Liberty Northwest Ins. Corp. v. Nichols

64 P.3d 1152, 186 Or. App. 664, 2003 Ore. App. LEXIS 298
CourtCourt of Appeals of Oregon
DecidedMarch 6, 2003
Docket00-06244; A115872
StatusPublished
Cited by8 cases

This text of 64 P.3d 1152 (Liberty Northwest Ins. Corp. v. Nichols) is published on Counsel Stack Legal Research, covering Court of Appeals of Oregon primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Liberty Northwest Ins. Corp. v. Nichols, 64 P.3d 1152, 186 Or. App. 664, 2003 Ore. App. LEXIS 298 (Or. Ct. App. 2003).

Opinion

*666 SCHUMAN, J.

While at work, claimant broke his tooth on an employer-supplied snack. He filed a claim for workers’ compensation benefits. Employer’s insurer denied the claim on the ground that claimant’s injury was not sufficiently work related. An administrative law judge (ALJ) disapproved the denial and ordered insurer to accept the claim and provide benefits. The Workers’ Compensation Board (board) affirmed. Insurer seeks judicial review, arguing (as it did below) that the injury was not compensable because it resulted from a recreational or social activity. Because the facts are undisputed, we review only for errors of law. ORS 183.482(8). We affirm.

Claimant was a delivery driver for employer, a florist whose central office and warehouse are just north of Eugene. Claimant’s job duties included setting up and making deliveries from the warehouse to employer’s retail outlets, as well as procuring and delivering supplies. Occasionally, employer would tell claimant to drive to a nearby store, purchase snacks, and bring them back for everyone to eat while working. At other times, an employee at one of employer’s retail outlets would provide snacks.

On the day of the injury, claimant was working with other employees in the warehouse setting up the next day’s deliveries. At employer’s request, and while “on the clock,” claimant went to an adjacent house owned by employer, picked up some snacks owned by employer, and divided them among the other workers. Claimant continued to work while eating his snack, a piece of chewy cinnamon candy called a “Hot Tamale.” As he was chewing, the candy pulled out a filling, and he cracked his tooth. Claimant immediately received dental care. He later applied for workers’ compensation benefits but insurer denied them because the injury “did not arise out of and in the course and scope of [his] employment.” Claimant requested a hearing. The ALJ concluded that the injury did occur within the course and scope of the employment. 1 He ordered insurer to accept the claim and pay *667 appropriate benefits. Insurer appealed to the board, which adopted and affirmed the AU’s order as written. 2

The compensability of claimant’s injury depends on the outcome of a two-step analysis under ORS 656.005(7)(a) and (b). In part, those subsections provide:

“(7)(a) A ‘compensable injur/ is an accidental injury * * * arising out of and in the course of employment ***[.]
“(b) ‘Compensable injur/ does not include:
"* * * * *
“(B) Injury incurred while engaging in or performing * * * any recreational or social activities primarily for the worker’s personal pleasure!.]”

Subsection (b) “states grounds for exclusion that are additional to those that are inherent in the primary definition found in paragraph (7)(a).” Andrews v. Tektronix, Inc., 323 Or 154, 160-61 n 1, 915 P2d 972 (1996) (emphasis in original). Thus, if the injury was incurred during a social or recreational activity, it is per se noncompensable; if it was not incurred during a social or recreational activity, it must still pass the “arise out of and in the course of employment” test. Id. Before the ALJ, the board, and this court, insurer makes only one argument: Claimant’s injury was not compensable because it was “incurred while engaging in or performing * * * [a] recreational or social activitly] primarily for the worker’s personal pleasure.” As insurer concisely insists, “Claimant’s tooth was fractured * * * by a social Hot Tamale.” The board found that claimant’s injury did not occur during a social or recreational activity and then proceeded to the second inquiry, concluding that the injury arose out of and in the course of employment. 3 We agree.

*668 In concluding that claimant did not incur his injury in a recreational or social activity, the board reasoned:

“Cases in which the specific question has been considered have included injuries occurring during recreation times, office parties, basketball games during a scheduled break or lunch hour, and even ‘horseplay.’ The cases all seem to clearly focus upon some intentional recreational or social pursuit. In the instant case, the activity of eating candy was never touted as being recreational, nor as specifically social, either. I view the activity as being more an ordinary part of an average working day such as taking a drink of water ór sitting quietly at one’s desk for a moment of rest at some time other than a regularly-scheduled break.”

Insurer, relying on Webster’s Third New Int’l Dictionary (unabridged ed 1993), insists that the board misinterpreted the terms “recreational” and “social.” “Recreational,” it argues, means “of or relating to recreation,” and “recreation” is “refreshment of the strength and spirits after toil.” Id. at 1899. “Social” means “marked by or passed in pleasant companionship with one’s friends or associates. * * * [T]aken, enjoyed, or engaged in with friends or for the sake of companionship.” Id. at 2161.

On the facts of this case, we fail to see how the dictionary definitions help insurer. Claimant’s injury did not occur “after toil,” and nothing in the record indicates that it was “marked by pleasant companionship” or “for the sake of companionship.” Rather, the injury occurred as a result of an activity claimant engaged in while working. He was not traveling to or from work, on a break, or at lunch.

That fact points to a more fundamental flaw in insurer’s argument. In determining whether claimant was engaged in a recreational or social activity when he was injured, insurer presumes that the “activity” is eating. That presumption is not correct. The relevant activity is eating while working. Our only case interpreting the current version of ORS 656.005(7)(b)(B) illustrates that point. In Kaiel v. NCE Cultural Homestay Institute, 129 Or App 471, 879 P2d 1319, rev den, 320 Or 453 (1994), the claimant was a teacher’s assistant hired to supervise a group of summer-school students from Japan and teach them English. The itinerary for *669 the students included a number of specific activities, including English instruction, cultural exchanges, and outings. On one outing, the students had free time at an amusement park for optional activities at their own expense. They decided to ride bumper cars. The claimant was required to stay with the students at all times. Instead of watching them from outside the ride, she rode the bumper cars herself and, during the ride, fractured a finger. Id. at 473-74.

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Cite This Page — Counsel Stack

Bluebook (online)
64 P.3d 1152, 186 Or. App. 664, 2003 Ore. App. LEXIS 298, Counsel Stack Legal Research, https://law.counselstack.com/opinion/liberty-northwest-ins-corp-v-nichols-orctapp-2003.