Ramos v. M & F Fashions, Inc.

694 A.2d 586, 302 N.J. Super. 24, 1997 N.J. Super. LEXIS 269
CourtNew Jersey Superior Court Appellate Division
DecidedJune 11, 1997
StatusPublished
Cited by3 cases

This text of 694 A.2d 586 (Ramos v. M & F Fashions, Inc.) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ramos v. M & F Fashions, Inc., 694 A.2d 586, 302 N.J. Super. 24, 1997 N.J. Super. LEXIS 269 (N.J. Ct. App. 1997).

Opinion

The opinion of the court was delivered by

VILLANUEVA, J.A.D.

(retired and temporarily assigned on recall).

The Second Injury Fund (“SIF”) appeals from the final decision of the Workers’ Compensation Division which concluded that the accident was compensable and petitioner, Felipe Ramos, was totally and permanently disabled, with 66-2/3% fault apportioned to M & F Fashions, Inc. (“M & F”), and the balance of 33-1/3% apportioned to appellant SIF. We reverse.

Petitioner was hired as a presser by M & F in approximately 1986. He worked forty hours per week, from 8:00 a.m. to 4:00 p.m., at a rate of $5.00 per hour. On May 13, 1988, petitioner arrived at work at 7:00 a.m., approximately one hour before the workplace opened and he was scheduled to begin work. Petitioner indicated that he arrived at 7:00 a.m. every day and would wait for his employer to arrive at 8:00 a.m. to open the fourth floor facility. Petitioner was able to gain entrance to the first floor of the building when another tenant opened the outside door.

When petitioner approached the elevator on that morning, he noticed that the door was slightly ajar, about one and one-half feet. Petitioner testified that the interior light was off, and after he pushed the door open and stepped in, he fell into the elevator shaft. At his deposition, petitioner indicated that he backed into the elevator, but during his trial testimony he testified that he entered face forward. Petitioner sustained injuries to his left wrist, back, neck, head and left hip and pelvis, and underwent corrective surgery for the wrist injury.

[27]*27The elevator was located on the first floor of a five-story building, and was used by other tenants as well as M & F. M & F was one of several tenants located on the fourth floor of the multitenant building.

Petitioner filed a Workers’ Compensation claim alleging various orthopedic, neurologic and neuropsychiatric injuries, alleging total and permanent disability as a result of the injuries suffered in the May 13, 1988 accident, coupled with a pre-existing injury to his left hand.

The Amended Claim Petition also indicated that M & F appeared to not have Workers’ Compensation insurance. M & F failed to answer the Claim Petition or make any appearances in court during the course of these proceedings. Additionally, petitioner filed a liability lawsuit against the owner of the building, and received a $100,000 settlement on those claims.

The claim against respondents M & F and SIF was initially bifurcated pursuant to N.J.A.C. 12:235-7.1. Petitioner, accompanied by counsel, testified before the Judge of Compensation on four dates. Then, on May 10, 1995, the judge, due to SIF’s prior absence from the proceedings, requested that the SIF deputy participate in cross-examination of petitioner. Medical experts testified on three subsequent dates.

Petitioner testified that there was also a stairwell on the first floor which went upstairs, but that he mostly used the freight elevator to reach M & F. The elevator was located about twenty feet down a hallway from the entrance to M & F.

According to petitioner, passengers in the building used the freight elevator for transport, and he denied seeing any signs forbidding usage of the freight elevator for passenger use. Petitioner also denied knowing of the existence of a passenger elevator in the building. Petitioner indicated that he would sometimes use the freight elevator to transport garments for M & F. He also testified that his colleagues and bosses used the stairs to get to M & F.

[28]*28After hearing testimony from experts on behalf of petitioner and SIF, the judge concluded that the accident was compensable and petitioner totally and permanently disabled, with 66-2/3% fault apportioned to respondent M & F, and the balance of 33-1/3% apportioned to SIF.

SIF filed a motion for reconsideration asserting that petitioner had faded to prove his employment as directed by the judge during his initial testimony, by submission of pay stubs, W-2 forms, or other income or tax records and, therefore, could not be entitled to any disability payments based on said employment. Second, SIF also requested a stay of the payment of any benefits pursuant to the motion and any subsequent appeal. The motion was denied.

SIF appeals the compensation judge’s determination on the ground that petitioner was not injured in the course of his employment, and that his injuries did not render him totally and permanently disabled.

When the Appellate Division reviews an administrative agency decision, the scope of its inquiry is limited to a determination of “ ‘whether the findings made could reasonably have been reached on sufficient credible evidence present in the record,’ considering ‘the proofs as a whole.’ ” Close v. Kordulak Bros., 44 N.J. 589, 599, 210 A.2d 753 (1965) (quoting State v. Johnson, 42 N.J. 146, 162, 199 A.2d 809 (1964)).

The first issue raised by this appeal is whether, at the time of the accident, petitioner was acting within the scope of his employment when he was injured by falling into the elevator shaft. SIF urges that under N.J.S.A. 34:15-36 petitioner cannot receive Workers’ Compensation benefits because the freight elevator was not under the control of M & F. As such, petitioner is precluded from recovering under the Workers’ Compensation Act (“Act”), N.J.S.A 34:15-1 to -69.

New Jersey provides injured employees an avenue for economic recovery as follows:

[29]*29When personal injury is caused to an employee by accident arising ovt, of and in the course of his employment, of which the actual or lawfully imputed negligence of the employer is the natural and proximate cause, he shall receive compensation therefor from his employer, provided the employee was himself not willfully negligent at the time of receiving such injury, and the question of whether the employee was willfully negligent shall be one of tact to be submitted to the jury, subject to the usual superintending powers of a court to set aside a verdict rendered contrary to the evidence.
[N.J.S.A. 34:13-1 (emphasis supplied).]

The requirements of two elements, namely “arising out of’ and “in the course of’ employment, are basic to the establishment of compensability. 38 New Jersey Practice, Workers’ Compensation Law Sec.8.1 at 227 (Jon L. Gelman) (rev.2d ed.1994). Specifically,

“Arising out oi” is related to the origin or cause of the accident, so that the risk of a particular accident might have been contemplated by a reasonable person when entering the particular employment as incidental to it. The term “in the course of’ is descriptive of the circumstances under which the accident takes place.
Id. at 227-28.]

SIF argues that petitioner, having failed to establish that the injury sustained occurred within the requisite parameters, must look to other forms of relief (which he did).

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Related

Ramos v. M & F FASHIONS, INC.
713 A.2d 486 (Supreme Court of New Jersey, 1998)

Cite This Page — Counsel Stack

Bluebook (online)
694 A.2d 586, 302 N.J. Super. 24, 1997 N.J. Super. LEXIS 269, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ramos-v-m-f-fashions-inc-njsuperctappdiv-1997.