The opinion
FILED
Nov 27, 2019
07:32 AM(CT)
TENNESSEE COURT OF
WORKERS' COMPENSATION
CLAIMS
TENNESSEE BUREAU OF WORKERS’ COMPENSATION
IN THE COURT OF WORKERS’ COMPENSATION CLAIMS
AT GRAY
ZACKERY STEVEN SMITH, ) Docket No. 2018-02-0393
Employee, )
Vv. )
EVERIDGE, INC., ) State File No. 19790-2018
Employer, )
And )
THE HARTFORD, ) Judge Brian K. Addington
Carrier. )
EXPEDITED HEARING ORDER
Zackery Smith requested medical and temporary disability benefits after he cut his
hand at work. Everidge denied benefits based on Mr. Smith’s willful failure to follow
safety rules. For the reasons below, the Court holds Mr. Smith is entitled to ongoing
medical benefits but not past medical benefits or temporary disability benefits.
History of the Case
Mr. Smith built walk-in cooler ceilings for Everidge. He used various tools to
perform his job and in particular received training on how to correctly operate a table
saw. After the training, Mr. Smith received an equipment-operating permit allowing him
to operate the table saw.
On March 16, 2018, Mr. Smith needed to make repeated cuts and intended to use
the in-line saw, but another employee was using it. Instead, he used the table saw. Mr.
Smith previously watched a safety-training video that instructed against wearing gloves
when operating a table saw. Regardless, he operated the table saw with gloves on and
severely injured his right hand. He sought emergency treatment, where providers at the
hospital referred him to Dr. Wesley Thayer at Vanderbilt Health.
Larry Gothard, plant manager, visited Mr. Smith at the hospital. He testified Mr.
Smith acknowledged he would receive a reprimand for his actions but explained he used
the table saw to keep busy.
Although he expected a reprimand, Mr. Smith testified he never signed an
employee handbook or other written safety rules before the accident. Other than the
equipment training, the only safety training Everidge provided was videos played at
monthly safety meetings.
Everidge denied Mr. Smith’s claim on basis of “willful misconduct, willful [sic] of
safety rules, and willful failure to use a safety device.” Although Everidge claimed it
enforced safety rules, its witnesses testified they do not watch employees for safety
violations.
Mr. Smith argued he was entitled to benefits because he was injured at work and
Everidge did not prove its affirmative offense. He argued he received training on how to
operate the table saw, but Everidge never provided specific safety rules he was required
to follow. He stated he was wearing gloves when he operated the table saw, but he had
intended to use a different saw before he noticed another employee was already using it.
Also, he testified Everidge management never reprimanded him before he cut his hand.
Everidge argued Mr. Smith did not have any reason for violating its rules and
therefore the Court should deny his claim.
Findings of Fact and Conclusions of Law
Mr. Smith must present sufficient evidence demonstrating that he is likely to
prevail at a hearing on the merits. Tenn. Code Ann. § 50-6-239(d)(1) (2019). Once he
proves he sustained a work injury, the burden shifts to Everidge to prove no
compensation is owed because of Mr. Smith’s failure to abide by safety rules. See Tenn.
Code Ann. § 50-6-110(a)(1)(4),(b).
The uncontroverted evidence demonstrated that Mr. Smith was injured at work, so
the burden shifts to Everidge. The controlling case for this defense is Mitchell v.
Fayetteville Public Utilities, 368 S.W.3d 442 (Tenn. 2012). The Supreme Court in
Mitchell held that, to successfully defend a workers’ compensation claim on the basis of
willful failure to follow safety rules, the employer must prove: (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. Jd. at 453.
The evidence shows that Everidge trained its employees on how to properly
operate machinery and showed safety videos at monthly safety meetings. However,
Everidge must prove Mr. Smith violated a known safety rule. See Hardin v. W.A.
Kendall & Co., Inc., 2019 TN Wrk. Comp. App. Bd. LEXIS 23, at *13 (Jun. 10, 2019).
Everidge did not provide its employees written safety rules. Rather, it relied on
trainers to verbally emphasize safety and explain its rules. It asserted Mr. Smith violated
“rules,” but the training focused on the proper use of equipment. Everidge did not inform
Mr. Smith before the incident that it had specific rules that must be followed, and it did
not prove that he knew its safety rules. The Court finds that Everidge failed to prove it
had safety rules in effect at the time of Mr. Smith’s injury.
Further, although Mr. Smith understood the danger involved in operating
machinery and worked for an extended period without accident, Everidge offered no
proof of a bona fide enforcement of its rule. In fact, its own witnesses confirmed that
they did not watch employees for safety violations.
Moreover, even if rules were in place, the evidence shows no willful intent on Mr.
Smith’s part to violate them. Rather, Mr. Smith chose to operate the table saw instead of
the in-line saw because he wanted to remain productive.
Considering all the evidence, the Court holds Everidge failed to prove Mr. Smith’s
willful failure to follow safety rules. Thus, it appears Mr. Smith is likely to succeed at a
hearing on the merits in proving he suffered an injury at work, and Everidge is not likely
to succeed in proving its affirmative defense.
Turning to medical benefits, Mr. Smith submitted proof regarding past medical
expenses that he incurred, but he failed to prove that the treatment was necessary and
reasonable to treat his injuries. Therefore, the Court cannot award payment of past
medical expenses. However, Mr. Smith testified he treated at Vanderbilt, and the Court
names Dr. Thayer as the designated physician because Everidge did not provide a panel
of physicians.
Concerning temporary disability benefits, Mr. Smith did not present any off-work
slips or work restrictions, nor did he testify about when he was unable to work or the date
he returned to work. Without this evidence, the Court cannot award temporary disability
benefits. See Shepherd v. Haren Constr. Co., Inc., 2016 TN Wrk. Comp. App. Bd.
LEXIS 15, at *13 (Mar. 30, 2016).
IT IS, THEREFORE, ORDERED as follows:
1. Everidge must provide medical benefits with Dr. Wesley Thayer under Tennessee
Code Annotated Section 50-6-204.
2. Mr. Smith’s requests for temporary disability benefits and payment of past
medical benefits are denied at this time.
3. This case is set for a status hearing on January 13, 2020, at 11:00 a.m. Eastern
time. The parties must call 855-543-5044 to participate in the hearing.
4. Unless interlocutory appeal of the Expedited Hearing Order is filed, compliance
with this Order must occur no later than seven business days from the date of entry
of this Order as required by Tennessee Code Annotated section 50-6-239(d)(3).
The Insurer or Self-Insured Employer must submit confirmation of compliance
with this Order to the Bureau by email to WCCompliance.Program@tn.gov no
later than the seventh business day after entry of this Order. Failure to submit the
necessary confirmation within the period of compliance might result in a penalty
assessment for non-compliance. For questions regarding compliance, please
contact the Workers’ Compensation Compliance Unit via email at
WCCompliance.Program@tn.gov.
ENTERED November 27, 2019.
/s/ Brian K. Addington
JUDGE BRIAN K. ADDINGTON
Court of Workers’ Compensation Claims
APPENDIX
Exhibits:
1. Notice of Denial
2. Wage Statement
3. Medical Bills-Collective Exhibit
4. Medical Records-Takoma Hospital
5. Medical Records-Laughlin Hospital
6. Medical Records-Vanderbilt Health
7. Workplace photograph
8. Workplace photograph
9. Equipment Operating Permit
Technical Record:
ARWN
Petition for Benefit Determination
Dispute Certification Notice
Request for Scheduling Hearing
Status Order
Request for Expedited Hearing
CERTIFICATE OF SERVICE
I certify that a copy of this Expedited Hearing Order was sent as indicated on
November 27, 2019.
Name Certified Mail | Email | Sent To:
Attorney Thomas Jessee, xX jj law@j esseeandjessee.com
Employee’s Attorney
Joseph Ballard, X | joseph.ballard@thehartford.com
Employer’s Attorney crystal.richmond@thehartford.com
Loany 3 dam
PENNY SHRUM, COURT CLERK
We.courtclerk@tn.gov
Expedited Hearing Order Right to Appeal:
If you disagree with this Expedited Hearing Order, you may appeal to the Workers’
Compensation Appeals Board. To appeal an expedited hearing order, you must:
1. Complete the enclosed form entitled: “Expedited Hearing Notice of Appeal,” and file the
form with the Clerk of the Court of Workers’ Compensation Claims within seven
business days of the date the expedited hearing order was filed. When filing the Notice
of Appeal, you must serve a copy upon all parties.
2. You must pay, via check, money order, or credit card, a $75.00 filing fee within ten
calendar days after filing of the Notice of Appeal. Payments can be made in-person at
any Bureau office or by U.S. mail, hand-delivery, or other delivery service. In the
alternative, you may file an Affidavit of Indigency (form available on the Bureau’s
website or any Bureau office) seeking a waiver of the fee. You must file the fully-
completed Affidavit of Indigency within ten calendar days of filing the Notice of
Appeal. Failure to timely pay the filing fee or file the Affidavit of Indigency will
result in dismissal of the appeal.
3. You bear the responsibility of ensuring a complete record on appeal. You may request
from the court clerk the audio recording of the hearing for a $25.00 fee. If a transcript of
the proceedings is to be filed, a licensed court reporter must prepare the transcript and file
it with the court clerk within ten business days of the filing the Notice of
Appeal. Alternatively, you may file a statement of the evidence prepared jointly by both
parties within ten business days of the filing of the Notice of Appeal. The statement of
the evidence must convey a complete and accurate account of the hearing. The Workers’
Compensation Judge must approve the statement before the record is submitted to the
Appeals Board. If the Appeals Board is called upon to review testimony or other proof
concerning factual matters, the absence of a transcript or statement of the evidence can be
a significant obstacle to meaningful appellate review.
4. If you wish to file a position statement, you must file it with the court clerk within ten
business days after the deadline to file a transcript or statement of the evidence. The
party opposing the appeal may file a response with the court clerk within ten business
days after you file your position statement. All position statements should include: (1) a
statement summarizing the facts of the case from the evidence admitted during the
expedited hearing; (2) a statement summarizing the disposition of the case as a result of
the expedited hearing; (3) a statement of the issue(s) presented for review; and (4) an
argument, citing appropriate statutes, case law, or other authority.
For self-represented litigants: Help from an Ombudsman is available at 800-332-2667.
LB-1099
EXPEDITED HEARING NOTICE OF APPEAL
Tennessee Division of Workers’ Compensation
www. tn.gov/labor-wid/weomp.shtml
wce.courtclerk@tn.gov
1-800-332-2667
Docket #:
State File #/YR:
Employee
Vv.
Employer
Notice
Notice is given that
[List name(s) of all appealing party(ies) on separate sheet if necessary]
appeals the order(s) of the Court of Workers’ Compensation Claims at
to the Workers’ Compensation Appeals
Board. [List the date(s) the order(s) was filed in the court clerk’s office]
Judge
Statement of the Issues
Provide a short and plain statement of the issues on appeal or basis for relief on appeal:
Additional Information
Type of Case [Check the most appropriate item]
L] Temporary disability benefits
L] Medical benefits for current injury
LC Medical benefits under prior order issued by the Court
List of Parties
Appellant (Requesting Party): At Hearing: LJEmployer LJEmployee
Address:
Party’s Phone: Email:
Attorney's Name: BPR#:
Attorney’s Address: Phone:
Attorney's City, State & Zip code:
Attorney’s Email:
* Attach an additional sheet for each additional Appellant *
rev. 10/18 Page 1 of 2 RDA 11082
Employee Name: SF#: DOI:
Appellee(s)
Appellee (Opposing Party): At Hearing: L]JEmployer LJEmployee
Appellee’s Address:
Appellee’s Phone: Email:
Attorney’s Name: BPR#:
Attorney’s Address: Phone:
Attorney’s City, State & Zip code:
Attorney’s Email:
* Attach an additional sheet for each additional Appellee *
CERTIFICATE OF SERVICE
I,
Expedited Hearing Notice of Appeal by First Class, United States Mail, postage prepaid, to all parties
and/or their attorneys in this case in accordance with Rule 0800-02-22.01(2) of the Tennessee Rules
of Board of Workers’ Compensation Appeals on this the day of , 20
, certify that | have forwarded a true and exact copy of this
[Signature of appellant or attorney for appellant]
LB-1099 rev. 10/18 Page 2 of 2 RDA 11082
Tennessee Bureau of Workers’ Compensation
220 French Landing Drive, I-B
Nashville, TN 37243-1002
800-332-2667
AFFIDAVIT OF INDIGENCY
I, , having been duly sworn according to law, make oath that
because of my poverty, | am unable to bear the costs of this appeal and request that the filing fee to appeal be
waived. The following facts support my poverty.
1. Full Name: 2. Address:
3. Telephone Number: 4. Date of Birth:
5. Names and Ages of Ail Dependents:
Relationship:
Relationship:
Relationship:
Relationship:
6. lam employed by:
My employer’s address is:
My employer’s phone number is:
7. My present monthly household income, after federal income and social security taxes are deducted, is:
$
8. | receive or expect to receive money from the following sources:
AFDC $ per month beginning
ssl $ per month beginning
Retirement $ per month beginning
Disability $ per month beginning
Unemployment $ per month beginning
Worker's Comp.$ per month beginning
Other $ per month beginning
LB-1108 (REV 11/15) RDA 11082
9. My expenses are:
Rent/House Payment $ permonth Medical/Dental $ per month
Groceries $ per month Telephone $ per month
Electricity $ per month School Supplies $ per month
Water $ per month Clothing $ per month
Gas $ per month Child Care $ per month
Transportation $ per month Child Support $ per month
Car $ per month
Other $ per month (describe: )
10. Assets:
Automobile $ (FMV)
Checking/Savings Acct. $
House $ __ (FMV)
Other $ Describe:
11. My debts are:
Amount Owed To Whom
| hereby declare under the penalty of perjury that the foregoing answers are true, correct, and complete
and that I am financially unable to pay the costs of this appeal.
APPELLANT
Sworn and subscribed before me, a notary public, this
day of , 20
NOTARY PUBLIC
My Commission Expires:
LB-1108 (REV 11/15) RDA 11082