SUBMISSION TO THE WORKSAFEBC REVIEW DIVISION Request for Review — Claim No. 42647461 — Mark Thomas Holand Decision Under Review: Clinical Opinion of Audiologist Advisor Flora Pang, M.Sc., RAUD, Aud (C), recorded as effective 2026-03-20 and communicated to the worker 2026-03-23 |. DECISION UNDER REVIEW AND OVERVIEW OF GROUNDS This submission requests that the Review Division reverse the denial of WorkSafeBC Claim No. 42647461. The denial is communicated in a letter dated March 23, 2026, and is based on a Clinical Opinion of Audiologist Advisor Flora Pang, M.Sc., RAUD, Aud (C), which the Board's own disclosure records show was entered and made effective on March 20, 2026. This submission raises grounds in the following order, reflecting their relative weight: * Part Il addresses procedural irregularities in how this decision was made and communicated, including a discrepancy between the decision's effective date and the date the worker was notified, and the alteration of dated source material between the draft and final Clinical Opinion. These irregularities go directly to whether the decision under review was made fairly and on a reliable evidentiary basis, and the worker submits they should be resolved before — or as part of — any assessment of the medical merits. * Part Ill addresses the underlying occupational and medical evidence — the workplace hazard, the worker's acoustic telemetry, and the clinical significance of that exposure — which the worker submits was not adequately addressed in the Clinical Opinion regardless of the procedural issues. * Part IV addresses the reliability of the Clinical Opinion's reasoning on its own terms, including its characterization of the worker's migraine history and medication record, and its treatment of other pre-existing factors. Part V sets out relevant WCAT precedent.