Standard 5 - recurrence or aggravation of a previous workplace injury
Clarity and certainty regarding the distinction between the recurrence of an injury and a new injury is important for workers and employers because of the potential impact on a worker’s benefits and an employer’s premium.
Recurrence or aggravation of a previous workplace injury
Principle: All available evidence will be considered to determine whether an injury is the recurrence of a previous injury or a new injury, and all reasonable support will be provided to the worker in either case.
Expectations | Benchmarks | |
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S5.1 | If the insurer determines that an injury is a recurrence of a previous injury or a new injury to a previously injured body part, the insurer must contact the worker and employer to advise of the reasons for that decision and its implications. | Advice provided to the worker and employer within two working days after decision. |