Decision #21/09 - Type: Workers Compensation
Preamble
The worker has an accepted claim with the Workers Compensation Board (“WCB”) for a left wrist injury that occurred at work on June 24, 2008. The issue under appeal by the accident employer deals with whether or not it was reasonable for the worker to refuse modified duties that were offered to him on July 1, 2008. A file review was held on December 9, 2008 to consider the matter.Issue
Whether or not the worker is entitled to wage loss benefits from June 30, 2008 to July 9, 2008.Decision
That the worker is entitled to wage loss benefits from June 30, 2008 to July 9, 2008.Decision: Unanimous
Background
The worker injured his non-dominant left wrist in a work related accident on June 23, 2008. On June 30, 2008, the worker sought medical treatment from his family physician and was diagnosed with left wrist tenosynovitis. The family physician noted in his report that the worker was incapable of alternate or modified work duties for a two week period.
On July 4, 2008, the worker advised a WCB adjudicator that he was currently wearing a wrist brace and was very restricted. He could not even pick up a dinner plate. The adjudicator advised the worker that because his injury was to his non-dominant hand, he should qualify for restricted duties.
On July 4, 2008, the employer contacted the WCB to advise that the worker refused modified duties on July 1, 2008, when he handed in his doctor’s note. The modified duties consisted of inventory work. The adjudicator noted that the worker had his doctor’s note to be off work and that the WCB did not find out about the refusal to work until three days later and that the WCB had to pay the worker up to that point.
In a letter dated July 7, 2008, the worker was advised that his claim for compensation was accepted and that wage loss benefits would be paid from June 30, 2008 to July 4, 2008.
On July 7, the worker had an appointment with his doctor, and provided the employer’s return to work form to the doctor on that date. The worker later advised that the doctor declined to fill out the form, and would not do so until his July 14 assessment. The worker was told by his doctor to rely on his original doctor’s note.
On July 7, 2008, the employed filed an appeal with Review Office on the following grounds:
“The employee brought insufficient medical documentation dated June 30th on July 1st and was offered modified duties on July 1, 2008. That work was counting inventory, no physical work. The employee did not want to do that work and refused. The claim was accepted for wage loss benefits from June 30 – July 4, 2008.”
The employer provided details of the modified duties position to the WCB. A WCB medical advisor reviewed the file on July 9, 2008. He stated that he was unable to contact the worker’s family physician but based on the information on file, the worker was capable of one handed duties as were offered by the employer.
On July 9, 2008, the worker was advised that the WCB was authorizing wage loss benefits to July 9, 2008, as it was considered that he was capable of performing modified duties as of July 10, 2008.
On September 3, 2008, Review Office determined that there was entitlement to wage loss benefits from June 30, 2008 to July 9, 2008. Review Office found it was reasonable for the worker to follow his physician’s advice to remain off work. When the WCB was notified of the dispute, the adjudicator obtained relevant information including a review by a WCB medical advisor to determine that the worker was medically able to perform the modified duties. The adjudicator authorized wage loss benefits up to the date they made the determination. On September 11, 2008, the employer appealed Review Office’s decision to the Appeal Commission and a review was arranged.
Reasons
Employer’s submission:
The employer’s position, as noted in its notice of appeal and elsewhere on the file in its discussions with WCB staff, is that it offered the worker one-handed modified duties on June 30, 2008, that would have respected the worker’s injury to his non-dominant arm. This is in contrast to the doctor’s note provided by the worker’s doctor on that day, which took the worker off work for two weeks, to July 14, 2008. The employer states that it has a well-recognized return to work program, for work and non-work-related injuries or disabilities. The employer therefore argues that the worker’s refusal to work in modified duties starting on June 30, 2008, amounted to a failure to mitigate the costs of his claim.
Worker’s submission:
The worker was represented by a worker advisor who provided a written submission prior to the review. The worker advisor argues that it was appropriate for the worker to rely on his doctor’s opinion as to his work capability between June 30 and July 9, 2008. The worker advisor notes that a Return to Work form was not provided to the worker on June 30, 2008, and that the job duties were not communicated to the WCB until July 9, 2008, at which time a WCB medical advisor first offered an opinion that the worker was indeed capable of one handed jobs. It was submitted that the decision of Review Office should be upheld.
Applicable Legislation:
Pursuant to subsection 22 of The Workers Compensation Act (the “Act”), a worker is responsible for mitigating the effects of a workplace injury.
The section provides:
Worker to co-operate and mitigate
22(1) Every worker must
(a) take all reasonable steps to reduce or eliminate any impairment or loss of earnings resulting from an injury;
(b) seek out, co-operate in and receive medical aid that, in the opinion of the board, promotes the worker's recovery; and
(c) co-operate with the board in developing and implementing programs for returning to work, rehabilitation or disability management or any other program the board considers necessary to promote the worker's recovery.
Board may reduce or suspend compensation
22(2) If a worker fails to comply with subsection (1), the board may reduce or suspend the compensation payable to the worker.
Analysis:
For the employer to succeed on its appeal, the panel would have to find on a balance of probabilities that the worker’s decision to rely on his doctor’s note in the earliest days of his claim amounted to a failure to mitigate the costs of his claim under Section 22 of the Act. We were unable to make this finding. Our reasons follow.
The panel notes a comment by the employer in an early memo to a WCB adjudicator on July 8, 2008, who notes that they have a “clear Return to Work program”, and then states “I do understand that he had medical and that makes it a sticky situation.” The panel concurs with this description of the situation, and it is against this context that we must consider the worker’s actions. Simply stated, was it reasonable for the worker to rely on his doctor’s note?
The evidence in this case notes that the worker injured himself on June 23, 2008, and continued to work regular duties for the remainder of the week, with symptoms that worsened. He came to work on June 30, 2008, with a doctor’s note taking him off work for two weeks. When the worker declined to take modified duties at that time, the worker was apparently not provided with the employer’s standard return to work form to give to his doctor to complete.
The panel notes that the attending physician provided a first report to the WCB on June 30, 2008, in which he checked a box stating “No alternate duties.” He prescribed a brace and medications to the worker at that time. The worker’s evidence was that his doctor told him to stay home. The panel further notes that the worker had seen his doctor prior to his attendance at the workplace and there was no information available to the worker to share with his doctor regarding possible modified duties at the time of that visit.
In subsequent days, the file evidence suggests that the employer had not provided the worker at the outset of his claim, with the tool – its standard return to work form – that could have allowed for quick resolution of this issue. This form was provided to the worker in time for his next visit to his physician on July 7. The physician declined to fill out the form on that date and stated he would do so on July 14. From the worker’s evidence, the doctor told the worker not to work, as per his original June 30 note. The worker advised the WCB of this turn of events on July 8, and the WCB doctor offered an opinion on July 9, the next day, stating that the worker could indeed work one-handed duties with the accident employer.
Based on this evidence and in particular the less than complete communication between the employer, the worker, and the apparent early abstinence of the worker’s attending physician, the panel finds that it was reasonable for the worker to follow his doctor’s advice in the earliest days of the claim. This involved the worker’s first two visits to his doctor, and concluded very soon after, when a WCB medical advisor advised that the worker could indeed return immediately to modified duties with the employer.
Accordingly, the panel finds that the worker did not fail to perform his obligations under Section 22 of the Act, in the period of June 30 – July 9, 2008. Accordingly, the employer’s 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 3rd day of February, 2009