BISHOPSGATE INSURANCE AUST LTD (IN LIQUIDATION) v BENSON and ORS [1995] NSWCA 46
NSW Caselaw
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BISHOPSGATE INSURANCE AUST LTD (IN LIQUIDATION) v BENSON
SUPREME COURT OF NEW SOUTH WALES COURT OF APPEAL
CLARKE, MEAGHER and HANDLEY JJA
14 July 1995, 8 August 1995
[1995] NSWCA 46
FACTS
The worker was injured several times before he was retrenched in 1990 while working
for Comalco. During the time that the worker was employed, Comalco was represented by
5 insurers. Burke CCJ apportioned liability for damages between those insurers with the
earliest insurer bearing the major share of responsibility and the last insurer (MMI(NSW))
the smallest share. The worker challenged the apportionment as erroneous in law.
MMI(NSW) submitted that neither the findings made by Burke CCJ nor the evidence
in the case provided a basis for a finding against the employer during the period between
1 January 1990 and October 1990 when MMI(NSW) was on risk.
HELD
Burke CCJ did not have the power to apportion the employer's liability between
different insurers: s22 Workers Compensation Act 1987. That order is thus invalid and
must be set aside.
There is no evidence upon which it could be said that anything which occurred in the
last ten months aggravated the worker's back or knee problems. The court is not in a
position to make an award against MMI(NSW) on the evidence in the case.
In awarding the worker an award under s66 and s67, the trial judge did not closely
examine the question whether the nature and conditions of employment after 30 June 1987
did, in fact, aggravate his problems. The awards under s66 and s67 should be set aside and
the proceedings remitted to the Compensation Court to reconsider the effects of the post
July 1987 employment on the worker's injuries and the question as to which insurer
should bear the responsibility.
ORDERS
(1) The appeal by Bishopgate is allowed;
(2) The cross-appeal by MMI Workers' Compensation (NSW) Limited QBE Insurance
Limited and QBE Workers' Compensation (NSW) Limited are allowed;
(3) 0.(3), O.(4) and O.(5) in the award of 25 November 1993 set aside;
(4) The award of 29 November 1993 be set aside;
(5) That the questions whether the worker, John Alfred Benson, is entitled to awards
under s66 and s67 of the Act, and if so in what amount, and which of the insurers is liable
to indemnify the employer Comalco Aluminium Ltd in respect of its liability to the worker
be remitted to the Compensation Court for determination in accordance with the reasons
of this Court.
(6) No order as to costs.
Clarke JA John Alfred Benson ("the worker") was employed by Comalco
Aluminium Ltd ("the employer") from 1968 until he was retrenched in 1990.
During that time he sustained a number of injuries. The first, on 13 January 1976,
when he twisted his left knee while moving a 44 gallon drum; the second, on 26
May 1983, when he injured his back unloading a truck and, the third, on 30
December 1983, when he fell onto a metal strip and was off work for three weeks.
After he was retrenched he brought a claim for compensation under the Workers
Compensation Act 1987 ("the Act") claiming weekly payments, and an award in
respect of the loss of use of his left leg. His case was heard by Butchard C who
2 UNREPORTED JUDGMENTS
found against him on his claim for weekly payments but made an award under
s16 of the Workers Compensation Act 1926 in respect of the diminution of the
full efficient use of his left leg. The worker sought a review of that award and the
proceedings came before Burke J who made an award for weekly payments upon
the basis of partial incapacity and awards under s66 and s67 of the Act in respect
of the loss of use of the left leg and consequent pain and suffering. Following the
making of that award Burke CCJ went on to consider the question of
apportionment between insurers and made a consequential award to which I will
later refer.
During the time that the worker was employed by the employer the latter was
represented by five insurers, namely:
(a) Manufacturers Mutual Insurance Ltd ("MMI") from 30.6.61 to 30.6.78;
(b) Bishopsgate Statutory Fund ("Bishopsgate") from 30.6.76 to 30. 6.83;
(c) QBE Insurance Ltd ("QBE") from 1.7.83 to 30.6.87;
(d) QBE Workers' Compensation (NSW) Ltd ("QBE") from 1.7.87 to
31.12.89;
(e) MMI Workers' Compensation (NSW) Ltd ("MMI (NSW)") from 31.12.89.
In his judgment Butchard C stated that the employer was represented in four
guises, each on behalf of a separate insurer in a different period. Similarly before
Burke CCJ the employer was represented by the insurers (one counsel appeared
for both QBE companies). As I earlier indicated Burke CCJ apportioned the
liability between those insurers with the earliest insurer, MMI, bearing the major
share of responsibility and the last insurer MMI (NSW) the smallest share.
Bishopsgate appealed from the decision of Burke CCJ and on the hearing of
the appeal did not challenge the award in favour of the worker but contended only
that the later award effecting apportionment should be set aside as erroneous in
law. Bishopsgate submitted that a line of authorities of this Court supported that
proposition and also led to the result that the final insurer (MMI(NSW)), should
be held solely responsible for the employers' liability to the worker. The cases
referred to were Manufacturers' Mutual Insurance United v National Employers'
Mutual General Insurance Association Ltd (1989) 5 ANZ Ins Cas 60-906 and
(1990) 6 ANZ Ins Cas 61-038; Insurers Guarantee Fund - NEM Insurance
Association Ltd (In Liquidation) v GIO General Ltd [1994] 33 NSWLR 247;
MLC Insurance Ltd v Pinto and Anor (NSW Court of Appeal, 15 March 1994,
unreported); Insurers Guarantee Fund- NEM Insurance Association Ltd (In
Liquidation) v Manufacturers Mutual Insurance Ltd and Ors (Court of Appeal, 12
August 1994, unreported); Maritime Services Board of New South Wales in the
Interests of GIO v Moore and Anor, (NSW Court of Appeal, 26 May 1995,
unreported) and Leone Holdings Pty Ltd v JW Kirkwood Pty Ltd (NSW Court of
Appeal, 9 June 1995, unreported).
Bishopsgate was supported by MMI and it must be accepted that the cases to
which reference had been made do establish the propositions for which
Bishopsgate contended.
However, Mr Sharpe, counsel for MMI Workers' Compensation, has submitted
that, as each of the insurers invited apportionment before Burke CCJ, it was not
open to Bishopsgate, or any other insurer, to argue that the award effecting
apportionment be set aside. The difficulty with this submission is that in the
circumstances of the present case the provisions of the Act, and in particular s22,
did not empower the court to apportion the employer's liability between different
insurers. In short the court made an order which it was not empowered to make
URBISHOPSGATE INSURANCE AUST LTD (IN LIQUIDATION) v BENSON (Clarke JA) 3
and the order was invalid. In these circumstances the consent of the parties is of
no moment. The court had no power to make the orders appearing in the award
and it must be set aside.
Mr Sharpe made another submission, however, to the effect that neither the
findings made by Burke CCJ nor the evidence in the case provided a basis for a
finding against the employer during the period when MMI (NSW) was on risk.
The submission, reduced to its essentials, was that there was no evidence to
support a finding that any injury occurred to the worker in his employment
between 1 January 1990 (when MMI (NSW) came on risk) and October 1990
when he was retrenched and therefore no basis for a finding that that insurer
indemnify the employer in respect of its liability to the worker. In this context the
observations of Samuels JA in the first of the cases mentioned above (at 76-964)
are of no little importance. His Honour said:
"Tt must be emphasised that the risk against which the insurer undertakes to
provide indemnity is the payment of compensation for incapacity in respect of
the employer's liability for an injury occurring during the currency of the
insurer's engagement.... It would be a most remarkable thing if an insurer
entering into a policy were to find itself liable, not for subsequent liability to
make payments in respect of supervening incapacity, for which it would be well
prepared, but for incapacity resulting from injuries which had occurred while that
insurer was not on the risk, was not bound by any contractual engagement and
was not in receipt of any premium."
It is beyond question that there was no frank injury during that period but,
insofar as Burke CCJ made a finding that the 'nature and conditions' of
employment aggravated his injuries, counsel for the other insurers submitted that
the evidence justified the conclusion that MMI (NSW) should be liable to
indemnify the employer.
The precise question facing the court was not addressed in terms by his
Honour who was under the impression that he was able to apportion liability.
Nonetheless, his Honour summed up his conclusion in these words:
"Tn other words I think on the totality of the evidence, the rational inferences
are that the worker had sustained frank incidents involving his knee and his back,
but he also subjected both those parts of his body to fairly repeated stress
thereafter, that that repeated stress was also a factor in the deterioration of both
conditions and in the production of any limitation that might thereafter have
resulted."
When one turns to the evidence, however, one sees that the worker was moved
to the air conditioning department of the employer in 1989 and there he did very
light work. He said that during that period all he had to do was to wash the filters
of the air conditioners and the work was very light. In the context of a knee that
was deteriorating constitutionally, and continued to deteriorate after the worker
had been retrenched, it is difficult to understand how it could be said that
anything that happened at work during this period (and there was no frank injury)
in any way contributed to his incapacity. Certainly the worker himself did not
contend that his work at this time was a contributory factor.
Counsel for the worker challenged these submissions and referred to evidence
that, after the worker's return to work following injury in 1983, from time to time
he got pain in his back and counsel supplemented that argument by referring to
the workers' denial that he had not complained of pain in his back or knee in the
last twelve months. That, however, was the totality of the evidence relevant to the
point under consideration. Further, no counsel confronted the question whether
4 UNREPORTED JUDGMENTS
anything done during the last ten months of employment in the very light work
described contributed to the knee or back injury or incapacity. If the worker had
based his case against his employer solely on the receipt of an injury during the
last ten months it is readily apparent that the evidence led before the court could
not possibly have justified an award in his favour and the claim would have been
dismissed.
Unfortunately, during the trial the position became clouded by the worker's
reliance on the nature and conditions of his work and a failure on the part of
anyone to confront the question whether anything which occurred in the last ten
months was causative of the worker's incapacity.
In his judgment on apportionment Burke CCJ said:
"Firstly, | have the incident of 13 January 1976. The applicant then worked on
for quite a long time, until October 1990; roughly fifteen years. Roughly eight
years of that was doing substantial physical work. The last seven were lighter,
particularly the last two. It has been held that the work that the applicant did over
that time was a factor in producing the ultimate disability of the knee. The
question is the proportionality... But how do you apportion the general strain?
True, the applicant was on his feet for a substantial bit of his working life
thereafter, but during the eight years that he was doing heavy work, that is
probably three times as aggravating as when he was doing the lighter, less
physically stressful. You can then say... and I can work it out and I think, under
that system, MMI (new Act) would probably end up with something like 1 per
cent or a bit less, which certainly belies the order of accuracy."
His Honour was there saying, as I understand him, that he needed to take a
broad look at the picture in the light of the evidence given. I can well appreciate
the need, in certain circumstances, for a court to look broadly at the overall
picture demonstrated by the evidence. But where, as here, it is necessary to make
a finding in relation to the occurrence of an injury at a particular time I do not
agree that the acceptance of a broad picture can be substituted for the need to find
an evidentiary basis upon which to base a finding leading to liability. There is, in
my opinion, no evidence, upon which it could be said that anything which
occurred in the last ten months aggravated the worker's back or knee problems.
The consequence, in my opinion, is that the court is not in a position to make
an award against MMI (NSW) on the evidence in the case. During the hearing of
the appeal it became reasonably apparent that the court was troubled about this
lack of evidence and Mr Hoeben, counsel for QBE (that is, the two companies
which insured the employer from July 1983 to December 1989) sought, and was
granted leave, to cross-appeal to make an identical point in respect of the period
during which his two clients were on risk. In his submission there was no
evidence that anything which occurred after July 1983 contributed to the
worker's injury. This is a more difficult proposition to sustain for there was
evidence that the worker complained from time to time of things which occurred
at work after 1983 which aggravated his back or his knee. However in my
opinion it is not presently fruitful to embark upon a consideration of this
question.
I say this for two reasons. First, the worker has received an award for weekly
payments in respect of partial incapacity and nothing which has occurred during
this appeal throws any doubt upon his entitlement to maintain that award. It may
be that there is a question as to who should be responsible to indemnify the
employer in respect of that award but that does not present as a reason for setting
the award aside. Accordingly, in my opinion, that award should stand.
UFRJSHOPSGATE INSURANCE AUST LTD (IN LIQUIDATION) v BENSON (Handley JA) 5
The second matter is that the worker would be entitled to an award under s66
and s67 only if the injury which gave rise to the loss the subject of the award
occurred after 30 June 1987. If it did not then the learned Commissioner's
conclusion that an award should be made under s16 would be the correct one.
The trial judge, while concluding that the incapacity or loss resulted from
injuries received before and after 30 June 1987 did not closely examine the
question whether the nature and conditions of employment after that date did, in
fact, aggravate his problems. Having regard to the fact that the hearings were
conducted at a time when it was thought permissible to apportion and that as a
consequence careful attention was not directed to the question of the effects of the
post July 1987 employment on the worker's injuries, and the question as to which
insurer should bear the responsibility, it seems to me that it is necessary to set
aside the awards under s66 and s67 and to remit the proceedings to the
Compensation Court for consideration of the two questions to which I have made
reference.
I should not, however, leave the appeal without observing that Mr Sharpe
complained that his Honour had reversed credibility based findings of the
Commissioner despite the fact that he carried out his review on the papers (ie he
did not receive any oral evidence). On the surface that is a powerful submission
but when one tums to his Honour's judgment one sees that he has stated that it
was generally conceded between the parties that the Commissioner had
misconceived an important matter and that credibility was not a relevant issue in
the review.
Although this approach may have created difficulties in the conduct of the
review this Court must accept that the parties were all of one mind and that is that
the learned Judge was not to be inhibited by any findings on credibility made by
the Commissioner. I would, therefore, reject the challenge made by Mr Sharpe
insofar as it was based on this argument. In my opinion the following orders
ought to be made:
(1) The appeal by Bishopsgate is allowed;
(2) The cross-appeal by MMI Workers' Compensation (NSW) Ltd, QBE
Insurance Ltd and QBE Workers' Compensation (NSW) Ltd are allowed;
(3) 0.(3), O.(4) and O.(5) in the award of 25 November 1993 set aside;
(4) The award of 29 November 1993 be set aside;
(5) That the questions whether the worker, John Alfred Benson, is entitled to
awards under s66 and s67 of the Act, and if so in what amount, and which of the
insurers is liable to indemnify the employer Comalco Aluminium Ltd in respect
of its liability to the worker be remitted to the Compensation Court for
determination in accordance with the reasons of this Court.
(6) No order as to costs.
Meagher JA I agree with Clarke JA.
Handley JA I agree with Clarke JA.
(1) The appeal by Bishopsgate is allowed;
(2) The cross-appeal by MMI Workers' Compensation (NSW) Ltd, QBE
Insurance Ltd and QBE Workers' Compensation (NSW) Ltd are
allowed;
(3) 0.(3), O.(4) and O.(5) in the award of 25 November 1993 set aside;
(4) The award of 29 November 1993 be set aside;
UNREPORTED JUDGMENTS
(5) That the questions whether the worker, John Alfred Benson, is entitled
to awards under s66 and s67 of the Act, and if so in what amount, and
which of the insurers is liable to indemnify the employer Comalco
Aluminium Ltd in respect of its liability to the worker be remitted to the
Compensation Court for determination in accordance with the reasons
of this Court.
(6) No order as to costs.
COUNSEL:
Appellant: JN West QC and FFJ Davis
First Respondent: M Thompson
Second Respondent: W Kearns
Third and Fifth Respondents: CR Hoeben
Fourth Respondent: JL Sharpe
SOLICITORS:
Appellant: Ebsworth and Ebsworth
First Respondent: McClellands
Second Respondent: AO Ellison and Co
Third and Fifth Respondents: Connery and Partners
Fourth Respondent: Vandervords