Case Law[2025] ZAGPPHC 213South Africa
Matsietso v Road Accident Fund (20634/2020) [2025] ZAGPPHC 213 (12 March 2025)
High Court of South Africa (Gauteng Division, Pretoria)
12 March 2025
Headnotes
Summary- third party claim against Road Accident Fund (“RAF”) - claim for loss of earning capacity against RAF – injuries sustained left ankle injury and soft tissue injury to the lower back.
Judgment
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# South Africa: North Gauteng High Court, Pretoria
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## Matsietso v Road Accident Fund (20634/2020) [2025] ZAGPPHC 213 (12 March 2025)
Matsietso v Road Accident Fund (20634/2020) [2025] ZAGPPHC 213 (12 March 2025)
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REPUBLIC OF SOUTH
AFRICA
IN THE HIGH COURT OF
SOUTH AFRICA
GAUTENG
DIVISION, PRETORIA
Case No: 20634/2020
(1) REPORTABLE: NO
(2) OF INTEREST TO THE
JUDGES: NO
(3) REVISED: NO
DATE: 12/03/25
SIGNATURE:
In
the matter between:
DINEO
JOYCE MATSIETSO
PLAINTIFF
AND
ROAD
ACCIDENT FUND
DEFENDANT
Summary-
third party claim against Road Accident Fund (“RAF”) -
claim for loss of earning capacity against RAF –
injuries
sustained left ankle injury and soft tissue injury to the lower back.
JUDGMENT
NYANDENI AJ:
INTRODUCTION
[1]
On 16 October 2024 the Court heard an unopposed
trial of the above-mentioned parties. There were no papers filed on
behalf of the
defendant and there was no appearance on behalf of the
defendant. The plaintiff made an application in terms of rule 38(2)
of the
Uniform Rules of Court which was granted.
[2]
The plaintiff sustained bodily injuries in a motor
accident whilst being a passenger of the insured vehicle. The court
has to determine
whether the defendant can be held liable for these
injuries.
[3]
The issue of merits was granted 100% in favour of
the plaintiff as she was able to prove a percent negligence by the
insured driver.
The issue of general damages was postponed sine die.
The head of damages left to be determined by the Court was the loss
of earning
capacity by the plaintiff. The plaintiff conceded that
there was no past loss of earning capacity and only future loss of
earning
capacity is to be determined by the Court.
FACTS OF THE MATTER
[4]
On 3 May 2015, at approximately 14:30, between
Vryburg and Scherzer-Reneke, a collision occurred between a motor
vehicle with registration
numbers and letters H[...] (hereinafter
referred to as “the insured vehicle”) there and then
driven by Modise Mnane
and a motor vehicle bearing registration
numbers and letters B[...], there and then driven by Itumeleng Isaac
Puso at all material
times the Plaintiff was a passenger at the time
of the accident.
[5]
The plaintiff was born on 2 September 1981 and was
43 years at the time of the hearing. She resides in Potchefstroom and
was employed
at the North West University at the time of the
collision. As a result of the accident, the plaintiff sustained
injuries which
resulted in a left ancle fracture and soft tissue
injuries. After the accident she was admitted to Joe Morolong
Hospital.
[6]
She
was employed
[1]
at the time of
the accident by the North West University. Seven weeks after the
accident she returned to work. She is currently
working in the same
capacity as before the accident. She used to drive a lot before the
accident and now she is office bound due
to the accident, in the same
capacity as an Administrator She is expected to retire at the normal
retirement age.
[7]
The Plaintiff completed grade 12 in 1999 and
obtained a BCom degree in Industrial Psychology and Labour Relations
in 2014 and a
Post Graduate Diploma in Public Management in 2017
ISSUES
[8]
The crisp issue to be determined by the Court is
whether the defendant is liable for plaintiff’s future loss of
earning capacity
as a result of the bodily injuries sustained in the
motor accident.
[9]
The injuries sustained are soft tissue injury to
the lower back and a left ankle fracture.
THE PLAINTIFF’S
CASE
[10]
The plaintiff relied on the expert report of the
orthopaedic surgent Dr Imran Ahmad Khan to prove the injuries she
sustained in
the accident and that such injuries have long term
impairments or loss of body function, with a WPI of 8%.
[11]
The second expert the plaintiff relied on is that
of the occupational therapist of Ndzungu and Associates. They confirm
the injuries
and sequelae thereon. They state that the plaintiff’s
optimal occupational functioning has been diminished. She will no
longer
be able to compete in the same light as her abled bodies
competitors. She can only do sedentary work and light occupation. Her
physical challenges and psychological deficit render her a vulnerable
contender in the open labour market. Post-accident she continues
to
experience the lower limb limitations and she is now a sympathetic
employee.
[12]
The third expert the plaintiff relied on is the
clinical psychologist, Mr Itumeleng Faku. The expert stated that the
plaintiff experienced
no changes or decline to her neuropsychological
functioning. There is a significant change in her physical health and
psychological
functioning which has a significant impact on her
self-image. The noted distress is associated with the impact and
changes in her
physical wellbeing which is pain and discomfort,
change in self-image, anxiety related symptoms which stem from the
physical limitation
which makes her to feel vulnerable and fearful of
what the future will be like. She has symptoms of depression, anxiety
and personality
vulnerabilities.
[13]
The fourth expert is that of an industrial
psychologist, Mr Tshepo Kalanko. He stated that the plaintiff may
remain in her current
employment notwithstanding the continuous
effects of the accident-related injuries. Her work capacity may have
been diminished
due to the residual impairments of the injuries
emanating from the accident. She has become a vulnerable competitor
in the open
labour market and she will not be able to compete with
her healthier uninjured peers in the open labour market.
[14]
The plaintiff’s future earning capacity is
curtailed as she remains with residual impairments emanating from the
injuries
sustained in the accident. She was rendered a vulnerable
employee who relied on the employer for accommodative employment on
the
noted sequelae. It is also unlikely that she will reach her
pre-accident career potential and her career progression may be
hindered
following the accident in question.
[15]
The fifth expert the plaintiff relied on is DT
Mureriwa who is a consulting actuary at One Pangaea Actuaries which
gave a report
with the following actuarial calculations: -
Contingencies
Past
loss of income
pre
accident
post-accident
5.00%
5.00%
Future
loss of income
pre
accident
post-accident
15.00%
25.00%
Loss
of income
Past
loss of income
Pre-accident
R 1 794 009-00
Post-accident
R 1 183 110-00
Less
5% = R 89 700-00
Less
5% = R 59 156-00
Total
= R 1 704 309-00
Total
= R 1 123 954-00
Grand
total of past loss of income is R 580 355-00
Future
loss of income
Pre-accident
R 6 061 499-00
Post-accident
R 3 220 160-00
Less
15% = R 909 225-00
Less
25% = R 805 040-00
Total
= R 5 152 274-00
Total
= R 2 415 120-00
Grand
total of future loss of income is R 2 737 154-00
[16]
The overall total amount for past and future loss
of income is R 3 317 509-00, claimed in the Rule 38(2) of the Uniform
Rules of
the High Court. The Plaintiffs claim in the particulars of
claim is R 900 000-00. The plaintiffs failed to file the notice of
amendment
and amended Particulars of Claim. The was no application
for condonation for none compliance from the plaintiff, the Court is
prepared
to look at the matter holistically and give an appropriate
decision.
CASE LAW ON THE
DISCRETION OF THE COURT ON CONTINGENCY APPLICATION
General
principles and discretion of the court in application of contingency
[17]
The
learned author Dr R.J. Koch in
The
Quantum of Damages Year Book
states
at page 118 that the usual contingencies which the Road Accident Fund
accepts is 5 % on the past income and 15 % on the future
income. The
aforesaid is only a guideline, but it indicates the general approach
adopted by the defendant in similar matters. The
learned author
continues on page 118 to suggest (based upon the authorities of
Goodall
v
President Insurance
[2]
and
Southern
Insurance Association v Bailey N.O
.
[3]
, that as a general rule of thumb, a sliding scale can be applied,
i.e., “1/2% per year to retirement age, i.e., 25% for
a child,
20% for a youth and 10% in middle age.”
[18]
In the
case of
Road
Accident Fund v Guedes
[4]
the
court referred with approval to
The
Quantum Yearbook
,
by the learned author Dr R.J. Koch, under the heading
'General
Contingencies
',
where it states that: -
[19]
“
[when] assessing damages for loss of
earnings or support, it is usual for a deduction to be made for
general contingencies for which
no explicit allowance has been made
in the actuarial calculation. The deduction is the prerogative of the
Court...” The percentage
of the contingency deduction depends
upon a number of factors and ranges between 5% and 50%, depending
upon the facts of the case.
(See
AA
Mutual Association Ltd v Maqula
1978(1)
SA 805 (A) 812,
De Jongh v Gunther
1975(4) SA 78 (W) 81, 83, 84D,
Goodall
(
supra
),
and
Van der Plaats v SA Mutual Fire &
General Insurance Co Ltd
1980(3) SA
105(A) 114-115A-D).
[20]
The
advantage of applying actuarial calculations to assist in this task
was emphasised in the leading case of
Southern
Insurance v Bailey
[5]
at
page 113H-114, where the Court stated;
“
Any
enquiry into damages for loss of earning capacity is of its nature
speculative because it involves a prediction as to the future,
without the benefit of crystal balls, soothsayers, augurs or oracles.
All that the Court can do is to make an estimate, which is
often a
very rough estimate, of the present value of the loss. It has open to
it two possible approaches. One is for the Judge
to make a round
estimate of an amount which seems to him to be fair and reasonable.
That is entirely a matter of guesswork, a blind
plunge into the
unknown. The other is to try to make an assessment, by way of
mathematical calculations, on the basis of assumptions
resting on the
evidence. The validity of this approach depends of course upon the
soundness of the assumptions, and these may vary
from the strongly
probable to the speculative. It is manifest that either approach
involves guesswork to a greater or lesser extent.”
[21]
The
Court has a large discretion to award what it considers right. Some
of the factors that influence this discretion would be the
possibility that the plaintiff may have less than a "normal"
expectation of life. The amount of any discount may vary,
depending
upon the circumstances of the case.
[6]
CONSIDERATION OF THE
PLAINTIFF’S CASE
[22]
In considering the matter the Court had
consideration of the submissions made by Mr Zuma and his heads of
argument together with
all expert reports filed in the matter.
[23]
The expert report of Clinical Psychologist Dr
Itumeleng Faku states that the plaintiff’s educational level is
that she completed
grade 12 in 1999, she completed BCom in Industrial
Psychology a Labour Relations in 2014 and has a diploma which was
obtained in
2017.
[24]
She is not married and has two dependents. She is
complaining of a chronic pain from her left ankle, she is unable to
drive the
long distance and suffering from the pain in her lower
back. There is moderate swelling on the left ankle injury. She was
not participating
in any hobbies. Her mobility has been affected as
she can no longer walk or and for a long period of time.
[25]
Her total impairment capacity is 8%, but she has a
long-term impairment emanating from the left ankle injury, her life
expectancy
has not been affected. Prognosis is that there are no
neurological changes in her lower back and left ankle after 9 years
after
the accident. She is expected to do well in future after
rehabilitation and conservative treatment.
[26]
She will need rehabilitation, medication,
consultations with a general practitioner, future Xray and MRI scan
will be needed for
lumber spine and left ankle injury. An amount of R
50 000-00 should be reserved for such a treatment. Future ankle
surgery is expected
to find intra articular pathology on the chronic
left ankle pain. The amount of R 70 000-00 should be reserved for
such procedure.
ON CLINICAL PSYCHOLOGY
ASSESMENT
Background Information
[27]
She was 41 years old at the time of the
assessment, she has two children who are staying with her and her
partner at Potchefstroom.
She has no previous medical condition or
illness and she was never hospitalised or psychiatric diagnosed.
[28]
Her educational history is that she did her grade
1-7 at Ganyetsa Primary School and grade 8-12 at Hunadi High School.
She enrolled
for a degree in Industrial Psychology and a post
graduate diploma in Public Administration at North West University.
[29]
She complains of the following difficulties post
the accident: -
(a)
She experiences changes and decline in her
physical strength and abilities- with pain and discomfort on the left
lower back, especially
when driving, walking or sitting for a
prolonged period of time. During the cold climate; she uses lumber
support to her lower
back when sitting on a chair.
(b)
She reported that her left leg was swollen, it
gets numb. Before the accident she wore a size 5 shoe on the left leg
and now she
wears a size 6. She is now limited post the accident and
is no longer able to go to the gym.
(c)
She is emotionally vulnerable, irritable, anxious
when having to travel since the accident. She is fearful about her
future employment-
anxious when coming to the issue of retirement.
(d)
Effect on employment is that she will be able to
perform light heavy duties in future and will not be an equal
competitor in open
market particularly due to left ankle sprain and
swelling that is continuously causing her pain.
(e)
Prognosis are that no radiological changes in her
lower back and left ankle even seven years after the accident. She is
expected
to do well after future rehabilitation and conservative
treatment but the left ankle pain will persist.
(f)
She has a long-term impairment because of the
accident.
MENTAL EXAMINATION
[30]
She was 41 years old, Setswana and
English-speaking female at the time of the assessment.
[31]
The attitude towards the examiner was that she was
co-operative and willing to do the tasks during the assessment. She
was well
orientated to time, place and person. Her mood affect was
euthymic, affect reactive and appropriate to context. Her
psychological
behaviour was observed to have no psych-motor
difficulties.
[32]
Her concentration and attention were noted to be
adequate to context. Her speech was noted to be normal toned voice
and was fluent.
[33]
After the clinical interview the following was
noted: -
[34]
She was irritable, she was anxious when traveling
in a speeding car, experience flashbacks or complained of nightmares
in relation
to the accident. She has been withdrawn or detached from
others. She avoids talking about the accident, still up and cries
when
thinking about it. She has no self-blame and no suicidal idea or
thought of death.
[35]
She reported changes in self-concept or
self-esteem. She has less interest in previously enjoyed activities.
She experienced no
change in memory and concentration abilities since
the accident. She has normal sleeping patterns. She has normal
appetite and
less energy levels. She finds it more difficult to make
a decision than usual.
[36]
She reported no visual and auditory hallucination,
no delusions and none were observed or reported during assessment.
She reported
no seizures and no blackouts, no dizziness, no déjà
vu and no jamais vu.
[37]
Based on the above-described symptoms, it can be
inferred that the plaintiff suffers from the symptoms of depression
and anxiety
with related symptoms.
NEUROPSYCHOLOGICAL
ASSESMENT
[38]
She was subjected to a range of
neuro-psychological assessments or tests which covers a wide spectrum
of cognitive functions including
attention and concentration, memory
and learning, Visio-construction ability, reasoning and concept
formation planning ability
and verbal fluency ability.
[39]
The Plaintiff underwent a selected subtest from
Wechler Adult Intelligence Scale (WAIS III) and supplementary
neuropsychological
tests.
[40]
The neuropsychological tests conducted are
currently utilised in various clinical settings. These tests were
developed abroad and
as such, norms for the South African diverse
population may not be available. Therefore, in this context of the
current neuropsychological
tests, the results are considered together
with qualitative data with specific emphasis on educational, language
difference and
culture. Test results are viewed as providing
quantitative guidelines based on the effects of injury or
neurocognitive functioning
with underpinning of scientific approach
whilst recognising that there are some limitations inherent in use of
such tests.
[41]
The test administered: -
(a)
Ray Auditory Verbal Learning Test (RAVLT),
(b)
Trail making A and B test,
(c)
Similarities,
(d)
Pattern completion,
(e)
Comprehension,
(f)
Ray complex figure test (RCF),
(g)
Mental control,
(h)
Digital Symbol Coding (DSC),
(i)
Ray fifteen item,
(j)
Digital Span
(k)
Mazes,
(l)
Letter number sequencing,
(m)Picture completion,
(n)
Draw a clock / clock
DISCUSSION OF TESTS
SCORES AND FINDINGS
[42]
A neuropsychological assessment was undertaken to
establish the nature and severity of any functional, cognitive
impairments and
how this may impact on the plaintiff’s ability
to function personally and occupationally. Through neuropsychological
assessment
on her cognitive ability revealed the following: -
ATTENTION CONCENTRATION
[43]
Mental tracking and working memory were assessed
by means of the teste’s abilities to select a particular
stimulus and exclude
others, her ability to maintain the attention
over an extended period of time and attentively following and
tracking a stimulus
in the face of competing stimulus. Further
working memory refers to the ability to hold and manipulate
information.
[44]
The plaintiff demonstrated well maintained ability
to mentally track, process and scan information during her
performance. This
suggests that the attention and concentration
(alertness, orientation and selection) was intact.
[45]
She further demonstrated well sustained immediate
attention, visual and auditory through (digit symbol search and Rey
complex figure).
[46]
She also demonstrated good mental processing of
complex arithmetic and sequencing (through the letter and number
sequencing).
MEMORY LEARNING
[47]
A comprehensive assessment of memory functioning
is important as this tends to be an area of specific complains in
clinical practice.
[48]
The plaintiff demonstrated well-adjusted mental
processing as well as brief storage and mental manipulation of
information. She
demonstrated a good ability to retain and retrieve
information as intact.
[49]
This was noted consistently with her verbal memory
as noted on the RAVLT and nonverbal memory (visual) on the RCF which
showed not
to impact on her overall memory and daily adjustments.
VISIO-MOTOR ABILITIES
[50]
These abilities involving visual perception,
visual motor co-ordination and constructional abilities were measured
on the following
tests: -
[51]
The plaintiff’s visual perception, visual
motor co-ordination and constructional abilities were observed to be
largely intact.
She demonstrated well intact with scanning,
visual-motor and double tracking of complex stimuli.
[52]
This suggests that her drawing on the copy (Draw a
clock) were normal, numbers in appropriately correct position. Hour
and minute
hand district and placed correctly. She demonstrated
intact visual spatial and constructional abilities.
EXECUTIVE FUNCTIONING
[53]
Executive functioning refers to the cognitive
abilities necessary for complex goal directed behaviour and
adaptation to a range
of environmental changes and demands.
[54]
The plaintiff demonstrated well sustained ability
to plan, initiate and maintain a purposeful action. She demonstrated
a well-maintained
attention, mental tracking and visual search as
well as sequencing and mental flexibility.
[55]
She demonstrated well sustained attention with
short- and long-term memory of visual and auditory stimuli. The
plaintiff’s
cognitive abilities with a complex goal directed
behaviours and adaptation to a range of environmental charges and
demands was
observed to be intact. She demonstrated significant
cognitive ability to adjust to her current situation.
EMOTIONAL FUNCTIONING
[56]
During the interviews and on the Beck Depression
Inventory- found her to have significant mood indicators or internal
conflicts.
On the self-report scale, she was noted to be emotionally
vulnerable due to the changes in her physical abilities. The noted
emotional
vulnerable is due to the changes in her physical abilities.
The noted emotional distress is associated with the impact and change
of full physical control. She has experienced symptoms of grief i.e.,
unable to enjoy things that she previously enjoyed/ participated
in
and change in self-concept. She has been experiencing nightmares,
fear when traveling in a speeding vehicle and has been short
tempered.
MALINGARING
[57]
A malingering test was administered to the
plaintiff in order to establish the validity of the test results. The
plaintiff’s
score suggested her test result could be regarded
as valid.
FINDINGS
PRE-ACCIDENT FUNCTIONING
[58]
The plaintiff presented with history of any
development complications as it seemed that the plaintiff did not
present any history
of development complications. She completed grade
12, obtained a degree in an industrial psychology, and a post
graduate diploma
in public administration.
[59]
She has not been diagnosed or treated for a
psychiatric disorder prior to the accident. She presented with
behavioural difficulties.
CONCLUSION
[60]
The neuro-physical assessment suggest that the
plaintiff experienced no changes or decline to her neuropsychological
functioning.
In this context the plaintiff’s difficulties are
primary attributed to the physical injuries sustained from the
accident.
[61]
The above mentioned concur similarity, the
orthopaedic Surgeon found that the plaintiff sustained injuries as
mentioned above and
he prognosed that there are no radiological
changes in her lower back and left ankle even seven years after the
accident. She is
expected to do well after future rehabilitation and
conservative treatment but left ankle pain will continue to persist.
[62]
The occupational therapist stated above that the
plaintiffs complain about headaches, pain on the left ankle
associated with the
ambulation and physical activity, lower back
pains, decreased vision, decreased standing and walking endurance,
unable to lift
and carrying heavy objects due to pain on left side.
Functional she struggles to stand and walk long distance due to left
ankle
and lower back pain; she has difficulty lifting and carrying
heavy objects due to left ankle and low back pain, difficulty lifting
and carrying heavy object due to pain and left ankle. She struggles
to conduct home maintenance tasks include cleaning due injuries
related limitations and she now experience occupational barriers. An
inability to cope with the constant physical demands for the
duration
of working day. Due to the reduced physical endurance and left lower
limb pain and impairments. Inability to cope with
tasks requiring
squatting or crouching, slow working pace and challenges to handle or
lift heavy object.
[63]
On the other level the plaintiff was found to have
a significant change in her physical health and psychological
functioning which
seem to negatively impact of the self-image. The
noted emotional distress is associated with the impact and changes or
decline
on her physical wellbeing (physical pain and discomfort),
change in self-image, anxiety related symptoms, resulting in physical
limitations and that makes her to feel vulnerable and fearful of what
the future will be like. In agreement with the orthopaedic
surgeon’s
post injury report, the plaintiff will be able to perform light heavy
duties in future and will not be able an
equal competition in open
market particularly due to ankle sprain. She was found to present
with significant symptoms of depression,
anxiety and was observed to
have some personality vulnerabilities. She would benefit from seeing
a clinical psychologist for psychotherapy.
In this context, the noted
distress was found to meet a DSMV V diagnosis.
[64]
Based on the information obtained and
psychological assessment, the plaintiff has sustained significant
injuries on the day of the
accident. The neuropsychological
assessment suggest that the plaintiff experienced no changes to her
neuropsychological functioning.
[65]
The noted difficulties attributed primarily to the
accident in the form of physical changes seem to impact negatively on
her daily
existence, on social and occupational platforms. The
occupational therapist suggest that the plaintiff is expected to
struggle
with work requiring her to have adequate mobility and
positional tolerance skills which has been compromised post the
accident
due to injury related limitations. Furthermore, she will
therefore, be considered an unequal competitor and a vulnerable
employee
in a highly competitive open labour market when compared to
her colleagues with the same experience and qualification.
ORTHOPAEDIC SURGENT
[66]
The orthopaedic surgent, Dr Imran Ahmad Khan, was
called to prove the injuries the plaintiff sustained in the accident
and that
such injuries have long term impairments or loss of body
function, with a WPI of 8%.
[67]
She will need rehabilitation, medication,
consultations with a general practitioner, future Xray and MRI scans
will be needed for
lumber spine and left ankle injury. An amount of
R50 000-00 should be reserved for such a treatment. Future ankle
surgery is expected
to find intra articular pathology on the chronic
left ankle pain. The amount of R70 000-00 should be reserved for such
procedure.
OCCUPATIONAL THERAPIST
[68]
According to the Occupational therapist Dr N
Ndzungu, the plaintiff sustained a soft tissue injury at the lower
back.
[69]
Accident-related main complaint and impact on
functioning, physical activity (headaches, pain in the left ankle
associated with
ambulation and physical activities); lower back pain,
decreased vision, decreased standing and walking endurance, unable to
lift
/ carry heavy objects due to pain in the left ankle, she
struggles to conduct home maintenance tasks including cleaning due to
injuries related limitations.
[70]
The plaintiff is unable to cope with constant
physical demands for the duration of a working day, due to reduced
physical endurance
and left lower limb pain impairment, in ability to
cope with tasks requiring squatting or crouching slow working pace
and challenges
to handle or lift heavy objects.
[71]
Effect on employment is that she is expected to
struggle with work requiring her to have adequate mobility and
positional tolerance
skills which have been compromised post-accident
due to injury related limitations. Furthermore, she would therefore,
be considered
an unequal competitor and a vulnerable employee in a
highly competitive open labour market when compared to her colleagues
with
the same experience and qualifications.
INDUSTRIAL PSYCHOLOGIST
REPORT
[72]
At the time of the accident the plaintiff was
employed as a senior administrative assistant earning R 17 000 per
month (R 204 000-00
per annum in 2015).
[73]
The industrial psychologist recommends on the use
of the average of the median on upper quartile of person B3 for the
calculation
purpose (R 194 500 per annum total package Kock 2015.
[74]
Scenario 1 remain in her pre - existing employment
or similar occupations:
·
by the age of 47 years her earnings would have
increased, assumed linearly to the average of the 50
th
and 75
th
percent for administrative secretaries ( R419
562,50 per annum, 27 centuries Analytic, January 2022);
·
thereafter salary inflationary increases until
retirement age of 65 years;
·
Scenario 2 secured better employment. She would
have secured alternative employment, assumed in March 2016 earning an
average of
25
th
and
50
th
percentile
of those who studied business, commerce, accounting and related
fields( R 502 668 per annum Analytic, January 2021).
·
Thereafter salary inflation increases until the
retirement age of 65 years
Preexisting income (from
the date of the accident 2015/18 tax tables to date of calculation
tax tables)
·
Following the accident, the plaintiff was
hospitalised, recuperated and returned to work after 7 weeks during
which period she was
fully renumerated,
·
She is currently earning R 17 718, 5 per annum,
2022 money terms,
·
The industrial psychologist opines on the use of
average of the lower and median quartile Peterson B1 for calculation
purposes R
208 000 per annum total package Kock 2022,
·
Her earning would increase according to salary
inflation until retirement age of 65 years.
ASSUMPTION
Financial and Demographic
assumption
[75]
Past inflation: -
·
2015 -4.47% per annum,
·
2016 -5.19% per annum,
·
2017 -6.57% per annum,
·
2018 -4.37% per annum,
·
2019 -4.00% per annum,
·
2020 -4.49% per annum,
·
2021 -3.16% per annum,
·
2022 -5.70% per annum,
·
Future inflation is 5.00%,
·
Discounted rate 8.65%,
·
Salary inflation, inflation +1.00% and;
·
Mortality rates
100% SALT 1984
to 1986.
CONTINGENCES APPLIED
[76]
The contingency deduction application is the
prerogative of the court. The following contingences have been
applied in this matter.
Past loss of income pre-accident and
post-accident 5%.
[77]
Future loss of income pre-accident and
post-accident is 15% and 25%.
METHODOLOGY
[78]
The past income period is thew after the date of
the calculation period between the accident date and the date of
calculation where
the claimant received an income.
[79]
The future income period is the period where the
claimant received an income.
INCOME TAX
[80]
The total taxable income is calculated based on
section 2 income description,
[81]
The notional tax that would have been paid is
calculated based on the South African Revenue Services tax tables,
[82]
For the past income period, historical tax tables
have been applied;
[83]
For the future loss period we have assumed that
the future adjustments of tax tables are according to the future
inflation assumption
in section 3, assumptions. This implies that in
the future, 2022/3 tax table remain constant in real terms.
LIFE EXPECTANCY
[84]
The relevant life expectancy is calculated based
on Mortality tables
100% SALT 1984-86
highlighted in section 3
assumptions.
EXPECTED PRESENT VALUE
[85]
We did not apply interest on mortality to the past
income period.
[86]
For the future income period, we have applied the
actuarial notion of expected present value. This is calculated by
multiplying
the income after tax by the relevant inflation factor,
discount factor and mortality rate.
[87]
The loss at both calculation date for each
projected year is estimated to the difference between the
pre-accident and post-accident
expected present value.
PROFESIONAL GUIDANCE
[88]
The approach taken in this report has been made
with refence to the guidelines issued by the Actuarial Society of
South Africa (ASSA),
in particular the Advisory Practice Note 701
delictual and other Legal Matters provides guidelines for the minimum
content of an
actuarial report to promote consistency and
completeness of disclosure.
[89]
RAF Amendment Act 2005 that came into effect on 01
August 2008, introduced an annual caping in section 17 4(c). The cap
is only
applicable to accidents that occurred after 01 August 2008.
The cap is applied after allowing for an accounting, mortality and
contingencies. The cap does not apply in certain claims.
[90]
We do not have any relationship or conflict of
interest with the plaintiff, RAF and any other various stakeholders
involved.
[91]
This report is limited to assessing potential
claim against RAF for loss of earnings. The report assumes that there
is a valid claim
against the RAF for loss of earnings. The report
does not consider any other possible claim.
ASSESMENT RESULTS
[92]
The plaintiff’s claim is per scenario 1 for
the past and future loss of income for an amount of R 3317 509-00.
[93]
We have assessed the loss of the plaintiff on the
calculation date. Based on the income information provided, our
actuarial methodology
and assumption detailed above, the total
additional compensation is the total loss as summarized in section 5
of assessment results.
[94]
It should be noted that different information and
/ or set of assumption will result in different estimated losses. The
total loss
will change over time and recalculation may be required if
the date of the calculation is significantly different from the date
of settlement.
REASONS FOR THE LOSS
PRE- ACCIDENT
[95]
It is important to note that the plaintiff was
employed by the North West University as a senior Administrative
Assistant and she
reportedly earned R17 000-00 per month and R 204
000 per annum.
However, she could not
provide proof of her earnings, thus difference is given to factual
information
.
Due
to limited renumeration information provided, the validation of an
actual renumeration figure for the claimant’s pre-existing
earnings, it is recommended that the earnings falling between the
median range and upper quartile of B3 (Total package) in the
corporate sector as obtained from the quantum year book (Kock 215)
and noted in table 5 above be used for quantum.
SCENARIO 1
[96]
The plaintiff was 33 years old when the accident
occurred and she was in an establishment phase of her career, thus
she had not
reached her career ceiling. Therefore, the writer opines
that she would have continued with her pre- accident employment or
similar
occupations in the open labour market. Thereafter with career
growth, through further work experience and further obtaining
additional
qualifications, evidenced by post-accident developments of
obtaining a post graduate diploma in public management, it is opined
that she would have been legible for promotion within her work place,
thereby increasing her earnings.
[97]
According to 21
st
Century Analytico, the earning for administrative
secretaries and related associate professional aged between 45-49
years of age
are as follows: -
·
25 percental R 68 097 per annum;
·
50 percental R 255 050 per annum;
·
75 percental R 584 074 per annum.
[98]
Considering the above earnings, it is opined
that she could have reached her career ceiling between 50 to 75
percentile (R 419 562.50
per annum) between the ages 45-49 years. The
writer notes that these earnings are in keeping with the earning with
the earning
falling between the median range and upper quartile of
Peterson level B5 (total package) of the corporate survey earnings
(Kock
2022), as noted in the table 8 above. Thereafter, any increase
in her earnings would have stemmed from the annual inflation
increases
until she reaches the age of retirement of 65 years.
[99]
It is opined that the plaintiff may remain in her
current employment notwithstanding the continues effects of the
accident-related
injuries, her work capacity may have been diminished
due to the residual impairments she remains with, following the
accident,
hence she has become a vulnerable competitor in the open
labour market as she will not be able to compete with able and
healthier
competitor.
[100]
Upon assessing the above facts, the Court is of
the view that the plaintiff suffered a residual future earning
capacity in terms
of section 6(b) and (c) of Road Accident Fund Act
of 2006 (RAFA).
[101]
Upon assessing the expert report it is not
apparent whether the injury suffered by the plaintiff is temporary or
permanent. However,
all the experts recommended that the plaintiff
must attend further rehabilitation in which in time she is expected
to do well after
future rehabilitation and conservative treatment.
[102]
The experts further stated that she will be able
to continue in the position that she is in at the University until
the retirement
age of 65 years, however she is only qualified to do a
sedentary kind of work because of the none united ankle injury which
is
mostly problematic when she is driving long distance.
[103]
The injury suffered by the plaintiff was found to
have made a significant change in her physical health and
psychological functioning
which seem to negatively impact of the
self-image. The noted emotional distress is associated with the
impact and changes or decline
on her physical wellbeing (physical
pain and discomfort), change in self-image, anxiety related symptoms,
resulting in physical
limitations and that makes her to feel
vulnerable and fearful of what future will be like. In agreement with
orthopaedic surgeon’s
post injury, the plaintiff will be able
to perform light heavy duties in future and will not be able an equal
competition in open
market particularly due to ankle sprain. She was
found to present with significant symptoms of depression, anxiety and
was observed
to have some personality vulnerabilities.
[104]
With the above facts the Court is of the view that
the plaintiff suffered a permanent future loss of earnings which will
improve
in future by the plaintiff subjecting herself to consult with
the recommended experts for rehabilitation and healing of the injury
and sequalae thereon through an undertaking.
[105]
To
quantify the amount to be awarded to the plaintiff for future loss of
earning capacity the court established the reasonable and
fair amount
based on the proven facts and the prevailing circumstances
[7]
.
The Court established the amount with reference to mathematical
calculations made on the proven facts of the case using mathematical
calculations of the actuary provided by the plaintiff as the basis of
the loss
[8]
.
[106]
In calculating this loss, the Court used scenario
1 calculation of the actuary with the same contingencies applied and
found that
the plaintiff suffered only 35% of the future loss of
earning capacity of the calculation. This estimation is exacerbated
by the
fact that she could not provide proof of her earnings, thus
difference is given to factual information. Due to limited
renumeration
information provided, the validation of an actual
renumeration figure for the claimant’s pre-existing earnings,
it is recommended
that the earnings falling between the median range
and upper quartile of B3 (Total package) in the corporate sector as
obtained
from the quantum year book (Kock 2015) and noted in table
above be used for quantum.
[107]
The Courts findings are that the plaintiff
suffered a loss to the amount of
R 958 003-
90,
which is 35% loss of the amount claimed
by the plaintiff in paragraphs 16 and 92 above, which is
reasonable and fair under
the circumstances.
ORDER
In light of the above
facts the following order is made: -
[108]
The application in terms of Rule 38(2) of
the High Court Rules is granted;
[109]
Merits are granted 100% in favour of the
plaintiff;
[110]
The Defendant will furnish the Plaintiff
with an Undertaking Certificate in terms of
Section 17
(4) (a) of the
Road Accident Fund Act 56 of 1996
, to pay the costs of Plaintiff’s
future accommodation in a hospital or nursing home, treatment of or
rendering of service
or supplying of goods to her arising out of the
injuries she sustained in a motor vehicle collision on the 03 May
2015 and the
sequelae thereof, after such costs have been incurred
and upon proof thereof limited to 100%.
[111]
The general damages are postponed sine die;
[112]
The defendant shall pay the amount of
R
958 003-90
for the loss of earning
capacity and;
[113]
The defendant shall pay the cost of the
action on scale B on party and party scale.
T NYANDENI
ACTING JUDGE OF THE
HIGH COURT
PRETORIA
DATE OF HEARING: 16
OCTOBER 2024
DATE OF JUDGMENT: 12
MARCH 2025
APPEARANCES:
COUNSEL
FOR THE PLAINTIFF:
ADV. P T ZUMA
INSTRUCTED
BY:
HC MATALADI ATTORNEYS
(PRETORIA)
COUNSEL FOR THE
DEFENDANT:
NO APPEARANCE
INSTRUCTED
BY:
NO APPEARENCE
[1]
Orthopedic
Surgent report para 3.
[2]
1978
(1) SA 389 (W).
[3]
1984
(1) SA 98 (AD)
[4]
2006
(5) SA 583
(SCA) at para [9].
[5]
1984
(1) SA 98 (A).
[6]
Southern
Insurance Association v Bailey N.O
.
1984 (1) SA 98
(AD) at 116G-H.
[7]
Union
Government v Clay
1913
AD 385
,
Hulley
v Cox
1924
AD 234
and
Griffiths
v Mutual and Federal
1991
(1) SA 535 (A).
[8]
Goldie
v City of Johannesburg
1948
(2)
SA 913 (W) and
Southern
Insurance v Bailey
1984
(1) SA 98
(A) at 114A-G.
sino noindex
make_database footer start
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