Juanita Cavendish v. DOWCP

Court of Appeals for the Fourth Circuit·Decided June 13, 2025·No. 24-1126·Unpublished

Opinion

UNPUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 24-1126

JUANITA CAVENDISH, on behalf of Jamie K. Cavendish, Petitioner,

v.

DIRECTOR, OFFICE OF WORKERS’ COMPENSATION PROGRAMS, UNITED STATES DEPARTMENT OF LABOR; LANDMARK CORPORATION; WEST VIRGINIA COAL WORKERS’ PNEUMOCONIOSIS FUND,

Respondents.

On Petition for Review of an Order of the Benefits Review Board. (22-0407 BLA; 2019- BLA-06000)

Argued: March 19, 2025 Decided: June 13, 2025

Before KING, AGEE, and HARRIS, Circuit Judges.

Petition granted; order vacated and remanded by unpublished opinion. Judge Harris wrote the opinion, in which Judge King joined. Judge Agee wrote a dissenting opinion.

ARGUED: Annelise E. Burgess, WASHINGTON AND LEE UNIVERSITY SCHOOL OF LAW, Lexington, Virginia, for Petitioner. Christopher Michael Green, SPILMAN THOMAS & BATTLE, PLLC, Charleston, West Virginia, for Respondents. ON BRIEF: Timothy C. MacDonnell, Advanced Administrative Litigation Clinic, WASHINGTON AND LEE UNIVERSITY SCHOOL OF LAW, Lexington, Virginia, for Petitioner. Wesley A. Shumway, SPILMAN THOMAS & BATTLE, PLLC, Charleston, West

Virginia, for Respondents West Virginia Coal Workers’ Pneumoconiosis Fund and Landmark Corporation.

Unpublished opinions are not binding precedent in this circuit.

PAMELA HARRIS, Circuit Judge:

Jamie Cavendish, a retired coal miner, filed a claim for benefits under the Black Lung Benefits Act. The Administrative Law Judge (ALJ) denied Cavendish’s claim, finding that he had failed to establish that he was “totally disabled” under the Act. Specifically, the ALJ determined that Cavendish’s former job as a bulldozer operator required “light” work only, and that Cavendish had not shown that his condition prevented him from performing such work.

We conclude that the ALJ failed to adequately explain her reasoning, and in particular, her reliance on one piece of evidence – an omission from Cavendish’s claim form – over all other record evidence. Without a better understanding of the ALJ’s rationale, we are unable to determine whether substantial evidence supports her conclusion. Accordingly, we grant the petition for review and remand for further consideration.

I.

A.

We begin with a quick review of the statutory and regulatory background. The Black Lung Benefits Act provides benefits to coal miners afflicted with pneumoconiosis, commonly known as black lung disease. 30 U.S.C. § 901 et seq. A miner is entitled to benefits if he proves by a preponderance of the evidence that: 1) he has pneumoconiosis; 2) the pneumoconiosis arose out of his coal mine employment; 3) he is totally disabled from performing his usual coal mining work; and 4) his pneumoconiosis is a contributing cause of his total disability. 20 C.F.R. §§ 718.201–.204 (2025). This appeal concerns only

the third requirement, and the ALJ’s determination that Cavendish failed to establish total disability.

As relevant here, a coal miner is considered totally disabled if he “has a pulmonary or respiratory impairment which, standing alone, prevents or prevented the miner . . . [f]rom performing his or her usual coal mine work.” § 718.204(b)(1)(i). One way a miner can establish total disability is through specific medical tests and results. § 718.204(b)(2)(i)- (iii). But another way – the one at issue here – is through the opinion of a “physician exercising reasoned medical judgment, based on medically acceptable clinical and laboratory diagnostic techniques,” that “a miner’s respiratory or pulmonary condition prevents . . . the miner from engaging in” his usual – meaning his most recent – coal mining job. § 718.204(b)(2)(iv); see Williams Mountain Coal Co. v. Dir., OWCP, 328 F. App’x 243, 246 (4th Cir. 2009).

Whether a coal miner can do his most recent job will often turn on how much physical exertion that job required. To assist, the Department of Labor published a Dictionary of Occupational Titles (DOT), with a “Strength Factor” classification system in which jobs are rated as requiring sedentary, light, medium, heavy, or very heavy exertion. See U.S. Dep’t of Labor, App. C, § IV, Dictionary of Occupational Titles (4th ed. 1991), 1991 WL 688702 [hereinafter “DOT, App. C, § IV”]; Dominion Coal Corp. v. Clark, No. 22-1858, 2024 WL 1905047, at *3 n.2 (4th Cir. May 1, 2024) (explaining that an ALJ may take judicial notice of the DOT). Those ratings turn on two aspects of a job: first, how much force a person must exert when doing the job; and second, how often they exert a given level of force. DOT, App. C, § IV. For example, a job may be classified as “medium

work” either because it requires exerting a relatively low amount of force “frequently” or because it requires exerting a relatively higher amount of force only “occasionally.” Id.

B.

Cavendish worked as a coal miner in West Virginia. 1 His most recent and last job as a coal miner, for Landmark Corporation, was as a bulldozer operator. He retired from that job in 1997, after injuring his back while lifting a bulldozer battery. Cavendish filed a claim for benefits in 2018, explaining that he was having trouble breathing, among other symptoms. In 2019, the District Director of the Office of Workers’ Compensation Programs issued a Proposed Decision and Order awarding benefits to Cavendish. Landmark, however, objected to the Director’s findings and requested a hearing before an ALJ. Cavendish passed away in 2020, before a hearing could be held, and his wife Juanita Cavendish now pursues his claim on his behalf.

The ALJ denied Cavendish’s claim for benefits, finding that he had failed to establish total disability by showing that he could no longer perform his job as a bulldozer operator. 2 J.A. 44. That ruling turned crucially on the ALJ’s determination that

1

Although the ALJ did not make a finding as to the length of Cavendish’s coal mine employment, Cavendish alleges that he was a coal miner for 27 years, 16 of which he spent working in underground coal mines. Miners who have who spent more than 15 years working underground have a particularly high risk of contracting pneumoconiosis. See 30 U.S.C. § 921(c)(4) (establishing rebuttal presumption that a miner with pneumoconiosis who has worked in underground coal mines for at least 15 years is totally disabled).

2

The ALJ denied Cavendish’s claim only on this ground and did not reach the other eligibility requirements – whether, for instance, Cavendish could establish he suffered from pneumoconiosis. See 20 C.F.R. §§ 718.201–.204.

Cavendish’s job as a bulldozer operator had required only “light” physical work, as measured on the DOT scale. J.A. 13, 43–44. Whether or not Cavendish could perform a job with “higher rigor levels,” that is, the medical evidence showed that his impairments did not make “light” work impossible. J.A. 43.

For the pivotal finding that Cavendish’s job as a bulldozer operator involved no more than light work, the ALJ relied on one piece of evidence: a form Cavendish filed to apply for benefits, known as the CM-913 Form. One section of the form asked Cavendish to “[d]escribe the exertional requirements” of his bulldozer job, listing various activities – sitting, standing, lifting, carrying – and leaving a blank in which Cavendish could fill in how many “hours per day” or “times per day” he engaged in those activities. J.A. 159. Cavendish filled in the blank next to “sitting,” indicating “up to 8” hours per day. Id. But he did not fill in the other blanks, including the blanks after “lifting” and “carrying.” Id. Based on these purported “assertions” by Cavendish that “he did not lift or carry anything” on the job, the ALJ concluded that his job involved only “light” work. J.A. 12–13.

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