Decision #74/09 - Type: Workers Compensation
Preamble
The worker is a caretaker who filed a claim with the Workers Compensation Board (“WCB”) for a low back injury that he attributed to lifting a desk with another co-worker on August 28, 2008. The claim for compensation was denied by primary adjudication and the Review Office on the grounds that the worker delayed in seeking medical attention and reporting the alleged accident to his employer. The worker disagreed with the decision and an appeal was filed with the Appeal Commission through the Worker Advisor Office. A hearing was held on June 9, 2009 to consider the matter.Issue
Whether or not the claim is acceptable.Decision
That the claim is acceptable.Decision: Unanimous
Background
On September 22, 2008, the worker reported to the WCB’s call centre that he was lifting a solid wooden desk on August 28, 2008 when he felt a sharp pain in his low back. The worker indicated that he continued to work his regular work duties to September 5, 2008 with pain. After his scheduled weekend off, he missed an 8 hour shift on September 8, 2008 because of back pain and went to see his doctor. From September 9 to September 17, 2008, he worked his regular work duties with pain. On September 18, 2008, he only worked 3.5 hours of his 8 hour shift because of back pain. He indicated that his doctor authorized him to be off work to September 26, 2008 and a CT scan was arranged. The worker indicated that he reported his back pain to the chief caretaker on the day of injury.
A report from the employer dated September 23, 2008 advised that the chief caretaker did not recall the worker referencing that he hurt himself or was in pain on August 28, 2008, the date they lifted the desk together. The chief caretaker knew that the worker had a sore back after the Labour Day weekend but the worker did not relate it to lifting a desk. It was not until September 18, 2008 when the worker related his back trouble to the August 28 alleged incident.
A CT scan of the lumbosacral spine dated September 19, 2008 revealed a large central/left paracentral disc herniation at L4-L5.
During a telephone conversation with a WCB adjudicator on September 26, 2008, the worker indicated that he was lifting a table with the chief caretaker but could not recall what exactly he told him. He was sure that he mentioned his back hurt but he was not sure if he said he hurt his back from lifting a desk.
In a note to file dated September 26, 2008, the adjudicator noted that the worker has multiple prior claims and was fully aware of reporting requirements.
In an adjudicative decision dated September 26, 2008, the worker was advised that his claim for compensation was denied as the WCB was unable to establish that a workplace incident occurred on August 28, 2008 due to his delay in seeking medical attention and his delay in reporting an accident to his employer.
On October 22, 2008, the worker asked Review Office to reconsider the decision made on September 26, 2008. The worker stated, “I had a workplace accident on August 28, 2008 and thought that it was just a strain and so I continued to work the best that I could. With continued problems I eventually sought medical treatment on September 8, 2008 and had advised a co-worker of my back problems shortly after the September long weekend. I feel that the delay that had occurred in this case is reasonable and that my claim should be accepted under section 17(5) of the WCB Act.”
On October 29, 2008, Review Office indicated that the worker initially maintained that he reported his accident to his employer on August 28, 2008, the date he claims it occurred. The employer maintained that no accident was reported until September 19, 2008. When speaking with an adjudicator on September 26, 2008, the worker indicated that he was unable to recall what he might have told his supervisor on the date of accident.
Review Office stated that because the worker failed to contact the WCB to file a claim for benefits until September 22, 2008, it found that it was probable that the worker did not report his accident to his employer until September 19, 2008 as has been indicated by the employer. Review Office indicated that it found no reason not to accept the testimony of the chief caretaker who said the worker was unaware as to the cause of his back problems when he first mentioned this to him after the September long weekend. Review Office noted that the worker has in excess of 30 previous WCB claims and should be aware of the proper procedures for reporting at-work injuries and the requirement to do so as soon as practical. Based on the entirety of the evidence and on a balance of probabilities, Review Office could not establish the occurrence of a workplace injury on August 28, 2008.
On February 25, 2009, a worker advisor appealed Review Office’s decision to the Appeal Commission and a hearing was arranged.
Reasons
Applicable Legislation:
The Appeal Commission and its panels are bound by The Workers Compensation Act (the “Act”), regulations and policies of the Board of Directors. Subsection 4(1) of the Act provides:
4(1) Where, in any industry within the scope of this Part, personal injury by accident arising out of and in the course of the employment is caused to a worker, compensation as provided by this Part shall be paid by the board out of the accident fund, subject to the following subsections. (emphasis added)
The worker’s position:
The worker was assisted by a worker advisor at the hearing. It was submitted that the evidence supports that an accident occurred when the worker was lifting and moving a heavy solid wooden desk. The worker’s superior was able to confirm that he was performing these duties. The mechanism of injury fits with the worker’s personal injury, being a disc herniation. There was no evidence to support any non-work related caused his condition. Although the employer was not notified of the accident until the worker reported it on September 19, 2008, it was submitted that notice was still provided well within the 30 day allowable time limit provided for in the Act. It was therefore asked that the panel accept the worker’s claim as the evidence supported, on a balance of probabilities, that the worker suffered personal injury by accident on August 28, 2008.
The employer’s position:
A representative from the employer appeared at the hearing. The employer supported the WCB’s previous decision and submitted that based on the evidence, it could not be confirmed that the disc herniation reported by the worker on September 19, 2008 was attributable to the workplace incident three weeks earlier. The employer noted that when reporting the injury, the worker was unsure as to what was the cause for it. It was also submitted that if the worker had suffered a disc herniation on August 28, 2008, he could not have continued to perform his regular duties until September 18, 2008. Finally, it was noted that the worker had filed several prior claims for compensation and therefore should have been aware of the need for immediate reporting of an injury.
Analysis:
The issue before us is claim acceptability. In order for the appeal to be successful, the panel must find that the worker suffered an injury to his back during the course of his employment on August 28, 2008. On a balance of probabilities, we are able to make that finding.
At the hearing, the worker described an incident on Thursday, August 28, 2008 whereby he lifted one end of a heavy wooden desk to test its weight, when he felt a sharp pain in his back. He commented to his co-worker that he felt a pain in his back, and then they proceeded to lift the desk together and move it across the room. The worker was able to complete his shift that day, and the next day as well.
The next three days were the Saturday, Sunday and Monday of the Labour Day long weekend, and the worker did not work on those days. When he went back to work on Tuesday, he felt pain, but continued to perform his duties. The summer clean-up tasks were now completed, and his work did not involve as much heavy lifting. He was able to perform all of his regular duties by moving slowly and carefully. He missed one day of work (September 8, 2008) because of his back pain. As time went on, the pain in the worker’s back got worse and worse. He described a pain across his lower back which would become a shooting pain into his left buttock if he moved the wrong way. He continued to struggle through the pain until by September 18, 2008, the pain was so severe that he could hardly sit or stand. At that point, he was not able to work any longer and he left work early to seek medical attention. The next day, he filed a report of injury with his employer. He remained off work until October 7, 2008.
The worker explained that he did not file a WCB claim as he thought that he had suffered a minor back strain and that it would get better on its own. He had worked through back strains before and they had always resolved after a short time. It was only when he could no longer work that he realized that he was not getting better and at that point he felt he had better put in a claim with the WCB.
In the panel’s opinion, the worker’s claim for compensation should be accepted. The panel found the worker to be credible when explaining why he delayed in reporting his accident and seeking medical treatment. We note that twelve days after the incident, on September 9, 2008, the worker saw his family physician who noted: “Back pain after lifting heavy furniture at work 10 days ago.” Thus, at least from that date, there is confirmation that the worker attributed his injury to the work duties. Although at the outset, the worker was initially unsure as to the cause for his injury, the panel accepts that the disc herniation was likely caused by the lifting of the desk at work. The worker’s evidence at the hearing was that he was not involved in any sports or other physical activities at the time which could have caused the injury to occur.
Overall, the panel finds that the worker suffered an injury to his back on August 28, 2008 when he was lifting a desk at work. He continued to perform his duties for the next several weeks, which then caused the back symptomatology to worsen. We therefore conclude that his claim is acceptable. The worker’s appeal is allowed.
Panel Members
L. Choy, Presiding OfficerA. Finkel, Commissioner
M. Day, Commissioner
Recording Secretary, B. Kosc
L. Choy - Presiding Officer
Signed at Winnipeg this 15th day of July, 2009