Workplace Accident: Is It a Workers’ Compensation or Personal Injury Claim?

Workplace accidents can lead to either a workers’ compensation claim or, in limited cases, a personal injury claim. In most cases, workers’ compensation is the standard route as it provides coverage for medical expenses, lost wages, rehabilitation, or even death benefits without requiring proof of fault. However, it does not allow lawsuits against the employer or compensation for emotional or punitive damages. Workers’ compensation excludes certain injuries (like those that are self-inflicted or the result of misconduct) and doesn’t apply to independent contractors or similar workers. Personal injury claims may apply only in special situations, such as when a third party causes the accident, when intentional harm occurs, or when a defective product is involved in the incident. In such cases, the injured worker may be able to pursue a personal injury claim instead of or in addition to workers’ compensation to maximize recovery.
Workplace accidents can be life-altering events that lead to significant injuries, extensive medical bills, loss of income, and even death. If you have been injured on the job, you may wonder if you should pursue a workers’ compensation claim or a personal injury claim to receive the compensation you deserve.
While workers’ compensation and personal injury claims are both legal avenues that can lead to compensation, they are not the same. They each operate under different legal frameworks and provide varying types of recovery, depending on the nature of the accident.
It’s vital to understand the difference between the two so that you can know whether your case falls under workers’ compensation or personal injury.
What Is Workers’ Compensation?
Workers’ compensation is an insurance system that provides benefits to employees who are injured or become ill due to their jobs. The key feature of workers’ compensation is that it does not require the injured worker to prove that the employer was at fault for the accident. Instead, the injured employee only needs to show that the injury or illness occurred on the job or in the course of their employment. This expedites the process of receiving compensation and recovering without financial loss.
Workers’ compensation is designed to provide reasonable relief to injured workers so that they can recover without financial strain. Or, should the worst occur and the employee passes away from their injury or illness, workers’ compensation helps the family cover death expenses.
What Are Common Workplace Accidents?
Common on-the-job accidents or illnesses that can require workers’ compensation include:
- Slip-and-fall accidents
- Falls from heights
- Machinery malfunctions
- Repetitive stress injuries
- Respiratory issues
What Does Workers’ Compensation Cover?
In Georgia, workers’ compensation benefits typically cover:
- Medical expenses
- A portion of lost wages
- Rehabilitation costs
- Death benefits
What Does Workers’ Compensation Not Include?
In a workers’ compensation claim, there is no litigation, meaning:
- Employees cannot sue their employer for a workplace injury or accident
- Employees cannot receive compensation for injury-related emotional damage
- Employees cannot receive punitive damages
In terms of the injury, workers’ compensation does not apply to:
- Self-inflicted injuries: Injuries sustained if an employee intentionally hurts themselves.
- Workplace misconduct: Injuries sustained from roughhousing, horsing around, willful misuse of tools and equipment, intoxication while on the job, etc.
- Off-duty injuries: Injuries sustained while off the clock or outside of work.
- Minor injuries: Injuries that are small in nature and can be treated with a first-aid kit, such as a minor abrasion or scrape.
- Unreported injuries: Injuries that were never brought to the employer’s attention.
As for types of workers, workers’ compensation is available to those employed by their employer. Types of workers who typically cannot file a workers’ compensation claim include:
- Independent contractors
- Agricultural workers (field hands, farm laborers, etc.)
- Domestic workers (nannies, housekeepers, babysitters, etc.)
- Sole proprietors
Can I File a Personal Injury Claim for a Workplace Accident?
In most cases, no, personal injury does not apply to a workplace accident. However, in limited situations, the nature of the incident may allow the employee to pursue a personal injury claim either instead of or in addition to a workers’ compensation claim.
These situations or scenarios are case-by-case, but examples include:
Third-Party Liability
If a third party, meaning someone other than the employer or a coworker, is responsible for the accident, the injured worker may file a personal injury claim against that party.
For instance, if a delivery driver is injured in a car accident caused by another driver while making deliveries, they could pursue a personal injury claim against the at-fault driver.
Intentional Acts of Violence or Malice
If the injury was caused by an intentional act, such as an assault by a coworker or employer, the injured worker may have grounds to file a personal injury claim. Workers’ compensation does not cover intentional harm, so the victim would need to seek compensation through a personal injury lawsuit.
Defective Products
If a workplace injury is caused by a defective product, such as faulty machinery or equipment, the injured worker may have a product liability claim against the manufacturer. In such cases, the worker might be entitled to compensation from both workers’ compensation and a personal injury claim.
Need help determining if you should pursue workers’ compensation or a personal injury claim? Talk to Buzzell, Welsh & Hill Today: 478-217-2072.
Our workers’ compensation attorneys and personal injury attorneys in Macon, GA, understand the nuances of the laws surrounding both types of cases. When you talk to us about your case, our team can help you make an informed decision about your legal rights and your best course of action. It’s our mission to help injured employees receive the benefits they need to recover quickly and get back to their lives without financial burden.
Schedule a consultation to tell us about your case today: 478-217-2072
Related Articles
- How Does Workers’ Compensation Work in Georgia?
- What to Do if Your Employer Is Exempt From Workers’ Compensation
- Am I Eligible for Workers’ Compensation?
- What Are Workers’ Compensation Benefits And Other FAQs
- Falls From Heights at Work: What You Should Know
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