Workers' Compensation and Injury Management at UWA

UWA Safety and Health
Workers’ Compensation and

Injury Management @ UWA
The terminology used in this document reflects that which is used in the
Workers’ Compensation and Injury Management Act (1981) and
publications provided by WorkCover WA.
Normally, UWA prefers the term “staff member” when referring to employees of
UWA. It is acknowledged that it is socially inclusive and more appropriate to
say “staff member with an injury”, rather than “Injured Worker”. Similarly, it is
inclusive to say “person with a disability” rather than “disabled person”.
It is the person, not their disability or injury that is important. However, to assist
understanding and reflect the same terminology used in the Act and Western
Australian Government publications “Injured Worker” is used throughout this
document, which means the same as “staff member with an injury”.
Welcome to the 2008 edition of Workers’ Compensation and Injury
Management @ UWA. This publication provides UWA staff (and affiliates whose staff
are covered under the UWA workers’ compensation insurance policy) with basic
information on workers’ compensation and injury management. What you need to
know, based on questions frequently asked of staff in UWA Safety and Health.
In Western Australia, the Workers’ Compensation and Injury Management Act (1981)
provides the legal framework for management of work related injuries and workers’
compensation. Injury management is what happens after an injury has occurred,
in returning an injured employee back to work. Historically, the term
“rehabilitation” was used. Injury management provisions in the Act are
supported by a Workers’ Compensation Code of Practice (Injury Management)
2005, which applies as if the requirements in the Code were regulations.
The Act and the Code of Practice are based upon the principle that whenever
it is medically appropriate, an injured worker will remain in, or return to work.
WorkCover WA is the public sector body that oversees the requirements of the
Act in Western Australia.
Detailed information can be found in WorkCover’s Workers’ Compensation and

Injury Management – A Guide for Workers which can be downloaded from
www.workcover. wa.gov.au.
Should you have a query or concern that is not addressed in this publication, please
contact UWA Safety and Health on (08) 6488 3938. If you think that something is
missing from this publication, please let us know, so that consideration can be given
to including the missing information in future editions.
WorkCover WA Information Line

1300 794 744
Free information seminars are held for injured workers and
employers. Contact the number above to register.
Disclaimer: This brochure is intended to provide general information only. You should
not act solely on the basis of anything contained herein. You should seek appropriate
advice about your particular circumstances.

Contents
Section 1
The aim of workers’ compensation and injury management
Aim of the Injury Management System . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6 Injury Management Policy . . . .
....................................... 6
Section 2
Claims Procedure
Procedure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
Step 1 - Lodging a Claim . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Step 2 – Involvement of the Insurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Step 3 – Return to Work Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Worker Participation . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Formal Review at Six Weeks . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
Other Things that Can Occur in the Process

Case Conferences . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Independent Medical Review . . . . . . . . . . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 Receiving Letters from the Insurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Concerns or Disputes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 WorkCover WA Free Seminars . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Day-to-Day Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Payments of Workers’ Compensation Wages . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Accounts and Invoices . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13 Obligation to Maintain Employment . .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Discontinuation of Employment at the University . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Obtaining other Employment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Casual Work/Other Employment .
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Current Medical Certification . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
Section 3
Roles and Responsibilities
Injured Worker . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Supervisor . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
In-line Management – School Manager/Head of School/Head of Unit . . . . . . . . . . . . . . . . . . 17
Safety and Health Representative and/or School Safety Officer . . . . . . . . . . . . . . . . . . . . . 17

Treating Medical Practitioner . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Medical Specialists including Surgeons . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Service Providers e.g.
physiotherapist . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 UWA Safety and Health Workers’ Compensation
Officer . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Senior Occupational Therapist (UWA Staff) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Injury Management Consultant (UWA Staff) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
External Rehabilitation Provider . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Manager Safety and Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Senior Employee Relations Manager and/ or Manager of Equity and Diversity . . . . . . . . . . . . . 19
Director Human Resources and/or Senior Deputy Vice Chancellor . . . . . . . . . . . . . . . . . . . . 19
Insurance Company Claims Manager . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

Medical Specialist appointed by Insurance Company . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Workers’ Compensation and Injury Management @ UWA

Section 4
Frequently Asked Questions
Should I put in a claim? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
Why are so many different people questioning me? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
How long do I have after an injury to put in a claim? . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
I have not had an injury but gradual onset of symptoms – can I claim? . . . . . . . . . . . . . . . . . 21
Why is there so much paper work and “hassle”? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
When will I find out if my application for workers’ compensation has been accepted? . . . . . . . . . 21
What is WorkCover WA? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
What is WorkSafe WA? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
What expenses are covered under Workers’ Compensation? . . . . . . . . . . . . . . . . . . . . . . 22
Do I need to pay my medical bills, pharmacy bills and other accounts up front? . . . . . . . . . . . . 22
My treatment provider wants a claim number. Where do I get this? . . . . . . . . . . . . . . . . . . . 23
I feel ready to return back to work, can I go back to work if I am careful? . . . . . . . . . . . . . . . . 23
What should I do with my accounts? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
What expenses are not covered? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Will my area be reimbursed for my lost time and wages? . . . . . . . . . . . . . . . . . . . . . . . . . 24
How often should I see my doctor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
What should I do with my progress certificates? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
What happens with information related to my claim? . . . . . . . . . . . . . . . . . . . . . . . . . . . 24
Who do I tell if my Doctor advises me to have restrictions with my work? . . . . . . . . . . . . . . . . 25
The Insurer has requested that I attend another Doctor – can they do this? . . . . . . . . . . . . . . . . . . . .. . . . . . . . . 26
Will having a claim affect future job prospects? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Can the University divulge information about my claim to a future employer? . . . . . . . . . . . . . . 26
Can anyone at the University talk to my lawyer? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26
Can the University divulge information about my claim to Centrelink? . . . . . . . . . . . . . . . . . . 26
Where can I get technical Workers’ Compensation advice? . . . . . . . . . . . . . . . . . . . . . . . . 27
A surgeon has recommended surgery and booked the date – what should I do? . . . . . . . . . . . 27
I have recovered, do I have to finalize my claim? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
Isn’t Workers’ Compensation a long term “Safety Net”? . . . . . . . . . . . . . . . . . . . . . . . . . . 27
How many workers’ compensation claims does UWA have each year? . . . . . . . . . . . . . . . . . 27
What is the cost of workers’ compensation at UWA? . . . . . . . . . . . . . . . . . . . . . . . . . . . 27
I feel frustrated, angry and depressed who can I talk to? . . . . . . . . . . . . . . . . . . . . . . . . . 27
Section 5
Sharing experiences with other staff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29
Appendix 1 Return to Work Plan Template . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

Appendix 2 Hierarchy of Return to Work . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31
Appendix 3 Travel Reimbursement Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

Section One The aim of workers’ compensation
and injury management
The aim of the system is to support injured workers to return to gainful employment through injury
management. A worker, who suffers a defined work-related injury or disease and needs medical treatment
and/or cannot work because of the injury, is entitled to claim workers’ compensation.
Injury management is the process whereby the injured worker, along with the employer and treating
medical practitioner, come together as a team to assist the injured worker to stay at work, or return to work
following a workplace injury.
As an employer, the University is required to have a documented injury management system in place and
must provide injured workers with a copy upon request.
Aim of the Injury Management System

The University of Western Australia provides an injury management system to ensure that it is able to
respond to workers’ compensation applications quickly and properly, so that injured workers can remain at
work, or return to work at the earliest appropriate time.
Injury Management Policy

The University’s approach to injury management is outlined in its Injury Management Policy: -
The University of Western Australia

Injury Management Policy
The University of Western Australia is committed to assisting injured workers to return to work as
soon as medically appropriate and will adhere to the requirements of the Workers’ Compensation
and Injury Management Act 1981 in the event of a work related injury, disease or illness.
Management supports the injury management process and recognises that success relies
on the active participation and cooperation of the injured worker. If an injured worker is not
able to return to pre-injury duties, wherever possible, modified or alternative duties (with
regard to medical restrictions) will be sought within the area of the University that the
injured worker is employed. If this is not possible, the University will endeavour to provide
alternative duties in another area of the University to facilitate early return to work.
An alternative tenured or ongoing position cannot be automatically granted to an injured

worker, to do so would breach the University’s recruitment policies. In the event that an
injured worker is unable to return to their substantive position, and if it is appropriate, the
University will endeavour to provide a period of assisted job search and work trial placement.
Workplace Information
Employer’s Contact Person: Senior Occupational Therapist
Phone: 6488 2784
Injury Management Consultant
Phone: 6488 7931
Workers’ Compensation Officer
Phone: 6488 3938
6

7

Section Two Claims Procedure
Work related injury, disease or illness occurs or is noticed
Seek First Aid or medical treatment. If medical treatment is required,

ensure medical practitioner supplies a First Medical Certificate
If major injury call 2222* for ambulance

and 3938 for immediate reporting to Safety and Health
Contact Supervisor AND Safety and Health Representative

(SHR) or School Safety Officer (SSO)
Complete a UWA
Confidential Incident / Injury Report Form
Fax First page to UWA Safety and Health 6488 1179.

Supervisor to complete second page and forward to Safety and Health, M350
Workers’ Compensation forms forwarded to the Injured Worker, including a form

to be completed by Head of School/School Manager or Section Head
These include:
Employee 2B Form Witness Statement Employer’s Report Form Journey Form
To be completed by May be completed by To be completed by To be completed by

the injured worker an eyewitness or any Head of School/Unit, the injured worker if
person having knowledge School Manager the injury occurred in
of the incident or Supervisor a motor vehicle
* Crawley campus. If on a different site check emergency contact number.

Supervisor and/or injured worker forwards completed forms and
Workers’ Compensation First Medical Certificate to Safety and Health
Safety and Health will submit forms to the University’s

insurer within three working days
Insurer notifies employee of the status of

their claim within 14 days (whether accepted, pended or disputed)
Every medical visit requires

a Workers’ Compensation Medical Certificate
Medical certificates, approved treatments and prescription

invoice/receipts are to be forwarded to Safety and Health via supervisor
Return to Work Plan developed

if unable to return to full pre-injury duties.
Regular monitoring of progress by Safety and
Health. Regular review with GP
Once fully recovered,

Final Workers’ Compensation Medical Certificate obtained

Section Two Claims Procedure continued
Step 1 - Lodging a Claim
The University requires a Confidential Incident/Injury work-related injury. Early contact with the Workers’
Report form to be completed for any injury or disease Compensation Officer on (08) 6488 7931 is
incurred by staff, students, contractors or visitors. Part recommended, so that early intervention and follow-
A must be completed and faxed to UWA Safety and up can occur by UWA Safety and Health.
Health within 24 hours (Fax 08 6488 1179).
http://www.safety.uwa.edu.au/forms/incident Please return all completed paperwork to UWA Safety
and Health, M350 as soon as practicable. Staff from
Only direct employees of the University (and Safety and Health will assist local management with a
employees of eligible affiliates) are eligible to apply Return to Work Plan, if required.
for workers’ compensation. Students, (including
students on scholarships or receiving stipends),
non-UWA paid researchers, visitors and contractors Step 2 – Involvement of the Insurer
are not eligible. Only injuries sustained in the course
of undertaking work duties are covered.
When Safety and Health have processed the
completed forms, these plus the Workers’
When UWA Safety and Health is aware that a worker
Compensation First Medical Certificate and the
has suffered a work-related injury, unless it is a minor
Employers’ Report completed by the injured
injury, contact will be made with the injured worker,
worker’s supervisor will be forwarded to the
usually by phone or email. If time off work or medical University’s workers’ compensation insurer.
bills are likely to occur, workers’ compensation claim
documents will be sent to the injured worker. The above is in accordance with requirements of the
Workers’ Compensation and Injury Management Act
Note: An injured worker has the right not to (WA) 1981 (The Act). Safety and Health staff involved
proceed with a claim if they wish, in which case in Workers’ Compensation claims will discuss the
payment of medical bills will be the responsibility workers’ compensation claim with the insurer, to
of the injured worker. Time taken off work would clarify any issues or concerns.
then need to be accounted for via the use of leave
entitlements, if available. Delays in submitting workers’ compensation
paperwork cause medical expenses to accumulate,
In order to submit an application for workers’ and affects the ability of the insurance company to
compensation, the injured worker must return the make an early decision on the application. Delay also
completed claim forms and provide a Workers’ causes inefficient use of the University’s staffing
Compensation First Medical Certificate from their resources chasing paperwork. For the injured worker
treating doctor to support the application. it can effect how efficiently medical treatment is
received. If application forms have not been returned
In some cases the process commences when a to UWA Safety and Health, accounts will be sent
worker seeks the opinion of their treating doctor to the injured worker for payment. Delays
(medical practitioner) to determine if they have a can compromise liability of the claim.
Early communication and documentation of the injury/incident is important,

as causation can be more difficult to prove when delayed reporting occurs.
If unsure of what to do, Supervisors are encouraged to make early contact with
Safety and Health by phoning the Senior Occupational Therapist, 6488 2784
especially if the worker is not willing to follow the process outlined above.
10

The Insurance Claims Manager (employed If a worker is not certified totally fit to continue
external to the University) may contact the injured with their pre-injury duties, a Return to Work Plan
worker and their treating medical practitioner by should be developed.
telephone in the first few days of receiving the
claim. This is to establish communication and If a Return to Work Plan is required, the Senior
clarify any issues, or answer questions. Occupational Therapist or Injury Management
Consultant from UWA Safety and Health will meet with
Staff in UWA Safety and Health will maintain contact the injured worker and their supervisor. In the event
and communicate with the injured worker; their that the injury is likely to impact on work capacity
treating doctor; other service providers e.g. for more than a few months, referral to an external
Physiotherapists and the injured worker’s supervisor. vocational rehabilitation provider may be required.
This is to check on progress, problem solve any The need for this type of referral will be discussed
difficulties and make arrangements for the worker to with the injured worker and their doctor/ treating
remain at work or return to work as soon as medically medical practitioner if it is required.
appropriate. The Insurance Claims Manager is kept
informed. This communication can only occur if the Vocational rehabilitation is a specific service that may
relevant sections to allow release of information are assist in helping the injured worker stay in, or return to,
signed on the 2B Claim Form, by the injured worker. suitable work. WorkCover WA approves vocational
rehabilitation providers and injured workers have the
If at any stage an injured worker or their supervisor is right to choose a provider. Safety and Health can assist
uncertain of any aspect of these procedures, they are you in the process of choosing your preferred
required to take responsibility and make contact with vocational rehabilitation provider.
either staff in UWA Safety and Health or the Insurance
Claims Manager from the insurance company. Worker Participation
Following lodgement of Workers’ Compensation
The workers’ compensation system can be complex paperwork the injured worker will be assigned a
and difficult to understand, particularly if you have UWA case manager from UWA Safety and Health.
never previously been involved with workers’ This will be either the Workers’ Compensation
compensation claims. For staff from overseas Officer, Injury Management Consultant or Senior
or interstate, the Western Australian workers’ Occupational Therapist.
compensation system is significantly different from
other States, or countries that have national health Injured workers are required to keep their supervisor
coverage programs for work-related injury. informed of their medical status in relation to the
work-related injury, even when certified unfit to work.
They must either directly or indirectly via their
Step 3 – Return to Work Plan supervisor keep their case manager informed of their
progress. Any absence from the workplace due to
the work related injury must be communicated to
According to the Act, a Return to Work Plan (see
their supervisor and UWA Safety and Health.
template in Appendix 1) is required when the
workers’ treating Medical Practitioner: -
Injured workers are legally obliged to actively
• Advises the employer in writing that a Return to
participate in their recovery and any return to work
Work Plan should be established for the worker.
activities, according to recommendations provided
• Signs a medical certificate indicating that the
by their treating Medical Practitioner. Failure to
worker has partial capacity to return to work: or
cooperate could result in suspension of entitlements
• Signs a medical certificate indicating that the
to workers’ compensation payments.
worker has total capacity to return to work but for
some reason the worker is not able to return to
Formal Review at Six Weeks
the position held by the worker immediately
before the injury occurred. For soft tissue injuries, a formal review will be
undertaken between the injured worker and UWA
11

Case Manager at six weeks post injury if Other Things That Can Occur
passive treatment is continuing and has not
resulted in progress with return to work.
in the Process
The review is based on a transition and review Case Conferences

phase of Injury Management developed by NSW It is good practice and common for all involved in the
WorkCover. The approach is founded on research provision of services to the injured worker to attend a
and clinical evidence. The aim is to prevent acute case conference with the relevant doctor/ treating
pain transitioning into chronic long-term disability medical practitioner, particularly if the claim is likely
by identifying risk factors. to last longer than 3-4 weeks. This meeting usually
includes the injured worker, Insurance Claims
Formal Review involves identifying psychosocial Manager, UWA Safety and Health staff (case
factors that may be impacting on recovery. manager), the supervisor and any other treating
(Psychosocial means the interaction between the practitioners e.g. physiotherapist. Case conferences
person and their social environment that are a means of ensuring that everyone involved is
influences their behaviour). Social factors include clear about treatment goals and the recovery plan.
family, friends, co-workers, management,
medical/other treatment providers and the Independent Medical Review
workers’ compensation system. Psychological The University or its Insurer may refer an injured worker
factors include attitudes and beliefs, perception of (who has submitted an application for workers’
pain, illness behaviour and psychological distress. compensation) to a medical practitioner or specialist
before a decision has been made on acceptance
When the risk factors have been identified, follow or denial of a claim, or after the claim has been
up intervention will be determined in conjunction accepted. The worker is required to attend for medical
with the injured worker and their Doctor. Further examination only, not ongoing treatment. If the worker
medical investigation may be warranted. does not attend without reasonable excuse, or refuses
to submit for examination, or in any way obstruct the
For most soft tissue injuries, active participation in an examination, their right to compensation or to execute
exercise program is warranted post the acute phase of any proceeding under the Act, and
injury. Reliance on passive “hands on” treatment and right to weekly payments of compensation may
pain relieving medication for the longer term is not be suspended.
supported by research, and is essentially ineffective
in promoting a healthy recovery or return to
normal activity.
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Receiving Letters from the Insurer Day-to-day Management
There are certain situations, as stipulated by the Act The person who has day-to-day responsibility for
when the Insurer must advise in writing to an injured the injury management system as it pertains to
worker of their rights and entitlements. The standard workers’ compensation at The University of
letters used will contain medico-legal terminology. Western Australia is the Senior Occupational
Therapist in UWA Safety and Health.
A frequent query received by UWA Safety and Health
Phone: (08) 6488 2784
relates to a letter which is sent about six months after
Fax: (08) 6488 1179
the date of injury (only issued if the worker has lost
time from work). The letter is a Form 31 “Notice to the
worker about termination day for election” asking the
Payments of Workers’ Compensation Wages
injured worker if they wish to elect to seek damages
The University pays wages associated with a workers’
and have the election registered by WorkCover’s
compensation claim via the normal payroll system and
Director Dispute Resolution.
makes these payments when, and if the insurer
accepts the claim. Payment of wages occurs for lost
Please expect to receive this letter if you have an
time, if your doctor has certified you totally or partially
injury and subsequently lost time from work. You
unfit for work and documented this on a Workers’
may seek unbiased advice on this from the
Compensation Medical Certificate. Any future time off
WorkCover Infoline 1300 794 744.
work due to the work related injury must be covered on
a Workers’ Compensation Medical Certificate.
Concerns or Disputes
Any issues associated with a claim can be referred
Normally, the Insurer will notify the injured worker of
to your UWA case manager and/or the Senior
the decision on their claim within fourteen (14) days. If
Occupational Therapist, who will endeavour to resolve
the Insurer advises the injured worker that their claim is
these issues, or where necessary, refer the issue to the
undecided and is seeking further information, the claim
insurer. In-house concerns or complaints with
is deemed to be “pended”. If the insurer fails to notify
the University’s workers’ compensation system and
within fourteen (14) days of the claim being lodged with
procedures can also be referred to the Manager
them, the injured worker becomes entitled to weekly
of UWA Safety and Health, or Director of
payment of compensation if eligible.
Human Resources.
For permanent employees covered by an

The University’s workers’ compensation insurer also
industrial award wages are calculated on the
provides an avenue for issue and dispute resolution.
average weekly earnings, including additional
Claimants are welcome to directly contact the
entitlements for the thirteen (13) weeks prior to the
Insurance Claims Manager at any time.
injury. After thirteen (13) weeks some entitlements
are not included. Partial wages may be payable
Formal avenues of dispute resolution are available
depending on work capacity, or whilst participating
through WorkCover (see www.workcover.wa.gov.
in a Return to Work program, even if working part-
au) Dispute Resolution Directorate. Contact the
time, or on restricted duties.
WorkCover WA Infoline for further information. A Form
1 can be used to lodge a dispute with the Directorate.
Accounts and Invoices
WorkCover WA Free Seminars When a claim has been accepted, forward all
accounts and invoices relating to medical treatment
WorkCover provides free seminar and an
(as recommended by the doctor/ treating medical
information line for injured workers.
practitioner) and other approved statutory
Phone: 1300 794 744 allowances (such as medication, travel allowance)
TTY: (08) 9388 5537 to UWA Safety and Health, M350.
13

Obligation to Maintain Employment University. For longer term disability associated

The majority of workers recover from their injuries with injury, injured workers should check and be
within a few weeks. For more serious injuries and aware of eligibility criteria under the University’s
protracted recovery from injury, if the injured worker superannuation scheme for incapacity payments.
has reached partial or total capacity for work within 12
months from the day that they became entitled to Discontinuation of Employment at
weekly payments of compensation, the University is the University
required to maintain the position they held When an injured worker with an accepted workers’
immediately before the day of injury, if it is reasonably compensation discontinues their employment at the
practicable to do so. If the job or position is no longer University, for example decides to resign, or finishes
available, the University must provide a similar position their contract, if they are certified totally or partially
for which the person is qualified and capable of unfit for work, the University may need to continue
performing, that is comparable in status and pay. paying workers’ compensation weekly payments
(wages) or part payments.
If the University wishes to terminate a worker within
the 12 months mentioned above, written notification If the injured worker takes up employment with another
must be given to the injured worker 28 days before employer, the Insurance company will review eligibility
the intention to terminate employment, with written for payment or partial payment of wages, based on
notification to WorkCover WA at the same time. ensuring that the injured worker is able to reach pre-
injury (at the time of the injury) earning capacity.
The above is in accordance with the Workers’
Compensation and Injury Management Act (WA) Note that approval must be obtained in advance
1981. Other Employee Relations legislation including from the University before commencing
unfair dismissal and anti-discrimination legislation employment with another employer.
must be adhered to. Termination is a last resort,
when all rehabilitation efforts have failed, including Reasonable medical expenses will be covered by the
job search assistance within and external to the insurer until medical attention or service provision is
14

no longer required and/or a Final Medical Current Medical Certification
Certificate is issued, or there is finalization of the At all times when your claim is active you must be
claim through settlement, or the prescribed covered by a medical certificate. Read each certificate
statutory limit is reached. carefully to see what dates are included. Ask your
GP at the end of each appointment when should
Obtaining other Employment you return for your next appointment. Make your
If an injured worker with an accepted claim at the next appointment at the end of each visit.
University obtains work elsewhere they must
inform the University and its Insurer within seven It is important to have another Doctor whom you could
days of commencing with a new employer. see if your usual Doctor is not available. Ask the
Doctor that you usually see who they would like you to
Casual Work/Other Employment see if they are not available. Time lost from work due
If an injured work has other employment this should be to a workers’ compensation injury can only be covered
declared at the outset when putting in an application for if documented on a medical certificate. Certificates
workers’ compensation. When a worker is certified by cannot be backdated. If you find that you come back
their doctor as unfit or fit for partial duties or advised to to work and then are unable to work due to your
work with restrictions, this applies to all employment. injury, you must return to your Doctor and obtain
Similarly, the injured worker needs to be careful with certification for the day/time off work.
non-work related activities and not aggravate their
injury. If your Doctor provides a restriction on activity, If you have surgery, find out whether the Specialist/
such as a lifting limit of 5kg, this means you must Surgeon or your usual Doctor will provide the
adhere to this in your everyday private activities. Workers’ Compensation medical certification. If you
are under the care of a Specialist/Surgeon it is best
Compensation to the injured worker may be to keep visiting your usual Doctor regularly and
payable, to cover not being able to undertake keeping them up to date with your progress.
normal duties with a second or other employers.
Taking Leave
It is dishonest and potentially fraudulent to work If you wish to take annual leave/long service leave
for another employer (or be self employed) and whilst participating in a Return to Work Plan,
not declare this when in receipt of wages through discuss this with your UWA Case Manager,
workers’ compensation. Work undertaken elsewhere wherever possible it is best to wait until you have
could impact on recovery from injury. It would mean returned to full duties and normal hours of work and
that there is another source of income not being not disrupt progress made. This may occur by being
declared. The aim of workers’ compensation is to get away from work and becoming deconditioned.
the injured worker back to pre-injury (at the time of Wages or partial wages need to be paid through
injury) earning capacity. Not managing work activity at workers’ compensation. The University has the right
another place of employment potentially affects to refuse leave applications during this time but
recovery from the injury and prolongs the claim. tends to negotiate to meet the needs of the local
area and the injured worker wishing to take leave.
15

16

Section Three Roles and Responsibilities
Injured Worker In-line Management –

Responsibilities: School Manager/Head of School/
• To not put self at risk of injury or harm, Head of Unit
including aggravation of injury. Responsibilities
• Promptly report any injuries sustained through • Be aware of staff with work-related injuries
your work. and active workers’ compensation claims.
• Adhere to medical advice and instructions on Take an interest in the welfare of these staff.
Return to Work Plan. • Check that proper investigation of the incident
• Keep supervisor informed and communicate has occurred and risk control measures are
any change of medical status – report any being implemented as far as practicable.
significant increase in symptoms. • Support supervisors and provide assistance
• Provide a copy of medical certificates to supervisor. as required.
• Ensure at all times whilst the claim is active that • Assist with resolution of issues that may arise e.g.
time at work is covered by a medical certificate, performance issues, inability to provide long-term
keep in regular contact with your Doctor. accommodations to the injured worker.
• Actively participate in injury management process
and follow the Return to Work Plan if you have one.
• Take responsibility for injury recovery, attend Safety and Health Representative
appointments and exercise programs. and/or School Safety Officer
• Assist in the investigation of the incident.
• Provide relevant safety advice to
Supervisor management related to the incident.
Responsibilities: • Maintain confidentiality at all times in relation to
• Aim to ensure that the injured worker is not put at the injured worker. Respect privacy.
risk of further injury or harm by enabling them to
follow the advice on medical certificates.
• Support the injured worker and other staff who Treating Medical Practitioner
may be affected.
Role – As the primary health provider:
• Keep in contact with the injured worker when
• Regularly review the injured worker and manage
they are off work. (Check what is the best form
medical and allied health treatment provision.
and time for communication).
• Provide instruction on work-related duties that
• Be a role model in the attitudes you display.
may or may not be undertaken.
• Provide modified or alternative work, as required.
• Complete Workers’ Compensation medical
Be active in the development of the Return to
certificates appropriately (only treatment
Work plan and monitoring of progress.
documented on the certificate can be covered).
• Maintain confidentiality at all times.
• Educate and communicate with the injured
• Meet regularly (at least once per fortnight) with worker regarding what they should or should not
injured worker and discuss progress with injury do in relation to their injury.
progression and impact on work/life. • Review, amend and approve Return to Work
• Investigate the incident which caused injury Plans provided by UWA Safety and Health.
and implement risk controls to try and prevent
future injury.
17

Section Three Roles and Responsibilities continued
Medical Specialists UWA Safety and Health Workers’

including Surgeons Compensation Officer
• Provide Specialist services, upon referral from • Administration of claims.
Doctor (GP). • Enquiries related to workers’
compensation processing.
• Financial processing of wages in liaison with case
Service Providers managers, HR Services and local management.
e.g. physiotherapist
• Provide treatment under the direction of the
Doctor (GP). Senior Occupational Therapist
• For treatment provided for more than three weeks, (UWA Staff)
provide a treatment plan and outline of costs and • Co-ordinates the Injury Management System.
likely benefits to be achieved to the Insurer.
• Case manage and monitor progress of
injured workers.
• Development of Return to Work Plans in
conjunction with the injured worker and their
supervisor and treating medical practitioner.
• Liaise with all stakeholders.
18

Injury Management Consultant Director Human Resources and/or
(UWA Staff) Senior Deputy Vice Chancellor
• Case manage and monitor progress of staff Role
with injuries affecting their work – or who have • Assist with resolution of staffing issues that
active workers’ compensation claims. may arise e.g. performance issues; inability to
• Development of Return to Work Plan in provide long-term accommodations to an
conjunction with the injured worker and their injured worker who has an ongoing disability.
• Liaise with all stakeholders.
Insurance Company Claims
Manager
External Rehabilitation Provider Role
• Case manages specific claims when more • Monitor claim costs and recovery of Injured worker.
frequent monitoring is required.
• Administration of the claim, as per WorkCover
• Assesses suitability and viability of injured WA’s requirements.
workers’ ability to return to pre-injury duties.
• Development of Return to Work Plan in
conjunction with the injured worker and their Medical Specialist appointed by
Insurance Company
• Makes recommendations to the treating medical
practitioner regarding suitability of duties at work Role
or further treatment for approval. • Independent Medical Review – examine medical
reports and investigations, treatment to date and
physical examination of injured worker.
Manager Safety and Health • Report to the Insurance Company with opinion
and recommendations.
Role
• Keep informed of Workers’ Compensation
claims and progress of longer duration claims.
• Assist with resolution of issues as appropriate.
Senior Employee Relations Manager

and/or Manager of Equity and
Diversity
Role
• Assist with resolution of staffing issues that may
arise e.g. equity issues, performance issues;
inability to provide long-term accommodations to
an injured worker.
19

20

Section Four Frequently Asked Questions
Should I put in a claim? I have not had a specific

If you have suffered a work-related injury, you incident/injury but gradual onset
have a right to put in a claim. You also have a of symptoms – can I claim?
choice not to proceed with an application or
For mental illness and diseases including
withdraw at any point. When you have indicated a
musculoskeletal disorders, the onset of illness/disease
desire to put in an application, and then decide
can be gradual. In order to make a claim, there must be
not to proceed, the University will request that
a direct and significant causal link to work, plus written
you put this decision in writing.
support from a Doctor or treating medical practitioner
on a First Medical Certificate. Work must be the main
The University has a legal obligation to inform injured
contributing factor.
workers of their rights to put in a claim. The University
does not make decisions on acceptance or denial
of claims. Supervisors and managers must not give
advice on whether or not the claim will or will not be
Why is there so much paper work
accepted. All relevant documentation will be and “hassle”?
provided to the workers’ compensation insurer to Workers’ compensation processes and paper work
make a determination on the claim. requirements can be daunting. Be aware that it is an
insurance scheme, with many reporting requirements
that may have potential legal liability attached. Failure
Why are so many different to gather pertinent information at the outset of a claim
people questioning me? can have costly consequences later on. Each
document that you complete is a legal document and
At the outset of an injury, it can be difficult to determine
can be subject to presentation in a court of law.
the long-term prognosis for recovery. There may be
significant legal liability attached to a claim and facts
need to be obtained as soon as possible after the injury
When will I find out if my
to obtain a baseline. It is not unusual to be questioned
about activities prior to the incident; previous symptoms
application for workers’
or similar injury or symptoms; past use compensation has been accepted?
of treatment providers; use of medication or relevant The University’s workers’ compensation insurer has
previous medical history. Try not to take this part of the fourteen (14) calander days after receipt of a claim to
process too personally, think of it as similar to putting in make a decision on whether your application to make
an insurance claim for any other purpose … Insurance a workers’ compensation claim is accepted, pended or
companies need to know all the details. denied. In some cases they may pend the claim
awaiting further information. In any case they
must write to you within the fourteen (14) days to
How long do I have after an injury give advice on this matter.
to put in a claim?
According to the Act, an injured worker can put in a
claim up to twelve (12) months from the date of
What is WorkCover WA?
injury or occurrence of a disease. (There are a few WorkCover is the State Government Public Sector
exceptions related to industrial diseases). Delay in Agency that oversees the Workers’ Compensation
putting in an application will most likely generate system in Western Australia. WorkCover WA
more probing and investigation because the longer oversees the workings of the Workers’
the delay the harder it is to establish a causal link Compensation and Injury Management Act (WA)
between the injury and a particular incident - or any 1981, approves and audits Vocational Rehabilitation
medical complications following the injury. You will Providers and Workers’ Compensation Insurance
probably be asked what else could have caused or Companies; provides guidance materials; sets rates
aggravated the injury/disease in the interim, and the and schedules of fees for treatment providers; and
Insurance Company may need to obtain medical runs the Dispute Resolution Directorate. For further
evidence regarding causation from your Doctor. information see www.workcover.wa.gov.au
21

Section Four Frequently Asked Questions continued
What is WorkSafe WA? There are limits on the amounts for all of the above,
set by WorkCover WA; these are updated each year
WorkSafe is the State Government Public Sector on 1st July. See www.workcover.wa.gov.au or
Agency that oversees Occupational Safety and contact the WorkCover WA Infoline.
Health legislation in Western Australia. (In some
other States of Australia WorkCover branches WorkCover WA also has a schedule of fees outlining
oversee both workers’ compensation and how much treatment providers can charge for their
Occupational Health and Safety). services. Any gap in the fee between what the
service provider charges and the schedule is the
WorkSafe must be notified of certain work related
responsibility of the injured worker. For further
injuries and diseases and may visit the workplace
information see www. workcover.wa.gov.au
to undertake an investigation following such
notification. Notifiable injuries include amputations In exceptional circumstances there are other entitlements
of limbs and also any injury requiring more than ten under the Act, such as an extension to the medical
(10) days off work immediately after the injury. entitlement for serious injuries (up to $250,000). Likewise
UWA Safety and Health will inform you if WorkSafe specialised retraining allowance if the training is essential
intend to visit due to your work injury. The for a return to work, provided that eligibility criteria are met.
Inspector from WorkSafe may want to interview the For further information search under ‘Publications’ on the
injured worker and their supervisor.
WorkCover WA website.
What expenses are covered under Do I need to pay my medical bills,

Workers’ Compensation? pharmacy bills and other accounts
• Any reasonable medical expenses related to the up front?
injury for which you are claiming workers’
This is your choice. Generally treatment providers will
compensation as directed by your treating medical
allow you to not pay accounts up front. Once a claim is
practitioner. As a general rule, “reasonable”
accepted there is no need to pay accounts up front,
expenses stipulated and written on the WorkCover
provided the treatment is under the direction of your
First Medical Certificate and Progress Certificates
treating medical practitioner. Send all accounts to UWA
by your Doctor will be covered. E.g. physiotherapy,
Safety and Health M350. If you have paid the account,
occupational therapy, chiropractic, medication, aids
please keep a copy of the receipt for your records.
and equipment. For alternative and unscheduled
therapies, approval should be sought from the
Be aware that if your claim is not accepted,
Insurance provider prior to commencing treatment.
payment of all accounts is your responsibility.
• Travel to and from medical appointments related
Some investigations such as MRI’s and treatment
to your injury (from home or from work) is claimable
programs, such as exercise programs, pain
at a rate stipulated by WorkCover WA. Please keep
management programs, or gym memberships
a log of the date, reason for travel and number of
require approval from the Insurance Company
kilometers and pass this information to UWA Safety
before they can proceed.
and Health. There are forms that can be provided for
this purpose by UWA Safety and Health, or
Any operation, surgery or longer-term program
photocopy Appendix 3.
of treatment must be quoted and approval
must be obtained from the Insurance Company
• Vocational Rehabilitation –should you require
before proceeding.
referral to an external rehabilitation provider to
oversee your return to work; return to different
WorkCover WA sets limits on how much can be
employment or another employer.
charged by treatment providers, including hospital
rates and any gap charged from this rate is the
• Wages – for loss of earning capacity, if you
responsibility of the injured worker. For further
require time off work or are partially unfit to
information see www.workcover.wa.gov.au
undertake full duties.
22

My treatment provider wants a send you back to your Doctor (or another Doctor if
the initial Doctor is not available) for clearance to
claim number. Where do I get this?
return to work.
Your claim number will be on all correspondence sent
to you by the University’s workers’ compensation
Unfortunately some Doctors do not make this
insurer. A claim number cannot be issued until the
requirement clear to their patients. Some injured
Insurer has been notified of your injury. If needing
workers will take advice from allied health providers
assistance, contact UWA Safety and Health on
such as physiotherapists on when to return to work.
(08) 6488 3938 or the Insurance Company.
Whilst it is good to get different opinions, it is only
the treating Doctor who can complete the
WorkCover Medical Certificates.
I feel ready to return back to
work, can I go back to work if I am Managing staff with a work-related injury is very
careful? different to a non-work related injury, e.g. falling over at
You can only return when your Doctor has certified you home on the weekend. With non work-related injury,
fit to return; fit to return with restrictions; modified the worker has more autonomy to make decisions on
duties or put in place other measures to protect whether to attend work or not, based on how they are
you from aggravation to your injury. Under no feeling. Whilst the University still wants to ensure that
circumstance should you return without clearance its staff are safe at work after both types of injury, a
from your treating Doctor. If you turn up to work medical certificate is always required before returning
to work following a work-related injury.
without clearance, your supervisor will be required to
23

What should I do with my accounts? Will my area be reimbursed for my

Accounts for medical treatment and services approved lost time and wages?
by your Doctor should be sent direct to UWA Safety If you have an accepted claim for workers’
and Health, M350 via internal mail. If you pay the compensation the University will arrange payment of
account up front, keep a copy of the receipt. The your wages for lost time, or partial duty via the normal
University’s Workers’ Compensation Insurer payroll system. The only notification that you will
will forward you a cheque to re-imburse the receive is a letter regarding this from the University’s
costs, provided you have an accepted claim. workers’ compensation insurer. Wages are based
on the average of thirteen weeks (13) wages prior to
the date of injury, including additional entitlements for
What expenses are not covered? permanent workers on an industrial award.
It is not possible to provide an exhaustive list.
Assistance with housework and taxi fares are Reimbursement to your area for lost wages must
common requests, these are not covered. In be negotiated between your manager and the
exceptional circumstances the University’s workers’ Senior Occupational Therapist prospectively, not
compensation insurer may make a decision to retrospectively. Generally reimbursement will only
provide limited assistance. However these items occur if the area back fills or provides assistance
are not covered under the Act and there should be (additional staffing resources) to cover what
no expectation of being covered. Alternative you are unable to do due to the injury; or where
treatment or surgery for which there is insufficient research grants/outcomes are significantly
clinical evidence of being beneficial in obtaining affected. Reimbursement is then based on the
sustainable recovery may be refused e.g. cost of the backfill or assistance required and
aromatherapy, massage, or health retreats. paid by journal transfer into a nominated account.
How often should I see my doctor?

After your first consultation, where a First Medical
Certificate should be provided, you must return to your
Doctor within fourteen (14) days. This is a requirement
under the Act. Following this, every two weeks is ideal.
If recovery becomes protracted you should visit your
Doctor every month (or at intervals recommended by
your Doctor) for an updated medical certificate, until a
Final Medical certificate is issued.
Try and book the next appointment at the end of

each appointment as Doctor’s get very busy and it
is sometimes difficult to make appointments at
short notice.
What should I do with my

progress certificates?
Give a copy to your supervisor – and discuss the
contents. Keep a copy for yourself and send the
original to UWA Safety and Health, M350.
Read each certificate carefully and make sure you
understand what is written on it. The date of your next
appointment should be clearly stipulated, if not, be
aware of when your next appointment is scheduled (a
maximum of four (4) weeks is recommended).
24

What happens with information Who do I tell if my Doctor advises
related to my claim? me to have restrictions with my
There are strict requirements concerning work?
confidentiality of workers’ compensation Your supervisor must be kept fully informed of any
documentation. Information is kept in a file restrictions. Ensure that they receive a copy of your
separate to your Human Resources personal file. Medical Certificates. If you have any restrictions a
UWA Human Resources staff (other than those Return Work Plan should be developed.
mentioned in this document) do not have access or
knowledge of claims. Work colleagues impacted by your restrictions need
to be informed – and should provide assistance
All active workers’ compensation files are kept secure accordingly. It is important to meet with your
in UWA Safety and Health. Inactive claims are stored supervisor and determine what and how to
in Archives and Records. Only UWA Safety and Health communicate with other staff about your situation, in
staff involved in workers’ compensation claim a manner that preserves your dignity and does not
processing, the Insurance and Risk Management cause undue anguish. If need be, explain to others
Officer; Manager Safety and Health; Director of Human how you wish to be treated. Sometimes it helps if
Resources; Executive Director of Finance and you cannot do all of your duties to find other things
Resources; Senior Deputy Vice Chancellor; Vice that you could do that you do not normally do to
Chancellor; Legal Services (if requested to advise); assist the team.
Archives and Records staff have access to workers’
compensation files. Under no circumstances will Most injured workers find ways of assisting more in
medical reports be released to a third party without tasks that they can perform. Generally restrictions
your consent. This includes any of your managers or and recovery from injury is relatively short term.
future managers/supervisors.
The UWA Medical Centre and its Doctors work totally

independently to the management of workers’
compensation claims in HR at the University and
provide the same level of service as other medical
practices. Therefore Doctors at UWA Medical Centre
do not have knowledge of claimants, unless it
involves one of their patients.
You will be given copies of medical reports if the

Insurer requests that you see a Specialist. It is your
choice whether to disclose the contents to your
supervisor. If you feel comfortable in showing the
report to your supervisor, it can assist with
understanding your injury and impact on work and
or prognosis.
If you need a Return to Work Plan, a copy will be

given to you and your supervisor. This assists with
managing your injury, and ensures that everyone
involved is clear on what duties can or should not
be performed.
25

Keep in mind that from the University’s perspective Will having a claim affect future job
and probably from your own, it is better be at work
prospects?
and contributing than being at home on full wages
– when you might be able to do some of your work Most employers ask questions regarding current
or alternative duties. At times you might feel very or previous workers’ compensation claims in the
frustrated at not being able to do everything that application or recruitment process.
you normally can do, or the length of time that it is
taking to recover or uncertainty on how long it is Under Equal Employment Opportunity employers must
going to take to recover. It is best to talk to not discriminate against anyone with a previous claim.
someone about these feelings. Stress and Generally employers are only interested in claims that
frustration can make the situation a lot worse, and are active, or where the worker has residual
often injured workers need to vent. restrictions that could impact on the ability to perform
the inherent requirements of the position. It is
Please refer to UWA Employee Assistance important to be confident and honest about being able
Providers (EAP) listed in FAQ. to perform the job and if in doubt, ask. You must not
under any circumstance falsely misrepresent yourself.
Your track record, job performance and referee reports
The Insurer has requested that I would ideally over ride any concerns.
attend another Doctor – can they do
this?
Can the University divulge
Yes. Under the Act when the Insurer needs
information about my claim to a
clarification on the injury, causation, and treatment
regime or to find out if you are getting the best
future employer?
treatment, they may direct you to see a Specialist. No, not without your written consent.
This is normal protocol and occurs in about 30% of
claims. It is important that you confirm the
appointment, reschedule as early as possible if you If I choose to seek legal
are unable to attend, and cooperate with the request. representation, can anyone at the
Take along the results of any x-rays or results of any
University talk to my lawyer?
other investigations that you have in your possession.
No, not without going through our workers’
compensation insurer, and not without your
written consent.
Can anyone at the University talk

to my partner, Union or anyone
else about my claim?
No, not without your written consent and preferably
this would be done through a face-to-face meeting
with the other party and you present.
Can the University divulge

information about my claim
to Centrelink?
Yes, if you have made a claim for payment from
Centrelink it is normal protocol for Centrelink to
contact the University to determine if there is any
history of workers’ compensation claim.
26

Where can I get technical Workers’ When a claim is left “open”, there are costs
attached which the University continues to be liable
Compensation information?
for. Finalizing your claim, if you have recovered, by
Call the WorkCover free information line and attend way of a Final Medical Certificate from your Doctor
one of their free information seminars if you are helps to reduce the overall costs of workers’
considering seeking legal advice. If you are a member compensation for the University. Local areas pay an
of a Union, consider seeking their guidance. Try not to on-cost for each employee to cover the University’s
be only influenced by what you hear from friends and workers’ compensation premium. Should claim
acquaintances. The workers’ compensation system in costs increase, this is borne by an increase in the
Western Australia has undergone frequent changes on-cost, essentially meaning there is less funds for
and the circumstances of each claim are very different. other things at the University.
Legal advice can be costly and perhaps not necessary.
In the event that the worker has a further
aggravation or another incident causing the injury
A surgeon has recommended to the same area, it is simply a matter of putting in
surgery and booked the date – another application or Recurrence of Injury Form.
what should I do? Provided that there has not been a settlement on
the original claim and no pay out, normal eligibility
Unless it is a crisis situation after a severe accident,
criteria for workers’ compensation applies.
you have a right to a second opinion. Ensure that you
speak to your treating medical practitioner about any
concerns. All surgery must have prior approval Isn’t Workers’ Compensation a long
from the University’s workers’ compensation
term “Safety Net”?
insurer who may request further information from the
surgeon, or seek a second opinion. Some claimants consider workers’ compensation
to be a form of “safety net” and fear closing their
Surgeons are aware that they must seek prior claim in case something happens in the future. This
approval from the insurer, as are hospitals. Patients causes significant cost “blow out” with claim
are generally required to sign documents upon expenses. Genuine and reasonable treatment will
admission stipulating that they will cover costs if the not be denied, but when excessive treatment and
third party (workers’ compensation insurer) is not over-servicing occurs, the University and its Insurer
liable to pay. Unfortunately some Surgeons do not will investigate suspected abuse of the system. The
follow the requirement of obtaining approval from the aim is to have a fair system for all.
Insurer before surgery is arranged.
It is always good protocol to keep your Doctor (GP)

informed and maintain regular contact even when
seeing a Specialist. It is usually your Doctor (GP)
who will oversee your return to work and provide
progress certificates. Appointments with Specialists
and Surgeons tend to be less regular post surgery
– but it depends on the Specialist/Surgeon.
I have recovered, do I have to

finalise my claim?
Sometimes workers want to keep their claim open as
long as possible, in case something goes wrong in
the future. The workers’ compensation system is not
intended to be a long-term safety net, it is aimed at
recovery and getting the injured worker back to pre-
injury duties and working capacity as soon as possible.
27

Across all industries 6% of claims cost 96% of the What is the cost of workers’
total cost within the workers’ compensation system.
compensation at UWA?
This is not to negate genuine claims when severe
injury does occur resulting in higher costs. This fluctuates according to performance each year
Unfortunately it is other “abusers” of the system that and number of claims. Obviously, if we can reduce
create negative stigma for genuine claimants – injuries this is better for everyone and there will be
injured workers who should lodge applications but more funds available for other services and facilities at
decide not to, to avoid stigma. the University. At any time, you can request from the
Insurer the total amount expended on your claim.
A good question to ask (admittedly from the
University’s point of view) is - How would I be if I had
done this injury at home or playing sport…how much I feel frustrated, angry and
treatment would I seek and be personally prepared to depressed who can I talk to?
pay for? Likewise, being honest about any previous
Staff can arrange to talk to an independent person
condition - not expecting the workers’ compensation
confidentially by contacting the University’s
system to pick up the tab for treatment of pre-existing
Employee Assistance Providers (EAP) who provide
conditions. Taking control and responsibility for overall
free psychological counselling for staff and their
health is important. Having a positive attitude is
immediate family members. See
extremely important in the recovery from any injury.
www.safety.uwa.edu.au/ policies/eap
Provider details – to contact for an appointment : -

How many workers’ compensation
claims does UWA have each year? University Counselling
From approximately two hundred and fifty (250) Service Student Services
incident and injury reports (from staff, students, 2nd Floor, South
contractors and visitors), each year there is Wing Guild Building
between seventy to eighty (70 to 80) accepted Phone: 6488 2423
workers’ compensation claims. Of these, there are Website: www.counselling.uwa.edu.au
generally about ten lost-time injuries, requiring
more than ten days of work time lost. Very few OSA Group
claims require a person to be off work for more than Level 16
a few weeks. Rarely do injured workers need to find 251 Adelaide Terrace
alternative positions at the University or external to Perth WA 6000
the University due to their injury. Phone: 1300 361 008
Website: www.osagroup.com.au
28

Section Five Sharing experiences with other staff
Adjusting to having an injury and resultant If you want to speak or meet with another staff
incapacity can be difficult to come to terms with, member at UWA, who has experienced a similar
even when relatively short term or for a few situation or medical condition similar to your own,
months. Uncertainty about the medical condition; please do not hesitate to ask. We will then
prognosis; job security and frustration with not approach a relevant staff member and ask if they
being able to do everything that you usually can do agree to being contacted, gain their permission to
– at work, or in your personal life is normal. release their contact details to you. Your contact or
injury details will not be released unless you give
Other staff at the University who have been in a approval for this to occur. It is then up to you to
similar position may be available and able to assist. contact the person when you feel ready to do so.
Some of these staff have indicated a willingness to
be contacted to provide support.
29

Appendix 1 Return to Work Plan Template
Contact Details
Worker Employer
Claim No. PE Contact Person
Telephone Work
Home Telephone
Fax
Doctor Insurer
Practice Case Manager
Telephone Telephone
Fax Fax
Treatment Provider Rehabilitation Provider
Practice Consultant
Telephone Telephone
Fax Fax
Program Details
List of Suitable Duties Physical Demand
1 1
2 2
3 3
4 4
5 5
Actions to be completed to enable [Injured Worker] to return to work
Item Action Person Responsible Review Date
1 1 1
2 2 2
3 3 3
4 4 4
5 5 5
Return to Work Goal Date of Medical Review
Diagnosis
Work Restrictions on Current Medical Certificate
Comments
Start Date Review Date
Agreement by parties involved in the development of this plan
DOCTOR’S SIGNATURE DATE
WORKER’S SIGNATURE DATE
EMPLOYER’S SIGNATURE DATE
Name and position of person signing on behalf of the employer
Return to Work Schedule / Roster

Week/Date Monday Tuesday Wednesday Thursday Friday Total Hours
1
2
3
30

Appendix 2 Hierarchy of Return to Work
Can injured worker be rehabilitated back into: -
Same position
Same Faculty/School/Section
Injury
management
NO
staff in UWA
Safety and
Health will
assist
Same position, modified duties
Develop
Return to work NO program. May involve
external
Monitor and rehabilitation
Review provider
Alternative position
NO
Alternative placement -
different Section of UWA or External Employer
• The above is at the direction and upon advice from the injured workers’ treating medical practitioner.
• Where alternative internal positions are sought due to the injured worker not being likely to return to their
pre injury duties or position, referral to the UWA Mobility Officer usually occurs.
• Injured workers are required to apply for alternative positions as per normal recruitment processes,
however work trials and incentives to the host area may be provided to assist the process, aiming for a
“win, win” situation
31

Appendix 3 Travel Reimbursement Form
Name Claim Number

Address
Post Code
To ensure prompt reimbursement, ensure all sections of this form are completed correctly.
Date Reason Distance of

of Travel Destination eg.doctor’s consultation, physiotherapy etc Return Journey
I declare that the above journeys are in relation to my worker’s compensation claim.
Signed Date
If convenient, get your GP to sign off any trips which were to visit him or her, especially if a Medical Certificate
was not issued. This will enable prompt reimbursement.
Please forward this invoice to UWA SAFETY & HEALTH M350
32

Notes
33

Version 1 2008
For more information on these programmes please contact:
Safety and Health

The University of Western Australia
M350, 35 Stirling Highway, Crawley WA 6009
Tel +61 8 6488 3938

Fax +61 8 6488 1179
Email [email protected]
Web www.safety.uwa.edu.au
58267
Uniprint
Cricos Provider Code: 00126G

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