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David Trimmer v. Johnson Controls, Inc.

Decision date: August 25, 201110 pages

Summary

The Labor and Industrial Relations Commission affirmed the Administrative Law Judge's award of workers' compensation benefits for David Trimmer's left shoulder injury sustained on September 9, 2003, while lifting heavy batteries at his workplace. The award includes unpaid medical expenses of $3,307.95 and is designated as temporary or partial, with proceedings kept open for final determination.

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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

TEMPORARY OR PARTIAL AWARD

(Affirming Award and Decision of Administrative Law Judge)

Injury No.: 03-147616

Employee: David Trimmer

Employer: Johnson Controls, Inc.

Insurer: Authorized Self-Insurer

The above-entitled workers' compensation case is submitted to the Labor and Industrial Relations Commission for review as provided by section 287.480 RSMo, which provides for review concerning the issue of liability only. Having reviewed the evidence and considered the whole record concerning the issue of liability, the Commission finds that the award of the administrative law judge in this regard is supported by competent and substantial evidence and was made in accordance with the Missouri Workers' Compensation Law. Pursuant to section 286.090 RSMo, the Commission affirms and adopts the award and decision of the administrative law judge dated February 17, 2011.

This award is only temporary or partial, is subject to further order and the proceedings are hereby continued and kept open until a final award can be made. All parties should be aware of the provisions of section 287.510 RSMo.

The award and decision of Chief Administrative Law Judge Nelson G. Allen, issued February 17, 2011, is attached and incorporated by this reference.

Given at Jefferson City, State of Missouri, this $\qquad 25^{\text {th }} \qquad$ day of August 2011.

LABOR AND INDUSTRIAL RELATIONS COMMISSION

William F. Ringer, Chairman

Alice A. Bartlett, Member

Curtis E. Chick, Jr., Member

Attest:

TEMPORARY OR PARTIAL AWARD

Employee: DAVID TRIMMER

Injury No. 03-147616

Employer: JOHNSON CONTROLS, INC.

Insurer: AUTHORIZED SELF-INSURER

Hearing Date: DECEMBER 20, 2010

Checked by: NGA

FINDINGS OF FACT AND RULINGS OF LAW

  1. Are any benefits awarded herein? Yes
  2. Was the injury or occupational disease compensable under Chapter 287? Yes
  3. Was there an accident or incident of occupational disease under the Law? Yes
  4. Date of accident or onset of occupational disease: SEPTEMBER 9, 2003
  5. State location where accident occurred or occupational disease was contracted: BUCHANAN COUNTY, MISSOURI
  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? Yes
  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: EMPLOYEE HAD TO LIFT HEAVY BATTERIES FROM A PALLET AND TRANSFER THEM TO AN ASSEMBLY LINE.
  12. Did accident or occupational disease cause death? No Date of death? N/A
  13. Part(s) of body injured by accident or occupational disease: LEFT SHOULDER
  14. Compensation paid to-date for temporary disability: NONE
  1. Value necessary medical aid paid to date by employer/insurer? $\ 282.55
  2. Value necessary medical aid not furnished by employer/insurer? $\ 347.05
  3. Employee's average weekly wages:
  4. Weekly compensation rate: $\$ 662.55 / \ 347.05
  5. Method wages computation: By Stipulation

COMPENSATION PAYABLE

  1. Amount of compensation payable:

Unpaid medical expenses:

$\ 3,307.95

Weeks of temporary total disability (or temporary partial disability)

TOTAL: $\quad \ 3,307.95

Each of said payments to begin SEPTEMBER 10, 2003 and to be payable and be subject to modification and review as provided by law. This award is only temporary or partial, is subject to further order, and the proceedings are hereby continued and the case kept open until a final award can be made.

The Employer is ordered and directed to provide the claimant with such medical treatment, including surgery, that is reasonable and necessary to cure and relieve the conditions caused by his occupational disease to his left shoulder.

IF THIS AWARD IS NOT COMPLIED WITH, THE AMOUNT AWARDED HEREIN MAY BE DOUBLED IN THE FINAL AWARD, IF SUCH FINAL AWARD IS IN ACCORDANCE WITH THIS TEMPORARY AWARD.

The compensation awarded to the claimant shall be subject to a lien in the amount of $\mathbf{2 5 \%}$ of all payments hereunder in favor of the following attorney for necessary legal services rendered to the claimant: DAVID W. WHIPPLE

FINDINGS OF FACT and RULINGS OF LAW:

Employee: DAVID TRIMMER

Injury No. 03-147616

Employer: JOHNSON CONTROLS, INC.

Insurer: AUTHORIZED SELF-INSURER

Hearing Date: DECEMBER 20, 2010

Checked by: NGA

ISSUES

Prior to presenting evidence, the parties stipulated the issues to be determined by this hearing are:

  1. Whether the claimant sustained an injury by occupational disease arising out of and in the course of employment;
  2. Whether the condition the claimant is complaining of was medically causally related to his alleged occupational disease;
  3. Was the claimant's claim barred by res judicata or collateral estoppel as a result of the decision in Injury No. 03-142166;
  4. What is the nature and extent of claimant's disability;
  5. Liability of the employer for past medical aid;
  6. Liability of the employer for present and future medical treatment;

The parties agreed that on September 9, 2003, David Trimmer was an employee of Johnson Controls Battery Division. The employer was operating under and subject to the provisions of the Missouri Workers' Compensation Law and was fully self-insured.

The parties further agreed that the Claimant had filed a timely Claim for Compensation. The correct rate of compensation is $\ 662.55 per week for temporary total disability and $\ 347.05 for permanent partial disability. No compensation has been paid. Medical aid has been provided in the amount of $\ 282.55. The claimant is asking for past medical aid in the amount of $\ 3,307.95.

Exhibits

Claimant offered the following exhibits which were admitted in evidence without objection, provided the depositions were admitted subject to objections contained in the depositions:

A. OHS Compare

B. Heartland Health - Dr. Bronson

C. Dr. Bruce Smith Medical

D. Health South Medical

E. Heartland Regional Medical Center Medical

F. Dr. Egea Rating

G. Employee's Statement of Injury

H. Employer's Investigation Report

I. Medical Bill Summary

J. Final Award Issued 03-142166

Employer/Insurer offered the following exhibits which were admitted into evidence without objection:

1 Dr. Egea 11/19/09 Deposition

2 Dr. Smith 5/18/09 Deposition

3 August 10, 2005 W/C Appeal Transcript in 03-142166

All objections contained in the admitted depositions are overruled unless otherwise noted.

Findings of Fact - Summary of the Evidence

The Claimant testified in person. He is 59 years old. He has been employed at Johnson Controls for 36 years.

The claimant works on an assembly line and must lift automotive batteries from a forklift pallet to the assembly line and then return the batteries to the skid. This is called "stacking on" and "stacking off".

He said he spent 75 % of his time in the stacking off battery process. This is manually picking up batteries and placing them on a skid three-to-four layers high. He would put one layer of batteries on the skid, then two sheets of wafer board between this and the next layer of batteries up to four layers high. There would be 54 to 66 batteries on a skid. Each battery weighed on average 80 pounds. He averaged 4,000 batteries a day. The total would fluctuate between the 3,600 to 4,500 batteries per day.

On August 10, 2009 in Injury Number 03-142166, Mr. Trimmer had a hearing with Johnson Controls, Inc., concerning the same parties, the same body part, the same date of

occurrence, the same proposed medical treatment, and much of the same medical evidence. In Injury Number 03-142166, the claimant attempted to establish an injury to his left shoulder that was caused by an accident (a fall) at work.

The claimant argues that the employer should be barred from raising the issue of res judicata because it did not raise the issue in its answer as an affirmative defense. The claimant is correct that res judicata is an affirmative defense, however, it was raised as an issue at the hearing and was litigated. See Snow vs. Hick's Brothers Chevrolet, Inc., 480 SW2d 97 (Mo.App. 1972) Pleading an affirmative defense of a workers' compensation case by way of an answer is not the exclusive manner in which a defense may be raised. It was enough of a defense to be litigated whether pled or not to preserve the issue. The claimant's attorney had to be aware of the issues of res judicata and collateral estoppels when he first investigated the case and it was not a surprise to him and he was not prejudiced by the failure to raise it in an answer.

In order for res judicata to apply the following four elements must be satisfied:

(1) the identity of the thing sued for; (2) the identity of the cause of action; (3) the identity of the parties to the action; and (4) the identity of the quality of the person for or against whom the claim is made.

The Employer argues that included within the doctrine of res judicata is the principle that the earlier judgment is conclusive not only as to matters actually determined in the prior action, but also as to other matters which could have been properly raised and determined therein. King General Contractors, Inc. v. Reorganized Church of Jesus Christ of Latter-day Saints, 821 S.W. 2d 495, 501 (Mo. en banc 1991). However a crucial component of the doctrine of res judicata in this regard is that the two actions must be on the same cause of action. Terre Du Lac Assoc., Inc. v. Terre Du Lac, Inc., 737 S.W. 2d 206, 212 (Mo. App. 1987); Curnutt v. Scott Melvin Transport, Inc., 903 S.W. 2d 184, 191 (Mo. App. 1995).

It is this component of res judicata that is the reason as to why res judicata is not applicable. While the parties are the same and the dates of injury are the same, the two claims are not the same. They are distinct and separate claims for which different evidence is required to establish them. Mr. Trimmer's first claim tried before this Court was presented as an accidental injury pursuant to R.S. Mo. §287.120. In this claim presently before the Court, Mr. Trimmer has alleged an occupational disease which is a distinct and separate claim pursuant to R.S. Mo. $\S 287.063 and \S 287.067$. Holaus v. William J. Zickell Company, 958 S.W. 2d 72, 77 (Mo. App. 1997). Because they are not the same cause of action, Mr. Trimmer was not required to raise his current claim with his original claim.

The case of Holaus v. William J. Zickell Company, supra, has some factual similarities to this case. In Holaus, the claimant initially filed a claim alleging that he had suffered a torn rotator cuff in his shoulder as a result of an altercation at work which caused his shoulder to hit a wall and thereby be injured. Almost four and a half years later, the claimant filed a second amended claim in which he then alleged an occupational disease due to repeated heavy lifting and carrying with an accident/incident date which was the same date as the altercation. The claimant's amended claim still contained the allegations of the altercation and resulting injury.

In response the employer/insurer raised the defense of the statute of limitations. Following a hearing the ALJ found that:

[A]lthough employee did show that he suffered an injury on that date, he did not prove that the particular blow he suffered on that date caused the torn rotator cuff with any reasonable degree of medical probability.

Id. at 77 .

The ALJ did not address whether the employee suffered from an occupational disease as he found the claim was barred by the statute of limitations. The claimant argued that the second amended claim related back to the original claim because he was simply amplifying the original claim and was not pleading a new cause of action. The ALJ disagreed, specifically finding that the new allegation of occupational disease represented a distinct and separate claim covered specifically under separate sections of the Missouri Workers' Compensation Law from that of an accidental injury. He

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

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