WCAT Decision Number:  
A2001487 (August 8, 2022)  
DECISION OF THE WORKERS’ COMPENSATION APPEAL TRIBUNAL  
WCAT Decision Number:  
A2001487  
WCAT Decision Date:  
August 8, 2022  
Introduction  
[1]  
[2]  
On October 28, 2019 the worker, a lane closure supervisor, was injured when her work vehicle  
was rear-ended by a drunk driver. At the time of this incident the worker was five months  
pregnant. The Workers’ Compensation Board (Board), operating as WorkSafeBC, accepted the  
worker’s claim for soft tissue injuries to her neck, and her upper and lower back.  
In a decision letter dated November 25, 2019, the Board determined that the worker was  
temporarily disabled by these injuries and entitled to temporary total disability (wage-loss)  
benefits from October 28 to November 7, 2019. The Board acknowledged that the employer had  
registered an objection to the worker being paid wage-loss benefits from November 4 to 7, 2019  
and indicated that it would issue a separate decision letter which addressed this issue.  
[3]  
In a decision letter dated December 3, 2019, the Board confirmed that the worker was entitled to  
wage-loss benefits from November 4 to 7, 2019. The Board explained that it considered it  
reasonable for the worker to have refused the light duties which the employer had offered to her  
for the period November 4 to 7, 2019 because they were token and unproductive and therefore  
unsuitable as defined in Board policy.  
[4]  
[5]  
In a decision letter dated February 13, 2020, the Board determined that the worker was not  
entitled to wage-loss benefits beyond November 7, 2019 because the light duties which the  
employer had offered to her for that period were suitable and her refusal of those duties was  
unreasonable.  
The employer filled a request for review of the Board’s November 25, 2019 decision letter but  
did not request a review of the Board’s December 3, 2019 decision letter.  
[6]  
[7]  
The worker filed a request for review of the Board’s February 13, 2020 decision letter.  
In a Review Division decision dated May 19, 2020 (Review Reference #R0259988), a review  
officer determined that the issue that the employer was seeking to have addressed by filing a  
request for review of the Board’s November 25, 2019 decision letter was actually contained in  
the Board’s decision letter dated December 3, 2019. After giving notice to the parties, the review  
1
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
officer proceeded with her review on the basis that the employer had requested a review of  
the Board’s it was the December 3, 2019 decision letter1. The review officer went on to conclude  
that the employer had offered the worker suitable light duties for the period November 4 to 7,  
2019 which the worker had unreasonably refused to perform after being medically cleared to do  
so starting November 4, 2019. Given these circumstances, the review officer concluded that the  
worker was not entitled to wage-loss benefits for the period November 4 to 7, 2019 and varied  
the Board decision dated December 3, 2019.  
[8]  
[9]  
In a Review Division decision dated September 17, 2020 (Review Reference #R0264747), a  
review officer confirmed that the worker was not entitled to wage-loss benefits beyond  
November 7, 2020 for the same reasons cited by the Board’s decision letter dated February 13,  
2020.  
The worker appealed Review Reference #R0259988 and Review Reference #R0264747 to the  
Workers’ Compensation Appeal Tribunal (WCAT). The employer filed notices to participate with  
respect to both of these appeals. I will refer to these appeals as Appeal A (A2001487) and  
Appeal B (A2002489), respectively. Appeals A and B were subsequently suspended pending  
the outcome of the worker’s request for review of a May 13, 2020 Board decision which denied  
the worker compensation for a psychological injury.  
[10]  
[11]  
In a Review Division decision dated December 2, 2020 (Review Reference #R0267947), a  
review officer determined that further investigation was necessary in order to determine whether  
the worker had developed or aggravated a compensable psychological condition. After  
conducting further investigations, the Board issued an implementation decision letter dated  
July 2, 2021 accepting an Adjustment Disorder (with Mixed Anxiety and Depressed Mood) and  
an Aggravation of a pre-existing Major Depressive Disorder (Recurrent, Moderate) as having  
arisen out of and in the course of the worker’s employment on October 28, 2019.  
In the same July 2, 2021 implementation decision, the Board considered whether the worker  
was entitled to wage-loss benefits as a result of her accepted psychological conditions. The  
Board noted that the worker had been denied wage-loss benefits for her physical injuries as of  
November 4, 2019 because the employer had offered her suitable light duties which she had  
unreasonably refused to perform. The Board determined that the worker was capable of  
performing those light duties as of November 4, 2019 despite her accepted psychological  
conditions because the duties offered were in keeping with the temporary limitations identified  
by the psychologist who assessed the worker in May 2021. The Board concluded that the  
worker’s refusal to participate in those light duties because she was “stressed about driving”  
was unreasonable because the worker had indicated that she was capable of doing “essential  
driving” which the Board felt had a greater potential for injury due to inattention or poor judgment  
1
and not the Board’s November 25, 2019 decision letter  
2
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
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WCAT Decision Number:  
A2001487 (August 8, 2022)  
than the light duties the employer had offered. As a result, the Board confirmed that the worker  
had no entitlement to wage-loss benefits as of November 4, 2019.  
[12]  
[13]  
The worker protested the Board’s determination that she was not entitled to additional  
wage-loss benefits as a result of her accepted psychological conditions by filing a request for  
review of the July 2, 2021 Board decision letter.  
In a Review Division decision dated November 25, 2021 (Review Reference #R0281537) a  
review officer concluded that the worker was capable of performing the light duties that the  
employer had offered to her for the period November 4 to 7, 2019 despite her accepted  
psychological conditions and had unreasonably refused to participate in same during the period  
November 5 to 7, 2019. As a result the review officer concluded that the worker was not entitled  
to wage-loss benefits for the period November 5 to 7, 2019.  
[14]  
In the same November 25, 2021 Review Division decision, the review officer determined that by  
November 8, 2019 the worker was no longer psychologically capable of performing the light  
duties which the employer had available and was therefore entitled to the payment of temporary  
total wage-loss benefits for her accepted Adjustment Disorder and Major Depressive Disorder  
commencing November 8, 2019. The review officer left it to the Board to determine the nature  
and extent of the worker’s entitlement to wage-loss benefits after November 8, 2019.  
[15]  
[16]  
The employer appealed Review Reference #R0281537 to WCAT. I will refer to this as Appeal C  
(A2102494). The worker has filed a notice to participate with respect to Appeal C.  
WCAT has joined Appeals A, B and C so that they can be addressed together. With respect to  
all three appeals, the worker is represented by a union business agent and the employer is  
represented by an advocate from the Employers’ Advisers Office.  
Appeal Method  
[17]  
The worker requested that Appeals A and B be conducted by way of an oral hearing. The  
employer requested that Appeal C proceed by way of written submissions. The WCAT  
assessment officer made a preliminary determination that all three matters should proceed  
together by way of an oral hearing. In view of the employer’s challenges to the worker’s  
credibility, I agreed with this assessment and so an oral hearing was held on April 5, 2022 in  
order to address all three appeals.  
Issue(s)  
[18]  
Item 3.3.1 (Issues in Decision(s) Appealed) of the WCAT Manual of Rules of Practice and  
Procedure (MRPP) provides that where a decision of the Review Division is appealed to WCAT,  
WCAT has jurisdiction to address any issue determined in either the Review Division decision or  
3
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
the Board decision(s) which was under review, subject to the statutory limits on WCAT’s  
jurisdiction. However, WCAT will generally restrict its decisions to the issues raised by the  
appellant in the notice of appeal and the appellant’s submissions to WCAT.  
[19]  
At the outset of the oral hearing on April 5, 2022, I advised the parties that I had reviewed the  
worker’s claim file in its entirety including the Board and Review Division decisions, the notices  
of appeal filed by the parties, and the submissions which they had filed on review and appeal  
and had identified the following issues:  
Appeal A  
Whether the worker was temporarily disabled by her accepted injuries/conditions and  
entitled to wage-loss benefits for the period November 4 to 7, 2019.  
Appeal B  
Whether the worker was temporarily disabled by her accepted injuries/conditions and  
entitled to wage-loss benefits beyond November 7, 2019.  
Appeal C  
Whether the worker was temporarily disabled by her accepted injuries/conditions and  
entitled to wage-loss benefits effective November 8, 201982.  
[20]  
I indicated that all three appeals required me to consider whether the worker was physically or  
psychologically incapable of undertaking any form of employment during the period in question  
and if so whether her refusal of the selective/light employment offered to her for that period was  
reasonable. The parties concurred and so I have proceeded on this basis.  
Jurisdiction and Procedure  
These are appeals of Review Division decisions pursuant to section 288(1) of the Workers  
Compensation Act (Act).  
[21]  
Section 308 of the Act gives WCAT exclusive jurisdiction to inquire into, hear, and determine all  
those matters and questions of fact, law, and discretion arising or required to be determined in  
an appeal before it. These are appeals by way of rehearing, in which WCAT considers the  
2
The employer limited its appeal of the Review Division’s November 25, 2021 decision to the review  
officer’s decision that the worker was entitled to wage-loss benefits for the period effective November 8,  
2018. The worker did not file a cross-appeal of the Review Division’s November 25, 2021 decision to  
deny her wage-loss benefits for the period November 5 to 7, 2019.  
4
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
record and also has jurisdiction to consider new evidence and to substitute its own decision for  
the decisions under appeal. WCAT has inquiry power, including the discretion to seek further  
evidence, but is not obliged to do so. WCAT may confirm, vary, or cancel the appealed  
decisions or orders.  
[22]  
[23]  
The standard of proof in compensation matters is the balance of probabilities, subject to the  
provisions of section 303(5) of the Act. Section 303(5) provides that when the evidence on an  
issue respecting the compensation of a worker is evenly weighted, WCAT will resolve the matter  
in a manner that favours the worker.  
Section 303(2) of the Act requires me to apply the published policies of the board of directors of  
the Board, subject to the provisions of section 304 of the Act. All references to policy in this  
decision, unless otherwise specified, are references to the policy contained in the Board’s  
Rehabilitation Services and Claims Manual, Volume II.  
Background and Evidence  
[24]  
On October 29, 2019 the worker called a superintendent for the employer to advise that she  
would not be going into work that night because she was “a bit sore”. The superintendent  
advised the employer’s Health Safety and Environment (HSE) administrator who telephoned the  
worker later the same day. The HSE administrator explained to the worker about the employer’s  
Stay at Work/Return to Work program, verbally offered the worker light duties working at the  
employer’s head office and sent the worker a written offer of modified duties which was set out  
in a Return to Work (RTW) Suitable Employment Agreement form and accompanied by a RTW  
Functional Abilities Form (to be completed by the worker’s physician).  
[25]  
This RTW Suitable Employment Agreement form indicated that the employer was offering the  
worker full time (eight hours per day, Monday to Friday) sedentary duties commencing October  
30, 2019 which involved completing online safety courses. The form indicated that the worker  
would be allowed to take rest breaks and sit, stand or lie down as necessary while performing  
this work. A supplementary page enclosed with this form indicated that the worker was also  
being offered the following sedentary duties: review and revise company safety manual; develop  
safe job procedures and safe work practices; develop a training manual/course/program;  
computer work/data entry; source new suppliers via Internet/telephone; call suppliers and obtain  
quotes for common construction materials; and conducting Internet research regarding  
competitors, suppliers or new products. The HSE administrator documented that when she  
offered these duties to the worker on October 29, 2019 the worker responded that “she was fine  
and would be back to work the next night and wasn’t going to go to a doctor”.  
[26]  
On October 30, 2019 the worker sought treatment from a clinic physician, Dr. Gill. He  
documented that the worker had been involved in a motor vehicle accident (MVA) on  
October 28, 2019 when the truck she was in was rear-ended by a car. Dr. Gill noted that the  
5
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
worker complained of a headache and pain in her neck and lower back but said she had not  
taken any analgesics because she was pregnant. On examination Dr. Gill observed that the  
worker had palpable cervical, thoracic and lumbar para-spinal muscles. He opined that the  
worker was medically incapable of working full duties full time due to pain and provided the  
worker with a note that said that she was to remain off work for medical reasons until  
November 4, 2019, at which time she could return to modified duties. Dr. Gill indicated that once  
the worker had worked at modified duties for two weeks she should be reassessed.  
[27]  
[28]  
[29]  
On October 30, 2019 the worker advised the HSE administrator that Dr. Gill had provided her  
with a note which said that she could not do any work, including modified duties, until  
November 4, 2019. The HSE administrator responded by offering the worker the option of  
working from home doing online safety courses. The worker agreed to this “stating she was fine,  
the baby was fine and she was feeling much better and would likely be back at work the next  
night”.  
On November 1, 2019 the worker called the HSE administrator and advised that she was  
working on “the course” and that she would be going back to see the doctor that day so she  
could be cleared for work because she felt fine and wanted the overtime. The HSE administrator  
advised the worker that she should not return to her full duties if she did not feel ready to do so  
to which the worker responded that she “felt fine and was feeling good and it wouldn’t be a  
problem”.  
On November 2, 2019 the worker sought medical treatment from a different clinic physician,  
Dr. Somani. He documented that the worker had been rear-ended at work on October 28, 2019  
by an intoxicated driver following which she had been experiencing a headache, neck pain and  
stiff lower back which was not improving. He noted that the worker had been seen at another  
medical clinic the day following this MVA and had been off work ever since. Dr. Somani also  
noted that the worker was currently five months pregnant. On examination, he observed that the  
worker appeared well, was mobilizing relatively normally, had normal range of motion in her  
neck and lumbar spine and no spinal tenderness, but did have paraspinal neck and trapezius  
area tension. Dr. Somani noted that the worker had anxiety and concerns regarding the safety  
of returning back to work, noting “there is apparently no buffer”. Dr. Somani opined that the  
worker was not medically capable of working full duties full time as of November 2, 2019 but  
indicated that the worker would be able to return to computer work the following week. He  
indicated on the RTW Functional Abilities form provided by the employer, that the worker was  
capable of performing “RTW Stage 1 Light Duty Tasks (safety manual review, safety program  
development, and computer work)” provided that she could take rest breaks as necessary and  
sit or stand as necessary. He also indicated that the worker was able to travel to work by driving  
a vehicle, taking transit, or being picked up/taking a taxi. He recommended that the worker  
perform sedentary work duties for one week and then return for a follow-up appointment.  
6
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
[30]  
On November 3, 2019, the employer’s HSE administrator texted the worker to advise that she  
had received the RTW Functional Abilities form completed by Dr. Somani and since the worker  
had been cleared for sedentary office duties the employer expected her to come into the head  
office and finish her course the following morning. The worker responded that she would not be  
able to do this because she did not have anyone who would be able to care for her two children  
during the day until Friday November 8, 2019. The worker explained that her existing childcare  
arrangements had been made on the basis that she was supposed to be working nights that  
week. The worker told the HSE administrator that if the employer had something that she could  
do from home during the day or had a job that she could go do at night, either on the road or in  
the office that this would work.  
[31]  
On November 4, 2019 the employer’s HSE manager spoke to the worker and they agreed that  
because the worker did not have daycare for her children that she would complete an online  
Road Safety Training System (RSTS) course from home by noon that day. The worker started  
working on this online course that afternoon but experienced some issues with the course  
provider’s website. The HSE administrator advised the worker to contact the course provider’s  
IT department for assistance then sent her a text advising that she had registered the worker for  
other online safety courses (i.e. Construction Safety Training System and Occupational Safety  
and Health Administration) that she could work on from home until the issue with the RSTS  
course was resolved.  
[32]  
The evening of November 4, 2019 the employer’s HSE manager phoned the worker to discuss  
a return-to-work plan which involved working from home and meeting to review the work  
incident and discuss potential preventative measures. Following this conversation the HSE  
manager sent the worker a text confirming that she could work from home in the evenings that  
week provided she sent the HSE manager or HSE administrator a completed time sheet and  
documentation of the work she had completed each day via email or text. The HSE manager  
also advised the worker that she would need to make daycare arrangements for her children for  
the following week because the employer was expecting her to come into the office to perform  
the light duties which had been approved by her physician even if she was not fit for full duties  
by that time.  
[33]  
[34]  
Early on November 5, 2019 the HSE manager texted the worker and asked her to send the  
employer an update regarding everything she had accomplished on November 4, 2019  
(including the percentage of each course she had completed) as well as a completed time  
sheet/card. The HSE manager requested that the worker do this at the end of every shift. The  
worker responded to this text message by advising that she would not be returning to work until  
Friday, November 8, 2019 because her son was sick. The worker advised that when she did  
return to work she would be coming into the office to do modified duties.  
On November 7, 2019 the HSE manager texted the worker and advised her to come into the  
employer’s head office at 8 a.m. on Friday, November 8, 2019 to perform light duties. Later that  
7
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
day the worker sent the HSE manager a text advising that she had attended a maternity  
appointment on November 6, 2019 to make sure that her baby was okay and had been advised  
to make an appointment to see her family doctor. The worker said that she had since made an  
appointment to see her family doctor the morning of November 8, 2019. The worker advised  
that when she attended this appointment she planned to get a note for further “time off” which  
she would forward to the employer.  
[35]  
On November 7, 2019 the HSE administrator tried to contact the worker via telephone in order  
to get clarification regarding the information she had provided to the HSE manager. When she  
did not get a response the HSE administrator sent the worker a text. The worker texted back  
that she was in a children’s behaviour lecture and would contact the HSE administrator when  
she was done. Later that day the worker advised the HSE administrator that she needed more  
time off in order to address some family issues but said that she planned to return to full duties  
on November 14, 2019. The HSE administrator requested that the worker forward a note from  
her doctor once she obtained it. During this conversation the worker advised the HSE  
administrator that if she was to return to work on a light duty basis that she did not want to come  
into the employer’s head office to work because she did not want to sit in traffic for two hours.  
Later the same day the worker contacted the employer’s project manager and advised that she  
would be back at work “flagging” on Thursday November 14, 2019.  
[36]  
On November 8, 2019, the worker saw her primary care physician, Dr. Bradford, for the first  
time following the October 28, 2019 work incident. Dr. Bradford documented in a chart note for  
that date the worker’s description of being rear-ended by another vehicle after accelerating to  
avoid the collision and how the driver of the other vehicle had tried to flee the scene.  
Dr. Bradford noted that the worker believed that she would have died if she had not accelerated  
before being rear-ended and was worried about what would have happened to her children if  
she had died. Dr. Bradford indicated that that the worker had been able to do light duties for  
one week following the accident but was unable to continue with those duties due to  
pregnancy-related stress and issues with respect to legal proceedings. Dr. Bradford noted that  
the worker had a history of post-partum depression and as well as a number of other ongoing  
personal stressors in her life. She also documented that the worker reported experiencing  
suicidal thoughts prior to the work accident. Dr. Bradford noted that the worker was on  
anti-depressant medication and that her dosage of this medication had been decreased three  
months before the October 2019 MVA. She said the worker was not coping well. Dr. Bradford  
opined that the worker could be suffering from depression or an acute stress reaction and  
referred her to a psychiatrist through a reproductive mental health program. In terms of her  
physical injuries, Dr. Bradford indicated that the worker’s headaches had resolved but that she  
still had tightness around her neck. Dr. Bradford provided the worker with a note which stated  
that she was “medically unable to work for at least the next 4 weeks”.  
[37]  
On November 12, 2019 the HSE administrator contacted the worker regarding Dr. Bradford’s  
November 8, 2019 note excusing her from work for four weeks. The HSE administrator  
8
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
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WCAT Decision Number:  
A2001487 (August 8, 2022)  
documented that the worker said that she needed time off from work due to stress which was  
related to personal issues and confirmed that her need for further time off was not work related.  
The HSE administrator noted that the worker made it clear during this discussion that she did  
not want to travel to the employer’s head office to complete light duties due to the distance  
between that office and her home. The HSE administrator wrote:  
She sent a text later that evening to myself and the HSE manager contradicting  
everything we discussed on the phone and now stating that she is not capable of  
commuting two hours [a] day to [employer’s head office] and the thought of being  
in traffic makes her uneasy and anxious. Also she is burnt out due to her being  
on nights for three months and balancing being a parent to her two small sons.  
She says she is still sore from the accident and is tensing up and she still has a  
headache (which is the first I have heard as she always told me she felt fine).  
She says she is afraid to return to work and needs some help due to near misses  
on the project she was working on and due to near misses and stress from being  
a traffic control person over the last ten years.  
[38]  
[39]  
On November 13, 2019 the HSE administrator offered the worker sedentary office duties in one  
of the employer’s offices closer to the worker’s home. The employer also offered to pay for a  
taxicab to take the worker to and from that office in order to alleviate the stress of driving.  
In a telephone memorandum dated November 18, 2019, a Board officer documented that the  
worker said that she was unable to do the online courses/computer work that the employer had  
offered to her due to ongoing and persistent headaches and the fact that working in front of a  
computer screen made her headaches worse. The worker also advised the Board that she was  
having anxiety and panic attacks as a result of the work incident and was feeling harassed by  
her employer who called, texted and emailed her almost every day. The worker advised that she  
had been referred to a psychiatrist.  
[40]  
In a telephone memorandum dated November 22, 2019 a Board officer documented that the  
worker said that she continued to have neck and mid to lower back symptoms as well as  
headaches and that she was feeling stressed, uneasy, afraid and anxious to return to work due  
to road safety and many near-miss accidents. The worker advised that she had anxiety and  
panic attacks and was on a cancellation list to see a psychiatrist. The worker also said that she  
was dealing with a number of personal stressors. The worker said she felt harassed by the daily  
phone calls/texts/emails that she was receiving from her employer which started as early as  
6:30 a.m. and ended as late as 9:00 p.m. but advised that she was afraid of losing her job if she  
did not return to work soon. The worker said that this was causing her additional stress as she  
needed to be employed in order to support her children. The worker advised that it was her goal  
to return to work in the next two weeks. The Board officer advised the worker that she had  
determined that the worker was entitled to wage-loss benefits from October 28 to November 7,  
2019 but needed to review Dr. Bradford’s November 8, 2019 medical report before she could  
9
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
determine whether the worker was entitled to additional wage-loss benefits. The worker  
responded to this by advising the Board officer that she did not want to claim compensation for  
ongoing wage-loss benefits, or for her stress, anxiety and panic attacks, because she was afraid  
of angering her employer and losing her job.  
[41]  
[42]  
In a chart note dated December 5, 2019, Dr. Bradford indicated that the worker was still  
medically incapable of working full duties, full time due neck and upper back pain and  
“depression? acute stress reaction.”  
During a December 12, 2019 appointment with Dr. Bradford, the worker reported that her  
personal stressors continued and that her employer was trying to fire her because she had filed  
a claim with the Board. Dr. Bradford noted that the worker had increased her anti-depressant  
medication and said that her mood was a bit better. In terms of her physical injuries,  
Dr. Bradford documented that the worker had ongoing neck and back pain post-MVA, with her  
lower back being slightly improved. She also noted that the worker said that she had been using  
her arms more and was now experiencing shoulder soreness. On examination, Dr. Bradford  
documented that the worker’s back was tender from C1 to L5, that she had para-spinal  
tenderness and pain with shoulder abduction, extension, and rotation but full shoulder range of  
motion. The worker was noted to be waiting for a psychiatric assessment with reproductive  
mental health and was attending physiotherapy every two weeks. Dr. Bradford diagnosed the  
worker with a soft tissue injury and an “anxiety/depression flare”. She opined that the worker  
was still medically incapable of working full duties full time due to neck and upper back pain and  
“depression vs. acute stress reaction”.  
[43]  
[44]  
On December 18, 2019, the worker advised a Board officer that she had ongoing stress related  
to the work incident and requested additional wage-loss benefits.  
On December 19, 2019 the worker contacted the Board and requested that she be provided  
with wage-loss benefits for the period December 2 to 16, 2019, specifically. The worker advised  
that she had injured both of her shoulders pulling herself up from the couch due to  
compensating for her ongoing neck and back injuries. The worker said that she could probably  
do light duties but this would depend upon her shoulder symptoms.  
[45]  
[46]  
In December 2019 the Board referred the worker for resiliency counselling.  
On January 6, 2020, the worker was assessed by a Dr. Laban, a psychiatrist at a reproductive  
mental health program. Dr. Laban noted that the worker reported being very anxious all the time  
and worrying constantly that something was going to happen to her baby. She also noted that  
the worker reported experiencing intrusive thoughts at night and panic attacks. Dr. Laban said  
that the worker indicated that her anxiety had begun four years ago following the birth of her first  
child then worsened after the birth of her second child two and a half years ago. Dr. Laban  
reported that the worker was anxious about her future noting that she was currently involved in  
10  
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
a custody dispute with her child’s father and had been told following a recent ultrasound that  
she needed a biopsy to rule out breast cancer. She also advised that the worker reported  
feeling overwhelmed by all of the stressors in her life. Dr. Laban diagnosed the worker with a  
Generalized Anxiety Disorder and noted that she was at risk for recurrent post-partum  
depression. She devised a treatment plan for the worker and continued to follow her clinically.  
[47]  
[48]  
In a physician’s report dated January 22, 2020, Dr. Bradford noted that the worker was  
financially stressed and had ongoing anxiety related to the work accident. She also reported that  
the worker had ongoing physical symptoms which were affecting her ability to function and  
perform her daily activities. Dr. Bradford noted that the worker had started seeing a counselor  
about her anxiety the previous week.  
During a January 23, 2020 telephone conversation a Board officer told the worker that she had  
reviewed the worker’s conversations with another Board officer and that it was her  
understanding that the worker was claiming for time lost from work which was related to  
personal issues and stressors. The worker told the Board officer that this was incorrect, that she  
was stressed and had anxiety and panic attacks because she had almost died (in the work  
incident). The worker said that she had been stressed about workplace safety for the past three  
months, had several near misses and had watched other co-workers deal with the same safety  
issues. When the Board officer spoke to the worker again later that day the worker admitted that  
she had stress prior to the work incident, but advised that she now had anxiety and panic  
attacks. The worker said that the other things in her life were stressful, but did not give her the  
symptoms the work incident did. The worker said that as a result of the work incident she  
“almost didn’t make it home, and her kids would have had no one to take care of them.” The  
worker further advised that before the work incident she was also stressed and anxious at work  
because of work and concerns which she said none of her managers or supervisors would take  
seriously. The worker advised that following the work incident her employer harassed her every  
day for three weeks trying to get her back to work.  
[49]  
In a February 16, 2020 mental health resiliency support service summary report, registered  
clinical counsellor Ms. Weibelzahl documented that the worker presented as highly anxious and  
distraught at having been struck in her work vehicle while working as a lane closure supervisor  
on the night shift on a major highway. She said that the worker indicated that she and her staff  
had several “close calls” in the days preceding the work incident and that the worker had  
requested additional support from her employer which was not always forthcoming.  
Ms. Weibelzahl indicated that the worker believed that her advocacy for safety supports resulted  
in her being categorized as a “difficult employee”.  
[50]  
Ms. Weibelzahl reported that the worker said that on the night of the work incident she was  
looking in her rear view mirror when she saw a vehicle being driven in the direction of six of her  
employees. She advised that the worker described how she repositioned her work truck so that  
this vehicle hit her truck rather than her staff. She noted that the worker referred to this as  
11  
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
“taking one for the team”. However she also noted that as time passed the worker came to  
realize that she could have lost her own life as a result of this incident. Ms. Weibelzahl indicated  
that the worker described feeling terrified, panicky (especially while driving), having intrusive  
thoughts and images of the accident, feeling jumpy, on guard (hypervigilant), avoidant of her  
workplace, having a rapid heart rate, an inability to catch her breath, sleep difficulties and poor  
concentration.  
[51]  
Ms. Weibelzahl documented that the worker reported receiving phone calls from the employer  
demanding that she come into the office and do office work even though she was in pain  
following the work incident. She noted that the worker said that these phone calls began at  
6 a.m. and continued until late in the evening. Ms. Weibelzahl documented that the employer  
had sent the worker “videos” to watch which showed scenes from other MVAs. She documented  
that the worker felt “forced” by her employer to watch these videos and reported experiencing  
additional anxiety because she felt “traumatized” by the content. She noted that the worker said  
that this activity worsened her condition rather than helping her recovery. Ms. Weibelzahl  
administered a standardized inventory test and noted that the worker’s score was consistent  
with Post-Traumatic Stress Disorder. She advised that the worker would benefit from additional  
psychological support.  
[52]  
[53]  
On March 19, 2020, the worker’s representative requested that the Board adjudicate anxiety as  
a compensable consequence of the worker’s October 28, 2019 work injury.  
In a decision dated May 13, 2020 the Board determined that the worker did not have a  
compensable psychological condition which had been caused or aggravated by the October 28,  
2019 work incident and that the worker had not developed a compensable psychological  
condition as a consequence of her accepted work injuries. The basis for the denial was  
evidence of a pre-existing mental health condition, significant additional stressors contributing to  
emotional distress, and a reported lack of direct evidence connecting the worker’s mental health  
issues to her October 2019 MVA. Particular weight was given to the fact that the psychological  
assessment conducted by Dr. Laban in January 2020 did not directly identify the October 2019  
MVA or injury as a causal factor.  
[54]  
The worker requested a review of the Board’s May 13, 2020 decision letter. In a Review Division  
decision dated December 2, 2020, a review officer said that the purpose of Dr. Laban’s  
January 6, 2020 psychological assessment was to identify and treat the worker’s psychological  
symptoms in order to mitigate their impact on her pregnancy and post-partum period; that it was  
not the purpose of Dr. Laban’s assessment to determine whether the worker had developed or  
aggravated a psychological condition as a result of her October 2019 MVA or accepted injuries.  
As a result, the review officer concluded that there was insufficient information before her by  
which to determine if the worker had a compensable psychological condition and referred this  
issue back to the Board for further investigation and decision.  
12  
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
[55]  
In a chart noted dated September 9, 2020 Dr. Bradford noted that the since her MVA the worker  
had been having panic attacks and was now having a hard time driving. She said that the  
worker reported that she was angry when she did drive and people were “careless” but had to  
drive her son to a lot of appointments. She noted that the worker said that she could feel the  
impact of other cars when driving and found it exhausting as she had to drive her son to  
appointments four days per week and the drive was 45 minutes each way. The worker said that  
she dealt with this by holding her breath but this could make her feel lightheaded. She said that  
she had to pull over about once every time she did this drive due to anxiety or feeling  
lightheaded. She indicated that she feels helpless when in the vehicle with her kids, felt like all  
could be taken away from her quickly if she was in an accident. Dr. Bradford also noted that the  
worker said that she also could not be a passenger in a vehicle because it made her too  
anxious. Dr. Bradford documented that when the worker was transitioning back to work shortly  
after the October 2019 MVA, she had watched a safety video in which someone got hit and that  
this terrified her. Dr. Bradford indicated that the worker had asked Dr. Laban, her psychiatrist at  
reproductive mental health, for a note regarding the worsening of her mental health due to the  
October 2019 MVA but Dr. Laban did not have this information in her notes. According to  
Dr. Bradford the worker said that she thought that her fears associated with driving/being  
around cars would get better with time off work but had not. Dr. Bradford noted that the worker  
was currently on maternity leave which was scheduled to end in February 2020. Dr. Bradford  
reported that the worker said that she was not able to sleep because she could not “shut her  
brain off” but was not taking sleeping pills because she was concerned that they were addictive.  
Dr. Bradford indicated that she reassured the worker that trazadone was not an addictive  
medication and encourage her to try it. Dr. Bradford diagnosed the worker with “anxiety flare  
after MVA at work and queried whether the worker was suffering from post-partum depression.  
She noted that the worker had a history of Generalized Anxiety Disorder with ongoing insomnia  
and panic attacks. Dr. Bradford said that it was probably too early to look at a return to work as  
the worker’s anxiety disorder was not under good control.  
[56]  
In October 2020, the worker underwent a psychiatric consultation with reproductive mental  
health psychiatrist Dr. Singh who noted that the worker reported having “had a motor vehicle  
accident when she was pregnant; she was rear-ended by a drunk driver while at work. She has  
been struggling with PTSD symptoms from that.” Dr. Singh’s opinion was that the worker had  
been “struggling with what appears to be symptoms of anxiety, depression, and PTSD.” The  
following month, November 2020, Dr. Singh wrote that she felt quite overwhelmed in her  
day-to-day life as a single parent with three young children including an eight-month-old baby  
and an older child with autism and ADHD. The following month, Dr. Singh wrote that the worker  
was still struggling with irritability and anger on a day-to-day basis, usually triggered when her  
children did not listen to her.  
[57]  
In a chart note dated December 23, 2020 Dr. Bradford noted that the worker was due to return  
to work soon. She noted that reproductive mental health would not talk to the worker about her  
MVA but indicated that the worker had received five counselling sessions through the Board  
13  
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
(with Ms. Weibelzahl). Dr. Bradford also noted that the worker had seen a trauma counsellor  
following a prior MVA. Dr. Bradford said that the worker would like to talk to someone regarding  
her anxiety about returning to work due to her job because she felt unsafe at work. Dr. Bradford  
recommended that the worker take further time off due to acute stress reaction symptoms which  
were partly triggered by the stress from her October 2019 MVA.  
[58]  
On May 11, 2021 the worker underwent a formal psychological assessment conducted by  
registered psychologist Dr. Saruk and was diagnosed with a Major Depressive Disorder,  
Recurrent, Moderate (Aggravation of pre-existing condition), and an Adjustment Disorder with  
mixed anxiety and depressed mood. Dr. Saruk noted that the worker described a longstanding  
history of depression dating back to her early 20s, as well as post-partum depression, and had  
periodically been treated with psychotropic medication. He said that the worker’s most recent  
depressive episode appear to have occurred around 2018, coinciding with the birth of her son  
and the decision to end an abusive relationship.  
[59]  
Dr. Saruk noted that thereafter the worker’s depressive symptoms had moderated somewhat  
then significantly worsened following the October 28, 2019 MVA with the worker developing  
significant anxiety symptoms not typically associated with her depressive episodes. This  
included fear and anxiety associated with driving or working around motor vehicles. Dr. Saruk  
indicated that the worker expressed a desire to return to work, though she stated that she does  
not believe she will be able to return to her career as a flagger due to ongoing fear and anxiety.  
He noted that the worker expressed significant sadness with this realization, but stated that she  
felt as though she “got lucky after so many close calls”. Dr. Saruk said that the worker stated  
that she felt psychologically ready to begin the vocational rehabilitation process, and felt as  
though a return to work would be good for her mental health. He noted that the worker  
expressed concern regarding her capacity to commute to a job due to ongoing driving-related  
anxiety but also noted that the worker described being able to do essential driving, particularly  
during non-busy times.  
[60]  
Dr. Saruk indicated that the worker reported a moderate degree of functional impairment  
associated with her depression and anxiety. He opined that the worker’s depressive symptoms  
appeared longstanding in nature, and variable dependent on a number of stressors. Dr. Saruk  
said that other factors likely contributing to the nature and severity of the worker’s depression  
included the physical discomfort and functional limitations which the worker reported  
experiencing as a result of her work injury, the stress associated with being a single mother, a  
history of domestic abuse and sexual trauma, and financial concerns. On the basis of the  
foregoing, Dr. Saruk opined that the October 2019 MVA had likely played only a moderate role  
in the etiology of the worker’s current depressive episode.  
[61]  
Dr. Saruk noted that the worker appeared to have developed more novel anxious symptoms  
following her 2019 MVA, including anticipatory and situational fear, anxiety and panic  
associated with driving. He noted that these symptoms were not present to the degree of  
14  
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
adversely impacting the worker personally or vocationally prior to the 2019 MVA. As such,  
Dr. Saruk said that it was his opinion that the workplace incident occurring in October 2019  
played a major role in the development of the worker’s Adjustment Disorder.  
[62]  
Dr. Saruk opined that the combination of an aggravation of the worker’s depressive symptoms  
and the onset of new anxious symptoms resulted in significant impairment in the worker’s  
personal, social and vocational functioning. In terms of functional limitations, Dr. Saruk noted  
that the worker’s depressive disorder would likely result in temporarily reduced capacity to  
perform specific tasks or activities as well as the potential for injury due to inattention and/or  
poor judgment. As a result, Dr. Saruk opined that the worker had temporary limitations with  
respect to work that involved a high degree of time pressures and high expectations for  
productivity, sustained mental effort and concentration, and outside distractions.  
[63]  
[64]  
[65]  
With respect to medical restrictions, Dr. Saruk noted that the worker remained vulnerable to  
temporary deterioration when exposed to perceived traumatic incidents or incidents that  
resemble past traumatic work incidents (i.e., incidents involving motor vehicles or traffic). As a  
result, he recommended that the worker be temporarily restricted her from returning to work as  
a flag lane closure supervisor. He also recommended that the worker be temporarily restricted  
from returning to any work until she had participated in a number of sessions of individual  
therapy with an observed reduction in symptoms.  
Dr. Saruk noted that the worker had participated in limited treatment to date to address her  
psychological conditions. He said that a minimum of one block of individual therapy specifically  
targeted at decreasing/alleviating current depressive and anxiety symptomatology appeared to  
be warranted. He said that a graduated return to work could be implemented after there had  
been an observed reduction in the worker’s psychological symptoms noting that the worker’s  
psychological treatment provider could assist in determining return-to-work readiness in the  
future.  
In a telephone memorandum dated June 7, 2021, a Board officer noted that Dr. Saruk had  
called and confirmed that the psychological conditions with which he had diagnosed the worker  
were causally related to the October 2019 work incident/MVA, not a compensable consequence  
of the physical injuries that the worker had sustained as a result of that incident. The Board  
officer and Dr. Saruk reviewed the psychological restrictions and limitations identified by  
Dr. Saruk in light of the light duties which the employer had offered to the worker before.  
Dr. Saruk explained that the worker would have temporary reduced mental capacity and  
cognitive difficulties (such as decreased processing speed and mental productivity). Dr. Saruk  
said that the worker would not be precluded from participating in the light duties offered by the  
employer in November 2019 noting that they were administrative in nature (except for safety  
videos) but he recommended that the worker be introduced to these gradually and with ongoing  
support.  
15  
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
[66]  
[67]  
On June 23, 2021 a Board officer spoke to the worker about what precluded her  
(psychologically) from participating in the light duties offered by her employer in November 2019  
and documented his account of that conversation in a telephone memorandum of the same  
date. The Board officer acknowledged that the worker reported difficulties driving due to anxiety,  
but also noted that the employer had offered the worker taxi transportation.  
The worker told the Board officer that one of the safety videos the employer gave her to watch  
had a person losing his head as it was struck by a mirror. She felt that after the MVA, her  
employer was constantly harassing her with emails, text messages and phone calls (average  
three per day) asking her to return to work. She was hoping for just a week off work so she  
could take care her of herself before returning to work but the employer “declined “even when  
she provided it with a doctor’s note. The worker said that her employer made it more difficult  
when she chose to file a Board claim. The worker said that during one of her conversations, her  
four-year-old child asked if she was going to die.  
[68]  
[69]  
The worker told the Board officer that the employer’s workplace was a “toxic environment” and  
described labour relations issues related to occupational health and safety. The worker made it  
clear that it was her belief that the October 2019 MVA would not have happened if the employer  
had followed proper safety protocols and that the employer was responsible for ruining her  
career and causing much hardship in her life.  
According to correspondence which the employer submitted to the Board on April 1, 2022 the  
worker resigned from her employment with the accident employer on June 30, 2021.  
WCAT Oral Hearing  
[70]  
[71]  
At the outset of the oral hearing of this matter, the employer’s representative advised that he  
had no questions for the worker. I advised him that it remained open to him to ask the worker  
questions after she provided her testimony on direct examination.  
The worker testified that on October 28, 2019 she was working as a lane closure supervisor with  
a night crew on a local highway. The worker said that she was sitting in her work vehicle at the  
beginning of a lane closure acting as a buffer between oncoming traffic and the road crew in  
order to keep them safe as they were taking apart traffic delineator’s cones, barrels etc. The  
worker advised that she had a radio and the crew members had radios and that it was her job to  
let them know if she had any concerns. The worker advised that she watched traffic via her side  
and rear view mirrors for traffic “coming at us” to make sure that they were going slow, not  
speeding or driving erratically. The worker said that she also used a mixture of brake lights and  
acceleration to get out of the way of someone who was not paying attention. The worker said  
that she would tap her horn to let her co-workers know if there was a problem.  
16  
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
[72]  
[73]  
[74]  
The worker testified that at approximately 4 a.m. on October 28, 2019 she saw in her side mirror  
that there was “a car coming towards us pretty fast and not moving out of our lane”. The worker  
noted that it was dark so she tapped her brakes, put on her four-way flashers and her arrow  
board in order to guide the other car out of the lane while simultaneously trying to keep an eye  
on the approaching vehicle and where the other members of her crew were. The worker testified  
that this other car continued to approach without moving out of the lane that she and her crew  
were in and she clicked her radio to let the crew know and as soon as she heard screeching  
tires approaching her she accelerated, thereby managing to avoid a very serious accident.  
The worker testified that she got out of her truck after being hit by the other vehicle. She advised  
that the driver of the other car was backing up and preparing to flee the scene. The testified that  
she radioed her crew to help and one of the crew members jumped on the other driver’s vehicle  
to stop her from leaving the scene of the accident. The worker testified that her crew managed  
to move the other vehicle over to the shoulder and took the other driver’s keys. The worker  
testified that the other driver was intoxicated, belligerent, and angry and screamed at the worker  
that she “should have gotten out of her way that I was just a stupid flagger and I didn’t matter,  
that my life didn’t matter”. The worker said that the police showed up “right away”.  
The worker testified that immediately following this accident she felt really scared and sick to her  
stomach. She said that she experienced an overwhelming headache and couldn’t stop crying.  
She said: “I was just completely in shock”.  
[75]  
[76]  
The worker testified that at the time of this workplace incident she was four and one-half months  
pregnant.  
The worker testified that she met with her superintendent the following day and provided him  
with a statement regarding the MVA. She said that he advised her to go see a doctor and she  
told him that she would try to make an appointment at a walk-in clinic as her regular family  
physician, Dr. Bradford, booked appointments weeks in advance, and was almost retired.  
[77]  
The worker testified that she was unable to see a doctor on October 29, 2019 because the  
walk in clinic was full.  
.
[78]  
The worker testified that she was worried about money so on October 30, 2019 she told her  
employer that she would go into work. She advised that the employer offered her light duties  
supervising in her truck. The worker testified that she really wanted to get back to work because  
people were counting on her but she said:  
I just couldn’t, I just couldn’t get out the door. I couldn’t get up and get my shoes  
on and go to work. The work truck was in my yard, the work truck I was assigned  
was in my yard and we ended up having to get someone to pick it up because I  
just couldn’t go.  
17  
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
[79]  
The worker testified that she managed to get an appointment at a clinic on October 30, 2019.  
She advised that the clinic doctor that she saw on October 30, 2019 told her that there was not  
really much she could give the worker for pain so she recommended that the worker use Epsom  
salts, take warm baths and take care of herself for a few days. The worker also said that this  
physician advised her to take a few days off work than try light duties. The worker said that this  
was not what she wanted to hear because she was worried about money and wanted to get  
back to work.  
[80]  
[81]  
The worker testified that she told her superintendent multiple times that she would come in and  
then within a couple hours she would just cancel and say that she could not make it and give an  
excuse. “I was just too embarrassed. I didn’t know what was going on with me.” The worker  
testified that she had daycare for both her children, an arrangement where they stayed with her  
mother at night so that she could got to work but “she “just couldn’t leave”.  
In response to being asked how she was feeling at that time the worker stated:  
I was super anxious and I felt like I was unravelling I didn’t want to leave my  
home, I felt like I had just been given a grace on a long career in traffic control  
that almost didn’t end well for me and I couldn’t understand. I’d always gone to  
work through everything, through kids. I’d never called in sick or took time off for  
my kids while I was employed there. I couldn’t understand what was wrong with  
me and why I was fizzling and not able to function, even to take care of myself.  
[82]  
In response to being asked if she told the employer how she was feeling that week the worker  
became tearful and said:  
I didn’t know what was going on. I didn’t want to seem weak, at work for them not  
to have faith in me. Um I had a really good reputation in the traffic control  
industry; I’d worked really hard to get where I was and I didn’t want people not to  
trust me or be like the crazy lady that couldn’t cope anymore. My job is to keep  
people safe and as soon as they don’t trust me to do that then we have a  
problem and I just didn’t know what was wrong with me and so [pause] I just  
used my kids as an excuse because I just didn’t know why I couldn’t do it. I’ve  
always been able to do it and I couldn’t do it anymore. And I just don’t know why.  
[83]  
The worker said that she talked to the employer after she saw clinic physician Dr. Gill on  
October 30, 2019. She said that the employer had sent her a RTW form for a physician to  
complete which outlined modified light duties that it had available which involved coming into the  
office. The worker said that she and the employer talked on the phone about her doing some  
filing and other light duty tasks.  
18  
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
[84]  
In response to being asked why she went to see a doctor on November 2, 2019 the worker said:  
I was trying to avoid in office light duties. I didn’t want to drive; I didn’t feel  
comfortable driving all the way to the employer’s [head office] I didn’t feel  
comfortable being “submersed in with all of the management” and I just wanted  
to get out there. I figured in my head that as long as I was in a truck on the  
highway with no one around me and I had to have barely any in-person  
communication that maybe I could do it and you know I had no money coming in  
for my family, I have two kids to support and I didn’t know how to exist without  
working. I’ve always worked and sitting at home financially wasn’t an option and  
in my head I figured it was better just to get back to work and get out there and  
then I was disappointed when they gave me another week of modified duties.  
[85]  
The worker testified that on November 2, 2019 she asked the doctor to clear her to return to full  
duties. When her representative asked the worker if she felt that she was ready to return to full  
duties at that point the worker replied:  
No. I just have little people that need me to work and I figured that maybe I would  
just snap out of it and they [pause] putting food on the table is more important to  
me than anything and I needed to provide for them and that’s why I just really  
needed to go back to work.  
[86]  
[87]  
The worker testified that the she started light duties, doing online safety courses from her home  
on November 4, 2019. The worker said that she started one of these safety courses from home  
on November 4, 2019 but experienced some technical difficulties.  
In response to being asked by her representative how she felt while she was doing the online  
safety courses on November 4, 2019 the worker said:  
To be honest I was a little irritated that I have to be that I was in a situation where  
it had come to this – I would rather have been working and some of the courses  
went in detail over pinch points and safety videos and little reenactment videos  
regarding how to stay safe and I could just feel myself holding my breath and  
getting anxious and I just, just and it was like all the alarm bells going off  
internally and then mixed with a couple of hours of computer online issues with  
the computer program that I was taking I just absolutely lost it.  
[88]  
In response to being asked why she did not complete the courses during the period November 4  
to 7, 2019 the worker stated:  
I was increasingly unwell. Things were getting worse in my headspace and I just  
um I didn’t have an answer. I think I used my kids as an excuse one or two times  
19  
150, 4600 Jacombs Road, Richmond, B.C. V6V 3B1  
Tel: (604) 664-7800 | 1-800-663-2782  
Fax: (604) 664-7898 | wcat.bc.ca  
WCAT Decision Number:  
A2001487 (August 8, 2022)  
and at that point by November 5 I just needed to make it to a doctor’s  
appointment and just talk to her and see what she thought why I wasn’t  
functioning I don’t think I showered for a few days I wouldn’t leave the house I  
was just super anxious and really depressed and I just needed to be, I just  
wanted to be left alone. I just needed a few days to just decompress and breathe  
and I was just becoming an increasing mess as time continued.  
[89]  
[90]  
In response to being asked why she did not go into work in the employer’s office the worker  
stated that she did not feel comfortable driving because the employer’s head office was located  
in [a different municipality] and that is where they wanted her to do the in-office modified duties.  
The worker testified that she had not even been able to leave the house at that point. The  
worker testified that the first time she drove following the work incident was on November 8,  
2019 when she drove to Dr. Bradford’s office. The worker said that driving there “stressed [her]  
out beyond belief.”  
The worker testified that when she saw her primary care physician, Dr. Bradford on  
November 8, 2019 Dr. Bradford told the worker that she was worried about her. The worker said  
that Dr. Bradford suggested that she was “a bit traumatized” and asked the worker if she could  
get any counselling. The worker said that this wasn’t an option for her financially. The worker  
said that Dr. Bradford wanted to increase the low dose of anxiety medication that the worker