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Shop assistant files for compensation after falling off a ladder at work

Case Overview
  • The client falls at work and receives insurance coverage for her recovery.
  • Insurance removes the coverage after medical professionals determined she was unable to ever return to work.
  • Gerard Malouf & Partners helps her get whole-body impairment compensation to cover her past and future expenses, lost income and ongoing medical recovery.

Our client was employed as a shop assistant in a home retail shop. While she was working, she went up a ladder to retrieve a box. As she came down, she missed the last step and fell to the ground, injuring her left ankle. She was driven to the hospital, where X-rays confirmed that she had fractured her ankle. Medical professionals also found she had a blood clot (DVT) and she was started on blood thinning tablets.

She lodged a worker’s compensation claim with her employer’s insurer. They accepted liability for her weekly payments and treatment expenses to assist with her recovery and rehabilitation and return to work. 

As she worked through physical therapy, our client experienced ongoing pain in her left ankle while walking, sitting and climbing the stairs. She required ongoing analgesics, physiotherapy treatment and was fitted with special orthotics. The insurer subsequently ceased her ongoing weekly payments and treatment expenses and issued a section 78 dispute notice concerning her incapacity to work and treatment expenses. 

We challenged this denial of ongoing liability for her work injury.

We arranged for an independent medical examination and assessed by an orthopaedic surgeon. This medical professional could then determine that she had residual pain in the left ankle with a decreased range of motion. Her post-fracture course was complicated by DVT. 

She also had residual swelling around the left ankle that the orthopaedic surgeon determined left the patient with permanent impairment. The left ankle and loss of range of motion, deep vein thrombosis and permanent impairment rendered our client immobile and unable to work.

She was also medically examined and assessed by a vascular surgeon. He determined that she had to wear stockings for her swelling legs. 

She suffered drastic weight gain due to her immobility and incapacity to work. She felt unbalanced and had numerous falls. In addition to all of the negative experiences she had after the fall, her feet continuously felt hot and she needed to see a podiatrist regularly. It was determined that she had lower leg impairment due to peripheral vascular disease arising from her work injury. 

Moreover, she suffered from a consequential sleep disorder condition due to her chronic pain and the need for pain relief medication. She had moderate sleep fragmentation and suffered from a combination of pain and sleep-disordered breathing. This prevented her from remaining alert, concentrating and returning to full-time employment. Doctors determined she suffered from permanent impairment due to a sleep disorder condition arising from her work injury.

"After taking a look at the client’s medical evidence, it was clear that her work-related injury prevented her from taking part in essential activities of daily living, and returning to work and that she is suffering whole-body impairment."

NASSIR BECHARA
Our Approach

We applied to the PIC Commission concerning her claim before weekly payments due to her incapacity to work: 

  • s66 lump sums for permanent impairment and pain and suffering
  • s60 reasonable and necessary medical treatment expenses related to her work injury. 

 

The matter was referred to a hearing and it was determined and ordered that the insurer pay her weekly payments for whole-person impairment under AMA5 due to her injuries, as well as her reasonable and necessary medical treatment expenses.

If you suffer an injury at work, and you can establish, using medical evidence, that your employment is a substantial contributing factor to your injury, you may be entitled to receive compensation. 

Compensation would include:

  • A whole-person impairment assessment.
  • AMA5 about your permanent impairment for your injuries.
  • Weekly payments due to your work incapacity.
  • Medical treatment expenses.


For a free no-obligation consultation please contact our toll-free number at 1800004878 or submit an enquiry online to discuss your injury and the details of your accident.

The Result

The matter was referred to a hearing and it was determined and ordered that the insurer pay her weekly payments for whole-person impairment under AMA5.

Nassir Bechara

Special Counsel
I strongly recommend Gerard Malouf & Partners for their dedicated client service and expertise. Nassir Bechara particularly supported my claim process with sound advice and compassion. In such a challenging legal process I entrusted him with looking after my best interests and he and his team exceeded well beyond my expectations. Nassir did more than follow a process.
Frequently Asked Questions

More Information

If you have suffered an injury at work, or while making your commute to or from work, you’re entitled to workers’ compensation. This may seem like stating the obvious, but there are members of the public who are completely unaware of what accident compensation they are entitled to if anything were to ever happen.

In order to sue your Employer for negligence, it needs to be shown that the injury was caused as a result of the Employer’s negligence.

Aside from establishing negligence, you need to satisfy a threshold of 15% Whole Person Impairment in order to commence proceedings against the Employer.

If the impairment is below 15% Whole Person Impairment, you would not be permitted to commence a Common Law negligent claim.

The main differences between a workers’ compensation claim and a personal injury claim are:

  • Personal injury claims must prove that the incident occurred and liability is involved.
  • Workers’ compensation claims do not have to prove negligence.
  • Personal injury cases allow for damages while workers’ compensation entitlements follow strict criteria.
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Gerard Malouf & Partners have provided friendly, experienced legal advice to communities across Australia for over 35 years. Our Personal Injury Lawyers have taken on ten’s of thousands of cases and we are proud to have won billions of dollars for our clients.
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Meet the diverse and dynamic team of compensation lawyers and supporting staff that have made this all happen below. Our multi-lingual team can discuss your claims in Arabic, Assyrian, Turkish, Greek, Italian, French, Serbian, Croatian, Armenian, Mandarin, Hindi, Punjabi or Malayalam.

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