T.D.N v City Of Johannesburg Metropolitan Municipality (2769/2020) [2023] ZAGPJHC 727 (26 June 2023)

80 Reportability

Brief Summary

Delict — Negligence — Duty of care — Plaintiff sustained severe head injury after falling into an open manhole — Plaintiff, a minor and pregnant at the time, claimed damages from the City of Johannesburg Metropolitan Municipality — Defendant's application for separation of merits and quantum refused — Court found that the defendant failed to take reasonable steps to cover the manhole or warn the public, resulting in negligence — No contributory negligence established — Plaintiff awarded damages for injuries sustained, including permanent visual incapacity and related sequelae.

Comprehensive Summary

Summary of Judgment


1. Introduction


This was an action for delictual damages arising from personal injury, heard in the Gauteng Local Division, Johannesburg. The plaintiff, T D N (a minor at the time of the incident), sued the defendant, the City of Johannesburg Metropolitan Municipality, for damages allegedly sustained when she fell into an open manhole on a public sidewalk.


The matter proceeded to trial on both merits and quantum. At the outset of the trial, the defendant sought a separation of issues (merits and quantum) under Rule 33(4), contending that one of the plaintiff’s expert reports (a neurosurgical report) was “stale”. The plaintiff opposed the separation on the basis that she was ready to proceed, that the necessary witnesses were available, and that any concern about “stale” expert reports could ordinarily be dealt with through addenda. The court refused separation, finding it was not persuaded that separation would be convenient in the circumstances, having regard to the governing rule and authority.


The dispute concerned whether the municipality was liable in negligence for the plaintiff’s fall into an open manhole and, if so, the appropriate assessment of damages, including general damages, loss of income/earning capacity, and future medical and related expenses.


2. Material Facts


On the evening of 24 August 2019, between approximately 19:00 and 20:00, the plaintiff fell into an open manhole situated at the corner of Kremetart Street and Cederberg Street, Eldorado Park Extension 3, Johannesburg, while walking on the sidewalk at night on her way to her aunt’s home. It was dark and, on the plaintiff’s version, the streetlights were not working. The plaintiff was walking with her brother and mother when she suddenly fell into the manhole. She landed at the bottom of the manhole and was assisted out by her brother (who used a cellphone torch and climbed into the manhole) and a passer-by.


The plaintiff sustained a head injury, described as an open bleeding wound at the back of her head, and additional injuries to her arm and leg. She was pregnant at the time. She and her family first went home to change and then went to Rahima Moosa Hospital for Mothers and Children, where she was monitored overnight and discharged the next morning (25 August 2019). It was common cause that no hospital records were available for that initial admission.


After discharge, the plaintiff experienced ongoing symptoms, including severe headaches, body pain, and blurry vision, and she consulted a private doctor who prescribed pain medication suitable for pregnancy. The plaintiff’s next return to Rahima Moosa Hospital occurred when she gave birth to a healthy baby on 8 September 2019. After the birth, the plaintiff’s condition worsened, and she was found to have sustained a brain haemorrhage when CT scans were performed on 10 and 11 September 2019. She was later transferred for further care, including an admission at Helen Joseph Hospital for approximately a month, where an occipital lobe haemorrhage was diagnosed.


The plaintiff’s mother and brother corroborated the fall into the manhole, the immediate bleeding head injury, the hospital admission and discharge, and the subsequent deterioration. Although the defendant’s counsel, in argument, suggested concoction, the court recorded that the defendant called no witnesses to contradict the plaintiff’s version of how the incident occurred.


The defendant led evidence from a civil engineer employed by the Johannesburg Roads Agency who inspected the manhole (approximately one year later, on 8 September 2020) and found it covered at that time with a cement slab. Upon removing the cover, he determined the manhole belonged to the JRA and the defendant and described its dimensions and internal bars. His evidence did not place in dispute that the manhole had been uncovered on the date of the incident, and the court recorded that the manhole was not covered at least until the plaintiff’s attorney first took photographs on 25 September 2019.


On the medical sequelae, expert evidence accepted by the court established that the plaintiff developed bilateral cortical blindness, chronic headaches, seizures, and neurocognitive deficits, with her condition having reached maximum medical improvement by at least October 2020 and no prospect of recovery of vision. The plaintiff’s functional limitations included dependency for daily living activities and the need for ongoing care, assistance, and assistive devices.


3. Legal Issues


The court was required to determine, first, whether the defendant should be held liable in delict for the plaintiff’s injuries arising from her fall into the open manhole. This required determination of whether the plaintiff proved the incident occurred as alleged, whether the manhole posed a danger for which the defendant bore responsibility, and whether the defendant’s omission to cover or warn constituted negligence, including whether any contributory negligence was established.


Second, the court was required to determine causation, namely whether the plaintiff’s later-diagnosed intracranial haemorrhage, cortical blindness, and other sequelae were causally linked to the fall.


Third, the court had to quantify damages, involving the assessment of general damages, the estimation of future loss of income/earning capacity, and the calculation of future medical, care, and assistive-device costs, including the appropriate application of contingencies and the selection among alternative pre-morbid educational and earnings scenarios.


These questions largely involved the application of legal principles to the facts (liability, negligence, causation) and an evaluative or discretionary assessment in respect of quantum, particularly in relation to general damages and contingency deductions.


4. Court’s Reasoning


On the preliminary procedural issue, the court approached the defendant’s application for separation under Rule 33(4) on the basis of convenience. The court was not persuaded that separation would be convenient merely because an expert report was described as “stale”, particularly where the plaintiff was ready to proceed, witnesses were available, and the neurosurgeon would in any event testify on both merits and quantum. The absence of any addendum report was also noted. The court therefore refused separation after considering the relevant rule and authority.


On the merits, the court accepted that the plaintiff fell into an open manhole as alleged and rejected the defendant’s submission that the plaintiff and her family fabricated their evidence. The court placed weight on the corroboration by the plaintiff’s mother and brother, the broader hospital record chronology that aligned with the incident, and the lack of any contrary factual evidence led by the defendant. The evidence of the defendant’s civil engineer established that the manhole belonged to the defendant/JRA and that it was of sufficient depth and width to accommodate a person falling into it, consistent with the plaintiff’s description. The engineer’s evidence did not meaningfully undermine the plaintiff’s claim that the manhole was uncovered at the relevant time.


On negligence, the court concluded that the plaintiff’s injury was caused by the defendant’s failure to take reasonable steps to cover a dangerous manhole on a sidewalk or warn the public of the danger. The court recorded that no contributory negligence was proved by the defendant.


On medical causation and sequelae, the court accepted the expert evidence of the ophthalmologist and neurosurgeon. The ophthalmologist diagnosed bilateral cortical blindness due to damage to the occipital lobe, consistent with an injury to the back of the head, and confirmed that the CT scans showed intracranial haemorrhage following trauma rather than other causes such as high blood pressure. The neurosurgeon clarified the hospital discharge note as meaning the plaintiff sustained intracranial haemorrhage following trauma when she fell into a manhole about three weeks earlier and explained the significance of the occipital lobe for vision. The neurosurgeon considered the head injury severe based on scan results and neurological deficits, noting that GCS scores were not the sole indicator but that haemorrhage on brain imaging was serious. The court accepted that other potential causes of haemorrhage were ruled out by imaging and related investigations, leading to the conclusion that there was a nexus between the fall and the haemorrhage, blindness, and related deficits.


On quantum, the court treated general damages as a discretionary assessment guided by comparable awards. It referred to an award for blindness in Ntsukanyane v Road Accident Fund and to Van der Merwe v Premier of Mpumalanga (a case involving blindness from medical negligence) as contextual comparators. The plaintiff sought R1,000,000 for general damages; the defendant argued that no amount could restore the plaintiff to her pre-injury condition. The court accepted that general damages were discretionary and awarded the amount sought by the plaintiff, being R1,000,000, as fair in the circumstances.


For loss of income/earning capacity, the court applied principles emphasising that the assessment of future loss is inherently speculative, that actuarial calculations are useful but not decisive, and that the court retains a wide discretion to make a just award. The court considered three pre-morbid earnings scenarios produced in a recalculation directed during the hearing. The court preferred the scenario premised on completion of Grade 12 and attainment of a lower level certificate (NQF level 5), based on the educational psychologist’s opinion regarding average pre-morbid intellectual functioning and the plaintiff’s demonstrated perseverance at school despite pregnancy. Having selected that scenario, the court addressed contingencies and concluded that a contingency deduction consistent with a “normal” approach over the working life would be appropriate. Although the court calculated a deduction on a “normal” basis, it ultimately applied a 25% contingency deduction because that was the deduction argued for by the plaintiff’s counsel, producing a reduced figure of R3,718,506.75 for future loss of income/earning capacity.


For future medical expenses and care, the court accepted the occupational therapist’s evidence regarding the plaintiff’s need for fulltime caregiver support, domestic assistance, handyman and gardening assistance, and assistive devices for visual impairment, as well as the neurosurgeon’s evidence on expected future treatment needs (including medication, physiotherapy, psychotherapy, general practitioner consultations, epilepsy treatment, and MRI scans). The defendant’s challenges regarding alleged duplication or conditional need (for example, whether certain services would be required only if the plaintiff lived alone) were rejected. The court noted that uncertainties could be accommodated via contingencies, and it recorded that the minimum wage figures used were conservative. Applying the same 25% contingency as contended for by the plaintiff, the court reduced the future medical and care amount to R3,110,622.75.


The total damages were then aggregated, and the court confirmed that the total did not exceed the pleaded claim. On costs, the court applied the general principle that costs follow the cause, finding no reason to depart from it.


5. Outcome and Relief


The court held the defendant liable to the plaintiff for damages suffered as a result of injuries sustained when she fell into an open manhole on 24 August 2019.


The defendant was ordered to pay the plaintiff R7,828,829.50, comprising R1,000,000 for general damages, R3,718,506.75 for loss of income/earning capacity, and R3,110,622.75 for future medical expenses and care.


The defendant was further ordered to pay interest on R7,828,829.50 at the prescribed legal rate from the date of judgment to date of payment, and to pay the costs of suit.


Cases Cited


Molotlegi and another v Mokwalase [2010] 4 All SA 258 (SCA).


Denel (Edms) Bpk v Voster 2004 (4) SA 481 (SCA).


Consolidated News Agencies (Pty) Ltd (In Liquidation) v Mobile Telephone Networks (Pty) Ltd and another 2010 (3) 382 (SCA).


Ntsukanyane v Road Accident Fund (30173/2014) [2016] ZAGPPHC 1217 (6 December 2016).


Van der Merwe v Premier of Mpumalanga QOP vol 13-14 [2005] ZAGPHC 103.


Road Accident Fund v Marunga 2003(5) SA 164 (AD) 169E.


Road Accident Fund v Guedes 2006(5) 583 (SCA) at para 8.


Southern Insurance Association Ltd v Bailey NO 1984(1) SA 98 (A) at 113G–114E.


Road Accident Fund v Reynolds A 5023/04 [2005] ZAGPHC 18 February 2005.


President Insurance Co Ltd v Mathews (citation not provided in the judgment text).


Van der Plaats v South African Mutual Fire and General Insurance Co Ltd (citation not provided in the judgment text).


Minister of Defence and Another v Jackson (citation not provided in the judgment text).


Bresatz v Przibilia [1962] HCA 54; (1962) 36 ALJR 212 (HCA).


Hersman v A Shapiro & Co 1926 TPD 367.


Anthony and Another v Cape Town Municipality 1967 (4) SA 445 (A).


Pitt v Economic Insurance Co Ltd 1957 (3) SA 284 (N).


Turkstra Ltd v Richards 1926 TPD (page reference not provided in the judgment text).


Goldie v City Council of Johannesburg 1948 (2) SA 913 (W).


Legislation Cited


No legislation was expressly cited in the judgment text.


Rules of Court Cited


Rule 33(4) of the Uniform Rules of Court.


Held


The court found, on the evidence before it, that the plaintiff fell into an open manhole under the defendant’s responsibility and that the defendant negligently failed to take reasonable steps to cover the manhole or warn pedestrians of the danger. The defendant did not prove contributory negligence.


The court accepted expert evidence establishing that the plaintiff suffered a severe traumatic brain injury with an occipital lobe haemorrhage and that this trauma caused permanent bilateral cortical blindness and related sequelae, with other potential causes for the haemorrhage having been ruled out.


On quantum, the court exercised its discretion to award R1,000,000 as general damages, and it awarded additional amounts for loss of earning capacity and for future medical expenses and care, applying a 25% contingency deduction to the relevant future-loss calculations. The defendant was ordered to pay the plaintiff R7,828,829.50 plus interest and costs.


LEGAL PRINCIPLES


A separation of issues under Rule 33(4) is a matter of convenience assessed in the discretion of the trial court, and separation may be refused where it would not be convenient in the circumstances, including where witnesses and issues substantially overlap between merits and quantum.


A municipality (or responsible public authority) may incur delictual liability where it negligently fails to take reasonable steps to guard against foreseeable harm posed by a dangerous condition in a public pedestrian area, including by failing to cover a hazard or warn the public of its existence, and where that omission causes injury.


The assessment of loss of earning capacity is inherently speculative and cannot be determined with mathematical precision; courts may be assisted by actuarial computations based on assumptions supported by evidence, but the court retains a broad discretion to award what is just on the facts.


The application of contingencies in quantifying future loss involves an evaluative judgment that must be tailored to the individual circumstances, taking account of the ordinary vicissitudes of life as well as case-specific factors such as age, health, educational prospects, and employability.


Awards for general damages fall within the court’s discretion and may be guided (without rigid adherence) by comparisons to awards in other cases involving broadly similar injuries, while remaining sensitive to the particular plaintiff’s circumstances and the impact of the injury on their life.

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[2023] ZAGPJHC 727
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T.D.N v City Of Johannesburg Metropolitan Municipality (2769/2020) [2023] ZAGPJHC 727 (26 June 2023)

SAFLII
Note:
Certain
personal/private details of parties or witnesses have been
redacted from this document in compliance with the law
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REPUBLIC OF SOUTH
AFRICA
IN THE HIGH COURT OF
SOUTH AFRICA
GAUTENG LOCAL
DIVISION, JOHANNESBURG
Case No: 2769/2020
NOT REPORTABLE
NOT OF INTEREST
In
the matter between:
N,
T D
Plaintiff
And
CITY
OF JOHANNESBURG METROPOLITAN MUNICIPALITY
Defendant
JUDGMENT
VAN DER MERWE AJ:
Introduction
[1] The plaintiff, T N,
instituted an action against the defendant for delictual damages
suffered as a result of a severe head injury
sustained by her when
she fell into a manhole on 24 August 2019. She now suffers from
bilateral blindness, constant headaches,
seizures and injury related
sequelae. The plaintiff was sixteen years old, in grade 10 and well
advanced in her pregnancy at the
time of the incident.
[2]
At
the onset of the trial, the defendant applied for a separation of
merits and quantum which was opposed by the plaintiff. The
only basis
for the separation was that, according to the defendant, one of the
plaintiff’s expert reports being the neurosurgeon’s

report was “stale” and more than two years old. On the
other hand, it was argued on behalf of the plaintiff that she
was
ready to proceed with the trial and that all the merits and quantum
witnesses were available. Moreover, it was submitted that
in
particular the neurosurgeon would testify with regards to both the
issues of merits and quantum and that usually when a report
is
“stale” (and if there is a need to update such a report),
an addendum is filed. No addendum report was filed. Not
being
convinced that it would be convenient to separate the issues under
these circumstances and after considering the appropriate
rule and
case law
[1]
the application for
separation was refused.
[3] The questions for
determination are whether the plaintiff was injured on the day as
alleged, whether the sequelae are as a result
of the injuries
sustained during the incident, the extent of her injuries and the
amount of damages to be awarded to the plaintiff
in respect of
general damages, loss of income and income capacity as well as future
medical and related expenses.
The pleadings
[4] In the amended plea
which was served on the defendant on 9 November 2021, the plaintiff
pleads that:

5.  On the 24
August 2019, at approximately 18:30 at or near Plaintiff’s
residence and while walking on the sidewalk
at night along Kremetart
Street, next to Cederberg Street, Eldorado Park, Extention 3,
Johannesburg and on her way to her aunt’s
residence, she
suddenly fell into an open manhole ….
6. The Plaintiff who was
pregnant at the time was taken to the Rahima Moosa Hospital for
Mothers and Children where she was stabilized
and assisted with
medication. She was discharged the following day. The Plaintiff
experienced debilitating headaches and was re-admitted
to the
hospital some 3 weeks later and only then diagnosed through scans and
x-rays.”
[5] The plaintiff also
increased the total amount claimed from the defendant to
R9 216 000
.
[6] No objection or
amended plea was filed by the defendant at the time and the
allegations are still denied as per the amended
plea.
The evidence
[7] The plaintiff
testified herself and called as witnesses, her attorney of record,
Mr. Moodley, her brother Mr. N and her mother,
Mrs. Beverley N. Her
expert witnesses who all conducted reports were called in the
following order:
i) Dr. Van Onselen
(ophthalmologist)
ii) Morongwa Sekele
(occupational therapist)
iii)
Mrs.Babitsanang Selepe (Industrial psychologist)
iv)  N. Kambaran
(actuary)
v) Dr. Mazwe
(neurosurgeon)
vi)  E.D. Monyela
(educational psychologist)
[8] On the evening of 24
August 2019 between approximately 19:00 and 20:00 and at the corner
of Kremetart and Cederberg Streets,
not far from her home, the
plaintiff fell into an open manhole. She landed on her side at the
bottom of the manhole and she shifted
herself up. It was dark at the
time and the streetlights were not working. The plaintiff was walking
with her brother to her right
and her mother to the far left and in
front of her, on their way to her aunt’s home to celebrate her
birthday. Although she
grew up in the area she was not too familiar
with the streets and was in particular not aware of the open manhole.
When she realised
she had fallen into the manhole she shouted and her
brother came to her assistance by using his cellular phone’s
torch light
and climbing down the manhole to lift her up and out of
the manhole. He was assisted by a passer-by to pull the plaintiff out
of
the manhole.
[9] The plaintiff
testified that she sustained an injury to her head and pointed
towards the bottom of the back of her head which
she described as an
open and bleeding wound as well as that she sustained wounds to her
arm and leg. She could not remember which
leg or exactly what injury
she sustained on her arm as she was in a state. During
cross-examination she said that she must have
hit her head against a
sharp point in the drain.
[10] Before her brother
and mother took her to the Rahima Moosa Hospital for Mothers and
Children after the fall, they first went
home to change.  When
she arrived at Rahima Moosa on 24 August 2019, the nursing staff
monitored the baby and she was kept
there overnight and released the
next morning. The baby was the main concern. During her overnight
stay she had to sit on the chairs
most of the time and was only given
a bed in the early hours of the morning. It is common cause that
there is no hospital records
available for the day when she was
admitted.
[11] Since her fall into
the manhole she experienced severe headaches, body pain and blurry
eyes. After she was released from Rahima
Moosa on 25 August 2019 her
brother and mother collected her and she continued to suffer from
body pains, constant headaches and
blurry eyes and went to see a
private doctor during that week who prescribed panado tablets only as
she was pregnant. She did not
want to go back to Rahima Moosa
Hospital because of the way they treated her.  Even after seeing
the private doctor she continued
to suffer from blurry eyes and
headaches. The blurriness of her eyes came and went, but it
continued.
[12] Her next visit to
Rahima Moosa Hospital was when she gave birth to her (healthy) baby
girl on 8 September 2019. The uncontested
evidence of Mrs. Beverly N
is that she took the plaintiff to the hospital at about 10:45-11:15pm
on 8 September 2019 to give birth.
Mrs. N later received a WhatsApp
message from the plaintiff stating that the baby was born. When she
went to hospital on 9 September
2019 she noticed that plaintiff’s
eyes were glassy, that the plaintiff could not recall what happened,
she looked lost and
it looked like her mind was somewhere else.
According to Mrs. N she was told by the doctor that they were aware
of the incident
which took place (i.e. the fall into the manhole),
that the plaintiff was now blind and that she had bleeding on her
brain and
swelling. After about 4 days she fetched her granddaughter
from hospital. The plaintiff was moved to another floor in the
hospital
and thereafter transferred to Helen Joseph Hospital for
about a month.
[13] Both the plaintiff’s
brother and mother confirmed that the plaintiff fell into the manhole
on 24 August 2019, that her
head was bleeding, that she was kept
overnight at Rahima Moosa Hospital until 25 August 2019, that she was
given panado tablets
only because of her pregnancy, that she saw a
private doctor during the week and that she gave birth on 8 September
2019.
[14] Although there are
no hospital records available for these dates, it is clear from the
other available hospital records and
the undisputed evidence that
plaintiff fell into the manhole as described, gave birth on 8
September 2019 and that she was thereafter
found to have sustained a
brain haemorrhage when CT-scans were performed. The defendant’s
counsel’s submissions (as
per the heads of argument) that the
plaintiff and her family members concocted their evidence that the
plaintiff fell into an open
manhole is without merit. The defendant
called no witnesses to contradict the plaintiff’s version.
[15] The defendant called
one merits witness, Mr. Ndlovu, a civil engineer, who has been
employed by Johannesburg Roads Agency (JRA)
for just more than 6
years. He inspected the manhole in question with the plaintiff’s
attorney on 8 September 2020. At that
stage (approximately one year
after the incident) the manhole was covered with a cement slab. When
he removed the cover he ascertained
that it belonged to the JRA and
the defendant. He indicated that a person could fit in the manhole
which had iron bars inside that
one could use as stairs. He described
the depth of the manhole as approximately 2.5 to 3 meters deep and
the width as approximately
0.5 meter. In essence, this witness’s
description of the manhole in question is similar to the description
given by the plaintiff’s
brother and he could not dispute the
evidence that the manhole was not covered on the day of the incident
until at least when the
plaintiff’s attorney of record first
took pictures of it on 25 September 2019.
[16] In my view the
plaintiff’s injury was caused due to the negligence of
defendant who failed to take reasonable steps to
cover a dangerous
manhole on the sidewalk or warn the public of the danger it posed. No
contributory negligence was proved by the
defendant.
[17] Dr Van Onselen the
ophthalmologist
wrote a report after he considered the
available hospital records, the report of the neurosurgeon, performed
basic ophthalmic testing
and observation and he considered the
information provided to him by the plaintiff.  According to him,
there were two sequences
to the history provided. There was visual
loss after the fall into the manhole and an exacerbation thereof
after she had given
birth. The same history was given to the
neurosurgeon. The plaintiff complained of blindness since giving
birth and frontal headaches
as well as pain in both eyes and blurry
vision since the fall into the manhole. He diagnosed the plaintiff
with bilateral cortical
blindness as a result of damage to the
occipital lobe when she fell into the manhole and injured the back of
her head. From an
eye perspective her whole person impairment is 75%.
The plaintiff has permanent visual incapacity with a poor prognosis.
He testified
during the hearing that there is no chance of recovery.
[18] The uncontested
evidence of the ophthalmologist is that firstly, the clinical picture
is in keeping with cortical blindness
and an injury to the back of
the brain. Her loss of vision was caused by the damage to her brain.
Secondly, the CT-scans taken
on 10 and 11 September 2019 revealed
intra cranial haemorrhage following trauma and he confirmed that the
CT-scan is unequivocal
in that the brain haemorrhage is as a result
of the trauma versus high blood pressure (for example). The trauma is
accordingly
attributed to a fall into a manhole about three weeks
(3/52) before.
[19] Dr. Mazwe, a
neurosurgeon
confirmed that at the time when he examined the
plaintiff on 20 October 2020 she had already reached maximum medical
improvement
and that since then there was no improvement.
[20]
He
clarified the cryptic recording in the discharge summary for the
adult high care of the Rahima Moosa Mother and Child Hospital
dated
12 September 2019. He confirmed the meaning thereof that the
plaintiff sustained an intracranial haemorrhage following trauma
when
she fell into a manhole three weeks before and that she was observed
in high care overnight with a GCS of 13/15.
[2]
[21]
After
the plaintiff was discharged from Rahima Moosa, she was transferred
to Helen Joseph Hospital where she remained for approximately
one
month. The plaintiff’s injury was diagnosed as an occipital
lobe haemorrhage.
[3]
Dr. Mazwe
explained that the occipital lobe is situated at the back of the head
and that it is the part of the brain responsible
for vision. In his
opinion the plaintiff sustained a severe brain injury and he arrived
at this conclusion by taking into consideration
factors such as the
various recorded Glasco Coma Scales (GCS), the brain scan results and
neuro-physical deficits which the plaintiff
presented with such as
left sided weakness, vision dysfunction and expressive speech
aphasia. The GCS alone is not indicative of
the severity of a brain
injury and once a brain scan shows haemorrhages, it is serious. In
concluding that the plaintiff brain
injury is severe he also
considered plaintiff’s prolonged loss of consciousness and
amnesia. Plaintiff’s memory disturbances
and poor concentration
are due to the head injury. The plaintiff also complained of chronic
headaches and he provided for treatment
for epilepsy in future. He
classified her whole person impairment as 30%.
[22] I accept the
neurosurgeon’s evidence that all other factors which could have
caused a brain haemorrhage were ruled out
when the CT scan of the
brain and an angiogram were done. These are vascular malformation,
aneurysms, ischaemia, high blood pressure
and loss of blood supply.
High blood pressure can cause a stroke, but plaintiff’s blood
pressure was normal. No aneurysms,
vascular malformation or a brain
tumour were found and none of the other factors were recorded.
[23]
This
expert further explained that a brain haemorrhage can resolve with
time, may remain unchanged for days or weeks or it can keep
on
expanding /getting worse (as in the plaintiff’s case) resulting
in neurological deficits or even death. He testified that
the
plaintiff’s haemorrhage worsened, because since her fall into
the manhole (where no loss of consciousness was reported)
up to the
day on which the CT-scan was done on 10 September 2019 (3 weeks /
approximately 18 days thereafter), there was a drop
in the
plaintiff’s GCS as per the hospital records.
[4]
The plaintiff’s GCS dropped further to 10/15 as recorded on 12
September 2019.
[5]
No causes,
other than the trauma to the plaintiff’s head during the fall
into the manhole on 24 August 2019 could explain
the haemorrhage.
There is accordingly a nexus between the incident and the plaintiff’s
injuries.
[24] Dr. Mazwe estimated
that future treatment due to plaintiff’s condition over the
plaintiff’s lifespan would include
medication (R30 000),
physiotherapy (R40 000), psychotherapy (R40 000),
consultations with her general practitioner
(R30 000) treatment
for epilepsy (R40 000) and MRI scans (R12 000). The expert
evidence in respect of the plaintiff’s
injuries and future
treatment were not meaningfully contested and no experts were
appointed on behalf of the defendant to gainsay
this evidence.
[25] The
occupational
therapist
Morongwa Sekele considered the reports of the
neurosurgeon, ophthalmologist and educational psychologist,
clinically observed the
plaintiff, performed clinical testing, a
cognitive impairment test and evaluated her psychologically. The
plaintiff presented with
a despondent mood and was emotional during
the interview. Post-accident the plaintiff cannot perform self-care
and domestic tasks
independently and requires assistance. Plaintiff’s
mother assists her with her daily living as she cannot cook, clean,
care
for her clothes, shop or do home maintenance and has to be
accompanied when using public transport. She struggles with all
activities
due to her bilateral blindness. The plaintiff struggled
with all aspects of the testing done during the evaluation and she is
considered
unemployable in the open labour market.
[26] The undisputed
evidence of the occupational therapist is that provision should be
made for a fulltime caregiver and domestic
assistance at the
prevailing rates in her area. Provision is also made for handyman
assistance at a rate of R4000 per annum and
gardening assistance once
per month in winter and twice per month in summer at a prevailing
rate in the area. The plaintiff will
also require assistive devices
over her life span to enable more effective functioning in her daily
activities such as a kettle
tipper costing R400 every three years, a
liquid indicator at R250 every two years, a talking combination oven
at R6 500 every five
years, a talking watch at R1 425 every five
years, a navigational aid for the visually impaired at R7 290
every five
years, a talking timer at R1 300 every three years
and a collapsible mobility cane at R560 every five years.
[27]  The
industrial
psychologist
Babitsanang Selepe testified that it is not likely
that the plaintiff would find employment in her injured state because
she only
has a grade 9 level of education, is blind and has a severe
neurocognitive problems.
[28] In the pre-morbid
scenario (and based on attaining a certificate and a diploma) she
postulated that the plaintiff would have
entered the labour market at
the B4/5 lower band and would have reached her career ceiling at the
median C3/4 level at the age
of 45 and thereafter she would have
received inflationary increases until retirement age of 65.
[29] The
actuary
Mr.
Kambaran, in turn used this basis to calculate the plaintiff’s
postulated future uninjured income. Before entering the
labour market
at the B4/5 level, the plaintiff would have completed grade 12 in
2021, would have attained a 1-2 years certificate
and a 2-3 year’s
diploma, would have done internship in the year 2026 and would have
commenced employment by July 2028 (after
being unemployed for 2
years). Before the application of contingencies the postulated
uninjured income amounted to R8 216 071.
[30] However, the
educational psychologist
E.D. Monyela in her report indicated
that pre-morbidly plaintiff’s intellectual functioning was
within the average range (based
on her school reports) and plaintiff
would have passed Grade 12 with admission to a higher certificate and
would have followed
up her studies at a TVET college and achieve NQF
level 6. She explained that plaintiff would have obtained NQF level 5
and with
in-house training she would have achieved NQF level 6. She
also postulated a scenario where plaintiff would have only attained a

lower level certificate (i.e. a NQF level 5 certificate) post grade
12. The plaintiff passed all her grades in the Boekenhout Primary

School, and all her other grades in Willow Crescent Secondary School,
save for Grade 10. Her first term’s report in 2019
(repeating
grade 10 and already pregnant) revealed that her highest score was
73% in Life Sciences, followed by 60% in Tourism,
between 40-47%in
English home language, Economics and Afrikaans First additional
language. She obtained 38% for mathematics and
19% in Business
studies. She passed this term with a 47% average. The expert was
adamant even during cross-examination, that plaintiff
had the ability
to obtain certificate because she was of average intelligence
pre-morbidly. If regard is had to her family’s
educational
background, her mother obtained grade 10, her father standard 4 and
conducting his own business, her brothers obtained
grade 9, grade 11
and grade 12 (which brother is working at ABSA as a customer service
manager and who testified during the hearing).
Despite this, the
expert opined that there is tendency that children do better than
their parents and that it does not mean that
if both parents are
domestic workers for example that a child will follow the same career
path of their parents. Despite the fact
that the plaintiff was young
and pregnant, she did not drop out and continued with her schooling
until the incident occurred.
[31] In the plaintiff’s
injured state the educational psychologist reported that it was
challenging to do the SSAIS-R intelligence
test due to her bilateral
blindness. Verbal subtests were administered and the plaintiff scored
from poorly (excessively low in
the number problem test) to below
average in the other tests. She was withdrawn from school due to the
sequelae of the injuries
sustained in the incident and the
educational psychologist confirmed that she would not cope with
mainstream schooling. This expert
testified that normally children
who sustained severe brain injuries are enrolled in special schools,
but in plaintiff’s
instance it would be more difficult as she
is visually impaired. Plaintiff would rather benefit from learning
organizational skills
where she can learn how to cope better and
learn how to walk with a walking stick.
[32] Based on the
evidence and to assist the court, I directed that a recalculation be
done by the actuary to include different
scenarios postulated for the
plaintiff’s pre-morbid future income (based on the different
levels of education) and to calculate
the future medical expenses as
testified to by the experts. There was no objection to the
recalculation.
Discussion
[33] There is no doubt
that based on the evidence the plaintiff was injured when she fell
into an open manhole on 24 August 2019
and that she sustained a
traumatic brain injury on that day which caused permanent blindness
and other sequelae some weeks later
after she gave birth on 8
September 2019.
[34] At the time of the
incident the plaintiff was 16 years old and repeating grade 10.
Although she was not attending school physically
at the time because
she was well advanced in her pregnancy, she continued to do her
school homework and handed in her assignments.
She enjoyed school and
dreamed of studying and becoming an accountant. She participated in
running for her school and was very
healthy.
[35] Since the incident
she initially suffered from blurry eyes and headaches which turned
into blindness around the time when her
baby girl was born. Her
headaches are constant and she suffers from seizures every now and
again which drains her. The plaintiff
testified that the incident and
injuries are affecting her terribly because cannot finish school and
that there is no special school
for the blind in the area where she
lives. She cannot look after her own child and she relies on the
assistance of her mother and
father. She does not even know what her
three and a half year old child looks like. When she became blind she
was not sure what
was happening to her, she was very down and could
not believe what had happened to her. The plaintiff impressed the
court as a
brave young woman under the circumstances who is dependent
on her mother for most of her daily activities and who testified as
to how the loss of sight and other sequelae affected all aspects of
her life.
Quantification
General damages
[36]
In
the unreported matter of
Ntsukanyane
v Road Accident Fund
[6]
Tolmay J awarded R1 350 000 to a self-employed man in 2016
who was rendered blind by an accident and could thereafter
not take
care of his four children who had to subsequently move  to live
with his deceased wife’s sister. Today’s
value of the
claim is approximately R1.8 million.
[37]
A
similar amount was awarded to a girl who was born blind due to
medical negligence in the matter of
Van
der Merwe v Premier of Mpumalanga
[7]
which was also referred
to in the
Ntsukanyane
-matter.
In awarding a similar amount to an older person, the court said that
“It may be argued that to turn blind might even
be worse for
someone who previously had the privilege of sight than for a person
who does not know what he/she is missing out on.
Consequently it may,
depending on the circumstances of the case, even be appropriate to
award a larger sum.”
[38] It was submitted on
behalf of the plaintiff that an amount of R1 000 000 would
be a fair compensation in respect
of general damages. The defendant
argued that no amount could take the plaintiff back to what she was
before the injury.
[39]
General damages falls
within the discretion of the court.
[8]
Plaintiff’s counsel argued for an award of
R1 000 000
only,
which I am inclined to grant in the circumstances.
Calculation of the
quantum of future amounts to be awarded:
Loss of income and
income capacity
[40]
It
was reiterated in Road Accident Fund v Guedes
[9]
that:

It is trite that a
person is entitled to be compensated to the extent that the person’s
patrimony has been diminished in consequence
of another’s
negligence. Such damages include loss of future earning capacity (see
for example
President
Insurance Co Ltd v Mathews)
.
The calculation of the quantum of a future amount, such as loss of
earning capacity, is not, as I have already indicated, a matter
of
exact mathematical calculation. By its nature such an enquiry is
speculative and a court can therefore only make an estimate
of the
present value of the loss which is often a very rough estimate (see
for example
Southern
Insurance Association Ltd v Bailey NO
.
The court necessarily exercises a wide discretion when it assesses
the quantum of damages due to loss of earning capacity and
has a
large discretion to award what it considers right. Courts have
adopted the approach that in order to assist in such a calculation,

an actuarial computation is a useful basis for establishing the
quantum of damages. Even then, the trial court has a wide discretion

to award what it believes is just (see for example the
Bailey
case
and
Van
der Plaats v South African Mutual Fire and General Insurance Co Ltd.
)
(Footnotes omitted)
[41]
In
Southern Insurance Company (Ltd) v Bailey
[10]
it was said that:

Any
enquiry into damages for loss of earning capacity is of its nature
speculative, because it involves a prediction as to the future,

without the benefit of crystal balls, soothsayers, augurs or oracles.
All that the Court can do is to make an estimate, which is
often a
very rough estimate, of the present value of the loss.
It
has open to it two possible approaches.
One
is for the Judge to make a round estimate of an amount which seems to
him to be fair and reasonable. That is entirely a matter
of
guesswork, a blind plunge into the unknown.
The
other is to try to make an assessment, by way of mathematical
calculations, on the basis of assumptions resting on the evidence.

The validity of this approach depends of course upon the soundness of
the assumptions, and these may vary from the strongly probable
to the
speculative.
It
is manifest that either approach involves guesswork to a greater or
lesser extent. But the Court cannot for this reason adopt
a
non
possumus
attitude and make no award. See Hersman v A Shapiro &
Co
1926 TPD 367
at 379 per STRATFORD J:
''Monetary
damage having been suffered, it is necessary for the Court to assess
the amount and make the best use it can of the evidence
before it.
There are cases where the assessment by the Court is little more than
an estimate; but even so, if it is certain that
pecuniary damage has
been suffered, the Court is bound to award damages."
And
in Anthony and Another v Cape Town Municipality
1967 (4) SA 445
(A)
HOLMES JA is reported as saying at 451B - C:
"I
therefore turn to the assessment of damages. When it comes to
scanning the uncertain future, the Court is virtually pondering
the
imponderable, but must do the best it can on the material available,
even if the result may not inappropriately be described
as an
informed guess, for no better system has yet been devised for
assessing general damages for future loss; see Pitt v Economic

Insurance Co Ltd
1957 (3) SA 284
(N) at 287 and Turkstra Ltd v
Richards 1926 TPD at 282 in fin - 283."
In
a case where the Court has before it material on which an actuarial
calculation can usefully be made, I do not think that the
first
approach offers any advantage over the second. On the contrary, while
the result of an actuarial computation may be no more
than an
"informed guess", it has the advantage of an attempt to
ascertain the value of what was lost on a logical basis;
whereas the
trial Judge's "gut feeling" (to use the words of
appellant's counsel) as to what is fair and reasonable is
nothing
more than a blind guess. (Cf Goldie v City Council of Johannesburg
1948 (2) SA 913
(W) at 920.)”
[42] The recalculation
done in respect of plaintiff’s future uninjured income
postulates three scenarios. Before the application
of contingencies
in the first scenario (assumed to have completed grade 12 only) she
would have reached her career ceiling by the
age of 45 earning
R236 000 per annum and her income over the years until
retirement of 65 would have been
R4 004 036
. In the
second scenario (assumed to have completed NCF level 5) she would
have reached her career ceiling by the age of 45 earning
R292 000
per annum and her income over the years until retirement of 65 would
have been
R4 958 009
.
In the third scenario
(assumed to have obtained a diploma) her total income would have been
R9 608 945
.
[43] Taking into
consideration the opinion of the educational psychologist coupled
with the plaintiff’s positive attributes
and especially that
the plaintiff continued with her schooling despite being pregnant at
a young age, I am of the view that plaintiff
had the ability to
obtain grade 12 at a lower level certificate (NQF level 5).
Contingencies must accordingly be applied to the
figure in scenario
two.
[44]
Regarding contingencies
it was confirmed in Road Accident Fund v Reynolds
[11]
:
'Contingencies
may consist of a wide variety of factors. They include matters such
as the possibility of error in the estimation
of a person's life
expectancy, the likelihood of illness, accident or employment which
in any event would have occurred and therefore
affects a person's
earning capacity (Minister of Defence and Another v Jackson supra at
34 FH; Boberg ''Deductions from Gross Damages
in Actions for Wrongful
Death"
(1964) 81 SALJ 194
at 198). Contingencies may be positive
or negative. Not all contingencies are negative involving a reduction
of the award. In Bresatz
v Przibilia
[1962] HCA 54
;
(1962) 36 ALJR
212
(HCA) at 213 (cited with approval in Minister of Defence and
Another v Jackson supra at 34 H-J and Southern Insurance Association

Ltd v Bailey NO
1984 (1) SA 98
(A) at 117 B-D) the following was
said:
"It
is a mistake to suppose that it necessarily involves a 'scaling
down'. What it involves depends, not on considering what
the future
might have held for the particular concerned. He might have fallen
sick from time to time, been away from work and unpaid.
He might have
become unemployed and unable to get work. He might have been injured
in circumstances in which he would receive no
compensation from any
source. He might have met an untimely death. Allowance must be made
for these 'contingencies' or 'vicissitudes
of life' as they are
glibly called. But this ought not to be done by ignoring the
individual case and making some arbitrary subtraction
... Moreover,
the generalisation, that there must be a 'scaling down' for
contingencies seems mistaken. All 'contingencies' are
not adverse,
all 'vicissitudes' are not harmful. A particular plaintiff might have
had prospects or chances of advancement and
increasingly remunerative
employment. Why count the possible buffets, and ignore the rewards of
fortune. Each case depends on its
own facts."
[45] The plaintiff
contended for a 25% deduction to the second scenario (Grade 12 with a
NQF level 5 certificate) and the defendant
for a 10-15% deduction to
the first scenario (Grade 12 only).
[46] In considering what
contingency deduction to apply to the plaintiff’s postulated
pre-morbid future earnings, I particularly
took into account the
plaintiff’s young age, good health and family support structure
(in addition to the normal vicissitudes
of life such as illness had
the incident not occurred, unemployment and the like) and in my view
there would have been no reason
to deviate from the normal
contingency deduction of 0.5% for the remainder of the plaintiff’s
working life in the pre-morbid
scenario. With a certificate she could
have started employment in July 2023 and with her being 20 years old
at present she would
have had 45 years left to work. If a contingency
percentage of 22.5% is deducted from the amount of R4 958 009,
it is
reduced to R3 842 456.98, however because plaintiff’s
counsel argued for a 25% contingency deduction I am inclined
to apply
such a nominal higher percentage which reduces the amount further to
R3 718 506.75
.
Future medical
expenses and care
[47] In respect of future
medical expenses, the cost of medication, medical intervention, care,
other assistance and assistive devices
before the application of
contingencies, as per the recalculation, amounts to R4 147 497.
[48] I was not convinced
by the defendant that there were duplications of the items in the
list of expenses, neither was I convinced
that some of the items or
services would only be needed once the plaintiff lives alone. Any
uncertainties in this regard may be
compensated for by the
application of a higher contingency percentage. It was conceded by
the defendant that fulltime care for
plaintiff is necessary. The
figures used in the calculation in respect of future care and
domestic services are based on the minimum
wage only, which are in my
view conservative.
[49] If a contingency
percentage of 25% is deducted as argued for by the plaintiff’s
counsel, the amount for future medical
expenses and care is reduced
to
R3 110 622.75
.
Conclusion
[50] The total amount of
damages payable to the plaintiff is accordingly
R7 828 829.50
calculated as R1 000 000 for general damages, R3 718 506.75
for future loss of income and income capacity and
R3 110 622.75
for future medical expenses and care.
[51] The total amount
does not exceed the amount claimed in the pleadings.
Costs
[52] As for costs, no
reason exists to deviate from the principle that costs follow the
cause.
ORDER
In the result, the
following order is granted:
1. The defendant is
liable to the plaintiff for damages she suffered as a result of
injuries she sustained when she fell into an
open manhole on 24
August 2019.
2. The defendant shall
pay to the plaintiff an amount of R7 828 829.50 (seven
million eight hundred and twenty eight thousand,
eight hundred and
twenty nine and fifty cents).
3. The defendant shall
pay interest on the sum of R7 828 829.50 at the prescribed
legal rate, calculated from the date
of judgment until date of
payment thereof.
4. The defendant shall
pay the costs of suit.
A.M van der Merwe
Acting Judge of the
High Court
Delivered:  This
judgement is handed down electronically by uploading it to the
electronic file of this matter on CaseLines.
As a courtesy gesture,
it will be sent to the parties/their legal representatives by email.
For
the plaintiff:
Adv.
S. Dlali
Instructed
by:
Smith
Rand Attorneys
For
the defendant:
Adv.
F. Mahome
Instructed
by:
K.
Matji & Partners
Date of the hearing: 7-10
March 2023 and heads of argument received 14 March 2023
Date of judgment: 26 June
2023
[1]
Rule 33(4), Molotlegi and another v Mokwalase[2010]
4 All SA 258
(SCA); Denel (Edms) Bpk v Voster
2004 (4) SA 481
(SCA) para 3;
Consolidated News Agencies (Pty) Ltd (In Liquidation) v Mobile
Telephone Networks (Pty) Ltd and another 2010 (3)
382 (SCA) paras 89
and 90
[2]
Caselines 002-29
[3]
Caselines 002-32
[4]
Caselines 002-93
[5]
Caselines 002-38
[6]
(30173/2014) [2016] ZAGPPHC 1217 (6 December 2016)
[7]
QOP vol 13-14 [2005] ZAGPHC 103
[8]
Road Accident Fund v Marunga 2003(5) SA 164 (AD) 169E
[9]
2006(5) 583 (SCA) at para 8
[10]
1984(1) SA 98 at p113 G – 114 E
[11]
A
5023/04
[2005] ZAGPHC 18
February 2005