Magma Copper Co. v. Industrial Commission

676 P.2d 1096, 138 Ariz. 38, 1983 Ariz. LEXIS 278
CourtArizona Supreme Court
DecidedDecember 21, 1983
DocketNo. 16413-PR
StatusPublished
Cited by4 cases

This text of 676 P.2d 1096 (Magma Copper Co. v. Industrial Commission) is published on Counsel Stack Legal Research, covering Arizona Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Magma Copper Co. v. Industrial Commission, 676 P.2d 1096, 138 Ariz. 38, 1983 Ariz. LEXIS 278 (Ark. 1983).

Opinion

FELDMAN, Justice.

Israel Vargas (claimant) filed a claim for benefits under the Workmen’s Compensation Act. The employer, Magma Copper Company, and the carrier, Old Republic Companies, denied the claim. After a hearing before an administrative law judge, an award was made granting temporary disability and medical benefits. The employer and carrier requested administrative review. When the award was affirmed on administrative review, the employer and carrier sought review by special action in the court of appeals. That court vacated the award, Magma Copper Company, et al. v. Industrial Commission, 138 Ariz. 568, 675 P.2d 1387 (App.1982); claimant then petitioned this court for review. We have jurisdiction pursuant to Ariz. Const, art. 6, § 5, and Ariz.R.Civ.App.P., Rule 23, 17A A.R.S. We granted review because the case presents an important procedural point regarding the employer’s duty to raise in a workmen’s compensation case what would be described as an affirmative defense in an ordinary civil action.

The basic problem arises from the requirement that an employee report an accident and resulting injury “forthwith” to his or her employer. A.R.S. § 23-908(D).1 The question here concerns the time when and the manner in which the employer or carrier must raise the defense that the accident and injury were not timely reported. We hold that the issue must be raised at a point in the proceedings which will give the claimant an opportunity to present whatever evidence may be available to establish the “excuses” recognized by law for failure to make a timely report.

FACTS

Claimant was employed as an underground miner for nine years by Magma Copper Company in San Manuel, Arizona. On January 30,1980, claimant was working in a stub drift or tunnel, 2,675 feet below ground. The tunnel was approximately 20 to 25 feet long, 10 feet wide and 10 feet high. Three sponge pumps were working to pump water out of the area, and a large, pneumatically operated fan brought fresh air into the work area. Claimant was operating a mucking machine. The combination of these machines made a considerable noise in the confined area. By the end of his work shift, claimant was suffering both irritation and ringing in his ears.

The next morning, claimant became very dizzy when he tried to get up. He returned to bed and consulted his family physician, Dr. Griesemer, who diagnosed nasal congestion and an inner ear infection. After two weeks, when the condition did not improve with treatment, the doctor referred claimant to Dr. Small, an otolaryngologist. Dr. Small examined claimant on February 21, 1980, and told him that one of the tubes in his inner ear was ruptured and that surgery was necessary. Claimant testified that Dr. Small told him that his ear condition was related to his employment.

Dr. Small performed the surgery, but claimant’s condition did not improve substantially. Dr. Small then referred claimant to Dr. Coulthard, chief of otolaryngology at the University of Arizona Medical Center. After examining claimant on March 27, 1980, Dr. Coulthard concluded [42]*42that the condition was job-related, acoustic trauma to the inner ear.

Due to the severity of the ear problem, claimant did not return to work after completing his shift on January 30, 1980. From that time until July 1980, while continually under medical treatment, claimant received weekly indemnity coverage from his employer under a wage substitution plan required by the union contract to provide disability payments for employees who suffered non-work related injuries or illnesses. In order to receive benefits, claimant had to submit claim forms every two weeks. These forms were to be completed by both the employee and the physician. The form required both claimant and the doctor to indicate whether the injury was work related. The first form was submitted by the claimant before he was informed that the injury was work related. Dr. Griesemer completed the physician’s section of the claim form throughout the period. On each form which was filed, both claimant and his doctor indicated that the condition was not causally related to employment. In July of 1980, when the union’s contract expired and it went on strike, the weekly indemnity payments were terminated.

On July 8, 1980, claimant submitted the workmen’s report of injury which is required by A.R.S. § 23-908(D). On this form, claimant stated that he had sustained an industrial injury to both ears on January 30, 1980. On July 15, the carrier filed a notice of claim status, denying benefits. Failure to report the accident “forthwith” was not listed as a reason for denial. Although no reason is required to be given for denial,2 one was given here; it was “[¡Insufficient evidence to establish a compensable claim....”

Claimant then requested a hearing. The administrative law judge convened the hearing on December 9, 1980, explicitly addressing “[t]he sole issue to be resolved ... [as] the compensability of the alleged injury.” (Emphasis supplied.) The employer and carrier made no correction or addition, and did not explicitly raise the timeliness of the report. The hearing was adjourned at the end of the first day and continued on two additional days. Both sides presented evidence on whether the problem with claimant’s ears was the result of an injury sustained during the course of his employment. After both sides rested, the administrative law judge resolved this “sole issue” in favor of claimant, finding that the damage to his ears was the result of an injury arising out of and in the course of his employment through exposure to harmful levels of noise/sound pressure (Findings 23 and 24). Accordingly, claimant was awarded benefits. The award was to be offset by the amounts claimant had received in payments from the employer’s general health insurance policy.

The employer and carrier sought administrative review on two grounds. First, they alleged that the award was not supported by the evidence, addressing the factual issues of the causal connection between the injury and claimant’s employment. Second, the employer and carrier stated that claimant “failed to notify the employer ‘forthwith’ as required by A.R.S. § 23-1061.”3 Claimant responded that he [43]*43had complied with A.R.S. § 23-1061(A) by filing his claim within one year from the date of the injury.

Since the administrative law judge who presided at the hearings had resigned, the review was performed by a different judge. He found that the award was supported by the evidence and affirmed. He made no evidentiary findings with respect to A.R.S. § 23-1061, no doubt because the record showed full compliance with that statute. The administrative law judge also made no findings with respect to A.R.S. § 23-908

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Bluebook (online)
676 P.2d 1096, 138 Ariz. 38, 1983 Ariz. LEXIS 278, Counsel Stack Legal Research, https://law.counselstack.com/opinion/magma-copper-co-v-industrial-commission-ariz-1983.