Decision #102/11 - Type: Workers Compensation

Preamble

The employer is appealing a decision made by Review Office of the Workers Compensation Board ("WCB") which determined that the worker suffered personal injury by an accident arising out of and in the course of employment. A hearing was held on June 2, 2011 to consider the matter.

Issue

Whether or not the claim is acceptable.

Decision

That the claim is acceptable.

Background

The worker filed a claim with the WCB for a right knee injury that occurred on April 27, 2010. The worker stated that she was walking from the car to her place of employment. She exited a parking lot via the narrow break in a fence to cross to another parking lot. She started walking and tripped. She fell forward to the right. She fell on both knees with more weight placed on her right knee.

The accident employer acknowledged that the worker lost her footing and fell on April 27 but contended that the worker was not using an accepted means of entering the employer's premises. It was contended that the worker was not injured by a hazard of the employer's premises which bordered/transitioned the two properties. The injury resulted from a personal act not sanctioned by the employer as the worker removed herself from using the approved transition lot entrances (ie. stairways).

On May 20, 2010, a WCB adjudicator spoke with the worker regarding the April 27 incident. The worker indicated the injury occurred 10 minutes before the start of her shift. She tripped in the parking lot at work, not in the opening of the fence. She had already passed through the break in the fence. She did not know what caused her to trip. All of a sudden she was on the ground. The worker said her work shoes are like runners. She had no vision or health issues that would cause her to lose her balance. She did not have any prior right knee injuries or difficulties.

In a decision dated June 7, 2010, the employer was advised of the WCB's decision that the worker's injuries arose out of her employment and that the claim had been accepted.

On August 30, 2010, an advocate acting on behalf of the employer, appealed the acceptance of the claim. It was noted that the worker should have entered the employer's parking lot by one of two accepted stairways. Both stairways were safe, free of hazards, had handrails and were properly maintained. One stairway was a wheelchair ramp. Both stairways were easily accessible and took only seconds to reach from the gap in the fences. By cutting through the narrow gap in the two fences, the worker did not enter the parking lot through the accepted means, an act not sanctioned by the employer. As the worker decided not to use either of the accepted means of entering the employer's lot, under WCB policy 44.05.20, General Premises, Section 1 d., the worker's claim should not be accepted.

The advocate noted that following the injury, the worker reported the incident to her employer. In an "Incident Tracker" report, the worker clearly indicated that she exited one parking lot via the narrow break in the fence and "after stepping down to the [building] lot, she lost her footing." The corrective action identified was that the worker was to use the stairs or ramp rather than the gap in the fence. When speaking with the WCB on May 20, 2010, the worker's recollection of the incident was altered. The advocate indicated that by entering the parking lot through a narrow gap in the fence rather than two approved stairways, the worker broke the employment connection.

On October 26, 2010, Review Office confirmed that the claim was acceptable. Review Office found that the accident descriptions are consistent and the worker did not alter her accident description. Review Office opined that the worker's injury was not caused by the worker exiting the parking lot through the break in the fence as she was in the parking lot when she tripped and fell. It concluded that the worker's injury did not result from a personal cause and that the worker suffered personal injury by an accident arising out of and in the course of employment. On November 1, 2010, the employer 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 key issue to be determined by the panel is the interpretation of the phrase “arising out of and in the course of employment” and whether the worker’s personal injury was caused by an accident which both arose “out of the employment” and “in the course of her employment.”

WCB Policy 44.05.20 – General Premises (the “Policy”) focuses on interpretation of the term “in the course of employment” as it applies to employer premises.

Section 1.d of the Policy provides as follows:

d. Generally, a worker is in the course of the employment upon entering or departing the employer's premises, at a time reasonably close to the beginning or end of work, and using an accepted means of entering and leaving the employer's premises, all in relation to performing activities for the purposes of the employer's business.

The Policy sets out a general approach for parking lots and states that: “a parking lot is considered to be part of the employer’s premises where it is owned, maintained, established, or controlled by the employer.” The Policy then sets out a number of questions to be considered in deciding whether an injury on a parking lot arose out of and in the course of employment. The most relevant of these questions is (iii) which asks: "Was the injury the result of a hazard of the premises? The issue is whether the injury results from the employment versus a personal cause."

The Policy also addresses the issue of “Personal Hazards” and provides as follows

7. Personal Hazards:

a. In order to be compensable, an injury must not only arise within the time (“when”) and space (“where”), but also from an activity related to the employment. “Arising from an activity related to the employment” includes fulfilling work duties or doing something incidental to the employment. The question is whether the activity has its origins in the employment (ie., is connected in a causal sense).

b. The WCB will make a distinction between an injury resulting from a personal cause and one resulting from the employment. Generally an injury occurring on the employer’s premises is considered to arise out of the employment unless the following apply:

i. The injury was the result of a personal action by the worker and was not caused by a:

        • Hazard of the premises; or,
        • · An occurrence under the control of the employer.

ii. The worker was engaged in an activity not incidental to the employment. The injury will be considered to be the result of a personal hazard where the activity was so remote from normal employment functions that the activity and resulting injury cannot be characterized as reasonably incidental to the employment. The determination is based on whether the activity breaks the employment connection.

The employer’s position:

An advocate appeared on behalf of the employer at the hearing. It was submitted that the worker's injury did not arise out of and in the course of her employment. By entering the parking lot through a gap in the fences rather than either of the two approved stairways, the worker broke the employment connection. The employer had a long-established injury reporting procedure and on the day of the accident, the worker's supervisor sat down with her to obtain a description of the incident and to identify corrective action to prevent a recurrence from happening. It was evident in the incident tracker that the worker indicated she was exiting the private parking lot and entering the employer's lot when she stepped down and lost her footing. This was at a time when the events were fresh in her mind. The supervisor maintained that she was told by the worker that the cause of the fall was the transition between the two parking lots, and this was consistent with the corrective actions identified in the incident tracker which stated: "(worker) will use the stairs or ramp provided on the other side of the parking lot to exit the … parking lot." It was the employer's position that not every accident that occurs at work is compensable. It was the worker's choice to walk through the gap in the two fences, which was clearly hazardous. There was a jagged drop in elevation, yet the worker chose to use this opening rather than using either of the other two safe, accepted means of entering the employer's lot.

In the event that it is found that the fall did not occur while transitioning the lots, the employer advocate maintained that the claim was still not acceptable as there was no hazard identified which gave rise to the worker's injury. The road area was level and free of obstacles and there was no hazard which caused the worker to sustain injury. Simply walking on a sidewalk was not out of the ordinary.

It was therefore submitted that the worker's claim should not be accepted.

The worker’s position:

The worker attended the hearing accompanied by a union representative. It was submitted that the WCB correctly decided that the worker's claim was a just one and ought to be allowed. The evidence showed that the worker sustained an accident arising out of and in the course of her employment. She was arriving at a reasonable time which was ten minutes before the start of her shift. The location where the worker fell was in the middle of the driveway in the parking lot which was fully within the employer's premises. She did not fall in the gap in the fences as she had already crossed over. WCB Policy 44.50.20 was applicable and it did cover the worker. In the circumstances, it was submitted that the worker sustained an accident at work and that her claim was acceptable.

Analysis:

The issue before the panel in this appeal is whether the worker's claim is acceptable. In order for the employer's appeal to succeed, the panel must find that the injury did not arise out of or in the course of employment.

The employer's initial position presented to the WCB and to this panel was that the worker's injury did not arise out of and in the course of her employment, but rather was due to personal actions beyond the control of the employer. This position was based on the assumption that the worker's fall was caused by her losing her footing while stepping down as she was crossing from one parking lot to another. It was submitted that by entering the parking lot through the narrow gap in the fence rather than by using one of the two approved stairways (ie. the accepted means of entering and leaving the employer's premises), the worker broke the employment connection.

At the hearing, the worker's evidence was that the location where she fell was not at the transition between the two lots but rather was approximately 7 or 8 steps away from the break in the fences. She stated that she had come through the transition and had stepped down. She was already walking when she fell down and she fell in the middle of the roadway where the cars drove. She recalled feeling scared that she was in the line of traffic and that she would get hit by a car. The worker estimated that this would be approximately a full car length from the fence.

When asked why the incident tracker report identified the location of the accident as being the crossover and corrective action as using the steps, the worker was not able to explain why that information was inserted. She did indicate, however, that she was not the author of the report and she did not read through the report before it was signed. The worker felt that she must have just been following the supervisor's suggestion.

On a balance of probabilities, the panel accepts the worker's evidence regarding the specific location of her fall and we therefore find that the accident occurred approximately 20 feet away from the gap in the fence and well within the boundary of the employer's premises. We further find that the gap was not causative of nor did it contribute to the worker's fall. In view of this finding of fact, the argument that the employment connection was broken by the personal decision of the worker to use a non-approved means of entry onto the employer's premises is of little weight. The employer advocate essentially admitted this at the hearing, but then stressed her secondary argument.

The employer's secondary argument was that even if the gap in the fences did not contribute to the worker's fall, the accident still did not arise out of the employment. Simply walking along in a paved parking lot on a beautiful day does not constitute a hazard that results from the nature, conditions or obligations of employment. The panel does not agree with this position.

In the panel's opinion, a hazard did exist on the employer's premises. Although the worker was unable to identify why she tripped and fell, it nonetheless occurred. The location was a paved parking lot, and photographs reveal that there was some cracking and patches in the pavement at the location where the worker fell. Presumably, there would also be some degree of unevenness, as would typically be expected in an outdoor parking lot. The panel finds that it is probable that the condition of the ground played a factor in causing the worker to lose her balance and fall. Further, the paved surface is hard and rough, and the panel is of the opinion that this would have contributed to the injury the worker sustained to her knee, which consisted of abrasions and soft tissue inflammation.

Overall, the worker was obliged to walk through the employer's parking lot in order to report for her shift. The Policy states that in the worker's compensation arena, a balanced principle on the subject of going to and from work has developed, namely that going to and from work is covered while the worker is on the employer's premises. On the facts of this case, there is nothing in the conduct of the worker which we see would remove her from coverage on account of a personal hazard. We therefore find that the claim is acceptable. The employer's appeal is dismissed.

Panel Members

L. Choy, Presiding Officer
A. Finkel, Commissioner
P. Walker, Commissioner

Recording Secretary, B. Kosc

L. Choy - Presiding Officer

Signed at Winnipeg this 20th day of July, 2011

Back