The opinion of the Court was delivered by
In this case, plaintiff, a former naval electrician, was exposed to various quantities of asbestos during his work inside the close quarters of naval vessels. He sued defendant, Keene Corporation, and others for injuries allegedly contracted from exposure to defendant’s products in the workplace.
Plaintiff claimed that defendant had violated its duty to warn consumers of the health hazards associated with asbestos products. Defendant took the position that the absence of such a warning did not proximately contribute to plaintiffs injuries because there was no evidence proffered that plaintiff would have followed such a warning, and therefore no proof that the failure to warn had contributed to plaintiffs injuries. At trial; the court instructed the jury to presume that plaintiff would have followed a warning had one been provided. That presumption, in the ab *591 sence of any evidence to the contrary from defendant, allowed plaintiff to meet his burden of proof that the lack of a warning on defendant’s products had caused his ailments.
This case, and the companion case,
Theer v. Philip Carey Co.,
133
N.J.
610,
I
In 1951, plaintiff, George Coffman, commenced work at the Philadelphia naval shipyard as an electrician. In that post, he worked in the cramped interiors of various ships and vessels that were being serviced and overhauled. Coffman worked inside those ships until his retirement in July 1969.
As an electrician, Coffman was required to remove electric cables and to repair and replace those cables. Electricians worked throughout the ship in various compartments, including the fire rooms, engine rooms, galleys, and passageways. When Coffman was present on naval ships, he was exposed to various quantities of asbestos. Much of the asbestos had been provided by defendant, Keene Corporation. During the renovation of a ship, old insulation from pipes and boilers was normally removed and replaced with new asbestos insulation. Because the ships had little ventilation on board, asbestos fiber and dust lingered in the air. Plaintiff claims to have workéd almost always within two to four feet from tradesmen who were installing the asbestos insulation.
In addition to Coffman’s “bystander” exposure to asbestos products, he also had direct contact with asbestos in that shipyard. Often he would cut into asbestos insulation to mount brackets or *592 install new cable. None of the asbestos products supplied by Keene contained any health or safety warnings.
After his retirement, plaintiff began working at the Defense Industrial Supply Center in Philadelphia. In that new post, Coffman had very minimal exposure to asbestos. He was, however, diagnosed with Paget’s disease — a degenerative bone condition. He subsequently retired on a disability pension in 1976. From 1979 to 1988, Coffman held numerous jobs, none of which exposed him to asbestos. In 1988, he permanently retired from the workforce.
In 1985, during the course of seeking other medical treatment, plaintiff discovered that he suffered from asbestos-related injuries. Coffman had his chest X-rayed. Based on the X-ray, a pulmonary specialist determined that Coffman had extensive scarring on both lungs as well as asbestos fibers in the lungs. He was diagnosed as having pulmonary asbestosis. Coffman was required to undergo annual medical monitoring in order to detect any future incidence of lung cancer.
Coffman became angry, shocked, and extremely fearful after receiving his diagnosis. Plaintiff had previously watched his brother-in-law die from asbestos-induced lung cancer. As a result, he lived in fear that a similar fate would befall him.
Coffman and his spouse, Elizabeth Coffman, commenced a product-liability action against defendant Keene and several other asbestos manufacturers who had supplied the naval shipyard with asbestos products. He claimed that defendant’s failure to place warnings of the health hazards posed by asbestos on its insulation products was a proximate cause of his asbestosis. Thus, the defect Coffman alleged was' the absence of a warning on the product.
At trial, defendant contended that the jury had to find specifically that the lack of a warning on the asbestos products was the proximate cause of plaintiffs injury. The trial court disagreed with defendant’s argument. Instead, the court instructed the jury *593 that it should presume that if defendant had provided an adequate warning, it would have been followed. Thus, the jury was asked to determine only whether defendant’s product itself was a substantial or significant factor in bringing about plaintiffs injury.
The jury awarded plaintiff $300,000 for pain and suffering stemming from his asbestosis. The jury found additionally that Coffman exhibited a reasonable fear of developing lung cancer brought on by his exposure to asbestos, for which he was also awarded $100,000 as a compensation. Furthermore, plaintiff was awarded $6,000 to defray the cost of continued medical surveillance to monitor any potential signs of lung cancer. The jury concluded that defendant had substantially contributed to plaintiffs injuries. It found that Keene was approximately 15% responsible for plaintiffs injuries. Defendant filed a motion for a new trial or in the alternative for a judgment notwithstanding the verdict. The trial court denied defendant’s motions, and defendant appealed.
The Appellate Division in a reported decision, 257
N.J.Super.
279,
II
To establish a cause of action in strict liability for a defective product, a plaintiff must prove that the defect existed when the product left the defendant’s control and that the defect caused injury to a reasonably foreseeable user.
See Jurado v. Western Gear,
131
N.J.
375, 385,
Causation is a fundamental requisite for establishing any produet-liability action. The plaintiff must demonstrate so-called product-defect causation — that the defect in the product was a proximate cause of the injury.
Michalko v. Cooke Color & Chem. Corp.,
91
N.J.
386, 394,
The trial court in this case instructed the jury with respect to the medical causation. Plaintiff was required to prove that he had an asbestos-related injury that had been proximately caused by exposure to defendant’s product. However, with respect to product-defect causation — -that is, causation attributable to the absence of a warning — the court charged that New Jersey law presumes that a plaintiff would have followed a warning had one been provided. That instruction enabled the jury to conclude, without any additional evidence, that the failure to warn had proximately caused plaintiffs injury.
*595
The Appellate Division approved the trial court’s jury instructions. It recognized that the trial court’s charge with respect to product-defect causation included a so-called “heeding presumption” — a presumption that plaintiff would have “heeded” or followed a warning had defendant given one. The court further ruled that in the absence of any countervailing evidence, “a trial judge need not submit the issue of proximate cause from the absence of a warning to the jury but may determine as a matter of law that the warning would have been heeded.” 257
N.J.Super.
at 290,
Ill
The Appellate Division, in adopting the use of a heeding presumption in failure-to-warn cases, found support for such a presumption in comment j to Section 402A of the
Restatement (Second) of Torts
(1965). 257
N.J.Super.
at 287-88,
Defendant contends that our decision in
Campos
did not endorse the use of a heeding presumption, and, indeed, expressly rejected it. We agree with defendant that
Campos
did not establish the use of a heeding presumption in failure-to-warn cases. In
Campos,
we concluded that a manufacturer of a tire rim assembly had a duty to warn the mechanic of the danger of using that device. In discussing whether the defendant’s lack of warning had caused the plaintiffs injury, we reiterated the need for the plaintiff to prove that a lack of warning had been a proximate cause of his injury. However, we did note parenthetically that “ ‘in failure to warn products liability eases some courts have helped plaintiffs overcome the burden of proof by positing a rebuttable presumption that the warning would have been heeded if given,’ ” 98
N.J.
at 198,
The Appellate Division, in adopting a heeding presumption, found its approach consistent with the
Restatement.
It construed comment j as providing a rebuttable presumption in failure-to-warn cases “assisting plaintiffs in establishing proximate cause as to the defect”; in other words, the plaintiff would be entitled to rely on the presumption in order to prove that the absence of a warning had proximately caused his or her harm. 257
N.J.Super.
at 287-88,
Defendant takes issue with the premise underlying comment j. It claims that one cannot logically assume, based on objectively-determined facts, that consumers or product users will heed warnings if they are provided. Defendant has provided a plethora of data and studies in its pleadings to bolster its point that with the proliferation of warnings in our society, it is nearly impossible to go through a day without consciously ignoring warnings designed to protect our health and safety. Hence, defendant asserts, there is no common experience on which we can premise the creation of a presumption that the general public reads and heeds warnings.
*597
We can agree with defendant that the heeding presumption is not firmly based on empirical evidence. It is not therefore a “natural” or “logical” presumption.
E.g., Lionshead Woods v. Kaplan Bros.,
243
N.J.Super.
678, 682-83,
Nevertheless, the creation of a presumption can be grounded in public policy.
See Lionshead
Woods,
supra,
243
N.J.Super.
at 682,
The use of presumptions grounded in public policy in relation to a product-liability claim is not novel. We have often adopted or used presumptions in that context in order to advance our goals of fostering greater product safety and enabling victims of unsafe commercial products to obtain fair redress. The concept of strict products liability itself “arose in part because of a basic presumption that persons not abusing products are not usually injured unless a manufacturer failed in some respect in designing, manu
*598
facturing or marketing the product.”
O’Brien, supra,
94
N.J.
at 195,
The emphasis in strict-products-liability doctrine is on the safety of the product, rather than the reasonableness of the manufacturer’s conduct.
Suter v. San Angelo Foundry & Mach. Co.,
81
N.J.
150, 169,
Warnings can be essential to assure that products are reasonably safe for their intended uses.
Freund, supra,
87
N.J.
at 240 n. 3,
*599
The heeding presumption thus serves to reinforce the basic duty to warn — to encourage manufacturers to produce safer products, and to alert users of the hazards arising from the use of those products through effective warnings. The duty to warn exists not only to protect and alert product users but to encourage manufacturers and industries, which benefit from placing products into the stream of commerce, to remain apprised of the hazards posed by a product. The use of the heeding presumption provides a powerful incentive for manufacturers to abide by their duty to provide adequate warnings.
See Nissen Trampoline Co. v. Terre Haute First Nat’l Bank,
One of the policy considerations for imposing strict product liability has been to ease the burden of proof for an injured plaintiff, a policy achieved by eliminating the requirement that ,a plaintiff prove the manufacturer’s negligence.
OBrien, supra,
94
N.J.
at 179,
The Appellate Division also observed that a jury determination of whether, if a warning had been provided, it would have been followed would most likely be highly speculative. A jury, in effect, would be invited to imagine whether a plaintiff, given the various facets of his or her personality and employment situation, would have heeded a warning.
Id.,
257
N.J.Super.
at 285,
A great many jurisdictions have adopted the heeding presumption in failure-to-warn cases. Most jurisdictions have done so with explicit reference to comment j as the basis for such a presumption. See
Reyes v. Wyeth Laboratories, supra
Several other jurisdictions have adopted the presumption without a specific reference to comment j. See
Ferebee v. Chevron Chemical Co.,
Our courts have previously recognized the significance of comment j to Section 402A. In
Torsiello v. Whitehall Laboratories,
165
N.J.Super.
311, 320,
We conclude that the heeding presumption in failure-to-warn cases furthers the objectives of the strong public policy *603 that undergirds our doctrine of strict products liability. The heeding presumption accords with the manufacturer’s basic duty to warn; it fairly reduces the victim’s burden of proof; and it minimizes the likelihood that determinations of causation will be based on unreliable evidence. Consequently, we now hold that with respect to the issue of product-defect causation in a product-liability case based on a failure to warn, the plaintiff should be afforded the use of the presumption that he or she would have followed an adequate warning had one been provided, and that the defendant in order to rebut that presumption must produce evidence that such a warning would not have been heeded.
IV
The use of a rebuttable heeding presumption will serve to shift plaintiffs burden of proof on the issue of causation as it relates to the absence of a warning. Defendant claims that that burden shifting not only is unjustifiable and unfair but also will result in asbestos manufacturers being liable for almost any injury caused by a product. Defendant’s fears are exaggerated.
A plaintiffs mere knowledge of a product’s inherent danger or risk will not absolve a manufacturer from its duty to warn.
Campos, supra,
98
N.J.
at 209,
Evidence that a plaintiff would have disregarded an adequate warning would tend to demonstrate that the plaintiffs conduct, rather than the absence of a warning, was the cause in fact of the resultant injury. The relevance of the plaintiffs conduct on the issue of proximate causation necessarily implicates the issue of contributory negligence.
See Johansen, supra,
128
N.J.
at 94,
The question arises, however, whether evidence of conventional or ordinary contributory negligence would be sufficient to overcome the heeding presumption in a failure-to-warn case in the workplace context. That issue has not been raised in this ease, but its consideration is essential to a determination of the nature of the evidence that must be produced to overcome the heeding
*605
presumption in a product-liability case involving employment-related injury. The issue, moreover, is presented by the plaintiff in the companion ease of
Theer v. Philip Carey Co., supra,
133
N.J.
at 619-623,
We have consistently emphasized that a plaintiff injured in the workplace as a result of a known dangerous product cannot and should not be characterized as someone who has voluntarily and unreasonably encountered a known danger. A plaintiff who uses or is exposed to a defective product in the course of his or her employment may not be able to exercise meaningful choice with respect to confronting the risk of injury posed by the product.
In
Bexiga v. Havir,
60
N.J.
402, 412,
It is unreasonable to assume that an employee would leave his or her position once apprised of certain safety hazards when such hazards are not rectified by the employer.
Green, supra,
95
N.J.
at 271,
The question arises, then, whether, in the employment context, the plaintiffs failure to heed a warning that is caused by the absence of meaningful choice should also be a factor in the use and application of the heeding presumption. The answer to that inquiry is found in part in the nature of the duty to warn and the policy considerations that serve to define that duty with respect to unsafe products that are used in the workplace.
We have required that a manufacturer or supplier of products that are used by employees take reasonable steps to ensure that its warning reaches those employees.
See Stephenson v. R.A. Jones,
103
N.J.
194, 200,
*607
However, we have also recognized specifically that in the employment setting, the adequacy of a warning with respect to unsafe products may require that they be communicated to employers as well as employees; the adequacy of a warning entails alerting the employer in order to alert the employee of the dangers of the unsafe product.
Michalko, supra,
91
N.J.
at 400,
Implicit in the imposition of the duty to warn in the employment context is the assumption that an adequate warning will render the product safe. Consistent with that duty to warn, it should be presumed that such warnings directed to employers and employees will be heeded. Just as it is fair and reasonable to assume that such a warning will serve to render the product safe because it is calculated to alert the foreseeable user of the product of its dangers, so should one assume that such a warning if provided will be followed. That assumption comports with the reasons for extending the duty to warn to employers whose *608 employees foreseeably will use the product that would otherwise be unsafe in the absence of such a warning.
Hence, the heeding presumption that is applicable in a failure-to-warn case involving a defective product used in the workplace is one that implicates the conduct of both the plaintiff-employee and the employer. That presumption fully confirms the basic duty of a manufacturer or supplier to warn both employers and employees with respect to unsafe products in the workplace.
Further, we do not see the requirement that the defendant prove that an employer would not have heeded an adequate warning to posit an insuperable burden of proof or to impose absolute liability on manufacturers of defective products. Unfortunately, there are examples of employers who fail to take reasonable measures to assure the safety and health of their employees in the face of warnings.
E.g., Millison v. E.I. du Pont,
115
N.J. 252, 558
A.2d 461 (1989) (noting that employer intentionally disregarded evidence of health hazards to its employees);
see also Beshada v. Johns-Manville Prods. Corp.,
90
N.J.
191,
Thus, in a given case, the defendant may be able to establish that the employer’s conduct, not the failure to warn, was the cause in fact of the injuries attributable to the harmful product. An employer’s conduct, in either thwarting effective dissemination of a warning or intentionally preventing employees from heeding a warning, may be a subsequent supervening cause of an employee’s injury that will serve to break the chain of causation between manufacturer and employee.
See Brown v. United States Stove,
98
N.J. 155,
171-75,
We hold that to overcome the heeding presumption in a failure-to-warn case involving a product used in the workplace, the manufacturer must prove that had an adequate warning been provided, the plaintiff-employee with meaningful choice would not have heeded the warning. Alternatively, to overcome the heeding presumption, the manufacturer must show that had an adequate warning been provided, the employer itself would not have heeded the warning by taking reasonable precautions for the safety of its employees and would not have allowed its employees to take measures to avoid or minimize the harm from their use or exposure to the dangerous product.
V
The judgment of the Appellate Division is affirmed.
For affirmance — Chief Justice WILENTZ and Justices CLIFFORD, HANDLER, POLLOCK, O’HERN, GARIBALDI and STEIN-7.
Opposed — None.
