Skip to content
Ott Law Firm

Jessica Brame v. Applebee's

Decision date: November 17, 200914 pages

Summary

The Commission reversed the Administrative Law Judge's decision and found that the employee's injuries from a coworker's assault arose out of and in the course of employment, as the assault resulted from work friction rather than being of neutral origin. The assault occurred when the coworker followed the employee home and attacked her after an altercation at work, making the claim compensable for temporary total disability, past medical expenses, and permanent partial disability benefits.

Archive Notice

This archive contains published Missouri Labor and Industrial Relations Commission workers' compensation decisions reproduced for research convenience. Official source links remain authoritative where provided. Joseph Ott, Attorney 67889, Ott Law Firm - Constant Victory - Personal Injury and Litigation maintains these public legal archives to support Missouri case research and to help prospective clients connect that research to the firm's courtroom practice.

Related Legal Help

Practical guidance for this decision

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 ALLOWING COMPENSATION (Reversing Award and Decision of Administrative Law Judge)
Employee:Jessica Brame
Employer:Applebee’s
Insurer:Zurich American Insurance Co.
This cause has been submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by § 287.480 RSMo. We have reviewed the evidence and briefs, heard the parties' arguments and considered the whole record. Pursuant to § 286.090 RSMo, we reverse the award and decision of Administrative Law Judge John A. Tackes dated April 29, 2009. The award and decision of the administrative law judge is attached and incorporated to the extent it is not inconsistent with our findings, conclusions, decision and award herein.
Preliminaries Employee filed a claim for compensation for injuries she sustained when a co-worker assaulted her as she stepped out of her car after returning home from work. The assault occurred on October 10, 2005. The administrative law judge heard this matter to determine: 1) whether employee’s injuries arose out of and in the course of her employment; 2) employer/insurer's liability for temporary total disability benefits; 3) employer/insurer's liability for past medical expenses; and 4) employer/insurer's liability for permanent partial disability benefits. The administrative law judge found that employee’s injuries did not arise out of and in the course of her employment and, therefore, found that the claim is not compensable. Employee filed an Application for Review. The threshold issue is whether employee’s injuries arose out of and in the course of her employment. All other issues are dependent upon that determination.
Findings of Fact
Assault The administrative law judge found the assault on the employee in this case was of a neutral origin and that it was irrational, unexplained or accidental. We disagree. After considering all of the evidence, we find that the assault was the result of work friction. On October 10, 2005, there was an altercation at work that was originally based upon a co-worker’s, Kenyatta Wooden’s, decision to quit her job. The incident began with a dispute between Ms. Wooden and a manager. Ms. Wooden kicked the manager and later turned her aggression towards a sixteen year-old co-worker. Employee stepped in between Ms. Wooden and the sixteen year-old co-worker in an effort to prevent Ms. Wooden from assaulting the co-worker. Following this commotion, Ms. Wooden left the premises. However, after employee got off work, Ms. Wooden followed her home and assaulted her as soon as employee got out of her car.

Employee: Jessica Brame

Ms. Wooden initially punched employee in the face and they began fighting. The majority of the fight took place on the ground and employee testified that they fought for approximately five minutes. Employee stated that as the fight wound down she got off of Ms. Wooden and went to her car to pick up her things. At that point, Ms. Wooden got in her car and struck employee with it. Employee testified that she rolled up on the hood of Ms. Wooden's car and then Ms. Wooden hit the brakes, causing employee to be flung off the hood, into another car, and onto the ground. Ms. Wooden then drove off.

Employee and Ms. Wooden had no interaction between the time Ms. Wooden left work and the time she arrived outside of employee's home and began assaulting her.

Employee's relationship with Ms. Wooden was limited strictly to their time working together at Applebee's. They never did anything together outside of work. There was no evidence that the assault was private nor was anything said between employee and Ms. Wooden which indicated any type of unrelated problem existed between them.

If employee and Ms. Wooden had a relationship outside of work, there might be, at most, a weak argument that this assault was spawned by something unrelated to the altercation at work. However, all the testimony indicated that employee and Ms. Wooden did not associate at all outside of work. There is no evidence that this assault was the result of anything other than the altercation that occurred at work.

Employee stopped an altercation involving Ms. Wooden at work and was attacked at the first opportunity by Ms. Wooden thereafter. We find that employee's risk was directly attributable to her employment, because the only altercation that could have motivated Ms. Wooden to attack employee occurred at work when employee stopped Ms. Wooden from assaulting another co-worker. When the facts, as in this case, are not in dispute, we are permitted to make such an inference. See Adams v. Continental Life Insurance Company, 101 S.W.2d 75, 82 (Mo. 1937).

See also, Keithly v. Stone \& Webster Engineering Corp, 49 S.W.2d 296 (Mo. App. 1932). The Keithly court examined evidence similar to the evidence before us and concluded that an assault was connected with and pertained to employment where there was evidence of a disagreement about work and "[t]here [was] no evidence of any other foundation for the quarrel. Prior to the time the participants were friendly; there had been no strife or feud and no animosity arising from matters or subjects wholly independent of the work and purely personal to the individuals." Id., at 300.

Medical Evidence

Employee was knocked unconscious during the assault and was taken to Barnes Jewish Hospital. She was treated there for three fractures to her skull, three fractures to her right wrist (employee is right-handed), and a perforated right eardrum. She stayed the night at the hospital, and later returned for follow-up treatment and surgery on her wrist.

Employee testified that she has several lingering effects from her injuries. With regards to her right wrist, employee testified that she experiences pain in it when the weather changes. Employee also stated that she feels a pressure on her wrist when she lifts heavy things. Employee also stated that the injury caused her to lose full range of motion in her wrist. With regards to employee's head injuries, she testified that she has constant

Improvee: Jessica Brame

- 3 -

ringing in her ear and experiences headaches more often than she ever did before the assault.

Dr. Musich, at the request of employee's attorney, performed an independent medical evaluation on employee. Dr. Musich noted that employee complained of frequent right-sided headaches and tinnitus status post trauma. Employee complained that the tinnitus is uncontrollable and totally incapacitating. Dr. Musich noted subjective hearing loss, right greater than left. Employee related that she had never suffered from headaches, a skull fracture, tinnitus, or hearing loss prior to October of 2005.

With regards to employee's right wrist, Dr. Musich noted that employee had some diminished range of motion in her wrist. On physical examination, employee's maximum right hand grip strength was 58 lbs. with radial wrist pain. Employee's maximum left hand grip strength was 76 lbs. without pain.

Dr. Musich opined that employee is 35% permanently partially disabled of the right upper extremity rated at the wrist (61.25 weeks), and 25% permanently partially disabled of the body as a whole due to the closed head fracture, right temporal bone fracture, chronic tinnitus, hearing loss, and headaches (100 weeks).

Employer sent employee to Dr. Wayne for an independent medical evaluation. Dr. Wayne noted that employee complained of headaches, constant ringing in her right ear, and has been more irritable ever since the injury. The headaches last 1-2 hours at a time and usually resolve with taking Excedrin. On physical examination, Dr. Wayne noted some degree of diminished hearing in employee's right ear.

Dr. Wayne does not believe that employee sustained any significant ongoing sequelae or any evidence of persistent post-concussion syndrome.

Dr. Wayne noted, with regards to employee's right wrist, that the orthopedic follow-up notes indicate she has been making a good recovery. Employee has had extensive hand therapy and Dr. Wayne believes she would benefit from continued home exercises and stretches to maximize her range of motion at the wrist and to also maximize her strength.

Dr. Wayne opined that employee is 5% permanently partially disabled of the right upper extremity rated at the wrist (8.75 weeks). Dr. Wayne further opined that he would defer to the opinion of an ENT specialist with regards to any permanency regarding her tympanic membrane perforation and possible ongoing issues with her hearing. Dr. Wayne does not believe employee sustained any permanency in regards to the concussion she sustained, nor did she sustain any permanency in regards to the right temporal bone fracture.

Employer also sent employee to Dr. Mikulec for the purpose of evaluating employee's complaints of hearing loss and tinnitus. Dr. Mikulec opined that employee had 0% hearing loss in both her right and left ears. Dr. Mikulec opined that due to employee's tinnitus in her right ear employee is 0.5% permanent partially disabled of the body as a whole rated at her right ear (2 weeks).

Conclusions of Law

At the outset, we point out that the administrative law judge's reliance on Thompson v. Delmar Gardens of Chesterfield, Inc., 885 S.W.2d 780 (Mo. App. 1994) as precedent for determining whether the assault arose out of and in the course of the employment is misplaced. It is unclear if the reasoning of Thompson survived the 2005 amendments to the law, one of which specifically abrogated all case law interpretations of "arising out of" and "in the course of the employment" that predated the 2005 amendments. Section 287.020.10 RSMo. But we need not decide whether the reasoning survived. This case is distinguishable from Thompson because Thompson involved a neutral assault. We have already decided that the assault in the instant case grew out of work friction.

The parties have stipulated that the assault constituted an accident. The parties do not dispute that the assault caused the injuries for which employee claims compensation. We turn to $\S 287.020 .3(2)$ to determine if the injuries arose out of and in the course of employment such that they are compensable:

An injury shall be deemed to arise out of and in the course of the employment only if:

(a) It is reasonably apparent, upon consideration of all circumstances, that the accident is the prevailing factor in causing the injury; and

(b) It does not come from a hazard or risk unrelated to the employment to which workers would have been equally exposed outside of and unrelated to the employment in normal nonemployment life.

It is obvious and undisputed that the assault which took place on October 10, 2005, was the prevailing factor in causing employee's injuries, so subparagraph (a) is easily satisfied. Employee produced evidence that convinced us her injuries were the result of an assault springing from work friction. Specifically, employee's injuries arose because her co-worker acted violently in response to employee's successful efforts to prevent an assault in the workplace - efforts clearly in furtherance of employer's interest. The risk that was realized here was the possibility that the co-worker would react violently to employee's intervention. Employee's injuries did not come from a hazard or risk unrelated to employment. Subparagraph (b) is satisfied.

Employee's injuries suffered as a result of the October 10, 2005, assault arose out of and in the course of her employment.

Award

For the foregoing reasons, we reverse the award of the administrative law judge.

Employee has established that she is entitled to compensation.

Temporary Total Disability

Employee was off work for twelve weeks as a result of the fracture to her right wrist and problems with her ear. Employer is liable for employee's temporary total disability benefits for twelve weeks at the rate of $\ 164.55, as stipulated by the parties, for a total of $\ 1,974.60.

Pag

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

Related Decisions

The Commission reversed the administrative law judge's decision denying a workers' compensation claim, finding that the employee suffered a compensable accident on August 2, 2011, during an altercation with his supervisor. The decision rejected the ALJ's finding that the employee was the aggressor, noting the supervisor's history of initiating verbal and physical confrontations with subordinates.

assault8,010 words

The Labor and Industrial Relations Commission affirmed the administrative law judge's award allowing workers' compensation benefits for Sally D. Swartz, who was struck by a client on June 23, 2007, while employed at Nevada Habilitation Center. The Second Injury Fund was held liable for permanent total disability benefits of $238.31 per week beginning June 23, 2012.

assault2,976 words

The Commission affirmed the Administrative Law Judge's decision denying workers' compensation benefits to Georgia Goriola for an alleged attack by a facility resident. The claim was denied because the injury was determined not to arise out of and in the course of employment under Missouri workers' compensation law.

assault1,685 words
affirmed

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's award of workers' compensation benefits to Serafin Carpio for injuries sustained in an assault by a co-employee on February 23, 2005. The claimant was awarded $12,587.20 in total compensation, including unpaid medical expenses and permanent partial disability benefits representing 7.5% disability of the body as a whole.

assault2,812 words
affirmed

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's award of permanent total disability benefits to Earlene Smith for injuries sustained when she was assaulted by an unknown motorist on August 15, 2002, while in the course and scope of her employment. The Commission found the award was supported by competent and substantial evidence and in accordance with the Missouri Workers' Compensation Act.

assault6,339 words