*1 ALLEN, Plaintiff, Robert A. COMMISSION,
INDUSTRIAL Board of
Review, Inc., Ken, State Jer Insurance Fund, Injury
Fund and Defend- Second
ants.
No. 20026.
Supreme Court Utah. 14,
Nov.
ment bed rest and A myelo- medication. gram finally disc, revealed a herniated spent claimant ten days in traction in hospital in early January. He did not return to work.
The claimant also testified he had a histo- *3 ry prior injuries, back including a fall a telephone pole from age fourteen him to wear a back brace months, for several injury back in 1977 lifting while bags sand Logan for the District, School and another fall while Bulson, Ogden, E. plaintiff. Michael for working for employer slipped when he Martinez, Lake City, Gilbert Salt for Sec- on slick ramp concrete and broke his Injury. ond coccyx. prior None of the resulted Silvester, Black, Fred R. James R. Salt prolonged absences work. City, Lake for State Ins. Fund. testimony The from other sources varied slightly given from the report by the claim- DURHAM, Justice: ant. The employer’s report injury de- Claimant Robert Allen seeks A. a review up scribes the as “picking freight from the Industrial Commission’s denial stocking shelves, lifting and it on boxes his for motion review of administrative stacking and specif- them from truck.” No judge denying compensation law order him ic employer’s event was mentioned in the for injury a back sustained at For work. report. The treating medical records of below, the reasons stated we reverse and physicians previ- described the claimant’s remand. injuries, any ous but omitted reference to a specific Hannan, incident the cooler. Dr. 23, 1982, On November the claim who examined the claimant on December ant, aged employed night was as man 31, 1982, wrote, “He does not remember ager of Kent’s The Foods. claimant testi any episode having distinct as precipitated following fied to the version of at a events problem, his current however.” And in a hearing before an law administrative Bryner Wright letter from Dr. to Dr. dated judge. working The claimant was January history the claimant’s crates, stacking confined cooler the store was related as follows: “About six weeks milk, containing gallons1 four to six however, ago, lifting he was material at from the floor onto a cooler shelf. While work, specific injury no recalls level, lifting one crate to chest he about but developed stress discomfort in his left suddenly sharp pain felt a in his lower groin ultimately area which extended into immediately back. He crate set down the big toe.” employee asked another to continue stocking the com judge shelves. claimant The administrative law found pleted remaining injury the one-half hour in his to his Novem- claimant’s back on doing night pain shift desk work. That ber was not “an acci- increased, by morning leg arising his left felt dent out or in the course later, days apparent numb. Four or Dr. employment.” five he saw It is ad- Wright problem. using epi- Ivan Ini judge, specific about his back ministrative law analysis, tial visits no doctor December were sode concluded there was “ac- through prescribed followed with the cident” because there was no identifiable treat- judicial gallons weigh liquid weighs 1. We take notice that tamers and crate. Six of milk milk liquid approximately about the approximately pounds same water or without the containers Thus, pounds p'er gallon. gallons of S'A four and crate. weigh pounds milk about con- without the event that caused because son we now undertake a fresh look at the lifting of milk was a routine and policy the crates background and historical of the expected job. commonplace exertion compensation workers’ statute an at- judge analogized The administrative law tempt provide a clear and workable rule the facts of this case to Farmer’s Grain application by for future the Commission. Mason, Cooperative v. 1980), gradually developed I. where a back held to “by The term accident” is not defined in where condition worsened without workers’ statutes. The intervention of external occurrence or frequently most authority referenced trauma. “by the definition of accident” is the case of Carling v. Industrial appeal
The sole issue on
is whether the
(1965),
Utah 2d
claimant,
P.2d 202
where the
who had suffered
term was defined as follows:
problems
injured
and was
as the re-
*4
typical
sult of an exertion usual and
for his
unanticipated,
connotes an
[An accident]
job,
injured “by
arising
accident
out of
unintended occurrence different
from
employment”
or in the course of
as re-
normally
expected
what would
to oc-
Act,
quired by
Compensation
the Workers’
cur
the usual course of events....
U.C.A., 1953,
(Supp.1986).
35-1-45
That
necessarily
restricted to
[T]his
Act,
pertinent
part, provides:
single
some
happened
incident which
sud-
Every employee
injured
denly
particular
... who is
...
at one
time and does not
by
arising
preclude
possibility
out of or in the
that due to exer-
tion,
course of
employment
cause,
...
shall be
repetitive
stress or other
paid compensation for
might
loss sustained on
climax
be reached
such manner
injury....
account of the
properly
as to
fall within the definition of
just
an accident as
stated above. How-
prerequisites
Id. This statute creates two
ever, such an occurrence must be distin-
finding
for a
injury.
of a
guished
gradually developing
condi-
First,
“by
must be
accident.”
occupational
tions which are classified as
Second,
language “arising
out of or in
diseases....
requires
the course of employment”
261-62,
there be a causal connection
(citing
between the
Id. at
Industrial Injury Compensabili- Commission and
20 required legislature than
“[NJothing
more is
that
failing
to amend has
plaintiff
acquiesced
harm that
has sustained
that construction.”
115 Utah
unexpected....
shall be
The element of
at
P.2d
201
at 968.
unexpectedness
in the word
inherent
‘ac-
Purity
Biscuit
holding
also
if,
sufficiently
supplied
cident’
is
...
squarely
concept
embraced the
an
that
or-
though the act
is usual and the condi-
dinary or usual
exertion that results
an
normal,
tions
it causes a harm unfore-
See 115
unexpected injury
compensable.
is
by him
seen
who suffers
it.”
18-19,
Utah at
21
Biscuit,
Purity
numerous cases
Since
cases denied
because the
that an internal
be
have held
claimants’ ordinary
precipitat
work duties
compensable if it
from either a
results
injury.
ed the
Consequently, there were no
or
the course of
usual
unusual exertion
events
exertions
were unusual or
See,
employment.
Champion
e.g.,
Home
extraordinary
qualify
“by
accident.”
Commission, 703
Builders v. Industrial
See, e.g., Billings Computer Corp. v. Tar
(Utah 1985) (perforated
P.2d
ulcer
306
(Utah
674
ango,
1983)
P.2d 104
(compensa
lifting
unusually heavy
caused
tion for knee
denied where circum
beam);
Testing
Pittsburg
v.
Laboratories
precipitating
stances
the injury were com
Keller,
(unforeseen
event
is further evidenced
worker’s
comparing seemingly
deci-
tion between the
and the
irreconcilable
employment
Pittsburg Testing
sions
duties.
Compare
this Court.
Kaiser
Keller,
1367, 1370
Monfredi,
(back inju- Laboratory v.
657 P.2d
Steel v.
23
failures,
key
involving
Computer Corp.
cases
internal
104,
v.
674
Tarango,
P.2d
(Utah 1983);
usually
issue is
of causation.
106-07
one
Ordinari-
Sabo ’sElectronic Ser
Sabo,
ly,
proved by
production
722,
(Utah
vice v.
642
causation is
P.2d
726 n. 12
1982);
interpretation of medical
ei-
evidence
Church
Jesus Christ
Latter-
of
Day
v.
together
Commission,
ther alone or
with other
Saints
evidence.
Industrial
328,
(Utah 1979);
Keller,
1367, 1370; 590 P.2d
329
P.2d at
See
657
IGA Food
Martin,
828,
Commission,
Fair v.
584 P.2d
829
617
Schmidt v. Industrial
1978);
693,
(Utah 1980).
Nuzum v.
Roosendahl
P.2d
695
Because
Construc
Mining Corp.,
1144,
tion &
565 P.2d
diagnosis
1146
difficulties
internal failures
(Utah 1977); Jones v.
preex-
Packing
possibility
and because of the
that a
California
612,
Corp.,
(1952);
121 Utah
25 sufficient causal connection between the caused [injury].”7 Larson, supra, working and the disability 38.83(a), conditions. The at 7-276 to -277. § necessary makes it causation Legal (a) inju Cause—Whether injuries distinguish those which coin- ry arose out or in the course preexist- employ occur
cidentally
at work because a
ment
ing
in
is difficult to
symptoms
condition results
determine
which
where the
brings
during
employee
appear
any
workplace
work hours
en-
person
without
a
(b)
al
workplace,
hancement from the
element
risk
preexisting
such as a
occur
injuries
those
which
because some
person
condition. Just
because
suffers a
by
condition
exertion
the em- preexisting condition, he or she is not dis
ployment
risk
injury
increases the
which qualified
obtaining
from
compensation.
faces in
normally
everyday
worker
Our cases make
aggrava
clear that “the
Bryant
Co.,
life. See
v. Masters Machine
tion or lighting up of pre-existing
disease
(Me.1982).
444
Only
A.2d
337
by an industrial
compensa-
”
latter
type
injury
compensable
under
ble— Powers v. Industrial Commis
U.C.A., 1953, 35-1-45. There is no fixed
§
sion,
140, 143-44,
2d
formula
which the causation issue
(1967)(footnote
omitted). To meet the
resolved,
and the issue must be deter-
legal
requirement,
causation
a claimant
mined
each
facts of
case.
with
preexisting
condition must show
employment
contributed some
Professor
suggested
Larson has
thing substantial
to increase the risk he
two-part causation test which is consistent
already
in everyday
faced
life because of
purpose
compen
with the
of our workers’
his condition. This additional element of
determining
in
helpful
sation laws
cau
in
workplace
usually
risk
supplied by
adopt
sation. We therefore
that test. Lar
greater
an exertion
than that
son
undertaken
suggests
can
normal, everyday life. This extra exertion
considering
best be identified
first
preexisting
serves to
legal
offset the
cause of the
its
condition
injury and then medi
Larson,
38.83(a),
employee
likely
inju
as a
cause
supra,
cal
cause.
at
§
ry,
test,
thereby eliminating
legal
impair
7-273. “Under
claims for
the law must
resulting
personal
define
kind
ments
from a
rather
what
of exertion satisfies the
risk
‘arising
supra,
test of
than exertions at
employment’
out of
...
work.
38.83(b),
say
the doctors must
7-278.
whether the
at
Larson summarized
[then]
(having
legally
legal
exertion
held
suffi
how the
been
cause rule would work
support compensation)
cient
practice
fact
as follows:
jurisdictions
injury resulting
working
7. Cases from other
have
ac-
sation for
from
at nor-
cepted
suggested by
gait
the dual-causation standard
mal
since there was no work-related en-
Distribs.,
Larson include:
Foods
risk);
Market
Inc. v.
personal
City
hancement of
Omaha,
Mann v.
Levenson,
(Fla.Dist.Ct.App.1980)
2. Medical Cause—The second
we
no
part
find
re
substantial evidence that
Larson’s dual-causation test
unexpected.
quires
prove
It
disability
that the claimant
clear
*12
from the
testimony
uncontradicted
medically
result of
of the
the
an exertion or
that he experienced
claimant
an unexpected
injury
that occurred
a work-related
unanticipated
and
injury
his
to
back as
activity.
of
he
purpose
The
the medical cause
lifted
of
cramped
a crate milk in the
area of
medically
test is to
that there
ensure
is a
the
Although
cooler.
the claimant had in
link
the
demonstrable causal
between
jured
back
prior jobs,
his
on
he had not
unexpected
work-related exertions and the
complained
pain
of
or
job
limitations at his
injuries that resulted from those strains.
with Kent’s Foods.
is no
There
evidence
pre
The medical causal
will
which indicates
injury
predict
that this
was
employer
vent an
becoming general
able or
it developed gradually
as with
employees
discourage
insurer of his
occupational
an
progressive
disease or
fraudulent claims.
employer’s report
disorder. While the
of
being
primarily
With the issue
one
of
the
injury and
medical
do
records
not cor
causation,
importance
the
of the ...
that a
roborate
sudden and identifiable in
panel
medical
It
becomes manifest.
cooler,
jury
reports
occurred in the
the
are
through
expertise
pan-
the
of the medical
unhelpful in determining
inju
the
whether
el that the Commission should
able to
be
ry
unexpected.
make the determination of whether the
appears
It
the administrative law
injury
by
causally
sustained
claimant is
judge applied the
event or
“unusual
trau-
connected or
claim-
contributed to
the
in defining
ma” rule
an accident. We have
employment.
ant’s
rejected that test in
a test
lieu of
based on
Schmidt,
J.,
(Wilkins,
majority’s established standard HOLLOWAY, Plaintiff, Richard E. produce decisions one more consistent whit produced than rational those INDUSTRIAL COMMISSION OF the past.1 UTAH, STATE OF Richard E. Hollo majority The also holds that an injured way Trucking [Employer], and the person prove disability must that [Insurance State Fund Insurance carri “medically inju- the result of an exertion or Employer], for er Defendants. ry that occurred work-related ac- No. 20621. tivity.” degree hope think With that I unwarranted, majority Supreme states Court Utah. pre- causal medical will “[t]he Nov. employer becoming general vent an employees discourage insurer of his Virginius Dabney, City, Salt Lake for plaintiff. fraudulent claims.” I fearful am that that
hope seriously misplaced. Wilkinson, L. Atty. Gen., David James R. Black, Mary Rudolph, A. City, Salt Lake
Certainly largely Professor for defendants. source Court’s new standards and analysis, highly acclaimed field STEWART, Justice:
law, but there is much to be said case-by-case approach in out hammering Plaintiff E. Holloway Richard is a self- doctrine, legal even if it does on occasion employed truck driver. On July produce I readily inconsistencies. concede driving hours, after for about six he present law to be needs rationalized stopped stop. at a rest He claims that he and that some cases should be overruled slipped walking spill while across an oil on they way hopelessly because are slip inconsistent restroom and that the cases, jerk regain him to caused to his balance. Af- other but I do not believe returning restroom, Holloway ter from the law needs be revolutionized in such a inspect bent over to one of his truck tires. manner as to policies defeat those humane experienced crouching, While he an imme- intended to allow for the of work- sharp pain diate in his back which made ers work place who come to the in an him ground, landing fall on his arms impaired condition. wife, driver, jaw. His also a truck join I also Chief Justice’s dissent. trip. drove for the Two days rest Holloway
after the incident a chi- consulted ropractor Georgia. He consulted anoth- chiropractor returning er to Salt Lake City. slip spill on the oil was not *16 chiropractors reports mentioned the Holloway, who examined in the First Re- port Injury, report or in the claimant’s of how the occurred. denied
The Commission
review
judge’s
administrative
law
order.
judge
plaintiff’s injury
ruled that the
result of an “accident” as
term
view,
my
goes
body
particu-
1. In
one
the decisions of this
are
in our
law is not
Court
event,
generally
only
larly unexpected.
glaring
reconcilable
I doubt that the
few
unwavering
exceptions
approach
prior
produce
consist-
most of them
new
will
years.
ency
That there are more
over the
inconsistencies the further
notes
See also Church
Jesus Christ
impossible
Comm’n,
segregate
ses that it
Latter-Day
them and
Saints v. Industrial
of
P.2d
328,
(Utah 1979);
determine the basis for the Court’s decision.
329-30
Pintar v. Industri-
example,
opinion
Comm’n,
(1963).
For
in Sabo’s Elec. Serv. v.
al
14 Utah 2d
Notes
[1903] fat, J., concurring). Hammond was fol-
notes
compensable despite preexisting
months
rence
what would normal
different from
conditions); Baker v. Industrial Commis
ly
expected
occur in the usual
be
to
sion,
(1965)
2d
P.2d 613
Utah
16 Utah at
course
events.”
of
(back
resulting
filing
injury
papers
from
added;
(emphasis
at 203
footnotes
compensable).
lower drawer
omitted).
Redman,
highlighted
interpreted
require
to
an un
phrase Despite
strong precedential support
there
an acci
event before
can be
usual
applying
rule
“unexpected result”
interpretation
This
misconstrues
cases,
dent.
of Purity Biscuit to internal failure
and is inconsistent
Carling decision itself
separate
opposing authority
line of
has
accident”
English
“by
of
with the
definition
developed
requires
or
overexertion
key
since
by this Court
1922.
an
event
oc- used
prove
unusual
to
an
of
accident under
Car-
“by
curred
an
Typically,
accident.”
these
decisions,
decision,
prior
despite
as
held to be a
ling
as well
unanticipated,
being
by shoveling
was that
occurrence be
caused
coal in the usual
unplanned
highlight-
unintended. The
employment),
course of
with Farmer’s
phrase emphasized
ed
that where either the
Mason,
Cooperative
Grain
