Royal Commission on Workers' Compensation in BC

 

Workers' Compensation Board

Staff Present: TR, GG, OE, GS, SN, PL

Notetaker: Steven Noble

Date: Tuesday, April 7, 1998

 

 

  1. Decision 115 – A worker was taking a shower at the end of a shift and suffered an injury while applying pressure to the neck. The decision is not clear but the shower appears to have been on the employer’s premises. It was held to be arising out of and in the course of employment. (2 WCR 97).
  2. Decision 145 – A worker had been bending down to lift some doors and then felt pain in her back after the lifting. The claim was accepted. "If a job requires a particular motion, and that motion results in injury, the injury arises out of the employment and is compensable". (2 WCR 171 at 174).
  1. That Board "practice had laid – this is under Decision 138 - too much emphasis on those aspects of the labour contractor’s relationship which slow dependence on the organization for which he is working" (page 156). Bear in mind that that’s the thrust of the common law definition of employment relationship dependents and so it’s not surprising. Indeed, it’s required under common law for dependents to be paramount.
  2. "Greater weight than has been the practice" should be put on contractors seeking out and bidding for contracts, keeping their own books and records, income tax/Unemployment Insurance Commission /Canada Pension Plan deductions, making hiring/firing decisions and exercising control over the contractors’ employees (page 156).
  3. Some regard must be had to the particular structure and customs of the particular industry (page 156).
  4. A full investigation of an application for registration as an employer is no longer appropriate. "After all, the fact that a contractor applies for registration as an employer is in itself some indication of his status as such"" Applications for registration as an employer should be accepted without further investigation if they are "proper on their face". (Page 157).
  5. It is reasonable for the Board to accept applications for registration as employers by corporations at face value unless there are circumstances which indicate a full investigation should be made (page 158).

 

MR ALAN WINTER

 

April 7, 1998 Afternoon Session

Commissioner staff: GG, GS, OE, TR, D , JS

Notetaker: Judy Stott

JIM SAYRE

 

 

Q: Would the homeowner be exempted then?

A: Unless there is some special reason for the homeowner to be regarded as an employer and I don’t know what that would be. I suppose if the homeowner was in the business of developing properties and he bought some vacant land to build a house I think that is quite different from renovations. You can have a bit of a blend. I know there are some people who buy older houses and one way they make their money is to do a lot of work on them and get a lot more money when they sell them later but they live in them in the mean time. Somebody who does that and does develop expertise thus being the dominant person in the relationship perhaps should be regarded as an employer. For that matter, the fact that person was engaged in that sort of a business practice on a regular basis would effect the tax treatment of what might be their capital gain. You have to look at the facts

 

Q: You then draw a distinction between the two examples Mr. Winter used and see differences between them – one being the homeowner who enters into a contractual relationship with someone to do a job and then there is the book store example, which is a business relationship. Do you see that as having a different relationship than the homeowner relationship or no?

A: I think the business relationship one is a little less clear but I think the focus needs to be the person who is potentially going to be more or less artificially regarded as the employer. That is somebody who is expected to have the knowledge and be aware that they are expected to ensure a safe work place and if they were would they know how to do that? Somebody who is having someone build book shelves in their store while they are moving in has a million other things on their mind. I don’t know if they are in any better position than a homeowner building a new sunroom on the back of the house to try and ensure a safe work place. I think both persons are relying on the people hired to do the job to do the job safely.

 

Q: Doesn’t that move you towards eliminating all small businesses?

A: Eliminating them in what sense?

 

Q: The way you are interpreting it they have to be knowledgeable enough to be aware that they should be covered and anyone they hire from outside should be covered.

A: I think that what I understood the employer’s position to be that people who hire themselves out to do work of that sort are the ones that have the risk of injury. Generally speaking if they haven’t entered into an employment relationship and they are going around saying that they will do this job for X-dollars and that job for X-dollars it is their business and they should be responsible for their own assessments. I don’t have a logical problem with that. The trouble with any of these situations is that as we go further toward the gray area we get more into situations like the loggers, which clearly should lead to a different result. Somewhere in the middle it is going to be very hard to choose. I think a focus on who is able to best control the risk of injury and the safety factors would be a very relevant and perhaps the most relevant consideration given what we are dealing with here.

 

SAYRE

 

To continue on to the "what question"

 

Q: What if you hurt yourself at home and you are not even aware that you did it but then you go to work and that last little bit occurs as a result of doing something at work, which was a normal body motion? So the injury becomes apparent at work allow it was caused outside of work

A: I believe that the Board’s policy on that issue is covered under decision 270. The principle was that if the worker had a condition that was non-disabling and something occurs at work, which triggers a disability then normally speaking that is a condition regarded as being compensable.

 

Q: That is so long as whatever happened at work had causative significance?

A: Now if the condition is already disabling and affecting the worker’s ability to function or requires medical treatment at the time the work incidence occurs then decision 270 should deal with appeals with proportionment entitlement – the pre-existing disability should be subtracted from the overall disability.

 

 

Q: Some of these jurisdictions, like California, compensated for stress and then as a result of the very high claims cost experience on an aggregate basis had to scale back if not entirely eliminate that coverage. Do you think that is a factor that has to be considered with respect to this issue of what kind of conditions can be covered or can be afforded to be covered. Is financial viability of the system a consideration with respect to this kind of an issue?

 

A: If it were really the case that offering equal protection to people with mental disabilities would bankrupt the system then yes it would have to be considered. I don’t think the California experience goes nearly that far but I don’t know enough of the details with respect to the kinds of decisions that they were making for one thing. Some of the injuries, like back injuries, that are more invisible than amputations are difficult to put a percentage disability on so I gather that putting percentage on mental disability would be even more difficult yet it is there. It has been recognized in virtually every area of the law that mental disabilities do exist and that mental disabilities are genuine medical conditions that can truly disable somebody. In some cases the disability can be more disabling then a physical disability might be. The challenge for the Board, and perhaps the commission, is to try and suggest some tests that will keep the cost of compensating for those conditions from skyrocketing out of control. As long as they keep turning these claims down there is no incentive on employers to make work places less a cause of such mental disabilities so the prevention goal is not met. No one is really looking at the treatment issues either because no one is paying for them except for the medical plans or private disability plans that may be paying for them. The Board doesn’t have the incentive that it has with other kinds of conditions to start developing a strategy for helping people with mental disabilities to get back to work quickly. I don’t know whether California made any efforts in that regard but it sounds like they didn’t do enough.

 

SAYRE

 

 

 

STEEVES - Rebuttal to Mr. Winter and Mr. Sayre

 

Starting with Mr. Winter

 

Homeowner issue

 

We take issue on the employers’ point about construction and labour contractors

 

We take exception with the suggestion that in administering the policy the Board should err on the side of independence as opposed to talking about contractors

 

It is relatively easy for us to sit here and say what if this or what if that and these would be the complicated issues

 

Aboriginal coverage

 

Independent firms, the individual corporation

 

Law corporations for employers

 

Section 5.3

 

Mr. Sayre’s submission

 

With regards to POP and shouldn’t it be privatized

 

California issue

 

Q: You chose the example of repetitive strain. What about an example where by some fluke you have an incompetent management causing stress in the work place throughout organization affecting many throughout the system. Is that stress issue under WCB or is it a labour relations issue?

A: I am going to take you through the appeal division decision I spoke to you about before and there are 3 steps in it. The first one is whether there is a psychological impairment. The second is whether there is a connection with the work and the third is whether there are personal circumstances involved.

You would apply that 3-part test and see where it takes you. Dealing more specifically with your question if the employer is irresponsible then it may be a work-related disability. At the same time I won’t say that a worker should be compensated because he says I can’t take it anymore you are just driving me nuts. Nor should a one-line note from a general physician saying this person needs time off because he is stressed out be compensated. We need to treat the serious disabilities seriously and others ones may not be part of the system. I say that the competence of the employer may be relevant to the worker’s compensation claim.

 

Q: You mentioned that the fishing issue is so complex. Tell me why Mr. Winter’s proposal of having the operator or owner of the vessel divide or pay the compensation is so complex?

A: It sounds right to me but you shouldn’t take my opinion on it.

 

TR: One of the reasons is that the vessel owner is not the employer, he is a partner of the crew and they share in the profits after the expenses are deducted. One of the expenses is the worker’s compensation assessment so that is why it is complex. If a fish boat loses money on the season they all lose money including the crew.

Winter: That doesn’t explain why the first commercial buyer ends up with the cost.

 

TR: No it doesn’t.

Steeves: And there are different levels too. A given level is their employer/employee relationship and some of them are crew on larger boats. Some of them get shares, some of them get wages so there are all sorts of different variations which add to the complexity of the industry.

 

MR. BATES

 

The first thing I want to do is apply to you to change my role as one of explainer or clarifier. Given the depth of the discussion so far today and the excellent submissions by my friends I think the role of clarifying these complicated issues is perhaps a task eternal and not one that I am anxious to enter into. I think, rather what I would like to say is that on behalf of the Board I am here to render whatever assistance I can to you and your commission and to your council and to my friends. If I am brief and cautious it is because of the role that I see that I have that has been very kindly given to me and the Board in this process.

 

Issue of labour contractors

 

Aboriginal issue

 

Fishing industry

 

Stress

 

 

Section 10 and 11 – Disclosure and Protecting the System

 

ALAN WINTER

 

Historic compromise or tradeoff

 

Section 10 - bar of suit

 

Second bar is worker versus other employers covered by the act

 

3rd bar is worker against other workers covered under the act be it co-workers at their work place or workers covered through other employers

 

 

 

 

Q: You are identifying the medical malpractice issue as a possible exception subject to the doctor being employed by a specific employer and it was the Smith case that you were referring to.

A: The Smith case, that is correct, but again it was not a doctor.

 

Q: So that is an exception to the tort bar that, as you said, is subject to the limitations that you have set out. Your clients are not particularly against that?

A: I am not sure that it even has to be an exception. I have never quite understood, and there are cases on it, that last sentence in section 10.1. I have always found that quite confusing. That says this provision only applies when the action or the conduct of the employer, servant, agent - and a problematic word - or the worker that caused the breach of duty arose out of and in the course of employment within the scope of this part. I think that you have the doctor on that because it is kind of difficult to say that it may have been arising out of the course of employment just because he pays assessments. Even if it is within the employment they see medical malpractice as something very different. It is objectionable for a worker to be going to receive proper medical care and ends up getting malpractice and they are worse off, whatever that means, than when they started but they have no avenue of recourse against that doctor.

Q: Going one step back, this whole issue of medical malpractice being a bar or not stems from the universal coverage amendments in 1994. Do you have any thoughts about the idea generally and how it relates back to the tort compromise in terms of fulfilling a need. Why would you compulsorily require high-income earners and/or professionals, who at least classically have not been looked upon as workers in the usual sense of the word, into the scheme? They may, indeed, have their own coverage and don’t want to be part of the scheme. I am thinking of lawyers, architects, airline pilots…

A: I was retained by the Board as one of a variety of consultants when Bill 63 came out. One of our mandates was to actually look at exemptions and who should be exempt. One of the issues we talked about was these high wage earners. We talked about hockey players and does Pavel Bure actually care about worker’s compensation at $56,000 when he actually earns $12 million. If he gets injured does that mean he has to take his $56,000? We never got around to it but I don’t think any of us disagreed with the concept. You are going to have a tough time when you start putting in an income barrier and saying where do we stop the line if the intent is that employees and workers are covered under the scheme just because some earn more and some earn less? That was a difficult line to draw. With sports we drew it because of the bodily contact and there is a whole variety of different reasons. We really didn’t discuss it and I really never put my mind to it. I think the answer when we talk about what the maximum is going to be is that these are the people that have access to other funds. They have other ways of compensating themselves to a fuller level than what the public interest is in trying to cover the majority of people through the worker’s compensation system. It sounds cold as I am covered by it too even though I am a partner who is not incorporated so I don’t have to be covered by WCB. That is a reality though that even if I was covered by it I do have the means to provide extra coverage for myself. Besides that there is no consideration of whether doctors or architects or judges should be out?

 

 

WINTER

 

Section 10(8) – transfer of costs between employers

 

The second aspect of 10(8) that is a cause for concern is the way the words "serious breach of duty of care by an employer" are interpreted in BC

 

Q: I have a question about the subclass requirement that is a bar to transferring costs between employers in the same class or subclass. It is the class as a whole that is assessed in any event so is it just experience rating assessment?

A: It is the subclass where the assessment is important not the class but it is just basically for experience rating assessment.

 

Q: Otherwise they are paying out of the same pot anyway if they are in the same class.

A: That is right. That is why this language would make more sense if it was put in before there was an experience rating assessment system and wasn’t contemplated from the view point of experience rating and how does that work between employers.

 

WINTER

 

Disclosure

 

 

Section 95 (1.1)

 

Q: You talk about disclosure of the file and clearly there are circumstances where the document does not require full disclosure. If you don’t need it why would you want it?

A: I agree and it depends on the case. The troubling point is how do I know? I have seen too many WCB files that have things tucked away where they shouldn’t have been or you may have thought it was irrelevant but I made something out of it. At a minimum the employer should know what we are not getting. There should be a safeguard that allows us to question why the information has been determined irrelevant even if it is in a private manner.

 

Q: Aren’t you facing there the identical situation in obtaining full medical records of plaintiff sexual assault cases where the accused gets disclosure of medical records. Somebody has to be the arbiter of whether it is relevant or not because if the accused or defense can look at it then the confidentiality has already been breached. In the court system we have the advantage of legally trained judges to rule on relevance which could be a problem in terms of the Board in terms of who is going to do it. Once you see it the confidentiality is gone.

A: I don’t have any experience in this area so I have a question and a comment.

The question would be if the judge makes a determination of relevancy is that open to challenge? If that is open to challenge then somebody had to know what the decision was and what documents were relevant or not.

 

Q: You can appeal to the Court of the Appeal and they decide whether or not the parties will get to see them or not

A: In other words it is just a blind appeal and you disagree without being able to put in any reasons. It is not your fault that you couldn’t put in any reasons but nobody would show you what you can’t see. So you get another set of judges to look at it and see if they agree or not.

 

Q: Your submissions are based on, these are the issues in the trial, these are the kinds of documents that would be relevant and here’s why. The court then looks at the documents and decides, in the context of what the issues are, whether it is necessary to have disclosure and breach the confidentiality.

A: That may be the process you look at. It looks cumbersome but if that is what the WCB process goes through at least there is a safeguard. I think if you read decision 4.10 they were trying to avoid what they were finding to be a very cumbersome situation on relevancy. The other comment I was going to make and again I don’t have any understanding or knowledge of criminal law other than it is a different public interest. When we talk about the criminal, that is why you have the reasonable doubt standard I assume, and whether or not that makes a difference when your in the criminal I can’t answer or not answer as opposed to the worker’s compensation field.

 

Q: The same principle applies though in a civil action. If a person sues for damages for sexual assault the defense tries to get their previous psychiatric records. You’ve got to establish relevancy before you get to seem them and the court adjudicates on relevancy.

A: I think that answers my comment.

 

WINTER

 

Protecting the system

 

Suppression of claims and fraud

 

Section 47.2

 

Prosecutions

 

Q: With respect to Mr. Treerise’s concern are we talking about prosecuting an employer for breaches of the regulations and using the statement by the worker?

A: He is talking about the prosecutions going against the supervisors and managers as well as the employer. So they are going to be taking these statements from the supervisors and the managers and using that information in reaching determination when it goes to Crown of whether to prosecute those supervisors and managers.

 

Q: And his understanding is that those statements, although compelled by statute, are admissible in quasi-criminal proceedings?

A: That is his understanding. At a minimum safeguard he would like that being advised up front and the right to council. The Board is allowing council now but it has to be asked for as opposed to being told. There is significant consequences that these investigations could lead to that we should start anticipating based on what the Board is starting to do with prosecutions.

 

Q: One would think that the charter would impact on that in terms of the right to council and so on if it was going to be used against them.

A: Thank you

 

 

Mr. Steeves: I think that if the Board is going to make submissions through Mr. Bates that is fine but I think that it should go in order so that we have a chance to make any response that we would like to make.

Judge Gill: You would like him to speak before the rebuttal?

Mr. Steeves: Yes

Judge Gill: Alright, so amended.

 

 

JIM SAYRE

 

 

Privacy

 

Q: If somebody suspects that there is a relevant document that has inadvertently or otherwise not been disclosed by the tribunal council’s office is there some review process?

A: Like Mr. Newman in The Verdict I only have the one client for Ontario Worker’s Compensation and in that case the employer was not involved and we did not dispute it. We were asked if there were any additions that we thought should be added to the docket and we said no. There were really no issues of confidentiality in that case and in fact we were acting for the estate of a worker who had died after the BC board had finished with his claim. It was not a situation that really poses the kind of problem that I think has come up here. I was interested in the questions that you posed to Mr. Winter regarding sexual assault. At least twice there have been laws that have been enacted, struck down and then reenacted to try and deal with that situation. That is one of the reasons why I don’t think that a system that tries to protect workers’ privacy concerns by a standard of relevance is a very good answer. I do think it is better than what we’ve got now which is to ignore those privacy concerns.

 

SAYRE

E-file

 

 

GS: You talked about the need to know information described by Ms. McDonald – can you describe what that is?

A: I think the example she gave was that if the doctor said that the worker could return to work provided that he/she doesn’t lift more than 15 pounds then the adjudicator would have to ask the employer if that was the case thereby disclosing that information.

 

SAYRE

Fraud

 

Q: What you are saying is that there should be better criteria generally for any of these investigations?

A: Yes hopefully the Board does not have enough idle field investigators to be routinely sending them out on three-day fishing expeditions as was done in that case.

Q: Are there jurisdictions that have some kind of recourse when these kinds of activities take place or what may be seen as improper activity?

A: Depending on what might have been done or what can be proven there might be some process that could be followed. The problem is that the Board’s officers are protected by a clause of the act that says they are not liable for anything done in the course of their employment and this investigator was told to go out and do these things. I am not sure just who we could have sued – the Board as an employer but I don’t think we could have sued the workers. The workers would have been covered by the Board litigation. The Board itself should just make sure that that doesn’t happen.

 

SAYRE

Second fraud issue I want to raise is that there are probably a range of situations – I am not aware of a whole body of evidence that talks about claims avoidance and I am not going to present you with any

 

Section 10 – said a lot yesterday about it so I will try not to repeat

 

Q: The point you are making Mr. Sayre, is that what takes that outside of the historic compromise is that the conduct is so blatantly careless that it is not a question of negligence in a civil sense?

A: Apparently it was found to have gone beyond civil negligence. I haven’t examined the case so it might be better to use as a hypothetical example. The question is what kind of a compensation system should we have now and let’s recognize that this commission can recommend changes to that compromise and can recommend a better system of balancing the rights of injured workers with the rights and needs of the employers

 

Q: Is there some comparison in describing that conduct as going outside of the scope of the employment or something in the same way that would be comparable to the worker example we talked about this morning where conduct such as gross impairment takes it outside of the employment relationship?

A: That might be one way of looking at it in terms of explaining to employers why they should not be protected from litigation in that situation. Another comparison is that if you are going to go out and get drunk and then you have an accident the injured person will be taken care of by ICBC but they will go after you for every cent they pay out. You don’t have a bar from litigation, the liability protection that you have as a driver is dependent upon you acting responsibly. Why shouldn’t employers be held to that same standard? When they act irresponsibly and deliberately violate safety and health violations because it is cheaper to do so and they are found to act grossly negligent or criminally negligent why should the pool of employers in BC all have to pay for the cost of that injury? And why should the individual employer largely escapes from it? It makes no sense and, in fact, it defeats most of the social goals that would otherwise be advanced if the employer was answerable for the harm that they had caused. I am not sure why the employer community is in favour of that resolve if they are. It seems to me that it would be in their interest too to say that we represent thousands and thousands of responsible employers and if there are bad apples out there that are hurting people let them pay for it. As a motorist I don’t want other motorists who hit people while they are drunk and driving to get away scott free. I want to see them sued and among other things it keeps my premiums down.

 

Q: Could you adopt the ICBC model of a breach of condition by the insured and have the Board have a right of subrogation against those who are convicted of criminal negligence or egregious conduct as opposed to giving the right to sue in the courts? That would achieve what ICBC achieves with its going after the drunk driver for breach of policy.

A: I think that you should have both. What we are recommending is that in cases like that the victim or the worker’s survivors should have the right to decide whether to claim compensation or to claim in court. If they claim compensation then the Board should be subrogated and should have the right to do what ICBC does. If they choose to go directly to court then I think they should be entitled to do that as well. Then the Board should essentially stay out of it and certainly not defend the company. The company would have their own defense or it would be up to them to have their own defense.

 

SAYRE

 

Q: So much has changed in the work place since the historic compromise was set up. We have seen an increase in the number of partial, permanent disability awards for minor injuries. More and more work processes do not require physical labour so could you also make the argument that somehow that system has gotten out of wack and perhaps we are being too lenient with awards on that side of the coin?

A: I am not sure that how it relates to the issue of suing.

 

Q: It relates to the changing landscape that you referred to and the changing work environment that you referred to.

A: The worker should get full compensation for what they have lost. If they have lost earnings and earning capacity as a result of an injury to fingers or to the back, which isn’t considered a really major one but it does impair their earning capacity, it seems to be fair that they should get some compensation for that.

 

Q: What if, in many cases, it didn’t impair their earning capacity?

A: As the Board sees it they would not get any compensation. The theory as I understand it under Section 23.1 that sets out a right to functional pensions in certain cases is that even when there is no immediate effect of a physical impairment on a person’s immediate earnings we can assume that there has been some potential long-term effect. As a lawyer I can assume that I could carry on my profession despite severe disabilities. If I could return to work but I am unable to do other activities I should still get compensation even if I am still able to earn the same amount of money that I earned before. My ability to do a lot of other kinds of work has certainly been impaired in that situation. While it is a matter of degree I don’t know that the principle is a lot different. If the injury I suffered was minor and only affected my ability to lift heavy weights. As somebody who plays tennis as his or her main form of exercise if I suffer what might seem to be a minor injury to my arm it may be impossible to play tennis and I would feel like my enjoyment of life had been severely diminished. I would feel very resentful if I was told that I was not going to get a sent of compensation for that because I was in the course of my employment and the person who ran into me was also in the course of their employment. If it was someone else’s fault then surely there should be some compensation payable in those cases. All I am saying to you when I talk about the historic compromise is that the commission needs to have an open mind about the entire system. They cannot be locked into the notion from the beginning that you can’t disturb a deal that was made so long ago in such different circumstances. You may want to leave most of that deal in place but if you do I urge you to leave in place because it still makes sense and not because it was a deal that was made a long time ago.

 

SAYRE

I will leave my written submission with you on section 10 and 11

 

SAYRE

 

Q: My recollection of Justice Tysoe’s explanation for the rationale for both minimums and maximums was that the minimums are there to ensure that injured workers, irrespective of fault, receive compensation of no less than the subsistence level. And it also there to ensure that higher income earners that are injured receive something higher than that. What do you think about that?

A: The justice doesn’t discuss the dilemma that is posed by the situation that we are talking about. If we have a worker who has lost $100,000 worth of earnings and earning capacity and he only gets compensated for ˝ of it I don’t see any social reason in saying that that should be the result.

 

Q: I think that what he was saying was that the objective of the scheme was not entire income replacement but rather some level of reasonable income replacement that would meet the objective of the act. The objective of the act is that injured workers, irrespective of fault and income would not become dependent on public funds for their subsistence.

A: I understand that that seems to be what he was indicating but I just don’t see how it follows from what the legislation does. If you don’t have a statutory cap the people who hire people that are entitled to $100,000 in income are going to have to pay more in assessments and those people are going to be fully protected for their loss of earnings just like everyone else. I don’t see how that would accomplish the act’s purposes any less. I don’t see how that partially replacing somebody’s income as opposed to fully replacing it advances the purposes of the act.

 

Q: Except that it costs more. The assessments go up.

A: Well sure but we are talking about employers who have already agreed to pay somebody more than the statutory maximum. Presumably the employer has decided that this person is worth a lot of money and why should their potential loss as a disabled person be any less if they get hurt?

 

Q: So how much can industry afford in terms of assessments and how much do you need to assess industry in order to meet the objective of the act? If that was a reason or rationale in the past then it is not something that you support today.

A: No I see no reason as it makes no sense to me.

 

 

JOHN STEEVES

Section 10 and 11 of the act is in section 4 of our written submission

 

After the 1st paragraph Mr. Steeves made a comment:

 

Q: You say that it is not simply just a cost redistribution mechanism where the funds that would have been allocated to the not at fault are simply being reallocated within a larger population. There is more being added to that?

A: I don’t think that you can do a macro management of a very complex disability system.

 

Q: Is the intention for employers as a collective to pay more under the historic compromise than they were as a collective paying before the historic compromise?

A: I guess that is another way of putting how I read that quote. In 1913 employers paid so much money in the tort system and as a result of worker’s compensation that same amount of money is distributed among all workers. That doesn’t help us from my client’s point of view. The focus should be on the no fault and if you accept that it is a no fault system then it means no fault. If you are injured on the job that means no fault is attached to you and there shouldn’t be any economic loss.

 

Q: You would say then Mr. Steeves that all people who have a causative action at common law and tort should be allowed to sue? But all others who would have no cause of action because they were contributory negligent or because they couldn’t prove negligence should have the current level of benefits?

A: Everyone should have the same level of benefits under the statute.

 

Q: The money has to come from somewhere. If you are going to give 70% of the people, if you accept Tysoe and Sloan’s numbers, who would have no compensation at common law adequate compensation then doesn’t there have to be some reduction from the amount that those who have causative action would receive?

A: I have no problem with that. That is the second time I have heard that about the 70 to 75%. That comes from Meredith’s report and it was a German study done in 1897 and certainly we question whether 75% of the reason for accidents is the fault of workers. The other category in there is acts of God and the number is something like 20 or 30%. Mr. Sayre made the point that let’s bear in mind that this was a 100 years ago. I am guessing that 100 years ago a machine that didn’t work and injured a worker was the fault of the worker rather than anybody else’s fault. I think that we have to be careful about using that number.

 

Q: Although Tysoe accepts it in 1972.

A: Yes and Newfoundland court of appeal thought it was superior compensation in 1992 too. These are all reasons why these matters shouldn’t be taken into the courts.

 

Q: I still see an apparent contradiction in what you are saying because you are saying that the idea that everyone in the system should get less because some workers are at fault is not what the historic compromise is all about. At the same time I understand you to say that you agree that those not at fault must take less than they would otherwise receive under the tort system. If it is not to pay for those who got nothing why is it then that those not at fault are getting less than they would at tort?

A: We are prepared to accept the compromise to the extent that perhaps pain and suffering isn’t something that is transferable into a systemic system of compensation. We don’t think punitive damages are part of it. Punitive damages are on the prevention side and workers don’t see any economic benefit from that. I don’t think it is inconsistent to say that we can take a reduction from damages under a tort system and also say that there should full and fair compensation under the worker’s compensation system.

 

STEEVES

See his submission – paragraph 2, page 1

End of that paragraph –

 

Paragraph 3 – we have no submissions to make on Section 11

 

Page 2 – Is a doctor also an employer under the act?

 

Page 2 – overreaching of the bar against litigation

 

D. Motor Vehicle Accidents on page 3 - 4

 

Page 5 – administrative fees related to legal recoveries

 

Page 7 - excess payment

 

Q: You say that there is the cost of the claim and the actual amount paid out?

A: Yes wage loss, labour cost and presumably administrative costs. That is how it works in the Yukon and Alberta and we think that is a fair way of doing things because the worker should have some benefit from pain and suffering if it is going into the accident fund.

 

 

STEEVES

Confidentiality and Privacy

 

 

Page 3 – board treatment of information on workers’ files

 

Page 5 – disclosure to employers of workers’ files: decision 410

Q: Are you saying along with disclosure about the existence of a particular record without describing its contents?

A: A list of what is on there. I don’t see a problem with that

 

Q: It will say that you don’t get a letter from Doctor So and So’s chart dated on such a date?
A: I expect that given the stringency which the Board applies to disclosure someone might want to disclose the name of the doctors even but I’m not sure whether that is justified or not. I just pose that as something to consider.

 

 

STEEVES

 

Q: Albeit not any longer in the worker’s compensation in principle what is wrong with using information obtained that is still clearly relevant. There may well be evidentiary problems maybe information in the form of a document is admissible for the truth of the contents in the worker’s compensation context and perhaps it is not admissible in some other proceedings that has its own evidentiary rule. But that is another issue. So you seem to take issue with that?

A: Yes we make a distinction between 2 proceedings – the worker’s compensation proceeding and, in this case, an arbitration proceeding.

 

Q: The example Mr. Winter used is where the grievance is a result of a decision made directly relating to the original worker’s contraindications.

A: I am suggesting that they be dis-related at some point for the purposes of protecting the privacy of the worker’s information on the file.

 

Q: Would that work the other way as well? If there is information that a worker has on file pertaining to the employer’s information would that also not be available?

A: Are you talking about Occupational Safety and Health appeals?

 

Q: No let’s say that there is a worker’s compensation adjudication and as a result of that there is information from disclosure of the worker’s compensation file that the worker would find advantageous to use at the arbitration. Would the worker be precluded from using that information on the arbitration?

A: And the arbitration is about what?

 

Q: It relates to a decision made by the employer as a result of the worker’s compensation adjudication. That is as far as I got with Mr. Winter’s example. Mr. Robert’s mentioned that it was sick leave denial.

A: Are you talking about the worker’s file or the employer’s file?

 

Q: The worker’s file.

A: Then that is the answer. It is the worker’s file so the worker should be able to use that information. That is specifically in Section 95 (1.1).

 

Q: The Ontario model, as it has been described, says that the employer doesn’t get the irrelevant documents but neither does the appeal tribunal. One of the reasons why employers, under the decision you referred us to get the whole file is that the body that is adjudicating has got the whole file and therefore the employers, as a party to the appeal ought to have everything that the adjudicative appellate body has got. Ontario seems to have solved that by limiting what the tribunal gets to what the council office considers to be relevant. Would you see that as a model that we could do here if you were going to be editing what the employer got.

A: Yes I think so. You might want to build in a right of the worker or the employer to make applications to the appeal panel to add or delete information.

 

Q: It is a natural justice issue in that the employer doesn’t know what information in the file the appellate body is going to rely on if they have more than he’s got.

A: Yes. I have just been advised that there are 6 Boards across the country that do relevancy testing.

 

 

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