Case Law[2022] ZASCA 38South Africa
Department of Labour: Compensation Commissioner v Botha (326/2020) [2022] ZASCA 38; (2022) 43 ILJ 1066 (SCA) (4 April 2022)
Supreme Court of Appeal of South Africa
4 April 2022
Headnotes
Summary: Labour law – Compensation for Occupational Injuries and Diseases Act 130 of 1993 – whether injury on duty resulted in disablement – extent of permanent disablement and compensation payable – remittal to tribunal for determination.
Judgment
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## Department of Labour: Compensation Commissioner v Botha (326/2020) [2022] ZASCA 38; (2022) 43 ILJ 1066 (SCA) (4 April 2022)
Department of Labour: Compensation Commissioner v Botha (326/2020) [2022] ZASCA 38; (2022) 43 ILJ 1066 (SCA) (4 April 2022)
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sino date 4 April 2022
THE
SUPREME COURT OF APPEAL OF SOUTH AFRICA
JUDGMENT
Not Reportable
Case no: 326/2020
In the matter between:
DEPARTMENT OF LABOUR:
THE COMPENSATION
COMMISSIONER
APPELLANT
and
ROEBEL STEPHANUS BOTHA
RESPONDENT
Neutral
citation:
Department
of Labour: The Compensation Commissioner v Botha
(Case
no 326/2020)
[2022] ZASCA 38
(04 April 2022)
Coram:
PETSE
DP and SCHIPPERS, NICHOLLS and CARELSE JJA and MEYER AJA
Heard:
17 February
2022
Delivered:
This
judgment was handed down electronically by circulation to the
parties’ legal representatives via email. It has been published
on
the Supreme Court of Appeal website and released to SAFLII. The date
and time for hand-down is deemed to be at 12h00 on 04 April
2022.
Summary:
Labour
law – Compensation for Occupational Injuries and Diseases Act 130
of 1993 – whether injury on duty resulted in disablement
– extent
of permanent disablement and compensation payable – remittal to
tribunal for determination.
ORDER
On
appeal from:
North
Gauteng Division of the High Court, Pretoria (Leso AJ and Baqwa J,
sitting as court of appeal):
1
The appeal and the cross-appeal succeed in part.
2
The order of the court a quo is set aside and replaced with the
following order:
‘
(a)
The decision of the Tribunal is set aside and it is declared that the
appellant is entitled to compensation
as envisaged in s 22(1) of
the
Compensation for Occupational Injuries and Diseases Act
130
of 1993, as amended (COIDA).
(b)
This matter is remitted to a Tribunal constituted in terms of s 91(3)
of COIDA for a decision on the appellant’s
degree of disablement as
a result of the accident on 26 January 1998.
(c)
The Tribunal shall finalise this matter within six (6) months of the
date of this order, including a calculation
of the amount of
compensation payable to the respondent.
(d)
The respondent shall pay the costs of the appeal, which costs shall
include the costs of two counsel,
where so employed.
3
The appellant shall pay the costs of the appeal and cross-appeal,
which costs shall include
the costs of two counsel.
________________________________________________________________
JUDGMENT
________________________________________________________________
Nicholls
JA (Petse DP and Schippers and Carelse AJJA and Meyer AJA
concurring):
[1]
This appeal concerns a
claim in terms of the COIDA by a claimant who was injured while on
duty, 24 years ago. COIDA was introduced
as social legislation to
provide for compensation for disablement or death caused by
occupational injuries or diseases sustained
or contracted by
employees in the course of their employment.
[1]
It is a system of no-fault compensation which relieves the employee
of having to prove negligence, simultaneously relieving the employer,
on payment of contributions to the Compensation Fund, of the
eventuality of an expensive damages claim. COIDA has ‘a significant
impact on the sensitive and intricate relationship amongst employers,
employees and society at large’.
[2]
[2]
The
appellant, the Compensation Commissioner (the Commissioner), has
appealed against a judgment of the North Gauteng Division of
the High
Court, Pretoria (Leso AJ with Baqwa J concurring) (the high court),
sitting as a court of appeal, in terms of s 91(5)
of COIDA. The
high court reversed the decision of a Tribunal, set up in terms of
s 91(3) of COIDA, not to award any compensation
to Mr Roebel
Stephanus Botha (Mr Botha), the respondent. It granted an order
setting aside the decision of the Tribunal and declaring
Mr Botha to
be 60% permanently disabled. The Commissioner was ordered to
calculate the amount owing to Mr Botha within 30 days of
the order.
No order was made as to costs.
[3]
Mr
Botha filed a cross-appeal against the high court’s order that he
was 60% permanently disabled, and the costs order. He contended
that
although correct in upholding his appeal, the high court erred in
determining that he was 60% permanently disabled. He contends
that he
is 100% permanently disabled and should not, in any event, have been
deprived of his costs as he was substantially successful.
Special
leave to appeal was granted by this Court in two separate
applications, in respect of the appeal as well as the cross-appeal.
[4]
Mr
Botha’s right to compensation arises out of s 22(1) of COIDA,
which provides that ‘[i]f an employee meets with an accident
resulting in his disablement or death such employee or the dependants
of such employee shall, subject to the provisions of this Act,
be
entitled to the benefits provided for and prescribed in this Act’.
The jurisdictional requirements for compensation under s
22(1) are as
follows: (i) the person must be an employee as defined in COIDA; (ii)
she or he must have been injured, contracted a
disease, or died in an
accident as defined in COIDA; (iii) the accident must have occurred
in the course and scope of the employment;
and (iv) the accident must
have been the cause of the injury and resultant disablement suffered
by the employee.
[5]
It
is common cause that most of the requirements of s 22 have been
met. It is not disputed that Mr Botha was an employee as defined
in
COIDA. Nor is it disputed that he injured himself in an accident
whilst on duty.
It
is not contended that Mr Botha is excluded on any administrative
grounds of non-compliance with the provisions of COIDA. Importantly,
it is not disputed that he is permanently disabled and has been unfit
to work since the accident.
Mr
Botha
is
therefore entitled to compensation in terms of s 22 of COIDA, if
he can show that the accident resulted in his
disablement
.
[6]
The
central issue in this appeal is whether there is a causal connection
between the accident that occurred whilst
Mr
Botha
was
on duty and the permanent disability which he, admittedly, suffers.
What gives rise to this inquiry is the Tribunal’s finding
that, in
light of
Mr Botha’s
pre-existing
medical conditions at the time of the accident, the medical evidence
does not show that Mr Botha’s permanent disablement
was caused by
the injury he suffered on duty.
[7]
On
26 January 1998, a police motor vehicle in which Mr Botha was a
passenger, collided with a mini-bus taxi while giving chase to
a
suspect. As a result of the collision he suffered a whiplash injury
and muscle spasms. He resumed work the following day, 27 January
1998, and on the same day was treated by Dr Griesel, who found him
unfit to work.
[8]
In
order to contextualise the extent of the injury he suffered on 26
January 1998, it is necessary to delve into Mr Botha’s medical
history. This is complicated by a dearth of medical evidence
documenting exactly what occurred, and the date thereof. From the
limited
records, the following can be gleaned:
(a) In
1995 or 1996 (according to both a psychologist’s report and an
occupational therapist’s report
dated in May 2012), Mr Botha
suffered a neck injury while training for the South African Police
Service specialised police reaction
force. He was in severe pain and
reported the injury to the training instructor, but did not lodge a
claim with the Commissioner
in respect of this incident. The
consequences were severe – he began losing balance, experienced
weakness in his legs, headaches,
frequent urination, and stiffness in
both hands. He was diagnosed as having had a spinal stroke.
(b) On 3
November 1997, a letter from a neurosurgeon, Dr Daan de Klerk, states
that Mr Botha has an ‘interesting
history . . . the left leg is
weakening. He is becoming cripple, but no pain’. The MRI is
reported to have shown that there was
a gross disc prolapse at C5-6
and degeneration at L4-5 vertebrae. The greatest problem was ‘his
extremely narrow canal and serious
compression of the cord and the MR
already reflect[ed] central changes in the chord’.
(c) On 4
November 1997, Mr Botha underwent his first spinal fusion. Dr de
Klerk noted the presence of
‘massive osteophytes’ as well as
‘midline pressure’. According to the occupational therapist Mr
Botha complained that he
was allowed only one month off work. This
meant that he returned to duty without having properly recuperated.
(d) Less
than 3 months later, on 26 January 1998, the motor vehicle collision,
which is the subject of this
claim, occurred. It is not clear exactly
what Mr Botha’s state of health was at this time. Dr Griesel, who
saw him the following
day, found him unfit to work due to ‘whiplash
injury (soft tissue), muscle spasms: neck, shoulders, arms and L
leg’. This
finding was confirmed by Dr Griesel in other medical
reports in terms of COIDA during 1998.
(e) In
March 1998, only two months after the accident, Mr Botha underwent
his second cervical spine fusion
operation.
(f)
A follow up examination with Dr de Klerk on 21 January 1999 records
that Mr Botha had stabilised,
but his foot remained a problem.
(g) On 22
September 1999, he consulted a neurologist, Dr Bhagwan, who reported
that Mr Botha indicated that
he had ‘a 2 year history of numbness
in the upper limbs precipitated by abducting his shoulders. He is
presently walking with the
aid of one elbow crutch and this he has
been doing since 26 January 1998. He also experiences a burning
sensation in his lower back
and has spasms in the right lower limb
and right upper limb’. He was assessed as having ‘left C5/6
myeloradiculopathy’ and
‘severe hypercholesterolaemia’. As the
date of the injury on duty is incorrectly recorded as being on 27
January 1998, it is
not clear if Mr Botha was using the crutch before
the motor vehicle collision or afterwards.
(h) On 22
March 2000, Dr Griesel completed a medical report in terms of COIDA
in which he concluded that Mr
Botha was permanently incapacitated and
his condition had not stabilised.
(i)
There are no available medical records from 2000 until 2011 when it
is recorded that Mr Botha had
undergone three ankle fusion procedures
and the excision of the coccyx.
(j)
On 31 January 2011, Dr Rossouw completed a medical report in terms of
COIDA in which he found Mr
Botha 80% physically impaired and 50%
intellectually impaired. A follow up report by Dr Rossouw on
18 October 2011 concluded
that he had 80% loss of function, 30%
psychological loss, and 60% whole body impairment; he would never
work again; his condition
had not stabilised and was progressive; and
he may require further corrective surgery. Reference was made to
triple arthrodesis on
the left ankle and excision of the coccyx.
(k) On 15
May 2012 and 20 May 2012 respectively, Dale Davidson, a clinical
psychologist, and Ms P Naidu, an
occupational therapist, provided
reports setting out Mr Botha’s disability in their respective
fields. The extensive report of
Ms Naidu provided a detailed overview
of his disability and concluded that as a result of the injury at
work and the subsequent surgeries
his disabilities were of a
permanent nature.
(l)
On 7 August 2012, Dr Rossouw found that Mr Botha was permanently
unfit for work and that his condition
would progressively deteriorate
– the issue was not loss of movement but loss of strength.
(m) The final
medical report in terms of COIDA was that of Dr Basson, dated 15
August 2013, wherein he certified
that the injuries were the result
of the accident and found that Mr Botha’s condition had not
stabilised and that he was unfit
for work. He also noted the
anatomical defects as being on the neck and the ankle, with a loss of
movement.
[9]
Despite
the above, and contrary to the findings in the medical reports, the
Commissioner wrote to Mr Botha on 31 January 2014 refusing
an award
for compensation on the basis that Dr Rossouw had found that he
suffered no permanent disability as a result of the accident.
However, this was factually incorrect, as Dr Rossouw had stated in
his report that Mr Botha was permanently incapacitated.
[10]
The
refusal prompted Mr Botha to lodge an objection in terms of s 91(3)
of COIDA. The Tribunal set up in terms of COIDA dismissed
the
objection. The reasons provided were that Mr Botha had a pre-existing
injury to the neck which had resulted in a C4-C6 cervical
fusion. The
whiplash injury sustained in the motor vehicle accident had
aggravated the pre-existing injury, which led to another
fusion in
exactly the same place. Reference was made to a report by Dr Basson
on 22 September 1999 (this was clearly meant
to refer to
Dr Bhagwan’s report dated 28 September 1999), in which it was
recorded that Mr Botha had been on crutches
for a two-year
period prior to the consultation. As Mr Botha consulted with Dr
Bhagwan on 22 September 1999, this period must
have commenced in 1997
before the injury on duty took place on 26 January 1998, so
reasoned the Tribunal. In addition,
Mr Botha had had surgery to his
left ankle in 1999, which was unsuccessful, as well as three
operations in 2011. There was no medical
report which linked the
arthrodesis of the left ankle and big toes and the C5-6
myeloradiculopathy to the on-duty motor vehicle accident.
The
tribunal concluded, in light of the above, that Mr Botha was
unable to rebut the conclusion of the Commissioner that he
suffered
from pre-existing ‘degenerative spon[d]ylotic changes with end
plate osteophytosis and disc space narrowing throughout
his lumbar
spine’.
[11]
The high court set
aside the Tribunal’s decision and declared that Mr Botha was
60% permanently disabled. It ordered the Commissioner
to calculate
the amount payable to Mr Botha within 30 days. No reasons were given
by the high court for its finding of 60% permanent
disablement.
[12]
On appeal to this
Court, it was argued by counsel for the Commissioner that, in light
of his previous health problems, Mr Botha
had not shown that the
injury he suffered in the accident on 26 January 1998 resulted in his
permanent disablement. Put differently,
Mr Botha had failed to prove
on a balance of probabilities that the cause of his permanent
disablement was the injury he sustained
on duty. It was correctly,
and very fairly, conceded by counsel for the Commissioner that the
appropriate and equitable course of
action would be to refer Mr Botha
for a further medical examination. The purpose would be to consider
whether the accident on duty
aggravated his pre-existing medical
condition to the extent that it rendered him permanently disabled.
[13]
The first inquiry
is whether any causal link has been established. In
Basson v
Ongevallekommissaris
,
[3]
an employee with a pre-existing back injury had an accident while on
duty. Concerning the causal connection between the injury and
the
disablement, the court held that it was not required that the injury
suffered by the employee should be exclusively as a result
of the
accident. It was sufficient that it be a ‘contributing factor’ to
the injury. The court therefore held that the Commissioner
would
still be liable if the pre-existing condition was exacerbated by the
accident, rendering the employee incapacitated, in that
but for the
accident, the employee would not have suffered the injury presently
complained of.
[14]
On the facts before
this Court, it is clear that the whiplash injury exacerbated the
pre-existing injuries. Drs Griesel, Rossouw and
Basson all certified,
in the medical reports submitted in terms of COIDA, that they were
satisfied that the injury had been caused
by the accident. The
tribunal itself found that the ‘whiplash injury aggravated the
pre-existing neck injury and affected the fusion
on levels C4-C6’.
A causal link has thus been established between the injury suffered
on duty and the permanent disablement of
Mr Botha.
[15]
This leads to the
second inquiry, which is to what extent the pre-existing injury
contributed to his permanent disablement. This is
impossible to
establish on the medical records before this Court.
What
is however apparent from the evidence is that Mr Botha has suffered
permanent disablement. This has had a devastating impact
on his
quality of life and there is no doubt that he should be compensated
for this. The question is the extent of his disablement
and how his
previous medical history impacted on his permanent disablement.
[16]
Compensation
for permanent disablement is regulated by s 49 of COIDA, which
provides:
‘
(1)
(a)
Compensation for permanent disablement shall be calculated on the
basis set out in items 2, 3, 4 and 5 of Schedule 4 subject to the
minimum and maximum amounts.
(2)
(a)
If
an employee has sustained an injury set out in Schedule 2, he shall
for the purposes of this Act be deemed to be permanently disabled
to
the degree set out in the second column of the said Schedule.
(b)
If
an employee has sustained an injury or serious mutilation not
mentioned in Schedule 2 which leads to permanent disablement, the
Director-General shall determine such percentage of disablement in
respect thereof as in his opinion will not lead to a result contrary
to the guidelines of Schedule 2.
(c)
If
an injury or serious mutilation contemplated in paragraph
(a)
or
(b)
has unusually serious consequences for an employee as a result of the
special nature of the employee’s occupation, the Director-General
may determine such higher percentage as he or she deems equitable.’
[17]
Counsel for Mr
Botha argued that in terms of the deeming provisions of s 49(2)
(a)
read with Schedule 2
of COIDA, Mr Botha is 100% disabled. That section deems as
permanently disabled, to the degree set out in Schedule
2, an
employee who has sustained an injury identified therein. The severity
of the injury is determined with reference to Schedule
2, which then
attributes a percentage of disability as a result of the injury.
Schedule
2 lists the injuries in the first column and the percentage of
permanent disability allocated to each injury in the second
column.
The injuries primarily relate to
the loss of a body part, such as a limb, toe, finger, eye, and loss
of sight or hearing.
In
addition, the Schedule provides for 100% permanent disability for
certain injuries, such as total paralysis. It is the sixth item
in
the first column on which counsel for Mr Botha relies. This provides
that if an employee suffers any injury not listed in the
Schedule
which leads to permanent total disablement, she or he will be deemed
to be 100% disabled. It is on this basis that it is
contended that Mr
Botha is 100% disabled. Given his incapacity, it is argued, the high
court misdirected itself, with reference to
Schedule 2, by declaring
Mr Botha to be 60% disabled.
[18]
This
argument is devoid of merit. It is inconceivable that any injury not
listed in Schedule 2 should attract an award of 100% permanent
disablement, irrespective of the nature of the injury. There are
countless injuries which an employee may suffer in the workplace
which are not listed in the Schedule. As pointed out by this
Court,
[4]
almost anything which unexpectedly causes illness, injury to, or
death of, an employee falls within the concept of an accident. Should
an injury, which is not listed in Schedule 2, befall an employee as a
result of such an accident, this does not axiomatically mean
that he
or she is 100% disabled. The extent of the disability must be
determined in light of the facts of the specific case and according
to medical evidence.
[19]
Further, this
argument ignores s 49(2)
(b)
,
which grants the Director-General a discretion to determine a
percentage of permanent disablement for a serious injury not provided
for in Schedule 2. The section specifically states that the result
should not be contrary to the guidelines set out in Schedule 2.
In
applying these guidelines, courts have cautioned against applying a
mechanical approach to Schedule 2.
[5]
It should also be borne in mind that the schedules are no more than a
set of administrative guidelines issued by the Director-General
to
assist decision-makers exercising powers in term of COIDA.
[6]
Where the injuries have not been listed in Schedule 2 it has not been
the approach of the courts to invoke the deeming provision.
Rather,
Schedule 2 has been used as a guideline in determining what is fair
and reasonable compensation once the extent and nature
of the
permanent disablement has been established by the relevant medical
experts.
[7]
[20]
In
the particular circumstances of this case and in the absence of any
evidence to that effect, there is no option but for the Commissioner
to obtain further medical reports, detailing the extent to which the
pre-existing injuries were the cause of Mr Botha’s current
permanent disablement. Once these have been procured the Tribunal
should determine the compensation payable with the benefit of proper
medical evidence. In coming to its decision, the Tribunal should bear
in mind that employees should be assisted as far as possible
and any
interpretation should be to the benefit of the employee.
[8]
[21]
Cognisant
that Mr Botha was injured 24 years ago, and submitted his claim for
compensation in August 1998, strict time limits are
to be imposed on
the Tribunal to make its determination. The delays in finalising his
claim are unreasonable, egregious and unexplained.
There is no reason
why medical reports setting out as accurately as possible the extent
to which the accident on duty contributed
to Mr Botha’s permanent
disablement, should not be obtained within six months. Should Mr
Botha require his own medical report,
this too should be obtained
within the six-month period. I can see no reason why the latter
should not be at the Commissioner’s
expense, in view of the fact
that it relates to an injury on duty.
[22]
As
to costs, it was conceded by counsel for the Commissioner that the
Biowatch
principle should apply and, indeed, that the only reason for the
remittal is because the Tribunal erred in the first place when it
decided that no compensation whatsoever was payable. This being the
case, there is no reason why Mr Botha should be out of pocket,
especially taking into account the unconscionable delay in finalising
his claim. Both parties employed two counsel and accepted that
any
costs award should reflect this.
[23]
To
the extent that condonation was sought by both parties for the late
filing of the cross-appeal and the heads of argument respectively,
it
is hereby granted.
[24]
In
the result I make the following order:
1
The appeal and the cross-appeal succeed in part.
2
The order of the court a quo is set aside and replaced with the
following order:
‘
(a)
The decision of the Tribunal is set aside and it is declared that the
appellant is entitled to compensation
as envisaged in s 22(1) of
the
Compensation for Occupational Injuries and Diseases Act
130
of 1993, as amended (COIDA).
(b)
This matter is remitted to a Tribunal constituted in terms of s 91(3)
of COIDA for a decision on the appellant’s
degree of disablement as
a result of the accident on 26 January 1998.
(c)
The Tribunal shall finalise this matter within six (6) months of the
date of this order, including a calculation
of the amount of
compensation payable to the respondent.
(d)
The respondent shall pay the costs of the appeal, which costs shall
include the costs of two counsel,
where so employed.’
3
The appellant shall pay the costs of the appeal and cross-appeal,
which costs shall include
the costs of two counsel.
C H
NICHOLLS
JUDGE
OF APPEAL
APPEARANCES
For appellant:
M Sikhakhane SC (with him, S Nhantsi)
(Heads of argument drawn by Z Z
Matabese SC, with him S Nhantsi)
Instructed
by: The State Attorney,
Pretoria
The State Attorney, Bloemfontein
For respondent:
T P Krüger SC (with him, H Worthington)
Instructed
by: Gildenhuys Malatji
Incorporated, Pretoria
Honey Attorneys, Bloemfontein
[1]
Preamble to COIDA.
[2]
Jooste v Score Supermarket Trading (Pty) Ltd (Minister of Labour
Intervening)
[1998] ZACC 18
;
1999 (2) SA 1
(CC);
1999 (2)
BCLR 139
(CC) para 9.
[3]
Basson v Ongevallekommissaris
[
2000]
1 All SA 67 (C).
[4]
Churchill v Premier, Mpumalanga and another
[2021] ZASCA 16
;
[2021] 2 All SA 323
(SCA);
[2021] 6 BLLR 539
(SCA);
2021 (4) SA 422
(SCA) para 14.
[5]
Healy v Compensation Commissioner and Another
2010 (2) SA 470
(E) paras 19 and 21.
[6]
Ibid para 2 where
the court held that a knee
injury not included in Schedule 2 rendered the employee 45%
permanently disabled as opposed to the 18%
determined by the
Tribunal.
[7]
Odayar v Compensation Commissioner
2006 (6) SA 202 (N); (2006) 27 ILJ 1477 (N);
Urquhart v
Compensation Commissioner
[2005]
ZAECHC 32
;
[2006] All SA 80
(E);
[2006] 1
BLLR 96
(E);
Compensation Commissioner v
Georgia Badenhorst
[2022] ZAECHC 1
(E);
Pretorius v The Compensation
Commissioner
and Another
[2007] ZAFSHC 128
(FB);
J L v Rand Mutual Assurance
[2019]
ZAGPJHC 392 (GJ).
[8]
Davis v Workmen’s Compensation Commissioner
1995 (3) SA 689
(C) 694F-G;
Urquhart v Compensation Commissioner
[2006] 2 All
SA 80
(E);
2006 (1) SA 75
(E) 84A-C;
Pretorius
v The Compensation Commissioner
and
Another
[2007] ZAFSHC 128
(FB) para
15.
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