FAMILY LAW
How Much Compensation Can You Claim for a Personal Injury in Queensland?
There is no standard payout for a personal injury claim. Compensation is assessed according to the particular injury, its consequences and the financial loss suffered by the individual.
By Katie Chan
A workplace injury can affect much more than your ability to perform your usual job. It may result in time away from work, medical treatment, rehabilitation and uncertainty about your future earning capacity.
Queensland's workers’ compensation scheme provides benefits to eligible workers who sustain work-related injuries or illnesses. Most Queensland employers are insured through WorkCover Queensland, although some larger employers are licensed as self-insurers.
There are two distinct types of claims that injured workers should understand: statutory workers’ compensation claims and common law damages claims.
They have different purposes and requirements.
What Is a Statutory Workers’ Compensation Claim?
A statutory claim provides eligible injured workers with compensation and support without requiring them to establish that their employer was negligent.
Depending on the circumstances, statutory compensation may include:
- weekly compensation for lost wages;
- medical and hospital expenses;
- rehabilitation expenses;
- certain travel and other costs; and
- lump-sum compensation where an injury results in permanent impairment.
This means that an injury can potentially qualify for statutory workers’ compensation even where the employer did nothing wrong.
That is different from a common law damages claim, where employer negligence must generally be established.
What Types of Workplace Injuries May Be Covered?
Workers’ compensation is not limited to sudden physical accidents.
Depending on the circumstances, work-related injuries or illnesses can include:
Physical injuries
These may arise from falls, lifting, machinery, repetitive work, vehicle accidents or other workplace incidents.
Aggravation of existing conditions
An existing medical condition does not necessarily prevent a claim if employment significantly contributes to an aggravation or worsening of the condition.
Psychological or psychiatric injuries
Workers’ compensation can also extend to certain work-related psychological or psychiatric injuries, subject to the requirements of the legislation.
Diseases and illnesses
Some diseases or illnesses caused or contributed to by employment may also fall within the workers’ compensation scheme.
Eligibility depends upon the particular circumstances and the statutory requirements applying to the injury.
What Should You Do After a Workplace Injury?
If you are injured at work, appropriate medical treatment should be the immediate priority.
You should also report the injury to your employer as soon as reasonably possible.
When making a workers’ compensation claim, you will generally need a work capacity certificate from an appropriate medical practitioner. WorkSafe Queensland states that a claim application is not valid without a completed work capacity certificate.
The certificate records matters including your diagnosis, treatment needs and capacity for work.
It is important that the certificate identifies all injuries you want the insurer to assess as part of the claim.
How Do You Make a Workers’ Compensation Claim?
For most Queensland employees, a statutory claim is lodged with WorkCover Queensland.
If your employer is a licensed self-insurer, the claim is instead dealt with through that employer's workers’ compensation insurer or unit.
A valid claim generally requires both:
- an application for compensation; and
- a work capacity certificate.
The insurer will then assess matters such as your employment status, how and where the injury occurred and whether employment was a significant contributing factor to the injury.
How Long Do You Have to Lodge a Workers’ Compensation Claim?
Time limits apply.
WorkSafe Queensland currently states that a statutory claim will usually need to be lodged within six months of the date you were first seen by a doctor for the injury, although an insurer may accept a reasonable excuse for delay in appropriate circumstances.
It is generally preferable not to wait.
Early notification can also make it easier to obtain workplace records, witness evidence and other information about how an injury occurred.
What Happens if Your Claim Is Accepted?
If your statutory claim is accepted, the benefits available will depend on your circumstances.
Weekly compensation
If your injury prevents you from working or reduces your ability to work, you may be entitled to weekly compensation for lost wages.
The amount and duration of those payments depend upon the applicable workers’ compensation legislation and your individual circumstances.
Medical and rehabilitation expenses
The insurer may meet reasonable expenses associated with treatment and rehabilitation for the accepted workplace injury.
This can include appropriate medical treatment and rehabilitation directed towards recovery and return to work.
Return to work
Rehabilitation and return to work are important components of the Queensland scheme.
Depending on your medical capacity, this might involve returning to your normal duties, temporarily working reduced hours or undertaking suitable alternative duties while recovering.
What if Your Injury Causes Permanent Impairment?
Where an injury results in permanent impairment, you may be assessed for a degree of permanent impairment (DPI).
Permanent impairment generally refers to an impairment that has stabilised and is unlikely to improve further with treatment or rehabilitation.
The DPI assessment is used to calculate any statutory lump-sum compensation that may be offered.
This stage can be particularly important because the decision you make about a lump-sum offer may affect your ability to pursue a common law claim.
Be Careful Before Accepting a Lump-Sum Offer
One of the most important distinctions in Queensland workers’ compensation law concerns the worker's assessed DPI.
If your DPI is less than 20%, WorkSafe Queensland states that you generally need to choose between:
- accepting the statutory lump-sum offer; or
- rejecting the offer and pursuing a common law damages claim.
If a worker with a DPI below 20% accepts the lump-sum offer, they generally cannot subsequently pursue common law damages for that injury.
If the DPI is 20% or more, a worker can generally accept the statutory lump-sum payment and still pursue a common law claim.
Different impairments cannot simply be added together to reach the 20% threshold.
For that reason, obtaining advice before accepting or rejecting a Notice of Assessment and lump-sum offer can be particularly important.
What Is a Common Law Workers’ Compensation Claim?
A common law claim is different from the statutory compensation process.
In a common law claim, the worker seeks damages on the basis that the employer failed to take reasonable care for the worker's safety and that this negligence caused or contributed to the injury.
The worker must establish fault.
WorkSafe Queensland describes this as proving that the employer breached its duty to provide a safe work environment and that the breach caused the worker's injury and resulting loss.
When Might an Employer Be Negligent?
Whether an employer has been negligent depends upon the circumstances.
Issues may include allegations concerning:
- unsafe systems of work;
- inadequate training or supervision;
- unsafe equipment or machinery;
- failure to identify or address workplace hazards;
- inadequate staffing;
- unreasonable workloads;
- failure to respond appropriately to known risks; or
- failure to provide appropriate equipment or assistance.
The fact that an accident occurred at work does not automatically mean the employer was negligent.
The particular circumstances and available evidence need to be considered.
What Can Be Claimed in a Common Law Claim?
Where negligence and loss are established, damages may potentially include compensation for:
Pain and suffering
Compensation may be available for the impact of the injury.
Past economic loss
This can include income lost because of the injury.
Future economic loss
Where an injury reduces a worker's ability to earn income in the future, damages may potentially reflect that reduced earning capacity.
Medical and treatment expenses
Past and future medical expenses associated with the injury may also form part of a damages claim.
The amount of compensation depends on the individual worker's injuries, employment history, income, age, prognosis and future capacity.
What if You Were Partly Responsible for the Accident?
A worker's own actions can be relevant to a common law claim.
If the employer establishes that the worker failed to take reasonable care for their own safety and this contributed to the injury, the worker's damages may be reduced for contributory negligence.
This does not necessarily mean the claim fails entirely.
What Is the Time Limit for a Common Law Claim?
Different time limits apply to statutory and common law claims.
WorkSafe Queensland states that a Notice of Claim for Damages generally needs to be submitted within three years of the injury.
However, workers should not assume they can simply wait until close to the three-year deadline.
There are procedural steps that may need to occur before proceedings, and delay can make evidence more difficult to obtain.
Related article: How Long Do You Have to Make a Personal Injury Claim in Queensland?
What if Your Workers’ Compensation Claim Is Rejected?
If an insurer rejects a statutory claim, that is not necessarily the end of the matter.
There are review processes available under Queensland's workers’ compensation scheme, but strict time limits can apply.
The appropriate next step will depend upon the insurer's decision and reasons.
If you disagree with a decision, it is sensible to obtain advice promptly rather than allowing a review period to expire.
Do You Need a Lawyer for a Workers’ Compensation Claim?
A lawyer is not required simply to lodge a statutory workers’ compensation claim.
Many straightforward statutory claims are managed directly between the injured worker, their medical practitioners and the insurer.
However, legal advice may become particularly important where:
- the statutory claim has been rejected;
- there is a dispute about whether an injury is work-related;
- the worker has suffered a significant or permanent injury;
- a Notice of Assessment and lump-sum offer has been received;
- there is a potential common law negligence claim;
- the injury affects the worker's long-term earning capacity; or
- an important time limit is approaching.
The distinction between statutory compensation and common law damages is particularly important because decisions made during the statutory process can affect later rights.
Statutory Compensation and Common Law Damages Are Different
The simplest way to understand the distinction is:
Statutory claim: focuses primarily on whether you have sustained a compensable work-related injury.
Common law claim: requires you to establish that your employer was negligent and that the negligence caused your injury and loss.
An injured worker may therefore be entitled to statutory workers’ compensation without necessarily having a viable common law damages claim.
Conversely, where employer negligence has caused a significant injury and financial loss, common law damages can become an important consideration.
Speak With a Gold Coast Personal Injury Lawyer
If you have been injured at work and are unsure about your workers’ compensation rights,
KMB Legal can advise you about your circumstances and the options that may be available.
We assist clients with workplace injury and other personal injury claims
across the Gold Coast and Queensland.
Free 30-minute initial telephone consultation.





