Glossary - Workers’ compensation and rehabilitation and return to work terms
A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U |V | W | X | Y | Z
| Term | Definition |
|---|---|
| A | |
| Accident date | Previously called injury date. The date the accident occurred. |
| Accident description | Previously called Action at Injury. What the injured worker was doing at the time of the injury (where specified). |
| Accident insurance policy | An accident insurance policy is a workers' compensation insurance policy for employers engaging workers. The policy covers the employer's liability for workers' compensation and damages arising out of a work-related injury sustained by their worker. |
| Accredited rehabilitation and return to work program (ARRTW program) | A summary of the system that an insurer will use to manage the rehabilitation and return to work of worker with work-related injuries or illnesses, or to maximise their independent functioning, accredited by the Workers’ Compensation Regulator. It explains how an insurer will facilitate early and safe rehabilitation and return to work, including the use of rehabilitation and return to work plans, and provides clear guidance to insurer claims managers, employers and workers. All Queensland insurers must have an ARRTW program under the Workers’ Compensation and Rehabilitation Act 2003. |
| Actual wages | The total remuneration an employer pays to a worker as defined by Schedule 6 of the Workers' Compensation and Rehabilitation Act 2003. |
| Agent of injury | The object, substance or circumstance that directly caused the injury. |
| Aggravation |
When a pre-existing condition is made worse by employment. A worker may have an entitlement to compensation for an aggravation if their employment was a significant contributing factor causing the pre-existing condition to worsen. The pre-existing injury could be work-related or non-work related. |
| Appeal | If a worker, claimant or employer is unhappy with a review decision made by Workers' Compensation Regulatory Services, they can lodge an appeal with the Queensland Industrial Relations Commission (QIRC) or the Queensland Industrial Magistrates Court within 20 business days of receiving notice of the review decision. Insurers can also appeal premium-related review decisions. |
| Asbestos related diseases | Caused by inhaling asbestos fibres over a period of time. Asbestos related diseases typically have long latency periods (ten to forty years from exposure to onset of the disease). |
| Average Common Law claim cost | The average cost of common law payments made in the given financial year. Average Common Law claim cost industry average |
| Average Common Law claim cost industry average | The average common law claims cost across the same WIC. |
| Average days to first return to work | The average number of days taken to secure any form of return to work, where the return occurs within the reporting period. Only time loss claims are included in this calculation. |
| Average days to first return to work industry average | The average number of days taken to secure any form of return to work within the same WIC. |
| Average monthly payments | The average cost of statutory claim payments made per claim in a given month. This amount is calculated by summing the total statutory claim cost over the year divided by the number of payment months in the year for that claim. |
| Average paid days | The number of paid days (partial or total) on a statutory claim divided by the number of new statutory claims, in a given financial year. |
| Average paid days industry average | The average paid days (partial or total) across the same WIC. |
| Average premium rate | The average premium rate is a rate per $100 of wages, expressed as a percentage, calculated by averaging net premium assessed for the year as a proportion of total wages declared by all employers for that year. |
| B | |
| Basic weekly payment | An insurer will pay a worker a basic weekly payment when they don’t have enough information to calculate weekly compensation. The basic weekly payment is calculated as a percentage of Queensland Ordinary Time Earnings (QOTE). |
| Breakdown agent | The object/substance/circumstance that was the catalyst for the event. |
| Business activity | Business activity is the primary or predominant activity performed by a business. In determining an employer's business activity, WorkCover will consider a business' primary or predominant activity and the persons that a business engages among other relevant matters. |
| C | |
| Certificate of Currency | A Certificate of Currency identifies whether or not an employer's Accident Insurance Policy is up-to-date for the current period of insurance. Ordinary and government policyholders can generate their own Certificate of Currency through WorkCover Queensland's online services. Employers that have policies for other insurance types, please contact WorkCover Queensland on 1300 362 128, to generate a letter. |
| Circumstance | Previously called Injury Occurrence. Indicates when the injury occurred (e.g. at work, whilst travelling to work etc.). |
| Claim liability |
Latest liability status of the claim * Accepted - WorkCover has accepted liability. * Pending - Decision on liability is yet to be made. * Denied - WorkCover has denied total liability for the claim or liability has now been ceased. * Entered - The claim is entered into the system, but the claim status or liability is yet to be determined. |
| Claim liability reason | Reason explaining the latest liability status |
| Claim status |
* Open - WorkCover has received the application for workers' compensation. The claim is open for assesment and management purposes. * Notification - WorkCover is informed of a work injury for record purposes only, in the event that the work injury is subsequently aggravated and requires time off work or medical expenses at a later date. * Re-opened - The original claim for compensation has been closed. The claim has been re-opened for assessing and management purposes. The claim status effective date will change to reflect this. * Settled - The claim has been finalised and is waiting to be closed in our system. * Closed - The claim for compensation has been closed. * Cancelled - The claim has been cancelled by WorkCover. If you have any questions about this status you should contact your customer advisor. |
| Claim status effective date | The date the claim status is effective from. This will change as the claim status changes and will report the effective date of the most recent claim status. |
| Claims experience | An employer's claims experience is comprised of the statutory claims amounts paid under an employer's Accident Insurance Policy for the preceding three years and the damages claims amounts paid under the policy for the two years preceding that. |
| Claims manager | Employed by an insurer and responsible for managing workers’ compensation claims. This includes coordinating the development of a rehabilitation and return to work plan in consultation with a worker and their employer and treating health providers. The terms claims manager, claims advisor, claims consultant, case manager and customer advisor are sometimes used interchangeably. |
| Common law claim |
When a worker sues their employer because they believe their employer is at fault for their injury. The courts award common law damages payments for economic loss, pain and suffering, legal costs, and medical and hospital costs. An insurer may pay all damages awarded to the worker, including legal and investigative costs. |
| Common law damages | see Damages Damages are payments made under a common law claim that are classified as 'heads of damage'. These are different types of damage that may be suffered by an injured worker. Examples are:
|
| Common law total claim costs | The sum of all payments made on the common law claims in a given the financial year. |
| Consultation | A process where relevant information is shared with a person in a timely manner, providing that person with an opportunity to express their views, giving genuine consideration to those views when making decisions, and seeking feedback on alternatives and/or decisions. |
| Contract for services |
A contract for services involves the provision of services (service provider) to a person (e.g. natural person or a business). Examples of service providers include: independent contractor; sole trader. Indicators of whether a contract for services exists include:
|
| Contract of service | An employment relationship between an employer and their worker. A large part of the workforce works under a contract of service. Indicators may include a person who:
Note: a contract of service (e.g. employment contract) should not be confused with a contract for services (which is generally an arrangement with a contractor). |
| D | |
| Damages | Damages are payments made under a common law claim that are classified as 'heads of damage'. These are different types of damage that may be suffered by an injured worker. Examples are:
|
| Damages certificate | Under s182D of the Workers' Compensation Act 1990, a worker who has not received a lump sum offer may seek damages only if they have received a damages certificate. The worker must apply to WorkCover for a certificate using the application for damages certificate form. |
| Damages claims | Also called 'common law claim'. A common law claim is the claim made by an injured worker who commences common law action through the courts against their employer for negligence (they are 'suing' their employer). The courts award common law damages payments for economic loss, pain and suffering, legal costs, and medical and hospital costs. WorkCover may pay all damages awarded to the injured worker, including legal and investigative costs if the worker has successfully sued for negligence. |
| Damages ratio | The number of new common law claims divided by the number of new statutory claims, in a given financial year. |
| Damages ratio industry average | The number of new common law claims divided by the number of new statutory claims, across the same WIC, in a given financial year. |
| Days between injuries | The number of working days divided by the number of new statutory claims, in a given financial year. |
| Declaration of wages form | Where wage information from employers is required to conduct a premium assessment, a declaration of wages form will be sent. Employers can return their wage information by completing the form, calling WorkCover Queensland, or entering their wages online. In all instances, wage information must be provided to WorkCover Queensland by 31 August. |
| DEE | Dangerous electrical event |
| Default assessment | A default assessment may be issued when an employer fails to provide WorkCover with the necessary information to allow an Accident Insurance Policy to be instigated or assessed. WorkCover will make the default assessment based on the amounts we may consider to be adequate cover. An employer may object to a default assessment by writing to WorkCover within 15 business days of receiving the premium notice. |
| Dependant | Section 27 of the Workers' Compensation and Rehabilitation Act 2003 defines a dependant of a deceased worker as a member of the deceased worker's family who was completely or partly dependent
on the worker's earnings at the time of the worker's death or, but for the worker's death, would have been so dependent. This means a family member who relied on the worker’s income either fully or partly at the time the worker died, or would have relied on that income if the worker had lived. |
| Discharge | Discharge is a term generally used in common law. After the common law claim is settled, the injured worker will be asked to sign a discharge which will release the employer, any other interested party and WorkCover from any ongoing liability regarding the claim. |
| DJAG | Department of Justice and Attorney-General |
| Due diligence | Due diligence emphasises the corporate governance responsibilities of officers. Officers of corporations and unincorporated bodies will need to show that they have taken reasonable steps to:
|
| E | |
| Elective hospitalisation | Elective hospitalisation is hospitalisation involving a treatment or procedure that the injured worker and their treating doctor decide is appropriate for the effective treatment of the worker's injury. |
| Eligible persons | An eligible person is an individual who, other than a worker, receives remuneration or other benefits for performing work, or providing services as a contractor, self employed individual, a director, a trustee or a member of a partnership. |
| Employer | A person who engages a worker to perform work or who is deemed to be an employer by Section 30 and Schedule 3 of the Workers' Compensation and Rehabilitation Act 2003. Employers have a legal responsibility to report all injuries for which compensation may be payable, and to take all reasonable steps to provide rehabilitation for injured workers in order to facilitate their early and safe return to work. |
| Employer excess | Similar to the excess paid on any other insurance policy. It represents the first payment of weekly compensation, which is paid to an injured worker by their employer. |
| Employer reference number | Employer reference number as listed on the employer report to assist in the identification or workplace location of the injured worker. The field length is now only 8 characters. Any claims with existing employer reference numbers will be truncated to the last 8 characters. |
| Employer Name | Name of employer in the policy as recorded on our system. |
| Employer statement | A statement provided to an employer that details the amount of premium payable and the date the premium must be paid by. |
| Employing entity | An employing entity such as a sole trader, partnership or corporation that has indicated that it employs, or intends to employ workers. |
| ES | Electrical safety |
Electrical Safety Office ( ESO) | The Electrical Safety Office develops and enforces standards for electrical safety, and promotes strategies for improved electrical safety performance across the community. The office facilitates socially responsible and safe electrical industry practices. |
| Estimated wages | When calculating premium, WorkCover requires details of the actual wages paid during the last financial year and the estimated wages you expect to pay in the next financial year. |
| EU | Enforceable undertaking |
| EWP | Elevating work platform |
| Experience based rating | Experience based rating (EBR) uses an employer's individual wage and claims experience and the wage and claims experience of their industry to calculate the amount of premium due for their Accident Insurance Policy. |
| F | |
| F factor | F factors are used to 'gross up' the known claim costs to arrive at the ultimate cost for each corresponding injury year. They are calculated at a scheme level each year and are the same for all policies. The Queensland Government Industrial Gazette provides details of the factors each year. |
| Final return to work percentage | The number of claims where time lost has been paid and where the worker has returned to work, shown as a percentage of all claims, in a given financial year. |
| Final return to work percentage industry average | The final return to work percentage across the same WIC. |
| FOPS | Falling object protective structure |
| Fraud |
Fraud is when someone obtains a benefit they’re not entitled to by being dishonest or deceptive. Workers’ compensation fraud is a crime. It means increased costs to the workers’ compensation scheme and premiums for employers. Fraud can be committed by workers, employers and providers. |
| G | |
| Gazette rate | The premium rate for a given WIC. It is prescribed annually by the Queensland Government and gazetted. |
| Gazette value | The gazette rate multiplied by your wages. |
| Goods and services tax | GST is payable on your premium but, like most Queensland employers, you are likely to be eligible to claim an input tax credit from the Australian Taxation Office. To enable WorkCover to meet its GST requirements, WorkCover requires you to provide your ABN and your percentage entitlement to input tax credits (see input tax credit for further information about this). Payments of weekly compensation do not attract GST. |
| H | |
| Health and safety representative |
A worker who has been elected by a work group to represent them on health and safety issues. Learn more about safety roles and duties. |
| Health Benefits of Good Work® |
An initiative lead by the Australasian Faculty of Occupational and Environmental Medicine of the Royal College of Physicians. The health benefits of good work recognise the significance of work to an individual’s physical and mental health and wellbeing. Long periods away from work are acknowledged to be detrimental for a person’s health and the longer a worker is away from the workplace, the less likely they are to return. |
| Health provider | Health provider refers to any medical or allied health provider (for example a doctor, medical specialist, physiotherapist, chiropractor or occupational therapist) who is registered with the relevant professional board (e.g. Physiotherapist Board of Queensland). |
| Host employer |
An employer who agrees to host an injured worker at their workplace when the worker is unable to participate in workplace rehabilitation with their original employer. In the context of labour hire arrangements, a host employer is a firm that uses labour hire workers supplied by a labour hire agency. |
| HRW | High risk work |
| HSC | Health and safety committee |
| HSR | Health and safety representative |
| I | |
| Independent medical examination (IME) |
An appointment where a worker will see a doctor who is not their regular doctor. This doctor will complete an assessment requested by an insurer and provide an independent opinion, usually in the form of a report following the appointment. These appointments can be arranged for a number of reasons. An insurer will advise a worker of why an IME has been arranged at the time they are referred. |
| Industrial deafness | The loss of hearing caused by excessive noise in the workplace over a period of time. A worker may have an entitlement to compensation for industrial deafness if their employment was a significant contributing factor causing the loss of hearing. |
| Industrial instrument | An industrial instrument is an award or a workplace agreement that governs the conditions of a worker's employment. Further information can be found on fairwork.gov.au: |
| Industry classification See WorkCover Industry Classification (WIC) | An industry classification system based on the Australian and New Zealand Standard Industrial Classification. Businesses are assigned an appropriate industry category on the basis of their whole-of-business activity. |
| Industry rate | The WorkCover industry rate is the amount of premium per $100 of wages for a specific WorkCover Industry Classification (WIC) code. |
| Injury | For workers’ compensation, generally means a personal injury that happens because of work, where work is a significant factor. For more information, see Section 32 of the Workers' Compensation and Rehabilitation Act 2003 |
| Injury year | The financial year in which the injury occurred (2015 is 01JUL2014 to 30JUN2015). |
| Input tax credit | Input tax credit (ITC) is the amount of GST that a GST registered business can claim back under the GST system (also referred to as the 'GST credit'). If there is a claim on insurance, the business will have to pay GST on the claim amount paid out, unless they advise WorkCover of their ITC percentage. |
| Insurer |
A party that provides compensation benefits to workers who sustain an injury/illness at work. Insurers in Queensland are WorkCover Queensland and self-insured employers. Most employers in Queensland are insured through WorkCover Queensland. |
| Interstate claims | A worker may have an entitlement to compensation if they are injured while working in another state or country if the worker's employment is connected to Queensland. |
| Irrevocable election | If a worker is assessed as having a work-related impairment of less than 20%, they have a choice to make, which is called an 'irrevocable decision'. It is a choice between accepting the statutory lump sum compensation offered by WorkCover Queensland, or making a common law claim against their employer. Item number |
| Any service provided by a health provider has a unique item number that corresponds to the fee payable for that service. Item numbers can be found under the 'Table of Costs'. | |
| J | |
| Journey claims | A worker may have an entitlement to compensation if they are injured on the way to or from work. The injury must have occurred outside the worker's property boundary. Some exclusions apply including if the worker is convicted of driving under the influence of alcohol or dangerous driving. |
| L | |
| Latent onset injury | A condition caused by exposure to something (e.g. the sun or a chemical) that takes a long time to make a person sick. |
| Legal Services Commission | The Legal Services Commission is an independent statutory body that deals with complaints about the conduct of solicitors, barristers and law practice employees. |
| Lump sum compensation | If a worker is permanently impaired as a result of their work-related injury, they are entitled to lump sum compensation. A lump sum is a single payment made at one particular time instead of a number of smaller payments over time. If a worker receives lump sum compensation, they will no longer be entitled to statutory compensation. |
| M | |
| Mechanism of injury | The action/exposure/event that resulted in the primary injury. |
| Medical assessment tribunals (Tribunals or MATs) | Provide an independent medical assessment of injury or impairment for workers' compensation claims. The tribunals make a decision about work-related injury based on the clinical examination, medical information available and submissions made by the worker or their representative. Administrative support for the tribunals is undertaken by Workers' Compensation Regulatory Services. |
| Musculoskeletal disorder (MSD) | A musculoskeletal disorder (MSD) means an injury to, or a disease of, the musculoskeletal system, whether occurring suddenly or over time. It does not include an injury caused by crushing, entrapment (such as fractures and dislocations) or cutting resulting from the mechanical operation of plant. |
| N | |
| New Common Law claims | The number of new common law claims registered in a given financial year. |
| New Common Law claims industry average | The average new common law claims registered across the same WIC. |
| New statutory claims | The number of new statutory claims that have been registered during a given financial year, irrespective of the claimants' accident dates. It includes claims that change from notification to pending, but excludes notification claims and any cancelled claims. |
| New statutory claims industry average | The average new statutory claims registered across the same WIC. |
| Non-elective hospitalisation | Non-elective hospitalisation is hospitalisation for the treatment of life-threatening injuries or injuries that may result in the loss of or serious damage to a limb or organ. |
| Normal weekly earnings | A worker’s normal wage payments each week. Weekly compensation payments are based on the wages a worker received from their current employer in the 12 months before their injury. |
| Notice of assessment (NOA) | The document issued by an insurer when a worker has been assessed with a permanent impairment resulting from a work-related injury, which may include a lump sum offer. |
| Notice of Claim for Damages | Before starting a proceeding in court for damages, a worker must give notice of the proceeding to their workers' compensation insurer by completing the Notice of Claim for Damages form. This applies to all injured workers or dependants of fatally injured workers who were injured on or after 1 February 1997. |
| O | |
| Occupation | The injured worker's occupation, as specified on the application for compensation. |
| Officer | An officer includes a person who makes, or participates in making decisions that affect the whole or a substantial part of the business, has the capacity to significantly affect the corporation's financial standing and on whose instructions the directors of the corporation are accustomed to act. |
| OPT | Over a period of time |
| OIR | Office of Industrial Relations |
| Overseas claims | A worker may have an entitlement to compensation if they injured whilst working in another state or country if the worker's principal place of employment is in Queensland and the worker has a connection to Queensland. |
| P | |
| Paid days | Previously called work days lost. The total number of work days, to date, for which weekly compensation benefits have been paid, including days paid covered by an excess period. |
| Payments made on a claim |
* Compensation - Weekly benefits payable to an injured worker, based on the worker's pre-injury award or workplace agreement or a percentage of the worker's normal weekly earnings. * Medical - Payments in respect of medical costs associated with a work injury. * Hospital - Payments associated with admittance to hospital for treatment as a result of a work injury including surgery, theatre and hospital pharmaceuticals. * Lump Sum - A payment made following an offer of lump sum compensation to a worker who sustains an injury that results in a permanent impairment. * Rehabilitation - Certain payments relating to the rehabilitation of an injured worker. * Other - Includes payments not covered in other categories such as travel, legal and funeral expenses. * Payments in Month - Total payments made in respect of the statutory claim in the preceding month. * Payments YTD - Total payments made in respect of the statutory claim in the financial year. YTD - Year to date. * Total Payments - Total payments made in respect of all claims. |
| Payroll number | The employee payroll number as nominated by the employer. |
| PCBU | A PCBU is a 'person conducting a business or undertaking'. The business or undertaking can be conducted alone or with others, and can be not-for-profit or for gain. A PCBU can be:
|
| PEforM | Participative Ergonomics for Manual Tasks |
| Permanent impairment |
Under Section 37 and Section 38 of the Workers' Compensation and Rehabilitation Act 2003, defined
as an impairment that is stable and stationary and not likely to improve with further medical or surgical treatment. It also defines an impairment, which is from injury, as a loss of, or loss of efficient use, of any part of a worker’s body. This means that a permanent impairment is when:
|
| Person-centred approach |
An approach that places an injured worker front and centre of their rehabilitation and return to work. A worker’s values, needs and circumstances guide how services and supports are designed and delivered. This means planning with them, not for them, and making shared decisions with an insurer, employer and treating health providers. |
| PIN | Provisional improvement notice |
| Policy number | This is the number used to uniquely identify WorkCover Queensland policyholders. It will appear on the top right hand side of your Declaration of Wages form and your Premium Notice. |
| Policyholder | Is an individual or entity that holds an insurance policy with WorkCover. |
| PPE | Personal protective equipment |
| Premium notice | Is a notice that is sent to WorkCover policyholders detailing an amount payable on their policy following inception, renewal or re-assessment. |
| Premium rate | The rate that has been used to calculate a premium for a given financial year. Wages, claims experience, the gazetted rate and the size of the business are taken into consideration when calculating the premium value. The premium rate is expressed as a dollar value per $100 of wages. |
| Premium value | The premium rate multiplied by actual wages is the premium value. This amount excludes GST and stamp duty. |
| Primary duty of care |
A ‘person conducting a business or undertaking’ (PCBU), who is usually the employer, has the primary duty of care under the Work Health and Safety Act 2011. This means they need to ensure the health and safety of workers and others at the workplace, so far as is
reasonably practicable. A self-employed person must ensure his or her own health and safety while at work, so far as is reasonably practicable. |
| Principal place of employment | The state in which the employer's main business is located. |
| Q | |
| QCAT | Queensland Civil and Administration Tribunal |
| Q-COMP | On 15 October 2013, the Attorney-General and Minister for Justice introduced the Workers' Compensation and Rehabilitation and Other Legislation Amendment Bill 2013 to merge Q-COMP into the Office of Industrial Relations. This merge commenced on 29 October 2013 with the assent of the Bill. Q-COMP is now known as the Workers' Compensation Regulator. |
| QIRC | Queensland Industrial Relations Commission |
| Quantum | Quantum is a term generally used in common law. It is the word used to describe the total worth of the common law claim or the amount of financial compensation the worker is claiming. |
| Queensland ordinary time earnings (QOTE) | A seasonally adjusted amount of the Queensland full-time adult's ordinary time earnings as declared by the Australian Bureau of Statistics. |
| R | |
| Reasonably practicable | Reasonably practicable means that which is, or was at a particular time, reasonably able to be done to ensure health and safety, taking into account and weighing up all relevant matters, including:
Ordinarily, cost will not be the key factor in determining what it is reasonable for a duty holder to do unless it can be shown to be ‘grossly disproportionate’ to the risk. If the risk is particularly severe, a PCBU will need to demonstrate that costly safety measures are not reasonably practicable due to their expense and that other less costly measures could also effectively minimise the risk. |
| Recess claim | A worker may have an entitlement to compensation if they are injured while temporarily away from their place of employment during an ordinary recess period like a lunch break. |
| Registered person | A health provider (for example a doctor, physiotherapist, chiropractor, occupational therapist), who is registered with the relevant professional board (e.g. Physiotherapist Board of Queensland). |
| Registration date | The date the workers' compensation claim was registered with WorkCover Queensland. |
| Rehabilitation |
Support that helps an injured worker to return to work as soon as possible, or if that’s not possible, to live as independently as they can. Rehabilitation includes necessary and reasonable suitable duties programs, services and treatment provided by a treating health provider, services approved by an insurer, and aids and/or equipment approved by an insurer. Under workers’ compensation laws, insurers and employers must take all reasonable steps to provide rehabilitation for an injured worker, and a worker must satisfactorily participate in their own rehabilitation. |
| Rehabilitation and return to work coordinator | A suitably-qualified person appointed by an employer to work with an injured worker, their workplace, treating health providers and insurer to plan and manage a worker’s rehabilitation return to work. |
| Rehabilitation and return to work plan | A written plan developed by an insurer that outlines the rehabilitation and return to work goals for an injured worker and the steps required to achieve these goals. It is developed in consultation with a worker and their employer and treating health providers. It promotes collaboration and outlines how stakeholders will work together to get a worker back to work safely and quickly. It sets out the roles, responsibilities and actions required of stakeholders involved in rehabilitation and return to work and considers a worker’s and an employer’s needs and circumstances. |
| Rehabilitation provider | A rehabilitation provider is a specialist who is involved in developing and assisting a person recover from their workplace injury. Specialists such as physiotherapists, occupational therapists, psychologists, and osteopaths, are considered to be rehabilitation providers. |
| Results test | Is one of the tests used by WorkCover to determine if a person is considered a 'worker' under Schedule 2, Part 1 'Persons who are workers'. |
| ROPS | Roll-over protective structure |
| RTO | Registered training organisation deliver training courses accredited by the State or National Vocational Education and Training (VET) regulator. |
| S | |
| SDS | Safety data sheets |
| SEI | Serious electrical incident |
| Self-insured employer or self-insurer |
WorkCover Queensland insures most employers. Self-insured employers manage their own workers’ compensation claims. Self-insured employers must have a licence and meet certain criteria. Licences are issued through the Workers' Compensation Regulator. View a list of self-insured employers. |
| Self-insurer | An employer who meets certain criteria to manage their own workers' compensation issues. Licences are issued (and renewed) through the Workers' Compensation Regulator. |
| Significant contributing factor |
The term 'significant contributing factor' is related to a person's employment and whether it has contributed to the person's injury in a significant way. This can be because of:
This does not mean that employment must be the sole cause of the injury. There may be other factors causing the injury. As long as employment is 'significant' in contributing to the injury, it will be an 'injury' under the legislation. |
| Sizing factor | The sizing factor determines how much of the policyholder's claims experience impacts on their premium rate. |
| Stable and stationary | A condition is stable and stationary when the condition is not likely to improve with further medical or surgical treatment. This suggests that the condition has reached maximum medical improvement and that suitable rehabilitation has been carried out. |
| Stamp duty | Stamp duty is payable to the Queensland Government on many property and business transactions, including workers' compensation insurance premiums. Stamp duty has been included in premiums since 1916. Before the introduction of the GST, WorkCover included stamp duty in the final premium amount shown on your Premium Notice. Due to the GST, WorkCover now clearly lists the stamp duty payable as a separate item on your Premium Notice. |
| Statutory claim | When a worker is compensated for a work-related injury with payments and entitlements prescribed in workers’ compensation laws. These payments and entitlements are referred to as statutory compensation and may include weekly payments as income replacement, related hospital, medical and rehabilitation expenses and lump sums to compensate for permanent impairment. |
| Statutory claim cost industry average | The average statutory claims cost across the same WIC. |
| Statutory compensation | Statutory compensation may include weekly payments as income replacement, lump sums to compensate for permanent impairment, and hospital and medical expenses. These payments and benefits are prescribed in the Workers' Compensation and Rehabilitation Act 2003. |
| Stay at work percentage | This is the number of accepted claims with no time lost, divided by all accepted claims in a given financial year. The percentage is calculated based on the capacity to work status at first acceptance. |
| Stay at work rate industry average | The stay at work percentage across the same WIC. |
| Succession | Succession may be applied when a new employer acquires an existing business, and the new employer has previously been associated with that business. Applying succession will mean the five year wages and claims history of the predecessor employer will be used to calculate the premium of the new employer. |
| Suitable duties | Temporary work tasks that match what a worker can safely do while recovering. These duties should be useful, safe and meaningful. These duties are agreed between a worker and employer, with input from an insurer, doctor and others. They must consider a worker’s injury, pre-injury role, job, skills, medical advice and whether duties at another location are reasonable. |
| Suitable duties program |
A written document that sits within a rehabilitation and return to work plan. It is developed by an employer. It outlines what tasks a worker can safely do while recovering, for how long and any changes or restrictions needed (as outlined in the work capacity certificate). It considers a worker’s current
abilities and if tasks will change as capacity improves. It includes work days, hours and any support or changes required at work. The purpose of a suitable duties program is to help workers recover and safely build their fitness and capacity to return to normal duties and work hours. |
| Supervisor | An employee responsible for supporting a worker by staying in contact, working with the rehabilitation and return to work coordinator, keeping a worker connected to work and helping them smoothly return. |
| SWMS | Safe work method statements |
| T | |
| Tax equivalents regime | WorkCover operates under the National Tax Equivalents Regime (NTER). This means WorkCover pays the equivalent amount of income tax that it would if it was a registered company. |
| Terminal condition | A condition that is expected to end a person’s life. Workers with a terminal condition may be able to receive a lump sum payment. |
| Treating health provider |
A registered medical practitioner or allied health provider providing treatment to a worker. (e.g. doctor, physiotherapist, occupational therapist, psychologist etc.). A treating health provider may also be referred to as a registered person. |
| Total statutory claim cost | The sum of all payments made on a statutory claim within the financial year. |
| V | |
| VET | Vocational education and training |
| W | |
| Wage Audit | A wage audit is a review of an employer's financial and payroll records to determine if the employer has declared the correct wages to WorkCover. |
| Wages | Wages are the total amount an employer pays to a worker as defined by Schedule 6 of the Workers' Compensation and Rehabilitation Act 2003. |
| Wages payments | Wages payments are the weekly earnings of an injured worker from continuous or intermittent employment the injured worker had during the 12 months immediately prior to the injury. |
| WHS | Workplace health and safety |
| WHSQ | Workplace Health and Safety Queensland develops and implements frameworks to improve workplace health and safety and provides workers' compensation policy advice. |
| WIC | See WorkCover Industry Classification (WIC) |
| Withheld excess amount | When a time lost claim is accepted, the employer excess is calculated per claim. This figure reflects the excess withheld for this claim. |
| Work capacity certificate – workers’ compensation | A medical certificate issued by a worker’s treating doctor (or sometimes a nurse practitioner or a dentist). It outlines a worker’s injury, their capacity to return to work, any limits or restrictions and if a workplace visit is need to ensure a safe return to work. The information provided on a work capacity certificate is used by an insurer to make a decision on a claim and create a rehabilitation and return to work plan, and by an employer to help plan a worker’s safe return to work and suitable duties. |
| Work-related impairment | A work-related impairment (WRI), from injury, is the amount of lump sum compensation expressed as a percentage of statutory maximum compensation payable in accordance with WorkCover legislation. |
| Work-related injury | An injury where employment was a significant contributing factor. |
| WorkCover Industry Classification (WIC) | An industry classification system based on the Australian and New Zealand Standard Industrial Classification. Businesses will be assigned an appropriate industry category on the basis of their whole-of-business activity. |
| Worker | A person who works under a contract and is an employee for the purpose of assessment of PAYG withholding, and who is deemed to be a worker by the Workers' Compensation and Rehabilitation Act 2003 (see Section 11 and schedule 2, part 1). |
| Workers’ Compensation Regulatory Services (WCRS) | The branch in the Office of Industrial Relations that regulates the Queensland workers’ compensation scheme by delegation of the Workers’ Compensation Regulator. |
| Workplace rehabilitation provider | Qualified health professionals who help workers and employers with more complex needs achieve timely and sustainable return to work. They are independent of other stakeholders and provide expert opinions and solutions to help resolve workplace injuries/illnesses and address risk factors. |
| WRI | Work-related impairment |