Decision #36/08 - Type: Workers Compensation
Preamble
The worker filed a claim with the Workers Compensation Board (“WCB”) for noise induced hearing loss that he attributed to his employment history in the automotive industry. The claim for compensation was accepted by the WCB. However, the worker was advised that his hearing loss condition was not considered rateable and that he did not qualify for a Permanent Partial Impairment (“PPI”) award. The worker disagreed and filed an appeal with the Appeal Commission. A file review then took place on February 26, 2008.Issue
Whether or not the worker is entitled to a permanent partial impairment award in recognition of his noise induced hearing loss.Decision
That the worker is not entitled to a permanent partial impairment award in recognition of his noise induced hearing loss.Decision: Unanimous
Background
On June 24, 2004, the worker filed a hearing loss claim with the WCB. On his application form for compensation, the worker indicated that he first became aware of a hearing problem in 1971 and that his hearing loss came on gradually. He attributed his hearing loss difficulties to the general nature of his employment activities between 1952 and 1994.
In an August 14, 2004 report, the worker’s treating otolaryngologist reported that he saw the worker on many occasions since 1985. He noted that the worker had been employed with gas stations for many years and had been exposed to lots of noise. The worker had recurrent serous otitis media bilaterally and had T-tube insertions, the last one being in 2000. On May 20, 2004, the worker had no tubes in his ears and there was no evidence of the serous otitis media.
Audiometric testing revealed bilateral sensorineural hearing loss, more pronounced on the left. The otolaryngologist indicated that the configuration of the audiogram suggested noise induced hearing loss.
On August 26, 2004, the worker advised the WCB that he was a service station manager for over 20 years which exposed him to loud noise. He performed hands on work with the cars and most of his time was spent in the shop. He said there was noise from the tire and hoist machines and there was a lot of hammering against metal. Power tools were also used.
The WCB arranged for the worker to undergo a complete audiological assessment on March 31, 2005. The test results were then reviewed by a WCB ear, nose and throat (“ENT”) consultant.
In a decision dated May 18, 2005, primary adjudication advised the worker that his claim for hearing loss had been approved and that the WCB would pay for two hearing aids. He was further advised that his hearing loss condition was not considered rateable and that he did not qualify for a PPI award.
On May 25, 2005, the worker contested the WCB’s decision that he was not entitled to a PPI award. He said he has had a hearing impairment since the 1960’s. He was held back from furthering his career due to his hearing loss and not being able to hear all that was said at meetings or at gatherings.
On June 3, 2005, Review Office confirmed that the worker was not entitled to a PPI award in recognition of his noise induced hearing loss. Review Office noted that the WCB established permanent impairment ratings for work related injuries and conditions using a rating schedule adopted under WCB policy 44.90.10.02. It stated that the WCB’s rating schedule stipulates that for a worker to be entitled to an impairment award, there must be an average of 35 decibel loss in each ear utilizing the 500, 1000, 2000 and 3000 hertz frequencies. The worker’s average loss was 37.5 decibels in his left ear but only 22.5 decibels in his right ear. In accordance with the accepted methodology for calculating impairment awards for noise induced hearing loss, the worker did not qualify for a PPI. On December 19, 2007, the worker appealed Review Office’s decision to the Appeal Commission and a file review was arranged.
Reasons
Applicable Legislation
Payment of compensation for an impairment is provided for under section 37 of The Workers Compensation Act (the “Act”), which reads as follows
37 Where, as a result of an accident, a worker sustains a loss of earning capacity or an impairment, or requires medical aid, the following compensation is payable:
a) medical aid, as provided in section 27;
b) an impairment award, as provided in section 38; and
c) wage loss benefits for any loss of earning capacity, calculated in accordance with section 39.
Section 38 of the Act deals specifically with impairment awards and states:
38(1) The board shall determine the degree of a worker’s impairment expressed as a percentage of total impairment.
In accordance with the Act, the Board of Directors established a Permanent Impairment Rating Schedule, which is attached as appendix A to WCB policy 44.90.10 (the “Policy”). The “Impairment of Hearing” section of the Schedule provides that:
When calculating impairment due to loss of hearing, the International Standard Organization (I.S.O.) audiometric calibration will be used and the hearing will be averaged at 500, 1,000, 2,000 and 3,000 hertz.
In order to merit an award, the average of the four speech frequency levels must be 35 decibels in each ear and the hearing loss in decibels is converted into percentage of impairment…. (emphasis added)
Worker’s Position
The worker argues that although he did not qualify for a PPI award in 2005, his hearing has markedly deteriorated since that time. He relies on updated audiological tests which were performed in December 2007. Although his degree of hearing loss in 2005 did not entitle him to a PPI award, he notes that his hearing loss is now sufficiently severe so as to meet the criteria for a PPI award. The worker says that his hearing seemed to get worse during the summer of 2005 soon after the time when he was assessed, and he does not believe that age would change his hearing so dramatically.
Analysis
The issue before the panel is whether the worker is entitled to a PPI award in recognition of his noise induced hearing loss. Under the Act, workers may be entitled to a PPI award for hearing loss which is induced by noise in the workplace. Ideally, workers would be assessed for such awards at the time when they cease being exposed to the noxious noise. Unfortunately, this often is not done.
In the present case, the worker did not file a claim for his hearing loss until 2004, which was 10 years after he had ceased employment with the employer. By the time an audiological assessment was performed on March 31, 2005, the worker had been removed from exposure to the workplace noise for approximately 11 years. While this type of data is not ideal for calculating a PPI award, it was the best medical evidence that was available to the WCB to assess the worker’s hearing loss. According to the 2005 test results, the worker’s average hearing loss was 37.5 decibels in his left ear, and 22.5 decibels in his right ear. The Schedule to the Policy provides that in order to merit a PPI award, the average of the four speech frequency levels must be 35 decibels in each ear. As the combined average hearing loss in the worker’s ears was 30 decibels, he did not qualify for a PPI award.
The worker now relies on 2007 audiological tests which indicate that in his right ear, his average hearing loss is 56.25 decibels. The average hearing loss in the left ear is 70 decibels. While this level of hearing loss is significant and certainly exceeds the Policy’s threshold of 35 decibels, we are unable to attribute the more recent hearing loss to the worker’s employment. The worker is presently retired, and he has been since 1994. He did not have further exposure to work-related noise during the 2005 to 2007 time period. We are therefore unable to find that the worker’s increased impairment resulted from workplace exposure to noise.
The appeal is dismissed.
Panel Members
L. Choy, Presiding OfficerA. Finkel, Commissioner
M. Day, Commissioner
Recording Secretary, B. Kosc
L. Choy - Presiding Officer
Signed at Winnipeg this 4th day of March, 2008