation and enforcement
Division 1 — General
507.Term used: compliance purposes340
Division 2 — Inspectors
508.Inspectors340
509.Identification of inspectors340
Division 3 — Inspections and investigations
510.Compliance inspections341
511.Entry powers341
512.General powers on entry342
513.Persons assisting inspectors343
Division 4 — Powers relating to documents and information
514.Power to require auditor’s certificate343
515.Power to require documents and answers to questions344
516.Abrogation of privilege against self‑incrimination346
517.Power to copy and retain documents346
Division 5 — Contravention of Act
518.Who can prosecute offences347
519.Time limit for prosecutions347
520.Application of fines347
521.Offences under Acts about work health and safety not affected347
522.Infringement notices and the Criminal Procedure Act 2004348
Division 6 — Offences
523.Hindering or obstructing inspector348
524.Using name WorkCover WA348
525.False or misleading information349
526.Fraud349
527.Preventing another person from complying with Act349
Part 12 — State with which employment connected
528.Terms used350
529.Connection of employment with a State350
530.Determining if employment is connected with this State351
531.Applying to District Court to determine connection352
532.Recognition of previous determination by court352
Part 13 — Miscellaneous
533.Judicial notice353
534.Protection from liability for performance of functions353
535.Protection and immunity of conciliators, arbitrators and persons involved in proceedings354
536.Protection for compliance with this Act354
537.Protection from liability for publishing decision355
538.General maximum and other adjustable amounts355
539.Regulations356
540.Regulations may adopt codes or legislation357
541.Review of Act358
Part 14 — Savings and transitional provisions
Division 1 — General
542.Terms used359
543.Expressions used in former Act359
544.Transitional regulations359
545.Interpretation Act 1984 not affected361
546.Act operates as continuation of former Act361
547.References to former Act361
548.Directions about corresponding provisions and pending matters362
549.Effect of Act on validity of past acts362
550.Application of Act to existing injuries and other matters362
551.Pending claims under former Act363
552.Pending matters exclusion of injury: reasonable administrative action364
553.Firefighters364
554.Jockeys365
Division 2 — Compensation
555.Continuation of entitlement to compensation365
556.Calculation of income compensation commenced as weekly payments under former Act365
557.Caps on compensation366
558.Compensation paid or payable under former Act367
559.Provisional payments of compensation368
560.Vocational rehabilitation compensation368
561.Lump sum compensation for permanent impairment368
562.Noise‑induced hearing loss368
563.Compensation for death of worker before 1 July 2018369
564.When entitlement to income compensation ceases due to age369
565.Compensation for AIDS370
566.Updating of general maximum amount370
Division 3 — Injury management
567.Return to work programs established under s. 155C of former Act370
568.Employer’s obligation to make position or suitable duties available371
569.Approved workplace rehabilitation providers371
570.Vocational rehabilitation371
Division 4 — Dispute resolution
571.Terms used372
572.Disputes to which Act applies372
573.Continuity of conciliation and arbitration services372
574.Conciliation rules, arbitration rules and practice notes373
575.Pending dispute proceedings374
576.Transitional directions375
577.Dispute decisions under former Act375
578.Registration of independent agents376
579.Costs determination378
Division 5 — Medical assessment
580.Approved permanent impairment assessors379
581.Medical assessments under former Act379
Division 6 — Insurer and self‑insurer insolvency and uninsured liabilities
582.Claims for uninsured liabilities380
583.Amounts payable from DI Fund for uninsured liabilities380
584.Insurer and self‑insurer insolvency380
585.EIS Fund381
586.Claims under EISF Act381
Division 7 — Settlement agreements
587.Settlement agreements under former Act382
Division 8 — Common law damages proceedings
588.Terms used382
589.Application of new common law provisions to existing claims383
590.Transitional arrangements for application of new common law provisions to existing claims384
591.Continuation of 1993 Scheme385
592.Dust disease actions accruing before 14 November 2005385
Division 9 — Insurance
593.Insurance policies under former Act385
594.Failure to insure under former Act386
595.Underpaid premiums387
596.Operation of policies issued by Insurance Commission387
597.Licensed insurers387
598.Self‑insurers388
599.Recommended premium rates389
600.Appeals by employers389
601.Permission for insurer to exceed 75% premium loading389
602.Acts of terrorism389
Division 10 — Administration
603.Term used: WorkCover Western Australia Authority390
604.Continuation of WorkCover Western Australia Authority390
605.Board is continuation of governing body390
606.Exercise of powers of Board before commencement day391
607.Continuation of accounts392
608.Chief executive officer392
609.Exercise of powers of CEO before commencement day392
610.Other staff393
611.Inspectors394
612.Delegations394
613.Guarantees of borrowings394
614.General Account395
Part 15 — Repeals and consequential and related amendments
Division 1 — Acts repealed
615.Workers’ Compensation and Injury Management Act 1981 repealed396
616.Workers’ Compensation and Injury Management (Acts of Terrorism) Act 2001 repealed396
617.Employers Indemnity Policies (Premium Rates) Act 1990 repealed396
618.Employers’ Indemnity Supplementation Fund Act 1980 repealed396
619.Waterfront Workers (Compensation for Asbestos Related Diseases) Act 1986 repealed396
Division 2 — Subsidiary legislation repealed
620.Workers’ Compensation and Injury Management Regulations 1982 repealed397
621.Workers’ Compensation and Injury Management (Scales of Fees) Regulations 1998 repealed397
622.Workers’ Compensation Code of Practice (Injury Management) 2005 repealed397
623.Workers’ Compensation and Injury Management (Acts of Terrorism) (Final Day) Regulations 2002 repealed397
Division 3 — Acts amended
Subdivision 1 — Civil Liability Act 2002 amended
624.Act amended397
625.Section 3A amended398
626.Section 13A replaced398
13A.Restrictions on damages if payments received under CISS398
Subdivision 2 — Financial Management Act 2006 amended
627.Act amended400
628.Schedule 1 amended400
Subdivision 3 — Fire and Emergency Services Act 1998 amended
629.Act amended401
630.Section 36ZM amended401
631.Section 36ZN replaced402
36ZN.When firefighter disease taken to be injury caused while engaged in volunteer activities402
632.Section 36ZR amended404
633.Section 36ZS amended404
634.Section 36ZT amended405
635.Section 36ZU amended405
636.Section 36ZW amended405
637.Section 36ZX replaced406
36ZX.Firefighter disease disputes406
638.Other references to WC&IM Act replaced406
Subdivision 4 — Health Services Act 2016 amended
639.Act amended407
640.Section 228 amended407
Subdivision 5 — Insurance Commission of Western Australia Act 1986 amended
641.Act amended408
642.Section 6 amended408
643.Section 7 amended409
644.Section 15 amended409
645.Section 16 amended409
646.Section 18 amended410
647.Section 44 deleted410
648.Section 49 inserted410
49.Transitional410
Subdivision 6 — Law Reform (Contributory Negligence and Tortfeasors’ Contribution) Act 1947 amended
649.Act amended411
650.Section 6 amended411
Subdivision 7 — Law Reporting Act 1981 amended
651.Act amended411
652.Section 2 amended411
Subdivision 8 — Legal Profession Uniform Law Application Act 2022 amended
653.Act amended412
654.Section 134 amended412
Subdivision 9 — Limitation Act 2005 amended
655.Act amended412
656.Section 55 amended412
657.Section 56 amended412
658.Section 57 amended414
Subdivision 10 — Local Government Act 1995 amended
659.Act amended414
660.Section 5.49 replaced414
5.49.Workers compensation insurance414
Subdivision 11 — Motor Vehicle (Catastrophic Injuries) Act 2016 amended
661.Act amended416
662.Long title amended416
663.Section 1 amended416
664.Section 3 amended416
665.Section 5A inserted417
5A.Workplace injury to which Act applies417
666.Section 8 amended419
667.Section 9 amended419
668.Section 13 amended420
669.Section 14 amended420
670.Section 15 amended420
671.Section 18 amended421
672.Section 19 amended421
673.Section 22 deleted421
674.Section 24 amended421
675.Section 27 amended422
676.Section 30A inserted422
30A.Notification and disclosure of information about injured worker422
677.Section 31 replaced424
31.False or misleading information424
Subdivision 12 — Motor Vehicle (Third Party Insurance) Act 1943 amended
678.Act amended425
679.Section 3 amended425
680.Section 3C amended426
681.Section 3EA amended426
682.Section 3FB amended427
683.Section 3G amended427
684.Section 3T amended427
685.Section 6A amended428
Subdivision 13 — Police Act 1892 amended
686.Act amended429
687.Section 33ZS amended429
688.Section 33ZW amended430
689.Section 33ZX amended431
690.Section 33ZY amended431
691.Section 33ZZI amended432
Subdivision 14 — Police (Medical and Other Expenses for Former Officers) Act 2008 amended
692.Act amended433
693.Section 3 amended433
694.Section 5 amended434
695.Section 7 amended434
696.Section 8 replaced434
8.Time limits under WCIM Act do not apply434
697.Section 9 amended435
698.Section 14 amended435
Subdivision 15 — Public Sector Management Act 1994 amended
699.Act amended435
700.Schedule 2 amended435
Subdivision 16 — Sentencing Act 1995 amended
701.Act amended436
702.Schedule 1 amended436
Subdivision 17 — State Superannuation (Transitional and Consequential Provisions) Act 2000 amended
703.Act amended436
704.Section 74 deleted436
Subdivision 18 — Workers Compensation and Injury Management Act 2023 amended
705.Act amended436
706.Section 66 amended436
Subdivision 19 — Workers’ Compensation and Injury Management Amendment Act 2011 amended
707.Act amended437
708.Section 123 amended437
Subdivision 20 — Other Acts amended
709.References to Workers’ Compensation and Injury Management Act 1981 amended437
Defined terms
Workers Compensation and Injury Management Act 2023
An Act —
●to provide for employers to be liable to compensate workers who suffer injuries from employment; and
●to establish a scheme for compulsory insurance against that liability; and
●to provide for the management of those injuries; and
●to provide for the resolution of disputes; and
●to make administrative and other related provisions; and
●to make consequential and related amendments to, and repeals of, various written laws.
[Assented to 24 October 2023]
The Parliament of Western Australia enacts as follows:
This is the Workers Compensation and Injury Management Act 2023.
This Act comes into operation as follows —
(a)Part 1 (but only Division 1) — on the day on which this Act receives the Royal Assent (assent day);
(b)Part 14 (but only Divisions 1, 4 and 10 and only sections 542, 543, 545, 574, 579, 603, 606 and 609) — on the day after assent day;
(c)Part 15 Division 3 Subdivision 18 —
(i)if the Criminal Law (Mental Impairment) Act 2023 section 188 comes into operation on or before assent day — when section 66 of this Act comes into operation; or
(ii)otherwise — when the Criminal Law (Mental Impairment) Act 2023 section 188 comes into operation;
(d)the rest of the Act — on a day fixed by proclamation, and different days may be fixed for different provisions.
This Act binds the Crown in right of Western Australia and, so far as the legislative power of the Parliament permits, the Crown in all its other capacities.
(1)The application of this Act or any of its provisions cannot be excluded, restricted or modified by contract, agreement or other arrangement, except as provided by this Act.
(2)A person who enters into a contract, agreement or other arrangement that purports to exclude, restrict or modify the application of this Act or any of its provisions, except as provided by this Act, commits an offence.
Penalty for this subsection: a fine of $15 000.
In this Act —
AIDS means acquired immune deficiency syndrome;
approved form means a form approved by the CEO under section 496 for the purposes of the provision in which the term is used;
approved permanent impairment assessor has the meaning given in section 193(1);
approved workplace rehabilitation provider means a workplace rehabilitation provider granted approval under section 173(1);
arbitration rules has the meaning given in section 382(1);
Arbitration Service means the Workers Compensation Arbitration Service established under section 307(1)(b);
arbitrator means a person designated as an arbitrator under section 309(1);
Board means WorkCover WA’s board provided for in section 452;
CEO means the person holding or acting in the office of chief executive officer of WorkCover WA;
certificate of capacity, in relation to a worker’s injury, means a certificate issued in accordance with section 169;
company means a company or a registered body, within the meaning of the Corporations Act 2001 (Commonwealth), other than a registered body specified, or of a kind specified, in the regulations;
compensation means compensation under this Act;
conciliation rules has the meaning given in section 381(1);
Conciliation Service means the Workers Compensation Conciliation Service established under section 307(1)(a);
conciliator means a person designated as a conciliator under section 309(1);
degree of permanent impairment means —
(a)degree of permanent impairment of a part or faculty of the body; or
(b)degree of permanent whole of person impairment;
DI Fund means the WorkCover WA Default Insurance Fund established under section 256(1);
Director means the WorkCover WA officer designated under section 308(1) as the Director;
disease includes any ailment, disorder, defect or morbid condition whether physical or mental and whether of sudden or gradual development;
dispute resolution authority means the Director, the Registrar, a conciliator or an arbitrator;
document includes anything that falls within 1 or more of the following —
(a)a record of information, irrespective of how the information is recorded or stored or able to be recovered;
(b)a thing on which there is writing;
(c)a map, plan, graph, drawing or photograph;
(d)a thing on which there are marks, figures, symbols or perforations that have a meaning for persons qualified to interpret them;
(e)a thing from which images, sounds or writings can be reproduced with or without the aid of anything else;
(f)a thing on which information is recorded or stored, whether electronically, magnetically, mechanically or by some other means;
dust disease has the meaning given in section 115;
dust disease impairment compensation means lump sum compensation under section 119 for impairment resulting from a dust disease;
employer has the meaning given in section 12 (and see also sections 13 to 16);
General Account means the WorkCover WA General Account established under section 488(1);
general maximum amount has the meaning given in section 538(1);
group self‑insurer licence has the meaning given in section 200;
health professional means —
(a)a person registered under the Health Practitioner Regulation National Law (Western Australia) to practise a health profession (other than as a student); or
(b)a person who is not resident in a State but who is recognised as a health professional for the purposes of this Act by WorkCover WA;
HIV means human immunodeficiency virus;
incapacity claim has the meaning given in section 23;
income compensation means compensation under Part 2 Division 3;
injured worker means a worker who has suffered an injury in respect of which compensation is payable;
injury has the meaning given in section 6;
injury by disease means an injury that is a disease, or the recurrence, aggravation or acceleration of a pre‑existing disease, as provided by section 6;
inspector means a staff member designated as an inspector under section 508(1);
Insurance Commission means the Insurance Commission of Western Australia referred to in the Insurance Commission of Western Australia Act 1986;
insured employer means an employer who is insured under a workers compensation policy;
insurer means an employer’s insurer under a workers compensation policy;
licensed insurer has the meaning given in section 200;
medical and health expense has the meaning given in section 71;
medical and health expenses compensation means compensation under Part 2 Division 4;
medical and health expenses general limit amount has the meaning given in section 69;
medical practitioner means —
(a)a person registered under the Health Practitioner Regulation National Law (Western Australia) in the medical profession; or
(b)a person who is not resident in a State but who is recognised as a medical practitioner for the purposes of this Act by WorkCover WA;
mesothelioma means a malignant disease of the inside lining of any 1 or more of the following —
(a)the chest wall (pleura);
(b)the pericardium;
(c)the abdomen (peritoneum);
miscellaneous expense has the meaning given in section 81;
miscellaneous expenses compensation means compensation under Part 2 Division 5;
noise‑induced hearing loss has the meaning given in section 107;
permanent impairment compensation means lump sum compensation under Part 2 Division 7;
provisional payments means provisional payments made to a worker in accordance with section 36;
Registrar means the WorkCover WA officer designated under section 308(1) as the Registrar;
return to work, in relation to a worker who has an incapacity for work, means —
(a)the worker holding or returning to the position that the worker held immediately before becoming incapacitated if it is reasonably practicable for the employer who employed the worker at the time the incapacity occurred to provide that position to the worker; or
(b)if the position is not available, or if the worker does not have the capacity to work in that position, the worker taking a position, whether with the employer who employed the worker at the time the incapacity occurred or another employer —
(i)for which the worker is qualified; and
(ii)that the worker is capable of performing;
return to work program means a return to work program established under section 160(2);
self‑insurer has the meaning given in section 200;
self‑insurer licence has the meaning given in section 200;
settlement agreement means a settlement agreement referred to in Part 2 Division 12;
ship —
(a)means any kind of vessel used in navigation by water, however propelled or moved; and
(b)includes any of the following vessels used wholly or primarily in navigation by water —
(i)a barge, lighter or other floating vessel;
(ii)an air‑cushion vehicle or other similar craft;
staff member means any of the following —
(a)a WorkCover WA officer;
(b)a person engaged or appointed under the Public Sector Management Act 1994 section 100 for the purposes of this Act;
(c)a person referred to in section 480(1);
State includes a Territory;
Trust Account means the WorkCover WA Trust Account established under section 494(1);
uninsured employer has the meaning given in section 265;
WorkCover WA means the body established under section 445(1);
WorkCover WA officer means the CEO or a public service officer appointed under section 479(1);
WorkCover WA website means a website maintained or controlled by or on behalf of WorkCover WA;
worker has the meaning given in section 12(2) (and see also sections 13 to 16);
workers compensation policy has the meaning given in section 202(1);
working director has the meaning given in section 16(1);
workplace rehabilitation expense means an expense that is for the provision of a workplace rehabilitation service;
workplace rehabilitation expenses compensation means compensation under Part 2 Division 6;
workplace rehabilitation service means a service provided in accordance with the regulations by an approved workplace rehabilitation provider for the purpose of assisting an injured worker to return to work.
Division 3 — Injury and injury from employment
(1)In this Act —
injury means an injury from employment that is —
(a)a personal injury by accident; or
(b)a disease, or the recurrence, aggravation or acceleration of a pre‑existing disease.
(2)A personal injury by accident is an injury from employment if the injury arises out of or in the course of the employment or while the worker is acting under the employer’s instructions.
(3)Unless otherwise provided in this Act, a disease, or the recurrence, aggravation or acceleration of a pre‑existing disease, is an injury from employment if —
(a)the disease is contracted, or the recurrence, aggravation or acceleration is suffered, in the course of the employment, whether at or away from the place of employment; and
(b)the employment contributed to a significant degree to the contraction of the disease, or the recurrence, aggravation or acceleration of the pre‑existing disease.
Note for this subsection:
Section 116 determines whether a dust disease is an injury from employment.
(4)In determining whether particular employment contributed to a significant degree to the contraction of a disease, or to the recurrence, aggravation or acceleration of a pre‑existing disease, account must be taken of the following —
(a)the duration of the employment;
(b)the nature of, and particular tasks involved in, the employment;
(c)the likelihood of the disease, or the recurrence, aggravation or acceleration of a pre‑existing disease, occurring despite the employment;
(d)the existence of any hereditary factors relating to the occurrence of the disease;
(e)matters affecting the worker’s health generally;
(f)activities of the worker not related to the employment.
7.Exclusion of injury: reasonable administrative action
(1)In this section —
administrative action includes any of the following actions —
(a)an appraisal of the worker’s performance;
(b)suspension action;
(c)disciplinary action;
(d)anything done in connection with an action described in paragraph (a), (b) or (c);
(e)anything done in connection with the worker’s demotion, dismissal or retrenchment, or the worker’s failure to obtain a promotion, reclassification, transfer or other benefit, or to retain any benefit, in connection with the worker’s employment.
(2)A psychological or psychiatric disorder, including any physiological effect of the disorder on the nervous system, that a worker experiences is not an injury from employment if it results wholly or predominantly from —
(a)administrative action, not being administrative action that is unreasonable and harsh on the part of the employer; or
(b)the worker’s expectation of administrative action or of a decision by the employer in relation to administrative action.
8.Injury from employment: work related attendances
A personal injury by accident suffered by a worker is taken to be an injury from employment if the injury occurs —
(a)while the worker attends at a place for educational purposes —
(i)as required by the terms of that employment; or
(ii)with the employer’s consent and for the purpose of, or in connection with, that employment;
or
(b)while the worker attends at a place for any treatment of an injury or other purpose the cost of which is payable as compensation in respect of the injury; or
(c)while the worker attends at a place to participate in a return to work program or to undertake workplace rehabilitation.
(1)In this section —
work journey means a journey arising out of or in the course of a worker’s employment.
(2)A personal injury by accident suffered by a worker must not be regarded as arising out of or in the course of the worker’s employment if the injury is suffered —
(a)during a journey to or from a place at which the worker resides, whether or not temporarily; or
(b)while a work journey is substantially interrupted for a purpose unconnected with the worker’s employment, or after an interruption of that kind; or
(c)during a substantial deviation from a work journey for a purpose unconnected with the worker’s employment, or after a deviation of that kind.
10.Prescribed diseases taken to be from certain employment
(1)The regulations may —
(a)specify diseases for the purposes of this section (each a prescribed disease); and
(b)for each prescribed disease specify 1 or more kinds of employment as prescribed employment for that disease.
(2)If a worker suffers an injury by a prescribed disease and the employment in which the worker works at the time of suffering the injury, or in which the worker worked at any time before suffering the injury, is prescribed employment for the disease, the injury is taken to be injury from that employment unless the employer proves that the injury was not from that employment.
Note for this subsection:
Section 6 determines whether an injury by a disease is from employment. An employer can prove that the injury was not from employment by proving that —
(a)it was not suffered in the course of the employment; or
(b)the employment did not contribute to a significant degree to the injury.
(3)The regulations may —
(a)impose conditions or limitations on the operation of this section; and
(b)specify the day on which an injury that under this section is taken to be from prescribed employment is taken to have been suffered.
(4)Unless the regulations otherwise provide, this section extends to —
(a)an injury suffered before, and employment before, the coming into operation of the regulation by which the disease concerned is specified as a prescribed disease; and
(b)an injury suffered before, and employment before, this section comes into operation.
(5)This section does not prevent it from being established independently of this section that an injury by a prescribed disease is from employment whether or not the employment is prescribed employment for the disease.
11.Diseases of firefighters taken to be from employment
(1)In this section —
firefighter disease means a disease that is —
(a)listed in column 1 of the Table; or
(b)a cancer prescribed by the regulations to be a firefighter disease;
firefighting employment means employment by or under the Crown in right of the State a substantial part of the duties of which consists of firefighting duties, being employment that is —
(a)covered by an industrial instrument, as defined in section 57(1), that applies to firefighting or by an agreement that wholly or partly regulates the terms or conditions of employment as a firefighter; or
(b)prescribed by the regulations to be firefighting employment;
hazardous fire means —
(a)a fire in a building; or
(b)a fire in a vehicle, whether designed to move under its own power or to be towed and whether or not still movable; or
(c)a fire involving non‑organic refuse or rubbish created by humans; or
(d)a fire that is prescribed by the regulations to be a hazardous fire;
hazardous firefighting employment, in relation to a worker, means firefighting employment during which the worker —
(a)is engaged as a member or officer of a permanent fire brigade, as defined in the Fire Brigades Act 1942 section 4(1); or
(b)attends hazardous fires at a rate at least equivalent to the rate of 5 hazardous fires per year;
qualifying period means —
(a)for a disease listed in column 1 of the Table — the qualifying period specified for that disease in column 2 of the Table; and
(b)for a cancer prescribed by the regulations to be a firefighter disease — the qualifying period prescribed by the regulations for that cancer.
Table
|
Item |
Column 1 Disease |
Column 2 Qualifying period |
|
1. |
Primary site brain cancer |
5 years |
|
2. |
Primary site bladder cancer |
15 years |
|
3. |
Primary site kidney cancer |
15 years |
|
4. |
Primary non‑Hodgkin’s lymphoma |
15 years |
|
5. |
Primary leukaemia |
5 years |
|
6. |
Primary site breast cancer |
10 years |
|
7. |
Primary site testicular cancer |
10 years |
|
8. |
Multiple myeloma |
15 years |
|
9. |
Primary site prostate cancer |
15 years |
|
10. |
Primary site ureter cancer |
15 years |
|
11. |
Primary site colorectal cancer |
15 years |
|
12. |
Primary site oesophageal cancer |
15 years |
(2)An injury by a firefighter disease suffered by a worker is taken to be from firefighting employment in which the worker was engaged if all of the requirements for the application of this section to the injury as specified in subsection (3) are satisfied, unless the employer proves that the injury was not from that employment.
Note for this subsection:
Section 6 determines whether an injury by a disease is from employment. An employer can prove that the injury was not from employment by proving that —
(a)it was not suffered in the course of the employment; or
(b)the employment did not contribute to a significant degree to the injury.
(3)The requirements for the application of this section to an injury by a firefighter disease suffered by a worker are as follows —
(a)when the injury is suffered the worker (whether or not still in firefighting employment) has been in firefighting employment for at least a period of, or periods in aggregate amounting to, the qualifying period for the disease;
(b)the employer is satisfied that when the injury is suffered the worker has been in hazardous firefighting employment for at least a period of, or periods in aggregate amounting to, the lesser of the following —
(i)5 years;
(ii)the qualifying period for the disease.
(4)In the case of a cancer prescribed by the regulations to be a firefighter disease for the purposes of this section —
(a)this section does not apply to an injury by the firefighter disease suffered by a worker before the day specified in the regulations as the day on and after which this section applies to the injury; and
(b)the regulations may impose other conditions or limitations on the operation of this section.
(5)The day on which a worker’s injury by a firefighter disease is taken to have been suffered is the earlier of the following —
(a)the day on which the worker becomes totally or partially incapacitated for work by reason of the injury;
(b)the day on which the injury is first diagnosed by a medical practitioner.
Division 4 — Worker and employer
12.Meaning of “worker” and “employer”
(1)In this section —
person includes —
(a)the State or an agency or instrumentality of the State; and
(b)the Crown, or an agency or instrumentality of the Crown, in any of its other capacities;
training contract means a training contract registered under the Vocational Education and Training Act 1996 Part 7 Division 2.
(2)An individual is a worker if —
(a)the individual has entered into, or works under, a contract of service with a person, whether the contract is express or implied, oral or written; or
(b)the individual —
(i)has entered into a contract with a person to work as an apprentice, or works under a contract with a person as an apprentice, whether the contract is express or implied, oral or written; and
(ii)has entered into a training contract that specifies the individual is undertaking an apprenticeship;
or
(c)the individual has contracted with a person for the performance of work by the individual and —
(i)the work is not work in the course of or incidental to a trade or business regularly carried on by the individual in the individual’s own name or under a business or firm name; and
(ii)the individual does not sublet the contract; and
(iii)if the individual employs a worker, the individual performs part of the work personally.
(3)The person with whom the worker has entered into the contract, or for whom the worker works under the contract, is the worker’s employer.
Note for this section:
Section 215 sets out circumstances in which both a principal and contractor are taken to be employers of a worker.
13.Prescribed workers and excluded workers
(1)The regulations may provide that an individual of a specified class or description who otherwise would not be, or might not be, a worker under section 12(2) is a worker for the purposes of this Act.
(2)The regulations must provide for the identification of the person who is the employer for the purposes of this Act of each individual who is a worker under regulations made under subsection (1).
(3)The regulations may provide that an individual of a specified class or description who otherwise would be, or might be, a worker under section 12(2) is not a worker for the purposes of this Act.
(1)In this section —
labour hire employment means employment of an individual (the employee) under a contract of employment pursuant to which the services of the employee are temporarily lent or let on hire by the employer (the labour hirer) to another person (the host).
(2)If employment is labour hire employment, the employee is a worker for the purposes of this Act.
(3)If employment is labour hire employment, the labour hirer (and not the host) is the worker’s employer for the purposes of this Act for work done personally by the worker for the host but only if the following conditions are satisfied —
(a)there is no contract between the worker and the host for the work to be done for the host;
(b)if the labour hirer is a corporation — the worker is not a director of the corporation.
(4)A reference in subsection (3) to work done for the host includes work done for another person —
(a)at the direction of the host; or
(b)under an arrangement between the labour hirer and the host.
Notes for this section:
1.This section does not make an employment agent the employer of a person for whom the agent finds work if the worker is engaged directly by the person for whom the work is to be done. It makes the labour hirer the employer only if there is no contractual relationship between the worker and the host.
2.Under Part 5 Division 2 the host may be liable as “principal” to pay compensation to the worker as well as the labour hirer under this section. The “principal” may then recover compensation from the labour hirer (see section 217) in specific circumstances.
(1)In this section —
licensed means licensed under the Racing and Wagering Western Australia Act 2003;
licensed facility means a place licensed as —
(a)a racecourse; or
(b)a training track; or
(c)a trial track;
licensed jockey means a person licensed as a jockey;
licensed trainer means a person licensed as a trainer of thoroughbred racing horses;
Racing and Wagering Western Australia means the body of that name established under the Racing and Wagering Western Australia Act 2003 section 4;
registered club means a racing club registered under the Racing and Wagering Western Australia Act 2003.
(2)A person who is a licensed jockey is a worker for the purposes of this Act if the person —
(a)is riding a horse in any race run under the management of a registered club; or
(b)is engaged in performing, for a licensed trainer, riding work or the usual duties of a jockey.
(3)The employer for the purposes of this Act of a person who, under subsection (2), is a worker is —
(a)Racing and Wagering Western Australia unless paragraph (b) applies; or
(b)the licensed trainer for whom the person is engaged when the person is performing for the licensed trainer riding work or the usual duties of a jockey but not at a licensed facility and not when riding a horse in any race run under the management of a registered club.
(1)In this section —
company director has the meaning given to the term director in the Corporations Act 2001 (Commonwealth) section 9;
insurance information requirements means the requirements of section 203 that apply when a company effects or renews a workers compensation policy on the basis that a director of the company is a worker;
working director, in relation to a company, means a company director of the company, whether or not the director would be a worker if this section did not apply —
(a)who does work for or on behalf of the company; and
(b)whose remuneration, by whatever means, as a company director of the company is in substance for personal manual labour or services.
(2)A working director is not a worker for the purposes of this Act except to the extent that this section provides otherwise.
(3)A company may apply under Part 5 for the issue or renewal of a workers compensation policy on the basis that a working director of the company is a worker.
(4)If a company applies under Part 5 for the issue or renewal of a workers compensation policy on the basis that a working director of the company is a worker and the company complies with the insurance information requirements —
(a)the working director is a worker for the purposes of this Act; and
(b)the company is the employer of the working director for the purposes of this Act.
(5)If the company fails to comply with the insurance information requirements that apply after the end or termination of the period of insurance, a working director ceases to be a worker under subsection (4) unless and until the company provides the insurer with the information that is required for compliance with those requirements.
(6)If a company is a self‑insurer —
(a)a working director of the company is a worker for the purposes of this Act; and
(b)the company is the employer of the working director for the purposes of this Act.
(7)A working director is not a worker for the purposes of section 267.
Part 2 — Compensation for injury
Division 1 — General principles
17.Employer liable for compensation
(1)An employer is liable for compensation if a worker suffers an injury from employment with the employer.
(2)If an employer’s liability to pay compensation has been accepted (or is taken to have been accepted) or has been determined by an arbitrator, the employer must pay compensation to the worker.
Penalty for this subsection: a fine of $10 000.
Compensation takes 1 or more of the following forms —
(a)income compensation payable for injury that results in total or partial incapacity of the worker for work;
(b)compensation for medical and health expenses;
(c)compensation for miscellaneous expenses;
(d)compensation for workplace rehabilitation expenses;
(e)lump sum compensation for permanent impairment from personal injury by accident;
(f)lump sum compensation for noise‑induced hearing loss;
(g)lump sum compensation for permanent impairment from a dust disease;
(h)compensation on the death of a worker.
19.Employment must be connected with this State
(1)Liability for compensation arises only if the worker’s employment is connected with this State.
Note for this subsection:
The State with which employment is connected is determined under Part 12.
(2)The fact that a worker is outside this State when the injury occurs does not prevent liability for compensation under this Act arising from an injury from employment that is connected with this State.
(3)There is no liability for compensation in respect of an injury suffered by a worker outside Australia if the worker —
(a)has never resided in Australia; or
(b)has been continuously resident outside Australia for more than 24 months when the injury occurs.
(4)Subsection (3)(b) does not apply if the injury suffered by the worker is —
(a)an injury by dust disease; or
(b)an injury by firefighter disease, as defined in section 11(1).
20.Compensation excluded: serious and wilful misconduct
(1)In this section —
drug of addiction has the meaning given in the Misuse of Drugs Act 1981 section 3(1).
(2)An employer is not liable for compensation if it is proved before an arbitrator that the worker’s injury is attributable to —
(a)voluntary consumption by the worker of alcoholic liquor or of a drug of addiction, or both, that impairs the proper functioning of the worker’s faculties; or
(b)the worker’s failure to use protective equipment, clothing or accessories provided by the employer for the worker’s use; or
(c)other serious and wilful misconduct by the worker.
(3)Subsection (2) does not exclude liability if the worker’s injury has serious and permanent effects on the worker or results in the death of the worker.
(4)Subsection (2)(b) does not exclude liability if it is proved that there was a reasonable excuse for the worker’s failure.
21.Compensation excluded: certain employment on ship
An employer is not liable for compensation if the worker’s injury is from employment on a ship and the Seafarers Rehabilitation and Compensation Act 1992 (Commonwealth) applies to the worker’s employment.
22.Person not to be paid twice
(1)In this section —
other recompense means —
(a)compensation received under the laws of a place other than this State; or
(b)an amount for which judgment has been obtained against the employer independently of this Act.
(2)Compensation is not payable to a person for a matter to the extent that the person has received or obtained other recompense for the same matter.
(3)If a person receives compensation for a matter and subsequently receives or obtains other recompense for the same matter, the person from whom compensation is received may recover, as a debt due, from the person who received it the amount of compensation paid to the extent that it does not exceed the amount of the other recompense.
Division 2 — Claiming compensation
In this Division —
deferred decision notice has the meaning given in section 28(4);
incapacity claim means a claim for compensation for which the certificate of capacity given to the employer when making the claim (as provided by section 25) specifies that the worker has an incapacity for work;
liability decision notice means a notice that complies with the requirements of section 28 for a liability decision notice.
This Division applies only to a claim for any 1 or more of the following kinds of compensation —
(a)income compensation;
(b)medical and health expenses compensation;
(c)miscellaneous expenses compensation;
(d)dust disease impairment compensation.
25.Making claim for compensation
(1)A claim for compensation must be made within 12 months after the injury occurs.
(2)The claim is made when the worker has given to the employer —
(a)a completed claim form in the approved form; and
(b)a certificate of capacity for the claim.
(3)Different claim forms can be approved for different kinds of claims.
(4)An approved claim form must include an authority a worker may opt to give to —
(a)consent to the disclosure to, and collection by, a person specified in the authority of any medical, health and personal information that is relevant to any of the following —
(i)the worker’s injury;
(ii)the worker’s claim for compensation or entitlement to compensation;
(iii)injury management for the worker’s injury;
and
(b)consent to the disclosure of the information collected to a person specified in the authority.
(5)A failure to make a claim for compensation within the period required by subsection (1) or a defect or inaccuracy in the claim form, certificate of capacity or details of the claim does not invalidate the claim if —
(a)the failure, defect or inaccuracy results from mistake, absence from the State or another reasonable cause; or
(b)the failure, defect or inaccuracy would not prejudice the employer’s defence in proceedings that might arise out of the claim.
26.Insured employer must give claim to insurer
(1)An insured employer must, within 7 days after a worker claims compensation from the employer in accordance with section 25, give the worker’s claim to the insurer.
Penalty for this subsection: a fine of $5 000.
(2)An insured employer gives a worker’s claim to the insurer by giving to the insurer the claim form and certificate of capacity that the worker gave to the employer.
27.Worker may give claim to insurer if employer defaults
(1)If an insured employer from which a worker has claimed compensation fails to give the claim to the insurer in accordance with section 26, the worker may give the claim to the insurer.
(2)A worker gives a claim to the insurer by either —
(a)giving the insurer a copy of the claim form and certificate of capacity given to the employer; or
(b)giving the insurer another completed claim form (in the approved form) with a certificate of capacity for the claim.
(3)A claim that a worker gives to an insurer is taken to have been given to the insurer by the employer at the time the worker gives it to the insurer and the insurer must deal with the claim accordingly.
(4)WorkCover WA may, for the purposes of this section, disclose to a worker the identity and other details of an employer’s insurer.
28.Insurer or self‑insurer to make decision on liability
(1)Within 14 days after a claim is given to an insurer or self‑insurer, the insurer or self‑insurer must give the worker and an insured employer a liability decision notice for the claim.
Note for this subsection:
If the claim is in respect of a dust disease, the time within which a liability decision notice must be given is 14 days after the insurer or self‑insurer is notified of the determination of a Dust Disease Medical Panel in respect of the claim (instead of within 14 days after the claim is given to the insurer or self‑insurer). See section 121.
(2)A liability decision notice is a notice in the approved form stating that —
(a)the insurer or self‑insurer accepts that the employer is liable to compensate the worker for the injury to which the claim relates; or
(b)the insurer or self‑insurer accepts that the employer is or may be liable to compensate the worker for the injury to which the claim relates but there are 1 or more liability questions (as defined in section 34(2)) in relation to the acceptance; or
(c)the insurer or self‑insurer does not accept that the employer is liable to compensate the worker for the injury to which the claim relates.
Note for this subsection:
Sections 30 and 34 provide for the determination by an arbitrator of the liability of an employer for compensation to which a liability decision notice relates.
(3)In the case of an incapacity claim, the liability decision notice must also state whether or not the insurer or self‑insurer accepts that the employer is liable to pay income compensation for incapacity for work.
Note for this subsection:
Division 3 provides for income compensation.
(4)A liability decision notice need not be given if a decision on liability cannot be made and the insurer or self‑insurer instead gives the worker and the insured employer, within 14 days after the claim is given to the insurer or self‑insurer, a notice (a deferred decision notice) in the approved form stating that a decision on liability has been deferred.
(5)An insurer or self‑insurer who fails to give a liability decision notice or deferred decision notice as and when required by this section commits an offence.
Penalty for this subsection: a fine of $5 000.
(6)If an insurer or self‑insurer fails to give a liability decision notice or deferred decision notice as and when required by this section —
(a)the insurer or self‑insurer is taken to have accepted that the employer is liable to compensate the worker for the injury to which the claim relates; and
(b)in the case of an incapacity claim — the insurer or self‑insurer is taken to have accepted that the employer is liable to pay income compensation for incapacity for work.
Note for this subsection:
The employer’s obligation to pay income compensation to the worker arises when the insurer or self‑insurer is taken to have accepted liability to compensate the worker and the compensation for which the employer is liable includes income compensation. See section 47.
(7)A reference in this section and in a liability decision notice to liability of the employer to compensate the worker for the injury includes —
(a)the employer’s liability to compensate the worker for the injury, irrespective of whether another employer may be wholly or partly liable to compensate the worker for the injury because the injury may be from employment with another employer or more than 1 other employer; and
(b)the employer’s liability under section 34(3) to make payments of compensation for the injury for which another employer may be partly liable; and
(c)the employer’s liability under section 35(3) to make payments of compensation for the injury for which another employer may be wholly or partly liable.
(8)For the purposes of the application of this section to a self‑insurer —
(a)a claim made on an employer who is a self‑insurer is considered to have been given to the self‑insurer when it is made by the worker; and
(b)a requirement to give a notice to an insured employer does not apply to the self‑insurer.
29.Requirements when decision on liability deferred
(1)If an insurer or self‑insurer gives a deferred decision notice for a worker’s claim, the insurer or self‑insurer must give a liability decision notice for the claim as soon as practicable and in any event before the day prescribed by the regulations for the purposes of this section (the deemed liability acceptance day).
Note for this subsection:
The employer is also required to make provisional payments if a liability decision notice has not been given before the day prescribed under section 36 as the provisional payments day.
(2)An insurer or self‑insurer who fails to give a liability decision notice before the deemed liability acceptance day commits an offence.
Penalty for this subsection: a fine of $5 000.
(3)If a liability decision notice has not been given before the deemed liability acceptance day —
(a)the insurer or self‑insurer is taken to have accepted that the employer is liable to compensate the worker for the injury to which the claim relates; and
(b)in the case of an incapacity claim — the insurer or self‑insurer is taken to have accepted that the employer is liable to pay income compensation for incapacity for work.
Note for this subsection:
The employer’s obligation to pay income compensation to the worker arises when the insurer or self‑insurer is taken to have accepted liability to compensate the worker and the compensation for which the employer is liable includes income compensation. See section 47.
30.Determination by arbitrator of question about liability for compensation
(1)If a liability decision notice given by an insurer or self‑insurer states that liability for compensation is not accepted, an arbitrator may on application by the worker hear and determine the question of liability.
(2)A liability decision notice is considered to state that liability for compensation is not accepted if —
(a)the notice states that the insurer or self‑insurer does not accept that the employer is liable to compensate the worker for the injury to which the claim relates; or
(b)the notice states that the insurer or self‑insurer does not accept that the employer is liable to pay income compensation for incapacity for work.
(3)When an arbitrator determines the question of the employer’s liability to compensate the worker for the injury, the arbitrator may also determine the compensation (if any) to which the worker is entitled and make any order the arbitrator considers appropriate in the circumstances.
31.Claims on uninsured employers
(1)If an employer is an uninsured employer in respect of a liability to pay compensation for an injury to a worker, this Division applies in respect of a claim for the compensation as if the employer were a self‑insurer.
Notes for this subsection:
1.WorkCover WA may exercise the rights of the uninsured employer in respect of the claim — see section 272.
2.Section 265 defines uninsured employer.
(2)An employer who is an uninsured employer in respect of a liability to pay compensation for an injury to a worker must give notice to WorkCover WA in the approved form within 7 days after receiving a claim for the compensation.
Penalty for this subsection: a fine of $5 000.
(3)Subsection (2) does not apply to an employer who is an uninsured employer because the employer’s insurer has refused to indemnify the employer against the liability as permitted by section 241.
Note for this subsection:
An insurer is required under section 241(3) to give WorkCover WA notice of a refusal to indemnify an employer.
32.Worker to provide information about other employment
(1)A worker who makes an incapacity claim must give notice to the employer or the insurer as required by subsection (2) of any remunerated work that the worker does for any other employer after the claim is made.
Penalty for this subsection: a fine of $5 000.
(2)The worker’s notice must —
(a)provide the information required by the regulations; and
(b)be given to the employer or insurer before the end of the period required by the regulations.
(3)If the worker is a working director, the notice required by subsection (1) must be given by the worker to the insurer and a notice given by the worker’s employer to the insurer is taken to have been given by the worker.
(4)An insurer or self‑insurer must, in accordance with the regulations, inform a worker who makes an incapacity claim of the worker’s obligations under subsection (1).
(5)Subsection (1) does not apply unless the insurer or self‑insurer has complied with subsection (4).
33.Incapacity after claim made
The regulations may make provision for or with respect to the following in connection with a claim for compensation if a certificate of capacity did not specify that the worker had an incapacity for work but a subsequent certificate of capacity specifies that the worker has an incapacity for work —
(a)the amendment of the claim to enable the claim to be properly dealt with as including a claim for income compensation;
(b)the obligations of employers, insurers and self‑insurers in respect of the claim;
(c)the obligations of an insurer or self‑insurer to make a decision on the employer’s liability to pay income compensation;
(d)the circumstances in which an insurer or self‑insurer is taken to have accepted that the employer is liable to pay income compensation for incapacity for work.
34.Claiming compensation when question as to liability or apportionment between employers
(1)Except as provided in subsection (8), this section applies when —
(a)a worker makes a claim under section 25 for compensation from the employer who last employed the worker in employment in which the worker claims the worker’s injury was suffered (the last employer); and
(b)the last employer’s insurer or the self‑insurer gives the worker a liability decision notice under section 28 or 29 accepting that the employer is or may be liable to compensate the worker for the injury to which the claim relates but indicating there are 1 or more liability questions in relation to the acceptance.
(2)A liability question is a question as to any of the following —
(a)whether another employer (a relevant employer) is wholly or partly liable to compensate the worker because the injury is or may be from employment during a period with another employer or more than 1 other employer;
(b)how the liability to compensate the worker is to be apportioned between employers;
(c)which insurer is liable to indemnify an employer liable to compensate the worker.
(3)The last employer is liable to deal with the claim and make payments of compensation as if the last employer were wholly liable and the last employer’s insurer must indemnify the last employer for the payments.
(4)Each relevant employer is liable to make to the last employer any contributions as, in default of agreement, may be determined by an arbitrator.
(5)If the worker or last employer applies for determination by an arbitrator of a liability question —
(a)the last employer may join as a party to the dispute any employer who may be wholly or partly liable to pay the compensation; and
(b)the arbitrator may determine that an employer who is a party to the dispute is wholly or partly liable to compensate the worker; and
(c)the arbitrator may make 1 or more of the following orders —
(i)an order requiring the payment of compensation by the last employer or a relevant employer;
(ii)an order requiring reimbursement of compensation paid by the last employer or a relevant employer;
(iii)an order for the apportionment of liability for compensation between employers.
(6)If an insurer applies for determination by an arbitrator of a dispute as to the liability of the insurer to indemnify an employer liable to compensate a worker, the arbitrator may make 1 or more of the following orders —
(a)an order requiring 1 or more insurers to indemnify the employer;
(b)an order for apportionment of the liability to indemnify the employer;
(c)an order requiring the reimbursement of compensation by 1 insurer to another.
(7)The worker must provide to the last employer any information in the worker’s possession that the last employer may reasonably request for the purpose of identifying any employment in which the worker was employed before or after employment with the last employer and in which the worker has or may have suffered an injury from employment.
(8)This section does not apply to —
(a)a claim to which section 35 applies; or
(b)a claim for noise‑induced hearing loss.
35.Claiming compensation for certain diseases when more than 1 employer liable
(1)In this section —
disease compensation means compensation payable for injury by disease that is —
(a)a prescribed disease under section 10 taken to be from certain employment under that section; or
(b)a dust disease;
relevant employer means an employer who employs a worker in relevant employment;
relevant employment means employment in respect of which there is a liability for disease compensation.
(2)Disease compensation may be claimed from the employer who last employed the worker in relevant employment (the last employer) even if there is a question as to which of 2 or more relevant employers is liable to compensate the worker or how that liability is to be apportioned between 2 or more relevant employers.
(3)The last employer is liable to deal with the claim and make payments of compensation as if the last employer were wholly liable and the last employer’s insurer must indemnify the last employer for any of the payments.
(4)Subsection (3) applies irrespective of whether the insurer has accepted in a liability decision notice under section 28 or 29 that the employer is liable to compensate the worker.
(5)If there are 2 or more relevant employers in respect of a claim for disease compensation, each relevant employer is liable to make to the last employer any contributions as, in default of agreement, may be determined by an arbitrator.
(6)In a proceeding for the determination of a dispute as to the liability for contribution by relevant employers, an arbitrator may make an order requiring the payment of compensation by any relevant employer or for the apportionment of liability for compensation between relevant employers.
(7)If the worker or last employer applies for determination by an arbitrator of a question mentioned in subsection (2) —
(a)the last employer may join as a party to the dispute any relevant employer; and
(b)the arbitrator may determine that a relevant employer who is a party to the dispute is wholly or partly liable to compensate the worker; and
(c)the arbitrator may make an order requiring the reimbursement of compensation by 1 relevant employer to another.
(8)If an insurer applies for determination by an arbitrator of a dispute as to the liability of the insurer to indemnify an employer liable to compensate a worker, the arbitrator may make 1 or more of the following orders —
(a)an order requiring 1 or more insurers to indemnify the employer;
(b)an order for apportionment of the liability to indemnify the employer;
(c)an order requiring the reimbursement of compensation by 1 insurer to another.
(9)The worker must provide to the last employer any information in the worker’s possession that the last employer may reasonably request for the purpose of identifying any relevant employment in which the worker was employed before employment with the last employer.
Subdivision 3 — Provisional payments
36.Requirement for provisional payments
(1)If an insurer or self‑insurer gives a deferred decision notice for a worker’s claim but has not given a liability decision notice for the claim before the day prescribed by the regulations as the provisional payments day, the employer is required to make provisional payments as provided by this Subdivision.
(2)An employer who fails to make a provisional payment as and when required by this Subdivision commits an offence.
Penalty for this subsection: a fine of $10 000.
37.Compensation for which provisional payments are required
Provisional payments are required to be made for any medical and health expenses compensation and income compensation to which the worker would be entitled had the insurer or self‑insurer accepted that the employer is liable to compensate the worker for the injury concerned.
38.Calculating the amount of a provisional payment
The amount of a provisional payment must be calculated as if the provisional payment were a payment of the kind of compensation for which the provisional payment is required.
39.How and when provisional payments are to be made
A provisional payment in respect of a particular kind of compensation must be paid at the time and in the manner in which a payment of that kind of compensation would be payable if the worker were entitled to that kind of compensation.
40.Provisional payments of medical and health expenses compensation
(1)Provisional payments in respect of medical and health expenses compensation are to be made for the period that begins on the day on which the worker’s injury occurred and ends on the earliest of the following days —
(a)the day on which the insurer or self‑insurer gives a liability decision notice for the claim to the worker;
(b)the day on which the insurer or self‑insurer is taken under section 29(3) to accept that the employer is liable to compensate the worker for the injury.
(2)The total amount of provisional payments in respect of medical and health expenses compensation is limited to 5% of the medical and health expenses general limit amount applying on the day the last of those provisional payments is made.
41.Provisional payments of income compensation
Provisional payments in respect of income compensation are to be made for the period that begins on the day on which the worker first has an incapacity for work as a result of the injury and ends on the earliest of the following days —
(a)the day on which a certificate of capacity is issued that specifies that the worker no longer has any incapacity for work;
(b)the day on which the insurer or self‑insurer gives a liability decision notice for the claim to the worker;
(c)the day on which the insurer or self‑insurer is taken under section 29(3) to accept that the employer is liable to compensate the worker for the injury.
42.Insurer required to indemnify for provisional payments
The insurer of an insured employer must indemnify the employer for provisional payments that the employer is required to make under this Subdivision.
Penalty: a fine of $10 000.
43.Status and effect of provisional payments
(1)A provisional payment made to a worker must be taken into account for the following purposes as if it were a payment of the compensation in respect of which it is made —
(a)discharging a liability of the employer to pay compensation to the worker;
(b)calculating the total amount of compensation, or compensation of a particular kind, paid to the worker.
(2)A payment made to a worker as a provisional payment is considered to be a provisional payment made to the worker even if the payment was made before the obligation to make the provisional payment arose.
(3)Except as provided in subsection (1), a provisional payment made to a worker is not a payment of compensation and, unless the worker’s claim involved fraud, is not recoverable from a worker even if the employer is found not to have been liable for compensation in respect of the injury concerned.
44.Other employer or insurer liable
(1)If an employer makes provisional payments in respect of a worker’s claim for compensation and it is agreed between the persons concerned or it is determined by an arbitrator that another employer is liable for the whole or part of the compensation —
(a)the employer making the provisional payments may recover as a debt due from the other employer the whole or part of the payments made according to the extent of the compensation for which the other employer is liable; and
(b)the provisional payments recoverable from the other employer are taken to have been made to the worker by the other employer.
(2)If an insurer by way of indemnity makes provisional payments in respect of a worker’s claim for compensation by an employer and it is agreed between the persons concerned or it is determined by an arbitrator that another insurer is required to indemnify that or another employer for liability to pay the whole or part of the compensation —
(a)the insurer making the provisional payments may recover as a debt due from the other insurer the whole or part of the payments made according to the extent of the compensation for which the other insurer is required to indemnify that or another employer; and
(b)the provisional payments recoverable from the other insurer are taken to have been made to the worker by the other insurer for the employer it is liable to indemnify.
(3)Subsection (2) extends to a self‑insurer as if provisional payments made by a self‑insurer were provisional payments made by an insurer by way of indemnity.
Division 3 — Income compensation
In this Division —
board and lodging means accommodation and any meals, laundry services and other benefits having a monetary value provided together with the accommodation;
bonus or allowance means any bonus or incentive, shift allowance, weekend or public holiday penalty allowance, district allowance, industry allowance, meal allowance, living allowance, clothing allowance, travelling allowance or other allowance;
earnings, of a worker —
(a)means any amount paid or payable to the worker —
(i)as wages or salary; or
(ii)as a piece rate or commission; or
(iii)for a specified quantity of work for a specified sum; or
(iv)as a bonus or allowance; or
(v)as an over award or service payment; or
(vi)for overtime;
and
(b)includes —
(i)the monetary value of board and lodging provided to the worker by the employer as payment for work, ascertained under section 58; and
(ii)any payment in money or money’s worth paid to or for the benefit of the worker that the regulations prescribe as included in the earnings of a worker;
but
(c)does not include —
(i)income compensation paid to the worker; and
(ii)any component of the worker’s earnings that the regulations prescribe as excluded from the earnings of a worker;
income compensation general limit amount means the amount that is equal to the general maximum amount;
overtime means time worked in excess of the number of ordinary working hours.
Subdivision 2 — Entitlement to income compensation
46.Entitlement to income compensation for incapacity for work
A worker is entitled to be paid income compensation under this Subdivision if the worker’s injury results in total or partial incapacity of the worker for work.
47.Obligation to pay income compensation
(1)An employer’s obligation to pay income compensation to a worker for an injury arises when the insurer or self‑insurer accepts (or is taken to have accepted) or an arbitrator determines that —
(a)the employer is liable to compensate the worker for the injury; and
(b)the compensation for which the employer is liable includes income compensation.
(2)The employer must, except as otherwise provided under this Act —
(a)make the first payment of income compensation within 14 days after the employer’s obligation to pay income compensation arises, with the first payment to include payments that have accrued from the day on which the worker first has an incapacity for work as a result of the injury; and
(b)make subsequent payments of income compensation to the worker on the employer’s usual pay days and in the way the worker would normally be paid.
Penalty for this subsection: for each income compensation payment not made when due — a fine of $5 000.
(3)The employer must make a payment in compliance with this section whether or not the employer has been indemnified for the payment by the employer’s insurer.
(4)A person is not liable to be convicted of an offence under subsection (2) and under section 17(2) in respect of the same failure.
Note for this section:
Provisional payments by the employer in respect of income compensation are taken into account for the purposes of this section as income compensation paid by the employer — see section 43.
48.Total or partial incapacity for work
(1)For any period during which a worker is totally incapacitated for work, the amount of income compensation must be calculated in accordance with Subdivision 3.
(2)For any period during which a worker is partially incapacitated for work, the amount of income compensation is obtained by calculating, in accordance with Subdivision 3, the amount that would apply if the worker were totally incapacitated for work and deducting from it the amount the worker earns, or is able to earn, in suitable employment.
Note for this subsection:
Section 50 provides for an arbitrator to be able, in certain circumstances, to order that a worker who is partially incapacitated for work is taken to be totally incapacitated for work.
(3)A worker is not entitled to any income compensation for a time during which the worker earns, or is able to earn, in suitable employment an amount equal to or greater than the amount of income compensation that would apply if the worker were totally incapacitated for work.
49.Worker not to be prejudiced by resuming work
If a worker who has an incapacity for work resulting from an injury resumes or attempts to resume work, and is unable, on account of the injury, to perform or continue to perform the work, the resumption or attempted resumption of work or the inability to perform or continue to perform the work does not prejudice any entitlement to compensation under this Act that the worker would otherwise have.
50.Order that worker is taken to be totally incapacitated
(1)A worker who has a partial incapacity for work and has been unable to obtain suitable employment may apply for an arbitrator to order that the worker is taken to be totally incapacitated for work.
(2)On application under this section, an arbitrator may order that the worker is taken to be totally incapacitated for work while the order is effective.
(3)The order may specify —
(a)the period for which it is effective; and
(b)conditions that must be satisfied for the order to be effective.
(4)The order must not be made unless the arbitrator is satisfied that —
(a)the worker has taken all reasonable steps to obtain, and has failed to obtain, suitable employment; and
(b)the failure to obtain suitable employment is wholly or mainly a result of the injury.
51.General limit on total income compensation
(1)A worker’s entitlement to income compensation for incapacity for work resulting from an injury ceases when the total of all amounts of income compensation paid to the worker for that incapacity reaches the income compensation general limit amount.
Note for this subsection:
The income compensation general limit amount is equal to the general maximum amount provided for by section 538(1).
(2)Any additional income compensation paid as ordered by an arbitrator under section 52(4) must not be counted for the purposes of this section as income compensation paid to the worker.
Note for this section:
Provisional payments by the employer in respect of income compensation are taken into account for the purposes of this section as income compensation paid by the employer — see section 43.
52.Additional income compensation
(1)In this section —
former rate means the weekly rate at which a worker’s final payment of income compensation under this Subdivision (other than under this section) is calculated.
(2)A worker may apply for an arbitrator to order that the worker is entitled to additional income compensation for incapacity for work resulting from an injury.
(3)The application may be made only if —
(a)the total of all amounts of income compensation paid for the worker’s incapacity exceeds 75% of the income compensation general limit amount applying when the application is made; and
(b)the employer’s liability for compensation in respect of the injury concerned has not been commuted by a settlement agreement registered under Division 12.
Note for this subsection:
Provisional payments by the employer in respect of income compensation are taken into account for the purposes of this subsection as income compensation paid by the employer — see section 43.
(4)On application under this section, an arbitrator may order that the worker is entitled to additional income compensation if the arbitrator is satisfied that —
(a)the worker’s injury has resulted in the permanent total incapacity of the worker for work; and
(b)the additional income compensation should be allowed, having regard to the social and financial circumstances and the reasonable financial needs of the worker.
(5)The arbitrator must, having regard to the matters referred to in subsection (4)(b), specify in the order the weekly rate at which additional income compensation is to be calculated, being a rate not exceeding the former rate.
(6)The order may specify —
(a)the period for which the worker is entitled to the additional income compensation; or
(b)the maximum total amount of all additional income compensation that may be made for the worker’s incapacity.
(7)The order may, in an appropriate case, require additional income compensation to be paid for the period from the end of the last period in respect of which the worker previously received income compensation to the day on which the order is made, and the order may specify when arrears for that period are to be paid.
(8)The order must not result in the total amount of all additional income compensation that may be paid for the worker’s incapacity being capable of exceeding the lesser of —
(a)the amount that is 75% of the income compensation general limit amount applying on the day on which the order is made; and
(b)the amount calculated by multiplying the former rate by the number of weeks in the period of the expectation of life of the worker as at the commencement of the first period for which additional income compensation is to be paid.
Subdivision 3 — Calculation of income compensation
In this Subdivision —
jockey means a person who is a worker because of section 15;
maximum weekly rate of income compensation means the amount prescribed by the regulations as the maximum weekly rate of income compensation;
pre‑injury weekly rate of income, of a worker, means the worker’s pre‑injury weekly rate of income calculated as provided by section 54.
54.Worker’s pre‑injury weekly rate of income
(1)A worker’s pre‑injury weekly rate of income is —
(a)unless paragraph (b) applies — the worker’s average weekly rate of earnings in the position the worker held on the day on which the worker’s injury occurred; or
(b)if, on the day on which the worker’s injury occurred, the worker concurrently held 2 or more positions as a worker, whether in the employment of the same or different employers — the weekly rate obtained by aggregating the worker’s average weekly rates of earnings in the positions the worker held.
(2)A worker’s average weekly rate of earnings in a position the worker held on the day on which the worker’s injury occurred is calculated over —
(a)the period of 1 year ending on the day before the day on which the worker’s injury occurred; or
(b)if the worker had been employed in that position for less than 1 year when the injury occurred — the period beginning on the day on which the worker commenced to be employed in that position and ending on the day before the day on which the worker’s injury occurred.
Note for this subsection:
Section 59 makes special provision for calculating a working director’s average weekly rate of earnings.
(3)For the purposes of this section, 2 or more positions that a worker holds consecutively in the employment of the same employer are taken to be the same position if, having regard to responsibilities, status, level of remuneration and other factors, they are equivalent positions.
(4)If, at any time during a period over which subsection (2) requires a worker’s average weekly rate of earnings in a position to be calculated, the employer provides board and lodging to the worker (in addition to paying the worker’s other earnings, if any) as payment for work, the monetary value, if any, of the provision of the board and lodging ascertained according to section 58 must be included when calculating the worker’s average weekly rate of earnings over that period.
(5)If a worker has taken leave without pay during a period over which subsection (2) requires the worker’s average weekly rate of earnings in a position to be calculated, the part of the period for which the worker was on the leave must be excluded in making the calculation.
(6)In subsection (5) —
leave without pay means time off work without pay on leave that is authorised or consented to by an employer for a period the worker would otherwise be required to work.
(7)If a worker did not, on the day on which the worker’s injury occurred, hold a position with the employer liable to pay income compensation, a reference in this section to the day on which the worker’s injury occurred is a reference to the day on which the worker last held a position with the employer before the worker’s injury occurred.
55.Amount of income compensation
(1)The amount of a payment of income compensation for a worker who is totally incapacitated for work must be calculated as provided by this section.
Note for this subsection:
For a period during which a worker is partially incapacitated for work, see section 48(2).
(2)To the extent that the payment of income compensation is for a period within the first 26 weeks in which income compensation is payable to the worker, the amount is calculated at the worker’s pre‑injury weekly rate of income except as otherwise provided in section 56 or 57.
(3)To the extent that the payment of income compensation is for a period after the first 26 weeks in which income compensation is payable to the worker, the amount is calculated at 85% of the worker’s pre‑injury weekly rate of income except as otherwise provided in section 56 or 57.
(4)For the purposes of subsections (2) and (3) —
(a)a week is a period of 7 consecutive days that starts on the day of the week that is the first day for which the worker is entitled to income compensation; and
(b)a week is a week in which income compensation is payable if income compensation is payable for any day or days during the week.
(5)For the calculation under this section, an amount must be added to or deducted from the worker’s pre‑injury weekly rate of income from time to time to the extent, if any, necessary to reflect any percentage increase or decrease in base rate of pay (but not in any payment for overtime or in any bonus or allowance) that —
(a)is effective after the day on which the worker’s injury occurred; and
(b)would, or having regard to all the circumstances is likely to, have applied to the worker had the worker not been injured.
56.Maximum weekly rate of income compensation
If the amount of any payment of income compensation calculated under section 55 or 57(3)(b) for any period would represent a weekly rate of payment exceeding the maximum weekly rate of income compensation applying at that time, the amount of the payment must be reduced to the amount representing a payment at that maximum weekly rate.
57.Minimum weekly rate of income compensation
(1)In this section —
base award rate means the base weekly rate of pay, excluding payments for overtime and any bonus or allowance, applying to a worker —
(a)under provisions of an industrial instrument that applied when the worker’s injury occurred, or provisions of another industrial instrument that substantially replace those provisions; or
(b)under an agreement that specifies the worker’s rate of pay by reference to an industrial instrument;
base award rate component, of a worker’s earnings, means the component of the earnings that derives from the base award rate, if any, applying to the worker;
industrial instrument means, according to the employment in the context of which the term is used —
(a)an award or order (including an enterprise order or General Order) made by The Western Australian Industrial Relations Commission under the Industrial Relations Act 1979; or
(b)an industrial agreement, as defined in the Industrial Relations Act 1979 section 7(1); or
(c)a fair work instrument, as defined in the Fair Work Act 2009 (Commonwealth) section 12; or
(d)an award, order, agreement or other instrument that is of a class prescribed by the regulations;
regular additional earnings, of a worker, means any of the following —
(a)any over award or service payment paid on a regular basis as part of the worker’s earnings;
(b)any allowance (including any payment for overtime) paid on a regular basis as part of the worker’s earnings and related to the number or pattern of hours worked by the worker;
(c)any other allowance prescribed by the regulations.
(2)If the amount of any payment of income compensation calculated under section 55 for any period would represent a weekly rate of payment less than the minimum weekly rate referred to in subsection (3), the amount of the payment is, unless subsection (7) provides that no minimum weekly rate applies, to be increased to the amount representing a payment at that minimum weekly rate.
(3)The minimum weekly rate at which income compensation must be paid is the greater of the following —
(a)the minimum amount to which the worker would, if the worker had not been injured, have been entitled under the Minimum Conditions of Employment Act 1993 to be paid in a week for working, on the basis on which the worker was working when the injury occurred, in the employment in which the worker was working when the injury occurred;
(b)the sum of —
(i)the base award rate component, if any, of the earnings to which the worker would, if the worker had not been injured, have been entitled to be paid in a week for working, on the basis on which the worker was working when the injury occurred, in the employment in which the worker was working when the injury occurred; and
(ii)the regular additional earnings component, if any, of the worker’s earnings included in the calculation of the worker’s pre‑injury weekly rate of income.
(4)For the purposes of this section, in an agreement mentioned in paragraph (b) of the definition of base award rate in subsection (1), the reference to an industrial instrument is taken to include an industrial instrument containing provisions that substantially replace the relevant provisions of the industrial instrument.
(5)If an industrial instrument mentioned in the definition of base award rate in subsection (1) becomes redundant or obsolete without its relevant provisions being replaced as mentioned in paragraph (a) of that definition or in subsection (4), the base award rate for the purposes of this section is the base weekly rate of pay referred to in that definition applying before the industrial instrument becomes redundant or obsolete as adjusted to reflect the timing and extent of any subsequent percentage increase in minimum wages resulting from a national minimum wage order made under the Fair Work Act 2009 (Commonwealth).
(6)If, on the day on which the worker’s injury occurred, the worker concurrently held 2 or more positions as a worker, whether in the employment of the same or different employers, subsection (3)(b) does not apply and the minimum weekly rate for the worker is the minimum weekly rate under subsection (3)(a).
(7)No minimum weekly rate applies under this section if —
(a)the only component of the worker’s pre‑injury weekly rate of income is the monetary value of the provision of board and lodging; or
(b)the worker is a working director of a company; or
(c)the worker is a jockey; or
(d)the worker is a worker of a class prescribed by the regulations as excluded from the application of the minimum weekly rate.
58.Monetary value of board and lodging
(1)This section deals with ascertaining the monetary value, if any, of —
(a)board and lodging provided to a worker by the employer (in addition to the worker’s other earnings, if any) as payment for work at any time during the period over which section 54(2) requires the worker’s average weekly rate of earnings to be calculated; and
(b)board and lodging provided to a worker by the employer during any period for which the worker is entitled to receive income compensation from the employer.
(2)When calculating a worker’s average weekly rate of earnings over a period for the purpose of ascertaining the worker’s pre‑injury weekly rate of income, the monetary value, if any, of the provision of board and lodging for a period that section 54(4) requires to be included in the calculation must be assessed as described in subsection (4).
(3)For any period during which an employer provides board and lodging to a worker during a period for which the worker is entitled to income compensation from the employer —
(a)the monetary value, if any, of the provision of board and lodging must be assessed as described in subsection (4); and
(b)to the extent, if any, of its monetary value assessed in accordance with paragraph (a), the provision of board and lodging is taken to be payment towards income compensation to which the worker is entitled.
(4)An assessment under subsection (2) or (3) of the monetary value, if any, of the provision of board and lodging for a period must be made in accordance with the regulations but so as not, in any case, to attribute a monetary value exceeding an amount calculated by taking the number of full days for which board and lodging provided by the employer to the worker during that period had a monetary value and multiplying it by the maximum board and lodging daily amount prescribed by the regulations as applying when the worker’s injury occurred.
Note for this section:
Section 57(7)(a) states that no minimum weekly rate at which income compensation must be paid applies if the monetary value of the provision of board and lodging is the only component of the worker’s pre‑injury weekly rate of income.
(1)In this section —
declared remuneration, of a working director who is a worker, means —
(a)the amount of remuneration stated as actually paid or payable to the working director during a period of insurance in a remuneration statement for the most recent period of insurance ending before the day on which the worker’s injury occurred; or
(b)if a remuneration statement was not provided for the most recent period of insurance ending before the day on which the worker’s injury occurred — the amount of remuneration stated in a remuneration estimate as the amount estimated to be paid or payable to the working director over the period of insurance during which the worker’s injury occurred;
remuneration estimate means an estimate provided to an employer’s insurer in compliance with section 203 of the aggregate amount of remuneration to be paid or payable to a working director over a period of insurance;
remuneration statement means a statement provided to an employer’s insurer in compliance with section 203 of the aggregate amount of remuneration actually paid or payable to a working director during a period of insurance.
(2)This section applies to the calculation of a worker’s average weekly rate of earnings in a position as a working director for the purposes of ascertaining the worker’s pre‑injury weekly rate of income under section 54(1).
(3)The average weekly rate of earnings of a working director of a company that is an insured employer is —
(a)the weekly rate calculated by averaging the declared remuneration of the working director over the period to which the declared remuneration relates; or
(b)if there is no declared remuneration of the working director — the weekly rate calculated in accordance with the default calculation method under subsection (4).
(4)The default calculation method for calculating a working director’s average weekly rate of earnings is as follows —
(a)the worker’s earnings are taken to include all of the worker’s remuneration as a working director that is paid or payable during the period over which section 54(2) requires the worker’s average weekly rate of earnings to be calculated; and
(b)the average weekly rate of those earnings is calculated over that period.
(5)To the extent that it is practicable to do so, before the amount of a worker’s remuneration as a working director of a company that is an insured employer is used in a calculation to which this section applies, particulars of the amount must be verified by the company.
(6)The average weekly rate of earnings of a working director of a company that is a self‑insurer must be calculated in accordance with the default calculation method under subsection (4) except that, if no remuneration was in fact paid or payable to the working director during the period concerned, remuneration is taken to have been of an amount estimated on the basis of any relevant contract, award or agreement.
A public holiday that falls within a period for which an employer is liable to pay income compensation to a worker is included as a part of the period for which the employer is liable to pay the income compensation but —
(a)the employer is not otherwise liable to make any payment to the worker in respect of that holiday; and
(b)the employer is not liable to give the worker any time off work in place of that holiday.
Note for this section:
The Interpretation Act 1984 section 5 defines public holiday.
61.Leave while entitled to income compensation
(1)In this section —
sick leave includes leave known as personal leave, or leave by another name, that is substantially of the same nature as sick leave;
take leave, with reference to annual leave, long service leave or sick leave, means —
(a)to take time off work with pay on leave of that kind; or
(b)to receive a monetary payment instead of taking time off work with pay on leave of that kind.
(2)For any period for which a worker is entitled to receive income compensation —
(a)the worker is entitled to take annual leave or long service leave that the worker could have taken if the worker had not been entitled to receive income compensation for that period; and
(b)the worker’s entitlement to receive income compensation and the amount of those payments are not affected by the worker being entitled to take, or taking, annual leave or long service leave for all or any of that period; and
(c)the worker is not entitled to take sick leave for an absence from work because of the worker’s injury; and
(d)the worker accrues entitlements to annual leave, long service leave and sick leave that the worker would have accrued if the worker had not been entitled to receive income compensation for that period.
Note for this subsection:
The Fair Work Act 2009 (Commonwealth) section 130(1) prevents a worker to whom it applies from taking sick leave during a period for which income compensation is paid.
(3)If an employer pays a worker any amount as a sick leave entitlement for any period for which the worker subsequently receives income compensation —
(a)the amount paid to the worker as a sick leave entitlement is taken to have been paid as, or towards, income compensation; and
(b)the employer must reinstate any period of sick leave to which the sick leave entitlement relates.
Subdivision 4 — Reducing, suspending and discontinuing income compensation
62.Restrictions on reduction, suspension or discontinuation of income compensation
An employer must not reduce, suspend or discontinue income compensation payments to a worker except —
(a)to give effect to any provision of this Act as to the calculation of the amount of compensation that is payable or any limit on the amount of compensation that is payable; or
(b)to give effect to a direction of a conciliator or an order of an arbitrator; or
(c)in accordance with section 63, 64, 65 or 66; or
(d)with the written consent of the worker given in the approved form.
Penalty: a fine of $10 000.
Note for this section:
Paragraph (a) covers changes to the amount of compensation that could result from changes to indexed amounts, changes to award rates of pay, or a change to the rate of compensation after the first 26 weeks of incapacity.
63.Reducing or discontinuing income compensation on basis of worker’s return to work
(1)An employer must not reduce or discontinue income compensation payments to a worker on the basis of the worker’s return to work unless the employer has informed the worker in accordance with the regulations of —
(a)the basis for the reduction or discontinuance with reference to the position to which the worker has returned; and
(b)the amount, if any, of income compensation that will be paid to the worker for any partial incapacity for work.
(2)An arbitrator dealing with an application for determination of a dispute about a reduction or discontinuation of income compensation payments under this section may —
(a)determine whether the worker has returned to work; and
(b)determine the amount of income compensation payments; and
(c)make an order as to the making of those payments and the amount, if any, of those payments.
64.Reducing or discontinuing income compensation on basis of medical evidence
(1)The requirements of this section must be complied with before an employer is permitted to reduce or discontinue income compensation payments on the basis of medical evidence from a medical practitioner as to —
(a)the worker’s capacity for work; or
(b)the extent to which the worker’s incapacity for work is a result of the worker’s injury.
(2)The requirements of this section for a proposed reduction or discontinuation of income compensation payments (the proposed action) are as follows —
(a)the employer must give the worker written notice in accordance with the regulations of the proposed action together with a copy of the medical evidence on the basis of which it is proposed to take that action;
(b)the worker must be allowed a period of 21 days after the requirements of paragraph (a) are complied with in which to apply for resolution by conciliation of a dispute about the proposed action (a dispute resolution application);
(c)if the worker makes a dispute resolution application within that 21‑day period, the employer cannot proceed with the proposed action before the dispute resolution process for the dispute has been finalised as provided by this section;
(d)if the worker does not make a dispute resolution application within that 21‑day period, the employer is permitted to proceed with the proposed action.
(3)The dispute resolution process for a dispute about a proposed action is considered to have been finalised when 1 of the following occurs —
(a)the dispute is resolved by conciliation;
(b)the dispute is not resolved by conciliation and the period for making an application for determination of the dispute by arbitration expires without the application having been made;
(c)an application for determination of the dispute by arbitration is made and an arbitrator determines the matter or matters in dispute;
(d)an application for resolution of the dispute by conciliation or determination of the dispute by arbitration is not accepted or is discontinued or dismissed.
(4)An arbitrator dealing with an application for determination of a dispute about a proposed reduction or discontinuation of income compensation payments under this section may —
(a)determine the amount of the income compensation payments; and
(b)make an order as to the making of those payments and the amount, if any, of those payments.
(5)For determining, for the purposes of this section, the amount of any income compensation payments, an arbitrator may —
(a)treat the worker’s capacity for work, if any, as being of the degree the arbitrator sees fit; and
(b)without limiting the matters to which the arbitrator may have regard, take into consideration whether a return to work program has been established for the worker and the worker’s participation in the return to work program, if any.
(6)This section does not limit any power of a conciliator in a proceeding on a dispute to direct the suspension or reduction of income compensation payments.
65.Worker not residing in State: failure to provide declaration
(1)The regulations may require a worker who is entitled to income compensation and who does not reside in this State to provide the insurer or self‑insurer at specified intervals with declarations in the approved form by the worker and a medical practitioner as to the worker’s capacity for work (the required declarations).
(2)Payment of income compensation to a worker can be suspended for a failure by the worker to provide the required declarations before the end of an interval at which the declarations are required.
(3)Before payment of income compensation can be suspended under this section, the insurer or self‑insurer must first give the worker a written notice in the approved form (a warning notice) —
(a)informing the worker of the worker’s obligation to provide the required declarations before the end of the interval at which the declarations are required; and
(b)stating that payment of income compensation to the worker will be suspended from a specified date (the suspension date) if the worker fails to provide the required declarations.
(4)The warning notice can be given no earlier than 14 days before the end of the interval at which the declarations are required and the suspension date must be a date that is at least 14 days after the warning notice is given and not earlier than the end of the interval at which the declarations are required.
(5)Payment of income compensation is suspended from the suspension date until the worker provides the required declarations and the insurer or self‑insurer receives the required declarations.
Note for this subsection:
Suspension of income compensation payments only affects income compensation payments payable in respect of the period of suspension. Income compensation payments must recommence after the suspension period if the worker is otherwise entitled to income compensation payments in respect of the period after the suspension period. See section 67.
(6)A worker may apply for an arbitrator to determine a question as to whether payment of income compensation to the worker was lawfully suspended under this section for a particular period and an arbitrator may determine the question and make any order the arbitrator considers appropriate in the circumstances.
66.Suspension of income compensation while worker in custody
(1)In this section —
chief executive officer (prisons) means the chief executive officer as defined in the Prisons Act 1981 section 3(1);
registrar (MIARB) means the registrar of the Mentally Impaired Accused Review Board established under the Criminal Law (Mentally Impaired Accused) Act 1996 Part 6;
relevant government authority means the authority principally assisting the Minister responsible for administering the relevant law in the administration of that law;
relevant law means the law under which the worker is in custody or is serving the term of imprisonment.
(2)Payment of income compensation to a worker must be suspended for any period during which the worker is —
(a)in custody under a law of the Commonwealth, this State or another State, other than custody of a kind prescribed by the regulations; or
(b)otherwise serving a term of imprisonment of a kind prescribed by the regulations.
(3)Before payment of income compensation can be suspended under this section, the employer must have written confirmation from the relevant government authority of the factual circumstances mentioned in subsection (2) in relation to the worker and the date from which those circumstances applied.
(4)A worker may apply for an arbitrator to determine a question as to whether payment of income compensation to the worker was lawfully suspended under this section for a particular period and an arbitrator may determine the question and make any order the arbitrator considers appropriate in the circumstances.
(5)The chief executive officer (prisons), the registrar (MIARB) and any other relevant government authority prescribed by the regulations must provide written confirmation for the purposes of subsection (3) in the circumstances, and in the manner and form, provided for by the regulations.
67.Effect of suspension of income compensation payments
(1)If payment of income compensation to a worker is lawfully suspended under this Act for a period, no income compensation is payable to the worker in respect of the period of suspension unless an arbitrator otherwise orders.
(2)Suspension of income compensation payments does not affect any entitlement to income compensation in respect of any period after the period of suspension.
68.Power of arbitrator to review disputed income compensation payments
(1)An arbitrator may review the payment of income compensation to a worker on the application of the worker or the employer.
(2)On a review under this section, the arbitrator may make any order for the payment of income compensation to the worker to be suspended, adjusted or discontinued as the arbitrator considers appropriate.
(3)The arbitrator’s order has effect from the day specified in the order and, in the case of a suspension, until the day or time specified in the order.
Division 4 — Compensation for medical and health expenses
In this Division —
medical and health expenses general limit amount means the amount that is 60%, or a greater percentage, if any, prescribed by the regulations, of the general maximum amount;
medical and health service means anything an expense for which is a medical and health expense;
reasonable, in relation to a medical and health expense, has the meaning given in section 72;
special expense means a medical and health expense that is —
(a)an expense in respect of surgical attendance and treatment; or
(b)an expense in respect of hospital fees and charges for any health service, as defined in the Health Services Act 2016 section 7, provided to the worker in a hospital, as defined in the Health Services Act 2016 section 8; or
(c)an expense in respect of post‑operative medical treatment; or
(d)an expense related to an expense described in paragraph (a), (b) or (c);
special increase means an increase by an order under section 78(3) in the medical and health expenses general limit amount for a claim;
special increase limit amount means the amount that is 190%, or a greater percentage, if any, prescribed by the regulations, of the medical and health expenses general limit amount;
standard increase means an increase by an order under section 77(2) in the medical and health expenses general limit amount for a claim;
standard increase limit amount means the amount that is 40%, or a greater percentage, if any, prescribed by the regulations, of the medical and health expenses general limit amount.
70.Medical and health expenses compensation under this Division
(1)Compensation (medical and health expenses compensation) is payable under this Division in the form of payment of the amount of reasonable medical and health expenses incurred or to be incurred by a worker as a result of the worker’s injury.
(2)An employer’s obligation to pay medical and health expenses compensation arises when the insurer or self‑insurer accepts (or is taken to have accepted) or an arbitrator determines that the employer is liable to compensate the worker for the injury.
(3)An employer’s liability for medical and health expenses compensation applies to medical and health expenses incurred after the worker’s injury occurs and extends to medical and health expenses incurred before the employer’s obligation to pay medical and health expenses compensation arises.
Note for this section:
Provisional payments in respect of medical and health expenses compensation are to be treated as compensation paid for medical and health expenses — see section 43.
71.Expenses that are medical and health expenses
(1)In this Division —
medical and health expense means an expense that is for any of the following —
(a)medicines and medical requisites;
(b)medical or surgical attendance and treatment, including, if necessary, medical or surgical attendance and treatment by specialists;
(c)hospital fees and charges for any health service, as defined in the Health Services Act 2016 section 7, provided to the worker in a hospital, as defined in the Health Services Act 2016 section 8;
(d)the treatment and maintenance in a nursing home, as defined in the Private Hospitals and Health Services Act 1927 section 2(1), of a worker certified by a medical practitioner as —
(i)being permanently totally incapacitated for work; and
(ii)requiring continuing treatment and maintenance that cannot be administered in the worker’s domestic environment;
(e)dental attendance and treatment;
(f)the provision of hearing aids, artificial teeth or artificial eyes;
(g)if the injury renders their use necessary, the provision of spectacles or contact lenses;
(h)health services prescribed by the regulations to be services the expenses in respect of which are medical and health expenses.
(2)Regulations prescribing health services as described in paragraph (h) of the definition of medical and health expense in subsection (1) may operate by reference to the person or class of persons providing the service.
(3)An expense is not a medical and health expense for the purposes of this Division if the expense is of a kind that is compensable as a miscellaneous expense under Division 5.
72.Requirement that medical and health expenses be reasonable
(1)For a medical and health expense to be considered reasonable for the purposes of this Division —
(a)it must be reasonably necessary for the worker to incur the expense; and
(b)the amount and charging of the expense —
(i)must be in accordance with a scale of fees and charges in respect of medical and health services fixed by an order under section 73; or
(ii)if no fixed scale of fees and charges applies, must be reasonable having regard to prevailing market rates and any other relevant circumstances;
and
(c)the charging of the expense must be in accordance with the relevant conditions, if any, provided for in an order under section 73(3)(d).
(2)The regulations may provide for the principles to be applied in determining whether it is reasonably necessary for a worker to incur a medical and health expense.
73.Medical and health expenses order
(1)The Minister, on the recommendation of WorkCover WA, may make an order fixing the maximum amount of compensation payable for a medical and health expense for a medical and health service.
(2)The maximum amount for which an employer is liable for a medical and health expense for a medical and health service must not exceed the amount, if any, that is fixed as the maximum amount of compensation for that medical and health service by an order under this section.
(3)An order under this section may —
(a)fix the maximum amount —
(i)by reference to a specified fee or charge for a medical and health expense for a medical and health service; or
(ii)by reference to an amount of a fee or charge for a medical and health expense for a medical and health service calculated or determined in a specified manner; or
(iii)by reference to the provisions of other publications under subsection (5);
and
(b)provide for the maximum amount fixed in respect of any particular medical and health service to vary —
(i)by reference to different factors of a specified kind (for example, by reference to the person who provides the service or the circumstances in which it is provided); or
(ii)by reference to the provisions of other publications under subsection (5);
and
(c)fix a maximum amount for medical and health services provided together or in combination; and
(d)without limiting paragraphs (a), (b) and (c), provide for conditions that apply to charging for the provision of a medical and health service —
(i)by conditions specified in the order; or
(ii)by reference to the provisions of other publications under subsection (5).
(4)Without limiting the ways in which a maximum amount fixed in an order may be varied, the order may —
(a)provide for the maximum amount to be varied by a periodic variation in accordance with a specified methodology (an adjustment methodology); and
(b)provide for different adjustment methodologies for different maximum amounts.
(5)Without limiting the ways in which a maximum amount may be fixed or conditions specified in an order under this section, the order may adopt or fix a maximum amount or specify conditions by reference to 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.
(6)An order under this section is subsidiary legislation for the purposes of the Interpretation Act 1984.
Note for this subsection:
Under the Interpretation Act 1984 section 43(4), a power to make subsidiary legislation includes a power to amend or repeal the subsidiary legislation.
74.Eligibility to provide compensable medical and health services
(1)The regulations may prescribe requirements (provider eligibility requirements) for a provider of a medical and health service that a person must satisfy in order that compensation is payable for a medical and health expense for a medical and health service provided by the person.
(2)An employer is not liable for compensation for medical and health expenses for a medical and health service provided by a person if the person does not satisfy the provider eligibility requirements, if any, for a provider of the service.
75.General limit on compensation for medical and health expenses
The total amount of medical and health expenses compensation paid in respect of a worker’s injury must not exceed the medical and health expenses general limit amount.
Note for this section:
The medical and health expenses general limit amount is 60% (or a greater percentage prescribed by the regulations) of the general maximum amount. The medical and health expenses general limit amount for a claim can be increased by a standard increase under section 77(2) or a special increase under section 78(3). The total amount of compensation paid includes any provisional payments (see section 43).
76.Notice to worker that 60% of general limit reached
When the total amount of medical and health expenses compensation paid in respect of a worker’s injury reaches 60% of the medical and health expenses general limit amount, the employer or, if the employer is an insured employer, the employer’s insurer must within 14 days give the worker notice of that fact in the approved form.
Penalty: a fine of $5 000.
77.Standard increase in compensation limit
(1)A worker may apply to an arbitrator at any time for an increase in the medical and health expenses general limit amount for the worker’s injury (the general limit for the claim).
(2)On application under this section, an arbitrator may order an increase in the general limit for the claim if the arbitrator —
(a)is satisfied that the worker has incurred, or is likely to incur, reasonable medical and health expenses in an amount that is in excess of the general limit; and
(b)considers that the increase should be allowed, having regard to the social and financial circumstances and the reasonable financial needs of the worker.
(3)The amount by which the general limit for the claim may be increased by an order under subsection (2) —
(a)must be decided after taking into account the amount of any payment for medical and health expenses that the employer or insurer voluntarily made to the worker beyond the amounts to which the worker was entitled under this Act; and
(b)is limited by the requirement that the increase (or the total of all standard increases), together with any amounts required by paragraph (a) to be taken into account, must not exceed the standard increase limit amount.
78.Increase for special expenses in the medical and health expenses general limit amount
(1)A worker may apply to an arbitrator for an increase for special expenses in the medical and health expenses general limit amount for the worker’s injury (the general limit for the claim) beyond the standard increase limit amount.
Note for this subsection:
Subsection (6) imposes a 5‑year limit on an application under this section for a special increase.
(2)An application under this section may be made only if —
(a)the general limit for the claim has been increased by a standard increase; and
(b)the worker has incurred, or is likely to incur, reasonable special expenses in excess of those that can be provided for by a standard increase.
(3)On application under this section, an arbitrator may order that the general limit for the claim is increased if —
(a)the worker has a degree of permanent whole of person impairment of at least 15% as a result of the worker’s injury as determined under section 79; and
(b)the arbitrator is satisfied that the worker has incurred, or is likely to incur, reasonable special expenses in excess of those that can be provided for by a standard increase; and
(c)the arbitrator is satisfied in accordance with the regulations of any other matter of which the regulations require the arbitrator to be satisfied under this paragraph; and
(d)the arbitrator considers that the increase should be allowed, having regard to the social and financial circumstances and the reasonable financial needs of the worker.
(4)The amount of a special increase —
(a)applies only for the payment of compensation for special expenses; and
(b)must be decided after taking into account the amount of any payment for medical and health expenses that, since the most recent standard increase, the employer or insurer voluntarily made to the worker beyond the general limit for the claim; and
(c)is limited by the requirement that the increase (or the total of all special increases), together with any amounts required by paragraph (b) to be taken into account, must not exceed the special increase limit amount.
(5)The arbitrator is not required to be satisfied of the matters described in subsection (3)(c) if the expenses for which the special increase is sought are incurred or likely to be incurred in the course of following a plan for managing and treating the worker’s medical and associated conditions with which the arbitrator granting a previous special increase was satisfied.
(6)An application for a special increase cannot be made more than 5 years after the relevant determination of liability for the injury and for that purpose the relevant determination of liability is considered to have occurred on the latest of the following —
(a)the day on which the worker is first notified that the insurer or self‑insurer has accepted that the employer is liable to compensate the worker for the injury;
(b)the day on which the insurer or self‑insurer is taken to have accepted that the employer is liable to compensate the worker for the injury;
(c)the day on which it is determined by an arbitrator that the employer is liable to compensate the worker for the injury.
79.Assessment of degree of permanent impairment for special increase
(1)A worker may, for the purpose of obtaining a special increase, apply for an assessment under Part 4 of the worker’s degree of permanent whole of person impairment.
(2)If the assessment returns a finding that the worker has a degree of permanent whole of person impairment of at least 15% as a result of the worker’s injury, the worker may give that assessment to the worker’s employer together with notice that the worker intends to apply for a special increase in the medical and health expenses general limit amount.
(3)The worker is taken for the purposes of a special increase under section 78(3) to have a degree of permanent whole of person impairment of at least 15% as a result of the worker’s injury if the worker gives the worker’s employer an assessment and notice in accordance with subsection (2) and —
(a)the employer gives written notice to the worker that the assessment is not disputed; or
(b)the employer fails to dispute the assessment within the period specified in subsection (4); or
(c)the employer disputes the assessment within the period specified in subsection (4) and the dispute is determined by an arbitrator determining that the worker has a degree of permanent whole of person impairment of at least 15% as a result of the worker’s injury.
(4)An employer can dispute an assessment by giving the worker written notice of the dispute within 14 days after the worker notifies the employer that the worker intends to apply for a special increase.
(5)If the assessment is disputed, an arbitrator may on application by the worker determine the dispute by determining whether the worker has a degree of permanent whole of person impairment of at least 15% as a result of the worker’s injury.
(6)The arbitrator may order the employer to pay all or any of the costs and expenses connected with a dispute that is the subject of an application for resolution under this section.
80.Effect of participation in catastrophic injuries support scheme
The employer of a worker ceases to be liable for medical and health expenses compensation to the extent that the compensation is for expenses incurred or to be incurred after the worker becomes a participant in the catastrophic injuries support scheme under the Motor Vehicle and Workplace Accidents (Catastrophic Injuries) Act 2016.
Division 5 — Compensation for miscellaneous expenses
81.Term used: miscellaneous expense
In this Division —
miscellaneous expense means an expense that is a miscellaneous expense under a provision of this Division.
82.Compensation for reasonable miscellaneous expenses
(1)Compensation (miscellaneous expenses compensation) is payable under this Division in the form of payment of the amount of reasonable miscellaneous expenses incurred or to be incurred by a worker as a result of the worker’s injury.
(2)An employer’s obligation to pay miscellaneous expenses compensation arises when the insurer or self‑insurer accepts (or is taken to have accepted) or an arbitrator determines that the employer is liable to compensate the worker for the injury.
(3)An employer’s liability for miscellaneous expenses compensation applies to miscellaneous expenses incurred after the worker’s injury occurs and extends to miscellaneous expenses incurred before the employer’s obligation to pay compensation arises.
Note for this section:
This Division deals separately with each kind of expense for which compensation may be paid under this Division but does not impose a limit on the aggregate amount of all kinds of compensation that may be paid under this Division.
83.Expenses that are miscellaneous expenses
An expense is a miscellaneous expense for the purposes of this Division if the expense is for any of the following —
(a)first aid and emergency transport, as provided by section 85;
(b)a wheelchair or similar appliance, as provided by section 86;
(c)a surgical appliance or artificial limb, as provided by section 87;
(d)repair or replacement of clothing damaged or destroyed, as provided by section 88;
(e)repair or replacement of an artificial aid damaged or destroyed, as provided by section 89;
(f)travel, as provided by section 90;
(g)assessment of degree of permanent impairment, as provided by section 91.
84.Requirement that miscellaneous expenses be reasonable
(1)For a miscellaneous expense to be considered to be reasonable for the purposes of this Division —
(a)it must be reasonably necessary for the worker to incur the expense; and
(b)the amount of the expense must be reasonable.
(2)The regulations may provide for the principles to be applied in determining whether it is reasonably necessary for a worker to incur a miscellaneous expense.
85.First aid and emergency transport
An expense is a miscellaneous expense if it is for —
(a)first aid to the worker; or
(b)emergency transport for the worker to attend a hospital or other place for medical treatment.
(1)An expense is a miscellaneous expense if it is for providing the use of a wheelchair or similar appliance to the worker when the worker has suffered —
(a)the loss of both legs; or
(b)paralysis of both legs.
(2)The regulations may limit the amount payable to a worker as compensation for a miscellaneous expense under this section.
87.Surgical appliance or artificial limb
(1)An expense is a miscellaneous expense if it is for providing the worker with a suitable surgical appliance or artificial limb.
(2)A surgical appliance or artificial limb is suitable if —
(a)it is capable of relieving any effect of the worker’s injury; and
(b)it complies with any standard prescribed by the regulations.
(1)An expense is a miscellaneous expense if it is for the repair or replacement of clothing damaged or destroyed in the accident that results in the worker’s injury.
(2)Compensation for a miscellaneous expense under this section is payable as if the expense were incurred as a result of the worker’s injury.
Note for this section:
An expense under this section is incurred as a result of the accident and not as a result of the injury that results from the accident. Subsection (2) requires the expense to be treated as an expense incurred as a result of the worker’s injury because section 82 requires that for compensation to be payable for a miscellaneous expense it must be incurred as a result of the worker’s injury.
89.Repair or replacement of artificial aids
(1)In this section —
artificial aid means a hearing aid, artificial limb, artificial teeth, artificial eyes, spectacles or contact lenses;
work accident means an accident that arises out of or in the course of a worker’s employment or while a worker is acting under the employer’s instructions.
(2)An expense is a miscellaneous expense if it is for —
(a)the repair or replacement of any artificial aid damaged or destroyed in a work accident even if the worker did not suffer any injury as a result of the work accident; or
(b)services by way of consultations, examinations or prescriptions that are rendered by medical practitioners, dentists or other qualified persons and reasonably required in connection with the repair or replacement referred to in paragraph (a).
(3)Compensation for a miscellaneous expense under this section is payable as if the expense were incurred as a result of personal injury by accident suffered by the worker as a result of the work accident.
Note for this section:
An expense under this section is incurred as a result of the work accident and not as a result of an injury (if any) that results from the accident. Subsection (3) requires the expense to be treated as incurred as a result of an injury suffered in the work accident because section 82 requires that for compensation to be payable for a miscellaneous expense it must be incurred as a result of a work injury.
(1)An expense is a miscellaneous expense if it is a reasonable expense for —
(a)the running costs of the use of the worker’s vehicle for approved travel; or
(b)any fare or other cost of approved travel; or
(c)meals and accommodation reasonably required in connection with approved travel.
(2)Travel by a worker for the purposes of the provision of any thing an expense for which is a medical and health expense or a miscellaneous expense is approved travel if it is —
(a)travel that the worker is required to undertake by the employer; or
(b)travel that the worker is advised to undertake by a medical practitioner; or
(c)travel that the worker establishes is necessary in the particular circumstances of the case.
(3)Travel by a worker is also approved travel for the purposes of this section if —
(a)the travel is for the purpose of the assessment of the worker’s degree of permanent impairment for the purposes of any provision of this Act; and
(b)the worker establishes that the travel is necessary for that purpose in the particular circumstances of the case.
(4)The regulations may specify the rates at which expenses referred to in this section are taken to be reasonable.
91.Assessment of permanent impairment
(1)An expense is a miscellaneous expense if it is for an assessment of the worker’s degree of permanent impairment requested by the worker for any of the following purposes (each an allowable purpose) —
(a)establishing eligibility for compensation under Division 7 as required by section 105;
(b)satisfying the requirements of section 421;
(c)obtaining a special increase in the medical and health expenses general limit amount as required by section 79.
(2)Only 1 assessment for each allowable purpose is compensable under this section together with any assessment for any previous attempt at obtaining the assessment if the previous attempt resulted in a finding that the worker’s condition had not stabilised to the extent required for the assessment to be made.
92.Effect of participation in catastrophic injuries support scheme
The employer of a worker ceases to be liable for miscellaneous expenses compensation to the extent that the compensation is for expenses incurred or to be incurred after the worker becomes a participant in the catastrophic injuries support scheme under the Motor Vehicle and Workplace Accidents (Catastrophic Injuries) Act 2016.
Division 6 — Compensation for workplace rehabilitation expenses
93.Compensation for workplace rehabilitation expenses
(1)Compensation (workplace rehabilitation expenses compensation) is payable under this Division in the form of payment of the amount of workplace rehabilitation expenses incurred or to be incurred as a result of a worker’s injury.
(2)An employer’s liability to pay workplace rehabilitation expenses compensation arises when it is reasonably necessary for an approved workplace rehabilitation provider to provide a workplace rehabilitation service in accordance with the regulations.
(3)The regulations may include provision for or with respect to the following —
(a)the circumstances in which it is reasonably necessary for an approved workplace rehabilitation provider to provide a workplace rehabilitation service;
(b)the services that can be provided for the purposes of workplace rehabilitation under this Act;
(c)who can request the provision of workplace rehabilitation services and the process for selecting, engaging or changing workplace rehabilitation providers;
(d)the circumstances in which a workplace rehabilitation service may or must be terminated.
94.Workplace rehabilitation fees and charges order
(1)The Minister, on the recommendation of WorkCover WA, may make an order fixing scales of fees and charges for workplace rehabilitation services provided by approved workplace rehabilitation providers.
(2)If an order is made under subsection (1), the amount of a workplace rehabilitation expense must be in accordance with a scale of fees and charges fixed by the order.
(3)The fees and charges may be fixed by reference to any of the following —
(a)the service provided;
(b)time spent providing the service;
(c)the circumstances in which the service is provided;
(d)the outcome of the service provided;
(e)any other criteria specified in the order.
(4)Without limiting the ways in which a fee or charge fixed in an order may be varied, the order may —
(a)provide for the fee or charge to be varied by a periodic variation in accordance with a specified methodology (an adjustment methodology); and
(b)provide for different adjustment methodologies for different fees and charges.
(5)The order may specify requirements for the billing of fees and charges.
(6)The order may adopt 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.
(7)An order under this section is subsidiary legislation for the purposes of the Interpretation Act 1984.
Note for this subsection:
Under the Interpretation Act 1984 section 43(4), a power to make subsidiary legislation includes a power to amend or repeal the subsidiary legislation.
95.General limit on compensation for workplace rehabilitation expenses
(1)In this section —
workplace rehabilitation expenses compensation limit means the amount that is 7%, or a greater percentage, if any, prescribed by the regulations, of the general maximum amount.
(2)The total amount of workplace rehabilitation expenses compensation paid in respect of a worker’s injury must not exceed the workplace rehabilitation expenses compensation limit.
96.Effect of participation in catastrophic injuries support scheme
The employer of a worker ceases to be liable for workplace rehabilitation expenses compensation to the extent that the compensation is for expenses incurred or to be incurred after the worker becomes a participant in the catastrophic injuries support scheme under the Motor Vehicle and Workplace Accidents (Catastrophic Injuries) Act 2016.
Division 7 — Lump sum compensation for permanent impairment from personal injury by accident
97.Entitlement to lump sum permanent impairment compensation
(1)Compensation (permanent impairment compensation) is payable under this Division as a lump sum amount for permanent impairment suffered by a worker as a result of an injury that is personal injury by accident.
(2)Permanent impairment compensation is payable only for permanent impairment of a kind described in column 1 of the Table to section 101.
(3)Permanent impairment compensation for permanent impairment resulting from a worker’s injury is payable only when the employer’s liability to the worker for compensation for the injury is commuted by a settlement agreement registered under Division 12.
98.Amount of permanent impairment compensation based on degree of permanent impairment
(1)The amount of permanent impairment compensation payable is the amount calculated under section 101 on the basis of the worker’s degree of permanent impairment resulting from the injury.
(2)The worker’s degree of permanent impairment resulting from an injury is —
(a)in the case of impairment of a part or faculty of the body, the degree of permanent impairment of that part or faculty of the body; or
(b)in the case of impairment from scarring or disfigurement, the degree of permanent whole of person impairment resulting from the injury.
99.Worker’s degree of permanent impairment
(1)For the purpose of calculating the amount of permanent impairment compensation to which a worker is entitled, the worker’s degree of permanent impairment resulting from an injury is —
(a)the degree of permanent impairment agreed by the worker and employer as provided by section 105; or
(b)if section 105 does not result in agreement as to the degree of permanent impairment — the degree of permanent impairment determined by an arbitrator under section 106.
(2)In the case of permanent impairment comprising the contracting of AIDS that under section 104(1)(b) is taken to be a permanent impairment of the worker resulting from the infection of the worker with HIV the worker’s degree of permanent impairment is 100%.
100.Limit on permanent impairment compensation
(1)The total amount of permanent impairment compensation payable under this Division for permanent impairment suffered as a result of an injury must not exceed the general maximum amount applying on the day on which the injury occurred and this is the lump sum limit for the purposes of section 101.
(2)In the case of a worker suffering more than 1 impairment as a result of an injury, the limit imposed by this section on the total amount of permanent impairment compensation payable applies as a limit on the aggregate of the amounts of permanent impairment compensation payable for each of those impairments.
101.Calculating permanent impairment compensation
(1)The amount of permanent impairment compensation payable under this Division for a permanent impairment described in column 1 of the Table is —
(a)if the degree of permanent impairment is 100% — the amount that is the percentage of the lump sum limit indicated for the impairment in column 2 of the Table; or
(b)if the degree of permanent impairment is less than 100% — the amount calculated by multiplying the percentage degree of permanent impairment by the percentage of the lump sum limit that is indicated for the impairment in column 2 of the Table.
Example for this subsection:
For permanent impairment of the sight of 1 eye, the Table indicates 50% of the lump sum limit. This is the amount of permanent impairment compensation payable for a degree of permanent impairment of the sight of 1 eye of 100%. For less than 100% permanent impairment (for example, 80%), the amount of permanent impairment compensation is calculated as 80% of 50% (to arrive at 40%) of the lump sum limit.
(2)For the purposes of determining the amount of permanent impairment compensation for a permanent impairment resulting from an injury, the amount of the lump sum limit is that amount as applying on the day on which the injury occurs.
Table
|
Item |
Column 1 Permanent impairment |
Column 2 % of lump sum limit |
|
|
EYES |
|
|
1. |
Impairment of sight of both eyes |
100 |
|
2. |
Impairment of sight of an only eye |
100 |
|
3. |
Impairment of sight of 1 eye |
50 |
|
4. |
Impairment of binocular vision |
50 |
|
|
HEARING |
|
|
5. |
Impairment of hearing |
75 |
|
|
SPEECH |
|
|
6. |
Impairment of power of speech |
75 |
|
|
BODY AND MENTAL |
|
|
7. |
Impairment of mental capacity |
100 |
|
8. |
Impairment of spinal cord function |
100 |
|
|
SENSORY |
|
|
9. |
Impairment of sense of taste and smell |
50 |
|
10. |
Impairment of sense of taste |
25 |
|
11. |
Impairment of sense of smell |
25 |
|
|
ARM |
|
|
12. |
Impairment of arm at or above elbow |
90 |
|
13. |
Impairment of arm below elbow |
80 |
|
|
HAND |
|
|
14. |
Impairment of both hands |
100 |
|
15. |
Impairment of hand and foot |
100 |
|
16. |
Impairment of hand or thumb and 4 fingers |
80 |
|
17. |
Impairment of thumb |
35 |
|
18. |
Impairment of forefinger |
17 |
|
19. |
Impairment of middle finger |
13 |
|
20. |
Impairment of ring finger |
9 |
|
21. |
Impairment of little finger |
6 |
|
22. |
Impairment of movement of joint of thumb |
17 |
|
23. |
Impairment of distal phalanx of thumb |
20 |
|
24. |
Impairment of portion of terminal segment of thumb involving one‑third of its flexor surface without loss of distal phalanx |
15 |
|
25. |
Impairment of distal phalanx of forefinger |
10 |
|
26. |
Impairment of distal phalanx of middle finger |
8 |
|
27. |
Impairment of distal phalanx of ring finger |
6 |
|
28. |
Impairment of distal phalanx of little finger |
4 |
|
29. |
Impairment of distal phalanx of each finger of the same hand (not including the thumb) in 1 accident |
31 |
|
|
LEG |
|
|
30. |
Impairment of leg at or above knee |
70 |
|
31. |
Impairment of leg below knee |
65 |
|
|
FEET |
|
|
32. |
Impairment of both feet |
100 |
|
33. |
Impairment of foot |
65 |
|
34. |
Impairment of great toe |
20 |
|
35. |
Impairment of any toe other than great toe |
8 |
|
36. |
Impairment of 2 phalanges of any toe other than great toe |
5 |
|
37. |
Impairment of phalanx of great toe |
8 |
|
38. |
Impairment of phalanx of any toe other than great toe |
4 |
|
|
BACK, NECK AND PELVIS |
|
|
39. |
Impairment of the back (thoracic spine or lumbar spine or both) |
75 |
|
40. |
Impairment of the neck (including cervical spine) |
55 |
|
41. |
Impairment of the pelvis |
30 |
|
|
MISCELLANEOUS |
|
|
42. |
Impairment of genitals |
50 |
|
43. |
Impairment from facial scarring or disfigurement |
80 |
|
44. |
Impairment from bodily, other than facial, scarring or disfigurement |
50 |
|
45. |
AIDS |
100 |
102.Further permanent impairment from subsequent injury
(1)In this section —
compensable injury means an injury to a worker that is a personal injury by accident in respect of which permanent impairment compensation under this Division has been paid or is payable to the worker.
(2)If a worker has, by a compensable injury, suffered a permanent impairment described in column 1 of the Table to section 101 and by a subsequent compensable injury suffers further permanent impairment of the same body part or faculty —
(a)the amount of permanent impairment compensation payable for that further impairment is the amount that is proportionate to any increase (resulting from that subsequent compensable injury) in the degree of permanent impairment; and
(b)the amount of permanent impairment compensation payable for each further impairment must be calculated on the basis of the permanent impairment compensation amount applying on the day on which each subsequent compensable injury occurred.
103.Compensable impairment not to exceed 100%
If a worker has received permanent impairment compensation in respect of an impairment of a body part or faculty for a degree of permanent impairment of 100% (in 1 payment for a degree of permanent impairment of 100% or in several payments each for a degree of permanent impairment of less than 100%) the worker is not entitled to any further permanent impairment compensation in respect of that impairment.
104.Special provisions for AIDS
(1)For the purposes of this Division —
(a)an injury that is the infection of a worker with HIV by accident arising out of or in the course of employment or while the worker is acting under the employer’s instructions is taken to be a personal injury by accident; and
(b)the subsequent contracting by the worker of AIDS is taken to be a permanent impairment of the worker resulting from the infection of the worker with HIV; and
(c)the degree of permanent impairment of the worker for AIDS resulting from the infection of the worker with HIV is taken to be 100%; and
(d)the infection of the worker with HIV is taken to have occurred on the day on which a medical practitioner certifies that the worker has contracted AIDS.
(2)The regulations may make provision for or with respect to claiming compensation for permanent impairment for AIDS.
(3)An arbitrator may determine a dispute as to whether —
(a)the worker was infected with HIV by accident arising out of or in the course of employment or while acting under the employer’s instructions; and
(b)the worker subsequently contracted AIDS.
(4)Section 105 and Part 4 Division 3 do not apply to permanent impairment compensation for AIDS.
105.Agreement as to degree of permanent impairment
(1)To be eligible for permanent impairment compensation under this Division for permanent impairment suffered as a result of an injury, a worker must —
(a)have an assessment under Part 4 of the worker’s degree of permanent impairment resulting from the injury; and
(b)give the employer a copy of the assessment (the original assessment) together with a notice (the permanent impairment notice) in the approved form requesting the employer to indicate whether or not the employer agrees with the assessed degree of permanent impairment.
(2)The employer must, within 28 days after being given the permanent impairment notice —
(a)notify the worker, in the manner required by that notice, whether the employer does or does not agree with the assessed degree of permanent impairment; and
(b)if the employer does not agree with the assessed degree of permanent impairment — request a further assessment under Part 4 of the worker’s degree of permanent impairment with the cost of that further assessment to be paid by the employer.
(3)If the employer does not comply with subsection (2), the employer is taken to agree with the assessed degree of permanent impairment.
(4)If the employer requests a further assessment of the worker’s degree of permanent impairment under subsection (2), the employer must, within 14 days after obtaining the further assessment, give the worker a copy of the further assessment and either —
(a)agree with the degree of permanent impairment indicated in the original assessment; or
(b)negotiate with the worker to agree on a degree of permanent impairment that is within the range of the original assessment and the further assessment.
Note for this subsection:
The worker and the employer cannot agree a degree of permanent impairment that is outside the range of the original assessment and the further assessment.
(5)A degree of permanent impairment is within the range of the original assessment and the further assessment if it is not more than the higher of those assessments and not less than the lower of those assessments.
(6)An agreement as to the worker’s degree of permanent impairment must be recorded in the manner required by the permanent impairment notice.
106.Determination by arbitrator when worker and employer fail to agree degree of permanent impairment
(1)If section 105 does not result in agreement as to the worker’s degree of permanent impairment, the worker may apply for an arbitrator to determine the worker’s degree of permanent impairment.
(2)An arbitrator may determine the worker’s degree of permanent impairment and is not prevented from determining a degree of permanent impairment that is outside the range of the original assessment and the further assessment under section 105.
(3)If the degree of permanent impairment is determined to be not less than the degree of permanent impairment indicated in the original assessment under section 105, the arbitrator may order that the employer pay all or any of the costs and expenses connected with the dispute.
Division 8 — Lump sum compensation for noise‑induced hearing loss
In this Division —
assessed NIHL, of a worker, means the percentage loss of hearing suffered by the worker that is assessed by an NIHL assessment to be noise‑induced hearing loss, as provided by section 111;
assessment, of hearing loss, includes assessment of the extent of hearing loss;
further NIHL means noise‑induced hearing loss suffered by a worker that is in addition to noise‑induced hearing loss for which the worker has previously received noise‑induced hearing loss compensation;
hearing loss means total or partial loss or diminution of hearing that is permanent;
initial NIHL means noise‑induced hearing loss suffered by a worker who has not previously received noise‑induced hearing loss compensation;
NIHL assessment has the meaning given in section 111(1);
NIHL maximum compensation amount means the amount that is 75% of the general maximum amount;
noise‑induced hearing loss —
(a)means a hearing loss that is noise‑induced and due to the nature of any employment; but
(b)does not include a hearing loss that is a personal injury by accident;
noise‑induced hearing loss compensation means compensation payable under this Division as provided by section 108.
108.Lump sum compensation for noise‑induced hearing loss
(1)Compensation (noise‑induced hearing loss compensation) is payable under this Division as a lump sum amount for noise‑induced hearing loss suffered by a worker and for that purpose noise‑induced hearing loss suffered by a worker that is due to the nature of employment with an employer is taken to be an injury from employment with the employer.
(2)Compensation for noise‑induced hearing loss suffered by a worker is payable only under this Division and no compensation for noise‑induced hearing loss is payable under any other provision of this Act.
(3)Noise‑induced hearing loss compensation is payable only for noise‑induced hearing loss as assessed by an NIHL assessment.
(4)A claim for noise‑induced hearing loss compensation must be made in accordance with the regulations.
109.Minimum compensable hearing loss
A worker is not entitled to noise‑induced hearing loss compensation unless —
(a)in the case of initial NIHL, the assessed NIHL of the worker that is initial NIHL is at least 10%; or
(b)in the case of further NIHL, the assessed NIHL of the worker that is further NIHL is at least 5%.
110.Calculation of amount of compensation
(1)The amount of noise‑induced hearing loss compensation to which a worker is entitled is —
(a)for initial NIHL — the amount calculated by multiplying the worker’s assessed NIHL (expressed as a percentage) that is initial NIHL by the NIHL maximum compensation amount applying on the date of the assessment of initial NIHL; or
(b)for further NIHL — the amount calculated by multiplying the worker’s assessed NIHL (expressed as a percentage) that is further NIHL by the NIHL maximum compensation amount applying on the date of the assessment of further NIHL.
(2)A worker’s entitlement to noise‑induced hearing loss compensation ceases when the total of all amounts of noise‑induced hearing loss compensation paid to the worker reaches the NIHL maximum compensation amount.
111.Assessment and evidence of noise‑induced hearing loss
(1)In this Division —
NIHL assessment means an assessment made in accordance with the regulations of the hearing loss suffered by a worker during a period (the assessment period) and of whether and to what extent that hearing loss is noise‑induced hearing loss (the assessed NIHL of the worker).
(2)Assessed NIHL must be expressed as a percentage loss of hearing.
(3)An NIHL assessment is sufficient evidence for the purposes of a claim for noise‑induced hearing loss compensation that the assessed NIHL of the worker is hearing loss that is noise‑induced hearing loss due to employment during the assessment period.
112.Apportionment of NIHL compensation between employers
(1)If noise‑induced hearing loss suffered by a worker is due to employment with more than 1 employer, liability for noise‑induced hearing loss compensation must be apportioned in accordance with the regulations between those employers.
(2)An arbitrator may determine a dispute about the apportionment between employers of liability for noise‑induced hearing loss.
113.Disputes about hearing loss
(1)An arbitrator may determine a dispute about any of the following matters (hearing loss matters) concerning hearing loss suffered by a worker —
(a)the results of an NIHL assessment of the worker;
(b)the extent of hearing loss suffered by the worker;
(c)whether and to what extent hearing loss suffered by the worker is noise‑induced hearing loss.
(2)A hearing loss matter cannot be disputed except on the basis of evidence provided by an NIHL assessment.
(1)The regulations may make provision for or with respect to the following —
(a)the testing for and assessment of hearing loss in workers, including procedures for testing and assessment and testing standards and who is responsible for arranging, conducting or paying for assessments;
(b)the compulsory testing and monitoring for hearing loss in workers;
(c)the persons who are authorised for the purposes of the regulations to test for and assess hearing loss in workers or conduct testing and monitoring of workers for hearing loss;
(d)the methods and equipment authorised or required to be used for the purposes of the regulations to test for and assess hearing loss in workers or to conduct testing and monitoring of workers for hearing loss;
(e)the conduct of NIHL assessments, including the procedures for NIHL assessments and who is responsible for arranging, conducting or paying for NIHL assessments;
(f)the persons who are authorised for the purposes of the regulations to make an NIHL assessment;
(g)requiring a worker who claims noise‑induced hearing loss compensation to disclose to specified persons specified information relevant to the claim;
(h)authorising WorkCover WA to disclose to specified persons information about claims for noise‑induced hearing loss compensation and the workers who have made those claims;
(i)claiming noise‑induced hearing loss compensation;
(j)the handling of claims for noise‑induced hearing loss compensation, including required timeframes for the making of decisions on claims and the payment of compensation;
(k)the apportionment of liability for noise‑induced hearing loss compensation between employers;
(l)providing for fees payable to persons who are authorised for the purposes of the regulations —
(i)to test for and assess hearing loss in workers or conduct testing and monitoring of workers for hearing loss; or
(ii)to make an NIHL assessment;
(m)the making and keeping of records in respect of hearing tests and assessments conducted under the regulations and in respect of NIHL assessments;
(n)access to and communication of the results of hearing tests and assessments conducted under the regulations and of NIHL assessments.
(2)Without limiting subsection (1), the regulations may make provision for or with respect to the following in connection with the apportionment of liability for noise‑induced hearing loss compensation between employers —
(a)prescribing a methodology for the apportionment of liability between employers;
(b)requiring liability to be apportioned between employers on the basis of a determination by WorkCover WA of appropriate apportionment;
(c)requiring a particular employer to be responsible for the claims handling process and the payment of compensation (with an entitlement to contribution from other employers).
Division 9 — Compensation for dust disease
In this Division —
dust disease means an injury suffered by a worker that section 116 provides is a dust disease;
dust disease compensation claim means a claim for compensation in respect of a dust disease;
Dust Disease Medical Panel or Panel means a Dust Disease Medical Panel constituted under section 124.
116.Dust disease taken to be from certain employment
(1)This section applies if —
(a)a worker suffers an injury by a disease listed in column 1 of the Table (the injury); and
(b)the employment in which the worker works at the time of suffering the injury or in which the worker worked at any time before suffering the injury involved the exposure listed for that disease in column 2 of the Table (the relevant exposure).
(2)If this section applies, the injury —
(a)is a dust disease; and
(b)is taken to be an injury from the employment unless the employer proves that —
(i)the injury was not suffered in the course of the employment, whether at or away from the place of employment; or
(ii)the relevant exposure of the worker in the course of the employment was trivial or minimal.
(3)Section 6(3) does not apply in determining whether a dust disease is an injury from employment.
Table
|
Item |
Column 1 Disease |
Column 2 Exposure |
|
1. |
Pneumoconiosis or silicosis |
Exposure to mineral dust harmful to the lungs, including silica and asbestos |
|
2. |
Mesothelioma |
Exposure to asbestos |
|
3. |
Lung cancer |
Exposure to asbestos |
|
4. |
Diffuse pleural fibrosis contracted on or after 19 September 2009 |
Exposure to asbestos |
117.Day on which dust disease injury is suffered
An injury by dust disease is taken to have been suffered on whichever is the earlier of the following —
(a)the day on which the worker becomes totally or partially incapacitated for work by reason of the injury;
(b)the day that a Dust Disease Medical Panel makes a determination under section 123 that the worker is or was suffering from a dust disease.
118.Dust diseases taken to be single injury
If a worker suffers more than 1 dust disease, whether concurrently or successively and whether resulting from employment with the same employer or different employers, those dust diseases are together taken to be a single injury for the purposes of a dust disease compensation claim and compensation under this Act.
Note for this section:
This section does not affect the operation of Part 7.
Subdivision 2 — Compensation for dust disease
119.Entitlement to lump sum compensation for permanent impairment from dust disease
(1)A worker who suffers an injury by dust disease that results in some degree of permanent whole of person impairment is entitled to lump sum compensation under this section in addition to any other compensation to which the worker is entitled.
(2)The amount of lump sum compensation to which a worker is entitled under this section is the amount that is 30%, or a greater percentage, if any, prescribed by the regulations, of the general maximum amount applying on the day on which the determination of a Dust Disease Medical Panel under section 123 is made in relation to the worker’s claim.
(3)Lump sum compensation under this section is payable only when the employer’s liability to the worker for compensation for the injury is commuted by a settlement agreement registered under Division 12.
120.No entitlement to compensation until Panel determination
A worker is not entitled to compensation in respect of a dust disease (whether under section 119 or otherwise) until a Panel has made the determination required under section 123 in respect of the worker’s claim for that compensation.
121.Claiming dust disease compensation
For a dust disease compensation claim, the time within which a liability decision notice must be given under section 28 is 14 days after the insurer or self‑insurer is notified under section 127(5) of the determination of a Panel in respect of the claim (instead of within 14 days after the claim is given to the insurer or self‑insurer).
Note for this section:
Division 2 applies to a dust disease compensation claim subject to this section.
122.Compensation claims to be referred to CEO
(1)An employer must, within 7 days after a dust disease compensation claim is made on the employer, give a copy of the claim to the CEO.
Penalty for this subsection: a fine of $5 000.
(2)This section does not affect the obligations of the employer under section 26.
123.Referral of claim to Panel
The CEO must refer a dust disease compensation claim to a Panel for determination of the following questions —
(a)Is or was the worker suffering from diffuse pleural fibrosis, lung cancer, mesothelioma, pneumoconiosis or silicosis?
(b)Is or was the worker incapacitated for work as a result of the injury by dust disease and, if so, what is or was the extent of the worker’s incapacity for work?
Note for this question:
Incapacity for work and its extent is relevant for a claim for income compensation.
(c)What is assessed to be the degree of permanent whole of person impairment resulting from the injury by dust disease?
Notes for this question:
1.Degree of permanent whole of person impairment is relevant for sections 119 and 426.
2.Lump sum compensation under this Subdivision is payable if the worker suffers some degree of permanent whole of person impairment but the worker’s degree of permanent whole of person impairment must be at least 15% for the worker to be able to pursue a claim for damages — see sections 421 and 426.
Subdivision 3 — Dust Disease Medical Panels
(1)A Dust Disease Medical Panel is constituted by the CEO.
Note for this subsection:
A Panel is constituted for the purposes of determination of questions under section 123 or 426.
(2)A Panel consists of at least 2 members appointed by the CEO, 1 of whom must be appointed as chairperson of the Panel.
(3)At least 1 member of a Panel must be a medical practitioner who is a specialist in respiratory medicine.
(4)Each other member of a Panel must be a medical practitioner who is a specialist in respiratory medicine or occupational medicine.
(5)A medical practitioner who has treated or examined the worker concerned in a professional capacity is not eligible to be a member of the Panel.
125.Panel practice and procedure
(1)In determining the questions before it, a Panel —
(a)must act speedily and informally, and in accordance with good conscience, without regard to technicalities or legal forms; and
(b)except as provided under this Act, is not bound by rules of practice or evidence.
(2)A person is not entitled to be represented in proceedings before a Panel.
(3)A Panel is not authorised to treat a worker or require that a worker be treated.
(4)A Panel may give the employer concerned the opportunity to produce documents or provide information for consideration by the Panel.
(5)To the extent that the practice and procedure of a Panel are not prescribed by this Act or the regulations, they are to be as the Panel determines.
(1)A Panel may, for the purpose of assisting it to determine the questions before it, require the worker concerned to do any 1 or more of the following —
(a)attend before the Panel and answer questions put by the Panel;
(b)produce documents or provide information to the Panel, or consent to another person producing documents or providing information to the Panel;
(c)undergo medical examination by, or as directed by, the Panel;
(d)undergo specified medical tests and assessments and provide the Panel with results and reports from those tests and assessments.
(2)Any information or document obtained from, or with the consent of, the worker must not be disclosed or given to any other person, except the person from whom it was obtained, without the consent of the worker.
(3)A Panel may make arrangements in circumstances the Panel considers appropriate for a requirement for the worker concerned to attend before the Panel or to undergo a medical examination, medical test or assessment to be satisfied in a manner that does not require the personal attendance of the worker.
(1)A Panel’s determination of the questions before it must be made as soon as practicable and in any event within 28 days after the Panel has obtained all the information and documents necessary for the making of the determination.
(2)A Panel can make a determination without any physical examination of the worker concerned or the worker’s attendance before the Panel if the chairperson considers it appropriate to do so in a particular case.
(3)A question is determined by a unanimous decision (if the Panel consists of 2 members) or majority decision (if the Panel consists of more than 2 members) of the members of the Panel but if there is no unanimous or majority decision a question is determined by the decision of the chairperson.
(4)A Panel’s determination must be in writing in the approved form and must include the reasons for the determination.
(5)A copy of the determination must be given to the CEO, the worker concerned, the worker’s employer and the employer’s insurer (if any) within 7 days after the determination is made.
(6)The chairperson may correct any error that is apparent on the face of a determination.
(1)A determination of a Panel is final and binding on the worker concerned and the worker’s employer and on any court or tribunal hearing a matter in which the determination is relevant.
(2)The determination is not —
(a)to be vitiated because of any informality or want of form; or
(b)liable to be challenged, appealed against, reviewed, quashed or called into question by any court.
129.Variation or remaking of determination
A Panel may vary or rescind and remake a determination made by the Panel or another Panel if the Panel considers it necessary or desirable to do so because of a change in the worker’s condition or degree of permanent whole of person impairment or in the extent of the worker’s incapacity for work.
130.Remuneration and allowances of Panel members
A member of a Panel is entitled to be paid from the General Account any remuneration and allowances that the Minister may determine.
Division 10 — Compensation for death of worker
In this Division —
child, of a worker —
(a)means a person of any age of whom —
(i)the worker is a parent; or
(ii)the worker is a step‑parent (whether or not the person was legally adopted by the worker);
and
(b)includes a person, of whom the worker is a parent, conceived before, but born after, the worker’s death;
compensation order means an order of an arbitrator under section 140(4) determining a claim for compensation under this Division;
dependant, of a worker, means a partner, child or extended family member of the worker who —
(a)was wholly or partly dependent on the earnings of the worker at the time of the worker’s death; or
(b)would have been wholly or partly dependent on the earnings of the worker at the time of the worker’s death if the injury as a result of which the worker died had not occurred; or
(c)in the case of a child, of whom the worker is a parent, conceived before, but born after, the worker’s death — would have been wholly or partly dependent on the earnings of the worker at the time of the child’s birth had the worker’s death not occurred;
extended family member, of a worker, means —
(a)a parent of the worker; or
(b)a step‑parent of the worker (whether or not the worker was legally adopted by the step‑parent); or
(c)a person to whom the worker stands in the place of a parent; or
(d)a person who stands in the place of a parent to the worker; or
(e)a sibling or half‑sibling of the worker; or
(f)a grandchild of the worker; or
(g)a grandparent of the worker;
partner, of a worker, means a person who —
(a)is the spouse or de facto partner of the worker; or
(b)has previously been a spouse or de facto partner of the worker.
132.Compensation only payable as provided by compensation order
Compensation under this Division is payable only as specified in a compensation order.
Note for this section:
A compensation order is an order of an arbitrator under section 140(4) determining a claim for compensation under this Division. A compensation order is not required for the payment of compensation under section 135.
133.Lump sum compensation for death resulting from injury
(1)Compensation is payable under this section if a worker who suffers an injury dies as a result of the injury.
(2)In this section —
dependant lump sum entitlement amount (DLSE) means the amount that is 250%, or a greater percentage, if any, prescribed by the regulations, of the general maximum amount applying on the day on which the worker dies.
(3)If the worker dies leaving a dependant or dependants as described in column 1 of an item in the Table, each partner and child of the worker is entitled to the amount of compensation indicated for the dependant in column 2 of the Table opposite that item.
Table
|
Item |
Column 1 Dependant or dependants |
Column 2 Amount of entitlement |
|
1. |
Partners: 1 Children: 0 |
100% of the DLSE to the partner |
|
2. |
Partners: 1 Children: 1 |
90% of the DLSE to the partner 10% of the DLSE to the child |
|
3. |
Partners: 1 Children: 2 to 5 |
5% of the DLSE to each child Balance of the DLSE to the partner |
|
4. |
Partners: 1 Children: 6 or more |
75% of the DLSE to the partner 25% of the DLSE divided equally between the children |
|
5. |
Partners: 2 or more Children: 0 |
100% of the DLSE divided so that each partner receives an amount proportionate to the loss of financial support suffered by that partner |
|
6. |
Partners: 2 or more Children: 1 |
90% of the DLSE divided between the partners so that each partner receives an amount proportionate to the loss of financial support suffered by that partner 10% of the DLSE to the child |
|
7. |
Partners: 2 or more Children: 2 to 5 |
5% of the DLSE to each child Balance of the DLSE divided between the partners so that each partner receives an amount proportionate to the loss of financial support suffered by that partner |
|
8. |
Partners: 2 or more Children: 6 or more |
75% of the DLSE divided between the partners so that each partner receives an amount proportionate to the loss of financial support suffered by that partner 25% of the DLSE divided equally between the children |
|
9. |
Partners: 0 Children: 1 |
100% of the DLSE to the child |
|
10. |
Partners: 0 Children: 2 or more |
100% of the DLSE divided equally between the children |
(4)The compensation for a partner or child of the worker applies whether or not the worker dies also leaving any extended family member who is a dependant.
(5)If the worker dies not leaving a partner or child of the worker who is a dependant but leaving 1 extended family member who is a dependant, that extended family member is entitled to an amount that is reasonable and proportionate to the loss of financial support suffered by the extended family member, but not exceeding the DLSE applying on the day on which the worker dies.
(6)If the worker dies not leaving a partner or child of the worker who is a dependant but leaving 2 or more extended family members who are dependants, each of those extended family members is entitled to an amount that is reasonable and proportionate to the loss of financial support suffered by the extended family member, but not exceeding, in total, the DLSE applying on the day on which the worker dies.
134.Allowance for eligible dependent children
(1)In this section —
eligible dependent child, of a worker, means a child of the worker who is a dependant of the worker and —
(a)is under 16 years of age; or
(b)is between 16 and 21 years of age and is a full‑time student; or
(c)is the subject of an order in force under subsection (6) or (7).
(2)A reference in this section to a child who is between 16 and 21 years of age is a reference to a child who has attained the age of 16 years but is under the age of 21 years.
(3)If a worker who suffers an injury dies as a result of the injury, each eligible dependent child of the worker is entitled to receive an allowance (the eligible dependent child allowance) as compensation.
(4)The eligible dependent child allowance is an amount per week that is the amount prescribed by the regulations as applying at the time the allowance is paid.
(5)The eligible dependent child allowance is in addition to, and does not affect, any compensation under section 133 for a dependent child who is also an eligible dependent child.
(6)An arbitrator may, in the arbitrator’s absolute discretion, order in a compensation order that a child who is between 16 and 21 years of age and is not a full‑time student is entitled to receive the eligible dependent child allowance by reason of circumstances.
(7)If a dependent child who is between 16 and 21 years of age ceases to be eligible to receive the eligible dependent child allowance because the child is not a full‑time student, an arbitrator may on application, in the arbitrator’s absolute discretion, order that the child is entitled to continue to receive the eligible dependent child allowance by reason of circumstances.
(8)On application, an arbitrator may, in the arbitrator’s absolute discretion, by a further order revoke an order under this section.
135.Funeral and medical expenses
(1)Compensation is payable under this section if a worker who suffers an injury dies as a result of the injury.
(2)In this section —
funeral expenses —
(a)means expenses properly incurred in relation to the funeral and burial or cremation of the worker; and
(b)includes fees and charges paid or payable to the Board or local government in which the care, control and management of a cemetery is vested under the Cemeteries Act 1986;
funeral expenses maximum amount means the amount prescribed by the regulations as the funeral expenses maximum amount.
(3)A person who has incurred funeral expenses is entitled to compensation for the amount of the expenses incurred but not exceeding the funeral expenses maximum amount applying on the day on which the entitlement arises.
(4)A person who has paid medical and health expenses incurred by the worker is entitled to compensation in the amount of the expenses incurred to the extent that those expenses are reasonable and have not been the subject of compensation paid to the worker under Division 4.
(5)Despite section 132, compensation can be paid to a person under this section without a compensation order having been made.
136.Lump sum compensation for death not resulting from injury
(1)If a worker who suffers an injury dies but the worker’s death was not a result of the injury, compensation is payable under this section if —
(a)the worker has received, or was entitled to receive, income compensation for total or partial incapacity for work resulting from the injury for a continuous period of at least 6 months immediately preceding the worker’s death; and
(b)the worker’s claim for compensation for the injury has not been settled under Division 12; and
(c)no memorandum of the terms of a settlement has been filed under section 433(3).
(2)In this section —
aggregated amount means the aggregate obtained by taking the weekly rate of income at which, if the worker had not died, income compensation would have been payable to the worker at the date of the worker’s death assuming that the worker was totally incapacitated for work and applying that rate for a period of 1 year after the worker’s death;
eligible person means a person who is a partner or child and is a dependant.
(3)If the worker dies leaving 1 eligible person, that eligible person is entitled to the aggregated amount.
(4)If the worker dies leaving 2 or more eligible persons, each of those eligible persons is entitled to a portion of the aggregated amount determined using the Table in section 133 as if a reference to the DLSE in column 2 of the relevant item in that Table were a reference to the aggregated amount.
137.Claim for compensation under this Division
(1)A claim for compensation under this Division must be made within 12 months after the date of the worker’s death.
(2)A claim may be made on the employer by, or on behalf of, a claimant.
(3)Compensation for 2 or more claimants can be the subject of a single claim.
(4)A claim must be made in the approved form and must be accompanied by supporting information and documents required by the approved form.
(5)A failure to make a claim for compensation within the period required by subsection (1) or a defect or inaccuracy in the claim form or details of the claim does not invalidate the claim if —
(a)the failure, defect or inaccuracy results from mistake, absence from the State or another reasonable cause; or
(b)the failure, defect or inaccuracy would not prejudice the employer’s defence in proceedings that might arise out of the claim.
138.Claims procedure: insured employer
(1)An insured employer must give a claim for compensation under this Division made on the employer to the insurer within 7 days after the claim is made.
Penalty for this subsection: a fine of $5 000.
(2)On receiving a claim for compensation under this Division, an insurer must give a copy of the claim to WorkCover WA.
(3)As soon as practicable after receiving a claim for compensation under this Division, an insurer must —
(a)give the claimant and the employer notice that liability is accepted in respect of the compensation claimed; or
(b)give the claimant and the employer notice that liability is disputed in respect of some or all of the compensation claimed; or
(c)give the claimant notice requiring that additional information or documents specified in the notice be provided to enable a decision to accept or dispute liability for compensation to be made.
(4)As soon as practicable after receiving information or documents required under subsection (3)(c), the insurer must give the claimant and the employer —
(a)notice that liability is accepted in respect of the compensation claimed; or
(b)notice that liability is disputed in respect of some or all of the compensation claimed.
(5)A notice given under subsection (3) or (4) must be in the approved form and the insurer must give a copy of the notice to WorkCover WA.
139.Claims procedure: self‑insurer or uninsured employer
(1)An employer who is a self‑insurer or an uninsured employer must, on receiving a claim for compensation under this Division, give a copy of the claim to WorkCover WA.
Note for this subsection:
Section 265 defines uninsured employer.
(2)As soon as practicable after receiving a claim for compensation under this Division, the employer must give the claimant —
(a)notice that liability is accepted in respect of the compensation claimed; or
(b)notice that liability is disputed in respect of some or all of the compensation claimed; or
(c)notice requiring that additional information or documents specified in the notice be provided to enable a decision to accept or dispute liability for compensation to be made.
(3)As soon as practicable after receiving information or documents required under subsection (2)(c), the employer must give the claimant —
(a)notice that liability is accepted in respect of the compensation claimed; or
(b)notice that liability is disputed in respect of some or all of the compensation claimed.
(4)A notice given under subsection (2) or (3) must be in the approved form and the employer must give a copy of the notice to WorkCover WA.
140.Determination of claim by arbitrator
(1)An application may be made to the Registrar by or on behalf of a person claiming compensation under this Division for determination of the claim by order of an arbitrator.
(2)The application may be made —
(a)at any time after the claimant receives a notice under section 138(3) or 139(2) about the claim; or
(b)if the claimant has not received the notice within 30 days after the day on which the claim is made on the employer — at any time after the end of that 30‑day period.
(3)The making of an application for determination of a claim does not affect the continued operation of section 138 or 139 in relation to the claim.
(4)An arbitrator must make an order determining the claim and specifying whether the claimant is entitled to compensation in accordance with this Division and, if so, the amount of compensation to which the claimant is entitled.
141.Manner of payment: lump sum compensation
(1)A compensation order for the payment of compensation to which a dependant of a deceased worker is entitled under section 133 or 136 must specify whether compensation for the dependant —
(a)must be paid to WorkCover WA and applied in the manner specified in the order; or
(b)must be paid to the dependant as specified in the order.
(2)If a compensation order requires the compensation for a dependant to be paid to WorkCover WA and applied in the manner specified in the order, an arbitrator may on application order that the compensation must be —
(a)applied otherwise than in the manner specified in the compensation order; or
(b)paid to the dependant.
142.Manner of payment: child’s allowance
(1)In this section —
eligible dependent child allowance means compensation to which a dependant of a deceased worker is entitled under section 134.
(2)A compensation order for the payment of an eligible dependent child allowance must provide for the insurer or employer to pay the amounts of eligible dependent child allowance to WorkCover WA weekly or at other intervals specified in the order.
(3)WorkCover WA must make periodic payments of the eligible dependent child allowance to the dependant as specified in the compensation order but payment must not be made in advance of a periodic payment or by way of commutation.
(4)Payment of an eligible dependent child allowance under a compensation order must continue as long as the dependant remains entitled to the allowance.
(5)If a dependant’s entitlement to an eligible dependent child allowance is based on the dependant being a full‑time student, WorkCover WA may require evidence of participation in full‑time study to be provided and may withhold payment of the allowance until that evidence is provided unless this would be contrary to an order of an arbitrator under section 134(7) that the dependant is entitled to continue to receive the allowance by reason of circumstances.
(6)The liability of an insurer or employer to make payments under this section may be fully discharged by the payment to WorkCover WA of an amount calculated in accordance with the regulations as being the full amount of the eligible dependent child allowance that will be payable on the assumption that the allowance will be payable to the dependant until the dependant attains the age of 21 years.
(7)An application by the insurer or employer to pay an amount in discharge of liability to make payments under this section may be made to WorkCover WA in the approved form when or after the compensation order is made.
(8)If an amount paid to WorkCover WA by an employer or insurer under this section has been credited to the Trust Account under section 494(2)(b) and the entitlement of the dependant to the eligible dependent child allowance ends before the amount has been exhausted by periodic payments of the allowance, any surplus moneys standing to the credit of the Trust Account must be transferred to the General Account.
(9)On application by or on behalf of the claimant, an arbitrator may make an order varying the terms of the compensation order in relation to a matter mentioned in subsection (2) or (3).
143.Effect of recovery of damages on applying trust money
(1)In this section —
damages means —
(a)damages due or payable to, or claimed by, a dependant of a deceased worker under the Fatal Accidents Act 1959 for an injury causing the death of the worker; or
(b)damages due or payable to, or claimed on behalf of, the estate of a deceased worker under the Law Reform (Miscellaneous Provisions) Act 1941 for an injury causing the death of the worker;
judgment includes an acceptance of an offer to consent to judgment;
settlement includes —
(a)a settlement by acceptance of an offer of compromise; and
(b)a memorandum of the terms of a settlement that has been filed under section 433(3);
trust money, of a dependant, means money credited to the Trust Account under section 494(2)(b) in respect of the dependant.
(2)Despite anything in this Act, in paying or otherwise applying or dealing with trust money of a dependant WorkCover WA must have regard to, and take into account, any judgment or settlement under which damages are payable to the dependant.
(3)Without limiting subsection (2), a judgment in or settlement of an action for damages may include a direction to WorkCover WA as to how trust money of a dependant must be paid or otherwise applied or dealt with and WorkCover WA must give effect to the direction.
(4)Notice must be given to WorkCover WA in the approved form by or on behalf of the claimant if —
(a)an action for damages is commenced; or
(b)judgment is given or settlement takes place in an action for damages.
(1)In this section —
application means —
(a)an application for determination of a claim for compensation under this Division; or
(b)an application for an order;
order means an order of an arbitrator under a provision of this Division (including a compensation order).
(2)An application must be made to the Registrar in accordance with this Act and the arbitration rules and may be rejected by the Registrar if it does not comply.
(3)An application can be made and received, and an order can be made, whether or not there is a dispute about liability or the payment of compensation.
(4)A dispute or application in connection with a claim for compensation under this Division must not be the subject of conciliation and sections 331 and 332 do not apply to the dispute or application.
145.Inconsistency with other provisions
Unless otherwise expressly stated, a provision of this Division prevails to the extent, if any, that it is inconsistent with a provision of this Act that is not in this Division.
Division 11 — Other matters to do with compensation
146.Recovery of erroneous payments of compensation
(1)WorkCover WA, an employer or an insurer may apply to an arbitrator for an order for the refund of an erroneous payment of compensation made by WorkCover WA, the employer or the insurer.
(2)A payment of compensation is erroneous if the recipient of the payment was not lawfully entitled to the payment or to any part of the amount of the payment.
(3)An arbitrator dealing with the application may make any order for the refund of the whole or part of an erroneous payment of compensation that the arbitrator considers appropriate.
(4)Instead of making an order for a refund, the arbitrator may order any person who the arbitrator determines was liable for the whole or any part of the compensation to reimburse the person who paid the compensation.
(5)If the payment of compensation was in accordance with an order of an arbitrator, the arbitrator dealing with the application may make an order for a refund only if satisfied that the claim for the payment was fraudulent or made without proper justification.
147.Deductions from wages towards compensation not lawful
(1)An employer or insurer or any person acting on behalf of an employer or insurer must not, directly or indirectly, take or receive any money from a worker whether by way of deduction from wages or otherwise in respect of any liability of an employer to pay compensation under this Act.
Penalty for this subsection: a fine of $10 000.
(2)If money is taken or received from a worker in contravention of this section, whether or not with the consent of the worker, the worker may sue for and recover the amount of that money from the employer, insurer or person who took or received it.
148.Recovery of cost of services provided to worker
(1)An employer liable to pay medical and health expenses compensation or miscellaneous expenses compensation for a service provided to a worker (a compensable service) may discharge the employer’s liability to pay that compensation by paying to the provider of the service the whole or any part of the outstanding cost of the service.
(2)If payment to the provider of a compensable service of the whole or any part of the cost of the service remains outstanding, the provider has the same rights to recover the outstanding amount from the employer as the worker has to recover medical and health expenses compensation or miscellaneous expenses compensation for the service.
(3)The employer’s liability to compensate the worker, and the worker’s liability to pay the provider, for the cost of a compensable service is discharged to the extent of any amount paid by or recovered from the employer as provided by this section.
(4)A dispute about the amount that a provider of a compensable service is entitled to recover from an employer under this section may be dealt with under Part 6.
Division 12 — Settlement of compensation claim
149.Commuting compensation liabilities by settlement agreement
(1)An injured worker and the worker’s employer may enter into an agreement in writing (a settlement agreement) that operates to —
(a)commute to a lump sum the liability of the employer to pay compensation to the worker in respect of the injury; and
(b)permanently discharge that liability of the employer.
Note for this subsection:
Lump sum compensation that is permanent impairment compensation or dust disease impairment compensation must be included in a settlement agreement — see section 150.
(2)A settlement agreement must be in the approved form.
(3)A settlement agreement is of no effect unless and until it is registered under this Division.
(4)An agreement (however described) that purports to discharge a liability to pay compensation to a worker in respect of an injury is void unless the agreement is a settlement agreement registered under this Division.
(5)A settlement agreement registered under this Division applies only to the employer’s liability to pay compensation to the worker and does not affect any liability of the employer to pay compensation to a dependant of the worker under Division 10.
150.Lump sum compensation required to be included in settlement agreement
If a worker is entitled to permanent impairment compensation or dust disease impairment compensation —
(a)a settlement agreement must include provision for commuting the liability for that compensation; and
(b)the application for registration of the settlement agreement must be accompanied by the information and documents necessary to establish the worker’s degree of permanent impairment resulting from the injury concerned.
Note for this section:
Under paragraph (b) the application must be accompanied by evidence of the agreement of the parties under section 105, the determination of an arbitrator under section 106 or the determination of the Dust Disease Medical Panel under section 123 as to the worker’s degree of permanent impairment.
151.Effect on settlement of participation in catastrophic injuries support scheme
A settlement agreement must not provide for compensation in respect of medical and health expenses compensation, miscellaneous expenses compensation or workplace rehabilitation expenses compensation for which the employer has ceased to be liable under section 80, 92 or 96 as a result of the worker becoming a participant in the catastrophic injuries support scheme under the Motor Vehicle and Workplace Accidents (Catastrophic Injuries) Act 2016.
152.Applying for registration of settlement agreement
(1)An application for registration of a settlement agreement must be made to the Director in the approved form accompanied by —
(a)a copy of the settlement agreement; and
(b)supporting information and documents as required by the regulations and in the form, if any, approved by the CEO.
(2)The Director may, with the agreement of the parties to a settlement agreement, rectify any error in the settlement agreement or supporting information and documents.
(3)The regulations may —
(a)provide for procedural matters to do with the following —
(i)applying for the registration of a settlement agreement;
(ii)registration of a settlement agreement by the Director;
and
(b)prescribe circumstances in which an application for registration of a settlement agreement cannot be made.
153.Settlement agreement cannot apply to common law damages
A settlement agreement must not be registered if it provides for the liability of the employer to pay damages for an injury suffered by a worker to be commuted or otherwise discharged.
154.Scrutiny by Director of settlement agreement
(1)The Director must refuse to register a settlement agreement unless —
(a)the Director is given a statement by the worker in the approved form acknowledging that the worker is aware of the consequences of registering the settlement agreement; and
(b)the Director is satisfied that —
(i)the settlement agreement is genuine; and
(ii)the amount of any permanent impairment compensation for which the settlement agreement provides is the correct amount to which the worker is entitled; and
(iii)the criteria, if any, prescribed by the regulations for registration of a settlement agreement are met.
(2)The Director must refuse to register a settlement agreement if of the opinion that the agreement was obtained by fraud or undue influence or by other improper means.
(3)The Director may defer a decision on registration of a settlement agreement until —
(a)the parties give the Director any further relevant information as the Director may request; and
(b)either or both of the parties attend before the Director and answer relevant questions as requested by the Director.
(4)If registration of a settlement agreement is refused, the Director must refer the matter to the Registrar for allocation of the matter to an arbitrator for determination of the question of whether registration of the settlement agreement should be granted or refused.
155.Cancellation of registration of settlement agreement
(1)On application made within 6 months after a settlement agreement is registered, an arbitrator may order the cancellation of the registration of the settlement agreement if the arbitrator is satisfied that the agreement was obtained by fraud or undue influence or by other improper means.
(2)The arbitrator may make any other order the arbitrator thinks just, including an order as to any amount already paid under the agreement.
156.Implementation of settlement agreement
(1)Any entitlement of a worker to compensation in respect of an injury to which a settlement agreement registered under this Division relates ceases on the date of registration of the agreement.
Note for this subsection:
Section 420 provides that damages must not be awarded against a worker’s employer in respect of an injury if a settlement agreement has been registered in respect of the injury unless the injury is a dust disease.
(2)An employer who is liable to pay an amount under a settlement agreement registered under this Division must pay the amount within 14 days after the agreement is registered or, if another law (including a Commonwealth law) prevents payment within that period, within 7 days after payment is permitted under that other law.
Penalty for this subsection: a fine of $10 000.
157.Limit on lump sum compensation included in settlement agreement
(1)In this section —
income compensation general limit amount has the meaning given in section 45;
total income compensation payments means the total of all the payments of income compensation to which a worker is entitled in respect of incapacity for work resulting from an injury, including payments already paid and payments the entitlement to which is to be commuted by a settlement agreement.
Note for this definition:
The amount of income compensation payments includes provisional payments of income compensation — see section 43(1).
(2)The amount arrived at by adding the amount of permanent impairment compensation or dust disease impairment compensation to which a worker is entitled to the total income compensation payments to which the worker is entitled must not exceed the income compensation general limit amount.
(3)The amount of permanent impairment compensation or dust disease impairment compensation to which a worker is entitled for the purposes of a settlement agreement that applies to that compensation must be reduced to the extent, if any, necessary to ensure compliance with subsection (2).
Note for this section:
This section can operate to reduce the amount of permanent impairment compensation or dust disease impairment compensation to which a worker is entitled but does not affect entitlement to medical and health expenses compensation, miscellaneous expenses compensation or workplace rehabilitation expenses compensation.
158.Term used: treating medical practitioner
In this Part —
treating medical practitioner, in relation to a worker, means the medical practitioner who is the worker’s treating medical practitioner under section 170.
159.Employer must establish injury management system
(1)In this section —
injury management system means a process setting out the steps to be followed when there is an injury from employment.
(2)An employer must ensure that —
(a)an injury management system is established and implemented in accordance with the regulations in relation to workers employed by the employer; and
(b)the injury management system is described in a document that is available to the workers.
Penalty for this subsection: a fine of $5 000.
(3)The regulations may deal with the following —
(a)the content of an injury management system, including the matters that must be included in an injury management system;
(b)implementation of the injury management system.
Subdivision 1 — Duties of employer, insurer and worker
160.Duty of employer to establish and implement return to work program
(1)In this section —
return to work program means a program for assisting an injured worker to return to work in a timely, safe and durable way.
(2)The employer of an injured worker must ensure that a return to work program is established for the worker as soon as practicable after the earliest of the following —
(a)the day on which the worker’s treating medical practitioner issues a certificate of capacity to the effect that the worker is partially incapacitated for work;
(b)the day on which the worker’s treating medical practitioner advises the employer in writing that a return to work program should be established for the worker;
(c)the day on which, in proceedings under Part 6, an arbitrator determines, or the parties agree, that the worker has suffered an injury in respect of which compensation is payable and is partially incapacitated for work.
Penalty for this subsection: a fine of $5 000.
(3)The return to work program must, as far as is reasonably practicable, be established in consultation with the injured worker.
(4)Subsection (2) does not require a return to work program to be established —
(a)for a worker who has returned to work unless the worker has a partial incapacity for work; or
(b)in circumstances prescribed by the regulations.
(5)The employer must ensure that the establishment, content and implementation of a return to work program are in accordance with the regulations.
Penalty for this subsection: a fine of $5 000.
(6)The regulations may —
(a)specify minimum standards or requirements for the establishment, content and implementation of return to work programs; and
(b)require a return to work program to be in the approved form or include prescribed provisions.
161.Employer may be ordered to establish and implement return to work program
(1)A worker may apply for an order of an arbitrator requiring the worker’s employer to —
(a)establish and implement a return to work program for the worker in accordance with section 160; or
(b)alter the terms of a return to work program for the worker.
(2)The arbitrator may require the employer to establish and implement the return to work program if satisfied that —
(a)the worker has suffered an injury in respect of which compensation is payable; and
(b)the worker is partially incapacitated for work; and
(c)the employer has failed to comply with section 160(2).
(3)The arbitrator may require the employer to alter the terms of the return to work program if satisfied that any of the obligations placed on the worker under the return to work program are unreasonable.
(1)When an insurer issues to an employer, or renews, an insurance policy the insurer must give the employer written notice of the employer’s duties under section 160.
Penalty for this subsection: a fine of $5 000.
(2)If an insured employer requests the insurer to assist the employer to comply with any of the employer’s duties under section 160, the insurer must take reasonable action —
(a)to assist the employer to comply with the employer’s duties that are the subject of the employer’s request; and
(b)to ensure that the employer complies with the duties that are the subject of the employer’s request.
Penalty for this subsection: a fine of $10 000.
(3)If an insured employer requests the insurer to discharge any of the employer’s duties under section 160 on behalf of the employer, the insurer must take reasonable action —
(a)to discharge the employer’s duties that are the subject of the employer’s request; and
(b)to comply with the duties that are the subject of the employer’s request.
Penalty for this subsection: a fine of $10 000.
(1)In this section —
progress certificate of capacity means a certificate of capacity issued after the certificate of capacity given under section 25(2)(b) to the worker’s employer.
(2)An injured worker must, in cooperation with the worker’s employer, make reasonable efforts to return to work.
(3)A worker for whom an employer is required to establish a return to work program must participate and cooperate in the establishment of the return to work program.
(4)The worker must comply with any reasonable obligations placed on the worker under the worker’s return to work program, including any obligation to undertake workplace rehabilitation.
(5)The worker must comply with any requirement to attend a return to work case conference under section 165 and must participate and cooperate in the conference.
(6)The worker must give each progress certificate of capacity issued to the worker to the worker’s employer or the employer’s insurer within 7 days after the certificate is given to the worker.
(7)Subsection (6) does not apply if the health professional who issues the progress certificate of capacity gives a copy to the worker’s employer or the employer’s insurer within 7 days after the certificate is given to the worker.
164.Consequences of refusal or failure to comply with s. 163 duty
(1)An employer may apply for an order of an arbitrator in respect of a worker’s refusal or failure to comply with a duty under section 163.
(2)If an arbitrator is satisfied that a worker, without reasonable excuse, refuses, or has failed, to comply with a duty under section 163 the arbitrator may do either or both of the following —
(a)order the worker to comply with the duty;
(b)order that the payment of income compensation to the worker is suspended.
(3)Payment of income compensation to the worker is suspended from the day on which the arbitrator makes the order under subsection (2)(b) until the earliest of the following —
(a)the day specified in the order as the day on which the order ceases to have effect;
(b)the day on which the order is revoked by an arbitrator;
(c)the day on which the worker’s entitlement to income compensation ceases under subsection (4).
Note for this subsection:
Sections 67 and 323 provide for the effect of suspension of payments of income compensation.
(4)If a worker refuses or fails to comply with a duty under section 163 for 1 month, or a period an arbitrator otherwise orders, after an order is made under subsection (2)(a) or (b) in relation to the duty, an arbitrator may order that the worker ceases to be entitled to income compensation in respect of the injury in relation to which the duty arose.
(5)An arbitrator must not make an order under subsection (4) if the worker satisfies the arbitrator that the worker had a reasonable excuse for refusing or failing to comply with the duty after the order under subsection (2)(a) or (b) was made.
Subdivision 2 — Return to work case conferences
165.Attendance at return to work case conference
(1)An injured worker who has an incapacity for work may be required to attend a conference (a return to work case conference) arranged by the worker’s employer, the employer’s insurer, the worker’s treating medical practitioner or an approved workplace rehabilitation provider for the purpose of supporting the worker’s recovery and enhancing opportunities for the worker’s return to work.
Note for this subsection:
Section 163(5) imposes a duty on the worker to comply with a requirement under this section and to participate and cooperate in the conference.
(2)In arranging a return to work case conference, the employer, insurer, medical practitioner or workplace rehabilitation provider must, by notice in writing given to the worker, specify the following —
(a)the time and place of the conference;
(b)whether the worker must attend the conference in person or may participate in the conference by means of video link, audio link or other electronic means;
(c)that the worker must participate and cooperate in the conference.
(3)Regulations may provide for the following —
(a)the maximum number of times a worker may be required to participate in a return to work case conference and the maximum frequency of those conferences;
(b)the conduct of a return to work case conference;
(c)the matters that may be discussed at a return to work case conference;
(d)the persons who may attend or participate in a return to work case conference;
(e)any other matter relevant to a return to work case conference.
Subdivision 3 — Employment obligations relating to return to work
166.Employer must provide position during incapacity
(1)In this section —
employment obligation period, for an injured worker, means the period of 12 months beginning on the day on which the worker first has an incapacity for work as a result of the injury;
suitable position, for an injured worker, means a position —
(a)for which the worker is qualified; and
(b)that the worker is capable of performing; and
(c)that is most comparable in status and pay to the position the worker held immediately before having an incapacity for work.
(2)The employer of an injured worker must, during the employment obligation period for the worker —
(a)provide to the worker the position the worker held immediately before having an incapacity for work (the pre‑injury position); or
(b)ensure that the worker is provided with a suitable position if —
(i)it is not reasonably practicable to provide to the worker the pre‑injury position; or
(ii)the worker does not have capacity to work in the pre‑injury position.
Penalty for this subsection: a fine of $10 000.
(3)Subsection (2) does not apply if the worker is lawfully dismissed.
167.Host must cooperate with labour hirer
(1)In this section —
host and labour hirer have the meanings given in section 14(1).
(2)This section applies if —
(a)a labour hirer is a worker’s employer under section 14(3); and
(b)the worker has an incapacity for work as a result of an injury from employment with the labour hirer for work done for the host.
(3)The host must, to the extent that it is reasonable to do so, cooperate with the labour hirer in respect of action taken by the labour hirer in order to comply with sections 160 and 166 to facilitate the worker’s return to work.
Penalty for this subsection: a fine of $5 000.
168.Dismissal of injured worker
(1)In this section —
employment obligation period has the meaning given in section 166(1).
(2)The employer of an injured worker must not, during the employment obligation period for the worker, dismiss the worker solely or mainly because the worker is totally or partially incapacitated for work.
Penalty for this subsection: a fine of $10 000.
(3)Without limiting subsection (2), the employer of an injured worker must not, during the employment obligation period for the worker, dismiss the worker for any reason unless the employer has given to the worker in accordance with subsection (4) a notice of intention to dismiss the worker.
Penalty for this subsection: a fine of $10 000.
(4)A notice of intention to dismiss a worker must —
(a)be given to the worker at least 28 days before the dismissal takes effect; and
(b)be in the approved form.
(5)This section does not affect any other right or obligation of a worker or employer under this Act or any other written law.
Division 3 — Certificates of capacity
169.Issue of certificate of capacity
(1)A certificate of capacity, in relation to a worker’s injury, must —
(a)be in the approved form; and
(b)specify the following —
(i)the nature of the injury;
(ii)whether the worker has an incapacity for work and the extent of the incapacity for work, if any;
(iii)if the worker is partially incapacitated for work — the nature of duties the worker is able to perform and the nature of restrictions on the worker’s capacity for work;
(iv)how long it is estimated the incapacity for work, if any, will continue;
(v)any other matter prescribed by the regulations.
(2)A certificate of capacity must be issued by —
(a)the worker’s treating medical practitioner; or
(b)another health professional permitted under the regulations to issue the certificate.
(3)The regulations may —
(a)permit a health professional to issue a certificate of capacity by reference to —
(i)the health professional or a class of health professionals; and
(ii)the circumstances in which the health professional is permitted to issue a certificate of capacity;
and
(b)specify circumstances in which a health professional is not permitted to issue a certificate of capacity.
170.Treating medical practitioner
(1)An injured worker is entitled to attend a medical practitioner (a treating medical practitioner) of the worker’s own choice to perform the functions set out in subsection (3).
(2)An injured worker must not be required to choose or attend a medical practitioner chosen or nominated by the worker’s employer or the employer’s insurer to perform any of the functions set out in subsection (3).
(3)The treating medical practitioner has the following functions —
(a)to diagnose the nature of the worker’s injury;
(b)to provide primary medical treatment to the worker and to coordinate medical treatment in relation to the worker’s injury;
(c)to issue certificates of capacity;
(d)to monitor, review and advise on the worker’s condition and treatment;
(e)to advise on the suitability of, and to specify restrictions on, duties the worker may be expected to perform;
(f)to participate in the development of a return to work program for the worker and in return to work case conferences.
Note for this section:
Under section 180 an insurer or self‑insurer may require a worker to undergo examination by a medical practitioner, arranged and paid for by the employer, for the purpose of the medical practitioner providing a report as to the worker’s medical condition.
171.Employer, insurer and agent of insurer must not be present at examination or treatment
A worker’s employer, the employer’s insurer or an agent of the insurer must not be present while a worker is being physically or clinically examined, or treated, by the worker’s treating medical practitioner.
Division 4 — Workplace rehabilitation providers
172.Approval of workplace rehabilitation providers
(1)A workplace rehabilitation provider may apply to WorkCover WA for approval for the purposes of this Act.
(2)An application for approval must be in the approved form.
173.Determination of application for approval
(1)WorkCover WA must —
(a)consider an application for approval of a workplace rehabilitation provider; and
(b)grant approval or refuse to grant approval.
(2)The regulations may specify criteria that must be satisfied for the grant of approval.
(3)The onus is on the applicant to satisfy WorkCover WA as to any matter that is relevant to the approval of the workplace rehabilitation provider.
(1)An approval granted under section 173(1)(b) is subject to the following conditions —
(a)a condition that the fees and charges of the approved workplace rehabilitation provider will not exceed the fees and charges fixed by an order under section 94 and will comply with the requirements of that order;
(b)any conditions prescribed by the regulations;
(c)any conditions imposed by WorkCover WA when the approval is granted or at any time during the currency of the approval.
(2)WorkCover WA may, by written notice given to an approved workplace rehabilitation provider —
(a)impose conditions, or further conditions, to which the approval is subject; or
(b)vary any conditions imposed on the approval by WorkCover WA.
(3)The conditions may apply, adopt or incorporate any matter contained in a document issued or published by WorkCover WA or some other person with or without modification or addition and whether in force at a particular time or from time to time.
(1)An approval under section 173(1)(b) may be granted for a fixed period determined by WorkCover WA or be granted to remain in force indefinitely.
(2)An approval granted for a fixed period continues in force until the expiration of that period unless the approval is cancelled sooner.
(3)An approval granted to remain in force indefinitely continues in force indefinitely unless and until it is cancelled or converted to an approval granted for a fixed period.
(4)WorkCover WA may, by direction in writing to an approved workplace rehabilitation provider, convert the provider’s approval from an approval granted to remain in force indefinitely to an approval granted for a fixed period specified in the direction.
176.Suspension or cancellation of approval
(1)WorkCover WA may suspend or cancel the approval of an approved workplace rehabilitation provider if of the opinion that the approved workplace rehabilitation provider —
(a)does not satisfy any of the criteria that must be satisfied for the grant of approval of a workplace rehabilitation provider; or
(b)has failed to comply with any provision of this Act or the regulations; or
(c)has failed to comply with any condition of the approval.
(2)A suspension or cancellation is effected by written notice given to the approved workplace rehabilitation provider.
(3)The approval of a workplace rehabilitation provider may also be cancelled by WorkCover WA at the request of the approved workplace rehabilitation provider.
177.Register of approved workplace rehabilitation providers
(1)WorkCover WA must maintain a register of the names and contact details of approved workplace rehabilitation providers.
(2)The register may include other relevant information about approved workplace rehabilitation providers that WorkCover WA considers desirable for assisting interested parties to access an approved workplace rehabilitation provider appropriate to their needs.
(3)The register must be available for inspection on the WorkCover WA website.
(4)WorkCover WA may provide access to information on the register by any other means it considers appropriate.
178.Performance monitoring and review of approved workplace rehabilitation providers
(1)WorkCover WA may monitor and review the activities of approved workplace rehabilitation providers to determine whether those activities are being carried out effectively, economically and efficiently and in compliance with this Act, the regulations and the conditions of any relevant approval.
(2)WorkCover WA may inspect the financial and other records of an approved workplace rehabilitation provider for the purposes of the performance of the functions of WorkCover WA under subsection (1).
(3)A person must not obstruct or hinder a person performing a function of WorkCover WA under this section as a delegate of WorkCover WA.
Penalty for this subsection: a fine of $10 000.
(4)An approved workplace rehabilitation provider must provide all reasonable assistance to WorkCover WA or a delegate of WorkCover WA for the purpose of facilitating the performance of functions of WorkCover WA under this section.
(5)WorkCover WA may publish reports and other information concerning a review under this section as it thinks fit.
179.Term used: Permanent Impairment Guidelines
In this Part —
Permanent Impairment Guidelines means guidelines in force under section 187(1) as applying from time to time.
Division 2 — Medical examination of worker
180.Power to require medical examination of worker
(1)An insurer or self‑insurer may require a worker who has claimed compensation to undergo examination by a medical practitioner arranged and paid for by the employer for the purpose of the medical practitioner providing a written report as to the worker’s medical condition.
(2)An insurer or self‑insurer who is provided with a report from a medical practitioner as to a worker’s medical condition based on an examination that the worker was required to undergo under this section must give a copy of the report to the worker within 14 days after the report is provided.
(3)A worker who is provided with a report from a medical practitioner as to the worker’s medical condition based on an examination that the worker was required to undergo under this section must give a copy of the report to the insurer or self‑insurer within 14 days after the report is provided.
(4)The regulations may provide for or with respect to the following —
(a)the maximum number of times a worker may be required under this section to undergo examination by a medical practitioner and the maximum frequency of those examinations;
(b)conditions that apply to the imposition of a requirement to undergo examination;
(c)the conduct of the examination;
(d)any other matter relating to the examination, including requirements as to —
(i)the communication and reporting of the results of the examination;
(ii)the maximum amount payable for the examination and report.
181.Worker contravening requirement for medical examination
(1)If a worker contravenes a requirement for a medical examination, an arbitrator may by order (a suspension order) —
(a)suspend payments of compensation to the worker; and
(b)suspend the worker’s entitlement to take and prosecute any proceedings under this Act.
(2)A worker contravenes a requirement for a medical examination if the worker without reasonable excuse fails to comply with a requirement under section 180 to undergo examination by a medical practitioner or obstructs the examination in any way.
(3)A suspension order has effect from the day on which the arbitrator makes the order until the earlier of the following —
(a)the day on which the order is revoked; or
(b)the day on which an order is made under subsection (5).
(4)An arbitrator must revoke a suspension order if satisfied that the worker is no longer contravening the requirement for a medical examination.
(5)If an arbitrator determines that the worker’s contravention of the requirement for a medical examination has continued for 1 month, or a longer period the arbitrator determines should be allowed, after the suspension order was made, the arbitrator must order that —
(a)the worker’s entitlement to compensation under this Act ceases; and
(b)the worker’s entitlement to take and prosecute any proceedings under this Act ceases.
(6)The worker bears the onus of satisfying an arbitrator that the worker had a reasonable excuse for contravening a requirement for a medical examination.
(7)If payment of medical and health expenses compensation, miscellaneous expenses compensation or workplace rehabilitation expenses compensation is suspended by a suspension order, compensation in respect of expenses incurred during the period of the suspension is not payable unless the order provides otherwise.
Note for this subsection:
Section 67 provides for the effect of suspension of payment of income compensation.
Division 3 — Assessing degree of permanent impairment
182.Assessments to which Division applies
This Division applies to an assessment of a worker’s degree of permanent impairment for the purposes of —
(a)section 79; or
(b)Part 2 Division 7 or 9; or
(c)Part 7 Division 2.
Note for this section:
Under Part 7 Division 2 an assessment of degree of permanent whole of person impairment of at least 15% is required for the purposes of an election to retain the right to seek common law damages, which is a prerequisite to the commencement of proceedings to recover damages. A court hearing a claim for damages is not bound by an assessment of degree of permanent whole of person impairment — see section 421.
(1)A worker’s degree of permanent impairment must be assessed in accordance with the requirements of the Permanent Impairment Guidelines for the evaluation of degree of permanent impairment.
(2)The degree of permanent impairment must be assessed as a percentage.
184.Assessing degree of permanent impairment when multiple injuries arise from single event
(1)In this section —
event —
(a)means anything that results, whether immediately or not and whether suddenly or not, in injury to a worker; and
(b)includes continuous or repeated exposure to conditions that results in injury to a worker.
(2)If a worker suffers more than 1 injury arising from a single event, the worker’s degree of permanent whole of person impairment must be assessed as the degree of permanent whole of person impairment resulting from all of the worker’s injuries arising from the event.
185.Secondary conditions disregarded in certain cases
(1)In this section —
secondary condition means a condition, whether psychological, psychiatric or sexual, that, although it may result from an injury, arises as a secondary, or less direct, consequence of the injury.
(2)In assessing a worker’s degree of permanent impairment, any secondary condition must be disregarded if the assessment is for the purposes of —
(a)section 79; or
(b)Part 7 Division 2.
(3)This section does not prevent a secondary condition from contributing in the assessment of damages by a court.
186.Assessment by approved permanent impairment assessor or Dust Disease Medical Panel
(1)The assessment of a worker’s degree of permanent impairment must be made by an approved permanent impairment assessor except as provided by subsection (2).
(2)The assessment of a worker’s degree of permanent impairment resulting from a dust disease must be made by a Dust Disease Medical Panel.
187.Permanent Impairment Guidelines
(1)WorkCover WA must issue guidelines (the Permanent Impairment Guidelines) that make provision for or with respect to the evaluation of a worker’s degree of permanent impairment.
(2)The Permanent Impairment Guidelines may adopt 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.
(3)WorkCover WA is not required to use the title “Permanent Impairment Guidelines” for the guidelines and may issue the Permanent Impairment Guidelines under a different title.
(4)The Interpretation Act 1984 sections 41, 42, 43 and 44 apply to the Permanent Impairment Guidelines as if they were regulations.
188.Requirement for injury to have stabilised
(1)An assessment of a worker’s degree of permanent impairment may return a finding that the worker’s condition has not stabilised to the extent required for an assessment of the worker’s degree of permanent impairment to be made in accordance with the Permanent Impairment Guidelines.
(2)The Permanent Impairment Guidelines may provide for circumstances in which an assessment of a worker’s degree of permanent impairment must be made even though the worker’s condition has not stabilised.
189.Asymptomatic pre‑existing disease
For a case in which the assessment of a worker’s degree of permanent impairment involves taking into account a recurrence, aggravation or acceleration of any pre‑existing disease that was to any extent asymptomatic before the worker’s injury occurred, the Permanent Impairment Guidelines must not provide for a deduction to reflect the pre‑existing nature of that disease to the extent that it was asymptomatic before the worker’s injury occurred.
190.Request for assessment of permanent impairment
(1)A request for an assessment of a worker’s degree of permanent impairment must be in the approved form.
(2)The request must contain all information that the approved form indicates is required.
(3)The regulations may make provision for or with respect to the circumstances in which, and the persons by whom, a request for assessment of a worker’s degree of permanent impairment can or must be made.
(4)The regulations may require a worker who requests an assessment of the worker’s degree of permanent impairment to provide any information described in the regulations for use in dealing with the request.
191.Powers of approved permanent impairment assessors
(1)An approved permanent impairment assessor (the assessor) conducting an assessment of a worker’s degree of permanent impairment may —
(a)in accordance with the regulations, require the worker to attend at a place specified by the assessor; and
(b)in accordance with the regulations, require the worker to produce any relevant document or provide any relevant information to the assessor; and
(c)in accordance with the regulations, require the worker to consent to another person who has any relevant document or information producing the document or providing the information to the assessor; and
(d)require the worker to undergo specified medical tests and assessments and provide the assessor with results and reports from those tests and assessments; and
(e)require the worker to answer any question about the injury; and
(f)require the worker to submit to examination by, or as requested by, the assessor.
(2)The assessor may, in accordance with the regulations, require the employer or the employer’s insurer to —
(a)produce any relevant document or provide any relevant information to the assessor; and
(b)consent to another person who has any relevant document or information producing the document or providing the information to the assessor.
(3)An employer or insurer who fails to comply with a requirement imposed by an assessor under this section commits an offence.
Penalty for this subsection: a fine of $5 000.
(4)If a worker fails to comply with a requirement imposed by an assessor under this section, the assessor may defer making the assessment of the worker’s degree of permanent impairment until the worker complies with the requirement.
(5)Regulations may be made for or with respect to the period within which a requirement imposed by an assessor under this section must be complied with if the period for complying is not specified in the requirement.
(6)WorkCover WA may disclose to the assessor any information that WorkCover WA has in relation to the worker that may be relevant to the assessment of the worker’s degree of permanent impairment.
(7)An assessment is not to be vitiated because of any informality or want of form.
192.Report on results of assessment
(1)An approved permanent impairment assessor (the assessor) who makes an assessment of a worker’s degree of permanent impairment must give the worker, the employer and the employer’s insurer a report in the approved form on the results of the assessment.
(2)The report must include —
(a)a certificate as to the worker’s degree of permanent impairment as assessed; and
(b)a statement of the reasons that justify the assessment; and
(c)other information required by the approved form.
(3)If there is an error apparent on the face of a report, the assessor must correct the error if required to do so by the Director.
(4)If the assessment returns a finding that the worker’s condition has not stabilised to the extent required for an assessment of the worker’s degree of permanent impairment, the assessor must notify the worker, the employer and the insurer of that finding.
Division 4 — Permanent impairment assessors
193.Approval of permanent impairment assessors
(1)WorkCover WA may approve a medical practitioner as a permanent impairment assessor for the purposes of this Act (an approved permanent impairment assessor).
(2)An application for approval must be in the approved form.
(3)WorkCover WA may issue, and amend or revoke, criteria that must be satisfied for the approval of a medical practitioner as a permanent impairment assessor.
(4)WorkCover WA must make the criteria applying for the time being publicly available on the WorkCover WA website and in any other manner it considers appropriate.
(5)The criteria may apply, adopt or incorporate any matter contained in a document issued or published by WorkCover WA or some other person with or without modification or addition and whether in force at a particular time or from time to time.
(6)WorkCover WA must —
(a)consider an application for approval as a permanent impairment assessor; and
(b)grant approval or refuse to grant approval.
(7)The onus is on the applicant to satisfy WorkCover WA as to any matter that is relevant to the approval of a permanent impairment assessor.
(1)An approval of a permanent impairment assessor is subject to the following conditions —
(a)a condition that the fees and charges of the approved permanent impairment assessor will not exceed the fees and charges fixed by an order under section 195;
(b)a condition that the approved permanent impairment assessor will comply with the requirements of the Permanent Impairment Guidelines;
(c)any conditions prescribed by the regulations;
(d)any conditions imposed by WorkCover WA when the approval is granted or at any time during the currency of the approval.
(2)WorkCover WA may, by written notice given to an approved permanent impairment assessor —
(a)impose conditions, or further conditions, to which the approval is subject; or
(b)vary any conditions imposed on the approval by WorkCover WA.
195.Minister may fix scale of fees and charges for permanent impairment assessment
(1)The Minister, on the recommendation of WorkCover WA, may make an order fixing scales of fees and charges for services provided by approved permanent impairment assessors.
(2)An order under this section may adopt 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.
(3)An order under this section is subsidiary legislation for the purposes of the Interpretation Act 1984.
Note for this subsection:
Under the Interpretation Act 1984 section 43(4), a power to make subsidiary legislation includes a power to amend or repeal the subsidiary legislation.
(1)An approval of a permanent impairment assessor may be granted for a fixed period determined by WorkCover WA or be granted to remain in force indefinitely.
(2)An approval granted for a fixed period continues in force until the expiration of that period unless the approval is cancelled sooner.
(3)An approval granted to remain in force indefinitely continues in force indefinitely unless and until it is cancelled or converted to an approval granted for a fixed period.
(4)WorkCover WA may, by direction in writing to an approved permanent impairment assessor, convert the approval from an approval granted to remain in force indefinitely to an approval granted for a fixed period specified in the direction.
197.Suspension or cancellation of approval
(1)WorkCover WA may suspend or cancel the approval of a permanent impairment assessor if of the opinion that the approved permanent impairment assessor —
(a)does not satisfy any of the criteria that must be satisfied for the grant of approval of a permanent impairment assessor; or
(b)has failed to comply with any provision of this Act or any regulations made under this Act; or
(c)has failed to comply with any condition of the approval.
(2)A suspension or cancellation is effected by written notice given to the approved permanent impairment assessor.
(3)The approval of a permanent impairment assessor may also be cancelled by WorkCover WA at the request of the approved permanent impairment assessor.
198.Compliance audits and investigations
(1)WorkCover WA may conduct audits and investigations (compliance audits and investigations) for the purpose of ensuring compliance by approved permanent impairment assessors with this Act, the regulations, the conditions of their approval and the Permanent Impairment Guidelines.
(2)An approved permanent impairment assessor must, on request by WorkCover WA, provide information or produce documents to WorkCover WA for the purposes of a compliance audit or investigation.
(3)The information or documents that WorkCover WA may request includes information or documents concerning the assessment of a worker’s degree of permanent impairment.
(4)For the purposes of this section an approved permanent impairment assessor is authorised to provide WorkCover WA with information or documents concerning the assessment of a worker’s degree of permanent impairment without the consent of the worker.
199.Register of approved permanent impairment assessors
(1)WorkCover WA must maintain a register of the names and contact details of approved permanent impairment assessors.
(2)The register may include other relevant information about approved permanent impairment assessors WorkCover WA considers desirable for assisting interested parties to access an approved permanent impairment assessor who is appropriate to their needs.
(3)The register must be available for inspection on the WorkCover WA website.
(4)WorkCover WA may provide access to information on the register by other means it considers appropriate.
In this Part —
damages —
(a)means —
(i)damages due or payable to, or claimed by, a worker for an injury caused to that worker by the tort of the worker’s employer or the tort of any person for whose conduct the worker’s employer is vicariously liable; or
(ii)damages due or payable to, or claimed by, a dependant of a deceased worker under the Fatal Accidents Act 1959 for an injury causing the death of the worker; or
(iii)damages due or payable to, or claimed on behalf of, the estate of a deceased worker under the Law Reform (Miscellaneous Provisions) Act 1941 for an injury causing the death of the worker; or
(iv)the amount of any contribution or indemnity due or payable to, or claimed by, a concurrent tortfeasor under the Law Reform (Contributory Negligence and Tortfeasors’ Contribution) Act 1947 in respect of an injury to, or the death of, a worker;
but
(b)does not include damages in respect of a liability imposed by contract that would not arise as a coordinate liability in tort;
deemed worker, in relation to an employer, means —
(a)a worker of whom the employer would not be the employer but for being taken to be the employer by section 215; or
(b)a person to whom the employer would be liable to pay compensation under Division 2 Subdivision 3 as a person who does work for the employer under an avoidance arrangement as provided by that Subdivision; or
(c)if the employer is Racing and Wagering Western Australia — a person of whom Racing and Wagering Western Australia would not be the employer but for section 15;
group self‑insurer licence means a self‑insurer licence granted on terms that extend the licence to 1 or more specified related entities of the holder of the licence, as provided for by section 246(2);
industry classification means an industry classification in accordance with an industry classification order under section 253;
insurable damages means damages in respect of which an employer is required by section 202 to insure;
insurer licence means a licence under Division 3 Subdivision 1;
licensed insurer means the holder of an insurer licence;
remuneration means any payment in money or money’s worth paid to or for the benefit of a worker that is prescribed by the regulations as remuneration for the purposes of this Part;
self‑insurer means —
(a)the holder of a self‑insurer licence; and
(b)a related entity, as defined in section 246(1), to which a group self‑insurer licence extends;
self‑insurer liability, of an employer, means a liability of the employer in respect of an injury to or the death of a worker that is a liability in respect of employment when the employer was a self‑insurer and that is a liability in respect of which the employer would have been required to hold a workers compensation policy had the employer not been a self‑insurer;
self‑insurer licence means a licence under Division 4 Subdivision 1;
specialised insurer means a licensed insurer whose insurer licence is subject to a specialised insurer condition under section 234(1);
tort means negligence or other tort (including breach of statutory duty).
(1)WorkCover WA may enter into an arrangement (an agency arrangement) by contract or otherwise for the appointment of a person to act as agent for WorkCover WA in connection with the performance of any functions of WorkCover WA under this Part.
(2)An agent is, in the performance of functions under an agency arrangement, subject to the direction and control of WorkCover WA as provided by the terms of the agency arrangement.
(3)For the purposes of section 534, the exercise or purported exercise of a function of WorkCover WA under this Part by a person as agent of WorkCover WA under an agency arrangement is taken to be the exercise or purported exercise by the person of a function under this Part if done within the scope of the agent’s actual authority to act.
Division 2 — Employer obligations
Subdivision 1 — Insurance requirements for employers
202.Requirement for employers to be insured
(1)In this Act —
workers compensation policy means an insurance policy that insures an employer for the full amount of the following liabilities of the employer that arise in respect of employment during the period of insurance —
(a)any liability of the employer that arises under this Act to pay compensation or make any other payment in respect of an injury to or the death of a worker;
(b)any liability of the employer to pay damages in respect of an injury to or the death of a worker if the employer is liable to pay compensation under this Act in respect of the injury or death, other than an injury to or the death of a deemed worker of the employer.
(2)An employer must at all times have a current workers compensation policy issued by a licensed insurer.
(3)Subsection (2) does not apply to an employer while the employer is a self‑insurer.
(4)The requirements of this section are subject to —
(a)regulations under section 237(1); and
(b)section 289.
203.Information to be provided by employer to insurer
(1)In this section —
relevant industry classification means an industry classification on the basis of which the premium payable by an employer for the issue or renewal of a workers compensation policy is calculated.
(2)An employer applying for the issue or renewal of a workers compensation policy must provide to the licensed insurer an estimate, made to the best of the employer’s knowledge, information and belief, of the aggregate amount of remuneration to be paid or payable by the employer to workers in each relevant industry classification over the proposed period of insurance.
(3)As soon as practicable after the end or termination of the period of insurance, the employer must provide to the licensed insurer a statement of the aggregate amount of remuneration actually paid or payable by the employer to workers in each relevant industry classification over the period.
(4)An employer applying for the issue or renewal of a workers compensation policy must provide to the licensed insurer any other information required by the regulations.
(5)When a company applies to a licensed insurer to issue or renew a workers compensation policy on the basis that a director of the company is a worker, the company must include —
(a)in the estimate under subsection (2) — the name of the director and an estimate of the aggregate amount of remuneration to be paid or payable to the director over the proposed period of insurance; and
(b)in the statement under subsection (3) — a statement of the aggregate amount of remuneration actually paid or payable to the director over the period of insurance together with supporting particulars to verify that amount.
(6)An estimate under subsection (2) and a statement under subsection (3) must be provided in the approved form.
(1)An employer who fails to comply with a requirement of section 202 or 203 commits an offence.
Penalty for this subsection: a fine of $10 000 in respect of each of the employer’s workers to whom the offence relates.
(2)An employer who is convicted of an offence for a failure to comply with a requirement of section 202 or 203 commits a separate and further offence in respect of each week after the day of the conviction during which the failure continues.
Penalty for this subsection: a fine of $10 000 in respect of each of the employer’s workers to whom the offence relates.
(3)An employer who in purported compliance with a requirement under section 203 provides information or a statement that the employer knows to be false or misleading in a material particular commits an offence.
Penalty for this subsection: a fine of $10 000 in respect of each of the employer’s workers to whom the offence relates.
205.Evidence of non‑compliance with insurance requirements
In any prosecution for an offence of failing to comply with a requirement of section 202 (an insurance requirement), proof that the employer failed to comply with an inspector’s request to produce a workers compensation policy issued to the employer and in force at a specified date or between specified dates is, in the absence of evidence proving the contrary, sufficient evidence that the employer failed to comply with the insurance requirement at the specified date or between those specified dates.
206.Defence: employment not connected with this State
(1)It is a defence to a prosecution for an offence of failing to comply with a requirement of section 202 or 203 in respect of a 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.
Note for this subsection:
Section 529 provides for the State with which a worker’s employment is connected.
(2)If the employer’s belief on reasonable grounds was that the worker’s employment was connected with another State, the defence under subsection (1) 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.
(3)An employer is considered to have workers compensation cover under the law of a State if the employer has insurance or registration under the law of the State in respect of liability for statutory workers compensation under that law.
207.Recovery of premiums avoided by employer
(1)The court convicting an employer of an offence under section 204 must order (a premium reimbursement order) that the employer pay to the General Account an amount equal to the total of any insurance premiums, payment of which the court is satisfied the employer has, at any time during the period of 5 years before the conviction, avoided by reason of the act or omission constituting the offence.
(2)In making a premium reimbursement order, an amount that has already been taken into account in making a previous premium reimbursement order must not be taken into account.
(3)A certificate executed by WorkCover WA and certifying that an amount specified in the certificate is the amount of any insurance premiums that an employer has avoided during a specified period by reason of an act or omission constituting an offence under section 204 is (without proof of its execution by WorkCover WA) admissible in any proceedings and is evidence of the matters specified in the certificate.
(4)In the absence of information that would enable WorkCover WA to accurately determine the premium that would have been payable for the issue of a particular workers compensation policy, the following provisions have effect —
(a)WorkCover WA is entitled to make an estimate of that premium (based on the information available to WorkCover WA);
(b)that estimate is presumed to be accurate as to the premium that would have been payable and cannot be challenged on the basis that insufficient information was available to enable the making of an accurate assessment, but can be challenged by the provision of information that enables a more accurate estimate to be made;
(c)if WorkCover WA’s estimate is successfully challenged and as a result a more accurate estimate is substituted — the proceedings are not open to challenge merely because of the inaccurate estimate and may continue to be heard and be determined on the basis of the substituted assessment.
(5)A premium reimbursement order is in addition to any fine imposed in respect of the offence.
208.Liability of responsible officers of corporations
(1)In this section —
premium reimbursement order has the meaning given in section 207(1);
responsible officer, in relation to the commission of an offence by a body corporate, means a person who is convicted of that offence in accordance with subsection (2).
(2)The Criminal Code section 39 (which provides for the criminal liability of officers of a body corporate) applies to an offence under section 204 of this Act.
(3)If a premium reimbursement order is made requiring a body corporate convicted of an offence under section 204 to pay an amount to the General Account and all or any of the amount required to be paid remains unpaid, a responsible officer for the offence is liable for payment of the unpaid amount.
(4)If there are 2 or more responsible officers, they are jointly and severally liable for payment of the unpaid amount.
(5)WorkCover WA may sue for and recover from a responsible officer any unpaid amount for which the responsible officer is liable.
(6)The amount required to be paid under a premium reimbursement order is reduced by any amount recovered from a responsible officer.
209.Records to be kept by employer
(1)An employer must keep records of the following in respect of each period of insurance during which the employer is insured under a workers compensation policy —
(a)the number of workers insured under the policy;
(b)the industry classification on the basis of which the premium payable by the employer for the issue or renewal of the workers compensation policy was determined;
(c)the total remuneration paid during the period of insurance to workers insured under the policy;
(d)any other matter relating to information required to be provided by the employer to the insurer (or otherwise relevant to the calculation of premiums payable under workers compensation policies) that is required by the regulations to be recorded under this section.
(2)An employer must retain a record kept under this section for not less than 7 years after the record was made.
(3)A record required to be kept under this section must be kept in the manner, if any, required by the regulations.
(4)A record kept for the purposes of this section may be combined with any record of remuneration required to be kept by an employer under any other Act but must not be combined in a manner that would prevent its disclosure under this Act.
(5)WorkCover WA may require an employer to do any 1 or more of the following —
(a)supply to WorkCover WA within a specified period a full and correct statement of the information of which the employer is required to keep a record under this section;
(b)make available at a specified time and place for inspection by a specified person authorised by WorkCover WA the records required to be kept by the employer under this section relating to a specified period;
(c)make available at a specified time and place for inspection by a specified person authorised by WorkCover WA records of a specified kind in the possession of the employer that are relevant to —
(i)information provided by the employer to an insurer in connection with an application for the issue or renewal of a workers compensation policy; or
(ii)the calculation of premiums payable under a workers compensation policy; or
(iii)the determination of whether the employer or another employer is required to obtain a workers compensation policy or has paid the correct premium for a workers compensation policy.
(6)WorkCover WA may provide information obtained by WorkCover WA from an employer under this section to any insurer for the purpose of assisting the insurer to determine whether the correct premium has been paid for a workers compensation policy issued by the insurer.
(7)An employer who fails to comply with a requirement imposed under this section commits an offence.
Penalty for this subsection: a fine of $5 000.
210.Insurer may recover underpaid premiums from employer
(1)In this section —
premium information means information relevant to the calculation of the premium payable by an employer for a workers compensation policy.
(2)If an employer has knowingly or unknowingly provided false or misleading premium information to the employer’s insurer and as a result has been charged a lesser premium than would otherwise have been payable, the insurer may sue for and recover from the employer as a debt the full amount of the premium that could have been charged less any amount already paid as the premium.
(3)If WorkCover WA is satisfied (whether as a result of an inspection or audit or otherwise) that an employer has knowingly or unknowingly provided false or misleading premium information to the employer’s insurer, WorkCover WA may provide premium information about the employer to the insurer.
(4)This section is not limited to premium information provided to an insurer pursuant to a requirement under this Act or the regulations and extends to premium information provided in or in connection with an application for the issue or renewal of a workers compensation policy.
211.Recovery of costs of audit of employer
(1)In this section —
employer audit means an audit of an employer’s records carried out by a licensed insurer under a provision of a workers compensation policy.
(2)The reasonable costs incurred by a licensed insurer in connection with an employer audit by the insurer can be recovered by the insurer from the employer as a debt if the employer audit discloses —
(a)a serious misstatement of premium information by the employer; or
(b)the existence of any other circumstances prescribed by the regulations.
(3)For the purposes of subsection (2)(a), an employer audit discloses a serious misstatement of premium information by an employer if the audit discloses that the employer has knowingly or unknowingly provided false or misleading information that is relevant to the calculation of the premium payable by the employer for a workers compensation policy and as a result has been charged a premium that is at least 25% less than the premium that would otherwise have been payable.
An employer who has obtained a workers compensation policy from a licensed insurer must ensure that a valid certificate of currency issued by the insurer in respect of the policy is available for inspection by WorkCover WA.
Penalty: a fine of $5 000.
213.Workers compensation insurance brokers
(1)In this section —
workers compensation insurance broker means a person who engages in a business that includes acting as agent for an employer in connection with insurance required by this Act (workers compensation insurance).
(2)The regulations may provide for or with respect to the following —
(a)a scheme for the registration of workers compensation insurance brokers;
(b)regulating the conduct of the business activities of workers compensation insurance brokers in connection with workers compensation insurance;
(c)prescribing scales of the maximum amount of commission or brokerage that may be charged or recovered by a workers compensation insurance broker in connection with workers compensation insurance.
(3)A scheme for the registration of workers compensation insurance brokers may include provision for the following —
(a)eligibility for registration;
(b)the circumstances in which registration may be refused, suspended or cancelled;
(c)conditions on registration (including the result of or sanctions for the contravention of a condition of registration);
(d)prohibiting a person from engaging in the business of a workers compensation insurance broker unless the person is registered under the regulations.
Subdivision 2 — Contractors and subcontractors
In this Subdivision —
contractor means a person who contracts for the execution of any work by or under the person;
principal means a person who contracts with a contractor for the execution of any work by or under the contractor.
215.Both principal and contractor taken to be employers
(1)If a worker suffers an injury from employment with a contractor that is relevant employment as provided by subsection (2) —
(a)both the principal and the contractor are, for the purposes of this Act, taken to be employers of the worker; and
(b)both the principal and the contractor are jointly and severally liable to pay any compensation that the contractor would be liable to pay under this Act if the contractor were the sole employer.
(2)Employment with a contractor from which a worker suffers an injury is relevant employment if —
(a)the employment is in performance of any work by or under the contractor; and
(b)the work on which the worker is employed is directly a part of or process in the trade or business of the principal; and
(c)the injury arises in respect of premises on which the principal has undertaken to do the work or that are otherwise under the control or management of the principal.
(3)The principal is jointly and severally liable under this section in respect of compensation payable to a worker irrespective of whether any award of compensation is made against both the principal and the contractor or only against the contractor.
(4)The right of recovery of WorkCover WA under Division 7 against an employer who is uninsured in respect of a liability to a worker extends to recovery against a principal who is uninsured in respect of the joint and several liability of the principal to the worker under this section.
(5)The principal must be joined as a party to proceedings before an arbitrator in respect of compensation for which the principal is jointly and severally liable under this section.
216.Claim or proceedings against principal
(1)In the application of this Act for the purposes of a claim or proceedings for compensation against the principal, a reference to the employer must be read as a reference to the principal except as provided by subsection (2).
(2)For the purpose of calculating the amount of income compensation payments, a reference to the earnings of the worker in the employment concerned must be read as a reference to the earnings of the worker under the contractor.
(1)The principal is entitled to indemnity from the contractor for the principal’s liability under this Subdivision.
(2)The right of indemnity under this section does not allow —
(a)recovery by the principal from the worker of any amount that the worker receives from the contractor by way of compensation or damages in respect of an injury; or
(b)recovery by the principal from the worker of any amount that the worker receives from WorkCover WA under section 266 in respect of the contractor’s liability to pay compensation or damages to the worker; or
(c)recovery by the principal of any amount from WorkCover WA.
218.Effect of judgment against principal or contractor
If the principal and the contractor are jointly and severally liable under this Subdivision, a judgment obtained against one is not a bar to proceedings against the other except to the extent that the judgment has been satisfied.
219.Application of Subdivision to subcontractors
This Subdivision extends to subcontracts made for the execution of work, and for that purpose —
(a)a reference to the principal is a reference to the original principal for whom the work is being done and each contractor who constitutes themselves a principal with respect to a subcontractor by contracting with the subcontractor for the execution by the subcontractor of the whole or any part of the work; and
(b)a reference to the contractor is a reference to the original contractor and each subcontractor; and
(c)a principal’s right to indemnity is a right against each contractor standing between the principal and the worker.
220.Subdivision does not extend right to damages
Nothing in this Subdivision makes either a principal or a contractor liable to pay any damages that, but for this Subdivision, the principal or contractor would not be liable to pay.
221.Contractor remuneration information
(1)In this section —
contract worker, of a principal, means a worker who by operation of this Subdivision is taken to be employed by the principal while employed by a contractor to the principal;
relevant period means the period during which a worker is engaged in work in respect of which the worker is a contract worker of the principal.
(2)A principal is not required to comply with a requirement under section 203 in respect of remuneration of a contract worker of the principal if the principal shows when applying for the issue or renewal of a workers compensation policy that the contractor who employs the worker holds a workers compensation policy that extends to indemnifying the principal in respect of any liability that arises under this Subdivision in respect of the worker during the relevant period.
(3)Section 209 extends to a principal who is indemnified under a workers compensation policy held by a contractor as if the principal were the employer insured under the policy except that the matters in respect of which the principal is required to keep a record under that section are limited to the following —
(a)details of the workers compensation policy under which the principal is indemnified as provided by subsection (2);
(b)any other matter prescribed by the regulations.
Subdivision 3 — Avoidance arrangements
222.What constitutes an avoidance arrangement
(1)For the purposes of this Subdivision, a person (the worker) does work for another person (the employer) under an avoidance arrangement if —
(a)the work is done under an arrangement (whether or not the arrangement is with the employer) that is contrived to enable the employer to have the benefit of the worker’s services without having liabilities and duties as the worker’s employer under this Act; and
(b)while the arrangement is in effect the worker does work principally for the employer on behalf of a company of which the worker is an employee or director (the company); and
(c)the work that the worker does for the employer is directly a part of or process in the trade or business of the employer.
(2)It is sufficient evidence, in the absence of evidence proving the contrary, that an arrangement is contrived to enable the employer to have the benefit of the worker’s services without having liabilities and duties as the worker’s employer under this Act if it is established that —
(a)before doing work under the arrangement, the worker was the employer’s worker and provided substantially similar services; or
(b)the employer intimated, before the arrangement was entered into, that the employer was unwilling to enter into an arrangement for the provision of substantially similar services that would have resulted in the worker being the employer’s worker.
223.Offence if work done under avoidance arrangement
If a person does work for another person under an avoidance arrangement, the person for whom the work is done commits an offence.
Penalty: a fine of $15 000.
224.Arbitrator’s determination about avoidance arrangement
(1)A person may apply to an arbitrator for a determination as to whether a person was, at a particular time or during a particular period, doing work for another person under an avoidance arrangement.
(2)In making a determination for the purposes of this section an arbitrator must not have regard to whether or not proceedings for an offence under section 223 have been instituted against the person for whom the work was done or to the outcome of those proceedings, if any.
225.Effect of avoidance arrangement on compensation and insurance
(1)If a worker suffers an injury and the worker and the employer agree or an arbitrator determines that when the injury occurred the worker was doing work for the employer under an avoidance arrangement —
(a)the employer is liable to pay any compensation that the employer would have been liable to pay in respect of the injury if the worker had been the employer’s worker when the work was done; and
(b)any workers compensation policy that the employer has in respect of the period when the work was done extends to the employer’s liability under paragraph (a) to pay compensation and the insurer under the policy is entitled to indemnity from the employer for the cost of satisfying the insurer’s liability under this paragraph; and
(c)the company is relieved of its duties and liabilities, if any, under this Act in respect of the payment of compensation to the worker, and in respect of its duties, if any, under Part 3 Division 2 in respect of the worker; and
(d)Subdivision 2 does not apply so as to entitle the employer to an indemnity from the company or the worker.
(2)If the employer is liable under this section to pay compensation, this Act applies for purposes related to the compensation and duties under Part 3 Division 2 and matters related to the compensation and those duties as if —
(a)the employer were the actual employer of the worker; and
(b)for the purpose of calculating the amount of compensation, a reference to the earnings of the worker were a reference to the earnings of the company to the extent that those earnings were for work done for the employer by the worker on behalf of the company.
(3)The employer or any person on behalf of the employer, or an insurer of the employer or any person on the insurer’s behalf, must not, directly or indirectly, take or receive any money or indemnity from the company or the worker in respect of any liability of the employer or the company to pay compensation in respect of the worker under this Act.
Penalty for this subsection: a fine of $15 000.
(4)An indemnity taken or received in contravention of this section is void.
(5)If money is taken or received in contravention of subsection (3), whether with the consent of the company or the worker or not, the company or the worker, as the case requires, may sue and recover the amount of that money from the person who took or received it.
Division 3 — Licensed insurers
Subdivision 1 — Licensing of insurers
226.Offence: unlicensed insurers
A person must not issue or renew an insurance policy that is or that purports to be a workers compensation policy unless the person is a licensed insurer.
Penalty: a fine of $15 000.
(1)A body corporate authorised under the Insurance Act 1973 (Commonwealth) section 12 to carry on insurance business in Australia may apply to WorkCover WA for the grant of an insurer licence.
(2)An application must be —
(a)in the approved form; and
(b)accompanied by the documents determined by the CEO.
228.Determination of licence application
(1)WorkCover WA must —
(a)consider an application for an insurer licence; and
(b)grant an insurer licence to the applicant or refuse the application.
(2)The regulations may specify criteria that must be satisfied for the grant of an insurer licence.
(3)The onus is on the applicant to satisfy WorkCover WA as to any matter that is relevant to the grant of an insurer licence.
(4)WorkCover WA may issue guidelines relating to matters taken into consideration in determining an application for an insurer licence.
(1)An insurer licence is subject to —
(a)any conditions prescribed by this Act or the regulations; and
(b)any conditions (not inconsistent with this Act or the regulations) imposed by WorkCover WA when the licence is granted or at any time during the currency of the licence.
(2)WorkCover WA may, by notice served on a licensed insurer, impose conditions, or further conditions, on the licence or vary any conditions imposed on the licence by WorkCover WA.
(3)A licensed insurer must comply with any condition to which the insurer licence is subject.
Penalty for this subsection: a fine of $10 000.
(4)A contravention by a licensed insurer of any condition to which the insurer licence is subject does not affect any liability of the insurer under a workers compensation policy issued by the insurer.
(1)An insurer licence may be granted for a fixed period determined by WorkCover WA or be granted to remain in force indefinitely.
(2)An insurer licence granted for a fixed period continues in force until the expiration of that period unless the licence is cancelled sooner.
(3)An insurer licence granted to remain in force indefinitely continues in force indefinitely unless and until it is cancelled or converted to a licence for a fixed period.
(4)WorkCover WA may, by direction in writing to a licensed insurer, convert the insurer’s licence from a licence granted to remain in force indefinitely to a licence granted for a fixed period specified in the direction.
231.Suspension, cancellation or surrender of licence
(1)WorkCover WA may, by notice served on the licensed insurer, suspend or cancel an insurer licence if of the opinion that the insurer —
(a)does not satisfy any of the criteria that must be satisfied for the grant of a licence; or
(b)has failed to comply with any provision of this Act or the regulations; or
(c)has failed to comply with any condition of the licence.
(2)A licensed insurer may request that WorkCover WA cancel an insurer licence and WorkCover WA may cancel the licence but only if satisfied that all accrued, continuing, future and contingent insurer liabilities of the insurer have been discharged or adequately provided for.
(3)For the purposes of subsection (2) —
insurer liabilities, of an insurer, means liabilities of the insurer under workers compensation policies issued by the insurer.
(4)The cancellation or suspension of an insurer licence does not affect any liability of the insurer under a workers compensation policy issued by the insurer.
(5)While an insurer licence is suspended, the insurer cannot issue or renew a workers compensation policy but otherwise has the functions of a licensed insurer.
232.Performance monitoring and review of insurers
(1)WorkCover WA may monitor and review the workers compensation functions of licensed insurers to determine whether those functions are being carried out effectively, economically and efficiently and in compliance with this Act, the regulations and any conditions of the insurer’s licence.
(2)WorkCover WA may inspect the financial and other records of a licensed insurer for the purposes of the performance of the functions of WorkCover WA under subsection (1).
(3)A person must not obstruct or hinder a person performing a function of WorkCover WA under this section as a delegate of WorkCover WA.
Penalty for this subsection: a fine of $10 000.
(4)A licensed insurer must provide all reasonable assistance to WorkCover WA or a delegate of WorkCover WA for the purpose of facilitating the performance of functions of WorkCover WA under this section.
(5)WorkCover WA may publish reports and other information concerning a review under this section as it thinks fit.
233.Improvement notice to licensed insurer
If WorkCover WA is satisfied that a licensed insurer has contravened a provision of this Act or the regulations or a condition of its insurer licence, WorkCover WA may (as an alternative to or in addition to any other action that it may take in respect of the contravention) issue an improvement notice to the licensed insurer.
(1)WorkCover WA may grant an insurer licence subject to a condition (a specialised insurer condition) that limits the insurance business carried on pursuant to the licence to a particular industry or class of business or employer.
(2)An insurer licence cannot be granted subject to a specialised insurer condition unless WorkCover WA is satisfied —
(a)that the insurance business to be carried on pursuant to the licence will be limited to a particular industry or class of business or employer; and
(b)that the insurance business to be carried on pursuant to the licence will not have an adverse effect on the efficiency of the workers compensation scheme under this Act generally; and
(c)as to any other matters WorkCover WA considers relevant.
(3)An application for an insurer licence may be made conditional on the licence being granted subject to a specialised insurer condition.
(4)WorkCover WA may, at any time by notice in writing to a licensed insurer, vary the terms of or cancel a specialised insurer condition to which the licence is subject.
(5)The cancellation of a specialised insurer condition is grounds for the suspension or cancellation of the relevant insurer licence under this Subdivision.
235.Special arrangements for Insurance Commission and public authorities
(1)In this section —
public authority has the meaning given in the Insurance Commission of Western Australia Act 1986 section 3.
(2)The Insurance Commission is taken to be an insurer that holds an insurer licence and that licence is taken to be subject to a specialised insurer condition that limits the Insurance Commission to the insurance of public authorities under the Insurance Commission of Western Australia Act 1986.
(3)The following provisions apply in respect of a public authority on behalf of which the Insurance Commission manages and administers insurance arrangements in respect of liability to pay compensation or damages in respect of an injury to a worker —
(a)the public authority is taken to hold a workers compensation policy issued by the Insurance Commission and accordingly is taken to comply with section 202 (which requires an employer to have a current workers compensation policy at all times);
(b)the public authority must pay to the Insurance Commission the amounts the Insurance Commission determines and notifies to the public authority from time to time as the premium for a workers compensation policy taken to have been issued to the public authority by the Insurance Commission;
(c)the public authority must provide to the Insurance Commission information the Insurance Commission may request from time to time for the purpose of determining the premium for a workers compensation policy taken to have been issued to the public authority by the Insurance Commission;
(d)Division 5 does not apply to a premium payable in respect of a workers compensation policy taken to have been issued by the Insurance Commission under this section;
(e)section 203 does not require the provision of information by the public authority to the Insurance Commission.
(4)A public authority that is taken to hold a workers compensation policy issued by the Insurance Commission cannot make a request of the Insurance Commission referred to in section 162(2) or (3).
(5)The Insurance Commission is not a licensed insurer required to contribute to the General Account or the DI Fund.
(6)The functions of the Insurance Commission as a licensed insurer in respect of workers compensation policies taken to have been issued under this section (including, without limitation, the function of discharging the liabilities of a public authority under a policy of that kind) are taken to be functions of the Insurance Commission under the Insurance Commission of Western Australia Act 1986 section 6(c).
Subdivision 2 — Insurance obligations of licensed insurers
236.Obligation of licensed insurers to insure employers
(1)A licensed insurer must not refuse to —
(a)issue a workers compensation policy to any employer; or
(b)renew a workers compensation policy issued to an employer; or
(c)provide a quote of the premium to be demanded for the issue or renewal of a workers compensation policy.
Penalty for this subsection: a fine of $10 000.
(2)A licensed insurer is not required to comply with this section in a case where the employer has failed to comply with a request by the insurer to provide information that the insurer reasonably requires for the purposes of the issue or renewal of a workers compensation policy or the provision of a quote of premium.
(3)The regulations may specify the information that an insurer reasonably requires for the purposes of the issue or renewal of a workers compensation policy or the provision of a quote of premium.
(4)In the application of this section to a specialised insurer, a reference to an employer is a reference to an employer in the particular industry or class of business or employer to which the insurance business of the specialised insurer is limited.
237.Terms of insurance and form of policies
(1)The regulations may do any of the following —
(a)prescribe any or all of the terms and conditions of a workers compensation policy;
(b)limit, modify or exclude any term or condition of a workers compensation policy;
(c)prescribe the form of a workers compensation policy;
(d)prescribe 1 or more standard forms of a workers compensation policy and the circumstances in which a standard form must be used;
(e)limit, modify or exclude any requirement in section 202 to have a workers compensation policy in respect of liabilities arising in specified circumstances or out of specified events;
(f)limit the amount for which an employer is required to be insured under a workers compensation policy;
(g)otherwise limit, modify or exclude the requirement in section 202 that an employer must at all times have a current workers compensation policy issued by a licensed insurer.
(2)If a licensed insurer issues a workers compensation policy that includes a term or condition that is inconsistent with a requirement of this Act or the regulations —
(a)the term or condition is of no effect to the extent of the inconsistency; and
(b)the licensed insurer commits an offence.
Penalty for this subsection: a fine of $10 000.
238.Adjustable premium policies
(1)In this section —
adjustable premium policy means a workers compensation policy that provides for the adjustment of the premium for the policy during the period of insurance under the policy (with adjustments determined on the basis of the claims experience of the employer during the period of insurance).
(2)A licensed insurer must not issue an adjustable premium policy to an employer unless —
(a)the employer agrees to the issue of an adjustable premium policy; and
(b)the policy complies with any requirements prescribed by the regulations.
(3)The regulations may make provision for or with respect to —
(a)requiring licensed insurers to provide reports to WorkCover WA in respect of the issue of adjustable premium policies; and
(b)modifying the operation of section 203 in respect of adjustable premium policies.
Note for this subsection:
The regulation‑making power in section 237(1) also applies to adjustable premium policies.
(4)Section 255 does not apply in respect of a premium payable under an adjustable premium policy.
239.Insurer to indemnify employer for compensation payments
The insurer of an insured employer must indemnify the employer for payments of compensation by the employer if the insurer has accepted (or is taken to have accepted) or an arbitrator has determined that the employer is liable to make the payments of compensation.
Penalty: a fine of $10 000.
240.Coverage of insurance policy not limited by employer representations
The indemnity provided by a workers compensation policy issued by a licensed insurer extends to apply in respect of all workers employed by the employer from time to time during the period of insurance under the policy and is not limited by any information provided or representation made to the insurer by the employer as to —
(a)the nature of the work engaged in by the employer’s workers; or
(b)the industry classification of the employer’s business; or
(c)the remuneration of workers employed by the employer; or
(d)any other matter relevant to the determination of the premium payable for the policy.
(1)The regulations may prescribe circumstances (the permitted circumstances) in which a licensed insurer is permitted to refuse to indemnify an employer against liability to pay compensation or damages in respect of an injury to a worker for which the employer is liable.
(2)A licensed insurer who insures an employer under a workers compensation policy against the employer’s liability to pay compensation or damages in respect of an injury to a worker for which the employer is liable —
(a)may in the permitted circumstances refuse to indemnify the employer against that liability; and
(b)cannot refuse in any other circumstances to indemnify the employer against that liability despite any term or condition of a workers compensation policy.
(3)A licensed insurer who refuses to indemnify an employer against liability to pay compensation or damages in respect of an injury to a worker for which the employer is liable must give notice of refusal of indemnity in the approved form to the worker, the employer and WorkCover WA within 5 days after the decision to refuse indemnity is made by the insurer.
Penalty for this subsection: a fine of $5 000.
(4)If notice of refusal of indemnity is given to the employer within the period within which the insurer is required under section 28 or 29 to give a liability decision notice for the claim (the liability decision period) —
(a)the insurer’s obligations in respect of the claim under Part 2 Division 2 cease to apply; and
(b)the employer is required to deal with the claim as if the employer were a self‑insurer (as required by section 31 because the employer is uninsured) and as if the claim had been given to the employer on the day that the employer received the notice of refusal of indemnity.
Note for this subsection:
Sections 28 and 29 apply to the employer when dealing with the claim as a self‑insurer as if the claim had not been given to the employer until the employer was given the notice of refusal of indemnity.
(5)If notice of refusal of indemnity is given to the employer (whether or not within the liability decision period) the following provisions apply to a dispute about the liability of the insurer to indemnify the employer —
(a)the dispute is not a dispute for the purposes of Part 6 and proceedings for the determination of the dispute cannot be brought under that Part;
(b)the dispute must, on application to the District Court by the employer, be determined by the District Court.
(6)Subsection (5) does not prevent proceedings under Part 6 for the determination of a dispute about whether the employer is liable for compensation with which the notice of refusal of indemnity is concerned.
242.Cancellation of insurance policy
(1)An insurer must not cancel a workers compensation policy without the permission in writing of WorkCover WA.
(2)WorkCover WA may determine whether an insurer should be permitted to cancel a workers compensation policy and the terms on which a workers compensation policy may be cancelled.
(3)WorkCover WA must not permit cancellation of a workers compensation policy for non‑payment of a premium unless WorkCover WA is satisfied that —
(a)the insurer has given the employer adequate notice of the amount of the premium due; and
(b)the premium due has remained unpaid for the period prescribed by the regulations.
(4)The cancellation of a workers compensation policy with the permission of WorkCover WA is effective as between the parties to the policy irrespective of any term or condition of the policy.
(5)If WorkCover WA permits an insurer to cancel a workers compensation policy, the insurer must notify the employer of the cancellation within 14 days after the cancellation has effect.
Penalty for this subsection: a fine of $5 000.
243.Lapsing of insurance policy
(1)A workers compensation policy is considered to lapse at the end of the period of insurance under the policy if the policy is not renewed within that period or within any period of grace provided for by the policy.
(2)An insurer must notify the CEO in the approved form of the lapsing of a workers compensation policy issued by the insurer.
(3)The insurer under a workers compensation policy that has lapsed remains liable to indemnify the employer in respect of a liability incurred after the policy lapsed (as if the liability had been incurred during the period of insurance of the policy) but only if the liability is incurred no later than 7 days after WorkCover WA is notified of the policy lapsing as required by subsection (2).
(4)The insurer under a workers compensation policy that has lapsed does not remain liable under this section to indemnify the employer in respect of a liability if the employer has insurance for the liability under another workers compensation policy.
(5)If an insurer refuses to indemnify an employer in respect of a liability in respect of which the insurer remains liable under this section, the insurer commits an offence.
Penalty for this subsection: a fine of $15 000.
(6)Conviction of an insurer for an offence under subsection (5) does not affect the insurer’s liability under this section.
244.Worker’s rights against insurer when employer cannot be proceeded against
(1)If the employer insured under a workers compensation policy becomes incapable of being proceeded against —
(a)the insurer has, to the extent of its liability under the policy, the same liability to a worker of the employer and the same rights and remedies in respect of that liability that the employer otherwise would have had to that worker and in respect of that liability; and
(b)a worker of the employer may proceed against and recover from the insurer on the basis of the liability that the insurer has under paragraph (a).
(2)For the purposes of this section, an employer becomes incapable of being proceeded against if the employer —
(a)in the case of a corporation — has commenced to be, or has been, wound up or has ceased to exist; or
(b)dies, cannot be found or no longer resides in Australia; or
(c)has ceased to carry on the business, or business of the kind, to which the policy related.