Moss's Case
Moss's Case
Opinion of the Court
If an employee cannot testify in his or her own behalf in seeking workers’ compensation benefits, how can the claim be proved? One answer to this question can be found in G. L. c. 152, § 7A (§ 7A), which establishes prima facie evidence of various elements of a workers’ compensation claim when an employee has been rendered unable to testify by reason of injury or death occurring at the workplace. In this case, we examine the interaction between § 7A and G. L. c. 152, § 28 (§ 28), which provides for double compensation when an employee’s injury results from the “serious and wilful misconduct” of an employer or supervisor. We agree with the conclusion of the administrative judge of the Department of Industrial Accidents (department) that § 7A does not establish prima facie evidence of a violation of § 28. Based on that conclusion and on our review of the evidence presented at the hearing before the administrative judge, we affirm the decision of the department’s reviewing board (board) upholding her denial of the § 28 double compensation claim at issue in this case.
1. Background. Wayne Moss (employee) was killed in a motor vehicle accident on March 26, 1999, while traveling from one job site to another in connection with his duties as an employee of M&M Movers (company). The employee was seated on the far right passenger side of the bench seat of a 1987 Ford F700 straight track (Ford) owned by his employer. The driver, Ronald Clement, and the middle passenger, Paul Avila, were also employees of the company. Three other employees, Kenneth Robi-taille, Albert Crapeau, and Tony DeJesus, were following the Ford in a separate vehicle.
The Ford was traveling in the left-hand, or inner, lane of a two-way road in Rhode Island when it was struck in the middle of its left side by a van pulling out of a driveway on the opposite side of the road. The front of the van went under the box of the Ford, causing the Ford to fall over onto its right side; the
Following the accident, the employee’s widow, Arlene Moss (claimant), applied for and has been collecting dependent death benefits under G. L. c. 152, § 31; this appeal relates to her claim for double compensation under § 28.
2. Applicability of § 7A to § 28. As has been indicated, § 7A establishes prima facie evidence of aspects of a workers’ compensation claim.
Section 7A is designed “[t]o aid the victim[] of an unwit-nessed accident” who is unable to testify and therefore has difficulty meeting the burden of proving entitlement to compensation under G. L. c. 152. L.Y. Nason, C.W. Koziol, & R.A. Wall, Workers’ Compensation § 17.4 (3d ed. 2003). See id. at § 10.11. The section by its terms establishes prima facie evidence of four separate aspects of a workers’ compensation claim:
“For a claim to be compensable it must arise out of and in the course of the employment. Clearly a causal relationship is required between the employment duties and the injury or death. In a case such as this one, where the employee was found dead at his place of employment, we construe the statute, § 7A, as establishing, inter alla, prima facie evidence of causal relationship between the employment and the injury or fatality. We believe that was the meaning intended by the Legislature, particularly in its use of the words, ‘and that the claim comes within the provisions of this chapter.’ ”
Anderson’s Case, 373 Mass. at 816-817.
In a number of decisions before this case, the board has relied on the quoted passage from Anderson’s Case, supra, to interpret § 7A as establishing, whenever § 7A has been called into play by testimonial incapacity resulting from an employee’s injury or death on the job, prima facie evidence of the specific requirements of the section of c. 152 under which the claim was brought. Thus, in Zavalia v. Salem, 6 Mass. Workers’ Comp. Rep. 276 (1992), a case in which the compensation claim was brought under G. L. c. 152, §§ 36 and 36A,
Although “[t]he interpretation of a statute by the agency charged with primary responsibility for administering it is entitled to substantial deference,” Gateley’s Case, 415 Mass. 397, 399 (1993), ultimately the “duty of statutory interpretation is for the courts.” Slater’s Case, 55 Mass. App. Ct. 326, 330 (2002), quoting Police Comm’r of Boston v. Cecil, 431 Mass. 410, 413 (2000). See Walker’s Case, 443 Mass. 157, 160-170 (2004). In this case, we conclude that the board’s interpretation of § 7A, as articulated in the Zavalia, Hayes, and Petit cases, is not supported by either the plain language of the statute or this court’s decision in Anderson’s Case, supra.
We interpret § 7A’s establishment of prima facie evidence that a claim “comes within the provisions of” c. 152 as reflecting a legislative intent that employees who have been injured or killed while at work and who have thereby been rendered unable to testify should qualify for workers’ compensation benefits unless persuasive contrary evidence indicates otherwise. That is, as suggested above, the section addresses a concern that victims
Anderson’s Case, supra, is wholly consistent with this view. As the previously quoted passage of the decision in that case indicates, the court interpreted the portion of § 7A creating prima facie evidence “that the claim comes within the provisions of this chapter” to include the causal link between employment and injury or death, because causation is a necessary element of any claim for compensation under c. 152. Anderson’s Case, 373 Mass. at 816-817.
We therefore disagree with the claimant’s contention that where it applies, § 7A establishes prima facie evidence not only of the facts set out in that section, but also of every fact necessary to establish entitlement to compensation under every section of c. 152 that deals with compensation, including the double compensation provided under § 28.
3. Sufficiency of the evidence. The claimant also complains that the board’s affirmance of the administrative judge’s decision was arbitrary or capricious because the record does not support the administrative judge’s findings that the passenger door was securely latched and did not open; that the employee was ejected through the open window; that the driver, Clement, was not negligent; and that Clement was not a supervisor within the meaning of § 28.
In order to recover double compensation under § 28, the claimant had the burden of establishing by a preponderance of the evidence, Sponatski’s Case, 220 Mass. 526, 527-528 (1915), that
A variety of witnesses presented evidence at the hearing regarding the condition of the latch mechanism and whether the door opened during the accident. The driver, Clement, had given a statement to the Rhode Island State police on the day of the accident in which he described seeing the door open and the employee fall out. At the hearing before the administrative judge, however, Clement testified (on direct examination by the claimant’s counsel) that he did not actually see the door come open but assumed it must have opened for the employee to have fallen out as he did.
Clement also testified that he had inspected the latch plate on the Ford’s passenger door the night before the accident and noticed that, of the three screws that secured the plate to the door, one was missing, one was loose, and impliedly one was secure. He tightened the loose screw. The claimant’s metallurgy expert, Marc Richman, testified that the latch would close even if there were only one or two screws in place and that, once closed, it would remain securely latched unless someone pulled on the handle, even if any remaining screws fell out during the accident.
Clement told the police on the day of the accident that the employee told him the door was “a pain in the ass” but that
Based on this evidence, the administrative judge found that the latch mechanism was not defective, that the door had remained closed during the accident, that the employee was ejected through the open window, and that employer misconduct was not the proximate cause of his death. While there certainly was some evidence to support the claimant’s contention that the employee was ejected through the door as a result of a faulty latch mechanism, sufficient evidence existed to support the administrative judge’s findings that the latch was securely fastened at the time of the accident and that the door did not open during the accident as a result of any problem with the latch.
Moreover, the evidence at the hearing supported the judge’s conclusion that the claimant had failed to establish that either Clement or Mello, the owner of the company, “kn[e]w or ha[d] reason to know of facts ‘which would lead a reasonable man to realize that [his] conduct not only creates an unreasonable risk of bodily harm to [an]other but also involves a high degree of
Finally, there was evidence to support the judge’s finding that Clement was not “intrusted with” or “exercis[ing] powers of superintendence” within the meaning of § 28. The claimant bases her argument for supervisor status on the fact that Clement was the only employee in the Ford who possessed a commercial driver’s license (CDL) and therefore was obliged to comply with certain regulatory safety provisions. However, Mello testified that all of the employees had equal responsibility with regard to job duties in general and safety in particular, and that although Clement was the designated driver, he was not a supervisor. Clement’s status as a CDL licensee was not sufficient to bring him within the scope of § 28 as “a person who is officially designated by the employer as the person in charge of a particular facet of the employer’s business.” O’Leary’s Case, 367 Mass. 108, 114 (1975).
4. Prehearing rulings and evidentiary rulings. Finally, the claimant argues that the board erred in affirming various rulings made by the administrative judge before and during the hearing. Her claims fall primarily into two categories. First, she complains of the defendants’ alleged failure to give proper notice of the factual basis for their defenses, the content of their expert’s expected testimony, and the content of Clement’s testimony at the hearing. Second, she argues that the administrative judge erred in allowing both the insurer’s expert, Johnson, and her expert, Richman, to testify to opinions not based on their relevant expertise or not disclosed in the prehearing conference materials. While some of Johnson’s testimony was admittedly unorthodox,
5. Conclusion. The board properly affirmed the administrative judge’s decision concluding that § 7A does not create prima facie evidence of the requirements for a claim for double compensation under § 28, and that the claimant failed to establish an entitlement to § 28 benefits in this case. We therefore affirm the decision of the reviewing board.
So ordered.
We acknowledge the amicus brief filed by the Massachusetts Academy of Trial Attorneys in support of the plaintiff.
General Laws c. 152, § 28 (§ 28), provides in relevant part as follows:
“If the employee is injured by reason of the serious and wilful misconduct of an employer or of any person regularly intrusted with and exercising the powers of superintendence, the amounts of compensation hereinafter provided shall be doubled. ...”
General Laws c. 152, § 7A (§ 7A), provides:
“In any claim for compensation where the employee has been killed or found dead at his place of employment or, in the absence of death, is physically or mentally unable to testify, and such testimonial incapacity*707 is causally related to the injury, it shall be prima facie evidence that the employee was performing his regular duties on the day of injury or death and that the claim comes within the provisions of this chapter, that sufficient notice of the injury has been given and that the injury or death was not occasioned by the willful intention of the employee to injure or kill himself or another.”
The claimant appears to assume that if § 7A is interpreted to establish prima facie evidence that the employee’s death in this case was covered by § 28, she would have prevailed before the administrative judge and the board on her claim for double compensation. The correctness of this assumption is far from established by the administrative record: it is not clear what effect, if any, application of § 7A might have had on the ultimate findings and conclusions of the administrative judge. However, the question whether § 7A establishes prima facie evidence of serious and wilful misconduct on the part of an employer within the scope of § 28 has been fully briefed and argued, has arisen, and does arise in other cases, and we address it. See Wellesley College v. Attorney Gen., 313 Mass. 722, 731 (1943).
General Laws c. 152, §§36 and 36A, provide for extra compensation to be awarded where an employee’s work-related injury has caused certain types of loss of function or brain damage, and the employee has not died within a specified period of time following the injury. At the time of the injury at issue in Zavalia v. Salem, 6 Mass. Workers’ Comp. Rep. 276 (1992), § 36A required that the employee’s death not be “instantaneous.” Id. at 277 & nn.2 & 3.
The plain language of § 7A cannot reasonably be stretched to accommodate the broad general reach that the board and the claimant in this case have attributed to it. Focusing on § 28 in particular, this court has interpreted the “serious and wilful misconduct” described in the section to require “much more than mere negligence, or even than gross or culpable negligence. It involves conduct of a quasi criminal nature, the intentional doing of something either with the knowledge that it is likely to result in serious injury or with a
In addition to Anderson’s Case, the board in both Zavalia v. Salem, 6 Mass. Workers’ Comp. Rep. at 279, and Petit v. Westvaco Corp., 8 Mass. Workers’ Comp. Rep. 228, 231 & n.4 (1994), drew support for its expansive interpretation of § 7A from a footnote in Thayer’s Case, 345 Mass. 36, 43 n.5 (1962). We think the board has misread the import of the footnote. Thayer’s Case, supra at 41-43, (in relevant part) addressed the question whether an employee’s claim for double compensation under § 28 was governed by the time limits set out in G. L. c. 152, § 41, for filing claims for “compensation”; it was agreed that claims for basic or “ordinary” compensation brought under c. 152, § 26, were subject to the § 41 limits. The court concluded that “compensation” as used in § 41 was used genetically to apply to § 28 as well as § 26 proceedings. Id. at 42-43. Considered in this context, the court’s reference to § 7A in the footnote is best understood as stating that in a case of an unexplained death or injury occurring at an employee’s place of work, a claimant bringing a claim for double compensation under § 28, like a claimant filing under § 26, could seek the application of § 7A to his or her case. Contrary to the board’s reading, however, the Thayer’s Case footnote does not address what the application of § 7A would mean — that is, the footnote does not identify the particular issues arising in a § 28 claim on which § 7A establishes prima facie evidence.
A photograph of the latch plate taken at the accident scene shortly after the accident shows no screws in the plate.
The claimant’s counsel raised numerous objections to Johnson’s testimony during the hearing. We address those objections in part 4, infra.
In particular, Robitaille’s testimony that he closed the passenger door for the last time just before the accident and that it latched securely, and the expert witness Richman’s testimony that once the latch was engaged, it would not disengage unless someone pulled the handle, regardless of the number of screws in place, were together sufficient to support those findings.
MeIlo testified that although he had had to replace the screws in the driver’s side latch in the past, he had looked at the passenger door one month prior to the accident and was not aware of any problems with the latch mechanism. Although Clement knew that the latch plate was missing one of its three screws the night before the accident, he testified that it was capable of latching securely in that condition, a conclusion supported by the claimant’s expert.
Given the administrative judge’s well-founded findings of lack of culpable knowledge on the part of Clement and Mello, and lack of supervisory status on the part of Clement, her finding that the employee was ejected through the window is not essential to her denial of § 28 benefits.
The unifying theme underlying most of these objections appears to be the claimant’s counsel’s impression that he was unfairly “ambushed” at the hearing by a change or clarification in Clement’s description of the accident to the effect that he did not see the door actually come open, which prompted Johnson to advance the theory that the employee was ejected through the window. However, the claimant’s counsel brought out in his direct examination of Clement that Clement was not represented by either the insurer’s or the employer’s counsel. Moreover, the claimant’s counsel did not request a continuance when confronted with Clement’s testimony, and in fact had six months between Clement’s testimony on the first day of the hearing and the close of evidence on the fourth day, in which to revise his trial strategy if necessary.
Reference
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- Wayne R. Moss's (dependent's) Case
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