Spartan
Caselaw
ACTUARIAL CASE LAW REVIEW
Issue 144 – Monday 2 December 2024
ACTUARIAL – Loss of income – Dentist – Suffered permanent impairment caused by collision – Moved from private practise to public hospital – Whether collision caused plaintiff to forsake a more lucrative career for lower paying position – Unable to prove alleged pre-collision earnings – Failed to establish lesser earnings now than he would have earned in private practice – Occupational therapist an unreliable and partial witness – Award of R1,201,559.07.
Facts: The plaintiff was out riding on his motorcycle with friends when a car insured by the defendant knocked him down. The court settled the issue of liability holding the defendant liable for 100% of any damages he had suffered. The plaintiff is a dentist and at the time of the accident he was in private practice. Currently he is employed as a dentist in a government hospital in Sebokeng. As a result of the collision, the plaintiff suffered a fracture to his right patella resulting in him undergoing surgery and having a patellectomy. A patellectomy is the removal of a kneecap.
Claim: This hearing is limited to the issue of past and future loss of earning. Two key issues need to be addressed in relation to the claim for future loss of earnings. The first is whether his move from private practice to practising in a public hospital resulted in a loss of future earnings. Related to this question is whether, even if that answer is in the affirmative, his move was caused by the sequelae or for other reasons, or might be a mixture of both. The second issue is whether because of the sequelae and the discomfort he is experiencing, the plaintiff’s normal working life will be curtailed.
Assessment: The plaintiff had told Dr Strydom that at the time of the accident he earned R100,000 per month and R1,2 million annually from his dental practice. This was a net amount after deduction of expenses. In relation to the first issue, the plaintiff has not made out a case on this aspect. He has failed to satisfactorily prove that his pre-morbid earnings amounted to R100,000 per month after the deduction of expenses. Dr Strydom had asked for financial information from the plaintiff and despite her completing a second report two years later, that information was still not provided to her. It is not disputed that the plaintiff has suffered a permanent impairment caused by the collision. It is also not disputed that this impairment causes him constant pain that affects him professionally. What is in dispute is the following: did the collision cause him to forsake a more lucrative career in private practice for a lower paying position in public practice; and how much does his injury impair his future career prospects and would it curtail its length. At present he is aged 42.
Expert evidence: Ms Nape (occupational therapist) sought to establish that the plaintiff’s earning capacity was compromised because he could not work for long hours, nor perform certain procedures. But Ms Nape was correctly criticised in cross-examination for straying into areas for which she had no expertise (thus contradicting what Dr Breitenbach had stated about the plaintiff’s condition) and exaggerating the extent that the plaintiff’s injuries had constrained his earning capacity. Ms Nape would have been unaware that the plaintiff was still doing private work and working overtime for the hospital. This is his current situation nine years after the accident. She also made sweeping and unfounded remarks about the plaintiff now being more exposed to malpractice suits because of his compromised health. Ms Nape was an unreliable and partial witness whose evidence falls to be rejected.
Findings: The plaintiff claims that pre-collision he was earning R100,000 per month or R1,2 million per year. However, he has been unable to prove that he earned this amount. His own expert concedes this point. No reason was given during his testimony why he could not produce more satisfactory proof. It would not have been difficult for him to do so were this the case. Dr Strydom did not then seek to rely on the plaintiff for proof of earnings but instead looked to other evidence on what dentists typically earned in private practice according to industry surveys. Dr Strydom referred to reports by Koch to establish that a dentist of his experience would have been earning between the R368,300 (median range) and R447,900 (upper quartile range). The plaintiff has not established that he is earning less now than he would have been had he been in private practice. The plaintiff has failed to make out a case that he was forced to leave more lucrative private practice because of his injury. Rather his own difficulties in private practice were caused by his relationship with his erstwhile partners, and his difficulties in managing his dental practice when he was the principal. For future earnings, the amount proposed by the defendant of R973,749.07 is reasonable, to which must be added the past lost.
Award: The defendant shall pay to the plaintiff the capital amount of R1,201,559.07 for loss of earnings.
MANOIM J
ACTUARIAL – Loss of income – Expert reports – Returned to employment after three day recovery – Fully remunerated – Suffered no past loss of earnings – Expert conclusions that plaintiff will retire at age 55 due to injuries is rejected – Not supported by evidence – Lower back injury cannot be attributed to accident – Only mentioned and referred to when plaintiff was examined 11 months after accident – No evidence of follow up treatment – Loss of working capacity – Award of R81,063.
Facts: The plaintiff was a passenger involved in an accident and sustained injuries. The plaintiff was admitted to hospital at 8h00 in the morning and discharged from the hospital at 11h35 walking on her own. The hospital records state a painful left and right leg. No other abnormalities were found. The plaintiff was off work for three days following the accident. Post accident she resumed her employment. She was employed as an administration clerk and was responsible for administrative duties such as sending emails, taking cutting sheets to the factory and doing filling. She was office bound most of the day. She needs to go to the factory at least once a day, which required walking various distances and climbing multiple flights of stairs. The cutting sheets are printed on paper which she carried from the office to the factory.
Claim: The plaintiff is claiming R100,000 for past loss of earnings and R1,500 000 for future loss of earnings.
Assessment: The plaintiff’s counsel submitted that the plaintiff has proven its case and should be awarded her loss of earnings on the basis that she will retire at the age of 55 years earlier than the normal retirement age. There is no doubt that the plaintiff suffered soft tissue injuries of her right and left knees. However, one cannot slavishly accept that this injury is of serious nature and will ultimately result in the plaintiff having to take retirement at 55 years. The plaintiff did not suffer lower back injury from this accident, as she was only treated for left and right knee soft tissue injury. The orthopaedic surgeon stated that the right knee is normal, and she is currently only symptomatic in her left knee.
Findings: The court rejects the conclusion of the plaintiff’s orthopaedic surgeon and industrial psychologist that the plaintiff will retire at the age of 55 as a result the injuries suffered from the accident. This conclusion is not supported by evidence as the only injury that is affecting her is the left knee soft tissue injury. The lower back injury cannot be attribute to the accident as it is only mentioned and referred to when the plaintiff was examined by the orthopaedic surgeon which is 11 months after the accident. The is no evidence of follow up treatment for the left, right knee injury and lower back. She returned to her employment after the three-day recovery period, and she was fully remunerated. She remains employed as an administration clerk. The plaintiff did not suffer a past loss of income.
Award: The defendant shall pay the plaintiff R81,063 for loss of working capacity.
MALULEKA AJ
ACTUARIAL – Loss of income – Traditional healer – Impaired ability to perform duties of traditional healer – Loss of smell and taste – Faculties essential to profession – Orthopedic limitations and chronic pain – Incapable of independently meeting physical requirements – Contingency deductions of 5% for past pre- and post-morbid earnings – 15% and 35% for future pre- and post-morbid earnings – Assumption that plaintiff does not receive optimum rehabilitation – Award of R2,703,017.
Facts: The plaintiff sustained injuries in a motor vehicle collision. At the time of the collision, the plaintiff was 31 years old and working as a traditional healer. She is now 33 years old. The defendant has previously conceded liability, agreeing to compensate the plaintiff for 100% of her proven or agreed damages. The plaintiff sustained severe trauma during the collision. The plaintiff has been practicing as a traditional healer since 2012. Being a traditional healer requires sensitivity and the ability to receive and interact with clients appropriately. This involves undergoing specific rituals, such as the dancing ritual, and training in identifying and using traditional fruits for various rituals and treatments, which necessitates the ability to smell and taste these fruits.
Claim: The issue in dispute concerns the plaintiff’s loss of earnings, specifically her income as a traditional healer and her alleged self-employment as a caterer and the amount to be awarded for general damages. There is contention regarding the amounts presented in the industrial psychologist's report, which details the plaintiff’s monthly and annual earnings. Further, there is a dispute about whether the catering business was operational at the time of assessment by the occupational therapist or if it was merely a future plan.
Assessment: The plaintiff testified that due to the collision, her sense of smell and taste has been impaired, which severely impacts her ability to perform her work as a traditional healer. She indicated that she can no longer independently identify or mix traditional items and now requires assistance to fulfil her duties. She also confirmed that she trained others in initiation rituals, explaining that clients approach her for initiation based on their needs, and she performs rituals accordingly. Ms Du Plessis outlined two scenarios regarding the plaintiff’s post-morbid earnings. In the first scenario, with optimal rehabilitation, the plaintiff was projected to continue working at her reduced capacity until age 55, in accordance with the occupational therapist's opinion. It was noted that the plaintiff’s mother, who had been assisting her with certain tasks, may soon be unable to help, due to her advanced age. This would likely aggravate the plaintiff’s condition, leading to early retirement by age 55, with a total loss of earnings by age 65. In the second scenario, without optimal rehabilitation, Ms Du Plessis testified that the plaintiff’s physical and mental endurance would continue to deteriorate. Without her mother’s assistance, the plaintiff would likely be unable to manage the tasks her mother had been performing, necessitating the closure of her business once her mother was no longer able to assist.
Findings: The plaintiff’s loss of smell and taste, critical senses required for her role as a traditional healer, has substantially compromised her ability to perform her professional duties. This impairment is further supported by the occupational therapist’s evidence, which emphasized the medium physical demands associated with traditional healing. Due to the plaintiff’s orthopedic limitations and chronic pain, she is no longer capable of independently meeting these physical requirements. The revised actuarial calculation considered only the plaintiff’s income from traditional healing in the pre-morbid scenario and provided two scenarios for the post-morbid scenario. In the first scenario, optimal rehabilitation is assumed, with some residual earning capacity post-accident. Applying contingency deductions of 5% for both past pre- and post-morbid earnings, and 15% and 35% for future pre- and post-morbid earnings respectively, the total loss of earnings was calculated at R2,476,806. In the second scenario, it is assumed that the plaintiff does not receive optimal rehabilitation and remains largely unemployed post-accident. With the same contingency deductions, the total loss of earnings was determined to be R2,703,017.
Award: The court is persuaded that the second calculation (that assumes that the plaintiff does not receive optimum rehabilitation) represents a fair and reasonable award for the plaintiff’s loss of earnings and earning capacity. This results in an amount of R2,703,017.
COETZEE AJ
20 November 2024
VAN TONDER AJ
CIVIL PROCEDURE – Prescription – Arrest, detention and prosecution – Notices served within five months of conclusion of criminal proceedings – But more than three years and five months after arrest and detention – Plaintiffs' argument that they only acquired knowledge of claim upon acquittal cannot succeed – Primary facts were known to them immediately – Acquittal does not delay running of prescription – Special plea of prescription upheld – Prescription Act 68 of 1969, s 12(3).
Facts and issue: The plaintiffs, both police officers, instituted action against the Minister of Police claiming damages arising from their alleged unlawful arrest and detention, and against the National Prosecuting Authority, from their ensuing alleged malicious prosecution. The total amount claimed is R2,000,000. The defendants raised two special defences. First, that the plaintiffs failed to comply with the notice requirements under section 3 of the Institution of Legal Proceedings Against Certain Organs of State Act 40 of 2002; and second, that their claims against the minister have prescribed in terms of section 11 of the Prescription Act 68 of 1969.
Discussion: Two competing approaches on the interpretation of this question emerge from the case law as presented by the parties. The first, exemplified in Manchu v Minister of Police [2024] ZAGPJHC 535 and Mofokeng v Minister of Police [2023] ZAFSHC 43, holds that for unlawful arrest and detention claims, prescription begins to run from the moment of arrest, as each day of detention constitutes a new and separate debt. The second approach, reflected in Links v MEC for Health [2016] ZACC 10, emphasizes that a plaintiff must have knowledge of sufficient facts that would cause them on reasonable grounds to think that they have a claim. The following periods are relevant: The period between the arrest (5 June 2012) and service of summons (17 August 2016) of approximately four years and two months; the period between the end of the criminal proceedings (19 June 2015) and service of summons of approximately fourteen months; and the section 3 notices served within five months of the conclusion of criminal proceedings but more than three years and five months after the arrest and detention.
Findings: Taken together, the plaintiffs' argument that they only acquired knowledge of their claim upon acquittal cannot succeed. The primary facts, their arrest and detention, were known to them immediately. Their later appreciation that these events may have been unlawful represents a legal conclusion, not a fact required to complete their cause of action. As police officers, they would have known whether reasonable grounds existed for their arrest at the time it occurred. Their subsequent acquittal may have strengthened their conviction about the merits of their case, but this does not delay the running of prescription. The plaintiffs had knowledge of both the identity of the debtor (the Minister of Police) and the material facts giving rise to their claims for unlawful arrest and detention on the date of arrest in 2012. The special plea of prescription must succeed. The plaintiffs had the requisite knowledge under section 12(3) of the Prescription Act from the date of arrest.
Order: The second special plea of prescription is upheld. The plaintiffs’ remaining claims are dismissed with costs.
14 November 2024
MAJIKI ADJP
PERSONAL INJURY – Unlawful arrest and detention – Malicious prosecution – Housebreaking – CCTV footage evidence – Arresting officer never watched footage – Prosecutor watched footage and decided to prosecute accused – Results of fingerprints were still outstanding – Footage did not depict accused – Charges withdrawn – Exercise of discretion to arrest was justified – Failed to prove that prosecution acted without reasonable and probable cause and with malice – Claim dismissed.
Facts and issue: The two plaintiffs, Zuko and Anele, instituted action proceedings against the defendants for damages claim. The claims arise from their alleged arrest, detention and malicious prosecution. The first to the third defendants are Minister of Police (minister), National Director of Public Prosecutions (NDPP) and Mr Mangciphu(the complainant). The minister and NDPP are sued based on vicarious liability. This matter raises the issue of whether the arresting officer and prosecutors should have done more before arresting and prosecuting Zuko and Anele. Only the minister and NDPP defended the action.
Discussion: The complainant informed the police that at the business where housebreaking took place, he had CCTV cameras. He viewed the footage and identified the culprits as Zuko and Anele. He knew them well. The arresting officer asked the complainant to show him the footage. After viewing the footage, the said officer was not comfortable with the quality of the images. He sent the video to experts in Pretoria for it to be cleared so that the quality of the visuals could improve. With their consent, the police took the fingerprints of Zuko and Anele. Upon seeking advice from the prosecutor, the prosecutor requested the docket for decision and that the complainant be brought. The footage was received. Before the fingerprints results came to hand, he took the complaint together with the footage, without opening or watching it, to the prosecutor. The prosecutor watched it with the complainant and his brother who both positively identified the culprits from a clear footage. The prosecutor then decided to prosecute them. The arresting officer never watched the footage. Upon the prosecutor seeing Zuko and Anele, he realised they were not the people on the footage. The complainant could not explain that discrepancy, the charges were therefore withdrawn.
Findings: The exercise of the discretion to arrest, on the facts of the case, was justified. The plaintiffs were taken to court without any delay. They did not apply for and were not released on bail until they applied and were released on 20 June 2018. The plaintiffs failed to prove that the NDPP acted without reasonable and probable cause and with malice. To succeed against the third respondent, in a claim for malicious prosecution, the plaintiffs had to prove that he colluded with relevant officials in his prosecution. That could not be the case as the claim against the NDPP has already failed.
Order: The plaintiffs’ claim is dismissed.
12 August 2024
SHEPSTONE AJ
PERSONAL INJURY – Unlawful arrest and detention – Reasonable suspicion – Suspicion based on complainant's account – Fact that plaintiff and complainant worked together and plaintiff’s apparent state of "fright" – Intimidation not listed as an offence in Schedule 1 – Failed to show that arresting officer suspected plaintiff of committing Schedule 1 offence – No evidence that officer considered alternatives to arrest – Arrest and detention unlawful – R450,000 – Criminal Procedure Act 51 of 1977, s 40(1)(b).
Facts and issue: This is an action for damages arising from the alleged unlawful arrest and detention of the plaintiff by members of the SAPS. The plaintiff claims damages against the first and second defendants for unlawful arrest and detention, and against the third defendant for malicious prosecution in the amount of R2,100,000. The plaintiff was arrested by sergeant Ramoshaba without a warrant at his workplace on a charge of intimidation. The defendants deny that the arrest and subsequent detention of the plaintiff was unlawful. They contend that the arrest was lawful in terms of section 40(1)(b) of the Criminal Procedure Act 51 of 1977 as sergeant Ramoshaba arrested the plaintiff on suspicion of committing the offence of intimidation.
Discussion: Sergeant Ramoshaba stated that his suspicion that the plaintiff had committed a Schedule 1 offence was based on the complainant's account, the fact that the plaintiff and the complainant worked together and the plaintiff’s apparent state of ‘fright’. Sergeant Ramoshaba gave evidence that he approached the plaintiff, introduced himself, and questioned him regarding the contents of the statement provided by Mrs. Nalaba. He noted that the plaintiff appeared to be frightened. After gathering sufficient information and forming a reasonable suspicion, he decided to proceed with the arrest. Sergeant Ramoshaba gave evidence that he effected the arrest on the same day he received the complaint. He clarified that he had received the complaint from radio control and located and reviewed the relevant docket. He affirmed that upon reading the statement, he formed a suspicion and proceeded to interview the complainant and the plaintiff. The first two requirements for a lawful arrest under section 40(1)(b) are clearly met, Sergeant Ramoshaba was a peace officer who suspected the plaintiff of committing an offence.
Findings: The third requirement is not met. Intimidation is not listed as an offence in Schedule 1 of the CPA. The defendants have therefore failed to show that Sergeant Ramoshaba suspected the plaintiff of committing a Schedule 1 offence. Sergeant Ramoshaba could not have harboured a reasonable suspicion that the plaintiff had committed an offence justifying arrest without a warrant. At best, he acted hastily on incomplete information. Even if the jurisdictional requirements for arrest were met, Sergeant Ramoshaba failed to properly exercise his discretion in deciding to arrest the plaintiff. There is no evidence that he considered alternatives to arrest or that arrest was necessary to ensure the plaintiff's attendance at court. The arrest of the plaintiff was unlawful. As the arrest was unlawful, the subsequent detention of the plaintiff was also unlawful. Even if the initial arrest was lawful, there is no evidence that the need for continued detention was properly considered during the period of 16-29 October 2017.
Order: The first defendant is ordered to pay to the plaintiff damages in the amount of R450,000.
28 November 2024
ENGELBRECHT AJ
RAF – Liability – Plaintiff’s version – Appellant threatened by driver of another vehicle – Rear ended while being chased by driver – Lost consciousness and awoke in hospital 3 days later – Seriously injured – Court a quo not satisfied that appellant proved that a collision had occurred – Evidence of appellant established pleaded case – Clear and unequivocal – Evidence established not only that a collision in fact occurred, but also negligence of driver in its causation – Appeal upheld.
Facts and issue: The appellant instituted an action against the respondent, the RAF, for compensation for bodily injuries sustained by him in a motor vehicle collision. The action was enrolled for hearing. The RAF did not appear at the trial. The action proceeded based on a judgment by default. After hearing the plaintiff’s evidence on the occurrence of the collision, the court a quo dismissed the action on the basis that the appellant had failed to establish either the involvement of another vehicle or the negligence of the driver of such vehicle. Leave to appeal to this court was granted by the court a quo.
Discussion: In this matter, only the appellant testified, and his evidence stands unchallenged. A driver of the VW made a threatening sign indicating that he was going to cut the appellant’s throat. The appellant interpreted the sign as an indication of the VW’s occupants’ intention to harm or hijack him. He drove off in the direction of the police station. On the way, there was a speed hump on the road for which he slowed down. It was at this point, that the VW bumped into the rear of his Nissan bakkie. It caused him to lose control of his vehicle, and he only regained consciousness some three days later when he awoke in the hospital. The appellant knew neither the driver of the VW nor its occupants and could not identify them or the vehicle they were driving save by describing them as he had in evidence. The appellant was seriously injured and for approximately eight months after the collision, he was unable to walk without the assistance of a walking frame.
Findings: The evidence of the appellant established the pleaded case that an unidentified vehicle driven by an unidentified person, collided with the rear of his vehicle, causing him to lose control. This evidence is clear and unequivocal. The evidence of the appellant established the pleaded case. It is not improbable that the driver of a motor vehicle, with which another motor vehicle collided from the rear, in the circumstances testified to by the appellant, would lose control of his vehicle. In the circumstances, the evidence of the appellant established not only that a collision in fact occurred, but also the negligence of the driver of the VW vehicle in its causation.
Order: The appeal is upheld. The order of the court a quo is set aside and replaced. The defendant is ordered to pay 100% of the plaintiff’s agreed or proven damages.
19 November 2024
LANGA J
RAF – Motor vehicle – Forklift truck – Hangcha ST 5T Series – Whether designed for propulsion or adapted for propulsion or haulage on road – Core purpose is to lift and move loads around designated places – No sufficient evidence to establish that that it was designed as an all-terrain vehicle – Claim dismissed – Not qualifying as motor vehicle for purposes of section 1 of Road Accident Fund Act 56 of 1996.
Facts and issue: This is a personal injury, and damages claim against the Road Accident Fund emanating from an incident involving a Hangcha 5t Series Forklift, (the insured vehicle) driven by one Mr Horn, (insured driver). The plaintiff who was a pedestrian was injured when the load of the forklift fell on him in a parking lot which constitutes a public space of road. The question is whether the forklift in question qualifies as a motor vehicle in terms of the Road Accident Fund Act 56 of 1996 and consequently, whether the plaintiff’s claim for compensation qualifies in terms of the provisions of the RAF Act.
Discussion: Although the plaintiff relies on the evidence of Mr Horn and Mr du Plessis in its assertion that the forklift is designed or adapted for use on a public road, neither Mr Horn nor Mr du Plessis is an expert on forklifts generally or the forklift in question. These two witnesses are not alleging that they work for the designers or manufacturers of the Hangcha 5t series forklifts. Mr Horn only alleges that he works for Riveo, the owner of the Hangcha ST-5T R Series forklift in question. In short, they are not expert witness regarding the operations of the machinery and cannot therefore with authority say that the forklift has been designed or adapted for use on public roads or streets. A warning is sounded under paragraph 5 at page 34 of the manual that that it will be dangerous to apply brakes suddenly as that may cause the forklift to capsize. This means that should this forklift find itself in a situation where it must make an emergency stop, it is more than likely to cause an accident and endanger other road users. Given the traffic conditions on the roads, it should be accepted that all vehicles operating on the public roads should be able to execute a “dead break” manoeuvre at any time should that be necessary.
Findings: Any vehicle which is not designed to make a sudden stop without causing an accident is not safe for use on the road and cannot be said to be designed or adapted for use on public roads. It is clear from the General Rules in the Manual that the core purpose of the forklift is to lift and move loads around designated places. Considering the work surface preferred in terms of the manual, this forklift was designed primarily to lift and move heavy loads in and around warehouses or construction sites with relatively smooth surfaces and at slower speeds. There is no sufficient evidence to establish that that it was designed as an all-terrain vehicle.
Order: The plaintiff’s claim is dismissed.
22 November 2024
MPAMA AJ
RAF – RAF 1 form – Substantial compliance – Alleged failure to comply with prescripts despite defendant’s written objection – RAF 1 form serves as a basis for claims to be lodged – Requirements – Plaintiff identified as injured person – Accident details substantially disclosed – Accident report and hospital records attached – Lacking plaintiff’s employment details – Sufficient information provided to enable defendant to investigate claim – Valid claim lodged by plaintiff – Special pleas dismissed – Road Accident Fund Act 56 of 1996, s 24(1).
Facts: The plaintiff instituted an action for damages against the Road Accident Fund resulting from injuries sustained in a motor vehicle accident. It is alleged that the plaintiff was a pedestrian when he was hit by a motor vehicle. He sustained some bodily injuries and lodged his claim on 17 May 2023 against the defendant for compensation for past and future loss of earnings, general damages and past medical expenses. The RAF forwarded a formal objection in writing to the plaintiff’s claim. The defendant objected to the validity of the plaintiff’s claim alleging it did not meet all the requirements for a valid claim in terms of rule 24(1) of the Road Accident Fund Act 56 of 1996. The plaintiff did not cure the complaint in the objection letter, instead he continued with his claim and issued summons against the defendant.
Special pleas: The defendant, in response to the summons pleaded and raised three special pleas. The first plea pertains to the alleged failure by the plaintiff to lodge a substantially compliant claim in terms of s 24 of the Act, read with Board Notice 271 of 2022. The second plea dealt with the fact that the summons was served before compliance with s24 of the Act by the plaintiff, the defendant’s view being that the summons was issued and served prematurely. The last special plea was that of prescription.
Discussion: The nub of the matter revolves around whether the plaintiff complied with the legislative requirements of s 24 of the Act. The validity of the plaintiff’s claim lies solely on whether the claim lodged with the defendant on 17 May 2023 was valid. The defendant argued that the plaintiff’s claim does not comply with the provisions of s 24 of the Act and must be dismissed. The defendant further contended that the plaintiff had not, despite the defendant’s written objection, complied with these prescripts. With regard to the third special plea, it was argued that because the plaintiff failed to lodge a valid claim within two years, his claim has now prescribed.
Findings: A perusal of the plaintiff’s RAF 1 revealed that the plaintiff is identified as the injured person, and the accident details have been substantially disclosed. The accident report, s 19(f) affidavit and the hospital records are also attached. However, what is lacking are the plaintiff’s employment details. The purpose of RAF1 is to assist the defendant to investigate the accident so as to reach a decision on whether the claim should be defended or not. The RAF1 form, together with the submitted hospital records and the accident report provided sufficient information to enable the defendant to investigate the claim. There was substantial compliance with the provisions of s 24(1) of the Act and a valid claim was lodged by the plaintiff.
Order: The three special pleas are dismissed.
28 November 2024
VAN ZYL AJ
RAF – General damages – Severe leg fractures – Resulting in six operations – More surgery in future is likely – Residual work capacity, career options and employability compromised – Severe functional impairment – Unequal competitor in open labour market – Accommodated by sympathetic employer – Severe and lifelong consequences – Mobility is permanently and significantly compromised – Condition expected to deteriorate – R1 million to which 80% apportionment applied.
Facts and issue: The plaintiff is 39 years old. At the age of 32, he was injured in a motor vehicle collision. The defendant has conceded liability for 80% of the plaintiff’s proven or agreed damages. The plaintiff’s claims for past medical expenses, future hospital, medical and related expenses, and loss of earnings and earning capacity have been settled between the parties. The only issue that remains in dispute is the quantum of the plaintiff’s claim for general damages. It is common cause that the plaintiff’s injuries qualify as serious, as contemplated in sections 17(1) and 17(1A) of the Road Accident Fund Act.
Discussion: The plaintiff displays severe functional impairment, mainly because of his left leg pain and limitations. He has been left with poor mobility, agility, balance, and tolerance for standing and walking. According to the plaintiff he can only walk or stand still for about 15 minutes at a time. He is restricted to occasional walking on level terrain, occasional standing and stair negotiation, and is essentially unable to crouch or kneel. The plaintiff’s residual work capacity, career options and employability have been compromised because of the accident. He presents with severe functional impairment, and his competence is curtailed, which makes him an unequal competitor in the open labour market. The plaintiff is currently being accommodated by a sympathetic employer, but should he lose his current employment, it is highly likely that he will have difficulty securing and sustaining employment in the open labour market. All of this adds to the emotional pressures that the plaintiff will henceforth have to endure. He can also no longer operate his private part-time business, which was woodworking. He has therefore, in addition to the loss of earnings concerning his regular job, also suffered the loss of the enjoyment that he used to derive from his woodworking jobs.
Findings: The plaintiff suffered injuries which have had severe and lifelong consequences. He suffered severe fractures to his left leg. The fracture of the femur has united in a malunion. He has been left with significant restrictions of his left leg and cannot straighten the leg fully. He walks with a significant limp. He suffers from ongoing pain and discomfort in his hip, left leg, ankle, and lumbar spine. His mobility is permanently and significantly compromised. He is severely scarred. His condition is expected to deteriorate. He has undergone numerous operations. Further operations are foreseen. The plaintiff can no longer participate in activities that were enjoyable to him, and that used to pose opportunities for the plaintiff, his wife, and twin sons to spend time together as a family over holidays. He has lost not only his favourite leisure activities, but also the family camaraderie that arose from the participation in those activities by his wife and sons.
Order: The defendant shall pay to the plaintiff the sum of R800,000 in respect of general damages.
BOOKS / RESEARCH / ARTICLES
Authors: Scott Manski, Kaixu Yang, Gee Y Lee and Tapabrata Maiti
Initial insurance losses are often reported with a textual description of the claim. The claims manager must determine the adequate case reserve for each known claim. In this paper, we present a framework for predicting the amount of loss given a textual description of the claim using a large number of words found in the descriptions. Prior work has focused on classifying insurance claims based on keywords selected by a human expert, whereas in this paper the focus is on loss amount prediction with automatic word selection. In order to transform words into numeric vectors, we use word cosine similarities and word embedding matrices. When we consider all unique words found in the training dataset and impose a generalised additive model to the resulting explanatory variables, the resulting design matrix is high dimensional. For this reason, we use a group lasso penalty to reduce the number of coefficients in the model. The scalable, analytical framework proposed provides for a parsimonious and interpretable model. Finally, we discuss the implications of the analysis, including how the framework may be used by an insurance company and how the interpretation of the covariates can lead to significant policy change.
PROFESSIONAL GUIDANCE NOTES
APN 701: Delictual and Other Legal Matters
APN 901: General Actuarial Practice
APN 904: Market conduct and treating customers fairly
Recommended Experience Requirements: Calculations for delictual and other legal matters
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