OPINION OF THE COURT
Alan Carlisle, a former railroad worker, sued his employer under the Federal Employers’ Liability Act (FELA) for negligent infliction of emotional distress. Carlisle al
*92
leged that his employer, Consolidated Rail Corporation (“Conrail”), breached its duty to provide a safe workplace by requiring him to work under unreasonably stressful and dangerous conditions, which resulted in foreseeable injuries to his health. At trial, the jury returned a verdict in favor of Carlisle, awarding him $386,500' in damages. Conrail moved for judgment n.o.v., alleging that the facts submitted to the jury were legally insufficient to support the verdict, and moved, in the alternative, for a new trial based on alleged trial errors. Conrail now appeals from an order of the district court,
I.
Alan Carlisle started working on the railroad in 1973 as a ticket agent for the Reading Railroad, rising rapidly to positions as a tower man, a block operator, and finally a train dispatcher. Carlisle worked for Conrail from its formation in 1976 until 1988, first as a train dispatcher and later as a supervisor of all rail operations in the Philadelphia area. Train dispatchers and their supervisors are responsible for the safe movement of trains carrying passengers, freight and hazardous materials.
Beginning in 1984, Conrail sharply reduced its workforce, which, in combination with the risks presented by the company’s aging railstock and outdated switching equipment, increased the stress and responsibility of dispatchers’ and supervisors’ jobs. As a dispatcher, Carlisle was under constant pressure to achieve on-time performance for the trains. Carlisle testified at trial that he was made increasingly anxious by Conrail’s repeated instructions to ignore safety concerns, such as malfunctioning equipment or poor maintenance, that would have slowed the movement of trains.
In 1988, Carlisle was moved to a train-master position in the South Philadelphia yards, which required him to work long and erratic hours as a troubleshooter, often in dangerous areas.- Despite the new job assignment, Carlisle also continued to work occasionally as a supervisor and dispatcher, retaining many of the job responsibilities of his earlier position. Conrail had cut the number of people staffing each shift from eleven to four, requiring most employees in Conrail’s dispatching office to double up on responsibilities. Carlisle testified at trial that, as a result of being overworked and burdened with both excessive responsibility and an abusive, alcoholic supervisor in the South Philadelphia yards, he experienced insomnia, fatigue, headaches, depression, sleepwalking and substantial weight-loss. Carlisle testified further that, as a result of being made to work 12 to 15 hour shifts for 15 consecutive days in August, 1988, his stress-related problems finally culminated in a nervous breakdown. At trial, Carlisle put on testimony by an expert on emotional stress who stated that Carlisle had suffered a bout of major depression and was disabled from returning to his job as a train dispatcher. Carlisle never returned to work for Conrail, choosing instead to pursue new careers first as a real estate agent and then as a secondary-school teacher.
Carlisle introduced evidence showing that his emotional and physical injuries were a foreseeable result of his working conditions. Over defendant’s objection, the court admitted into evidence a series of depositions, taken in a separate case, 2 in which Carlisle’s co-workers and subordinates testified that their jobs as dispatchers and supervisors in the Philadelphia Conrail offices had caused them to suffer cardiac arrests, nervous breakdowns, and a variety of emotional problems such as depression, paranoia and insomnia. Carlisle testified that the train dispatchers he supervised often complained about Conrail’s outdated equipment and about the long hours and high level of stress in their jobs; Carlisle, in turn, passed on their complaints to his supervisors and added his own con *93 cerns about the excessive hours and stress of his job. He received no response to these complaints.
The trial court also admitted into evidence two reports from the Federal Railway Administration, one that documented the stressful nature of a train dispatcher’s job and one that criticized the outdated equipment and hazardous working conditions at Conrail’s Philadelphia dispatching office.
II.
Carlisle brought this action in federal district court under the FELA, 45 U.S.C. §§ 51-60 (1988). This appeal is taken from a final order of the district court and thus this Court’s jurisdiction rests on 28 U.S.C. § 1291 (1988).
Conrail appeals the denial of its motion for a judgment notwithstanding the verdict on the grounds that Carlisle presented facts that were legally insufficient to support recovery under the FELA for injuries resulting from negligent infliction of emotional distress. Conrail also appeals the denial of its motion for a new trial, alleging a variety of trial errors. We will first consider the district court’s interpretation and application of the law regarding the FELA and then consider Conrail’s allegations of trial error. 3
Our review of the district court’s interpretation and application of legal precedent governing FELA liability for emotional injury is plenary.
Dent v. Cunningham,
Conrail claims that this Court’s precedent does not allow recovery for job stress-related injuries absent a precipitating accident causing injury or fright. At the time of trial, this Court had never upheld a claim under the FELA for injuries absent these factors. Yet, such cases explicitly were decided on a case-by-case, fact-specific basis and held open the possibility of recovery. Indeed, since Carlisle’s trial we have expanded the basis for recovery under the FELA. In
Gottshall v. Consolidated Rail Corp.,
A. Current FELA Jurisprudence
Congress enacted the FELA in 1908 to provide compensation for railway employees suffering job-related injuries caused by the negligence of their employer. The FELA, as codified, provides that every railroad “shall be liable in damages to any person suffering injury while he is employed by such carrier ... resulting in whole or in part from the negligence of [the railroad].” 45 U.S.C. § 51. As stated by the Supreme Court: “We have recognized generally that the FELA is a broad remedial statute, and have adopted a ‘standard of liberal construction in order to accomplish [Congress’] objectives.’ ”
Atchison, Topeka & Santa Fe Ry. Co. v. Buell,
In deciding which injuries are compensa-ble under the statute, FELA jurisprudence “gleans guidance from common-law developments.”
Buell,
In Buell, the Supreme Court declined to decide whether wholly emotional injuries arising from work conditions were compen-sable under the FELA, partly because of the inadequacy of the record in that case, but also because of the broad divergence among the states in their standards for recovery for negligent infliction of emotion al distress. The Buell Court noted the striking doctrinal divergences between states in the area and concluded:
[T]he question whether one can recover for emotional injury may not be susceptible to an all-inclusive “yes” or “no” answer. As in other areas of the law, broad pronouncements in this area may have to bow to the precise application of developing legal principles to the particular facts at hand.
Id.
Four basic common law standards have been adopted by the states for testing the genuineness of claims arising from negligently inflicted emotional injuries: the “physical impact” test (recovery only where plaintiffs emotional injury is incidental to physical contact); the “zone of danger” test (recovery absent contact allowed when emotional injury arises from plaintiff being threatened with physical harm); the “physical manifestation” test (plaintiffs emotional injury must cause some physical injury); and the “relative bystander” test (plaintiff must witness injury to a close relative). 6
These doctrines have been adopted due to the courts’ suspicion that emotional distress claims are often subject to fraud and exaggeration.
See
Restatement (Second) of Torts § 436A cmt. b (1965) (detailing concerns that emotional injury claims are often trivial, falsified and unforeseeable). The central purpose of the four standards is to screen possibly fraudulent claims for emotional injury by requiring some external indicia of the genuineness of the harm suffered. This Court has repeatedly noted
*95
its concerns about the potential for a flood of litigation, unlimited damages and fraud arising from unrestrained emotional distress claims.
See, e.g., Outten v. National R.R. Passenger Corp.,
However, an important tension exists between courts’ concerns about excessive, frivolous litigation, the common law standards employed by the courts to curb such claims, and the broad remedial purposes of the FELA. As noted by the
Buell
Court, “[a] primary purpose of the Act was to eliminate a number of traditional defenses to tort liability and to facilitate recovery in meritorious cases.”
In our recent opinion in
Gottshall,
we reviewed closely the recent decisions of the other circuits since
Buell.
B. Third Circuit FELA Precedent
In two recent cases, this circuit has also declined to decide definitively whether the FELA permits recovery for injuries without physical contact or fear of contact, deciding such cases instead on a fact-specific basis. See
Holliday v. Consolidated Rail Corp.,
Appellant claims that in order to sustain a cause of action under the FELA for negligent infliction of emotional distress, plaintiff “was required to prove that there was an accident, physical impact or injury to someone.... [A]n employee, like Carlisle, who allegedly suffers from stress-related injuries or illnesses caused by his general working conditions, fails to state a claim under the F.E.L.A.” Appellant’s Brief at 11-12. Appellant relies heavily on a district court decision which rejected similar work-related stress claims filed by Carlisle’s co-workers.
See Kraus v. Consolidated Rail Corp.,
We disagree. The Supreme Court has held that “[t]he wording [of the FELA] was not restrictive as to ... the particular kind of injury resulting.”
Urie v. Thompson,
Moreover, this conclusion, that a claim for negligent infliction of emotional distress arising from work-related stress is cognizable under the FELA, is not inconsistent with our prior FELA case law. In Holliday and Outten, this court on a case-by-case basis rejected FELA claims alleging negligent infliction of emotional distress, while refusing to foreclose the possibility of such recovery. In' Holliday, a railroad worker allegedly suffered emotional and physical injuries because of his brief assignment to a job that he felt unqualified to perform. This Court affirmed the district court’s summary judgment in favor of the railroad while stating:
We emphasize that our opinion is narrow. We are not holding that there can never be a recovery under FELA for emotional conditions unless the employee suffers an immediate physical injury from the railroad’s negligent conduct, or unless there is an accident of some kind, as we need not and do not reach that issue. Thus, our holding does not draw a “bright line” requiring a direct impact traceable to the employer’s negligence before there can be a FELA recovery. We are not called upon to decide whether an employee exposed to dangerous conditions for a protracted time, though not in an áccident, could recover.
In Outten, we refused to permit recovery for negligent infliction of emotional distress resulting from the employee’s reaction to an accident which occurred a mile *97 from where the employee was located. The ground for our holding was that this result was not foreseeable:
[I]t is hardly foreseeable to the railroad that one of its employees might suffer serious psychological injuries as a result of the fear of injury'from a train collision over a mile away. There is a “perceived unfairness of imposing heavy and disproportionate financial burdens upon a defendant, whose condúct was only negligent, for consequences which appear remote from the ‘wrongful’ act.”
More recently in Gottskall, in reversing a district court’s grant of summary judgment in Conrail’s favor, we held that the FELA does permit recovery for claims for emotional and physical injury arising from negligent infliction of emotional distress, under some circumstances.
Thus, we now have before us the issue which was defined but not faced in Holli-day, Outten, and Gottskall: Can protracted exposure to work-related, stressfully injurious conditions lead to liability under the FELA? Under the circumstances of this case, where the injurious result was reasonably foreseeable, we conclude that it can.
The facts of record in this case demonstrate that Conrail had ample notice of the stressful and dangerous conditions under which Carlisle was forced to work. Carlisle passed on to his supervisors the complaints of his co-workers and subordinates about outdated equipment, long hours and the high level of job-related stress. He also communicated to them his own concerns about excessive hours and the stress of his job. At trial, he introduced into evidence a series of depositions, originally taken in the Kraus ease, in which fellow workers in the Philadelphia Conrail offices testified that their jobs as dispatchers and supervisors had caused them to suffer cardiac arrests, nervous breakdowns, and a variety of emotional problems such as depression, paranoia and insomnia. 9 He also introduced two reports from the Federal Railway Administration (“F.R.A.”) which documented the stressful nature of a train dispatcher’s job and the outdated equipment and hazardous working conditions at Conrail’s Philadelphia dispatching office. 10
We conclude therefore that, when it is reasonably foreseeable that extended exposure to dangerous and stressful working conditions will cause injury to the worker, the employer may be held to be liable under the FELA for the employee’s resulting injuries. 11 Specifically, under the facts of this case, we find that Carlisle presented sufficient evidence concerning (1) Conrail’s duty to provide him with a safe workplace; (2) prior notice to Conrail, through the FRA reports and stress-related injuries to Car-lisle’s co-workers, making Carlisle’s injury foreseeable to Conrail; (3) Conrail’s breach of that duty through the hazardous conditions and demands of Carlisle’s job; and, (4) causation of Carlisle’s injuries by the demands of an" unreasonably unsafe and stressful work environment.
III.
In this case, we uphold for the first time a claim under the FELA for negligent in *98 fliction of emotional distress arising from work-related stress. We reaffirm our holding in Gottshall that this Court adopts no single common law standard for weighing the genuineness of emotional injury claims. Rather, courts of this circuit should engage in an initial review of the factual indicia of the genuineness of a claim, taking into account broadly used common law standards, then should apply the traditional negligence elements of duty, foreseeability, breach, and causation in weighing the merits of that claim.
Since 1908, when the FELA was adopted, the common law has evolved to where previously unknown claims for emotional injury are now broadly recognized. As medical science has also progressed, many courts have abandoned earlier common law standards used to screen claims, relying instead on expert testimony and a wider range of factual evidence to evaluate claims. Here, the evidence shows that Conrail drove its train dispatchers to work under highly stressful working conditions for long periods of time, knew of the potentially harmful effects of these conditions on Carlisle and his co-workers, and did nothing to alleviate them, causing a serious injury to Carlisle. The fact that Carlisle’s injury, both emotional and physical, arose from work-related stress is no bar to recovery under the FELA as long as there is sufficient convincing evidence of the foreseeability of the result, of the causal nexus, and of the genuineness of his claim.
We will affirm the district court’s denial of Conrail's motions for judgment n.o.v. or in the alternative for a new trial.
Notes
.
Kraus v. Consolidated Rail Corp.,
. We find to be without merit and consequently will not discuss Conrail’s allegations of error by the trial court in its failure to instruct the jury on the proper legal standards of FELA jurisprudence, its failure to instruct on contributory negligence, and its failure to grant a new trial because of prejudicial remarks made by plaintiff’s counsel.
. Annotation,
Right to Recover for Emotional Disturbance or its Physical Consequences, in the Absence of Impact or Other Actionable Wrong,
. See Douglas Marlowe, Comment, Negligent Infliction of Emotional Distress: A Jurisdictional Survey of Existing Limitation Devices and Proposal Based on an Analysis of Objective Versus Subjective Indices of Distress, 33 Vill.L.Rev. 781 (1988).
. See generally Peter Bell, The Bell Tolls: Toward Full Tort Recovery for Psychic Injury, 36 U.Fla.L.Rev. 333 (1984); Marlowe, Comment, 33 Vill.L.Rev. 781 (1988).
. The district court in the present case explicitly adopted the "full recovery” rule .as formulated by the Fifth Circuit in
Plaisance v. Texaco,
. Given the conflicts among the circuits, Justices White and Thomas have stated their belief that "a uniform rule should be announced by th[e Supreme] Court on this important and recurring issue.”
Ray v. Consolidated Rail Corp.,
— U.S. -,
. We agree with the district court’s determination that these depositions were admissible for the purpose of showing the foreseeability of Carlisle’s injury by establishing that Conrail had adequate notice of the stressful conditions of Carlisle’s job and of the possible emotional and physical injuries that might result.
. We also agree with the district court that these reports were admissible to show foreseeability and notice to Conrail. The district court properly concluded that introduction, of these reports was not prohibited under 45 U.S.C. § 41 because this evidentiary prohibition applies to F.R.A. reports investigating the causes of specific accidents, rather than the type of general safety conditions report in question here.
Carlisle,
. The injury here to Carlisle was emotional, accompanied by obvious physical manifestations. We do not face and do not decide the issue of whether purely emotional injury, caused by extended exposure to stressful, dangerous working conditions, would be compensa-ble under the FELA.
