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Dennis Carver v. Delta Innovative Services, Inc.

Decision date: July 22, 201120 pages

Summary

The Commission affirmed the Administrative Law Judge's award finding that Dennis Carver sustained a compensable work-related injury on October 1, 2007, while carrying felt up a ladder, and is entitled to temporary total disability benefits and past medical expenses. The employee's compensation was subject to a maximum 50% reduction due to willful violation of safety rules, but the employer and insurers remain obligated to provide future medical treatment.

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Caption

FINAL AWARD ALLOWING COMPENSATION (Affirming Award and Decision of Administrative Law Judge by Supplemental Opinion)
Injury No.: 07-134522
Employee:Dennis Carver
Employer:Delta Innovative Services, Inc.
Insurers:1) Midwest Builders’ Casualty Mutual Company
2) American Home Assurance Company
Additional Party:Treasurer of Missouri as Custodian of Second Injury Fund
The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission (Commission) for review as provided by § 287.480 RSMo. Having reviewed the evidence, read the briefs, heard the parties’ arguments 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 Law. Pursuant to § 286.090 RSMo, the Commission affirms the award and decision of the administrative law judge dated September 24, 2010, as supplemented herein.
IntroductionThe issues stipulated in dispute at the hearing were: (1) whether employee sustained an accident arising out of and in the course of his employment in Kansas City, Jackson County, Missouri; (2) whether employer had notice of employee’s accident; (3) whether employee is entitled to past temporary total disability for the period October 13, 2007 to January 4, 2008, and June 25, 2008 to November 4, 2009; (4) whether employee is entitled to past medical expenses of $63,859.05; (5) the nature and extent of employee’s disability; (6) liability of the Second Injury Fund; (7) whether employee is entitled to future medical treatment; and (8) whether a penalty for safety violations should be imposed.The administrative law judge made the following findings: (1) employee sustained an accident arising out of and in the course of his employment with employer while carrying a roll of felt up a ladder on the Federal Reserve project on October 1, 2007; (2) employee’s need for medical treatment and his resulting disability were a direct result and natural consequence of employee’s October 1, 2007, accident; (3) employee provided notice to his employer as required by statute; (4) employee is entitled to temporary total disability benefits from October 13, 2007 through January 4, 2008, and June 25, 2008 through December 2, 2009, in the amount of $64,720.62; (5) employee is entitled to his past medical expenses; (6) employee is permanently and totally disabled as a result of the October 1, 2007, injury considered in isolation; (7) employee willfully violated a safety rule and his compensation is subject to the maximum reduction of 50% under § 287.120.5 RSMo; and (8) employer and insurer are obligated to provide future medical treatment to employee under § 287.140 RSMo.

Employee: Dennis Carver

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Employee filed an Application for Review alleging the administrative law judge erred in reducing employee's compensation pursuant to § 287.120.5 RSMo.

Employer and its insurer American Home Assurance Company filed an Application for Review alleging the administrative law judge erred: (1) in finding employee met his burden of proving he sustained a compensable injury arising out of and in the course of his employment on October 1, 2007; (2) in finding employee provided notice of his October 1, 2007, accidental injury to the employer as required by statute; and (3) in failing to address whether the employer and American Home Assurance Company are entitled to reimbursement for benefits paid pursuant to employee's claim in another jurisdiction.

Employer and its insurer Midwest Builders' Casualty Mutual Company filed an Application for Review seeking modification of the Award to: (1) reflect payments for medical treatment and temporary total disability benefits on behalf of employer to employee; and (2) address the fact that the date of accident of October 1, 2007, shifts liability from Midwest Builders' Casualty Mutual Company to American Home Assurance Company. The Application for Review also asks us to credit past payments made by employer and to order reimbursement by the responsible carrier American Home Assurance Company to Midwest Builders' Casualty Mutual Company.

We agree with the result reached by the administrative law judge, but find her analysis incomplete on the issue of notice. We write this opinion to address the issue of notice and also to respond to the request from employer and Midwest Builders' Casualty Mutual Company for a credit or reimbursement of past payments to employee in connection with employee's claim in another jurisdiction.

Discussion

Employee's claim is not barred by § 287.420 RSMo

Employer argues that the administrative law judge improperly concluded that employee provided notice of his work injury to the employer as required under § 287.420 RSMo. That section provides, in pertinent part, as follows:

No proceedings for compensation for any accident under this chapter shall be maintained unless written notice of the time, place and nature of the injury, and the name and address of the person injured, has been given to the employer no later than thirty days after the accident, unless the employer was not prejudiced by failure to receive the notice.

The purpose of the foregoing section is to give the employer timely opportunity to investigate the facts surrounding the accident and, if an accident occurred, to provide the employee medical attention in order to minimize the disability. Soos v. Mallinckrodt Chem. Co., 19 S.W.3d 683, 686 (Mo. App. 2000), overruled on other grounds by Hampton v. Big Boy Steel Erection, 121 S.W.3d 220, 224 (Mo. banc 2003). By operation of the foregoing section, employee was required to provide written notice to the employer within 30 days of the accident, or show that the employer was not prejudiced by the employee's failure to provide timely notice.

The administrative law judge found that employee provided notice to employer "as required by statute." This finding is not supported by the record. To the contrary, it is effectively undisputed ${ }^{1}$ that employee did not provide a written notice to employer that met each of the criteria of $\S 287.420$ RSMo. See Allcorn v. Tap Enters., 277 S.W.3d 823, 830 (Mo. App. 2009). The administrative law judge did make certain findings that are relevant to the question whether employer was prejudiced by employee's failure to provide notice in the form required by statute, but did not clearly apply the appropriate burden-shifting analysis.

We find that employee failed to provide written notice to employer as required under $\S 287.420$. Thus, the question is whether employee demonstrated that employer was not prejudiced by his failure to provide statutory notice. In order to answer this question, we first examine the record to determine whether employee has provided substantial evidence that employer had actual knowledge of the accident.

The most common way for an employee to establish lack of prejudice is for the employee to show that the employer had actual knowledge of the accident when it occurred. If the employer does not admit actual knowledge, the issue becomes one of fact. If the employee produces substantial evidence that the employer had actual knowledge, the employee thereby makes a prima facie showing of absence of prejudice which shifts the burden of showing prejudice to the employer.

However, when the claimant does not show either written notice or actual knowledge, the burden rests on claimant to supply evidence and obtain the Commission's finding that no prejudice to the employer resulted. If no such evidence is adduced, we presume that the employer was prejudiced by the lack of notice because it was not able to make a timely investigation.

Soos, 19 S.W.3d at 686 (citations omitted).

Employee testified as follows: Employee talked to Danny Boyle, his supervisor and employer's owner, on the morning of October 3, 2007, two days after the accident, and told him he hurt his back. On October 6, 2007, employee called Mr. Boyle to ask off work, citing back pain. Employee was still waiting at that point to see whether he had seriously injured his back or just strained it. Employee's back pain got worse but employee tried to go back to work. On October 12, 2007, employee was on the jobsite when his back began to hurt so bad that all he could do was go down his ladder and get in his work truck. Employee sought medical treatment. On October 18, 2007, employee learned from Dr. Drisko that he had a herniated disk; employee called Mr. Boyle that same day to report the diagnosis of his work injury and to ask for medical treatment from employer.

[^0]

[^0]: ${ }^{1}$ Employee appears to ignore the statutory requirement of written notice and argues that our inquiry should end, like that of the administrative law judge, with a finding that employee delivered actual notice to employer. If that were the appropriate analysis under the statute, we would have no reason to issue this supplemental opinion. In any case, employee directs us to no evidence that would show employee did provide a written notice that met all the requirements of $\S 287.420$, under a strict construction of that section.

Employee's testimony was detailed, sequential as to dates and events, and easy to follow. We note that Mr. Boyle testified he had no reason to dispute that he spoke to employee on the morning of October 3, 2007. We find employee credible as to the version of events set forth above. We find that employee told Mr. Boyle about his back injury on October 3, 2007, and again on October 18, 2007, after receiving the diagnosis from Dr. Drisko. It is well settled that notice of a potentially compensable injury acquired by a supervisory employee is imputed to the employer. Hillenburg v. Lester E. Cox Medical Ctr., 879 S.W.2d 652, 654-55 (Mo. App. 1994). Because employee provided actual notice of his back injury to Mr. Boyle on October 3, 2007, and again on October 18, 2007, we conclude that employer had actual knowledge of employee's work injury. Accordingly, the burden shifts to employer to demonstrate it was prejudiced by employee's failure to provide statutory notice.

We find no evidence to suggest employer was prejudiced by employee's failure to provide notice in the form required by statute. Mr. Boyle was aware of employee's back problems only two days after the accident, and employee kept him informed as his condition deteriorated in subsequent days. As a result of this clear and ongoing communication between employee and Mr. Boyle, employer had employee examined by its treating doctors at Concentra on October 19, 2007, only eighteen days after the accident. Employer was thereby able to minimize the impact of employee's injuries and to have him evaluated by its physicians. We are not persuaded that employer was prejudiced by any of the confusion over the location that employee was working when he hurt his back. Even if all parties had understood from the beginning that the injury occurred on the Federal Reserve job, there were no witnesses to interview regarding the accident because Jeremy Reno was working on a different part of the building and did not witness employee carrying the felt roll up the ladder. More importantly, Mr. Boyle acknowledged that it goes with the territory in roofing to have days when an employee thinks he tweaked his back and that it is not abnormal for employees to assume such routine aches and pains will get better on their own, and that he has no reason to think employee is lying when employee says he hurt himself carrying something heavy up a ladder. Especially given that Mr. Boyle feels he has no reason to doubt employee's version of the accident, we cannot say employer was prejudiced by any confusion over the exact location where employee was injured.

Accordingly

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

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