United States Department of Labor

Employees’ Compensation Appeals Board

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A.F., Appellant

and

U.S. POSTAL SERVICE, PROCESSING & 

DISTRIBUTION CENTER, St. Louis, MO, 

Employer

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Docket No. 20-0525

Issued: September 14, 2020

Appearances: Case Submitted on the Record

Appellant, pro se

Office of Solicitor, for the Director

DECISION AND ORDER

Before:

ALEC J. KOROMILAS, Chief Judge

JANICE B. ASKIN, Judge

VALERIE D. EVANS-HARRELL, Alternate Judge

JURISDICTION

On January 8, 2020 appellant filed a timely appeal from a November 25, 2019 merit 

decision of the Office of Workers’ Compensation Programs (OWCP). Pursuant to the Federal 

Employees’ Compensation Act1(FECA) and 20 C.F.R. §§ 501.2(c) and 501.3, the Board has 

jurisdiction over the merits of this case.2

 

1 5 U.S.C. § 8101 et seq.

2 The Board notes that following the November 25, 2019 decision, OWCP received additional evidence. However, 

the Board’s Rules of Procedure provides: “The Board’s review of a case is limited to the evidence in the case record 

that was before OWCP at the time of its final decision. Evidence not before OWCP will not be considered by the 

Board for the first time on appeal.” 20 C.F.R. § 501.2(c)(1). Thus, the Board is precluded from reviewing this 

additional evidence for the first time on appeal. Id.
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ISSUE

The issue is whether appellant has met her burden of proof to establish an emotional 

condition while in the performance of duty, as alleged.

FACTUAL HISTORY

On August 6, 2019 appellant, then a 56-year-old clerk, filed an occupational disease claim 

(Form CA-2) alleging that she experienced chest pain, presyncope, and tachycardia as a result of 

harassment from her supervisor. She explained: “supervisor aggravated me to a point(s) where 

blood pressure/heartburn.” Appellant indicated that she first became aware of her condition and 

realized its relationship to her federal employment on July 26, 2019. She stopped work on July 26, 

2019 and returned on July 29, 2019.

OWCP received an employing establishment accident report form, which noted a date of 

injury of July 26, 2019.

On July 26, 2019 appellant received medical treatment in the hospital emergency room 

from Dr. Neil David McCormack, who specializes in emergency medicine. Discharge instruction 

sheets noted diagnoses of chest pain, unspecified type, presyncope, and tachycardia.

In a July 26, 2019 hospital record, Dr. Cory Cheatham, an internist, related appellant’s 

complaints of rapid heart rate, chest pain, and presyncope. He recounted that appellant was 

working when she suddenly felt dizzy and started to have chest pain and palpitation. Appellant 

had indicated that she was recently stressed at work. Dr. Almajali reviewed appellant’s history 

and reported that an abnormal electrocardiogram (ECG) was suggestive of atrioventricular nodal 

reentry tachycardia (AVNRT).

In an August 20, 2019 progress note, Dr. Ahmed A. Hussein, a Board-certified internist 

who specializes in cardiology, related that appellant was initially treated in the hospital emergency 

department on July 26, 2019 because of an episode of supraventricular tachycardia, likely 

AVNRT, associated with dizziness and chest discomfort. Cardiovascular examination was 

positive for palpitations. Dr. Hussein reported diagnosis of presyncope and recommended an 

AVNRT ablation procedure. He provided a letter indicating that appellant was seen in cardiology 

and was being scheduled for an ablation in the upcoming weeks. 

In a development letter dated September 11, 2019, OWCP informed appellant that the 

evidence of record was insufficient to establish her claim. It advised her of the type of medical 

and factual evidence necessary to support her claim and provided a questionnaire for her 

completion. In a similar letter of even date, OWCP requested additional information from the 

employing establishment. It afforded both parties 30 days to submit the requested information.

On September 19, 2019 OWCP received an undated and unsigned completed development

questionnaire from the employing establishment. It indicated that on July 26, 2019 appellant’s 

supervisor instructed her to report to the second floor to work on waste mail, which required 

appellant to sit and finger through trays of mail.
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In a September 20, 2019 letter and report, Dr. Carmel Boykin-Wright, a Board-certified 

internist, related that appellant was seen for follow-up examination and cardiology consultation 

due to syncope and supraventricular tachycardia. She noted that appellant had an abnormal ECG 

and reported that appellant suffered from AVNRT.

In a September 20, 2019 response to OWCP’s development letter, appellant explained that 

on July 26, 2019 she was working the 6:00 a.m. to 2:30 p.m. shift throwing mail in manual flats 

when Supervisor C.H. came to the unit. She reported that C.H. first stared at her and then told her 

to apply the dates on the cages behind her because they had no dates on them. Appellant asserted 

that C.H. was supposed to perform that task as she was on limited light duty. She further alleged 

that C.H. had been bullying and harassing her for over a year and that this incident was just another 

attempt. Appellant explained that when she went to sit down in the room to start throwing mail

the room got dark, and when she got up and walked to the nearby telephone she felt her heart 

beating fast. She related that she was brought to the second floor where a safety captain took her 

vitals and put her on a breathing unit and she was eventually taken to the hospital emergency 

department. Appellant also explained that she did not file the claim on time because she thought 

that the paperwork was filed by C.H.

OWCP received additional hospital records, including a hospital billing statement dated 

September 11, 2019.

In a July 26, 2019 emergency department note, Dr. Steven D. Elster, a Board-certified 

internist who specializes in emergency medicine, recounted that appellant was standing up and 

working at the employing establishment when she began to experience dizziness, chest pain, and 

palpitations. Appellant noted that she had some recent stress due to difficulties with her supervisor 

at work. Dr. Elster reviewed appellant’s history and conducted a physical examination. He 

diagnosed chest pain with palpitations and admitted appellant for additional testing.

In a July 26, 2019 cardiology consultation note, Dr. Michael Peterson, a Board-certified 

internist who specializes in cardiovascular disease and clinical cardiac electrophysiology, 

indicated that appellant was evaluated for complaints of chest pain and elevated troponin. 

Appellant related that she was at work around 8:00 a.m. when she began to experience chest pain 

that lasted for two to three hours. Dr. Peterson provided examination findings and reviewed 

appellant’s laboratory results and abnormal ECG findings.

In a September 19, 2019 letter, Dr. Nabil Ahmad, Board-certified in physical medicine and 

rehabilitation and pain medicine, recommended that appellant be excused from work for 11 

specific dates due to her current medical condition. 

In an October 4, 2019 work status note, Dr. Ahmad related that appellant was seen in his 

office that day and could return to work on October 7, 2019. 

OWCP received a statement dated September 22, 2019 from appellant. Appellant reported 

that she had a pending Equal Employment Opportunity Commission (EEOC) complaint against 

Supervisor C.H. and that C.H. continued to harass and bully her. She asserted that the development 

of her claimed condition all contributed to C.H. constantly harassing her. Appellant noted that she 
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did not have a history of coronary artery disease and that she first experienced cardiac symptoms 

on July 25, 2019 after dealing with C.H. at work.

Appellant included a copy of an August 16, 2018 letter from the EEOC, which informed 

appellant of the name of the investigator who was assigned to her claim.

In an October 30, 2019 letter, Dr. Hussein indicated that appellant was in need of a cardiac 

procedure that was scheduled for November 6, 2019. He noted that she would need at least six 

days of recovery time after the procedure and could return to work on November 12, 2019.

By decision dated November 25, 2019, OWCP denied appellant’s claim, finding that the 

evidence of record was insufficient to establish that appellant actually experienced the alleged

employment factors. It explained that there was no evidence to corroborate that appellant was 

bullied or harassed by her supervisor.

LEGAL PRECEDENT

To establish an emotional condition causally related to factors of his or her federal 

employment, appellant must submit: (1) factual evidence identifying and supporting employment 

factors or incidents alleged to have caused or contributed to his or her condition; (2) rationalized 

medical evidence establishing that he or she has an emotional condition or psychiatric disorder; 

and (3) rationalized medical opinion evidence establishing that his or her emotional condition is 

causally related to the identified compensable employment factors.3

Workers’ compensation law does not apply to each and every injury or illness that is 

somehow related to an employee’s employment.4 There are situations where an injury or illness 

has some connection with the employment, but nevertheless does not come within the concept or 

coverage under FECA.5 When disability results from an emotional reaction to regular or specially 

assigned work duties or a requirement imposed by the employment, the disability is deemed 

compensable.6 However, disability is not compensable when it results from factors such as an 

 

3 G.R., Docket No. 18-0893 (issued November 21, 2018); George H. Clark, 56 ECAB 162 (2004); Kathleen D. 

Walker, 42 ECAB 603 (1991).

4 L.Y., Docket No. 18-1619 (issued April 12, 2019); L.D., 58 ECAB 344 (2007).

5 W.F., Docket No. 17-0640 (issued December 7, 2018); David Apgar, 57 ECAB 137 (2005).

6 Pamela D. Casey, 57 ECAB 260, 263 (2005); Lillian Cutler, 28 ECAB 125, 129 (1976). In the case of Lillian 

Cutler, the Board explained that there are distinctions as to the type of employment situations giving rise to a 

compensable emotional condition under FECA. When an employee experiences emotional stress in carrying out his 

or her employment duties, and the medical evidence establishes that the disability resulted from an emotional reaction 

to such situation, the disability is generally regarded as due to an injury arising out of and in the course of employment. 

This is true when the employee’s disability results from his or her emotional reaction to a special assignment or other 

requirement imposed by the employing establishment, or by the nature of the work.6 On the other hand, when an 

injury or illness results from an employee’s feelings of job insecurity per se, fear of a reduction-in-force or his or her 

frustration from not being permitted to work in a particular environment, unhappiness with doing work, or frustration 

in not given the work desired, or to hold a particular position, such injury or illness falls outside FECA’s coverage 

because they are found not to have arisen out of employment.
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employee’s fear of reduction-in-force, or frustration from not being permitted to work in a 

particular environment or to hold a particular position.7 

For harassment or discrimination to give rise to a compensable disability under FECA, 

there must be evidence which establishes that the acts alleged or implicated by the employee did, 

in fact, occur.8 Mere perceptions of harassment or discrimination are not compensable under 

FECA.9 A claimant must substantiate allegations of harassment or discrimination with probative 

and reliable evidence.10 Unsubstantiated allegations of harassment or discrimination are not 

determinative of whether such harassment or discrimination occurred.11

ANALYSIS

The Board finds that appellant has not met her burden of proof to establish an emotional 

condition while in the performance of duty, as alleged.

Appellant alleged that on July 26, 2019 she experienced chest pain and palpitations as a 

result of her supervisor, C.H., harassing and bullying her. As noted above, to establish a claim for 

harassment under FECA, a claimant must substantiate allegations of harassment or discrimination 

with probative and reliable evidence.12 In support of her claim, appellant submitted a letter 

indicating that she had filed an EEOC complaint and had been assigned an investigator. The Board 

notes, however, that the record does not contain a final EEO decision finding that the employing 

establishment committed error or abuse.13 Appellant has not provided corroborating evidence to 

establish that C.H. bullied and harassed her on July 26, 2019. Furthermore, the employing 

establishment denied that such bullying and harassment occurred as alleged by appellant. As such, 

the Board finds that she has not established harassment as a compensable factor of employment.14

Appellant, therefore, has not established any compensable employment factors under 

FECA and, therefore, has not met her burden of proof to establish that she sustained an emotional 

condition in the performance of duty. As such, the Board need not consider the medical evidence 

of record.15

 

7 Lillian Cutler, id.

8 O.G., Docket No. 18-0350 (issued August 7, 2019); K.W., 59 ECAB 271 (2007).

9 A.E., Docket No. 18-1587 (issued March 13, 2019); M.D., 59 ECAB 211 (2007); Jack Hopkins, Jr., 42 ECAB 

818, 827 (1991).

10 J.F., 59 ECAB 331 (2008); Robert Breeden, 57 ECAB 622 (2006).

11 T.Y., Docket No. 19-0654 (issued November 5, 2019); G.S., Docket No. 09-0764 (issued December 18, 2009).

12 Supra note 10.

13 R.B., Docket No. 19-1256 (issued July 28, 2020); J.E., Docket No. 17-1799 (issued March 7, 2018).

14 See G.M., Docket No. 17-1469 (issued April 2, 2018). 

15 M.A., Docket No. 19-1017 (issued December 4, 2019); A.K., 58 ECAB 119 (2006).
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Appellant may submit new evidence or argument with a written request for reconsideration 

to OWCP within one year of this merit decision, pursuant to 5 U.S.C. § 8128(a) and 20 C.F.R. 

§§ 10.605 through 10.607.

CONCLUSION

The Board finds that appellant has not met her burden of proof to establish an emotional 

condition while in the performance of duty, as alleged.

ORDER

IT IS HEREBY ORDERED THAT the November 25, 2019 decision of the Office of 

Workers’ Compensation Programs is affirmed.

Issued: September 14, 2020

Washington, DC

Alec J. Koromilas, Chief Judge

Employees’ Compensation Appeals Board

Janice B. Askin, Judge

Employees’ Compensation Appeals Board

Valerie D. Evans-Harrell, Alternate Judge

Employees’ Compensation Appeals Board