Rogers. Michael v. Charles C. Parks Company, Inc. , 2017 TN WC 63 ( 2017 )


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  •                                                                                   FILED
    l\lardl. 28,   2~Hl 7
    TN COUKI'OF
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    TENNESSEE BUREAU OF WORKERS' COMPENSATION
    IN THE COURT OF WORKERS' COMPENSATION CLAIMS
    AT NASHVILLE
    Micheal Rogers,                              )   Docket No. 2016-06-1513
    Employee,                         )
    v.                                           )   State File No. 68057-2015
    Charles C. Parks Company, Inc.,              )
    Employer,                        )   Judge Kenneth M. Switzer
    And                                          )
    Accident Fund General Ins. Co.,              )
    Carrier.                         )
    EXPEDITED HEARING ORDER GRANTING MEDICAL BENEFITS
    This case came before the undersigned Workers' Compensation Judge on March
    24, 2017, on Mr. Rogers' Request for Expedited Hearing. The present focus of this case
    is whether Mr. Rogers engaged in willful misconduct. For the reasons set forth below,
    the Court holds that Charles C. Parks Company, Inc. failed to prove its willful
    misconduct affirmative defense, and Mr. Rogers is entitled to medical care with the
    physicians he chose from panels Parks previously offered. However, Mr. Rogers is not
    entitled to reimbursement for past medical expenses at this time.
    History of Claim
    Mr. Rogers worked at Parks, a grocery distributor, as a "lead man." He explained
    that his job duties generally entailed reading orders and then obtaining product within the
    warehouse to fulfill the orders. He operated a "cherry-picker" to reach product stored on
    racks, standing on the cherry-picker platform, which was then raised or lowered.
    Mr. Rogers alleged that on August 26, 2015, he became injured at work.
    Specifically, he testified that he was "pulling orders" and simultaneously training a new
    hire. He stated, "I was constantly running," and he "was forced to do a two-man job" on
    the date of injury. While he stood atop the cherry-picker platform raised off the floor
    approximately ten to twelve feet, the machine "jumped," started shaking, and, "The
    machine knocked me off balance." Mr. Rogers feared he would fall offthe platform and
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    possibly land on his head; therefore, he jumped so that he could land on his feet instead.
    Mr. Rogers acknowledged that he was not wearing a safety harness at the time of the
    accident, and that, were he wearing it, he would not have sustained injury. He explained,
    however, that he had no time to wear the harness because, "I was just trying to get the job
    done."
    The incident injured Mr. Rogers' left heel and lower back. He sought emergency
    treatment for these injuries at Sumner Regional Medical Center. Mr. Rogers testified that
    he incurred and paid expenses for treatment and at this time he only seeks an order that
    Parks reimburse him for these expenses. 1 He moved into evidence several documents to
    substantiate his claim regarding the past expenses. However, the Court admitted them for
    identification only, reasoning that the purported bills did not offer sufficient information
    regarding the services rendered and whether they stem from the work injury, nor did they
    adequately indicate whether Mr. Rogers actually paid the sums listed as owing.
    Parks initially offered panels of specialists, and Mr. Rogers chose Dr. James Fish
    and Dr. Roger Passmore. Parks then denied the claim on September 4, before Mr. Rogers
    had an opportunity to see the physicians.
    Parks does not contest that the accident occurred as Mr. Rogers described or that it
    caused his injuries, but rather argues that he engaged in willful misconduct and/or failed
    to use a safety device. Mr. Rogers testified that Parks never conducted safety meetings.
    According to him, supervisors had approached him on past occasions telling him he
    "needed to wear a belt," and that twice a supervisor told him he would be suspended for
    three days if he failed to put on his harness. He stated the supervisors gave similar
    warnings to co-workers. He maintained, nonetheless, that he and others, including
    supervisors, did no~ wear a harness at all times. He additionally stated that there were
    times when the harnesses were gone altogether and no one wore them while working.
    Mr. Rogers stated he suffered a previous on-the-job injury in August 2013. Upon
    his return from three days' absence after the previous injury, he signed a form that Parks
    characterized as discipline for a rules infraction.           The form, entitled, "Safety
    Procedures/Guidelines," states, "I have received and read the safety/procedure guideline.
    I understand if I do not comply with the company rules and regulations the following
    disciplanary [sic] action will be inforced. 1. First offense - verbal/written warning (Sent
    home-no pay) 2. Termination." (Ex. 12.) Mr. Rogers testified he signed the document
    simply to enable his return to work. He stated he did not understand he was being
    written-up.
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    Mr. Rogers' entitlement to temporary disability benefits is checked as an issue on the Dispute
    Certification Notice, but he made no arguments to advance that aspect of his claim at the Expedited
    Hearing. The Court considers them waived for now.
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    Findings of Fact and Conclusions of Law
    In order to grant or deny the relief Mr. Rogers seeks, the Court must apply the
    following general principles. As in all workers' compensation actions, Mr. Rogers, as the
    claimant, has the burden of proof on the essential elements of his claim. Scott v. Integrity
    Staffing Solutions, 2015 TN Wrk. Comp. App. Bd. LEXIS 24, at *6 (Aug. 18, 2015).
    However, since this is an expedited hearing, he only has to come forward with sufficient
    evidence from which the Court can determine he is likely to prevail at a hearing on the
    merits in order to meet his burden. McCord v. Advantage Human Resourcing, 2015 TN
    Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9 (Mar. 27, 2015).
    The central legal issue in this case revolves around Mr. Rogers' alleged willful
    misconduct. Tennessee Code Annotated section 50-6-llO(a) (2016) provides in
    subsections ( 1) and (4) that no compensation shall be allowed for an injury or death due
    to the employee's "willful misconduct" or "willful failure or refusal to use a safety
    device." Gonzales v. ABC Prof'! Tree Servs., 2014 TN Wrk. Comp. App. Bd. LEXIS 2,
    at *18 (Nov. 10, 2014 ). If an employer defends on the grounds that the injury arose from
    willful misconduct or from the willful failure or refusal to use a safety device, the burden
    of proof is on the employer to establish the defense. !d. at *19; Tenn. Code Ann. § 50-6-
    llO(b) (2016). To meet its statutory burden of proof, an employer must prove the
    following four elements: "(1) the employee's actual, as opposed to constructive, notice of
    the rule; (2) the employee's understanding of the danger involved in violating the rule;
    (3) the employer's bona fide enforcement of the rule; and (4) the employee's lack of a
    valid excuse for violating the rule." !d. at *21.
    Applying these legal principles to the facts of this case, Mr. Rogers testified that
    Parks has a rule mandating that employees wear a safety harness when using the cherry-
    picker, so that the Court finds he had actual notice of the rule. Mr. Rogers additionally
    testified that if he had worn the harness on the date of injury, he would not have become
    injured. Thus, he understood the danger involved in violating the rule. It is the third
    element, the employer's bona fide enforcement of the rule, where Parks' defense fails.
    Mr. Rogers testified without contradiction that he and others, including supervisors,
    sometimes failed to wear the harness without repercussions. As to the August 2013 form
    that Parks asserted documents its previous disciplinary action against Mr. Rogers, it does
    not convey any particulars regarding a rules violation on Mr. Rogers' part, but rather
    explains consequences for a violation going forward. In sum, Parks has not satisfied its
    burden, and its affirmative defense fails at this time.
    Therefore, as a matter of law, Mr. Rogers has come forward with sufficient
    evidence from which this Court concludes that he is likely to prevail at a hearing on the
    merits regarding the compensability of his claim. His request for medical benefits is
    granted, and Parks must authorize office visits with Drs. Fish and Passmore to evaluate
    and potentially treat his low-back and foot injuries. As for his request regarding past
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    medical treatment, because Mr. Rogers failed to provide sufficient foundation to admit
    his expenses into evidence, the Court cannot order at this time that Parks reimburse him.
    This order does not prevent Mr. Rogers from obtaining additional documentation
    regarding past out-of-pocket medical expenses and seeking an order for reimbursement at
    a later date.
    IT IS, THEREFORE, ORDERED as follows:
    1. Parks or its workers' compensation carrier shall provide Mr. Rogers with medical
    treatment to be initiated by Parks or its workers' compensation carrier authorizing
    office visits with Drs. Fish and Passmore to evaluate and potentially treat his low-
    back and foot injuries. Mr. Rogers or the medical providers shall furnish medical
    bills to Parks or its workers' compensation carrier for prompt payment.
    2. This matter is set for a Scheduling Hearing on May 22, 2017, at 8:45 a.m.
    Central. You must call615-532-9552 or toll-free at 866-943-0025 to participate in
    the Hearing. Failure to call may result in a determination of the issues without
    your further participation.
    3. Unless interlocutory appeal of the Expedited Hearing Order is filed, compliance
    with this Order must occur no later than seven business days from the date of entry
    of this Order as required by Tennessee Code Annotated section 50-6-239(d)(3)
    (2016). The Insurer or Self-Insured Employer must submit confirmation of
    compliance      with    this     Order    to    the   Bureau     by     email    to
    WCCompliance.Program@tn.gov no later than the seventh business day after
    entry of this Order. Failure to submit the necessary confirmation within the period
    of compliance may result in a penalty assessment for non-compliance. For
    questions regarding compliance, please contact the Workers' Compensation
    Compliance Unit via email WCCompliance.Program@tn.gov or by calling (615)
    253-1471 or (615) 532-1309.
    ENTERED this the 28th day of March, 2017.
    ge Kenneth M. S itzer
    Court of Workers' Compensatio
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    APPENDIX
    Exhibits:
    1. Affidavit
    2. Medical records, Sumner Regional Medical Center
    3. Wage statement
    4. Choice of Physician Form-Orthopedists (back)
    5. Choice of Physician Form-Foot injury
    6. Recorded statement
    7. Notice of denial
    8. Separation Notice
    9. FCE
    10. Retalix Power Warehouse Select Directed Move (orders filled)
    11. Medical bills; For identification only
    12.August 12, 2013 Charles C. Parks Company Safety Procedures/Guidelines
    13. Photo of cherry picker with harness circled
    14. Photo of cherry picker with harness and pallet circled
    Technical record:
    1. Petition for Benefit Determination
    2. Employer position statement
    3. Dispute Certification Notice
    4. Request for Expedited Hearing
    5. Employer's Pre-Trial Brief
    6. Employer's Motion to Allow Introduction ofDocuments
    5
    CERTIFICATE OF SERVICE
    I certify that a true and correct copy of the Expedited Hearing Order was sent to
    the following recipients by the following methods of service on this the 28th day of
    March, 20 17.
    Name                     Certified    Via        Via    Service sent to:
    Mail        Fax       Email
    Michael Rogers, self-       X                           114 Wright Lane, Hartsville TN
    represented                                             37074
    Gordon Aulgur,                                   X      gordona@accidentfund.com
    Employer's attorney
    ~df:.:::Court
    Court Workers' Compensation Claims
    WC.CourtCierk@tn.gov
    6
    

Document Info

Docket Number: 2016-06-1513

Citation Numbers: 2017 TN WC 63

Judges: Kenneth M. Switzer

Filed Date: 3/28/2017

Precedential Status: Precedential

Modified Date: 1/10/2021