Decision #98/11 - Type: Workers Compensation
Preamble
The employer is appealing the decision made by Review Office of the Workers Compensation Board ("WCB") dated September 1, 2010, which determined that the worker's claim was acceptable for an accident occurring on April 29, 2010. A hearing was held on May 24, 2011 to consider the matter.Issue
Whether or not the claim is acceptable.Decision
That the claim is acceptable.Decision: Unanimous
Background
The worker reported that on April 29, 2010, she swung a garbage bag into a wooden garbage bin and felt a pain in her upper back between the shoulder blades. The worker noted that she tried to continue working but had to leave after approximately three hours due to extreme pain. The worker went to a hospital on April 29, 2010 and x-rays were taken. She was advised to stay off work for one week. She returned to work on May 5, 2010 at light duties. Within hours of working, the worker had a headache and a sick feeling because of the pain in her upper back and head. The worker said she continued working until May 11 and left work because of severe pain.
A hospital emergency report showed that the worker attended the hospital on April 29, 2010 at 12:21. The report stated that the worker complained of pain at the middle of her back, with sudden onset at 7 a.m. after throwing out a heavy bag like a swing. The diagnosis was muscular skeletal pain. X-rays of the thoracolumbar spine dated April 29, 2010 revealed no abnormality.
On May 14, 2010, a WCB adjudicator spoke with the employer who indicated that the worker reported on April 29, 2010 that she hurt her back while lifting a garbage bag. The employer noted that the worker had a history of back pain. She was taken by a co-worker to the hospital and she returned to work on May 3, 2010. The worker's last day at work was May 9, 2010. The worker was terminated for reasons unrelated to her workplace injury.
The worker's claim for compensation was accepted and wage loss benefits were paid commencing on April 30, 2010.
On May 28, 2010, the employer appealed the decision to accept the worker's claim for compensation. The employer outlined his position as follows:
[The worker] was sick the day before her apparent injury, complaining to co-workers about how she was out of pain medication, and had asked if anyone had any extra pain killers. I had let her off early, while her daughter filled in, because of her complaints of feeling sick. I purchased Aleive (sic) for her that day so she'd be able to return to work the next day. The next day she was still complaining of being sick so her daughter offered to work again, for the last part of her shift. Two hours before her daughter was suppose to start working [the worker] left work without my knowledge. [name] came in to fill in for [the worker] as I was told [the worker] had a severe migraine and could not work. Later that day another employee told me [the worker] was swinging a half-full bag of garbage, fooling around, and hurt her arm/shoulder. Section 4(3) of The Workers Compensation Act would nullify the injury as an accident…The garbage deposit is floor level, so there is no lifting or swinging required placing garbage in the deposit…
On September 1, 2010, Review Office determined that the worker's claim for compensation was acceptable. Review Office found there was evidence to support that the employer was aware of the worker injuring herself while performing her regular work duties on April 29, 2010. The employer stated that he was advised of this by a co-worker on the same date. Review Office also found that the reported mechanism of injury and medical findings documented on April 29, 2010 in a hospital report were consistent with the worker's report of injury/mechanism of injury provided to the WCB and the employer. It determined that the worker had an "event arising out of, and in the course of employment" in which she sustained an injury.
Review Office did not consider the worker's activity of swinging a garbage bag to be an act of bad judgment by the worker nor was it interpreted as willful misconduct. Review Office determined that subsection 4(3) was not applicable. It also determined that the evidence supported that the employer was aware of the worker's accident in the timeline noted in subsection 17(1) of The Workers Compensation Act (the "Act").
On September 29, 2010, the employer appealed Review Office's decision to the Appeal Commission and a hearing was arranged.
Reasons
Applicable Legislation
The issue being appealed is whether or not the worker’s claim is acceptable. 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.
The issue for the panel in this case concerns whether or not an accident giving rise to benefits occurred on April 29, 2010.
The employer’s position:
The owner/employer appeared at the hearing and gave evidence as to the matters in issue. The employer said that he operated a small business which normally had a staff of four people on duty at a time. The worker advised the employer that she had a previous back injury from a different job and therefore she was told to leave the garbage for other staff to take outside. Normally, the garbage is taken outside at the end of the day but on the day of the reported accident, the worker came on shift at seven a.m. then left by eight a.m. She did not advise the employer what happened, or why she left, but at approximately eleven o'clock or noon, the worker's daughter came to work and advised that the worker would not be working for the next couple of days as she had a headache. The employer's evidence was that he had no idea that the worker had an injury from swinging the garbage bag until he was contacted by the WCB and told that he would have to pay for benefits for her.
The employer submitted that he has had previous employees cut or burn themselves at work and a WCB claim has been filed right away. In this case, the employer said he would have done the same thing, however the worker did not notify him of anything. In the circumstances, the employer did not think that the worker's claim should have been approved. Further, the employer questioned why the worker would have had to swing a bag, as the garbage area was at ground level, and stated that she was not, in any event, authorized to take garbage out as it was not supposed to be part of her duties.
The worker’s position:
The worker did not attend the hearing.
Analysis:
The issue before the panel is whether or not the claim for benefits is acceptable. In order for the employer’s appeal to be successful, the panel must find that the worker did not suffer an accident arising out of and in the course of her employment on April 29, 2010. On a balance of probabilities, we are not able to make that finding.
While the panel is sympathetic to the challenges the employer faced with this employee, we find that the inconsistencies are not sufficient to convince us on a balance of probabilities to set aside the evidence that an incident causing injury to the worker took place on April 29, 2010.
In coming to our conclusion, the panel placed reliance on the following:
- The mechanism of injury of swinging a bag of garbage is consistent with suffering a strain to the right upper back region;
- There is evidence that on the date of the accident, the worker attended at the hospital for medical treatment of an upper back strain injury;
- The history of injury given by the worker at the hospital was consistent with the report of injury given by the worker to the WCB;
- At the hearing, the employer acknowledged that a co-worker (the dishwasher), confirmed to the employer that he drove the worker to the hospital on the day of the accident;
- Although the employer was unaware of the work-related nature of the injury on the date of the accident, the Employer Injury Report completed by the employer indicates that the injury was reported to him the next day on April 30, 2010.
At the hearing, the employer submitted that throwing out garbage was not one of the worker's authorized duties and therefore her claim ought not to be accepted. It is important to note that even if a worker is performing a task outside of his or her normal scope of duties, the worker is still entitled to WCB coverage if injured while performing the task, so long as the task arose out of and in the course of employment. There is no doubt that throwing out a bag of garbage for the employer meets this test. The panel therefore finds that there is sufficient evidence to satisfy us on a balance of probabilities that the worker suffered an injury while working for the employer on April 29, 2010. Her claim is acceptable and the employer’s appeal is dismissed.
Panel Members
L. Choy, Presiding OfficerA. Finkel, Commissioner
P. Walker, Commissioner
Recording Secretary, B. Kosc
L. Choy - Presiding Officer
Signed at Winnipeg this 18th day of July, 2011