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ATA/162/1995•Invalidity pension based on adapted work capacity and wage survey limits
ATA/162/1995Court of Justice / Administrative ChamberMar 28, 1995Modified
Extracted by Omnilex
The case concerned an accident-insured building worker who suffered a non-occupational accident. The court accepted that he had full capacity for adapted work from a physical standpoint, but held that the psychiatric complaints stemming from a compensation tendency were not in adequate causal relation to the accident. It confirmed an invalidity degree of 30%. The court also held that the insurer could not rely on the OFIAMT wage survey of October 1992 to calculate invalidity, because the survey reflected average wages and did not account for the insured's individual functional limits.
Art. 24 LAA; assessment of invalidity after accident and use of statistical wage data. An insured person's invalidity must be determined with regard to the concrete residual work capacity in adapted employment and the individual functional limitations. Psychological complaints are not compensable where the adequate causal link to the accident is lacking, even if they are described as a sinistrose tendency. Statistical wage surveys may serve only as auxiliary evidence; they cannot be used as decisive basis for the invalidity calculation if they do not reflect the insured's specific restrictions and earning capacity.
Descripteurs
ACCIDENT; AA; RENTE D'INVALIDITE; TENDANCE A LA REVENDICATION; ASSURANCE SOCIALE; ENQUETE ECONOMIQUE; SECRETARIAT D'ETAT A L'ECONOMIE
Normes
LAA.24
Résumé
Accident non professionnel d'un manoeuvre dans une entreprise du bâtiment. Capacité de travail totale dans une activité adaptée à son état de santé physique admise. Troubles psychiques dus à une sinistrose pas en relation adéquate avec l'accident. Evaluation du taux d'invalidité selon précédents du TA en la matière, fixée à 30 %. Pour calculer le degré d'invalidité de son assuré, l'assurance ne peut se fonder sur l'enquête de l'OFIAMT concernant les salaires et traitements versés en octobre 1992, car il s'agit de salaires moyens ne tenant pas compte des limites particulières des capacités d'un assuré accidenté.
Extracted by Omnilex
Whether the insured is entitled to an invalidity pension after the accident.
The insured retained full work capacity in suitable adapted employment, but the accident led to a 30% invalidity degree.
The physical health limitations did not prevent full capacity in adapted work; the psychological complaints were due to a compensation-oriented tendency and were not adequately causally linked to the accident.
Whether the insurer may base the invalidity assessment on the OFIAMT October 1992 wage survey.
No. The wage survey could not be used as the decisive basis for the insured's invalidity calculation because it reflected average wages and did not account for the insured's specific capacity limitations.
For an accident-injured insured, the assessment must take account of individual restrictions; a general survey of wages and salaries is insufficient if it ignores those particular limits.
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