Court Opinion

ID: 4559031
Source: CourtListenerOpinion
Date Created: 2020-08-26 20:59:47.400375+00
Date Added: 2024-06-11T11:17:54.135501
License: Public Domain

FILED
                                                                                     October 16, 2014
                                                                                      T:\'COURTOF
                                                                                 WORKERS ' COMPE:\'SA TI0:\1
                                                                                         CLAIMS

                                                                                       Time: 9:05 A.\1
                   COURT OF WORKERS' COMPENSATION CLAIMS
                     DIVISION OF WORKERS' COMPENSATION

EMPLOYEE: Luciano Gonzales                             DOCKET #: 2014-06-0015
                                                       STATE FILE#: 57318/2014
EMPLOYER: ABC Professional Tree Services               DATE OF INJURY: July 1, 2014

INSURANCE CARRIER: American Zurich
Insurance Co.

                               EXPEDITED HEARING ORDER

         THIS CAUSE came before the undersigned Workers' Compensation Judge upon the Request
for Expedited Hearing filed by Luciano Gonzales (Employee). Considering the positions of the
parties, the applicable law, and all of the evidence submitted, the Court hereby finds as follows:

        On August 26, 2014, a Request for Expedited Hearing was filed with the Tennessee Court of
Workers' Compensation Claims, Division of Workers' Compensation, on behalf of Employee
pursuant to Tennessee Code Annotated section 50-6-239 to determine if the provision of temporary
disability and/or medical benefits is appropriate.

         The Court conducted a telephonic hearing on October 8, 2014. Employee participated with
his Counsel, Landon Lackey. ABC Professional Tree Services (Employer) and American Zurich
Insurance Company (Carrier) participated through their Counsel, Tamara Gauldin. Anthony Kelley
testified on behalf of the Employee. Rick Bentley testified on behalf of the Employer. Considering
the positions of the parties, the applicable law and all of the evidence submitted, the Court hereby
finds that Employee is not entitled to past medical expenses, future medical benefits, and temporary
total disability (TTD) benefits.

                                           ANALYSIS

                                              Issues

    1. Whether Employer has adequate grounds to deny Employee's claim based on the willful
       misconduct affirmative defense.

                                                 1
     2.   If not, whether Employer is obligated to pay for any past medical expenses, as well as
          additional medical care as recommended by a physician, and any past or current TTD
          benefits.

                                               Evidence Submitted

        Employee filed a Petition for Benefit Determination (PBD) on August 26, 2014 with
attachments. Contemporaneously with the issuance of the Dispute Certification Notice, Employee
filed a Request for Expedited Hearing on August 29, 2014. Attachments to the PBD not admitted
into evidence were added to the technical record but were not taken into consideration by the Court
as evidence 1•

          The Court has received and considered the following documents submitted by the parties:

          Exhibit 1: Employer's Position Statement, September 19, 2014; and,
          Exhibit 2: Employee's Position Statement, September 19, 2014. 2

          The Court received and considered as evidence the following documents:

          Exhibit 3: Form C-41, Wage statement.
          Exhibit 4: Climber Trimmer Proficiency Guidelines; and,
          Exhibit 5: Climber Trimmer Qualification Exam.

                                                 History of Claim

         The parties stipulated that the Date oflnjury is July 1, 2014 and that Employer had actual
notice of the injury. As a result of the accident, Employee broke his leg, was hospitalized for 11 days,
and required follow-up treatments for the injury. 3 The parties agreed that Employee's compensation
rate is $416.24.

      Employee is 27 years old and resides in Oak Grove, Kentucky. At the time of his injury,
Employee had been employed by Employer for almost two years as a "climber trimmer." He
acknowledged receiving training as to the safety rules required for this position. Specifically, he

I Employee attached the following: Request for Expedited Hearing; Forms C-20 (First Report of Injury) and C-23
(Notice of Denial); position statements from the parties; Declaration of Luciano Gonzales; and emails exchanged between
the parties. Employer's position statement included two attachments, the Climber Trimmer Proficiency Guidelines and
Climber Trimmer Qualification Exam. The Guidelines and Exam were subsequently admitted into evidence. However,
the forms, Employee's declaration and the emails were neither admitted into evidence nor were considered by the Court
in making its Order.
2 The position statements were marked as exhibits but were considered as argument rather than evidence.
3 Employee has not submitted medical records. Employee's Counsel stated they have made efforts to obtain the records,
but because they must use a third-party vendor, the process has been delayed. Nonetheless Employee's Counsel stated
that it was his belief that neither causation nor the provision of reasonable and necessary medical treatments were before
the Court at this time. Employer's Counsel responded that she could not speak to the extent ofEmployee's injury since
she had not seen the records, but did not disagree with Employee's Counsel regarding the issues presently before the
Court.

                                                            2
admitted to reviewing and initialing the "Climber Proficiency Guidelines" (Ex. 4) and successfully
completing the "Climber Trimmer Qualification Exam" (Ex. 5) in March and April of 2013.

        Employee testified that on the date of injury, he was under the supervision of a foreman
named, "Luis"4, who had worked in that role for two weeks or less. Luis could not speak English.
The remainder of the crew could not speak Spanish. On this particular day, the tree to which they
were assigned could have been trimmed using a hydraulic lift bucket. Employee said the hydraulic
was not working, "so they had me go and climb it." (Recorded transcript, 16:07) Employee said:

                 As I was going up to trim it, I was going to go all the way up and tie-
                 in, he [Luis] was rushing me, telling me in Spanish, "Andale, andale,
                 corte rapido," which means, "Cut really fast." Cut it, like, as I was
                 going up. So I did what he said."

(16:35) Although Employee's primary language is English, he knew enough Spanish to have
understood that Luis wanted him to hurry. As he was climbing and cutting, Employee accidentally
severed his lanyard and fell to the ground, suffering a fractured leg.

         Employee explained the normal climbing procedure. "Tying-in" means anchoring one's self
to the tree from the top or main trunk with a climbing line. On the date of the injury, Employee was
using only a safety belt/harness that hooks into a lanyard, which goes around the tree and moved
with him as he ascended the tree. He had been provided pole spikes to use to climb the tree.

         He explained that Luis was causing him to rush the job. Employee testified that, "I know the
rules." (19:00) He explained that employees are to tie-in to the climbing rope first before they cut.
They are not to cut while climbing upward. Employee acknowledged that he had never had an
accident before during his employment with Employer. (21: 16) He said, "I always tie-in because, you
know, I'm scared of falling. I'm not trying to hurt myself," (19: 11 ), and, "I'm not suicidal." (21: 19)
Employee was terminated three days after the accident for his failure to follow safety rules.

         On cross-examination, Employee testified that he knows very little Spanish, but that Luis
never said anything other than the three words mentioned above in Spanish. Employee stated, "I
know to go in and tie-in, but I was just listening to what my foreman was saying." (28:50) He
testified that he knew he was supposed to tie-in first, because he had been trained to tie-in. (29:28)
He learned that while earning his Employer-sponsored certification as a tree trimmer. Employee
denied having any awareness that Employer has a zero-tolerance policy for safety-rule violations, and
said he was listening to what his foreman was telling him to do. He is a "certified climber. I know
what I am doing." (34:53) Employee stated, "If he had not rushed me, I could've did things
differently," and that he would have tied-in. (39: 14)

       On redirect, Employee testified that the safety guidelines were brought up "not often."
(40:02) He said the foreman's role is to plan and lead how a job will be completed with safety in

4 Employee testified that he believed the supervisor/foreman's surname is Ramirez. Exhibit I, Employer's Position
Statement, identifies him as Luis Miranda. Employer's witness, Rick Bentley, said he did not know the
supervisor/foreman's surname, but believed it to be Ramirez as well.

                                                       3
mind, and that it is important to listen to the foreman, or that "the company will discipline you."
(41 :44) Employee stated, "I did what he said and I had an accident." (42:55)

        Employee's former co-worker, Anthony Kelly, testified on his behalf. Mr. Kelly, who is a
certified truck driver and not a tree trimmer, stated that he was one of three workers present on the
day of the injury. He recalled Luis, whom he said cannot speak English, saying, "Andale" to
Employee prior to his fall (53 :00) Mr. Kelly said the foreman's role is to provide safety information
before they begin a job, and that employees would be disciplined ifthey did not listen to the foreman.

         On cross-examination, Mr. Kelly said he had been terminated, for reasons unrelated to this
matter. He said that he actually saw Employee's fall, which was caused by Employee "trying to move
faster than he could." (58:07)

        Employer's only witness was Rick Bentley, Employer's Safety Director. He testified that he
is responsible for safety and training for the entire company. He said that employees are trained in
stages. At the end of every stage they are tested and must be "proficient" to move on to the next
stage. Training to be a climber lasts anywhere from sixty (60) days to six (6) months, followed by a
written exam. A passing score of the exam is eighty percent (80%). Incorrect answers are reviewed
and discussed.

        Mr. Bentley testified that OSHA regulations require tying-in any time a trimmer is higher
than four feet off the ground, but that Employer has a rule that trimmers be tied-in anytime they leave
the ground until they return to the ground. (1 :02:50) He opined that Employee's use of only the
safety lanyard was insufficient, because it is a secondary safety measure. Even when the safety
lanyard is used properly, the body can go limp and the trimmer can still fall. Before trimming, it is
mandatory to tie-in with a climbing line or "life line." There are two tie-ins, the climbing line and
the safety lanyard.

        The following questions were directed to Mr. Bentley on direct examination:

        Q. Have you had instances where employees have ascended or cut limbs and only used a
safety lanyard?
        A. In any situation we've had in the past where anybody violated a life-saving rule that
employee is terminated.
        Q. And you have in fact in the past terminated people for violating this safety rule?
        A. Yes, for violating life-saving rules, that's correct. (1 :06:57)

        Mr. Bentley testified further that there is no exception to the tie-in rule and employees will
be terminated if the life-saving rule is violated .. He said that nothing trumps Employer's safety rules.
He stated that all employees are trained in the "ABCs ofLife,"5 which explain the discipline policy
regarding safety rule violations. Employees must be able to recite the "ABCs of Life" before they are
allowed to work in the field.

5 This document was not introduced into evidence.

                                                    4
        On cross-examination, Mr. Bentley testified that he works from the home office in Texas, but
that much of his time is spent inspecting crews all over the country for Employer. He was neither
present when Employee's accident occurred, nor could he recall if he ever met Employee. He said
Employee made a choice not to tie in first. (1:21:21) He said all employees are given "stop work"
authority whenever they feel someone's safety is in jeopardy (1 :26:20), and that employees "quite
frequently" invoke it (1 :27: 12).

        On redirect, Mr. Bentley said it takes approximately 30 seconds to tie-in with the climbing
rope.

                                      Employee's Contentions

        Employee contends that he sustained an injury arising primarily out of and in the course and
scope of his employment. Employee avers that Employer has not satisfied its burden of proof
regarding willful misconduct, because it has not shown that there is strict adherence to safety rules on
worksites and Employee had a valid excuse for violating the safety rule. Employee argues that his
supervisor was instructing him to hurry the pace of his work, thereby implicitly directing him to
disregard safety rules. Employer's conflicting messages led to Employee's injury. Therefore
Employer should be responsible for: 1) all past and future medical expenses stemming from the
injury; 2) 14 weeks of past TTD benefits totaling $5,820.50, plus a 25% penalty; and future medical
and disability benefits until Employee reaches MMI.

                                      Employer's Contentions

        Employer asserts that Employee engaged in willful misconduct, because as a certified tree
trimmer he was fully aware ofEmployer's safety rule -the 100% tie-in policy. Employee received
training and successfully passed the exam. The rule cannot be classified as "ordinary" but rather is a
"life-saving rule," which Employee willfully violated. Employee's assertion that he was merely
obeying his supervisor is an attempt to divert the responsibility to someone else. Even ifEmployee's
supervisor did tell him to hurry that does not necessarily mean that the supervisor intended for
Employee to forego tying-in.

         Employer additionally questions whether case law defining willful misconduct still applies,
as it interpreted the statute prior to its 2013 amendments. Previous versions of the statute called for a
liberal construction in favor of employees, which does not apply to employees sustaining injuries on
or after July 1, 2014.

        Employer further asserted that since Employee has not submitted any medical records, he has
not satisfied his burden of proof regarding entitlement to past or future medical benefits or TTD
benefits. Employer contends that there is no evidence indicating whether Employee has been able to
work or has worked since the date or injury.

                            Findings of Fact and Conclusions of Law

                                              Standard Applied

                                                   5
         When determining whether to award benefits, the Judge must decide whether the moving
party is likely to succeed on the merits at trial given the information available. See generally, McCall
v. Nat'! Health Care Corp., 100 S.W. 3d 209,214 (Tenn. 2003). In a workers' compensation action,
pursuant to Tennessee Code Annotated section 50-6-239(c)(6), Employee shall bear the burden of
proving each and every element of the claim by a preponderance of the evidence. Employee must
show that the injury arose primarily out of and in the course and scope of employment. Tenn. Code
Ann. § 50-6-102(13)(2014). In the present case, there is no dispute that Employee's injury arose
primarily out of and in the course and scope of his employment.

                                              Factual Findings

       Employee was injured at work while trimming a tree on July 1, 2014. Employee was
ascending the tree wearing a safety harness and lanyard, but he did not tie-in to a climbing rope.
Employee's supervisor's primary language is Spanish. Employee's supervisor was telling him, in
Spanish, to hurry as he was climbing the tree. Employee was cutting a branch as he ascended and
accidentally cut the lanyard, causing him to fall.

        Employee had been adequately trained in all safety rules, including the necessity to tie-in at
all times. Employer has a 100% tie-in policy. Disregard of the rule is grounds for termination.
Employees may stop work if they believe they are being placed in an unsafe situation. Employees
may be disciplined if they fail to follow a supervisor's orders. Employee chose to disregard the tie-in
policy, resulting in the accident and injury. Employee has submitted no medical proof regarding his
InJUry.

                                        Application of Law to Facts

       Employer has satisfied its burden to deny Employee's claim based on the willful misconduct
affirmative defense.

        Tennessee Code Annotated section 50-6-110(a) provides that:

       No compensation shall be allowed for an injury or death due to:
          (1) The employee's willful misconduct;
          (2) The employee's intentional self-inflicted injury;
          (3) The employee's intoxication or illegal drug usage;
          (4) The employee's willful failure or refusal to use a safety device; .. ..

Tenn. Code Ann. § 50-6-110(a)(1)-(4)(2014). Employer relies on subparts (1) and (4) in defense
of this claim. As such, "If the employer defends on the ground that the injury arose in any or all
of the ways stated in subsection (a), the burden of proof shall be on the employer to establish the
defense." Tenn. Code Ann. § 50-6-110(b).

        As an initial matter, Employer's counsel argues that caselaw under previous versions of the
statute should not be controlling. The Court disagrees. The previous version of Tennessee Code

                                                   6
Annotated section 50-6-116 declared the Tennessee Workers' Compensation Act (Act) to be a
remedial statute and case law held that any reasonable doubt is to be construed in favor of the
employee. Phillips v. A & HConstr. Co., 134 S.W.3d 145, 150 (Tenn. 2004). The current version of
the same statute prohibits a remedial or liberal construction and calls for a fair and impartial
construction. See Tenn. Code Ann. § 50-6-116(2014). However, the Legislature did not amend
section 50-6-IIO(a)(l)-(4) when the Act was the subject of sweeping reform in 2013. In this
instance, prior case law is not only persuasive, but also controlling where the prior case decision is
not based solely or in pertinent part on the previous version of section 50-6-116. Therefore, in cases
where the Supreme Court has addressed an issue not based on the remedial nature or liberal
construction of the prior Act, this Court is bound by their analysis.

        The controlling case outlining the willful misconduct affirmative defense is Mitchell v.
Fayetteville Public Utilities, 368 S.W.3d 442 (Tenn. 2012). Importantly, the previous statutory
preference for an equitable construction and a remedial application played no role in that case's
outcome. Therefore, this Court is bound by its principles. See Goodman v. HBD Indus., 208 S.W.3d
373 (Tenn. 2006)

         The Supreme Court in Mitchell held that the employer could meet its burden to prove the
defenses of willful misconduct and willful failure or refusal to use a safety device without having to
show an element of perversity, but reiterated the requirement that it must prove that the employee's
conduct was willful. Mitchell, 368 S.W.3d at 453. In order to successfully defend a workers'
compensation claim on the basis o( willful misconduct, willful disobedience of safety rules, or
willful failure to use a safety device under Tennessee Code Annotated section 50-6-110(a), the
Mitchell Court adopted a four-step test: (1) the employee's actual, as opposed to constructive, notice of
the rule; (2) the employee's understanding of the danger involved in violating the rule; (3) the employer's
bona fide enforcement of the rule; and, (4) the employee's lack of a valid excuse for violating the rule. Id

        In Mitchell, the high Court upheld the employer's misconduct defense, holding the
employer had met its burden to prove that the employee's misconduct was willful. In that case, a
lineman for a utility company was injured while working on electric lines. The injured employee
was precluded from recovering benefits, because he was not wearing rubber gloves while working
around electricity when he was in a bucket lift. The Court held that the injured employee acted
with the requisite knowledge of the safety regulation, thus defeating his claim for benefits. The
Court found that an "established policy, clear and unequivocal, was known to the Employee," that
he had been fully aware of the danger, and that knew that the rule was enforced consistently by the
employer. !d. at 45 5. The Court held that the injured employee did not have a valid excuse for
the failure to use a safety appliance or device, which amounted to willfulness and constituted the
proximate cause ofhis injuries. Id

        In the present case, Employee clearly had actual knowledge of the 100% tie-in policy as
evidenced by his training and test scores in Exhibit 4, page 12, and Exhibit 5, page 6. The
Employee's own testimony evidenced a clear understanding of the danger involved in violating the
rule. He indicated that he was "scared of falling," and, "I am not trying to hurt myself." He had never
had an accident before and was "not suicidal." The uncontroverted proof of the Employer that the
rule was strictly enforced on a regular basis establishes "bona fide" enforcement.

                                                     7
       Therefore, the Court must analyze whether Employee's contention that he was rushed by his
foreman is a valid excuse for violating the safety rule of tying-in to the climbing rope before
beginning work (trimming tree limbs). In other words, as the Mitchell Court phrased it, does the
Employee have "a plausible explanation" for his failure to follow the requirement to tie-in to the
climbing rope? !d. at 452.

        Employee insists that pressure from his foreman to work quickly forced him to violate the
well-known safety rule. However, there is no proof that the foreman specifically insisted that the
safety rule be violated. In fact, the implication from the proof is that the foreman could not
communicate such a direct instruction due to a language barrier. Additionally the undisputed proof is
that the tie-in process took only 30 seconds to perform. Compliance with most safety rules would
involve some loss of speed in exchange for increased safety of operation.

        In this case, the established policy is clear. Employee certainly understood the reason for the
tie-in policy and appreciated the danger of avoiding that policy. Enforcement of the policy was
unchallenged by the Employee. Feeling "rushed" is simply not a plausible explanation for
noncompliance. Therefore, Employer has met its burden to prove the last element -- that Employee
lacked a valid excuse for violating the rule. Because Employer has successfully raised the willful
misconduct affirmative defense, this Court need not reach the issues regarding past medical
expenses, additional medical care and any past or current TTD benefits. 6

         IT IS, THEREFORE, ORDERED THAT:

              1) Employee's interlocutory request in this Expedited Hearing for temporary disability
                 benefits and medical benefits is denied at this time on the grounds that Employer has
                 successfully asserted the defense of willful misconduct. This is not a Final Order.

              2) This matter is set for Initial Hearing on November 13, 2014 at 9 a.m.

         ENTERED this the          Jj;_ day of October, 2014.

6 There was no proof offered on any of these elements at the hearing except for pleadings suggesting Employee's ll-day
hospitalization. If the Court were to have denied Employer's defense of willful violation of a safety rule, the only
temporary benefit awarded would have been for the period of the hospital stay, less the statutory exemption for the first
seven days of disability. See Tenn. Code Ann. § 50-6-205 (2014).

                                                           8
 Initial Hearing:
 An Initial Hearing has been set with Chief Judge Kenneth M. Switzer, Court of Workers
 Compensation. You must dial in at 615-532-9552 or 866-943-0025 toll free at to participate
 in your scheduled conference.
 Please Note: You must call in on the scheduled date/time to participate. Failure to call in may
 result in a determination of the issues without your further participation. All conferences are set
 using Central Time (CT).

 Right to Appeal:

 Tennessee Law allows any party who disagrees with this Expedited Hearing Order to appeal the
 decision to the Workers' Compensation Appeals Board. To file a Notice of Appeal, you must:

       1. Complete the enclosed form entitled: "Expedited Hearing Notice of Appeal".

       2. File the completed form with the Court Clerk within seven (7) business days of the date the
          Expedited Hearing Order was entered by the Workers' Compensation Judge.

       3. Serve a copy of the Request for Appeal upon the opposing party.

                                     CERTIFICATE OF SERVICE

        I hereby certify that a true and correct copy of the Expedited Hearing Order was sent to the
 following recipients by the following methods of service on this the _j_f_ day of October, 2014.

Name                     Certified   First   Via    Fax       Via      Email Address
                         Mail        Class   Fax    Number    Email
                                     Mail
Landon      Lackey,                                            X       Landon@landonlackeylaw .com
Employee's attorney
Tamara     Gauldin,                                            X       Tamara. Gauldin(G),zurichna.com
Employer's attorney

                                                   neth M. Switzer, Chief J
                                                Court of Workers' Com pen ation Claims

                                                   9