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James Faulkner v. Lear Corporation

Decision date: February 14, 20089 pages

Summary

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's decision denying workers' compensation benefits to Jim Faulkner for injuries allegedly sustained in an automobile accident on July 19, 1997. The Commission found that the accident did not arise out of and in the course of employment, rendering the claim non-compensable under Missouri workers' compensation law.

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Third-Party Injury Check

This workers' comp decision may point to a separate injury claim.

  • A driver, contractor, property owner, or equipment company may share fault.
  • The injury involved a vehicle, unsafe premises, defective equipment, or a non-employer vendor.
  • A serious injury or death may need both benefits review and civil-claim analysis.

Caption

FINAL AWARD DENYING COMPENSATION

(Affirming Award and Decision of Administrative Law Judge)

Injury No.: 97-499096

Employee: Jim Faulkner

Employer: Lear Corporation

Insurer: Zurich North America Insurance Co.

Additional Party: Treasurer of Missouri as Custodian

of Second Injury Fund (Open)

Date of Accident: July 19, 1997

Place and County of Accident: St. Louis County, Missouri

The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by section 287.480 RSMo. Having reviewed the evidence and considered the whole record, the Commission finds that the award of the administrative law judge is supported by competent and substantial evidence and was made in accordance with the Missouri Workers' Compensation Act. Pursuant to section 286.090 RSMo, the Commission affirms the award and decision of the administrative law judge dated July 27, 2007, and awards no compensation in the above-captioned case.

The award and decision of Administrative Law Judge Suzette Carlisle, issued July 27, 2007, is attached and incorporated by this reference.

Given at Jefferson City, State of Missouri, this 14th day of February 2008.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

John J. Hickey, Member

Attest:

Secretary

Employee:Jim FaulknerInjury No.: 97-499096
Dependents:N/ABefore the
Division of Workers'
Employer:Lear CorporationCompensation
Department of Labor and Industrial
Additional Party: Second Injury FundRelations of Missouri
Jefferson City, Missouri
Insurer:Zurich North America Insurance Co.
Hearing Date:May 4, 2007Checked by: SC:tr

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? No
  2. Was the injury or occupational disease compensable under Chapter 287? No
  3. Was there an accident or incident of occupational disease under the Law? No
  4. Date of accident or onset of occupational disease: July 19, 1997
  5. State location where accident occurred or occupational disease was contracted: St. Louis County, Mo.
  6. Was above employee in employ of above employer at time of alleged accident or occupational disease? Yes
  7. Did employer receive proper notice? Yes
  8. Did accident or occupational disease arise out of and in the course of the employment? No
  9. Was claim for compensation filed within time required by Law? Yes
  10. Was employer insured by above insurer? Yes
  11. Describe work employee was doing and how accident occurred or occupational disease contracted:

While driving an automobile Claimant alleged he sustained injuries to his head, left hip, ribs, and lungs.

  1. Did accident or occupational disease cause death? No Date of death? N/A
  2. Part(s) of body injured by accident or occupational disease: Head, left hip, ribs, and lungs
  3. Nature and extent of any permanent disability: N/A
  4. Compensation paid to-date for temporary disability: -0-
  5. Value necessary medical aid paid to date by employer/insurer? -0-
  1. Value necessary medical aid not furnished by employer/insurer? \7,498.49
  2. Employee's average weekly wages: \ 667.23
  3. Weekly compensation rate: $\$ 278.42 /$ disputed PPD rate
  4. Method wages computation: Stipulated TTD rate

COMPENSATION PAYABLE

  1. Amount of compensation payable:

Unpaid medical expenses:

0 weeks of temporary total disability

0 -

0 weeks of permanent partial disability from Employer

-0-

  1. Second Injury Fund liability: No

Total:

$\-0-

Said payments to begin and to be payable and be subject to modification and review as provided by law.

The compensation awarded to the claimant shall be subject to a lien in the amount of N/A of all payments hereunder in favor of the following attorney for necessary legal services rendered to the claimant:

Harry Nichols

FINDINGS OF FACT and RULINGS OF LAW:

Employee: Jim Faulkner

Injury No.: 97-499096

Dependents: N/A

Before the

Employer: Lear Corporation

Additional Party: Second Injury Fund

Insurer: Zurich North America Insurance Co.

Division of Workers'

Compensation

Department of Labor and Industrial

Relations of Missouri

Jefferson City, Missouri

Checked by: SC:tr

A hearing was held for a final award at the Missouri Division of Workers' Compensation (DWC) St. Louis office pursuant to a request from Jim Faulkner ("Claimant"). Claimant was represented by Attorneys Harry Nichols and Daniel Mannion. Lear Corporation ("Employer") and Zurich North America Insurance Co. ("Insurer") were represented by Attorney Stephen McManus. The parties agree the Second Injury Fund ("SIF") is to remain open. The record closed May 14, 2007 after submission of Claimant's medical deposition. Hearing venue is correct and jurisdiction properly lies with DWC. [1]

STIPULATIONS

The parties have agreed that on or about July 19, 1997:

  1. Claimant sustained an accident in St. Louis County, Missouri.
  2. Employer and Claimant were operating under the provisions of the Missouri Workers' Compensation law.
  3. Employer's liability was fully insured by Zurich North America Insurance Co.
  4. Employer had notice of the injury and a Claim for Compensation was filed within the time prescribed by law.
  5. Claimant's rate for permanent partial disability (PPD) is $\ 278.42.
  6. Employer has paid no temporary total disability (TTD) or medical benefits.
  7. Claimant received his regular salary during the time period he was off work.
  8. The injury was medically and causally related to the accident.

ISSUES

  1. Did the accident arise out of and in the course of employment?;
  2. Liability for past medical expenses totaling $\ 7,498.49;
  3. Rate;
  4. TTD from July 20, 1997 through March 17, 1998 totaling \$17,680.00 (\$520.00 x 34 weeks);
  5. PPD;
  6. Second Injury Fund liability;
  1. Does the penalty for alcohol use apply?;
  2. Does the coming and going from the premises defense apply?; and
  3. Voluntary recreational activity.

EXHIBITS

Claimant's Exhibits A, B, D, E, and I are admitted. The following exhibits were excluded but retained: Exhibit C (See § 287.140.7 RSMo (2000), and Exhibits F, G, and H based on lack of foundation.[2] Employer offered Exhibits 1 through 4 which were admitted into evidence without objection. Any notations contained in the records were present when admitted into evidence.

SUMMARY OF EVIDENCE

All of the evidence was reviewed, but only evidence supporting this award is summarized below.

Live Testimony

Claimant is 50 years old and began working for Employer in 2002 at the Bridgeton facility as a department manager and second shift superintendent. He supervised other managers in the production of Ford Explorer seats. Mr. Jackson, the plant manager, supervised the day shift. Claimant supervised the second shift from 5:30 p.m. to 2:00 a.m. He met with Mr. Jackson during shift change each day to discuss work matters. Claimant testified he typically worked until 4:00 a.m. answering employee questions.

A golf outing was planned to celebrate Mr. Jackson's promotion and transfer to another state. Claimant testified co-employee Jerry Webb stated during a meeting that he could not attend the outing because of a prior commitment. Mr. Jackson replied he expected all management personnel to attend. Claimant further testified Mr. Jackson permitted him to leave work early Saturday morning to attend the outing later that day. Mr. Kurt Stromberg was instructed to finish Claimant's shift.

The golf outing began around 8:00 a.m. on July 19, 1997. A number of management personnel attended including Claimant. Claimant was not paid to attend the outing, no clients were present, and there was no plan to discuss business before, during or after the outing. None of the supervisors purchased drinks or food, according to Claimant. Claimant further testified he may have become intoxicated during the outing because he drank "quite a few" beers.

Several managers did not attend the outing, including Jerry Webb. Claimant knew of no supervisor who was fired, demoted, or reprimanded for not attending the outing.

During the outing, Mr. Jackson fell out of a golf cart and dislocated his shoulder. He was taken to the hospital by Steve Alderson, the production manager, Mr. Ries the IT manager, and Jeff Bowsa, Mr. Jackson's neighbor. Claimant testified he decided to go to the hospital after talking to Mr. Alderson and Mr. Reis. However, Claimant had no direct order to proceed to the hospital from Mr. Jackson or Mr. Alderson, his immediate supervisors.

Claimant testified he was involved in a one car automobile accident between 1:00 p.m. and 2:00 p.m. while traveling to the hospital. [3] Claimant was in a coma following the accident and has no memory of the accident or what happened immediately following it. He did not recall drinking in the car or leaving the outing with beer. His next recollection was being at St. John's Hospital with his parents a month after the accident. Claimant was told he was in the hospital due to injuries he sustained in a motor vehicle accident. Claimant sustained a fractured left hip, ribs, head injury, and collapsed lung which was repaired. Claimant received his full salary while he was off work.

Claimant has not received any medical treatment since being released from the hospital. He has no physician imposed work restrictions on his ability to push, pull, sit or stand.

Claimant testified he received two demotions after he returned to work. However, he chose not to return to his former job because he did not want responsibility for the entire shift. He transferred to the shipping department but was unable to perform the work. Claimant later worked as a receiving supervisor for eleven months until he decided to work for a different Employer.

Claimant returned to work for Finley Industries as a second shift supervisor. He next worked ten months for Johnson Marcraft building air conditioning units, before being terminated for poor performance. Claimant drove a forklift for seven months for True Fitness before being fired for not reporting an absence. Claimant has worked for The Home Depot for five years, earning raises and receiving satisfactory performance reviews.

Current complaints include left hip, rib pain and headaches. He has difficulty sitting for long periods and has short term memory loss. He adjusts for memory loss by writing reminders on post-it notes. He takes over the counter medications for headaches, and wears a left shoe spacer for stability.

Initially Claimant's medical expenses were covered by his wife's insurance. However, after leaving Employer, Claimant testified his subsequent employers would not cover his pre-existing conditions.

Jerry Webb is a quality engineer for Employer. In 1997, he was a second shift supervisor at the Bridgeton facility and reported to Claimant. He understood the 1997 golf outing was a going away party for Mr. Jackson and salaried staff were invited. No emails or written invitations were circulated before or after the event. He did not attend the outing. Mr. Webb was not informed that attendance was mandatory by Mr. Jackson, Mr. Alderson, or the Claimant. Mr. Webb was not demoted or reprimanded for not attending. Mr. Webb testified he knew of other employees that missed the outing but were not demoted or reprimanded for failing to attend.

He did not specifically recall a July 18, 1997 staff meeting, but testified daily meetings were held. He did not recall Mr. Jackson stating the golf outing was mandatory. Mr. Webb testified he would have attended any mandatory meeting.

Deposition Testimony

Joseph Hanaway, M.D., a neurologist, examined Claimant in July 2002 at the request of Claimant's attorney, for head injuries sustained in the 1997 automobile accident. Claimant displayed coordination problems. Dr. Hanaway diagnosed retentive memory problems, or short term memory loss. He found the July 1997 motor vehicle accident was the substantial factor in the development of Claimant's condition. Dr. Hanaway recommended a sec

Full decision text continues in the plain-text archive copy.

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