Peter Hunt
Principal
The Personal Injury Commission (PIC) published its decision in Custovic v Allianz Australia Insurance Limited [2024] NSWPIC 605 on 8 November 2024.
On 24 September 2023, the Claimant rode his motorbike along a fire trail near Yanderra in the Southern Highlands of New South Wales. He lost control of his motorbike when he collided with a tree which had fallen across the path. A friend riding ahead of the Claimant had manage to stop in time and avoided colliding with the tree.
Given that the Claimant was injured in a motor accident in NSW, the Insurer accepted liability to pay statutory benefits for the first 12 months. The Insurer, however, denied liability beyond 12 months on the grounds that the Claimant was wholly or mostly at fault for his accident and, therefore, precluded by s 3.11(1)(a) and s 3.28(1)(a) of MAIA.
The insurer’s liability decision was confirmed on Internal Review.
The Claimant lodged an Application for Miscellaneous Assessment.
After reviewing all the evidence, the PIC Member determined that the accident occurred as follows:
The PIC Member determined that the Claimant was 75% responsible for his accident for the following reasons:
For these reasons, the PIC Member found that the Claimant was mostly at fault for his accident.
In assessing the most-at-fault dispute, the PIC Member applied the recent Supreme Court decision in AAI Limited t/as GIO v Evic. In that matter, Mitchelmore J found that assessing “relative culpability” is an inappropriate way of assessing contributory negligence in single vehicle accidents. The proper test in single vehicle accidents, rather, is to look at the degree to which the driver departed from the standard of care required of them.
In this case, it may have been tempting to compare the Claimant’s culpability against that of the authority responsible for maintaining the fire trail and/or the culpability of the Claimant’s friend. The decision in Evic, however, makes it clear that any such temptation should be resisted. As the PIC Member found, in single vehicle accidents, the correct test is to ignore any third party culpability and only consider the extent to which the Claimant departed from the standard of care he was expected to maintain.
In claims involving more than one driver or claims involving, for example, a driver and a pedestrian, it remains appropriate to assess contributory negligence by reference to the relative culpability of the driver and the injured person.
Our full case note on AAI Limited t/as GIO v Evic can be accessed here.
If you have a query relating to any of the information in this case note, or would like to discuss a similar matter of your own, please don’t hesitate to get in touch with CTP Insurance Principal, Peter Hunt, today.
MC PIC Decision of the Week
MC MAIA Toolkit
The Proper Lookout Podcast
MC Ready Reckoner