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LleC'382 ~IV e.&l
CLAIM PETITION
FOR
WORKERS' COMPENSATION
COM~ONWI"LTH 0' PINN5YlV..NIA
DEPARTMENT 0' I.AIOA AND INOUSTR'Y'
eU~IAU 0' WO~KI~B' COMPlNBATiON
ll7t 5, CAMERON STAIIT, ROOM 101
MA~RIBBU~a,'A 17104,2501
EMPL.OYEE
MARY E. LAWYER
BOCIAL SICURITY NUMelR
~-~-~
STAIIT AOORESS
212 E. Main Street, Apt. 1
COUNTVICITY/TOWN
Shiremanstown,
o..n 0' INJUFlY !,"O"lh . dlY . ~..,I
STATE liP COOE
PA 17011
QI!D-QIiJ - U0
731-8353
TELEPHONE NUMBER
VS,
WORKERS' COMPENSATION INSURANCE CARRIER
(er .djlJlth,,, comp.nV ir 1II,.jn.ur.dl
DEFENDANT EMPI.OYER
Lemoyne FamilY Restaurant
STAEET ADDRESS
247 Hummel Avenue
STRUT ADDRESS
....-.-- -..-- 0___.__ __. _. ...._"__~_._ _._ ___ .___0____
Cll'y,rOWN
Lemoyne,
CI TYfTQWN
5 TATE liP COOE
PA 17043
5 TATE ZIP caDi
1,
Complete description of Injury or Illness; Including all parts of b('dy affected,
fracture of vertebra in lower back - Severe back
Compression
pain
2,
3,
N/A
If occupational disease, the last date of employment and/or last date of exposure,
How did the Injury or dlseasR happen? In stockroom retrieving chocolate for hot
chocolate machine, took a few steps backward and tripped on a 50 lb.
bag of potatoes. Claimant la~ded on her buttocks and felt immediate
pain in her lower back.
4,
5,
6,
Jin.l'"'" ,~.., , 1f,,1
10-11-~j (,OU - 7:30 a.m.
When did It happen? IGive date of Injury or onset of disease I
Where did it heppen? Stockroom
Was it on employer's premises?
10 Yes
o No
Notice of my Injury or dlseese wes serl/ed on my employer on
manner: verbally to Tom Sakkas. Restaurant
October II , I 99l!1ete) in the following
owner, shortly after fall.
7,
What was your job tllle at time of Injury or disease?
Waitress
, 8, Were you working for more than one employer at the time of your Injury?
If Yes, name of additional employerls):
DYes
ro No
9, When, if ever, did this problem cause you to stop working? (give detel
10-11-93
lOVER)
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MARY E. LAWYER
212 East Main street
Apartment 1
Shiremanstown, PA 17011
Plaintiff
IN THE COURT OF COMMON PLEAS OF
CUMBERLAND COUNTY, PENNSYLVANIA
NO. 94-4818 CIVIL
v.
TOM SAKKAS, t/d/b/a
LEMOYNE FAMILY RESTAURANT
245 Third street
Lemoyne, PA 17043
Defendant
PRAECIPE
TO THE PROTHONOTARY:
Please enter the Decision and Order of Workers' Compensation
JUdge Elizabeth A. Crum circulated April 22, 1996, attached hereto
as Exhibit "A," denying and dismissing the Claim Petition of Mary
E. Lawyer, Plaintiff. Please strike the Judgment from the docket.
METZGER, WICKERSHAM, KNAUSS & ERB
3=. CJJ
mes F. Carl, Esquire
torney 1.0. No. 01616
3211 North Front Street
P. O. Box 5300
Harrisburg, PA 17110-0300
(717) 238-8187
Attorneys for Defendant
Date :
ADril 26. 1996
LIBC-471 (REV. 10-87) COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
BUREAU OF WORKERS' COMPENSATION
1171 South Cameron Street, Room 103
Harrisburg, PA 17104-2501 (717)783-4419
208-24-2712
CLAIM I JOINDER
CUMBERLAND COUNTY
04/22/96
DATE OF CIRCULATION
MARY LAWYER
212 EAST MAIN STREET
APT 1
SHIREMANSTOWN PA 17011
V8
LEMOYNE FAMILY RESTAURANT
247 HUMMEL AVENUE
LEMOYNE PA 17043
THE ATTACHED DECISION OF THE JUDGE
IS FINAL UNLESS AN APPEAL IS TAKEN TO
THE WORKMEN'S COMPENSATION APPEAL
BOARD AS PROVIDED BY LAW.
4
IF YOU DO NOT AGREE WITH THIS DECISION,
AN AP!?EAL MUST BE nI,ED WITH THE WORK-
MEN'S COMPENSATION APPEAL BOARD WITHIN
20 DAYS OF THE DATE OF THIS NOTICE.
FORMS FOR AN APPEAL MAY BE OBTAINED
FROM THE WORKMEN'S COMPENSATION APPEAL
BOARD, 1171 SOUTH CAMERON STREET,
ROOM 305, HARRISBURG, PA 17104-2511
v
JAMES r CARL, ESQ.
111 MARKET STREE~
PO BOX 93
HARRISBURG PA 17108
JUDGE ELIZABETH A CRUM
jm
COMMONWEALTH OF PENNSYLVANIA
DEPARTMENT OF LABOR AND INDUSTRY
BUREAU OF WORKERS' COMPENSATION
1171 SOUTH CAMERON STREET, ROOM 103
HARRISBURG, PA 17104-2501
JUDGE'S DECISION
MARY LAWYER
212 EAST MAIN STREET
APT 1
SHIREMANSTOWN PA 17011
Social Sec. .: 208-24-2712
Appeal Number:
Injury Datel 10/11/93
Petition ~tG FJ1ed Jud.. Action
VS.
LEMOYNE FAMILY RESTAURANT
247 HUMMEL AVENUE
LEMOYNE PA 17043
CLAIM
JOINDER
11/29/93
01/05/94
DR
DR
and
CLAIM
Date Assigned:
Date Concluded:
Decision Date:
12/20/93
03/26/96
04/18/96
JOINDER
06/21/94
03/26/96
04/18/96
ELIZABETH A CRUM, JUDGE
1010 N 7TH STREET
3RD FLOOR ROOM 319
HARRISBURG PA 17102
COUNSEL FOR CLAIMANT:
NONE
.t
COUNSEL FOR DEFENDANT:
JAMES F CARL, ESQ.
III MARKET STREET
PO BOX 93
HARRISBURG PA 17108
Mary [,awyer
SS 11208-24-2712
Pagf) 3
FINDI~GS OF FACTI
1. Paul Werner, Claimant's insurance agent, testified credibly,
and it is found, that the Employer was not insured for purposes of
workers' compensation on October 11, 1993.
2. Correspondence from the Pennsylvania Compensation Rating
Bureau corroborates Mr. Werner's testimony that the Employer was
not insured for purposes of wor.kers' compensation on October 11,
1993.
3. The Claimant testified that she injured her lower back on
October II, 1993 when she tripped and fell while working for the
Defendant/Employer.
4. The Claimant testified that Rose Daugherty, a fellow employee,
witnessed her fall and asked if she wanted her (Rose Daugherty) to
piCk her up (N.T. 06/08/94, pp. 11-12).
5. The Claimant left the restaurant at about 9:00 that morning
and ~Ient home; she took a number of Tylenol. Her Bon took her to
Seidle Hospi tal. She was then sent to the POlyclinic Medical
Center. She testified that she was seen by Robert R. Dahmus, M.D.
6. Richard John Lawyer, the Claimant's son, testified that he
gave a history to the admitting clerk at the POlyclinic Medical
Center (N.T. 08/01/94, f,. 19). He denied that he advised the
admitting clerk that his mother had fallen over a bag of potatoes
at home or that she had fallen over a bag of potatoes at all (rd.
p. 20). On cross-examination, Mr. Lawyer admitted that he may have
told the clerk that his mother had fallen over a bag of potatoes
and that he signed the admitting history (Id. p. 21).
7. 1'he Defendant produced Rose Daugherty, the Claimant's co-
employee. Ms. Daugherty testified that she got to work at 6:30
a.m. on October 11, 1993 and the Claimant got there about 10
minutes after that. The Claimant told her at that time that she
fell at home a couple of days before (N.T. 11/01/94, pp. 5-6).
8. Rose Daugherty testified that the Claimant went into the store
room, and Ms. Daugherty followed her. The Claimant appeared to be
in pain because of the way she was holding her back. She then
turned around, sat down and began to cry. She asked Ms. Dau'}herty
to tell anyone who asks that she fell (Id. pp. 7-8). The Claimant
continued to work until about 10:45 ()-1/2 hours) and acknowledged
that she fell at home and must have hurt her back. She told
Ms. Daugherty that she did not go to the doctor because she did not
have the money or the insurance (Id. P. 8).
9. Ms. Daugherty testified that there were no potatoes standing
Mary I,awyer
S8 1I1.0tl.;7.4 '1.'111.
Page 4
anywhere sinca all of the food was against the wall in the store
room.
10. Athanasios ('rom) Sakkas, co.owner of the Lemoyne Family
Restaurant with GUll Drakoll at the time of the alleged injury,
testified that on sunday, the day before the alleged injury, the
Claimant left the restaurant early because she had back pain, and
had difficulty walking (N.1'. 08/01/94, p. 41).
11. Upo~ review of all of the testimony, the testimony of Rose
Dautherty and Athanasios Sakkas, the Defendant's witnesses, is
found to be credible as to the events of October 11, 1993.
12. upon review of the testimony of the Claimant and Richard John
Lawyer, her son, their testimony which contradicts that of
Ms. Daugherty or Mr. Sakkas, is found to be unworthy of belief and,
therefore, is rejected.
13. The Claimant did not present any medical testimony.
14. The Claimant did not Euffer an j I1jU1:'Y in the course of her
employment and related thereto on October 11, 1993.
CONCLUSIONS OF ~
1. The parties are bo~nd by the provisions of the Pennsylvania
Workers' Compensation Act, as amended.
2. In a Claim Petition for workers' compensation benefits, the
claimant has the burden of establishing all of the elements
necessary to support an award throughout the pendency of the
proceedings. Inqlis House v. W.C.A.B., 535 Pa, 135. 634 A.2d 592
(1993). The Claimant must prove that he suffered a work-related
injury and that this injury caused his disability. Ruhl v.
!:I.C.A.B. (Mac-It'parts, Inc.), 148 Pa. Corrunonwealth 294, 611 A.2d
327 (1992). The causal relationship between the alleged disability
and work injury must be established through unequivocal medical
testimony where that relationship is not clearly obvious. Housinq
Authority of Pittsburqh v. W.C.A.B., ___ Pa. Corrunonwealth Ct. ___,
646 A.2d 686 (1994).
3. The Claimant has failed to sustain her burden of proof. She
has not provided unequivocal medical testimony which is required in
order for her to establish her claim. See, Fotta v. Workmen's
Compensation Appeal Board (U.S. Steel/U:S:-X. COI'poration Maple
Creek Mine) ,.534 Pa, 191, 626 A.2d 1144 (1993); Cardyn V. Workmen's
Compensation Appeal Board (Heppenstall), 517 Pa, 98, 534 A.2d 1389
(1987) .