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Beenleigh, 5 June 2015

Date

05 June 2015

Charges

One charge 1 of fraud

One charge of the worker failing to notify return to work or engagement in a calling

Four charges of false or misleading information or documents

Plea

Guilty

Facts

The worker sustained an injury to his lower back while at work. The worker lodged an application for compensation with a workers' compensation insurer. The claim was accepted and compensation paid.

The worker was employed as a casual silt fence printer throughout his statutory claim.

In addition, surveillance of the worker showed him playing the drums in his band at various venues in Brisbane on four separate occasions.

The worker did not notify the insurer of his engagement in a calling as required by section 136 of the Workers' Compensation and Rehabilitation Act 2003. The worker also made several false and misleading statements regarding his work as a silt fence printer as well as representations made about his inability to play the drums as a result of his injuries.

The total amount of compensation paid during the offence period was $23,904.44.

Penalty

Fraud charge and charges of False or misleading information or documents: 9 months imprisonment (wholly suspended for 12 months)

Failure to notify of engagement in a calling Charge: Struck out

Restitution

$23,904.44

Costs

Workers' Compensation Regulator costs - $4,000

Conviction

Recorded

Consideration for Prevention

A worker should notify the insurer if they engage in a calling. That is, they should notify the insurer if they perform any activity giving rise to the receipt of remuneration or reward including self-employment or the performance of an occupation, trade, profession, or carrying on of a business, whether or not the person performing the activity received remuneration.

A worker should be honest about his/her symptoms and capacity to work when speaking to the insurer and/or medical practitioners. This includes the worker's capacity to perform work which is different to the work they were performing when they injured themselves.

If the worker believes they are able to engage in another calling (i.e. not the employment at which they injured themselves) then the worker should notify the insurer. If the insurer has a true understanding of the worker's capacity then they can properly manage the worker's claim.

It may be possible to arrange for the worker to engage in the alternate calling under a host employment arrangement. This allows the worker to perform the alternate calling while still receiving weekly benefits.

Alternatively, if the worker notifies the insurer that they intend to engage in an alternate calling then they may not be entitled to receive weekly benefits, but they might be entitled to receive compensation for medical and rehabilitation expenses.