The applicant sought statutory accident benefits after an incident on a TTC bus where he engaged in a physical altercation with another passenger, fell, and allegedly injured his toe, which later led to a leg amputation.
The insurer denied the claim on the basis that the incident was not an 'accident' under section 2(1) of the Statutory Accident Benefits Schedule.
The arbitrator found that the incident was an assault, not an accident, as the bus merely provided the location for the fight and was not moving at the time.
Furthermore, the assault was an intervening act that broke the chain of causation, and the applicant failed to establish a causal link between the bus incident and his subsequent amputation.
The preliminary issue was resolved in favour of the insurer.