Gurung Jagat v. Dragages Hong Kong Ltd and Another
Read the full judgment text of HCPI 501/2020 on BabelCite. This High Court CFI judgment was delivered on 7 February 2025.
1. The Plaintiff (“P”) was a gantry crane operator at a construction site (“the Site”). It was not seriously disputed that although P was employed as a gantry crane operator, 40% of his duties included helping with other manual work at the Site when there was no gantry crane to operate.
Cites 12 cases
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HCPI 501/2020 [2025] HKCFI 418 IN THE HIGH COURT OF THE HONG KONG SPECIAL ADMINISTRATIVE REGION COURT OF FIRST INSTANCE PERSONAL INJURIES ACTION NO 501 OF 2020 _______________
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_________________________________ JUDGMENT _________________________________ A. Introduction and Undisputed Background 1.The Plaintiff (“P”) was a gantry crane operator at a construction site (“the Site”). It was not seriously disputed that although P was employed as a gantry crane operator, 40% of his duties included helping with other manual work at the Site when there was no gantry crane to operate. 2.The 1st Defendant (“D1”) was P’s employer and the 2nd Defendant (“D2”) was the main contractor of the Site. 3.On 7 December 2017, when P was dismantling a tower of scaffolding poles at the Site, his safety helmet and left shoulder was hit by a metal scaffolding pole falling from a height which caused him to fall to the ground landing on his right shoulder (“the Accident”). 4.He was taken to Tuen Mun Hospital (“TMH”) after the Accident and was hospitalized for 8 days. X-rays revealed that P suffered a right shoulder acromial clavicular joint (“ACJ”) dislocation of type V[1]. 5.The medical report of Dr Chan Wai Ming (“Dr Chan”), P’s treating doctor at the Department of Orthopedics & Traumatology (“O&T”), dated 20 September 2018 (“Dr Chan’s Report”) recorded that treatment options including conservative management and operative intervention were discussed with P, and the benefits and risks of each option were explained to P. P opted for conservative management. 6.After discharge, P received 57 physiotherapy sessions and 22 occupational therapy sessions at TMH. He was granted sick leave from 7 December 2017 until 18 September 2018 (286 days in total). 7.P was 37 years old at the time of the Accident and his average monthly earnings was HK$30,685. After the Accident, P did not return to work as a gantry crane operator but worked as a security guard since December 2018 earning around HK$15,000 a month. 8.Liability was admitted by the Defendants (“Ds”) on 3 October 2024, leaving only quantum of damages to be assessed. 9.At the trial before me, Mr Wright, counsel, represented P and Mr Lim, counsel, represented Ds. 10.Notwithstanding the sums originally claimed in the Revised Statement of Damages, Mr Wright confirmed that P claims the following sums:
After giving credit for the amount of HK$460,000 received in his Employees’ Compensation Claim (“ECC Award”), P claims a total of HK$4,331,688. 11.Mr Lim, submitted that P should only be awarded: (1) HK$180,000 for PSLA; (2) HK$378,173.75 as pre-trial loss of earnings during the sick leave period and allowing 2.5 months for P to find a job; (3) HK$7,976 for special damages; and (4) HK$100,000 for loss of earning capacity. No award for loss of earnings after the sick leave period and a period for finding a job (2.5 months) should be granted as P failed to mitigate loss by unreasonably refusing to undergo operative treatment which would have enabled him to return to his pre-accident work. After deducting the ECC Award, a total of HK$206,149.75 should be awarded to P. 12.Three joint medical reports on P dated 30 December 2020 (“JMR1”), 4 July 2022 (“JMR2”) and 5 November 2024 (“JMR3”) (collectively, “JMRs”) were prepared by Dr Fu Wai Kee (“Dr Fu”), P’s expert, and Dr Peter Ko Put Shui (“Dr Ko”), Ds’ expert. 13.P, Dr Fu and Dr Ko attended the trial to give evidence. B. Assessment of credibility of witnesses 14.In assessing the credibility of the witnesses, I will bear in mind the guidance of Deputy High Court Judge Eugene Fung SC in Hui Cheung Fai and Another v Daiwa Development Ltd and Others (unreported), HCA 1734/2009, 8 April 2014 at §§77-82:
15.Furthermore, because the Accident and treatments received by P took place over 7 years ago, I would also take heed of the observations of the English Court of Appeal in NatWest Markets Plc and another v Bilta (UK) Ltd (In Liquidation) [2021] EWCA Civ 680 at §§49-51:
C. My assessment of P’s credibility 16.In Mr Lim’s closing submissions, he submitted that P was not a witness of truth. He relied upon a number of matters which he submitted were lies or exaggeration. 17.Firstly, Mr Lim submitted that P’s account of what advice he received from Dr Chan was not truthful. In P’s witness statement, it was stated:
18.Mr Lim submitted that P’s oral evidence was very different. In cross-examination, when he asked whether he clarified with Dr Chan what were the risks of operation, he said Dr Chan told him that his hand might shrink, he might not be able to move the hand or the sensation in the hand might be gone. When ask if he also asked Dr Chan how serious was the risk, P said that Dr Chan said it was a serious risk and there was a high risk. 19.I do not accept that there was a great discrepancy between P’s oral evidence and his witness statement. At most, P has expanded on or elaborated on the type of risks and the likelihood of the risks when asked by Mr Lim in cross-examination. The fact that he was advised of the risks is stated in his witness statement and is consistent with Dr Chan’s Report. Although Dr Chan did not state in details what were the risks and the likelihood of the risks, one would not expect Dr Chan to have recorded them in his records. 20.Mr Lim also relied on the evidence he elicited from cross-examination of Dr Fu that although there was a risk for operative intervention of ACJ injuries of shrunken hand, inability to move the hand and loss of sensation if nerves were damaged during the operation, it was a small risk. He submitted that this contradicted P’s evidence. I am unable to find that P lied about this part of his evidence when: (a) it is not inherently improbable; (b) it is not directly contradicted by the contemporaneous records i.e. Dr Chan’s Report; and (c) the assessment of the risk by Dr Fu and the advice that he might have given may not be shared by Dr Chan who was not called by Ds to contradict P’s evidence. With respect, I do accept Mr Lim’s submissions that there was some duty on P’s part to call Dr Chan and an adverse inference should be drawn from the failure to do so, as to strengthen Ds’ case. It is well established that the court may be entitled to draw adverse inference from the absence or silence of a witness who might have expected to have material evidence to give on an issue where there is some evidence adduced by the opposite party on the question which raises a prima facie case. However, in the present case, there is no evidential basis for Mr Lim’s assertion that Dr Chan would not and did not so advised P. 21.Secondly, Mr Lim relied upon P’s oral evidence that he returned to see Dr Chan on 18 September 2018 and again around 1 year later or within a year in 2019 to complain that he has not made good recovery. As I understand Mr Lim’s submissions, if P did not go back to Dr Chan to complain this shows that Dr Chan never advised him that he stood a good chance of recovery by opting for conservative treatment. Mr Lim submitted that P’s oral testimony that he had complained to Dr Chan on those two occasions is contradicted by: (a) Dr Chan’s Report which did not mention any follow up on 18 September 2018; and (b) JMR1 which recorded that P did not have further medical follow up after the last follow up in September 2018. 22.However, it is not entirely clear from P’s evidence if on the occasions that he said that he went to complain to Dr Chan these were at follow-up sessions. Furthermore, bearing in mind the passage of time and there may be inaccuracies with translation, although this part of his evidence may be mistaken, it could well have been an honest mistake on the part of P. 23.Thirdly, Mr Lim relied on Dr Ko’s views expressed in JMR1 and JMR2 that P exaggerated or underperformed in the joint examination on 10 November 2020 (“Joint Examination”). Dr Ko had relied upon the following matters:
24.Dr Fu disagreed that there was manipulation or exaggeration. He opined that the deterioration in the range of movement and power since the occupational and physiotherapy sessions were completed is not uncommon due to lack of exercise and fear of pain. P’s underperformance may also be explained because he was nervous or under pressure. 25.Given that Dr Fu and Dr Ko were agreed that for this kind of serious dislocation if treated conservatively there would be residual pain, weakness and stiffness, and the explanations by Dr Ko appear reasonable to me, I am not prepared to accept Dr Ko’s view that there was obvious underperformance/exaggeration at the Joint Examination. It accords with common sense that without continued exercise (which P has said he no longer swim and play volleyball due to pain) or occupational therapy and/or physiotherapy, the range of movement and strength of muscles would decline particularly when pain is reported. Even if I was wrong, accepting some degree of exaggeration in the Joint Examination, this is only one matter I will bear in mind in assessing P’s credibility. 26.Fourthly, Mr Lim submitted that P’s claim that he looked for a job as a gantry crane operator was a lie when he claimed his right thumb was weak and he could not use the remote control to operate a gantry crane. In his supplemental witness statement, P had set out 7 construction companies he had approached for a job as a gantry crane operator. He admitted in cross-examination that the reason why he did so was that his lawyers asked him to do so. I do not regard there is anything much in this point. The fact he made attempts to look for a job upon legal advice probably to demonstrate that he was no longer employable in his previous job does not undermine his credibility. The fact that he did so and was not able to find a job is not inherently incredible. 27.Finally, Mr Lim submitted that P’s claim that sex was less enjoyable after injury was an egregious example of exaggeration and that he evasive when cross-examined on this. Having observed P, I did not find P an evasive witness but on this particular topic plainly he was embarrassed by being cross-examined in open court before strangers and a female judge. There is also nothing in this point. 28.Overall, the matters relied upon by Mr Lim whether on taken on its own or cumulatively do not materially dent P’s credibility. I find P generally a credible and reliable witness although I will bear in mind he has obvious self-interest in the outcome of this assessment to overstate his injuries. In any event, I would place greatest weight on the contemporaneous documents, the objective clinical findings and undisputed reports of the doctors. D. My findings on P’s injuries, treatment and conditions, and ability to return to his previous job 29.From the undisputed medical evidence, the following matters were not controversial and should be taken as my findings of fact:
30.Although Dr Ko maintained: (1) operative treatment, which is the usual treatment, would have given superior functional outcome and better physical performance compared to conservative treatment for type V ACJ dislocation; and (2) there were obvious features of underperformance/exaggeration of his stiffness and weakness, both of which were disagreed by Dr Fu, Dr Ko accepted that mild residual pain, stiffness and weakness may be present and is not unexpected for this degree of ACJ dislocation with conservative treatment. 31.Furthermore, Dr Ko accepted that from the anatomy point of view, the ACJ dislocation will not be reduced in the future and would only persist. In these circumstances, at the very least the experts are agreed that P suffered from mild pain, stiffness and weakness in the right shoulder as a result of the ACJ dislocation which remains and persists. 32.Dr Fu and Dr Ko also disagreed from the objective findings from the Joint Examination whether P was able to return to his pre-injury occupation as gantry crane operator. 33.Dr Fu opined that P cannot return to his original work that required frequent climbing and heavy lifting. He opined that with the current pain, weakness and stiffness, P will have some difficulty in overhead activities and excessive movement of shoulder. His view is consistent with the occupational therapist who had worked with P over 22 sessions, did exercises which simulated his previous job demands and reached the view that P was not ranked as match with those job demands because of his right shoulder pain, inadequate right shoulder range and strength. 34.On the other hand, Dr Ko opined that P could resume his job as a crane operator with probably mild impairment at his work efficiency and effectiveness after 8 to 9 months after the Accident. In JMR1, he stated that “there is no indication, especially considering his objective physical findings by physiotherapy and occupational therapy in Aug/Sept 2018 and also the present objective parameters from the present physical examination findings, to suggest/recommend [P] to change to work in other jobs with ‘lighter’ or ‘less’ physical demand.” With respect, I do not understand on what basis Dr Ko can say there was no indication from the findings of the physiotherapist and occupational therapists to recommend P to change his job to those with lighter duties. Wong explicitly stated in his report that P was ranked as not match with job demands and work resettlement information was given to P. Dr Chan’s Report also stated that, “Occupational assessment suggested that the patient’s capacity was not match with previous job demands. The clinical progress was static and work settlement was introduced for change of job”. 35.Besides, based on Dr Ko’s acceptance that P would suffer mild pain, stiffness and weakness in his shoulder and that he would have mild impairment in his work efficiency and effectiveness, I cannot accept his opinion that P could have resumed his previous job as a gantry crane operator, which included doing manual work on a construction site which involved lifting heavy objects and climbing. I would prefer Dr Fu’s and Wong’s views in this respect. E. Whether P failed to mitigate loss by not opting for operative intervention 36.Dr Fu opined that the non-operative management of the ACJ dislocation received by P was acceptable. From his knowledge and the literature review, he opined both operation and conservative treatment were acceptable modality of treatment. He did not agree with Dr Ko’s opinion that operative treatment has superior result for serious ACJ dislocation. 37.On the other hand, Dr Ko opined that from the academic literature and clinical experience, surgical intervention would give better functional outcome for better physical performance. By declining operative intervention and opting for conservative treatment, this played a significant role in his present residual, pain, stiffness and weakness. This is not agreed with by Dr Fu who opined that there should not be significant difference from P’s current condition even if he had received surgery provided the surgery did not have any complication. The only significant difference was the cosmetics. 38.It seems to me that the difference in opinion between both experts amply illustrates their agreement that there are controversies over the best treatment for type V ACJ dislocation. Although Dr Ko has said operative treatment is the generally accepted method for active healthy patients with type V ACJ dislocation and P ticked all his boxes (right patient, right timing, right technique and right surgeon available at TMH), he has not gone so far to say that Dr Chan should have only recommended operative intervention. If that had been the case, and I accepted that view, there might be some basis to find that the refusal by P would have been unreasonable when that was the recommended treatment. 39.Moreover, Dr Ko rightly stated in the JMR3 that there was no way he can verify the facts and veracity of what Dr Chan had discussed with P about the course of treatment. However, he further confirmed in cross-examination by Mr Wright that the advice given by Dr Chan was the standard or template advice a treating doctor would give to P. He also agreed in JMR3 that the treating doctors should explain the pros and cons with the risks and benefits of the different options, and then the patient should be the one to decide. In cross-examination, Dr Ko further stated that he would not fault P for his choice of conservative treatment. 40.Furthermore, in answer to my query on the claimed better functional outcome of operation over conservative treatment (given Dr Ko’s opinion that P was able to return to his previous job even with conservative treatment), Dr Ko stated that P could perform his previous duties with say 60-70 marks but with surgery 80-90 marks. I think he made it clear that it was just a relative mark but the point he was making is that relatively speaking the functional outcome of surgery is better. He also confirmed that even with surgery, returning to his previous job would involve a certain degree of pain and discomfort. 41.In these circumstances, I do not find that Ds have satisfied their burden of proof that P had failed to mitigate his loss by unreasonably declining surgical intervention. It is undisputed that the burden on proving that P had unreasonably refused to undergo surgery lies on Ds. See Geest v Lansiquot [2003] 1 All ER 383 (PC) cited with approval in Ko Kam Wai v Sze Hak Fung trading as Chung Fung Company and another (unrep) HCPI 292/2005, 11 July 2006 at §64 per A Cheung J (as he then was). 42.In Luk Yee Lam v Livasari (unrep) HCPI 394/2002, 27 November 2003 at §§9, 11 and 12, Master Woolley explained in deciding whether the defendants have proved that the plaintiff had unreasonably refused operation, the court has to consider what is reasonable for a man with the plaintiff’s background, education and experience and to that extent the test must be partly subjective. In that case, for a man not highly educated (up to Form 3 in China) and trained in mechanics, the learned Master observed that it is inevitable that the risks of any surgical procedure offered are uppermost in his mind and unless clearly impressed upon him by a doctor that he trusts that those risks are minimal and the advantages outweigh them to a large degree, he could not say that it is unreasonable that he should decide not to take those risks. 43.In the present case, given that P was offered a choice of both options and the risks and benefits of each were explained, which the experts do not dispute was a proper and likely advice that he would have been given, in view of the P’s background (educated up to Grade 7 in Nepal, worked as a farmer before coming to Hong Kong and after that worked in construction sites) and having heard P’s explanation for his choice, I am not satisfied that Ds have discharged their burden to prove that P unreasonably refused to opt for operative intervention. F. PSLA 44.Mr Wright relied on the following of authorities to support an award of HK$300,000 for PSLA:
45.Mr Wright submitted that in the present case P’s injuries is slightly more severe than the above authorities, and taking inflation at approximately 2% per annum, HK$300,000 was a modest and appropriate award. 46.On the other hand, Mr Lim relied on the following cases as comparable to the present case:
47.Although Mr Lim maintained in his closing submissions that HK$180,000 is appropriate had P had opted for surgery, in view of my findings that P had not unreasonably refused surgery, having regard to P’s injuries and on the basis of the authorities submitted to me, an award of HK$250,000 is appropriate. G. Pre-trial Loss of Earnings 48.Given that there was agreement that the period of sick leave was reasonable and additional time should be allowed for P to find a job, I would allow an award for full loss of earnings for 11 months: HK$30,685 x 1.05 (MPF) x 11 = HK$354,412. 49.As for loss of earnings up to trial (around 6 years and 2 months after the end of the sick leave plus the additional time for finding a job), given that I have found that P cannot return to his previous job and has not failed to mitigate his loss, I would allow partial loss of earnings up to trial being: (HK$30,685-HK$15,000) x 1.05 (MPF) x 74 (months) = HK$1,218,725. 50.The total pre-trial loss of earnings is therefore HK$1,573,137. H. Post-trial Loss of Earnings 51.It was not disputed that a multiplier of 13.01 should be adopted assuming normal retirement age of 60 for calculating post-trial loss of earnings. I would therefore award post-trial loss of earnings being: (HK$30,685-HK$15,000) x 1.05 (MPF) x 13.01 x 12 = HK$2,571,179. I. Loss of Future Earning Capacity 52.It was also not disputed that an award for loss of future earning capacity should be awarded. 53.Mr Wright submitted that the assessment and quantification of such an award is not an exact science. In Thapa Surendra v E W Cox Hong Kong Limited and Anor (unrep) HCPI 451/2009, 11 July 2011, Deputy High Court Judge Seagroatt (as he was then) held that one has to quantify the present value of the risk of future financial loss taking into account the degree of risk, when it may occur and all the facts which may affect the plaintiff’s chances of getting a job or equally well paid job. Whilst there is always an element of crystal-gazing, there must be a rational factual matrix against which the assessment must be made. The learned judge in that case had regard to the nature of the plaintiff’s injury, his overall condition and the limited type of work he can carry out, which indicate the risk of being unemployed for lengthy periods frequently, and of having to give up work before the normal time simply because he will become unemployable. A sum equivalent to 2 and half years of the plaintiff’s current salary was allowed. See §§46-48. 54.In the present case, having regard to P’s injuries and condition, the sort of work that he could be employed and the risk of being unemployed by reason of his injuries, I would award a sum of HK$150,000 which is around 10 months’ salary of a security guard. J. Special Damages 55.Special damages of HK$7,976 was agreed and is awarded. K. Conclusion and Orders 56.In summary, P is awarded:
57.I would award interest at 2% for PSLA from the date of the writ to date of judgment and for loss of earnings and special damages from the date of the Accident to date of judgment at half judgment rate and thereafter until payment at judgment rate. 58.As for costs, I would make the following costs order nisi which shall become absolute in the absence of any application to vary within 14 days from the date of handing down of this Judgment:
59.Lastly, I thank counsel for their helpful assistance.
Mr John Wright, instructed by Krishnan & Tsang, for the Plaintiff Mr Patrick Lim, instructed by Norton Rose Fulbright Hong Kong, for the 1st and 2nd Defendants [1] It is common ground that there are 6 types of ACJ dislocation from type I to type VI in ascending order of severity. Type V means that the joint is severely dislocated with very wide separation. [2] It was not disputed that the reference to 24kgf for left side and 40 kgf for right side in Wong’s report of 18 June 2019 was plainly a typo. | |||||||||||||||||||||||
Cases cited in this judgment