Toll Workers’ Compensation in South Australia
All employers in South Australia must have workers’ compensation insurance.
Toll Group (‘Toll’) are a self-insured employer for the purposes of workers’ compensation in South Australia. This means that Toll takes direct responsibility for its workers’ compensation claims instead of purchasing cover from Return to Work SA (‘RTWSA’). This approach allows Toll to manage and administer its workers’ compensation claims internally, providing a more tailored and effective approach for Toll team members.
To become self-insured, Toll must meet specific criteria and maintain their instrument of approval through RTWSA. Toll are subjected to regulatory oversight by RTWSA to ensure compliance with workers’ compensation laws and standards of conduct and service.
Further Information
How to lodge a claim in South Australia
If you are injured at work, reporting your injury or illness to Toll is an important step to ensure your wellbeing and comply with workplace regulations. Below is a step-by-step guide on how you (or someone on your behalf) can report your injury or illness to Toll:
Seek Medical Attention:
- Immediate Action: If the illness or injury is serious, follow first aid procedures and call 000 for an ambulance. Your health and safety come first.
- First Aid: If the illness or injury is not serious, seek first aid and proceed with the next steps.
Notify Toll:
- Notification: Inform your immediate supervisor or manager as soon as possible, no matter how minor the injury may seem. This can be done verbally. If you don’t feel comfortable reporting the injury / illness to your supervisor and wish to notify Toll in writing, please email [email protected] and a representative from the Toll Injury Management Team will make contact with you.
- Timing: Report the illness or injury as soon as it happens, or as soon as you become aware of it. Delays in reporting can complicate the process and may affect your ability to claim workers’ compensation.
Consider Available Injury Management Pathways
- Self-Management: Not every injury or illness requires medical management. If you believe you can self-manage your condition, provided you have taken steps to formally report the injury or illness, this is an acceptable and suitable strategy.
- Toll Early Intervention Program: In South Australia, Toll offers an 'opt in' limited scope pre-claim/early intervention program which is designed to ensure all Toll employees who report a work-related injury can receive early advice, funded medical treatment and a safe transition back to work without needing to go through the formalities of lodging a workers’ compensation claim. Please speak with your supervisor or a representative from the Toll Injury Management Team if you wish to proceed down this pathway.
- Workers’ Compensation Claim: You are entitled to make a claim for workers’ compensation for your work-related injury or illness where:
- You have lost time away from work (either totally off work or on modified hours / duties): and / or
- You have incurred medical and / or travel expenses.
If you choose to lodge a workers’ compensation claim, you will need to complete a claim form and return to your Toll supervisor or email [email protected] along with a Work Capacity Certificate (medical certificate) at your earliest convenience.
Claim assessment process in South Australia
Once Toll have received your claim and supporting documents, we will acknowledge receipt with you and confirm any necessary next steps required.
Toll must make an initial decision on the claim within 10 business days of us receiving your claim form. Toll’s decision must be one of the following:
Accept liability:
If Toll accept your claim, there are different types of payments and support available, depending on your circumstances. Further information can be found in the 'Workers' compensation support and benefits in South Australia' section below.
Reject liability:
If your claim isn’t accepted, Toll will speak with you to explain the reasons for the decision and put the decision in writing.
Defer liability decision:
If Toll cannot make a decision on liability within 10 business days, your Toll Case Manager will call you to let you know why, put this in writing to you, and make an offer of interim benefits. If you consider there has been undue delay in making a decision on liability at any stage, you can apply to the SA Employment Tribunal for the decision to be expedited. Further information in relation to this process can be found at the link below:
Decision review pathways in South Australia
If you are dissatisfied with a decision made about your claim, we encourage you to speak with your Toll Case Manager in the first instance. If you wish to apply for a formal review, you can do so through the SA Employment Tribunal via the link below:
The following decisions are reviewable:
- A decision regarding serious injury claim.
- A decision about the nature or scope of recovery / return to work services provided, or to be provided.
- A decision regarding an assessment of permanent impairment.
- A decision relating to a claim such as liability, average weekly earnings, the provision or services or incurred costs, to approve or not approve the cost of surgery or to discontinue or suspend weekly payments.
RTWSA provides funding to the Legal Services Commission SA so that injured workers can access free independent legal information, advice and guidance on matters relating to their claim. The Legal Services Commission SA does not provide advocacy or representation. For more information about this service, please review the link below:
Workers' compensation support and benefits in South Australia
There are a number of ways Toll can support you while you’re recovering from a work-related injury or illness. They may include one or more of the following:
- Income support if you are unable to work
- Financial support for reasonable and necessary medical treatment
- Return to work services
- Lump sum payments
- Serious injury support
- Common law and redemptions
Further information about support and benefits available in South Australia can be found at the link below or by speaking with the Case Manager allocated to your claim:
Return to work planning with Toll in South Australia
After you report your injury and make a claim for workers’ compensation, your Toll Manager and a representative from the Toll Injury Management Team (or Toll appointed Workplace Rehabilitation Provider) will consult with you to devise and implement a return to work plan.
Getting back to work is an important part of rehabilitation and helps with your recovery. Feeling nervous or worried about returning to work is normal for anyone who has been off work for a period of time, regardless of the duration. Your return to work plan should focus on what you can do rather than what you can’t do. When developing your plan, it will be Toll’s role to find suitable work and your doctor’s role to assess your ability to undertake the duties identified.
Your role when developing a recover at work program is to:
- Take an active part in the process.
- Suggest ways to modify your work demands to match your current work capacity, either temporarily or permanently ie equipment, workplace / task modifications or workplace practice changes.
- Provide your doctor and Toll Manager with a copy of the return to work plan.
- Advise Toll of any change to your certified capacity or any difficulties you are experiencing so the plan can be reviewed and updated as necessary.
- Understand your own capacity and the duties you can do.
Contact information for Toll South Australia
If you wish to discuss any aspect of the claim process further, please email [email protected] and a representative from the workers’ compensation team will telephone you or respond to your email within 2 business days.
