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Comparative Performance Monitoring Report 13th Edition
Comparative Performance Monitoring Report 13th Edition
Comparison of work health and safety and workers compensation schemes in Australia and New Zealand 13thEdition
Commonwealth of Australia (Safe Work Australia) 2011. DISCLAIMER The information provided in this document can only assist you in the most general way. This document does not replace any statutory requirements under any relevant State and Territory legislation. Safe Work Australia accepts no liability arising from the use of or reliance on the material contained in this document, which is provided on the basis that Safe Work Australia is not thereby engaged in rendering professional advice. Before relying on the material, users should carefully make their own assessment as to its accuracy, currency, completeness and relevance for their purposes, and should obtain any appropriate professional advice relevant to their particular circumstances. To the extent that the material in this document includes views or recommendations of third parties, such views or recommendations do not necessarily reflect the views of Safe Work Australia nor do they indicate a commitment to a particular course of action. ISBN No. 978-0-642-33221-9 [PRINT] 978-0-642-33222-6 [PDF] 978-0-642-33217-2 [RTF]
Creative Commons With the exception of the Safe Work Australia logo, this report is licensed by Safe Work Australia under a Creative Commons 3.0 Australia Licence. To view a copy of this licence, visit http://creativecommons.org/licenses/by/3.0/au/deed.en In essence, you are free to copy, communicate and adapt the work, as long as you attribute the work to Safe Work Australia and abide by the other licensing terms. The report should be attributed as the Comparative Performance Monitoring Report 13th Edition. Enquiries regarding the licence and any use of the report are welcome at: Copyright Officer Communications, IT and Knowledge Management Safe Work Australia GPO Box 641 Canberra ACT 2601 Email: copyrightrequests@safeworkaustralia.gov.au Important Notice Safe Work Australia provides the information given in this document to improve public access to information about work health and safety information generally. The vision of Safe Work Australia is Australian workplaces free from injury and disease. Its mission is to lead and coordinate national efforts to prevent workplace death, injury and disease in Australia.
Foreword
The Labour Ministers Council released the first Comparative Performance Monitoring (CPM) report in December 1998. The CPM project was transferred to Safe Work Australia when it was established. The CPM reports provide trend analysis on the work health and safety and workers compensation schemes operating in Australia and New Zealand. Information in the report is designed to help gauge the success of different approaches undertaken by the various workers compensation and work health and safety authorities to reduce the incidence of work-related injury and disease. This is the thirteenth annual report of the CPM project. The CPM is complemented by the Compendium of Workers Compensation Statistics, which provides more detailed analysis of national workers compensation data using key variables such as occupation, industry, age and gender with supporting information on the circumstances surrounding work-related injury and disease occurrences. The Compendium series can be found at safeworkaustralia.gov.au.
Statement of purpose
Provide measurable information to support policy making and program development by governments on work health and safety and workers compensation, to meet the goal of Australian and New Zealand workplaces free from injury and disease and to enable durable return to work and rehabilitation for injured and ill workers. The information should provide: (a) measurement of progress against national strategies (b) identification of factors contributing to improved work health and safety and workers compensation performance (which includes consideration of resources), and (c) measurement of changes in work health and safety and workers compensation over time, including benchmarking where appropriate.
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Data
Data used in this report were most recently supplied by jurisdictions for the 200910 financial year plus updates back to 200506. Readers should be aware that data presented here may differ from jurisdictional annual reports due to the use of different definitions and the application of adjustment factors to aid the comparability of data. Explanatory commentary on the data items are contained within each chapter with additional information included in Appendix 1 - Explanatory Notes, at the end of this publication. Data for this report are collected from: the various workers compensation schemes and work health and safety authorities as follows: - New South Wales WorkCover New South Wales - Victoria WorkSafe Victoria - Queensland Workplace Health and Safety Queensland, Department of Justice and Attorney General, Q-COMP and WorkCover Queensland - Western Australia WorkCover Western Australia and WorkSafe Division, Department of Commerce - South Australia WorkCover Corporation South Australia and SafeWork SA - Tasmania Workplace Standards Tasmania and WorkCover Tasmania - Northern Territory NT WorkSafe and Department of Justice - Australian Capital Territory WorkSafe ACT and the Office of Regulatory Services within the Department of Justice and Community Services - Australian Government Comcare - Seacare Seacare Authority (Seafarers Safety, Rehabilitation and Compensation Authority), and - New Zealand Accident Rehabilitation and Compensation Insurance Corporation and New Zealand Department of Labour the Australian Heads of Workers Compensation Authorities Return to Work Monitor, the full results of which can be accessed at hwca.org.au/reports_rtw.php and, the Australian Bureau of Statistics, which provides denominator data, based on the Labour Force Survey, the Survey of Employment and Earnings and the Survey of Employment, Earnings and Hours.
Coordination
This report has been compiled and coordinated by Safe Work Australia with assistance from representatives of all work health and safety and workers compensation authorities in Australia and New Zealand. Through a partnership of governments, employers and employees, Safe Work Australia drives national policy development on work health and safety and workers compensation matters to: achieve significant and continual reductions in the incidence of death, injury and disease in the workplace achieve national uniformity of the work health and safety legislative framework complemented by a nationally consistent approach to compliance policy and enforcement policy, and improve national workers compensation arrangements.
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Contents
Foreword ...................................................................................... III Summary of findings ....................................................................VII Chapter 1 Progress against the National OHS Strategy .............1
Injury and musculoskeletal target .............................................................................. 2 Jurisdictional progress ............................................................................................... 2 Fatalities target ........................................................................................................... 3 International comparison ............................................................................................ 4
Chapter 3 Work health and safety compliance and enforcement activities .......................................................................................17 Chapter 4 Workers compensation premiums and entitlements . 23
Standardised average premium rates.....................................................................................23 Entitlements under workers compensation .............................................................. 25
Appendix 1 Explanatory notes .................................................. 44 Appendix 2 Key features of Australian Workers Compensation Schemes ................................................................ 56 Appendix 3 Jurisdictional contact information .......................... 58
Comparative Performance Monitoring 200910 v
Summary of findings
Performance against the National OHS Strategy 20022012
The reduction in the incidence rate of injury and musculoskeletal claims between the base period (200001 to 200203) and 200910 was 25%, which is below the rate required to meet the 20022012 National OHS Strategy target of a 40% improvement by 30 June 2012. South Australia was the only jurisdiction which met the required rate of improvement with 39% improvement. Seacare and the Australian Capital Territory were the only jurisdictions to record an increase in the incidence of serious injury and musculoskeletal claims from the base period. The number of compensated fatalities recorded for 200910 is lower than in previous years, increasing the percentage improvement from the base period. The incidence of compensated fatalities from injury and musculoskeletal disorders decreased by 42% from the base period to 200910. The national incidence rate has exceeded the 20% reduction required by 30 June 2012, however there is a considerable amount of volatility in this measure and consistent improvement is required. The National OHS Strategy also includes an aspirational target for Australia to have the lowest work-related traumatic fatality rate in the world by 2009. Analysis of international data indicates that in 200709, Australia recorded the seventh lowest injury fatality rate. Australias work-related fatality rate decreased from 200103 to 200406, and has increased slightly during 200507 to 200608 to decrease again in 200709. Australia did not meet this target.
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Summary of findings
The highest incidence rate was recorded in the Transport & storage industry (23.9 serious claims per 1000 employees) followed by the Manufacturing industry (22.1) and the Agriculture, forestry & fishing industry (21.6), while the Construction industry recorded a rate of 18.0 claims per 1000 employees.These industries together with the Health & community services industry are receiving attention under the National OHS Strategy. In 200910 close to 200 000 workplace interventions were undertaken by work health and safety authorities around Australia. Australian jurisdictions issued 63 000 notices, 448 legal proceedings against businesses were finalised and $19 million in fines were handed out by the courts.
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16 14 12 10 8 6 base period 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 14.39 Actual 14.16 13.82 12.90 12.40 12.10 11.62 10.77 Projection
Actual
14.78
* Includes accepted workers compensation claims for temporary incapacity involving one or more weeks compensation plus all claims for fatality and permanent incapacity.
Jurisdictional progress
Indicator 2 shows how the jurisdictions are progressing towards the injury target. To be on target, jurisdictions would need to have recorded a 32% improvement from the base period. The Tasmanian data for 200910 has been affected by an issue with the lodgement of lost time data by some Agencies within the Tasmanian State Service. The data has been supplied as at 30 November 2010 for some claims and as at 30 June 2011 for others. Caution should be taken when comparing Tasmanian data in this Chapter and in Chapter two to previous years data or data from other jurisdictions. Only South Australia exceeded the required rate of improvement to meet the target. All other jurisdictions with the exception of the Australian Capital Territory and Seacare recorded decreases in incidence rates since the introduction of the National OHS Strategy. Changes to scheme operations since the base period can affect the percentage improvements shown in this indicator. Achievement of the target may be more difficult in the Australian Capital Territory Private Scheme due to reforms introduced during the base period that resulted in a higher level of reporting of claims since 200102.
Indicator 2 Incidence rates (serious claims per 1000 employees) and percentage improvement of serious* compensated injury and musculoskeletal claims by jurisdiction. Percentage Base 200607 200708 200809 200910 200910 improvement Jurisdiction period Preliminary projected (%)**
South Australia New South Wales Victoria Australian Government Queensland Tasmania Western Australia Northern Territory Australian Capital Territory Seacare Australia
18.3 17.1 11.3 8.8 16.6 16.2 12.5 12.4 11.4 36.3 14.8 14.6 12.6 9.5 6.9 15.9 15.7 12.3 11.4 11.6 27.1 12.4 12.4 12.6 9.0 5.5 16.3 14.7 12.3 12.1 11.5 26.8 12.1 11.4 12.4 8.6 6.7 15.0 14.8 11.7 11.0 11.9 34.3 11.6 10.7 11.8 7.9. 5.9 13.6 13.4 10.5 10.7 11.9 36.6 10.8 11.2 12.2 8.1 6.4 13.8 13.7 11.0 11.2 12.2 36.6 11.1 38.8 28.7 28.3 27.3 16.9 12.3 12.0 9.7 -7.0 -0.8 25.0
* Includes accepted workers compensation claims for temporary incapacity involving one or more weeks compensation plus all claims for fatality and permanent incapacity. ** Percentage improvement from base period (200001 to 200203) to 200910 projected.
Fatalities target
Indicator 3 shows progress towards the fatalities target. The substantial drop in the number of fatalities for New South Wales, Queensland and Western Australia in 200910 resulted in a 25% decrease in the Australian incidence rate from the previous year. Since the base period, there has been a 42% decrease in the incidence rate of compensated injury plus musculoskeletal claims. This improvement is more than twice the required result to meet the target of a 20% reduction by 30 June 2012. The volatility in this measure means that this improvement should be interpreted with caution and consistent improvement is still required to ensure the target is actually achieved. Note that a table of jurisdictional improvements in fatalities has not been included due to the volatility of these data. Information on the number of fatalities recorded by each jurisdiction can be found in Indicator 10.
Indicator 3 Incidence rates of compensated injury & musculoskeletal fatalities, Australia, base period (200001 to 200203) to 200910
2.80 Claims per 100 000 employees 2.60 2.40 2.20 2.00 1.80 1.60 1.40 1.20 base period 2.44 2002-03 2003-04 2004-05 2005-06 2006-07 2007-08 2008-09 2009-10 2010-11 2011-12 2.30 2.09 Actual 2.07 2.14 2.09 2.22 1.88 Reduction required to meet target 1.34 Projection
Actual
International comparison
Following the first triennial review of the National OHS Strategy, the Workplace Relations Ministers Council (WRMC) adopted an additional aspirational goal of having the lowest rate of traumatic fatalities in the world by 2009. Analysis of injury fatality data using information published on the International Labor Office (ILO) website at laborsta.ilo.org was undertaken in 2004. The results of this analysis were published in a report titled Fatal Occupational Injuries How does Australia compare internationally?, which can be accessed at safeworkaustralia.gov.au/swa/AboutUs/Publications/. The aim of this report was to obtain a measure of the gap in performance between Australia and the best performing countries. Countries were included in this analysis if they had a lower incidence rate of fatalities than Australia as reported to the ILO. This resulted in most of the countries included in this comparison being European. The analysis undertaken in the report only used fatalities from injuries, making adjustments where possible for differences in scope and coverage. The data were then standardised against Australia to take account of different industry mixes and finally a three-year average was calculated to remove some of the volatility that results from working with small numbers. This methodology has been used to calculate fatality incidence rates for Indicator 4. As in the previous edition of the CPM report, Traumatic Injury Fatalities data, which are comparable with the data sources used in other countries have been used. Australias work-related fatality rate decreased from 200103 to 200406 and has increased slightly from 200507 to 200608 to decrease again in 200709. While the gap between Australia and the better performing countries has slightly reduced, Australia remains in seventh place and did not meet this aspirational goal. Other countries with a similar economic profile to Australia are not included in this indicator due to their higher incidence rate of fatality. For example, the unstandardised fatality rate for Canada is above 6 deaths per 100 000 employees, while the unstandardised fatality rate for the United States of America is close to 4. It should be noted that due to differences in scope and methodology, comparisons of occupational injury fatalities data between countries have many limitations. The areas of concern lie in the coverage of self-employed workers, the lack of data relating to road traffic fatalities and the incomplete coverage within the data of the working population. The adopted methodology has attempted to address these concerns but some issues have not been fully resolved and may impact on the final results.
Indicator 4 Comparison of Australias work-related injury fatality rate with the best performing countries
4.0 Fatalities per 100 000 workers 3.5 3.0 2.5 2.0 1.5 1.0 2001-2003 2002-2004 Australia Finland 2003-2005 Sweden Norway 2004-2006 2005-2007 UK Switzerland 2006-2008 2007-2009 Denmark New Zealand
Serious claims
As there are different employer excesses across the various schemes, a standard reporting definition of a serious claim has been adopted for analysis. Serious claims include all fatalities, all permanent incapacity claims (as defined by the jurisdictions) and temporary incapacity claims for which one or more weeks of compensation has been recorded. Refer to page 44 of Appendix 1 - Explanatory notes for further information. Due to the different number of employees in each jurisdiction, rates have been calculated to assist with comparisons. Incidence rates compare jurisdictions on a per employee basis and frequency rates allow a comparison on a per hour worked basis. Indicator 5 shows that the Australian incidence rate for serious claims has steadily declined over the past four years, decreasing 9% from 14.9 to 13.5 claims per 1000 employees between 200506 and 200809. Preliminary data for 200910 indicates an incidence rate of 12.6 claims per 1000 employees. While it is expected that this rate will rise when updated data are available, the preliminary data indicate a continuing improvement in incidence rates. Substantial falls in incidence rates from 200506 to 200809 were recorded by South Australia (down 30%), the Australian Government (down 20%), Northern Territory (down 15%), Victoria (down 14%), Tasmania (down 7%), Western Australia (down 6%) and New South Wales (down 5%). Seacare was the only jurisdiction to record an increase in incidence rate during the same period (up by 12%). Also Seacare recorded the highest incidence rate for 200809 at 39.4 claims per 1000 employees with the Australian Government recording the lowest rate at 8.0 claims per 1000 employees. For the Seacare scheme, 200809 and 200910 were disappointing years with a 23% and 9% increase in the incidence rates of serious claims from the year before respectively. In 2008-09 the scheme recorded a 43% increase in the number of compensated claims while the number of employees increased by only 17%. The increase in the incidence of serious claims represents a significant challenge for the industry and the authority. These data are higher than those shown in Chapter 1 as they include all injury and all disease claims. The National OHS Strategy measurement only includes injury and musculoskeletal disorder claims, however these two indicators show similar levels of improvement. Over the period 200506 to 200809, New Zealand recorded an 11% decrease in incidence rates, dropping from 14.5 to 12.9 claims per 1000 employees. The preliminary data show a further 17% decrease to 10.7 claims per 1000 employees.
20 15 10 5 0
* Includes all accepted workers compensation claims involving temporary incapacity of one or more weeks compensation plus all claims for fatality and permanent incapacity.
Indicator 6 shows that in the 200910 preliminary data, the Australian frequency rate was 7.6 claims per one million hours worked. While the frequency rate data show a similar level of improvement for Australia, there are differences in the order of the jurisdictions: Tasmania recorded the highest frequency rate of 9.9 claims per one million hours worked but only the third highest incidence rate. Seacare also changed position due to the 24-hour basis on which their frequency rates are calculated. Refer to page 45 of Appendix 1 - Explanatory notes for further information.
Indicator 6 Frequency rates of serious* injury and disease claims by jurisdiction
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Claims per million hours wo aims pe worked
12 9 6 3 0 Tas 11.5 11.0 10.4 10.8 9.9 7.6 S'care 8.1 6.4 6.2 8.8 9.5 7.6 Qld 10.7 10.8 10.9 10.3 9.4 7.6 NSW 9.0 8.6 8.6 8.8 8.5 7.6 ACT 8.7 7.8 8.0 8.3 8.3 7.6 SA 11.4 10.3 9.0 8.3 7.8 7.6 WA 7.9 7.8 7.8 7.4 6.8 7.6 NT 8.2 7.0 7.5 6.8 6.8 7.6 Vic 7.2 6.8 6.5 6.3 5.8 7.6
* Includes all accepted workers compensation claims involving temporary incapacity of one or more weeks compensation plus all claims for fatality and permanent incapacity.
5 4 3 2 1 0 S'care ACT 4.5 3.6 3.7 4.1 3.8 38 3.1 SA 5.3 5.2 4.3 3.9 3.7 37 3.1 Qld 4.0 4.2 4.2 4.0 3.5 35 3.1 Tas 3.7 3.7 3.9 3.9 3.3 33 3.1 WA 3.7 3.7 3.9 3.8 3.1 31 3.1 NSW 3.5 3.5 3.7 3.6 2.9 29 3.1 Vic 3.6 3.4 3.4 3.3 2.9 29 3.1 NT 3.4 2.8 3.3 2.9 2.4 24 3.1 Aus Gov 3.0 2.6 1.9 2.2 1.9 19 3.1 Aus Total 3.8 3.7 3.7 3.6 3.1 31 NZ 2.8 3.0 3.0 2.7 1.9 19
Tasmania, Western Australia, New South Wales and Seacare were the only Australian jurisdictions to record increases in the incidence rate of long term claims over the period 200506 to 200809. New Zealand recorded a 4% decrease over this period, with its rate remaining lower than that of Australia. The frequency rates of long term claims in Indicator 8 show a similar pattern to the incidence rates. There are no differences in order between the jurisdictions.
Indicator 8 Frequency rates of long term (12 weeks or more compensation) injury and disease claims by jurisdiction
5
4 3 2 1 0 S'care 4.0 3.0 3.3 4.4 4.9 1.9 ACT 2.8 2.2 2.4 2.6 2.4 1.9 SA 3.2 3.1 2.6 2.5 2.3 1.9 Qld 2.4 2.5 2.5 2.4 2.1 1.9 Tas 2.3 2.4 2.4 2.5 2.1 1.9 WA 2.2 2.1 2.2 2.2 1.8 1.9 Vic 2.2 2.1 2.1 2.0 1.8 1.9 NSW 2.1 2.1 2.1 2.1 1.7 1.9 NT 1.9 1.6 1.8 1.6 1.3 1.9 Aus Gov 1.7 1.4 1.0 1.2 1.1 1.9 Aus Total 2.3 2.2 2.2 2.2 1.9
Duration of absence
The duration of absence for claims provides one indicator of the severity of injuries occurring in Australia. Indicator 9 shows the variation across the jurisdictions in the percentage of claims involving selected periods of compensation. These data are based on claims lodged in 200708, which is the most recent year that reliable data are available for this indicator.
Indicator 9 Serious* claims: Percentage involving selected periods of compensation, 200708 Jurisdiction
New South Wales Victoria Queensland Western Australia South Australia Tasmania Northern Territory Australian Capital Territory Australian Government Seacare Australian Average New Zealand
6 weeks or more
%
38 48 39 42 42 40 42 45 43 71 41 33
12 weeks or more
%
25 32 23 28 29 23 24 29 27 53 27 21
26 weeks or more
%
15 19 10 17 19 12 11 16 16 26 15 12
52 weeks or more
%
9 12 3 10 12 6 4 8 7 15 8 6
* Includes all accepted workers compensation claims involving temporary incapacity of one or more weeks compensation plus all claims for fatality and permanent incapacity.
These data show that 59% of claims in Australia resulted in less than six weeks of compensation. The jurisdictional rates were similar except for Seacare, which recorded 29% of claims being resolved in this time. Injured workers in the Seacare scheme face unique problems in return to work, which need to be considered when interpreting the Seacare results in this indicator. Refer to page 52 of Appendix 1 - Explanatory notes for further information. Seacare had the highest percentage of claims continuing past 52 weeks of compensation (15% of claims) followed by South Australia and Victoria (12% each). Queensland had 3% of claims continuing past 52 weeks of compensation, partly due to the nature of the Queensland scheme, followed by the Northern Territory (4%) and Tasmania (6%). The New Zealand scheme finalised a higher proportion of claims within six weeks than did Australia. However, their scheme recorded a 21% drop in this proportion when compared to the previous year.
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Compensated fatalities
Indicator 10 shows that in 200910 in Australia there were 194 accepted compensated claims for a work-related fatality, of which 136 fatalities were due to injury and musculoskeletal disorders and 58 due to other diseases. The number of fatalities is expected to rise as more claims lodged in 200910 are accepted. There was a 14% decrease in the number of compensated fatalities in Australia from 200506 to 200809. New Zealand recorded 101 compensated fatalities in 200910. Over the period from 200506 to 200809 New Zealand recorded a drop of 18% in the number of compensated fatalities. Fatalities are recorded in the NDS against the date of lodgement of the claim, not the date of death. Data revisions from previous years can occur where a claim is lodged in one year but not accepted until after the data are collected for that year or for an injury or disease in one year where the employee dies from that injury or disease in a subsequent year. This is particularly the case with disease fatalities, where considerable time could elapse between diagnosis resulting in a claim being lodged and death. Workers compensation data are known to understate the true number of fatalities from work-related causes, particularly deaths from occupational diseases such as asbestosis and mesothelioma where compensation is often sought through separate mechanisms including common law. Safe Work Australia is currently reporting annually on mesothelioma using data from the National Cancer Statistics Clearing House. The most recent of these publications Mesothelioma in Australia: Incidence 1982 to 2006, Mortality 1997 to 2007 is available from safeworkaustralia.gov.au. Deaths in the agricultural and construction sectors are also likely to be understated in the NDS data due to the higher proportion of self-employed workers in these industries who are not covered by workers compensation. A more accurate representation of injury fatalities is available in the Work-Related Traumatic Injury Fatalities, Australia 200809 report, which in addition to workers compensation data uses coronial information and notified fatalities data to provide a more accurate estimate of the number of fatalities from work-related injuries. The report is available from safeworkaustralia.gov.au. See also indicator 11b. As compensation may be sought through the Compulsory Third Party insurance scheme for motor vehicles, work-related deaths from road traffic accidents may also be understated. Note that fatalities occurring from a journey to or from work are not included in these statistics. Detailed information on the causes and other characteristics of fatalities reported through the NDS is contained in the Compendium of Workers Compensation Statistics, which can be found at safeworkaustralia.gov.au.
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200506
64 48 44 16 13 6 3 0 2 0 196 64 14 16 47 5 2 1 1 2 10 0 98 56 294 120
200607
48 60 43 26 7 4 2 1 7 0 198 67 9 14 57 1 3 0 0 0 8 0 92 71
200708
46 48 67 21 8 7 9 4 6 0 216 62 14 12 48 2 1 2 1 0 15 0 95 39 311 101
200809
49 34 56 22 8 5 6 2 3 1 186 65 18 10 29 4 0 0 1 1 5 0 68 33 254 98
200910p
34 32 29 13 7 4 4 1 12 0 136 66 10 7 15 5 0 0 0 2 19 0 58 35 194 101
5yr Average
48 44 48 20 9 5 5 2 6 1 186 65 13 12 39 3 2 2 1 1 11 0 82 47 269 112
Other diseases
Western Australia South Australia Tasmania Northern Territory Australian Capital Territory Australian Government Seacare Australian Total New Zealand Australia New Zealand
Total
290 138
* The majority of compensated fatalities for other diseases in Queensland are due to mesothelioma or asbestosis. Queensland compensates more of these fatalities through its scheme than is the case in other jurisdictions where compensation is more often sought through separate mechanisms including common law.
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Notified fatalities
While workers compensation data are currently the most extensive source of information for measuring work health and safety performance, there are some limitations. Other data sources can be used to supplement workers compensation data and provide a more complete picture of work-related fatalities. One alternative data source is the Notified Fatalities dataset. These data are collated from the work-related traumatic fatalities that are notified to jurisdictional work health and safety authorities under their legislation. The use of these data addresses some of the limitations of the compensated data by capturing fatalities occurring in categories of workers not covered for workers compensation, such as the self-employed. This data source was established in July 2003. More information about the Notified Fatalities collection can be found at safeworkaustralia.gov.au. Indicator 11a shows that the number of notified fatalities for workers decreased by 12% between 200405 and 200910. The volatility of work-related notifiable fatalities in Australia is highlighted by the decrease in the number of worker fatalities from the highest recorded over the collection period of 151 in 2008 09, to the lowest recorded of 111 in 200910.
Indicator 11a Notified work-related traumatic fatalities, Australia
200405 Worker
126
200506
143
200607
149
200708
134
200809
151
200910
111
Note that Indicator 11a under reports work-related road traffic fatalities as these fatalities are not notifiable in all jurisdictions, whereas Indicator 10 does not include deaths of persons who are not classed as employees, such as self-employed workers and bystanders. The NDS data for 200910 are preliminary and likely to increase as more claims are accepted, while the Notified Fatalities data are not likely to increase. It is important to note that Indicator 11a is a volatile measure and can change from year to year.
13
200405
162 90 252
200506
197 91 288
14
* Includes all accepted workers compensation claims involving temporary incapacity of one or more weeks compensation plus all claims for fatality and permanent incapacity. ** Includes vehicle accidents.
15
519 employees
20.7 10.1 15.1 19.8 17.4 29.9 13.3 n.p 16.3 13.7 20.3 7.3 13.7 13.6 17.1 25.9 13.4 n.p 14.4 13.0
2099 employees
200506
24.5 17.1 18.6 31.3 22.1 21.3 24.6 31.1 21.9 15.3
100499 employees
25.3 24.0 20.1 33.9 31.1 16.4 25.2 33.4 25.0 14.1 24.8 20.2 28.6 25.4 26.9 10.3 22.7 51.7 23.8 11.9
24.4 10.0 22.4 22.1 10.6 26.1 8.0 n.p 18.7 20.1 25.1 7.3 16.1 12.6 10.8 26.1 7.1 n.p 16.4 17.3
New Zealand New South Wales Victoria Western Australia South Australia Tasmania Northern Territory Aus Capital Territory Seacare Australia
***
200910p
23.4 13.5 18.5 21.4 23.3 19.9 23.8 19.1 19.3 13.2
New Zealand
* Includes all accepted workers compensation claims involving temporary incapacity of one or more weeks compensation plus all claims for fatality and permanent incapacity in the private sector. ** This indicator shows patterns at two points in time. Selecting different points may show a different pattern. *** Consists only of Australian jurisdictions listed above.
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17
Interventions
Some jurisdictions, while able to provide the 200910 figures according to the new definitions, were unable to provide data for the previous four years. Queensland was the only jurisdiction that supplied proactive and reactive workplace intervention data for the five financial years. Where jurisdictions were unable to supply data according to the new definition the table shows u/a (for unavailable). The revised definitions for proactive and reactive interventions have enabled New South Wales to provide data across all categories. A high proportion of the activity in New South Wales aligns to resolving issues raised by the community through workplace visits, office based follow up activities and stakeholder engagement mechanisms. In addition, New South Wales integrates components of proactive prevention programs (for example verification activities involving high risk licence or registration activities) within reactive or response activity to ensure greater coverage of high risk workplaces is achieved. In Queensland, a substantial increase in proactive workplace visits and a slight decrease in reactive workplace visits was recorded in 200910. The Queensland inspectorate is now focusing on strategies that will enhance its reach and effectiveness across industries. Greater emphasis is being directed to engage with workplaces, develop networks and provide advice to workplaces. This shift in focus is manifested by the substantial increase in the number of workshops/presentations/seminars/forums conducted during 200910. The Northern Territory reported a 50% decrease in its number of proactive workplace visits. Limited resources in the Northern Territory impacted on its ability to conduct workplace visits resulting in a focus on reactive workplace visits. The number of field active inspectors employed around Australia has remained relatively stable between 200506 and 200910. Field active inspectors are defined as gazetted inspectors whose role is to spend the majority of their time enforcing provisions of the work health and safety legislation directly with workplaces. In addition in some jurisdictions inspectors engage in other activities to improve work health and safety capabilities of businesses and workplaces i.e. a compliance field role. They include investigators (where applicable) who are appointed to work with the enforcement provisions by doing worksite visits, gathering evidence and making conclusions. They also include current vacancies and staff on extended leave, managers of the inspectorate regardless of whether undertaking field active work, auditors (who are gazetted as inspectors) who are responsible for creating an audit template, completing the auditing process and providing feedback. Staff involved in giving advice and information packs from the office have been excluded. Business advisory officers and community education officers have been also excluded. The number of field active inspectors employed by the Australian Government dropped in 200910. The decrease is due to the introduction of the new category number of other staff undertaking non-inspectorate activities. The number of field active inspectors and number of other staff undertaking non-inspectorate activities is now shared across these two definitions. Readers should note that although repeat visits and the number of inspectors in attendance are counted separately for both proactive and reactive workplace intervention measures, this is not so for Western Australia where inspectors in attendance are not counted separately. Please refer to page 47 of Appendix 1 Explanatory notes for more details about this.
18 Safe Work Australia
Inspectors
Where inspectors identify a breach under their work health and safety legislation, a notice may be issued. Australian jurisdictions issued 62 785 notices in 200910, a 10% increase from last year. In 200910, 1143 infringement notices were issued around Australia, compared to 5 744 prohibition notices and 55 898 improvement notices. Data for notices cannot be directly compared across jurisdictions as notices are defined by the separate legislation of each jurisdiction. For example, in some instances a single notice may be issued for multiple breaches of the legislation, while in other instances multiple notices are issued for each breach identified. In 200910, the Australian Government issued an increased number of notices compared with last financial year. This is in line with directions issued by the Minister for Workplace Relations to adopt a more proactive approach to compliance and enforcement, including undertaking a greater number of investigations each year. It is important to note that a conviction, order or agreement is defined (with or without penalty) once it has been recorded against a company or individual in the judicial system. All legal proceedings recorded in the reference year are counted regardless of when the initial legal action commenced. Data for Victoria and the Australian Capital Territory is limited to the number of successful prosecutions resulting in a conviction, fine or both. Queensland legislation does not allow for agreements, while Western Australian legislation does not provide for orders or agreements. In 2009-10 New South Wales recorded a drop in the number of legal proceedings finalised and legal proceedings resulting in a conviction, order or agreement. The finalisation of some proceedings was temporarily delayed in 200910 due to the High Court Kirk Group judgement in February 2010. The court judgement resulted in a large number of interlocutory applications being made including strike out motions and adjournment applications. This consequently caused a decrease in the number of finalised legal proceedings and outcomes reported by New South Wales. The total amount of fines awarded by the courts in 200910 reached $19 million, an 8% increase from the previous year. Information on penalty provisions can be found in the publication Comparison of OHS Arrangements in Australia and New Zealand available on the web at deewr.gov.au/WorkplaceRelations/WRMC/Pages/Reports.aspx. In some instances the courts declare that penalty amounts are to remain confidential. Therefore the data recorded in Indicator 14 are only those amounts known publicly. In 200910, the Australian Capital Territory recorded a significant decrease in the amount of fines awarded by the courts in comparison to the previous year. The Australian Capital Territory assess this as a reflection of year on year variations, and not representative of any decline in enforcement activity involving prosecutions or fines. The Northern Territory reported that the total amount of fines awarded by the courts was also significantly lower than the previous year, from $693 000 in 200809 to $60 000 in 200910. This drop corresponds with a decrease in the number of legal proceedings that occurred in the Northern Territory in 200910 compared with the previous year. The large decrease was also due to a particularly large fine that was imposed during the previous year which inflated the figure compared to 200708 and 200910. The Northern Territory has made a strategic decision to focus on capacity building and education through improvement and advisory notices rather than infringement notices. This strategy has been effective in lifting knowledge and compliance in a co-operative way.
Comparative Performance Monitoring 200910 19
Notices
Legal Proceedings
Fines
20
Indicator 14 Work health and safety compliance and enforcement activity by jurisdiction Vic
b c c c c c
NSW
27 834
c c c c c d d d d d e d d d d d
Qld
24 781 24 287 5 984 6 502 7 208 u/a u/a u/a 226 295 9 832
e h
WA
8 841 6 075 5 745 7 468 4 218 u/a u/a u/a 359 222 3 553 5 022 4 174 3 449 3 996 u/a u/a u/a u/a 0 29 30 29 93 93 1.4 1.4 1.1 1.0 1.0 1.3 1.3 1.3 31 31 1.5 1.5 1.4 1.5 1.5 u/a 12 12 12 12 12 1.3 1.2 1.2 1.1 1.1 u/a u/a u/a u/a u/a u/a u/a u/a 12 6 14 12 16 0.9 0.4 1.0 0.9 1.2 u/a 5 104 u/a
d d
SA
9 075 2 378 2 375 4 518 55 u/a u/a u/a u/av 20 u/a
d
Tas
2 953 287 280 110 u/a u/a u/a u/a u/a u/a 85 76 171 431
d d
NT
299 u/a u/a u/a 195 u/a u/a u/a n/a n/a n/a n/a n/a 5 11 23 767 425 u/a u/a u/a u/a 906 22 45 47 60 39 0.8 1.4 1.3 1.7 1.1 12 30 0 0 0 0 0 3 3 3 3 3 8.2 8.5 7.5 6.4 6.6 43 107 38 142 31 93 27 66 872 65 816 64 428 80 549 1 778 1 667 2 167 4 120 5 994 41 811 45 766 41 871 45 159 60 186 25 197 25 900 27 559 27 700 50 487 1 029 1 055 1 044 1 116 1 088 1.1 1.1 1.1 1.1 1.1 u/a 113 44 79 827
Total Aus
NZ
1 121 3 445 3 153 5 194 5 409 598 731 589 814 873 9 266 3 415 6 104 6 923 6 465 10 079 9 849 10 837 11 269 9 685 157 144 156 151
k
200506
27 103 27 565 20 242 6 253 u/a u/a
f f f d d d d d
u/a 6 715 23 836 25 370 28 104 u/a u/a u/a u/a u/a
g
200607
u/a
200708
u/a
u/a
200809 200910
8 915
200506
861
u/a
200607
944
u/a
200708
u/a
200809
6 415
u/a
200910
6 253
631
u/a
u/a
200910
15 661
u/a
u/a
200708
u/a
200809
227
u/a
200910
225 212
19 138
200506
301
200607
313
200708
314
200809
314
200910
315
200506
1.0
200607
1.1
1.0
200708 200809
1.1
200910
1.0
Indicator 14 Work health and safety compliance and enforcement activity by jurisdiction continued Vic
b
NSW
u/a
l m m m m m
Qld
53 41 38
n n n h h h h h
WA
u/a u/a 4 13 13
h h h h h
SA
n/a 10 12 0 0 u/a u/a 37 49 56 297 188 161 169 224 125 105 113 630 628 112 167 30 136 209 132 54 65 61 69 51 49 0 0 201 13 10 6 427 137 129 99 187 68 57 94 101 103
i
Tas
0 0 0 0 0 47 173 8 28
h h h h h
NT
0 0 0 u/a 13 n/a n/a n/a n/a n/a 12 37 18 31 36 10 6 19 16 26 u/a u/a u/a u/a u/a 1 2 2 2 0 0 0 0 0 19 17 16 17 20 6 4 3 4 3 u/a u/a 1
Total Aus
54 52 56 68 125 1 756 1 519 1 514 1 251 1 143 58 403 53 830 50 290 50 081 55 898 6 925 6 697 6 375
NZ
u/a 9 13 12 11 20 23 9 10 2 1 743 1 345 356 747 853 417 549 246 5 776 5 744 240 259
200506
u/a u/a u/a u/a
h h h h h
u/a
200607
49 57 486 612 643 506 393 16 347 14 631 14 390 8 149 9 057 2 243 2 434 2 784 2 278 2 277 705 721 676 588 629 732 708 623 10 640 1 841 9 833 2 396 9 724 2 328 10 249 3 258 11 679 3 573 n/a n/a n/a n/a n/a n/a n/a n/a n/a n/a 6 u/a 5
u/a
200708
u/a
200809
n/a n/a n/a n/a n/a
u/a
200910
34
Comparative Performance Monitoring 200910 11 168 12 040 10 279 18 363 21 600 1 876 1 538 1 043 1 078 928
200506
1 195
200607
726
200708
620
200809
686
200910
688
14 832
13 243
13 109
200809
10 832
200910
12 161
1 212
1 127
200708
994
200809
767
200910
856
21
Indicator 14 Work health and safety compliance and enforcement activity by jurisdiction continued Vic
136
o o o o o
22
NSW
174 126 102 133 96 143
p p p p p
Qld
47 30 26 21 49 41 56 51 62 46 $1 042 $1 299 $1 176 $1 365 $875 $48 $60 $81 $693 $188 $179 $177 $165 $15 $236 $23 $135 $173 $0 $134 10 1 3 3 $75 $198 $20 $375 $455 6 5 3 2 18 10 4 1 16 2 2 1 0 1 1 0 $0 $0 $0 $100 $0 48 13 0 5 1 0 51 15 1 3 3 0 66 13 5 3 2 3 57 24 10 2 1 0 532 463 448 712 595 480 402 396 $23 040 $18 103 $16 949 $17 894 $19 334 60 23 2 6 1 0 658 53 13 0 19 1 2 793
WA
SA
Tas
NT
Total Aus
NZ
49 59 41 36 56 79 80 73 74 79 NZ$1 929 NZ$1 751 NZ$1 553 NZ$2 162 NZ$2 221
200506
107 125 119 149 121 87 107 107 130 $3 532 $1 716 $3 239 $6 796 $7 674 $3 812 $781 $3 247 $470 $2 686 $685 $2 953 $457 $3 823 $383 85 42 102 18 83 23 102 29
348
303
185
200809
98
200910
81
200506
340
200607
300
200708
182
200809
96
200910
76
$13 878
$11 086
Total amount 200506 of fines awarded by 200607 the courts 200708 ($000)
$8 600
200809
$4 602
200910
$5 614
For the years prior to 200708, Australian Government data cannot be compared directly with the other jurisdictions. For more information please see page 48 of Appendix 1. bTotals only include jurisdictions who supplied the relevant data. cDoes not include industry forums/ presentations where an inspection also occurs. dThe number of inspectors in attendance are not counted separately. e The data for 200506 are not comparable with that for recent years as worksite visits solely for educational purposes and interventions in minerals processing plants are included. fFigures may be inflated when Inspectors and Community Education Officers present or attend the same event and therefore have been counted more than once. It is not possible to identify and separate such events from these figures. gAmended to include managers of inspectorate. hThere is no legislative requirement for infringement notices in Western Australia, Victoria, South Australia and the Australian Government. iDecrease in reactive activities is indicative of the general decrease in incident notifications in the same period. jWA now includes vacancies and auditors who are gazetted as inspectors for all years (FTEs). kThe drop is due to budget cuts. lUnable to supply this data for 200910 - system modifications are being implemented in order to capture and record this data for future reporting periods. mThe new structure within WorkSafe ACT (re Proactive, Reactive and High Risk Teams) was established on 1 July 2010, therefore there has been no specific recordings of the statistics for the dates 200506 to 200910. nFTE figures supplied for external Consultants, ThinkSafe Small Business Managers and Community Education Officers. oData are for number of defendants in successful OHS prosecutions. pWA legislation does not provide for orders or agreements.
23
Indicator 15 Standardised average premium rates (including insured and self-insured sectors) by jurisdiction
4
% of payroll
0 S'care 2005-06 2006-07 2007-08 2008-09 2009-10 2009-10 Aus av 5.86 5.68 4.87 3.81 3.59 1.53 SA 2.88 2.84 2.83 2.81 2.76 1.53
To be consistent with the Australian jurisdictions, the New Zealand premium information includes the levy on employers to fund the workers compensation portion of the Residual Claims Account. This account relates to workers compensation claims incurred prior to 1 July 1999 but excludes the liability for pre-1992 non-work injuries for earners. As in the previous financial year, 35% of all employer contributions were levies to fund the Residual Claims Account. The New Zealand standardised average premium rate was 0.93% of payroll, a 9% increase from the previous financial year. This rate continues to be much lower than the rate recorded for Australia. One reason for the lower rate in New Zealand is that its scheme does not provide coverage for the same range of mental disorders as do the Australian schemes. Note that these data will be different to premium rates published directly by the jurisdictions due to the adjustments made to the data to enable more accurate jurisdictional comparisons. The principal regulatory differences that affect comparability and for which adjustments have been applied in this indicator are: the exclusion of provision for coverage of journey claims; the inclusion of self-insurers; the inclusion of superannuation as part of remuneration; and the standardisation of non-compensable excesses imposed by each scheme. The effect of each of these adjustments is shown in Appendix Table 3 on page 51 in the Explanatory Notes. Information on published rates can be found in the Comparison of Workers Compensation Arrangements publication at safeworkaustralia.gov.au.
24
Temporary impairment
This example details how jurisdictions compensate low, middle and high income employees during selected periods of temporary impairment. Entitlements for an injured employee are shown in the following table using pre-injury earnings of $600 gross per week (award wage), $1000 gross per week (non-award wage) and $2000 gross per week (non-award wage). These profiles have been chosen to highlight the statutory maximum entitlements payable as well as jurisdictional differences in entitlements to workers employed under an award. Scenario The employee remains unable to work for a period of time before returning to their previous duties on a full-time basis. The employee has a dependent spouse and two children (aged 7 and 8). The employee injured their back and has lower back strain as a result.
Indicator 16 Percentage of pre-injury earnings for selected periods of impairment, as at 1 January 2010
Level of preinjury income NSW Low income Middle income High income Low income Middle income High income Low income Middle income High income Low income Middle income High income
100 80 80 100 80 80 100 73 57 100 70 45
Vic
95 95 65 88 88 65 84 84 66 82 82 66
Qld
100 91 85 100 91 85 100 85 80 100 82 78
WA
100 100 100 100 93 93 100 89 89 100 87
(a)
SA
100 100 100 95 95 95 88 88 88 84 84 84
Tas
100 100 100 93 93 93 89 89 89 87 87 87
NT
100 100 100 100 100 100 95 93 88 93 90 81
ACT
100 100 100 100 100 100 95 83 83 93 74 74
Aus Gov
100 100 100 100 100 100 99 97 97 94 86 86
NZ
80 80 80 80 80 80 80 80 80 80 80 80
13 weeks of impairment
26 weeks of impairment
52 weeks of impairment
87
(a) In Western Australia there is a cap on weekly earnings set at twice the annual Average Weekly Earnings (WA) as published by the ABS each year. The weekly cap as at 30 June 2010 was $2026.10 and applied to all income levels. In addition, for a high income earner (e.g. $2000 per week), the prescribed amount for weekly benefit ($178 047) would be exhausted by 102 weeks of compensation. Comparative Performance Monitoring 200910 25
For low income earners (working under awards), New South Wales, Queensland and Western Australia provided the highest percentage, at 100%, of pre-injury earnings for 104 weeks of impairment. These jurisdictions provide full coverage of earnings for such employees under this scenario. Reductions in weekly compensation payments would have occurred for non-award employees. The Australian Government provided the second highest percentage: 94% of pre-injury earnings in compensation. Victoria provided the lowest percentage of pre-injury earnings for 104 weeks of impairment (82%) due in part to the step-down in benefits to 75% of pre-injury earnings after 13 weeks of compensation (see Appendix 2: Table 7 for more details). For middle income earners with 104 weeks of impairment, the Northern Territory provided the highest percentage of pre-injury earnings (90%) followed by Western Australia and Tasmania (87% each), the Australian Government (86%), and South Australia (84%). New South Wales provided the lowest percentage of pre-injury earnings for the full period of impairment (70%) due to the lower payments from the first day of injury for non-award workers and the restrictions applied after 26 weeks. In the New South Wales system, once 26 weeks of compensation have been paid, the injured worker is entitled to the lesser of 90% of their average weekly earnings or the indexed statutory rate, plus extra entitlements for dependants (see Appendix 2: Table 7 for more details). In contrast to the low income scenario, where eight of the nine Australian jurisdictions provided full income protection for the first 13 weeks, the high income scenario shows that only six jurisdictions provided full income protection for high income earners for this period of incapacity.
Permanent impairment
This scenario shows the entitlements payable for a degree of permanent impairment caused by a workplace injury. Each jurisdiction has a predetermined statutory maximum lump sum payment for injuries causing permanent impairment. Maximum amounts are payable in cases of full and permanent impairment. Appendix Table 7 lists entitlements under workers compensation schemes for each jurisdiction. The following scenario is indicative only for these types of payments. Scenario As a result of the workplace incident, the employee was diagnosed with complete Tetraplegia below the 6th cervical neurological segment. This resulted in paralysis of his hands, impaired upper body movement and paralysis of the trunk and lower limbs. He lost all lower body function and was wheelchair-bound. Impairment was total and permanent and there was no real prospect of returning to work. The employees pre-injury earnings were $1000 gross per week. The employee is 35 years of age and has a dependent spouse and two children aged 7 and 8 the younger child entered the workforce at 16 and the older child remained in full-time education until age 25. The employee contributed to a superannuation fund. There was no contributory negligence on his part, however there was negligence on the part of the employer.
26
Indicator 17 details the entitlements payable to the injured employee. The statutory component includes the weekly benefits payable for the remainder of the employees working life (30 years in this instance) and all lump sum payments for permanent impairment. The common law component is an estimate of the additional payment available under a common law settlement, where applicable. All figures exclude medical and like services such as attendant care. Appendix Table 6 identifies the jurisdictions that have access to common law. In the Australian Capital Territory, if common law damages are awarded, statutory benefits paid will be deducted in order to ensure that the principle of no compensation benefit paid twice is maintained. Similarly, workers for the Australian Government are more likely to accept the statutory lump sum payment than to pursue a common law settlement. Total entitlements ranged from $1.2 million in the Australian Capital Territory to $5.2 million in New South Wales. In Western Australia, New South Wales, Queensland, Tasmania and the Australian Capital Territory there is no upper limit on compensation that could be expected from a common law claim under this scenario. Western Australia provided a figure for this scenario of $1 037 781 which is based on estimates from approved insurers within the Western Australian workers compensation scheme. A figure of $4 million was provided by New South Wales and is considered to be entitlements payable under common law for similar scenarios. Queensland provided a figure of $1 130 000, which is based on an example similar to this scenario. Tasmania provided a figure of $1 520 150 which was estimated based on gross earnings rather than net figures as per previous years. Statutory benefits are repaid by the worker to compensation schemes if common law damages are awarded. In South Australia, legislation changes enacted from April 2009 provide for a significant increase in the maximum amount payable to workers who suffer a permanent serious injury or illness, from $230 982 to $426 255. The system is now weighted so that more compensation is paid to those with moderate to serious permanent injuries, rather than those with minor permanent injuries. The entitlements provided by the New Zealand scheme in this scenario are comparable to those provided by the Australian jurisdictions. However, there is no access to common law under the New Zealand scheme.
Workplace fatality
This example examines the entitlements payable to dependants of an employee who died following a workplace incident. Entitlements to dependants are paid by way of a lump sum and/or weekly benefits, depending on the employees circumstances and scheme design. The date of death for this example was 1 January 2010. Pecuniary entitlements may be affected by common law payments in jurisdictions where there is access to common law redress. South Australia and the Northern Territory have no access to common law, while the Australian Government has limited access to common law. In Victoria there may be access to an additional lump sum under the Wrongs Act.
Scenario
The deceased employee and family circumstances in this scenario are the same as in the previous example but in this case the workplace incident resulted in death. The spouse did not re-enter the workforce or re-marry for 10 years.
Comparative Performance Monitoring 200910 27
Indicator 17 shows that a number of jurisdictions provided similar benefits in the case of a fatality. South Australia provided the highest entitlement payable to dependants in Australia following a workplace incident resulting in a fatality at $725 000, followed by Victoria at $654 000 and Queensland at $649 000. The lowest entitlements for fatality were provided in Western Australia ($298 000) and the Australian Capital Territory ($396 000). Appendix 2 provides more details on how these entitlements are calculated. In Victoria, legislative changes which were enacted from April 2010 increased lump sum amounts payable from $273 970 to $503 000 backdated for all claims not determined from 10 December 2009. However, the higher rates could not be paid until 5 April 2010. In the Australian Government scheme, the Employment and Workplace Relations Amendment Act 2009 amended the benefits under the Safety, Rehabilitation and Compensation (SRC) Act, the amendments were applied retrospectively to all compensable deaths occurring from 13 May 2008 with lump sum payments increased to $412 000. In New Zealand $468 000 is payable to dependants, higher than four of the Australian jurisdictions. The New Zealand scheme provides little in the way of lump sum amounts but provides high weekly benefits to the spouse and children while the children remain dependants.
Indicator 17 Level of entitlements for permanent incapacity or fatality as at 1 January 2010
2500
2000
1500
1000
500
NSW
Statutory $'000 Statutory $000 Common law $'000 Fatality $'000
QLD
TAS
617 617 1520 1520 399 399
VIC
1569 1569 88 88 654 654
WA
312 312 1038 ^1038 298 298
SA
1678 1678 n/a n/a 725 725
NT
1451 1451 n/a n/a 432 432
Aus Gov
2004 2004 n/a n/a 589 589
ACT
1208 1208 n/a **n/a 396 396
NZ
1369
1159 976 1159 976 4000 1130 + 4000 *1 130 570 649 570 649
In New South Wales there is no upper limit on compensation that could be paid from a common law claim. The amount provided is an estimate of entitlements payable under common law for claims similar to the scenario in question. * There is no upper limit on compensation that could be paid for a common law claim in Queensland. The amount provided is based on an example similar to the scenario in question. ** There is no upper limit on compensation that would be expected from a common law claim under this scenario in the Australian Capital Territory. ^ In Western Australia there is no upper limit on compensation that could be paid from a common law claim. The amount provided is based on estimates from approved insurers in the Western Australian scheme. However, damages awards may be higher or lower than the estimates provided, depending on the specific circumstances of an individual case.
28
29
Indicator 18a Standardised ratio of assets to net outstanding claim liabilities for centrally funded schemes
250% 200% 150% 100% 50% 0% Centrally funded
In Queensland, the funding ratio recorded a continuous drop since 2005-06, and a substantial drop was recorded during the last three financial years. In New Zealand, the substantial increase in funding ratio during 200910 was mainly due to a 14% increase in total assets while the outstanding claims liabilities decreased only by 2%. This improvement in the assets position was due to the surplus achieved during the 200910 financial year including improved investment returns, reduced scheme costs paid, decrease in un-expired risk liabilities, and reduced movements in outstanding claims liability. Indicator 18b shows that in 200910 the average funding ratio for privately underwritten schemes had a 5% drop compared to last year from 115% in 200809 to 108% in 200910. This is due to the falls in the funding ratios observed for Tasmania and Western Australia. Tasmania recorded a 12% drop in its funding ratio from 134% in 200809 to 118% in 200910. The Australian jurisdictions operating privately underwritten schemes have funding ratios above 100%, indicating that assets are sufficient to meet future liabilities.
30
Indicator 18b Standardised ratio of assets to net outstanding claim liabilities for privately underwritten schemes
Privately underwritten Privately underwritten
180% 160% 140% 120% 100% 80% 60% 40% 20% 0% 2005-06 2006-07 2007-08 2008-09 2009-10 2009-10 PU Av Tas 168% 145% 131% 134% 118% 108%
The Seacare and Australian Capital Territory Private schemes are privately underwritten, but no data are currently available for this indicator. Refer to page 54 of Appendix 1 - Explanatory notes for more information. Self insurers are excluded from the funding ratio measures as the workers compensation assets and liabilities are not quarantined from the rest of the self insurers business. Self insurers are regulated in each jurisdiction and are required to lodge financial guarantees with the regulatory authority to provide security for workers compensation entitlements. The level of the guarantee varies across the jurisdictions. A summary of the current requirements can be found in Safe Work Australias Comparison of Workers Compensation Arrangements in Australia and New Zealand at safeworkaustralia.gov.au. The data shown in this indicator may differ from jurisdictions annual reports due to the use of a standard definition of assets and liabilities.
31
Scheme expenditure
Since centrally funded and privately underwritten schemes have different financial structures the jurisdictions have been shown in their respective funding arrangement group. While the standardisation methodology provides a comparable measure across the two groups, caution should still be exercised when making such comparisons. Indicator 19 shows the amount and proportion of total scheme expenditure paid out in payments to injured employees plus administrative costs for the periods 200506 and 200910. This indicator shows that in 200910, compensation paid direct to the claimant accounted for just over half of all scheme expenditure. In 200910, all Australian jurisdictions, with the exception of South Australia and Comcare, recorded an increase in the proportion of total scheme expenditure paid direct to the claimant compared to that paid in 200506. Direct compensation is paid to injured employees either as weekly benefits, redemptions, common law settlements (excluding legal costs) and non-economic loss benefits. In 200910, seven of the nine Australian jurisdictions recorded a decrease in the proportion of total expenditure to insurance operations compared to 200506, with the most substantial falls recorded by New South Wales, Queensland, and the Northern Territory. This resulted in a 5.1 percentage point decrease in the proportion of total expenditure dedicated to insurance operation functions by Australian schemes over this period. Four jurisdictions recorded decreases in the proportion of expenditure associated with other administration in 200910 compared to 200506, with Seacare recording the largest decrease of 3.8 percentage points. Costs associated with other administration include expenditure associated with corporate administration, but excludes corporate administration costs allocated to work health and safety. The New Zealand proportions display a different pattern to the Australian schemes with a lower proportion in direct to claimant expenditure and a higher proportion in services to claimant expenditure. This is due to the nature of the New Zealand scheme where a greater proportion of workers medical costs are identified as work-related. In Australia, the Medicare system would most likely pick up some medical costs for work-related injuries where a workers compensation claim is not submitted. Administrative costs are affected by the type of scheme in operation. Indicator 20 shows the distribution of direct payments into weekly benefits and lump sums. The payment of long term weekly benefits results in higher administration costs. This indicator shows that in 200910 the Seacare, Comcare, New South Wales, Victorian, Western Australian and Tasmanian schemes paid out more as weekly benefits while the Northern Territory, South Australian and Queensland schemes paid out more as lump sum benefits. For Queensland, Seacare and Comcare, the higher proportion of benefits paid as lump sums in 200910 represents a shift from 200809, where the proportions of lump sum benefits paid were 68%, 6% and 8% of direct payments respectively. In Queensland, there was a 12% increase in the average damages paid from 2009 to 2010 due to a number of court decisions awarding an amount for general damages that was 20% above what was originally thought. Also, in 200910 there was an 18% increase in the number of claims where payments were made compared to 200809.
32 Safe Work Australia
Indicator 19 Scheme expenditure Centrally funded Vic Qld SA Comcare WA Tas NT Seacare Privately underwritten Australia NZ
Scheme Costs
NSW
Expenditure ($M)
701.7 309.2 344.5 37.2 21.0 14.5 1 428.2 802.5 535.8 249.4 606.8 88.7 38.2 19.6 7.2 5.5 0.7 7.7 2.7 1.9 4.2 1.0 7.5 8.1 1.4 4.2 0.4 0.0 0.2 0.7 47.4 115.6 53.8 33.4 172.5 27.3 5.2 114.1 114.9 62.2 134.4 21.5 12.3 519.4 336.8 143.4 285.9 37.9 29.0 4.1 1.0 0.9 0.1 0.0 0.4 6.5 3 002.6 1 274.4 1 307.8 67.1 66.7 90.2 5 808.7 148.3 166.3 30.6 13.8 0.0 21.7 380.7
200506
Direct to claimant
944.4
Services to claimant
505.0
Insurance operations
554.4
Regulation
8.3
Comparative Performance Monitoring 200910 930.3 378.6 391.2 59.1 23.0 39.5 1 821.7 1 252.0 589.4 30.2 34.4 9.5 7.6 4.1 15.9 289.6 8.2 11.9 0.8 102.6 76.8 46.0 205.2 116.3 62.4 184.7 189.8 4.3 4.4 7.0 819.8 896.5 342.4 160.4 429.5 48.7 28.2 25.5 1.9 1.1 0.3 105.8 51.1 19.1 5.8 0.0 0.2 1.1 77.3 10.3 2.3 1.8 0.0 0.5 0.4 15.3 4 063.8 1 633.4 1 271.3 112.0 82.5 137.4 7 302.0
Dispute resolution
28.0
Other administration
3.4
Total
2 043.5
200910
249.5 166.9 51.0 26.9 0.0 37.1 531.4
Direct to claimant
1 194.7
Services to claimant
636.6
Insurance operations
433.3
Regulation
25.8
Dispute resolution
32.1
Other administration
10.5
Total
2 333.0
33
34
Privately underwritten
Scheme Costs
NSW
200506
Direct to claimant
46.2
Services to claimant
24.7
Insurance operations
27.1
Regulation
0.4
Dispute resolution
1.4
Other administration
0.2
Total
51.1 20.8 21.5 3.2 1.3 2.2 100.0 100.0 100.0 100.0 2.4 5.8 5.5 0.9 100.0 0.8 1.3 1.4 0.5 0.7 2.0 0.3 0.5 8.2 13.0 15.9 23.2 24.1 1.8 1.0 0.3 100.0 16.4 19.7 21.5 22.5 26.7 71.6 58.1 55.4 52.4 46.1 66.1 24.7 7.5 0.0 0.3 1.4 100.0
100.0
200910
67.5 14.9 11.6 0.2 3.2 2.6 100.0 55.7 22.4 17.4 1.5 1.1 1.9 100.0 47.0 31.4 9.6 5.1 0.0 7.0 100.0
Direct to claimant
51.2
Services to claimant
27.3
Insurance operations
18.6
Regulation
1.1
Dispute resolution
1.4
Other administration
0.4
Total
100.0
In South Australia, there was a four percentage points decrease in the proportion of benefits paid as lump sums compared to the previous year. This was due to a drop in lump sum applications resulting from legislative changes in 2009, moving from Table of Maims to a whole-person impairment (WPI) approach in calculating lump sum benefits. The New Zealand scheme has little provision for lump sum payments. In the Seacare scheme the proportion paid as a lump sum in 200910 was twice the proportion paid in 200809. This is because there was an increase in the number of accepted claims. Also, there was a death claim for the first time in the history of the scheme. In Australia, there is a higher proportion being paid as a lump sum than in previous years, with all jurisdictions increasing by the same proportion of lump sums except South Australia.
Indicator 20 Direct compensation payments by type and jurisdiction, 200910
100%
Percentage of direct compensation
WA 51% 49%
SA 50% 50%
NT 46% 54%
NZ 98% 2%
35
Per cent
Tas 81 83 79 80 82 75
C'care 89 85 84 88 81 75
NT 88 75 68 81 77 75
Vic 77 76 75 69 75 75
NSW 81 78 76 72 74 75
Qld 81 78 75 73 78 75
SA 67 65 64 71 72 75
S'care 64 71 82 67 62 75
Aust 80 77 75 72 75 75
NZ 79 81 80 75 77 75
36
Indicator 21 reveals that the 200910 Australian average rate for durable return to work was 75%. The durable Return To Work rate was higher than the national Australian average among Tasmanian (82%), Comcare (81%), Queensland (78%) and the Northern Territory (77%) injured workers and lower among Seacare (62%), South Australia (72%) and New South Wales (74%) injured workers. Victoria recorded the largest increase in the durable return to work rate (6 percentage point increase). Improvements were also recorded in Queensland (5 percentage points increase). Comcare recorded a seven percentage point decrease in the durable return to work rate while Seacare recorded a five percentage points decrease when compared with previous year. While there was a decline in the Australian national durable Return To Work rate between 200506 (80%) and 200809 (72%), the 200910 result of 75% suggests a change in the direction of the trend with the 200910 durable Return To Work rate significantly higher than the 200809 rate (RTW Monitor, 200910). Each jurisdiction faces varying challenges in their endeavours to improve return to work rates. Some drivers of return to work are defined by legislation and can be influenced by the nature of the scheme design (whether it is short or long tail in nature). For example, the benefit structure can influence return to work, as can the associated step down provisions, and legislative differences regarding early claims reporting, employer obligations and common law arrangements.
Disputation rate
A dispute is an appeal to a formal mechanism, such as a review officer or conciliation or mediation service, against an insurers decision or decisions relating to compensation. Disputes exclude common law and also exclude redemptions and commutations unless processed as disputes through the jurisdictions dispute resolution system. Change of methodology The disputation rates data presented in this edition of the CPM report differ to that in previous editions. This is due to the adoption of a new definition designed to improve comparability among jurisdictions. This methodology has been applied to the last five years of disputation data. The number of active claims in the reference financial year rather than new claims lodged in the reference financial year are used to calculate disputation rates. An active claim is described as any claim on which a payment of any type was made during the reference financial year (including claims with medical treatment costs only) regardless of when that claim was lodged. Indicator 22 shows the number of new disputes as a proportion of active claims in the reference financial year. The measure includes all disputes lodged for the year against any active claim that had any type of payment in the reference financial year. It should also be noted that active claims include all claims that had any type of payment made to them in the reference financial year. The comparison of disputation rates between jurisdictions must be treated with caution due to jurisdictional differences in scheme design, types of decisions which can be appealed, dispute resolution models and the cost of appeals. Indicator 22 shows that the Australian disputation rate remained stable from 200809
Comparative Performance Monitoring 200910 37
to 200910 at 4.7% of active claims. The Australian disputation rate has remained fairly consistent over the past four years, with no great fluctuations seen since 200506. South Australia and Western Australia were the only jurisdictions to record a decrease from the previous year. Western Australia reported the lowest disputation rate of all the Australian jurisdictions at 2.5% of active claims, while Seacare recorded the highest rate at 11.7% of active claims. In 200910, 18% of claims made by seafarers resulted in an application to the Administrative Appeals Tribunal (AAT) for review. This represents an increase from the previous year, but remains substantially lower than the rate (29%) seen in 2005 06 and 2006 07. In 200910, 77% of the matters going to the AAT were finalised by the consent of the parties without going to a hearing.
Indicator 22 Proportion of claims with dispute
15% Proportion of active claims 12% 9% 6% 3% 0% S'care 2005-06 2006-07 2007-08 2008-09 2009-10 2009-10 Aus Av 26.9% 22.2% 14.6% 10.4% 11.7% 4.7% Vic 9.0% 8.9% 9.2% 9.4% 9.7% 4.7% SA 6.6% 6.4% 7.7% 9.4% 6.9% 4.7% Tas 5.8% 4.9% 5.5% 5.6% 5.9% 4.7% NT 3.0% 3.8% 4.1% 4.8% 4.8% 4.7% C'care 4.8% 5.0% 5.3% 4.3% 4.3% 4.7% NSW 4.9% 3.7% 3.7% 3.9% 3.9% 4.7% Qld 3.0% 2.4% 2.5% 2.6% 3.0% 4.7% WA 3.4% 3.4% 2.5% 2.6% 2.5% 4.7% Aus Av 5.2% 4.5% 4.5% 4.7% 4.7%
The disputation rate for South Australia increased in 200809 mainly due to the major legislative changes that commenced from 1 July 2008. The rate for 200910 reduced significantly and returned to levels similar to that of 200506. In New Zealand, the Accident Compensation Commission is taking a more active management approach in the provision of rehabilitation and treatment. As a result more treatment, rehabilitation and surgery requests have been declined and consequently more claimants are seeking their cases be reviewed or reconsidered. This has led to an increase in the disputation rate for New Zealand in 200809. The New Zealand disputation rate is very low because of the universal nature of New Zealands accident compensation scheme. Since people who have accidents are covered whether the accident occurs at work, home, on the road, playing sport etc., and whether they are employed, self-employed or a non-earner (child, pensioner, student, unemployed), there are very few disputes relating to cover.
38
Dispute resolution
Only some jurisdictions can supply data on the time involved to resolve disputes. The speed that disputes are resolved depends on the systems and processes in place for each jurisdiction. Generally, the simpler the process, the faster the dispute is resolved. Where there is a lag in the collection, exchange and lodgement of information by one or more parties, disputes are likely to be more adversarial and therefore more costly. A high percentage of disputes resolved in a longer timeframe may also indicate that there are a high number of more complex disputes being dealt with within a jurisdiction, or that there are some mandatory medical or legal processes in place which inherently delay resolution. Indicator 23 demonstrates that in the past five years in Australia, there has been a slight decrease in the proportion of disputes resolved within one month. However, the percentage of disputes resolved within three, six and nine months has remained stable during this period.
Indicator 23 Percentage of disputes resolved within selected time periods (cumulative) Jurisdiction
NSW Victoria Queensland Western Australia Tasmania Comcare Australia New Zealand NSW Victoria Queensland Western Australia Tasmania Comcare Australia* New Zealand
200910
45.3 47.8 81.6 50.1 63.1 10.0 50.7 16.2
On average half the disputes were resolved within three months from the date of lodgement, with Queensland resolving the highest proportion of disputes (82%) followed by Tasmania (63%) within that time. In 200910, Tasmania resolved half of disputed claims within one month, significantly higher than any other jurisdiction. Moreover, the proportion of disputes resolved after three months in Tasmania was similar to the Australian average. In contrast, less than 3% of disputes were resolved within one month in both the Victorian and Comcare schemes. The resolution times for Victoria are impacted by the compulsory conciliation process which may or may not involve medical panel referral and the fact that court litigation can only occur at the conclusion of the compulsory conciliation process. Overall, Comcare disputes generally took more time to resolve than disputes in other
39
jurisdictions. As Comcare disputes proceed to an external and independent body, Comcare has no control over the associated timeframes for dispute resolution. These disputes tend to be quite complex and require a long time to resolve. The resolution times for New South Wales are affected by the incorporation of a mandatory medical assessment into the Workers Compensation Commissions proceedings in relation to disputes over permanent impairment entitlements. Entitlement to compensation for permanent impairment is the subject of over 70% of dispute applications lodged with the Commission. While New South Wales resolves a small percentage of disputes within one month, 88% of disputes are resolved within six months and 96% of disputes are resolved within nine months of lodgement. New Zealand has adjusted current and historic figures for new claims to include all claims received regardless of claim acceptance. This is different from previous data which only included accepted claims. The resolution rates for New Zealand are better than most Australian jurisdictions, however as noted in Indicator 22, this scheme has very few disputes to resolve.
40
41
42
A Agriculture, forestry & fishing B Mining C Manufacturing D Electricity, gas & water supply E Construction F Wholesale trade G Retail trade H Accommodation, cafes & restaurants I Transport & storage J Communication services K Finance & insurance L Property & business services M Government administration & defence N Education O Health & community services P Cultural & recreational services Q Personal & other services
Industry information
30
25
20
15
10
0
E 24.3 22.1 22.4 22.4 19.7 12.6 12.6 12.6 12.6 12.6 18.3 15.0 14.2 13.6 17.7 15.9 14.6 15.3 12.9 13.0 12.6 16.0 19.7 15.0 15.9 13.2 16.9 20.9 15.1 14.8 13.8 11.7 11.9 11.5 10.0 12.6 17.0 20.4 15.8 16.7 14.7 12.5 Q B O F M H P
G 9.7 9.4 10.0 9.0 9.4 12.6 9.3 9.1 8.8 8.8 8.5 12.6
2005-06
26.9
28.4
26.2
2006-07
26.4
27.8
25.3
2007-08
25.1
25.6
24.7
2008-09
25.3
24.3
25.7
2009-10p
24.0
22.0
21.6
Aus Av
12.6
12.6
12.6
* Includes accepted workers compensation claims for temporary incapacity involving one or more weeks of compensation plus all claims for fatality and permanent incapacity
% of payroll
0 C 3.2 2.9 2.7 2.5 2.5 1.5 1.5 1.5 1.5 1.5 2.5 2.4 2.1 1.7 2.5 2.3 2.0 1.6 1.7 1.6 1.5 2.7 2.5 2.2 1.7 1.7 3.2 2.7 2.4 1.9 1.9 1.4 1.3 1.3 1.3 1.5 3.7 3.0 2.6 2.2 2.2 1.5 E Q H G O P
2005-06
4.6
3.3
2006-07
4.2
2.9
2007-08
3.8
2.7
2008-09
3.7
2.6
2009-10
3.6
2.5
2009-10 Aus av
1.5
1.5
43
Appendix 1
44
Serious claims
43 950 23 990 29 380 12 330 8 850 3 160 1 340 1 710 2 720 190 127 620 19 190
% of hours
30.9 24.6 18.5 10.8 6.7 1.9 1.2 1.2 3.9 0.1 100.0
45
Appendix 1
Size of business
The number of employees in each of the five business size groups has been provided by the ABS. Employment data are based on the Australian Industry, 200506 publication (cat. No. 8155.0) and derived using a combination of directly collected data from the Annual Economic Activity Survey conducted by the ABS and business income
46
tax provided by businesses to the Australian Taxation Office. The scope and coverage of these estimates are for the private sector which consists of all business entities in the Australian economy except for entities classified as general Government. Data on the number of claims is collected in each jurisdiction by a variety of methods, some via the claim form and others by imputing estimates from the data supplied by employers.
Following the Governments decision in March 2007 to grant licensed self-insurers coverage under the 1991 OHS Act, the number of employees regulated by Comcare increased by 64% from 291 535 full-time equivalent (FTE) employees prior to the March 2007 legislative amendment to 477 979 FTE employees as at June 2010. In response, Comcare increased its field active inspectors (including other staff undertaking non-inspectorate activities) from 22 in 200506 to 60 in 200809, to drop down to 51 by 30 June 2010, based in seven regional offices across Australia.
Comparative Performance Monitoring 200910 47
Appendix 1
This ensured appropriate investigator resources to effectively regulate the growing jurisdiction. The increased number of workplace interventions and court based enforcement actions can be directly related to the large and growing number of employers and employees that Comcare regulates across its jurisdiction. Data provided by Western Australia in relation to proactive and reactive interventions include the number of visits (including repeat visits) for investigations with a completion date between the reporting period. In efforts to provide stable and reliable data and to prevent double counting, visits pertaining to open investigations have been excluded.
different actuarial assumptions used in the calculation of premium rates. The premium rate data in this report take into account differences in remuneration, selfinsured premiums, employer excess and journey claim coverage.
Journey factor
49
Appendix 1
Journey factors
All jurisdictions except Victoria, Western Australia, South Australia, Tasmania, Australian Government and New Zealand provide some level of coverage for journey claims. Hence an estimated amount equal to the cost of providing this coverage has been removed from the premium rates of the jurisdictions who provide this type of coverage. The factors applied are shown in the Appendix Table 2. In New Zealand journey claims are covered by a different scheme.
Seacare scheme
Seacare scheme policies often include large excesses, ranging from $5000 to $100 000, representing approximately three weeks to more than 12 months compensation, with the majority of policies containing excesses in the $5000 to $25 000 range. An adjustment factor has been developed to take into account the large and variable deductible. The impact of this factor is observed in the notable difference between Seacares raw premium rate and the premium rate after the employer excess adjustment has been applied (see columns 3 and 4 of the Appendix Table 3). Appendix Table 3 presents average premium rates with various adjustments to assist comparability. Each column in this table represents progressively adjusted premium rates as follows: Column 1. These data are average premium rates for insured employers only, calculated using the definition of remuneration as used by that jurisdiction, i.e. superannuation included where applicable. GST was excluded in all cases. Rates are applicable to the employer and medical excesses that apply in each jurisdiction and hence should not be compared. Column 2. These rates are average premium rates for the insured sector adjusted to include superannuation in the definition of remuneration. Estimates of superannuation were applied to Western Australia, Tasmania and the Northern Territory. All other jurisdictions were able to provide appropriate data. Data for New Zealand were also adjusted to include superannuation. Column 3. These rates are the average premium rates for each jurisdiction including both the insured and self-insured sectors before any adjustment factors are applied. Column 4. These rates adjust the rates in column 3 to account for the different employer excesses that apply in each jurisdiction. The adjustment made to the data from the self-insured sector may be different to that applied to the premium paying sector due to the assumption that a nil employer excess applies to the self insured sector. More information on the adjustment factors used in this calculation is included in the Explanatory notes at the end of this section. Column 5. These rates further adjust the rates in column 4 to remove a component comparable to the cost of providing workers compensation coverage for journeys to and from work. These adjustments apply to all jurisdictions except Victoria, Western Australia, South Australia, Tasmania and New Zealand where the coverage for these types of claims is outside the workers compensation system.
50
Total(a) average premium rate adjusted for employer excess and journey claims 5 1.82 1.39 1.12 1.22 2.76 1.40 1.82 2.03 0.93 3.59 1.53 0.93
(a) Total of adjusted premium for insured sector plus calculated premium for self-insured sector. (b) The NSW average premium rates also include the dust diseases levy which is not part of the WorkCover New South Wales scheme but is payable by employers in that State.(c) Queensland includes stamp duty levied at a rate of 5% of the premium including GST. (d) Western Australia includes a temporary levy to meet the costs associated with the failure of HIH Insurance Ltd. (e) Note that there are no self-insurers in the Seacare scheme.
51
Appendix 1
Sampling error
The following paragraph is taken from the ReturnTo Work Monitor. A sample of all eligible injured workers is surveyed, as such the statistics produced have sampling error associated with them. That is, estimates from the survey may differ from the numbers that would have been produced if all eligible injured workers had been surveyed. The statistical estimate of sampling error is the standard error. The standard error provides a basis for measuring the precision to which the sample estimate can estimate the population value. There is about a 5% chance that the true value lies outside a range of two standard errors either side of the sample estimate. Such a range defines a 95% confidence interval for that estimate. Appendix 5 shows the standard errors for the current sample size at the 95% confidence interval. This table indicates that if the survey estimate produced a value of 50% then we can be 95% certain that the true value would lie between 48.2% and 51.8% if the entire population was surveyed.
Appendix Table 5 Survey estimates of 50% and 80% at 95% confidence interval Survey estimate of 50%
Sample size
2 689 600 400 300 200 100
Confidence interval
+/- 1.9% +/- 4.0% +/- 4.9% +/- 5.7% +/- 6.9% +/- 9.8%
Lower band
48.1% 46.0% 45.1% 44.3% 43.1% 40.2%
Upper band
51.9% 54.0% 54.9% 55.7% 56.9% 59.8%
Lower band
78.5% 76.8% 76.1% 75.5% 74.5% 72.2%
Upper band
81.5% 83.2% 83.9% 84.5% 85.5% 87.8%
claim liabilities from both the assets and liabilities for Comcare, pre-premium business arising from claims prior to 1 July 1989 has been excluded from the measure as this is funded directly from special appropriations from the Australian Government, and to be consistent with other jurisdictions, the funding ratio measure for New Zealand includes claim liabilities and the corresponding assets in the Residual Claims Account. Different measures of assets to liabilities can arise from different economic and actuarial assumptions in valuing liabilities as well as differences in the definitions of: assets and net assets, and liabilities, such as allowance in some schemes for prudential margins, and allowance for different levels of claim handling expenses. Different definitions of net assets have been addressed in this publication by the application of a consistent definition. For centrally funded schemes, net assets are equal to the total current and non-current assets of the scheme minus the outstanding claim recoveries as at the end of the reference financial year. For privately underwritten schemes, assets are considered to be the insurers overall balance sheet claims provisions. A consistent definition of net outstanding claim liabilities has also been adopted, but there are still some differences between jurisdictions in the measurement of net outstanding claim liabilities. These relate to the different claim handling expense assumptions by jurisdictions for which adjustments have not been applied. For centrally funded schemes, net outstanding claim liabilities are equal to the total current and non-current liabilities of the scheme minus outstanding claim recoveries as at the end of the reference financial year. For privately underwritten schemes, liabilities are taken as the central estimate of outstanding claims for the scheme (excluding the self-insured sector) as at the end of the reference financial year. For jurisdictions with a separate fund dedicated to workers compensation (centrally funded schemes), the assets set aside for future liabilities can be easily identified from annual reports. Centrally funded schemes operate in Victoria, Queensland, South Australia, Comcare and New Zealand. For jurisdictions where workers compensation is underwritten by insurance companies (privately underwritten schemes), assets are set aside to meet all insurance liabilities but the insurance companies do not identify reserves specifically for workers compensation liabilities. For these schemes, net assets are considered to be the balance sheet provisions made by the insurers at the end of each financial year. Privately underwritten schemes operate in Western Australia, Tasmania, the Northern Territory, the Australian Capital Territory and Seacare. The New South Wales scheme is a managed fund, combining some of the features of centrally funded schemes and privately underwritten schemes. Under the WorkCover Scheme, insurers have been licensed as fund managers on behalf of the WorkCover Authority of New South Wales.
Prudential margins
Many jurisdictions add prudential margins to their estimates of outstanding claims liabilities to increase the probability of maintaining sufficient assets to meet the liabilities estimate. This is done in recognition that there are inherent uncertainties in the actuarial assumptions underlying the value of outstanding liabilities. The addition
Comparative Performance Monitoring 200910 53
Appendix 1
of a prudential margin will lower the assets to liabilities ratio for that jurisdiction. As some jurisdictions do not have prudential margins, these margins have been removed from the estimates to enhance comparability. For jurisdictions that use prudential margins in determining their liabilities, there will be a greater discrepancy between the ratios shown in this report and those shown in their annual reports. The margins that have been removed are: NSW risk margin of 3% from 200506 and 12% from 200607, 200708, 200809 and 200910. Victoria prudential margin of 8.5% for the WorkSafe scheme and 40% for the Insurers Guarantee Fund and the Uninsured Employers and Indemnity Funds from 200506, 200607, 200708, 200809 and 200910. Queensland a prudential margin of 11.6% from 200506, 11.8% from 200607, 11.7% from 200708, 12.7% from 200809 and 13% from 200910. South Australia a prudential margin of 5% from 200506 and 200607, and 5.2% from 200708, 200809 and 200910. Northern Territory prudential margin of 15% from all years. Comcare no prudential margin was applied in 200506. In 200607 a prudential margin of 6.9% from premium business and a 7.5% margin from pre-premium business. In 200708 a prudential margin of 9.6% from premium business and a 9% margin from pre-premium business. In 200809 and 200910 a prudential margin of 11.8% from premium business and a 12.7% margin from pre-premium business. The liabilities for the remainder of the schemes are central estimates, without prudential margins.
Dispute resolution costs include all activities associated with the finalising of disputes other than the direct costs associated with a claim, such as legal representation costs, which are included as claim payments. Includes costs associated with departments of justice/ courts, conciliation, medical panels and workers compensation tribunals/ courts. Other administration costs include expenditure associated with corporate administration, but excludes corporate administration costs allocated to work health and safety. Costs encompass executive management, board/management committee, corporate planning and reporting, finance, human resources and personnel, administration, audit costs, corporate legal costs, bank charges and IT costs (including depreciation).
55
56
Appendix Table 6 Key features of Australian workers compensation schemes, 200910 Queensland Central fund
Yes Yes Yes Yes Yes(e) Yes Yes - Limited Yes No Yes No No No(b) No Yes - Limited(c) Yes Yes Yes
New South Wales Tasmania Private insurers Private insurers Private insurers Private insurers Central fund
Victoria
Western Australia
South Australia
Northern Territory
Fund Type
Managed fund
Central fund
Yes
No(a)
Yes
Yes - limited
Yes
Yes - limited
3 089 136
2 535 153
112 896
111 479
364 390
Number of self-insurers
1.12 1.22 2.76 1.40
67
38
29
1.82
1.39
1.82
2.03
0.93
100
121
118 5.9 82
102 4.8 77
100 4.3 81
3.9
9.7
74
75
(a) Journey claims are covered by the TAC in Victoria for injuries sustained to/from work. Journey injuries sustained in the course of work are compensable under the Accident Compensation Act 1985.
(b) Journey claims are only covered in SA in limited circumstances - the journey must have been undertaken carrying out work duties. Commutes between home and work are only compensable where there is a real and substantial connection with employment. (c) Journey claims not covered if incident involves a motor vehicle. This is covered by the Motor Accidents (Compensation) Amendment Act 2007. (d) As of 13 April 2007, the SRC Act was amended to remove coverage for non-work related journeys, and recess breaks where there is a lack of employer control over work activity. (e) All redemptions in SA are subject to legislative restrictions as of 1 July 2010. A worker is only eligible if: (a) they have returned to work but are entitled to $30pw; (b) they are 55 years and have no current work capacity, or (c) the Tribunal orders a redemption due to exceptional circumstances. A redemption can only be reached by agreement between the worker and WorkCoverSA or self-insured employer. (f) The number of employees is supplied from the ABS using Labour Force Survey data as a base, with a number of adjustments applied to account for differences in workers compensation coverage for some jurisdictions.
Appendix Table 7 Entitlements under Australian workers compensation schemes for award wage earners as at 1 January 2010^* Queensland
85% of NWE*** 100% (or 100% under industrial agreement) 85% of NWE*** 100% (or 100% under industrial agreement) 75% NWE or 70% QOTE*** 75% NWE or 70% QOTE*** QOTE if > 15% Work-Related Impairment, equal to single pension rate*** 100% 80% subject to capacity review 80% 75-90% 100% 80% 53-78 weeks 85%, 79-104 weeks 80% 75-90% 100% 80% 85% 75-90% 65% or Stat Floor 90% 85% 100% 100% 100% 100% 100% 100% 100% 100%
Victoria
Western Australia
South Australia
Northern Territory
95% up to max
75% up to max
75% (excl O/T up to max., subject to work capacity test after 130 weeks)
Lump Sumsmaximum
>75% impairment: $220 000 for multiple injuries or $231 000 for back impairment + $50 000 pain & suffering Medical - no limit. Hospital - 4 days (>4 days if reasonable) $53 414 + $50 000 in special circumstances No limit
$503 000
$155 960.87 permanent impairment + $29 242.68 noneconomic loss No limit No limit No limit
$503 000 (shared) + preinjury earningsrelated pensions to a maximum of $1 300pw for dependent partner/s and children
$426 255 + 50% workers NWE for totally dep. spouse 25% workers NWE for otally dep. orphaned child. 12.5% workers NWE for totally dep. nonorphaned child
$458 370 + $12 245 to dep. spouse + $24 480 for each dep. family member under 16 or student + $90.60pw per child to spouse while children are under 6 yrs + $113.25pw per dep. child/ family member while children/family members under 16 yrs or a student
$223 824 + 100% weekly payment 0-13 weeks, 85% weekly payment 14-78 weeks, 80% weekly payment 79-104 weeks + $60.66pw for each dependant child
$150 000 cpi indexed + $50 pw cpi indexed pw for each dependant child
57
* ** ***
++
##
Entitlement benefits in WA, VIC, TAS, NT, ACT, & NZ do not include superannuation contributions. Compensation in the form of superannuation contribution is payable in VIC after 52 weeks of weekly payments. Payment thresholds and specific benefit arrangements may also apply. The relevant jurisdiction should be contacted directly if further information is required. Benefits shown for employees working under an industrial award. If not under an award, benefits are 80% of pre-injury earnings for first 26 weeks. Different rates apply after 26 weeks. NWE - normal weekly earnings, QOTE - Seasonally adjusted amount of Queensland Full-time adult persons ordinary time earnings In cases where an injury results in the permanent total incapacity of a worker, and their social and financial circumstances justify it, an arbitrator my order up to an additional 75% of the Prescribed Amount for weekly payments. If the injured workers degree of permanent whole of person impairment is 15% or more and\ where the workers social and financial circumstances justify it Lump sum shared under statutory formulae between spouse and children. Pension payable to partner for 3 years and to children until age of 16 (or 21 in full-time study) Except for workers who receive a settlement or award of pecuniary loss damages or a statutory voluntary settlement or whose work or activities of daily living would be adversely affected or surgery is required.
Victoria
WorkSafe Victoria
Queensland
Workplace Health and Safety Queensland Department of Justice and Attorney General WorkCover WA WorkSafe WA - Department of Commerce
Western Australia
(08) 9388 5555 www.workcover.wa.gov.au (08) 9327 8777 www.commerce.wa.gov.au/ WorkSafe (08) 8303 0245 www.safeworksa.gov.au 13 18 55 www.workcover.com Helpline 1300 366 322 (inside Tas) (03) 6233 7657 (outside Tas) wstinfo@justice.tas.gov.au www.workcover.tas.gov.au 1800 250 713 ntworksafe@nt.gov.au www.worksafe.nt.gov.au (02) 6207 3000 www.worksafe.act.gov.au (02) 6275 0070 seacare@comcare.gov.au www.seacare.gov.au 1300 366 979 www.comcare.gov.au
South Australia
SafeWork SA WorkCover SA
Tasmania
Northern Territory
NT WorkSafe
Australian Government
Comcare
New Zealand
58