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(c) 2010-2024 Jon L Gelman, All Rights Reserved.

Tuesday, December 15, 2015

On Premises Assault by Co-Worker Held Not Compensable

The NJ Appellate Court decided that an assault by a fellow co-worker on the employment premises did not arise out of the employment and was not compensable. In reaching the opinion based on a narrow set of facts, the Court implemented the "Positional Risk Doctrine," rationalizing that the event that triggered the incident was not linked to the employment.

"....The ‘but for’ or positional risk doctrine includes as one of its components the nature of the risk that causes the injury. These include:
(1) The risk distinctly associated with the [e]mployment – all the obvious kinds of injury .... machinery breaking,
(2) Neutral risks – uncontrollable [c]ircumstances that do not originate in the [e]mployment but rather happen to befall the [e]mployee during the course of – acts of God[, s]uch as lightening. Such injuries are [c]ompensable.
(3) Risks personal to the employee – the [p]ersonal proclivities or contacts of the [e]mployee which give rise to the harm"

The assault occurred in the break room, while the employee was sleeping and arose out of pyramid money scheme that was known as a “susu.”

"....that the attack in this case arose from personal motivation and was not attributable to a risk of employment or to uncontrollable circumstances. Had petitioner not been a participant in his assistant's susu, the attack would not have occurred. Once he became involved and questioned his assistant about the “invested” money, he was attacked at a location that just happened to be their place of employment.

Joseph v Monmouth County, DOCKET NO. A–4044–13T3, (N.J. App. Div. 2015), 2015 WL 8547502. (This decision was not approved for publication.)

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Jon L. Gelman of Wayne NJ is the author of NJ Workers’ Compensation Law (West-Thompson-Reuters) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson-Reuters). For over 4 decades the Law Offices of Jon L Gelman  1.973.696.7900  jon@gelmans.com  have been representing injured workers and their families who have suffered occupational accidents and illnesses.

Monday, December 14, 2015

Electronics recycler over-exposes workers to lead, fined more than $56K

Company fails to monitor exposure, require personal protective equipment
Employer name: Echo Environmental Waverly LLC, Waverly, Ohio
Citations received: Dec. 8, 2015
Investigation findings: The U.S. Department of Labor’s Occupational Safety and Health Administration’s Cincinnati Area Office cited the electronic recycling company for six serious and three other-than-serious health violations.
OSHA initiated the inspection in June 2015 after receiving a complaint alleging workers were exposed to lead hazards at the Waverly, Ohio, facility.
The agency found the company:
  • Exposed workers to lead above the permissible exposure limit.
  • Failed to monitor exposure levels.
  • Did not require the use of protective clothing or provide laundry and disposal containers for contaminated clothing.
  • Allowed food and beverages to be consumed in areas where lead was likely present.
  • Failed to properly label containers with material containing lead.
Quote: “Occupational exposure to lead can cause long-term health effects,” said Ken Montgomery, OSHA’s area director in Cincinnati. “The company must make immediate changes to its procedures to ensure workers are not exposed to lead or carrying it home with them from their shift.”
The company recycles cable boxes, and extracts and sells metals. The Waverly facility is a subsidiary of Elemetal LLC of Dallas.
Proposed Penalties: $56,850
View Citations here*

Friday, December 11, 2015

NJ Director Announces Policy on Counsel Fees

The Hon. Russell Wojtenko, Jr., Chief Judge and Director of the NJ Division of Workers' Compensation, has published, what has become, the annual directive on counsel fees. This year the directive strictly reflects the Statute and reaffirms the doctrine of judicial discretion and recites objective criteria to be utilized. No longer are dollar limitations imposed that trigger an elevated standard.
"Counsel fees are governed solely by N .J.S.A. 34: 15-64, applicable case law and applicable New Jersey Administrative Code provisions.
"Thus, judges of compensation have the discretion to award a reasonable counsel fee not to exceed 20% of the award entered.
"When awarding a counsel fee, judges of compensation must consider all the circumstances of the case and the value of the services performed. Judges, at their discretion, may consider an affidavit of services, testimony and/or other information in order to determine a reasonable counsel fee. 

Sunday, November 29, 2015

Drivers' Protected From Being Forced to Violate Safety Regulations

The U.S. Department of Transportation’s Federal Motor Carrier Safety Administration (FMCSA) today announced the publication in the Federal Register of a Final Rule to help further safeguard commercial truck and bus drivers from being compelled to violate federal safety regulations.  The Rule provides FMCSA with the authority to take enforcement action not only against motor carriers, but also against shippers, receivers, and transportation intermediaries.

“Our nation relies on millions of commercial vehicle drivers to move people and freight, and we must do everything we can to ensure that they are able to operate safely,” said U.S. Transportation Secretary Anthony Foxx.  “This Rule enables us to take enforcement action against anyone in the transportation chain who knowingly and recklessly jeopardizes the safety of the driver and of the motoring public.”

The Final Rule addresses three key areas concerning driver coercion: procedures for commercial truck and bus drivers to report incidents of coercion to the FMCSA, steps the agency could take when responding to such allegations, and penalties that may be imposed on entities found to have coerced drivers.

“Any time a motor carrier, shipper, receiver, freight-forwarder, or broker demands that a schedule be met, one that the driver says would be impossible without violating hours-of-service restrictions or other safety regulations, that is coercion,” said FMCSA Acting Administrator Scott Darling.  “No commercial driver should ever feel compelled to bypass important federal safety regulations and potentially endanger the lives of all travelers on the road.”

In formulating this Rule, the agency heard from commercial drivers who reported being pressured to violate federal safety regulations with implicit or explicit threats of job termination, denial of subsequent trips or loads, reduced pay, forfeiture of favorable work hours or transportation jobs, or other direct retaliations.

Some of the FMCSA regulations drivers reported being coerced into violating included: hours-of-service limitations designed to prevent fatigued driving, commercial driver’s license (CDL) requirements, drug and alcohol testing, the transportation of hazardous materials, and commercial regulations applicable to, among others, interstate household goods movers and passenger carriers.

Commercial truck and bus drivers have had whistle-blower protection through the Department of Labor’s Occupational Safety and Health Administration (OSHA) since 1982, when the Surface Transportation Assistance Act (STAA) was adopted.  The STAA and OSHA regulations protect drivers and other individuals working for commercial motor carriers from retaliation for reporting or engaging in activities related to certain commercial motor vehicle safety, health, or security conditions.  STAA provides whistleblower protection for drivers who report coercion complaints under this Final Rule and are then retaliated against by their employer.

In June 2014, FMCSA and OSHA signed a Memorandum of Understanding to strengthen the coordination and cooperation between the agencies regarding the anti-retaliation provision of the STAA.  The Memorandum allows for the exchange of safety, coercion, and retaliation allegations, when received by one agency, that fall under the authority of the other.

For more information on what constitutes coercion and how to submit a complaint to FMCSA, see: www.fmcsa.dot.gov/safety/coercion.  Please note: the Final Rule takes effect 60 days following its publication in the Federal Register.
This rulemaking was authorized by Section 32911 of the Moving Ahead for Progress in the 21st Century Act (MAP-21) and the Motor Carrier Safety Act of 1984 (MCSA), as amended.

For a copy of today’s Federal Register announcement, see: www.federalregister.gov/articles/2015/11/30/2015-30237/prohibiting-coercion-of-commercial-motor-vehicle-drivers.
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Jon L. Gelman of Wayne NJ is the author of NJ Workers’ Compensation Law (West-Thompson-Reuters) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson-Reuters). For over 4 decades the Law Offices of Jon L Gelman  1.973.696.7900  jon@gelmans.com  have been representing injured workers and their families who have suffered occupational accidents and illnesses.

Wednesday, November 18, 2015

NJ Medical Payments Stabilize - But Why?

A recent study by an insurance based data organization has reported that NJ is experiencing a leveling of medical costs. The real question is "why?" Are declining medical benefits caused by fewer claims based on a shift of challenging employment status in the shared economy or a shift of medical costs under Obamacare to the private sector? 
Medical payments per workers’ compensation claim in New Jersey were stable from 2010 to 2013, in contrast to rapid growth in the 2008 to 2010 period, according to a recent study by the Workers Compensation Research Institute (WCRI).
The report, CompScope™ Medical Benchmarks for New Jersey, 16th Edition, indicates results for New Jersey differed from those of other states WCRI studied, many of which experienced moderate to rapid growth in medical payments per claim.
The study found the following to be contributing factors: 
  • Increased use of networks, which may be linked to a decrease in prices paid for non hospital care. In recent years, two-thirds of total medical payments came from non hospital services.
  • Flat or decreasing trends in utilization of many non hospital services.
  • Slower growth in hospital outpatient payments per service.
  • A continued decrease in the percentage of claims that had hospital inpatient care.
“From 2010 to 2013, medical payments per claim with more than seven days of lost time rose less than 2 percent per year in New Jersey,” said Ramona Tanabe, executive vice president and counsel for WCRI. “From 2008 to 2010, payments rose nearly 10 percent per year.”
WCRI studied medical payments, prices, and utilization in 17 states, including New Jersey, looking at claim experience through 2014 on injuries that occurred in 2013 or earlier. WCRI’s CompScope™ Medical Benchmark studies compare metrics of medical costs and care from state to state and across time.

Monday, November 16, 2015

CMS MSP FInal Conditional Payments Portal To Open

Upcoming Updates to the Medicare Secondary Payer Recovery Portal (MSPRP) Modification for Inclusion of Final Conditional Payment (CP) Process Functionality

As part of the Strengthening Medicare and Repaying Taxpayers Act of 2012 (the SMART Act), the MSPRP will be modified to include Final CP process functionality by January 1, 2016.  This new functionality will permit authorized MSPRP users to notify CMS that a recovery case is 120 days (or less) from an anticipated settlement and request that the recovery case be a part of the Final CP process.
When the Final CP process is requested, any disputes submitted through the MSPRP will be resolved within 11 business days of receipt of the dispute.  Once all disputes have been resolved, and the case is within 3 days of settling, the beneficiary or their authorized representative will be able to request a Final Conditional Payment Amount on the MSPRP.  Once calculated, this amount will remain the Final Conditional Payment Amount as long as:
  1. The case is settled within 3 calendar days of requesting the Final Conditional Payment Amount, and
  2. Settlement information is submitted through the MSPRP within 30 calendar days of requesting the Final Conditional Payment Amount.

Friday, November 13, 2015

Demolition of Paterson NJ Armory Highlights Present Danger of Asbestos

The emergency demolition of the decades old Paterson NJ Armory, an historic site, highlights that asbestos, a known carcinogen, remains a hazard to workers when older buildings require renovation or demolition.
asbestos remains a clear and present danger to workers. Despite the fact that asbestos may not be used as a new construction material,

Asbestos, a naturally occurring mineral, was used for years as a construction material because of its fire retardant and heat insulation properties.

The hazards of asbestos are well known. Exposure to asbestos may cause the latent development of: asbestosis, lung cancer and mesothelioma.

The Paterson NJ Armory caught fire several days ago and resulted in  a major North Jersey fire alarm requiring the participation of firefighters to be called in from multiple jurisdictions to be be brought under control. Unable to reach and extinguish some parts of the fire, the Paterson Fire Department ordered that the historic building be demolished on an emergency basis.

Despite the knowledge of the fatal hazards of asbestos use, it  has yet to be banned in the United States.
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Jon L. Gelman of Wayne NJ is the author of NJ Workers’ Compensation Law (West-Thompson-Reuters) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson-Reuters). For over 4 decades the Law Offices of Jon L Gelman  1.973.696.7900  jon@gelmans.com  have been representing injured workers and their families who have suffered occupational accidents and illnesses.