HR MANAGERS GUIDE TO HEALTH AND SAFETY

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HR MANAGERS GUIDE TO HEALTH AND SAFETY

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Title: HR MANAGERS GUIDE TO HEALTH AND SAFETY


1
HR MANAGERS GUIDE TO HEALTH AND SAFETY
  • R. Lance Ceaser
  • Filion Wakely Thorup Angeletti LLP
  • September November 2009
  • LECTURE 6
  • WORKPLACE SAFETY ANDINSURANCE ACT (WSIA)

2
Introduction to Workplace Safety and Insurance
Board (WSIB)
  • No Fault System in Ontario
  • Workers who are registered with the WSIB give up
    their right to sue their employer for negligence
    in return for guaranteed benefits from the WSIB
    if their claim is accepted.
  • Employers registered with the board are protected
    from lawsuits in exchange for making payments to
    the WSIB on a regular basis.

3
Workplace Safety And Insurance Act, 1997 (WSIA)
  • WSIB is governed by the WSIA
  • The WSIA has 4 main purposes
  • To promote health and safety in workplaces and to
    prevent and reduce the occurrence of workplace
    injuries and occupational diseases
  • To facilitate the return to work and recovery of
    workers who sustain personal injury arising out
    of and in the course of employment or who suffer
    from an occupational disease
  • To facilitate the re-entry into the labour market
    of workers and spouses of deceased workers and
  • To provide compensation and other benefits to
    workers and to the survivors of deceased workers.

4
WSIB
  • The WSIB overseas Ontarios workplace safety and
    insurance system.
  • The WSIB provides disability benefits to injured
    workers, monitors the quality of health care and
    assists in early and safety return to work for
    workers who are injured on the job or who
    contract an occupational disease.
  • In order to do these things the WSIB maintains an
    insurance fund to pay the benefits for insured
    workers and pay the operational costs of the WSIB.

5
Who is Covered?
  • Coverage under the Act only applies to those
    employers
  • whose operations are compulsorily covered by
    Schedules 1 or 2 of the Act, or
  • whose operations have been added to Schedule 1 of
    the Act by application, or
  • who have optional insurance only

6
Who is Covered?
  • Schedule 1 and 2 Employers
  • The insurance plan under the WSIA applies to
    every worker employed by a Schedule 1 or Schedule
    2 employer, with the exception of 3 specific
    classes of workers
  • (a) Casual workers workers whose employment by
    an employer is of a casual nature and who are
    employed for purposes other than the employers
    industry.
  • (b) Outworkers workers given articles or
    materials to be made up, cleaned, washed,
    altered, ornamented, finished, repaired or
    adapted for sale in the persons own home or on
    other premises not under the control or
    management of the person who gave out the
    articles or materials.
  • (c) Executive officers of a corporation, unless
    deemed to be a worker under the WSIA.

7
Schedule 1 Employer
  • Workplace insurance coverage is compulsory for
    any business or industry named in Schedule 1.
  • These employers pay premiums to the WSIB which go
    into an insurance fund, a Schedule 1 employer is
    protected by a system of collective liability.
  • A Schedule 1 employer is not individually liable
    to pay benefits directly to workers or their
    survivors under the insurance plan.

8
Insurance Fund
  • The insurance fund is made up of annual premiums
    paid by Schedule 1 employers.
  • The amount of premium is based on the WSIB's
    classification of the employer's business
    activity and the employer's total insurable
    payroll.

9
Schedule 2 Employer
  • Schedule 2 employers are compulsorily covered
    through a system of individual liability.
  • Every Schedule 2 employer is individually liable
    to pay benefits under the insurance plan
    respecting workers employed by the employer on
    the date of the accident.
  • The WSIB charges every Schedule 2 employer for
    the cost of the administering their claims.

10
Optional Coverage
  • The WSIA allows individuals who are not
    automatically covered under it to apply to the
    WSIB for coverage.
  • Upon application, the WSIB may declare that any
    of the following people is deemed to be a worker
    to whom the insurance plan applies
  • An independent operator carrying on business in
    an industry included in Schedule 1 or Schedule 2
  • A sole proprietor carrying on business in an
    industry included in Schedule 1 or Schedule 2
  • A partner in a partnership carrying on business
    in an industry in Schedule 1 or Schedule 2.
  • An executive officer of a Schedule 1 or Schedule
    2 employer.

11
Transfer to Schedule 1
  • Any Schedule 2 employer may request a transfer to
    Schedule 1 and receive the protection of
    collective liability.
  • Guidelines for Schedule 2 employers requesting
    transfers to Schedule 1 are the same as those for
    non-covered employers applying for Schedule 1
    coverage.

12
Accident Reporting
13
Form 7Employers Report of Injury/Disease
  • Employers must report a work related
    accident/illness to the Workplace Safety and
    Insurance Board (WSIB) if they learn that a
    worker requires health care and/or
  • Is absent from regular work
  • Earns less than regular pay for regular work
    (i.e. only works partial hours)
  • Requires modified work at less pay.
  • Reporting is also required if, following the date
    of the work related accident/illness, the worker
    does not receive health care but requires
    modified work at regular pay for more than seven
    calendar days.

14
Health Care
  • Health care includes
  • Services provided at hospitals and health
    facilities, and
  • Services that can only be provided by one of the
    following health care professionals
    chiropractor, physician, physiologist, registered
    nurse (extended class), or dentist.

15
First Aid
  • It is not necessary to complete this report for
    first-aid only injuries handled by an
    in-house/worksite health care professional or
    trained first-aider.
  • However, the law requires employers to keep
    record of all first aid details.

16
First Aid
  • First aid is the one-time treatment or care and
    any follow-up visit(s) for observation purposes
    only.
  • First aid includes, but is ot limited to
  • Cleaning minor cuts, scrapes, or scratches
  • Treating a minor burn
  • Applying bandages or dressings
  • Applying a cold compress, cold pack or ice bag
  • Applying a splint
  • Changing a bandage or a dressing after a
    follow-up observation visit

17
Form 7 Time Requirements
  • The Form 7 must be completed within 3 calendar
    days after learning of the accident/illness, and
    it must be received by the WSIB within 7 calendar
    days after learning of the accident/illness.

18
Form 7 Requirements
  • Once the Form 7 is filled out, the employer must
    sign and date it.
  • The Employer must also
  • 1. Send a copy to the WSIB by mail, fax or online
    through eService.
  • 2. Provide a copy to the worker (including any
    attachments).
  • 3. Keep a copy for their records.

19
Failure to Meet Reporting Requirements
  • The WSIB will charge a penalty of 250.00 for
    each of the following
  • Late submission of the Form 7
  • Incomplete information on the Form 7
  • Failing to provide a copy of the completed Form 7
    to the worker, and
  • Reporting the incident on a form that is not
    approved by the WSIB.
  • There can be multiple fines. I.e. If the Form 7
    is late and incomplete, the fine would be
    500.00.

20
Workers Claim and Consent Requirements
  • A worker must file a claim for benefits as soon
    as possible after an accident.
  • A worker must also consent to the disclosure of
    his or her functional abilities information
  • A workers claim must be filed within 6 months of
    an accident, or in the case of an occupational
    disease, within six months of the worker learning
    of the disease.
  • The WSIB may extend this time limit if in the
    opinion of the WSIB it is just to do so.

21
Workers Claim and Consent Requirements (Contd)
  • If the worker does not file the claim for
    benefits, or consent to the disclosure of
    functional abilities information within the
    six-month deadline, the WSIB does not provide
    benefits unless, in its opinion, it is just to do
    so.
  • Workers must give their employers a copy of the
    claim for benefits at the same time they give a
    copy to the WSIB. In the case of occupational
    diseases, workers must give a copy of the claim
    to the employer who most recently employed them
    in the employment to which the disease is
    associated.

22
Form 6Workers Report of Injury/Disease
  • Workers meet their reporting requirement to claim
    for benefits by signing the Workers Report of
    Injury/Disease Form 6
  • Workers also meet their requirement to consent to
    disclose functional abilities information by
    signing the Workers Report of Injury/Disease
    Form 6

23
Form 6Workers Report of Injury/Disease
  • The worker must provide a copy of the Form 6 to
    his or her employer

24
Health Professionals ReportForm 8
  • A health professionals is a chiropractor,
    physician, physiologist, or registered nurse
    (extended class)
  • Form 8 is to be completed when
  • the health professionals patient states that an
    injury/illness is related to his or her work
  • The health professional believes that the cause
    of the patients illness/injury is due to
    workplace factors

25
Health Professionals ReportForm 8
  • Section 37 of the WSIA provides the legal
    authority for health professionals, hospitals and
    health care facilities to submit, without
    consent, information relating to a worker
    claiming benefits to the WSIB

26
Functional Abilities Form
  • The purpose of the FAF form is to plan an early
    and safe return to work
  • The purpose is to identify the workers overall
    functional abilities and work restrictions that
    will assist his or her return to suitable work

27
Work Relatedness
28
Definition of Accident
  • Accident includes
  • a willful and intentional act, not being the act
    of the worker
  • a chance event occasioned by a physical or
    natural cause, and
  • a disablement arising out of and in the course of
    employment

29
Definition of Accident
  • Chance event
  • A chance event is defined as an identifiable
    unintended event which causes an injury. An
    injury itself is not a chance event.Disablement
  • The definition of disablement includes
  • a condition that emerges gradually over time
  • an unexpected result of working duties.

30
Accident in the Course of Employment
  • A personal injury by accident occurs in the
    course of employment if the surrounding
    circumstances relating to place, time, and
    activity indicate that the accident was
    work-related.

31
Benefits Provided to Workers
32
Benefits Provided to Workers
  • Benefit for Loss of Earnings (LOE)Workplace
    insurance pays workers 85 of their take-home pay
    if they cannot work because of work-related
    injury or illness, up to a maximum insured wage
    of 74,600 in 2009.
  • Benefit for Non-Economic Loss (NEL)Workers who
    suffer permanent impairment may receive a
    non-economic loss benefit to cover physical or
    psychological loss beyond financial loss.

33
Benefits Provided to Workers
  • Health CareWorkplace insurance pays for a wide
    range of health care services for workers with
    work-related illness or injury.
  • Health care includes
  • services provided at hospitals and health
    facilities and
  • services that can only be provided by one of the
    following health care professionals
    chiropractor, physician, physiotherapist,
    registered nurse (extended class), or dentist.
  • Return to Work HelpThe WSIB provides a team of
    professionals to help workers get back to work
    after illness or injury. This team includes an
    adjudicator and a nurse case manager (a nurse
    trained to deal with workplace injury). The team
    may also call on mediators, ergonomists,
    advisors, and outside providers to help the
    worker get back to work.

34
Benefits Provided to Workers
  • Survivor BenefitsThe WSIB provides four types of
    benefits to survivors of workers who die as a
    result of workplace illness or injury
  • Survivor Payments (lump sum and monthly benefits)
  • Funeral and Transport Costs
  • Supportive and Financial Counseling
  • Help in Joining the Workforce
  • Retirement BenefitsIf a worker is under 64 years
    of age, and has received benefits for 12
    continuous months, the WSIB sets aside 5 of all
    loss-of-earning benefits to create a retirement
    fund (the worker may choose to set aside another
    5). The retirement benefit is paid when the
    worker reaches age 65.

35
Benefit Payments
  • Wages and Employment Benefits for Day of Injury
  • If a worker is entitled to benefits as a result
    of a work-related injury/disease, the employer is
    required to pay the worker's full wages and
    employment benefits for the day of injury.

36
LOE Benefits
  • A worker who has a loss of earnings as a result
    of a work-related injury is entitled to payment
    of loss of earnings (LOE) benefits beginning when
    the loss of earnings begins. The payment
    continues until the earliest of
  • the day on which the workers loss of earnings
    ceases
  • the day on which the worker reaches 65 years of
    age, if the worker was less than 63 years of age
    on the date of the injury
  • two years after the date of injury, if the worker
    was 63 years of age or older on the date of the
    injury, or
  • the day on which the worker is no longer impaired
    as a result of the injury.

37
LOE Benefits
  • LOE benefits are based on 85 of the workers
    pre-injury net average earnings (NAE) subject to
    the legislated minimum and maximum amounts of
    compensation.
  • A full LOE benefit is 85 of the workers
    pre-injury NAE. A partial LOE benefit is some
    portion of 85 of the worker's pre-injury NAE.
  • LOE payments begin the day after the date of
    injury. LOE payments may begin on a later date if
    the workers loss of earnings does not begin
    immediately following the injury.

38
LOE Benefits
  • Payment Frequency
  • LOE benefits are paid bi-weekly (every two weeks)
    until the worker reaches 65 years of age. For
    workers who are 63 years of age or older at the
    time of injury, the bi-weekly LOE benefit
    continues for up to a maximum of 2 years from the
    date of injury.

39
Lose of Retirement Income Benefits
  • To replace a worker's lost retirement income, the
    WSIB sets aside funds for a worker who has
    received loss of earnings (LOE) payments for 12
    continuous months. The funds equal 5 of the
    amount of every subsequent LOE payment.
  • In addition to the funds set aside by the WSIB,
    the worker may voluntarily contribute 5 of every
    subsequent LOE payment toward the loss of
    retirement income (LRI) benefit. The decision to
    make voluntary contributions is irrevocable.
  • When the worker reaches age 65, he or she is
    entitled to receive the LRI benefit. The amount
    of the LRI benefit is the sum of the mandatory
    contributions, and the workers voluntary
    contributions, if any, plus the accumulated
    investment income.
  • If the worker dies before age 65, the survivors,
    designated beneficiary, or estate are entitled to
    receive the LRI benefit. Survivors who are
    entitled to s.48 benefits are not entitled to the
    mandatory contributions, plus the accumulated
    investment income.

40
Non-Economic Loss (NEL)
  • Workers who have a work-related permanent
    impairment are eligible for non-economic loss
    (NEL) benefits.
  • To rate permanent impairments, the WSIB uses a
    prescribed rating schedule, all relevant health
    care information in the claim file and, if
    required, the report from a NEL medical
    assessment.

41
NEL Award
  • Permanent Impairment
  • Permanent impairment means any permanent physical
    or functional abnormality or loss (including
    disfigurement) which results from an injury, and
    any psychological damage arising from the
    abnormality or loss.
  • A worker's degree of permanent impairment is
    expressed as a percentage of total permanent
    impairment of the whole person.

42
NEL Award
  • Maximum Medical Recovery
  • Workers reach maximum medical recovery (MMR) when
    they have reached a plateau in their recovery and
    it is not likely that there will be any further
    significant improvement in their medical
    impairment.
  • Decision-makers determine when MMR is reached
    based on the following information which includes
    but is not limited to
  • clinical reports from the treating health
    professional(s)
  • specialists' report(s), where appropriate
  • reports from agency(ies) providing treatment
    and/or evaluation, (e.g., Regional Evaluation
    Centres)
  • information from the worker on his/her medical
    impairment
  • external, evidence-based medical/scientific
    guidelines on disease and injury-specific
    impairment and treatment, and
  • the opinion of WSIB clinical staff, if obtained.

43
NEL Award
  • To calculate NEL benefits, the WSIB
  • identifies the base amount and age adjustment
    factor for the year the worker reached maximum
    medical recovery (MMR)
  • adjusts the base amount according to the worker's
    age at the time of the accident, and
  • multiplies the new base amount by the permanent
    impairment rating to get the NEL benefit.

44
NEL Award
  • Step 1 - Identify the correct base amount and the
    age adjustment factor for the year the worker
    reached MMR
  • Under the current legislation, the base amount
    for 20008 is set at 55,124.53 and the age
    adjustment factor is 1,225.43.
  • Step 2 - Adjust the base amount according to the
    worker's age at the time of the accident.
  • If the worker was under 45 when the accident
    occurred, the WSIB increases the base amount by
    the adjustment factor for each year the worker
    was under 45, up to a maximum of 20 years.
  • If the worker was over 45 when the accident
    occurred, the WSIB decreases the base amount by
    the adjustment factor for each year the worker
    was over 45, up to a maximum of 20 years.
  • Step 3 - Determine the value of the NEL benefit
  • To do so, the WSIB multiplies the new base amount
    by the worker's permanent impairment rating

45
NEL Award
  • Example
  • David's accident occurred in 1997, and he reached
    MMR in 1998. The base amount for workers whose
    MMR date is in 1998 is 51,535.37, and the
    adjustment factor is 1,145.63.
  • David was 30 when his accident happened. As a
    result the WSIB increases the base amount of
    51,535.37 by the adjustment factor of 1,145.63
    x 15, to get the new base amount. 51,535.37
    17,184.45 68,719.82 (new base amount)
  • If David's permanent impairment is rated at 10,
    his NEL benefit is68,719.82 x 10 6,871.98

46
Safety and Prevention Programs
47
Experience Rating
  • Under the WSIA, the WSIB may create experience
    and merit ratings programs to encourage employers
    to reduce injuries and occupational disease and
    to encourage workers to return to work.
  • The Board currently has 3 experience rating
    programs
  • New Experience Rating Plan (NEER), which applies
    to employers with operations in non-construction
    rate groups paying more than 25,000 in average
    annual premiums
  • CAD-7, which applies to employers with rate
    groups in the construction industry paying more
    than 25,000 in average annual premiums and
  • The Merit Adjusted Premium Program (MAP), which
    applies to employers paying between 1,000 and
    25,000 in average annual premiums.

48
Experience Rating
  • A premium rate for each rate group is set
    annually by the WSIB. The premium rate and an
    employers insurable earnings together determine
    the annual premium to be paid, before adjustment
    to experience rating.
  • The experience rating programs operate on the
    principle of retrospective rating.

49
WSIBs Authority to Adjust Premiums
  • Section 82 of the WSIA provides that the WSIB may
    increase or decrease the premiums otherwise
    payable by a particular employer in such
    circumstances as the WSIB considers appropriate
    including the following
  • in the opinion of the WSIB, the employer has not
    taken sufficient precautions to prevent accidents
    to workers or the working conditions are not safe
    for workers, or
  • the frequency of work injuries among the
    employer's workers and the accident cost of those
    injuries are consistently higher than that of the
    average in the industry in which the employer is
    engaged.

50
NEER
  • NEER generates premium refunds and surcharges
    based on an employers accident cost experience.
    When determining claims costs for the refund or
    surcharge calculation, NEER takes into account
    overhead costs and the future costs of benefits
    relating to the claim.
  • As of January 1, 1995, NEER coverage includes all
    rate groups in Schedule 1 except those in CAD-7.

51
NEER
  • In the case of NEER, the WSIB reviews the claims
    costs for a given accident year in each of the 3
    following years. The recalculation of claim costs
    under NEER throughout the 3-year review period
    takes into account additional benefits or
    approved cost relief made on the claim.
  • If the employers claims costs for a given
    accident year differ from the expected rate group
    average based on costs as of September 30 in the
    first year of review, the WSIB issues a refund or
    a surcharge for that accident year. If claims
    costs for that accident year change in the second
    and third year of review, the WSIB adjusts the
    refund or surcharge accordingly.
  • For example, accidents occurring in 2004 had
    their costs reviewed for the first time on the
    basis of claims cost data recorded up to and
    including September 30, 2005. Similar reviews,
    and adjustments where applicable, took place on
    September 30 in 2006 and 2007.

52
NEER
  • NEER refunds and surcharges are calculated late
    in each calendar year using claims cost data up
    to and including September 30 of that same year.
    The data and the calculation of the refund or
    surcharge appear on the Firm Summary Statement
    for September 30. A refund amount, as calculated,
    is first applied to any outstanding balance only
    the remaining amount, if any, is issued as a
    refund directly to the employer.
  • NEER bases its calculations on the lifetime cost
    of each claim. It breaks down the cost of a claim
    into 3 parts
  • actual past benefits up to the date of the
    calculation
  • projected future costs for the lifetime of the
    claim, and
  • overhead.
  • These components are detailed on the Claim Cost
    Statement so that an employer knows precisely how
    the claims costs under NEER are calculated.

53
NEER Claim Cost Limit
  • The WSIB reduces the total claims cost under NEER
    by protecting employers from the financial
    effects of a catastrophic claim or an unusually
    high number of costly claims in any given
    year.Claim cost limitA limit is placed on the
    maximum cost which can be used by NEER for any
    one claim. The current per claim limit is equal
    to 5 times the maximum insurable earnings. This
    represents the maximum earnings for which
    benefits can be paid as of January 1 of each
    year, and is fixed by legislation. For example,
    the 2009 maximum insurable earnings is 74,600,
    so the claim cost limit for 2009 is 5 x 74,600
    373,000.Firm cost limitA further limit is
    placed on the firms total claims costs for a
    given accident year for each particular rate
    group. The current firm cost limit is equal to 4
    times the expected claims costs.

54
Ratings Factor
  • After the claim cost limit and the firm cost
    limit have been applied to the total claim costs,
    the WSIB calculates the refund or surcharge under
    NEER using a rating factor. Generally, the
    smaller the premium or insurable earnings, the
    lower the rating factor, thus the smaller the
    potential refund or surcharge.
  • The WSIB has set the minimum and maximum rating
    factors for all rate groups at 40 and 100,
    respectively. Rating factors calculated above the
    maximum are reduced to 100, those calculated
    below the minimum are increased to 40.

55
NEER Refunds and Surcharges
  • The formula for calculating refunds and
    surcharges is
  • (actual costs under NEER - expected costs) x
    rating factor refund or surcharge
  • If the final amount is negative, the calculation
    produces a refund. If the amount is positive, a
    surcharge results.

56
Fatal Claim Premium Adjustment
  • In the year of a traumatic fatality claim, a
    premium increase, equivalent to the NEER or CAD 7
    refund an employer is entitled to receive, is
    applied to the employer of the deceased worker.

57
Appeals
58
Appealing a Decision
  • To appeal a decision of the WSIB, the workplace
    party must inform the WSIB, in writing, of its
    intention to appeal the decision. The WSIB calls
    this written communication a notice of objection.
  • The workplace party must submit the notice of
    objection within the appeal time limit identified
    in the WSIB's decision letter.

59
Appealing a Decision
  • Time Limits
  • A worker, survivor employer, parent or
    beneficiary designated by the worker who objects
    to a decision of the Board shall file a notice of
    objection with the Board,
  • (a) in the case of a decision concerning return
    to work or a labour market re-entry plan, within
    30 days after the decision is made or within such
    longer period as the Board may permit and
  • (b) in any other case, within six months after
    the decision is made or within such longer period
    as the Board may permit.

60
Reconsideration
  • To ensure that every opportunity is given for
    early resolution, the decision-maker reconsiders
    the original decision based on the information in
    the file and the Objection Form.

61
Appeal Options
  • There are four appeal process options
  • 60-day Option
  • Written Appeal
  • Oral Hearing
  • Alternative Dispute Resolution

62
Appeal Options
  • 1. 60-day Option
  • Intended for straight-forward cases
  • A decision is made within 60 days based on the
    information contained in the case file and any
    additional information submitted in writing.

63
Appeal Options
  • 2. Written Appeal
  • If the parties agree the matter can be determined
    without a hearing, the parties are given 21 days
    to submit written appeal submissions
  • A decision is then made based on the information
    contained in the case file and written appeal
    submissions.

64
Appeal Options
  • 3. Oral Hearing
  • An oral hearing is held before an Appeals
    Resolution Officer
  • The parties make oral arguments and call
    witnesses.
  • Decision is based on the evidence and argument
    from the hearing and the claim file.

65
Appeal Options
  • 3. Oral Hearing continued
  • Parties must disclose all available evidence 4
    weeks before the date of the hearing
  • Parties must also disclose the names of any
    witnesses and what the witness is expected to
    speak about 4 weeks before the date of the
    hearing

66
Appeal Options
  • 4. ADR
  • Generally used in unionized workplaces in the
    steel industry, mining, automobile and retail
    food industries.

67
Appeal Results
  • After the appeal, the Appeals Resolution Officer
    will release a written decision.
  • The decision of the Appeals Resolution Officer is
    the final decision at the WSIB level.

68
Workplace Safety and Insurance Appeals Tribunal
(WSIAT)
  • Persons who want to appeal a final decision of
    the WSIB must provide notice of their appeal in
    writing to the WSIAT, and indicate why the
    decision is incorrect or should be changed.
  • An appellant must file a Notice of Appeal (NOA)
    form. There are different forms for workers and
    employers to use to start an appeal.
  • Appellants must provide a copy of the Boards
    final decision (usually the Appeals Resolution
    Officers decision) with the NOA.

69
Workplace Safety and Insurance Appeals Tribunal
(WSIAT)
  • Time Limits
  • An appeal must be filed with the Tribunal within
    6 months after the Board final decision (usually
    from an Appeals Resolution Officer).

70
Confirmation of Appeal
  • To proceed with an Appeal at the WSIAT level, the
    Appellant must file a Confirmation of Appeal
    (COA) form
  • The COA form must be filed no later than 24
    months after the appeal is commenced
  • Within 2 weeks of receiving the COA form, the
    Respondent must also file a COA form

71
Purpose of Confirmation of Appeal Form
  • to confirm the issues on appeal
  • to identify the length of hearing time needed
  • to file evidence in support of the appeal
  • to advise the Tribunal and other party about
    witnesses
  • to express interest in ADR services

72
Disclosure of Evidence
  • Parties must disclose all available evidence with
    the COA form
  • Parties must disclose all other evidence to the
    Tribunal and to the other parties no later than
    three (3) weeks before the hearing date. Parties
    should take particular care to disclose
    additional evidence (e.g. medical reports) they
    intend to use at the hearing that became
    available after filing the COA.

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Disclosure of Witnesses
  • Parties must disclose witness information on the
    COA form. The following information must be
    provided to the Tribunal
  • a list of all witnesses the party intends to have
    at the hearing, other than the worker (a witness
    list) and
  • a summary of the evidence that each witness
    (other than the worker) will give at the hearing
    (a will say statement).
  • Where a party changes, removes, or adds a new
    witness to the partys witness list after filing
    a COA, the party must disclose this by providing
    written notice to the Tribunal and all other
    participating parties. In addition, a "will say"
    statement must be disclosed for each new witness.
  • Parties must provide written notice of any
    changes to their witness list no later than three
    (3) weeks before the hearing date.

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Options for Appeal
  • Written Appeal
  • In a written appeal, a Tribunal Panel or
    Vice-Chair decides the appeal by reviewing the
    case materials including written submissions from
    the parties.

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Options for Appeal
  • Oral Hearing
  • In an oral hearing, the appellant or his/her
    representative and a participating respondent or
    his/her representative make submissions to the
    vice-chair or panel.
  • The appellant is expected to answer questions
    about the case, from their representative, the
    respondents representative and/or the vice-chair
    or panel. Any witnesses who appear also answer
    questions asked by representatives and/or the
    vice-chair or panel.
  • Both sides are given the opportunity to summarize
    their case at the end of the hearing.
  • Most Tribunal hearings are scheduled for a
    half-day. Tribunal hearings are quasi-judicial
    proceedings, but less formal than attending at
    court.

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Appeal Results
  • Whether the appeal is by way of written
    submissions or oral hearing, a written decision
    will be released by the Vice Chair or panel
  • The decision of the Vice Chair or panel is a
    final decision

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Reconsideration
  • WSIAT has the discretion to reconsider a decision
    if it considers that it is advisable to do so.
  • Reconsiderations, however, are rarely granted.

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Reconsideration
  • The power to reconsider is discretionary. The
    Tribunal might decide that there is a good legal
    reason to reconsider a decision when
  • significant new evidence is discovered which was
    not available at the original hearing and which
    would likely have changed the outcome
  • the decision overlooks an important piece of
    evidence (as opposed to rejecting the evidence or
    distinguishing it)
  • the decision contains a clear error of law (for
    example, the decision does not apply the relevant
    sections of the WSIA)
  • the decision contains a jurisdictional error (for
    example, the Tribunal decided an issue which it
    did not have the legal authority to decide).

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  • QUESTIONS?
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