Opinion
No. 246935.
April 22, 2004, 9:10 a.m.
Appeal from WCAC LC No. 02-000197.
Farr Oosterhouse Krissoff (by Kenneth R. Oosterhouse) for the plaintiff.
Smith Haughey Rice Roegge, P.C. (by Lance R. Mather), for the defendants.
Before: Hoekstra, P.J., and Fitzgerald and Talbot, JJ.
ON RECONSIDERATION
Plaintiff appeals by leave granted a February 3, 2003, order of the Worker's Compensation Appellate Commission [WCAC] affirming a decision of the magistrate denying benefits on the ground that plaintiff failed to establish a compensable back injury. We reverse and remand for further proceedings.
I
On February 26, 2001, while employed by defendant Tower as a welder, plaintiff parked his vehicle in Tower's parking lot. He then opened the vehicle's door, put one leg out of the door, placed his foot on the ground, and turned to the right to pick up his "dinner pail." As he twisted back towards the open door, he felt a snap in his back. Pain immediately ran down his left leg and up his back. Plaintiff sat in the vehicle for several minutes before going into Tower's facility and preparing to begin work, even though his back continued to hurt. Plaintiff was unable to complete his shift due to back pain and stiffness and was sent home. In May 2001 an MRI revealed a herniated disc at the L4-5 area and a bulging disc at the L5-S1 area. Plaintiff returned to work without restrictions on July 27, 2001. Shortly after beginning work, he found himself unable to straighten up and experiencing pain radiating up his back and down his leg. Defendant Tower assigned plaintiff to light duty work. Plaintiff performed light duty work from July 27 until his last day of work with Tower on August 27, 2001, when Tower informed plaintiff that there was no light duty work available because his injury was not work related and, therefore, not covered by worker's compensation.
Plaintiff commenced the instant worker's compensation action and argued that he was entitled to the presumption found in MCL 418.301(3). The magistrate disagreed, and refused to apply the presumption after finding that the instant case was not a "going to and coming from work" case within the meaning of MCL 418.301(3). The magistrate further found that plaintiff's injury failed to arise out of and in the course of employment because the circumstances of his employment neither caused nor aggravated an injury nor increased the risk of injury. The WCAC affirmed without addressing whether the presumption found in MCL 418.301(3) applied. Instead, the WCAC determined that plaintiff failed to show that his injuries arose out of and in the course of employment where "it cannot be said that plaintiff's employment either aggravated or accelerated the harm when he reached for his lunch pail."
II
Our review in worker's compensation cases is limited to questions of law. Findings of fact made or adopted by the WCAC are conclusive on appeal, absent fraud, if there is any competent evidence in the record to support them. Mudel v. Great Atlantic Pacific Tea Co., 462 Mich. 691, 706, 709-710, 726; 614 N.W.2d 607 (2000); Layman v. Newkirk Electric Associates, Inc., 458 Mich. 494, 498; 581 N.W.2d 244 (1998), overruled in part on other grounds, Mudel, supra at 697, 713-714. We do not weigh or balance the evidence, but instead merely determine whether "any evidence" exists to support the WCAC's decision. Mudel, supra at 727. A decision of the WCAC is subject to reversal if the commission operated within the wrong legal framework, or if the decision was based on erroneous legal reasoning. DiBenedetto v. West Shore Hosp., 461 Mich. 394, 401-402; 605 N.W.2d 300 (2000).
III
An employee is entitled to receive worker's compensation benefits for personal injury arising out of and in the course of employment by an employer who is subject to the Worker's Disability Compensation Act [WDCA], MCL 418.101 et seq. MCL 418.301(1). As a general rule, an employee who suffers injury while going to or coming from work cannot receive worker's compensation benefits. Simkins v. General Motors Corp. (After Remand), 453 Mich. 703, 712; 556 N.W.2d 839 (1996). The coming-and-going provision of the WDCA creates an exception to the general rule, however:
An employee going to or from his or her work, while on the premises where the employee's work is to be performed, and within a reasonable time before and after his or her working hours, is presumed to be in the course of his or her employment. Notwithstanding this presumption, an injury incurred in the pursuit of an activity the major purpose of which is social or recreational is not covered under this act. Any cause of action brought for such an injury is not subject to section 131. [MCL 418.301(3).]
This statutory provision "creates a presumption that the employee is `in the course of' employment while the employee is on the premises where the employee's work is to be performed." Thomason v. Contour Fabricators, Inc., 469 Mich. 953; 671 N.W.2d 41 (2003).
Plaintiff argues that the circumstances of his injury fall within the ambit of the coming-and-going provision and, therefore, that the WCAC incorrectly applied the law when the commission refused to apply the statutory presumption in this case. We agree. The undisputed facts establish that plaintiff suffered his back injury in the parking lot of defendant employer as he was alighting from his vehicle, which was parked on defendant employer's premises, and preparing to walk from his vehicle to defendant employer's facility to begin his shift. Such a factual predicate falls comfortably within the ambit of the statute. Accordingly, plaintiff was entitled to the presumption. The WCAC erred as a matter of law when it failed to accord plaintiff the presumption to which he was entitled. The WCAC also erred as a matter of law when it blurred the distinction between the "in the course of" and the "arising out of" tests and treated them as one test. Thomason, supra at 953.
IV
Defendant employer argues that, irrespective of these errors, a remand is unnecessary because the WCAC correctly determined that plaintiff's injury was not one "arising out of" employment. Whether plaintiff's injury arises out of employment is a question of law that may be determined by this Court. Thomason, supra at 953; Forgach v. George Kock Sons Co., 167 Mich. App. 50, 59; 421 N.W.2d 568 (1988).
Not every injury that occurs in the course of a plaintiff's employment or on an employer's premises is an injury that arises out of employment. Hill v. Faircloth Mfg. Co., 245 Mich. App. 710, 717; 630 N.W.2d 640 (2001). Indeed, an injury is not one "arising out of" employment unless some casual relationship exists between a work-related event and the disabling injury. Whetro v. Awkerman, 383 Mich. 235, 242-243; 174 N.W.2d 783 (1970); Welch, Worker's Compensation in Michigan: Law Practice, § 4.1, p. 4-1; 1 Larson, Workers' Compensation Law, § 3.01, p. 3-3. The WCAC found this casual connection absent in this case after characterizing plaintiff's injury as resulting from a risk predominantly personal to plaintiff that he imported to his employer's premises and that was not increased by the circumstances of that employment. This determination that plaintiff's injury was not one "arising out of" employment is predicated on an application of this Court's decision in Ledbetter v. Michigan Carton Co., 74 Mich. App. 330; 253 N.W.2d (1977).
In Ledbetter, the employee suffered a seizure and fell, striking his head on his employer's concrete floor. He died a week later as a result of his injuries. Id., 332. The issue raised before this Court was whether injuries resulting from an idiopathic fall onto an employer's level floor are compensable under the WDCA. Id., 332-333. This Court recognized the general rule that an injury did not arise out of employment where the predominant cause of the harm was attributable to personal factors and the circumstances of the employment did not significantly add to the risk of harm:
This Court defined an idiopathic fall as "one resulting from some disease or infirmity that is strictly personal to the employee and unrelated to his employment." Ledbetter, 74 Mich. App. at 333.
* * * In personal risk cases, including idiopathic fall situations, the sole fact that the injury occurred on the employer's premises does not supply enough of a connection between the employment and the injury. Unless some showing can be made that the location of the fall aggravated or increased the injury, compensation benefits should be denied.
The policy justification for this line of analysis in personal risk cases has been adequately expressed by Professor Larson:
"It should be stressed that this requirement of some employment contribution to the risk in idiopathic-fall injuries is a quite different matter from the requirement of increased risk in, say, lightning cases. The idiopathic-fall cases begin as personal-risk cases. There is therefore ample reason to assign the resulting loss to the employee personally. The lightening cases begin as neutral-risk cases. There is therefore no reason whatever to assign the resulting loss to the employee personally. To shift the loss in the idiopathic-fall cases to the employment, then, it is reasonable to require a showing of at least some substantial employment contribution to the harm. But in neutral-risk cases, the question is not one of shifting the loss away from a prima facie assignment to the employee at all, since there has never been ground for any such assignment; all that is needed to tip the scales in the direction of employment connection, under the positional-risk theory, is the fact that the employment brought the employee to the place at the time he was injured — as extremely lightweight casual factor, but enough to tip scales that are otherwise perfectly evenly balanced." Larson, Workmen's Compensation Law, supra at 3-220-3-221.
While this Court firmly believes in the principle that employers should be responsible for work-related injuries of their employees, we do not feel that such responsibility should be stretched to include injuries predominantly personal to the employee. [ Ledbetter, supra at 334-336.]
The Court then upheld the denial of dependency benefits because factors strictly personal to the plaintiff caused his fall and the circumstances of his employment did not contribute to his injuries. Id., 336-337.
This Court has applied the principles announced in Ledbetter in three subsequent cases: McClain v. Chrysler Corp., 138 Mich. App. 723; 360 N.W.2d 284 (1984) (head injuries sustained after fainting at work and falling to the floor were not shown to be work-related); DeVault v. Gen'l. Motors Corp., Pontiac Motors Division, 149 Mich. App. 765; 386 N.W.2d 671 (1986) (head injury sustained when the plaintiff fell and struck his head on the employer's floor after being punched in the jaw by a co-employee was not an injury arising out of employment where the employer's concrete floor failed to aggravate the severity of the injuries and the employees' purely personal hostility was imported into the workplace); and Hill, supra at 710 (disabling or aggravated injuries sustained in work-related vehicle accidents, which were caused by diabetic seizures, were injuries arising out of employment where driving vehicles for the employers increased the level of risk involved in diabetic seizures and loss of consciousness).
Ledbetter and its progeny are classified as cases that begin as personal risk cases. They are personal risk cases because the origin or central causal factor of the mishap is admittedly personal. Where the mishap is personal in origin, there is ample reason to assign the resulting loss to the employee personally. Larson, Workers Compensation Law § 4.02, p. 4-2; § 9.01(1), pp 9-2-9-3; § 9.01(4)(b), pp. 9-7-9-8; § 9.03, p. 9-22.1. To demonstrate that an injury is one arising out of employment and, hence, to shift the loss to employment, the employee must show some affirmative employment contribution to offset the prima facie showing of personal origin. Larson, § 9.01(1), p. 9-3; § 9.01(4)(b), pp. 9-7-9-9; § 9.01(4)(c), p. 9-10. Stated another way, injuries arising out of risks or conditions personal to the claimant do not arise out of employment unless the employment contributes to the risk of or aggravates the injury. Hill, supra at 717-721; Larson, § 9.01(1), p. 9-1; Welch, § 4.16, p 4-14, p. 4-19 (2003 supp). "[T]he relative contributions of employment and personal causes are not weighed; the employment factor need not be the greater, but it must be real, not fictitious." Larson, § 9.01(4)(b), p. 9-9.
Defendant employer asserts that the risk presented in this case was clearly a personal one. If defendant is correct in its characterization of the risk presented, then the WCAC correctly determined that an application of the principles announced in Ledbetter barred benefits.
Larson supplies some insight into the nature of the risk presented in this case in his treatise, when he observed:
* * * The consumption of food, like many other activities grouped together in the personal-comfort category, is a reasonable and sometimes necessary incident of the employment. The practice of bringing lunch in a pail is therefore not entirely a personal activity of the employee, but is often a necessary feature of the employment. [Larson, § 9.03(3), p. 9-28.]
This scholarly observation leads us to conclude that there is a possibility that the risk present here was not a personal one and, therefore, that the WCAC erred in applying Ledbetter to deny benefits. The record is insufficient to conclusively decide this question, however, because there was no evidence in the instant record regarding the need of plaintiff to bring a lunch to work. If plaintiff was not required to bring a lunch, then the risk was of a personal nature and the WCAC did not err in applying Ledbetter to bar an award of benefits. Conversely, if plaintiff was required to bring a lunch, then this case might be considered a neutral risk case, i.e., a case that involves risks of neither distinctly employment nor distinctly personal character. Larson, § 4.03, p. 4-2. "In neutral risk case, . . . the connection is supplied by the fact that the injury occurs on the premises of the employer . . . and that the employment itself required the employee to be at that location where the exposure to the risk occurred." Ledbetter, supra at 335. This case might also be viewed as a mixed risk case, i.e., one where the personal cause and an employment cause combine to produce the harm. Larson, § 4.04. If this is a mixed risk case, then compensability exists if the employment was a contributing factor to the injury:
[t]he law does not weigh the relative importance of the two causes, nor does it look for primary and secondary causes; it merely inquires whether the employment was a contributing factor. If it was, the concurrence of the personal cause will not defeat compensability. [Larson, § 4.04, p. 4-3.]
In light of the foregoing, we reverse the decision of the WCAC and remand this matter for an application of the presumption and a determination of whether plaintiff's injury arises out of his employment. Plaintiff shall be allowed to reopen the record and both parties shall be permitted to present evidence that will allow a determination of the exact nature of the risk involved in this case. The magistrate shall determine the nature of the risk present in light of the evidence and apply the appropriate test for determining whether plaintiff's injury is one arising out of employment.
Reversed and remanded. We do not retain jurisdiction.