Thomasenia L. Fowler v. Akzo Nobel Chemicals, Inc. (085939) (Middlesex County & Statewide) ( 2022 )


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  •                                      SYLLABUS
    This syllabus is not part of the Court’s opinion. It has been prepared by the Office
    of the Clerk for the convenience of the reader. It has been neither reviewed nor
    approved by the Court. In the interest of brevity, portions of an opinion may not
    have been summarized.
    Thomasenia L. Fowler v. Akzo Nobel Chemicals, Inc. (A-5-21) (085939)
    Argued January 19, 2022 -- Decided June 30, 2022
    ALBIN, J., writing for the Court.
    In this appeal, the Court considers whether a manufacturer or supplier that
    puts inadequate warnings on its asbestos products used in the workplace can fulfill
    its duty to warn by disseminating adequate information to the employer with the
    intention that such information will reach the workers using those products. The
    Court also considers whether, in charging on medical causation in this mesothelioma
    case, the trial court was required to give the frequency, regularity, and proximity
    language in Sholtis v. American Cyanamid Co., 
    238 N.J. Super. 8
    , 28-29 (App. Div.
    1989), rather than the substantial factor test in the Model Civil Charge, as modified
    by the court.
    In June 2011, Thomasenia Fowler -- as administrator of her husband Willis
    Edenfield’s estate -- initiated a wrongful death/product liability action against Union
    Carbide, a manufacturer and supplier of asbestos that Edenfield handled as a daily
    part of his 40-year job at an adhesive manufacturing plant (the Bloomfield Plant).
    In 1968, Union Carbide began placing a warning on its asbestos bags. In
    compliance with an emergency standard imposed by the Occupational Safety and
    Health Administration, the company changed the warning in 1972 to state:
    “CAUTION Contains Asbestos Fibers Avoid Creating Dust Breathing Asbestos Dust
    May Cause Serious Bodily Harm.” National government organizations had
    recommended upgraded warnings, as did an association to which one of the doctors
    from Union Carbide’s medical department belonged. An in-house staff-member of
    Union Carbide also notified the company that its warning inadequately addressed the
    lethal dangers of asbestos exposure. Union Carbide declined to upgrade its label.
    Union Carbide presented evidence that it periodically provided information
    and various safety warnings about its asbestos products to Edenfield’s employers
    and requested that the information and warnings be made available to the employees.
    Over a course of years, Union Carbide forwarded to its “Calidria” customers such
    items. In its Appellate Division brief, Union Carbide highlighted that the Plant’s
    1
    operators declined its offer “to monitor the Plant’s air quality” and “to disseminate
    the warnings” to employees.
    At trial, each side presented differing opinions about the nature of the danger
    posed by Calidria asbestos and the degree of exposure necessary to cause
    mesothelioma. Plaintiff’s expert testified that the greater the exposure to asbestos,
    the greater the likelihood of contracting mesothelioma -- but emphasized that even
    “short exposures to asbestos cause mesothelioma.” She concluded that Edenfield’s
    exposure to Union Carbide’s asbestos was a substantial factor in his contracting the
    deadly disease. Union Carbide presented the testimony of three experts who
    generally agreed that Edenfield’s exposure to the asbestos was not of a high enough
    dose to be a substantial factor.
    The trial court instructed the jury. As to the duty to warn, the court made
    clear that Union Carbide could be held liable either for failing to place adequate
    warnings on its Calidria asbestos bags or failing to disseminate adequate warnings
    and information to the Bloomfield Plant intended for its employees. Union Carbide
    objected to those instructions, arguing that the jury could find that, even if the
    warnings on the asbestos bags were inadequate, Union Carbide was not liable if it
    provided the employer warnings and information “with the intention or purpose that
    the employer alert employees to the dangers of the product and the proper methods
    of mitigating the” associated risks.
    As to medical causation, the court instructed that the jury would have to find
    that “the failure to warn [was] a substantial factor which singly, or in combination
    with another cause, brought about the injury.” The court stressed that liability
    should not attach based on casual or minimal contact with the product and should
    not be imposed on mere guesswork. The trial court rejected Union Carbide’s
    proposed charge on medical causation, which would have required plaintiff to
    “prove that Mr. Edenfield was exposed to [Union Carbide’s] product with sufficient
    frequency, with a regularity of contact, and with the product in close enough
    proximity to show that the exposure . . . was a substantial contributing factor to Mr.
    Edenfield’s mesothelioma.” (emphasis added).
    The jury found for plaintiff, concluding that (1) Union Carbide failed to
    provide adequate warnings or instructions on its product (the asbestos bags), (2) the
    failure to do so was a proximate cause of Edenfield’s exposure to Union Carbide’s
    asbestos, and (3) that exposure was a substantial factor in causing his mesothelioma.
    The jury also determined that plaintiff did not prove that Union Carbide failed to
    take reasonable steps to ensure that the warnings it gave to Edenfield’s employers
    reached Edenfield -- a finding that did not affect the verdict in light of the dual
    warning instruction.
    2
    The Appellate Division reversed, finding that, “in appropriate circumstances,
    the manufacturer may discharge this duty . . . by conveying the warnings to the
    employer and relying on the employer to convey them to the employee.” On the
    second issue, the Appellate Division asserted that the trial court erred in not
    charging the jury on the “frequency, regularity, and proximity” test set forth in
    Sholtis, 
    238 N.J. Super. at 28-29
    , and later adopted in James v. Bessemer Processing
    Co., 
    155 N.J. 279
     (1998). The Court granted certification, 
    248 N.J. 409
     (2021).
    HELD: As to the duty to warn, an asbestos manufacturer or supplier that places
    inadequate warnings on asbestos bags used in the workplace has breached its duty to
    the worker, regardless of whether it provides the employer with the correct
    information, which is reasonably intended to reach its employees. As to medical
    causation, the trial court’s modified Model Jury Charge on proximate cause
    sufficiently guided the jury.
    1. Under New Jersey common law, a product that is shipped to a workplace without
    adequate warnings about the product’s inherent dangers is a defective product. In
    this strict-liability failure-to-warn action, plaintiff had to prove that (1) without
    adequate warnings, use of Union Carbide’s asbestos bags by workers, such as
    Edenfield, was dangerous -- a product defect; (2) Union Carbide forwarded the
    asbestos bags to the Bloomfield Plant without adequate warnings -- in a defective
    condition; and (3) the inadequate warnings proximately caused Edenfield to contract
    mesothelioma. The third factor requires proof of two different forms of causation:
    product-defect causation and medical causation. For product-defect causation, the
    plaintiff must show that the defect in the product -- the lack of warnings or adequate
    warnings -- was a proximate cause of the asbestos-related injury. For medical
    causation, the plaintiff must show that the injury was proximately caused by
    exposure to defendant’s asbestos product. The first issue in this case is whether the
    trial court properly charged the jury that if the warnings on the asbestos bags were
    inadequate, Union Carbide could not escape liability by giving Edenfield’s
    employers proper warnings. (pp. 29-31)
    2. New Jersey jurisprudence establishes that an asbestos manufacturer or supplier
    has a duty to provide adequate warnings to both the employee directly and the
    employer. The Court stated in Coffman v. Keene Corp., “we reasonably assume that
    a manufacturer or supplier, consistent with its own duty, will provide an adequate
    warning of its unsafe product to employers as well as employees,” and it repeatedly
    referred to both employers and employees throughout the opinion. See 
    133 N.J. 581
    ,
    607-09 (1993) (emphasis added). The importance of placing adequate warnings on
    the product itself, when feasible, is informed by the fact that some employers may
    not provide critical health warnings and information to their workforce. Dual
    warnings -- possibly redundant warnings -- are warranted because workers “exposed
    to a defective product” without adequate warnings are deprived of the ability “to
    3
    exercise [a] meaningful choice with respect to confronting the risk of injury posed
    by the product.” See 
    id. at 605
    . In Theer v. Philip Carey Co., the Court stressed
    “that employers have an independent duty to provide a safe workplace for their
    employees, and that a manufacturer or supplier of a product intended for use in the
    workplace is under a concurrent duty to warn employers, as well as employees,
    concerning . . . safety risks.” 
    133 N.J. 610
    , 620-21 (1993). (pp. 32-34)
    3. In cases involving asbestos products in a workplace setting, the Court has hewed
    to the concurrent duty to warn where placing a warning on the product itself is
    feasible. In light of the deadly dangers posed by asbestos in the workplace, Coffman
    and Theer imposed a special duty on manufacturers and suppliers of asbestos -- the
    concurrent duty to warn not only the employee but also the employer. This case
    illustrates the importance of the dual-warning doctrine. Union Carbide was aware
    that the warnings on its asbestos bags understated the health risks to workers, yet
    there was no mention in the warnings that inhaling asbestos fibers may cause lung
    cancer. And not only did Union Carbide provide inadequate label warnings on its
    products, but as even Union Carbide conceded in its Appellate Division brief, the
    Bloomfield Plant’s operators did not “disseminate the [manufacturer’s] warnings or
    instructions to Plant employees.” Common law jurisprudence governed the
    environmental torts in Coffman and Theer, where inadequate warnings rendered the
    products defective. The case on which Union Carbide relies as charting a different
    path -- Grier v. Cochran Western Corp., 
    308 N.J. Super. 308
     (App. Div. 1998) -- is a
    non-asbestos case that is governed by statute and involves a sophisticated piece of
    machinery. Different products may require different approaches. Instructive label
    warnings may be more efficacious and feasible in dealing with certain toxic
    substances than sophisticated pieces of machinery. Although information
    disseminated by the employer may always be important, in the case of sophisticated
    machinery supervisory training may be an especially significant component in
    reducing safety hazards, as suggested by Grier. The Court does not suggest a one-
    size-fits-all approach, but, in this asbestos case, it stands by the directives given in
    Coffman and Theer that the manufacturer had a duty to provide concurrent warnings
    both to the employee, through product labeling, and to the employer with the
    intention that the necessary safety information would be disseminated to the
    workforce. The Court therefore concludes that the trial court properly charged the
    jury on product defect. (pp. 34-43)
    4. The Court next considers whether the trial court correctly charged the jury on
    medical causation. In this asbestos exposure case, in addition to instructing the jury
    in accordance with the Model Jury Charge on “substantial factor,” the court charged
    the jury with language adapted to asbestos exposure cases. Union Carbide claims
    that the trial court strayed from the “frequency, regularity, and proximity test” set
    forth in Sholtis and adopted in James. However, the Sholtis test is adaptable to
    varying scenarios and should not be rigidly and inflexibly applied. In James, the
    4
    Court explained in applying the Sholtis test that plaintiffs seeking to prove causation
    in toxic-tort litigation face “extraordinary and unique burdens” that are “more subtle
    and sophisticated than proof [burdens] in cases concerned with more traditional
    torts.” 
    155 N.J. at 299
    . Courts have recognized that, in cases involving asbestos-
    exposure that allegedly caused mesothelioma, the frequency, regularity and
    proximity test is not a rigid test with an absolute threshold level necessary to support
    a jury verdict, but rather an articulation of what constitutes a substantial factor for
    purposes of determining proximate cause in an occupational exposure setting. Thus,
    when a plaintiff has presented competent and credible evidence that even a minimal
    number of asbestos fibers can cause mesothelioma, then a jury may conclude the
    fibers were a substantial factor in causing a plaintiff’s injury. (pp. 43-48)
    5. Here, plaintiff’s expert emphasized that even “short exposures to asbestos cause
    mesothelioma.” In addition, she expressed that Edenfield’s exposure to Union
    Carbide’s Calidria asbestos was a daily occupational hazard over many years and
    “[was] significant enough to substantially contribute to his mesothelioma.” In the end,
    it was for the jury to determine whether to accept that expert opinion or the opposing
    opinions of the defense experts. The trial court here properly tailored the charge to the
    evidence because neither plaintiff’s nor Union Carbide’s experts agreed on the level of
    exposure to Union Carbide’s asbestos necessary to cause Edenfield’s mesothelioma.
    (pp. 48-49)
    6. The Court rejects the position that there can be one standard used by the trial court
    in deciding summary judgment and another standard used in instructing the jury. The
    substantive law governing the summary judgment motion is the same law that guides
    the jury in making its ultimate determination. The Court concludes that the trial court
    correctly charged the jury on the core concepts underlying medical causation in this
    case, and it refers consideration of whether there is a need to modify the Model Charge
    on proximate cause and substantial factor in the toxic tort setting to the Supreme Court
    Committee on Model Civil Jury Charges. (pp. 49-50)
    REVERSED. The jury’s verdict is REINSTATED and the matter is
    remanded to the trial court.
    JUSTICE SOLOMON joins the majority opinion on the issue of medical
    causation, agreeing that a trial court’s failure to use the specific language from
    Sholtis when instructing the jury on medical causation will not always lead to
    reversal where the trial court adequately explains the standard to the jury. Justice
    Solomon joins the dissent as to the issue of adequate warnings, writing that,
    consistent with Coffman and Theer, a manufacturer could discharge its duty to warn
    by conveying adequate warnings and information to employers for distribution to
    employees.
    5
    JUSTICE PATTERSON, dissenting, expresses the view that the trial court
    ran afoul of Coffman and Theer when it charged the jury that Union Carbide could
    not discharge its duty to warn by conveying adequate warnings and information to
    the employers for distribution to employees. Justice Patterson adds that the court
    compounded that error by directing the jury to consider only the warnings on
    asbestos bags when it answered the sole question on the verdict sheet about the
    adequacy of Union Carbide’s warnings. In Justice Patterson’s view, the majority
    replaces the fair and workable failure-to-warn standard for workplace exposure cases
    set forth in Coffman and Theer with a confusing and unrealistic test that precludes a
    finding that the manufacturer has met its duty to warn unless warnings on asbestos
    bags, if feasible, were adequate. Justice Patterson also finds that the majority’s
    holding on the core question of causation contravenes New Jersey precedent and
    muddles the law. Justice Patterson explains that the courts in Sholtis and James
    viewed general causation concepts to be inadequate to guide juries in workplace
    toxic tort cases and instead expressly required plaintiffs in toxic tort cases to prove
    an exposure of sufficient frequency, with a regularity of contact, and with the
    product in close proximity to the plaintiff. In Justice Patterson’s view, the
    majority’s default to the general proximate cause test, without the Sholtis/James
    refinement of that standard for toxic tort cases, alters the plaintiff’s burden of proof
    on the question of medical causation.
    CHIEF JUSTICE RABNER and JUSTICE PIERRE-LOUIS join in JUSTICE
    ALBIN’s opinion. JUSTICE SOLOMON joins JUSTICE ALBIN’s opinion in
    part. JUSTICE PATTERSON filed a dissent, which JUSTICE SOLOMON
    joins in part. JUDGE FUENTES (temporarily assigned) did not participate.
    6
    SUPREME COURT OF NEW JERSEY
    A-5 September Term 2021
    085939
    Thomasenia L. Fowler, as Administrator
    and Administrator ad Prosequendum of the
    Estate of Willis Edenfield,
    Plaintiff-Appellant,
    v.
    Akzo Nobel Chemicals, Inc.
    as successor to Imperial Chemical
    Industries PLC, and National Starch
    and Chemical Co. (Discovery Only),
    Corn Products International, Inc.,
    as successor to National Starch
    and Chemical Co. (Discovery Only),
    Henkel Corporation, individually
    and as successor-in-interest to
    the Adhesive and Electronics
    Division of National Standard
    Chemical Co. (Discovery Only), and
    National Starch, LLC,
    individually and as successor to
    National Starch and Chemical Co.
    (Discovery Only),
    Defendants,
    and
    Union Carbide Corporation,
    Defendant-Respondent.
    1
    On certification to the Superior Court,
    Appellate Division .
    Argued                      Decided
    January 19, 2022              June 30, 2022
    Amber R. Long argued the cause for appellant (Levy
    Konigsberg, attorneys; Amber R. Long on the briefs).
    Michael A. Scodro, of the Illinois bar, admitted pro hac
    vice, argued the cause for respondent (Caruso Smith
    Picini and Mayer Brown, attorneys; Richard D. Picini,
    Michael A. Scodro, and Craig Woods, of the Illinois bar,
    admitted pro hac vice, of counsel and on the briefs).
    Jared M. Placitella argued the cause for amicus curiae the
    New Jersey Association for Justice (Cohen, Placitella &
    Roth, attorneys; Jared M. Placitella and Christopher M.
    Placitella, of counsel and on the brief).
    Scott A. Rader submitted a brief on behalf of amicus
    curiae the Coalition for Litigation Justice, Inc. (Mintz,
    Levin, Cohn, Ferris, Glovsky and Popeo, attorneys; Scott
    A. Rader, of counsel and on the brief).
    Philip S. Goldberg submitted a brief on behalf of amici
    curiae the Chamber of Commerce of the United States of
    America and the New Jersey Civil Justice Institute
    (Shook, Hardy & Bacon, attorneys; Philip S. Goldberg,
    Mark A. Behrens, of the Virginia and District of
    Columbia bars, admitted pro hac vice, and Cary
    Silverman, of the Maryland and District of Columbia
    bars, admitted pro hac vice, on the brief).
    JUSTICE ALBIN delivered the opinion of the Court.
    2
    Willis Edenfield died from mesothelioma due to exposure to asbestos in
    a manufacturing plant, where he worked for approximately forty years.
    Plaintiff, the administrator of Edenfield’s estate, filed a failure-to-warn
    product liability action against Union Carbide, a manufacturer and supplier of
    asbestos that Edenfield handled in the workplace.
    The trial court charged the jury that, to fulfill its duty to Edenfield,
    Union Carbide had to place adequate warnings on its asbestos bags ---
    and
    provide warnings and information about the dangers of its products to the
    employer to be transmitted to Edenfield. The failure to provide adequate
    warnings through either means, the court instructed, would constitute a breach
    of Union Carbide’s duty to warn.
    The court also advised the jury that plaintiff had to prove that Union
    Carbide’s inadequate warnings, if any, were the proximate cause of the harm
    caused to Edenfield -- that the inadequate warnings were “a substantial factor”
    in causing Edenfield’s death and that his exposure to its asbestos was not
    “casual or minimal,” nor “a remote or trivial cause” of his contracting
    mesothelioma.
    A jury found that Union Carbide breached its duty to warn and was
    liable in causing Edenfield’s disease and death. The jury determined that
    Union Carbide placed inadequate warnings on the asbestos bags handled by
    3
    Edenfield. The jury also determined that the inadequate product warnings
    were the proximate cause of Edenfield’s death and awarded his estate
    substantial damages. The jury did not find that Union Carbide failed to take
    reasonable steps to ensure that adequate warnings reached Edenfield through
    his employer.
    The Appellate Division concluded that the trial court erred in two ways.
    First, it failed to instruct the jury that Union Carbide could discharge its duty
    to warn by taking reasonable measures to inform Edenfield of the dangers of
    asbestos through his employer. Second, it did not advise the jury in the precise
    language of Sholtis v. American Cyanamid Co. -- that plaintiff had to
    demonstrate medical causation by establishing that Edenfield was exposed to
    Union Carbide’s products with sufficient “frequency, regularity and
    proximity,” quoting 
    238 N.J. Super. 8
    , 28-29 (App. Div. 1989). Accordingly,
    the Appellate Division vacated the verdict and remanded for a new trial.
    We now reverse. In cases involving the use of asbestos in the
    workplace, we have held that an asbestos manufacturer or supplier has a dual
    duty to provide adequate warnings of the risks of the product to both the
    employee and the employer. See Coffman v. Keene Corp., 
    133 N.J. 581
    , 606-
    08 (1993); Theer v. Philip Carey Co., 
    133 N.J. 610
    , 620-21 (1993) (discussing
    Coffman, its companion case). That approach enhances workplace safety by
    4
    giving workers the means to protect themselves when faced with exposure to a
    potentially deadly substance such as asbestos -- a known cause of
    mesothelioma, which has killed 45,221 people between 1999 and 2015.
    Union Carbide knew that asbestos exposure causes cancer. Placing
    adequate warnings on asbestos bags was clearly feasible, yet Union Carbide
    chose not to do so. Union Carbide therefore deprived Edenfield of critical
    information -- information that would have allowed him to make vital
    decisions concerning his life and health. A properly warned worker can
    undertake protective measures to minimize the risk of exposure or decide not
    to continue employment in a job handling toxic substances. Adequate
    warnings provide workers with a choice. Adequate warnings promote worker
    safety; inadequate warnings can endanger a worker’s life.
    In light of our common law jurisprudence, and for overarching public
    policy reasons, we hold that an asbestos manufacturer or supplier that places
    inadequate warnings on asbestos bags used in the workplace has breached its
    duty to the worker, regardless of whether it provides the employer with the
    correct information, which is reasonably intended to reach its employees.
    We also find that the trial court’s modified Model Jury Charge on
    proximate cause -- even though it did not parrot the language in Sholtis --
    sufficiently guided the jury in determining medical causation. First, Sholtis
    5
    cautioned that whether exposure to asbestos constitutes “a substantial factor”
    in causing mesothelioma does not depend on “catch words” but on whether the
    legal concepts were thoroughly conveyed to the jury. See 
    238 N.J. Super. at 29
    . Second, a rigid application of the Sholtis “frequency, regularity, and
    proximity” test would not have accounted for the conflicting medical opinions
    in this case. Medical testimony was presented that even slight exposure to
    asbestos can cause mesothelioma. The trial court properly instructed the jury
    that Edenfield’s exposure to Union Carbide’s products, which allegedly caused
    his mesothelioma, could not be a “remote or trivial cause” or based on
    “minimal contact” or “mere guesswork.”
    Accordingly, we reinstate the jury’s verdict and award of damages. We
    refer the matter to the Supreme Court Committee on Model Civil Jury Charges
    to review the current instructions on proximate cause in asbestos cases.
    I.
    On June 27, 2011, Thomasenia Fowler -- as administrator of her husband
    Willis Edenfield’s estate -- initiated a wrongful death/product liability action
    against Union Carbide. 1 The case was tried before a jury between December 3,
    1
    After the conclusion of discovery, the trial court granted Union Carbide’s
    motion for summary judgment. Fowler appealed, and the Appellate Division
    reversed and remanded the matter for trial.
    6
    2018, and January 22, 2019. The record before us is based on the testimony
    elicited and the exhibits admitted at trial.
    A.
    Between 1954 and 1994, Edenfield worked at a plant that manufactured
    adhesive products in Bloomfield, New Jersey.2 During those years, three
    different companies operated and manufactured the same products at the
    Bloomfield Plant (the Plant): Rubber & Asbestos Corp., from 1954 to 1962;
    PPG Industries Inc., from 1962 to 1971; and National Starch and Chemical
    Co., from 1971 to 1994.
    Rodney Dover, who worked with Edenfield for twenty-six years,
    testified to the tasks performed by Edenfield and the workplace environment at
    the Plant.3 Edenfield worked in a small room, approximately twenty feet by
    twenty feet, known as the batching area. He would go to the warehouse and
    bring raw ingredients, including small asbestos bags, back to the room. There,
    Edenfield opened the bags, poured out the ingredients, weighed them, and
    placed them into containers, which were shipped to other parts of the Plant for
    further processing.
    2
    Edenfield served in the army for two years, from February 1958 to February
    1960, before returning to the Plant.
    3
    Edenfield died before the filing of the lawsuit in 2011.
    7
    Between 1969 and 1984, Union Carbide shipped fifty-six thousand
    pounds of its Calidria brand asbestos -- packaged in ten- and forty-pound bags
    -- to the Bloomfield Plant. 4 Johns Manville also supplied the Plant with larger
    asbestos bags, weighing from 150 to 200 pounds. Dover recalled that
    Edenfield worked with the smaller asbestos bags, presumably those provided
    by Union Carbide.
    Dover expressed concern about dust inhalation to his supervisor, stating
    that the workers needed more ventilation. Although the Bloomfield Plant
    provided respirators, no one from the company advised the workers when to
    use them. According to Dover, the companies operating the Plant did not host
    safety meetings or issue written warnings to inform the employees of the
    hazards posed by their work environment. The companies never arranged for
    Dover to undergo a physical examination by a doctor or nurse hired by the
    Plant. Although the Plant’s records indicate that the levels of asbestos in the
    air were monitored in the years 1977, 1982, 1991, and 1992, Dover did not
    remember the company ever taking air samples.
    4
    Calidria is a brand of chrysotile asbestos from California. The parties’
    experts offered competing opinions about the health risks posed by Calidria
    asbestos.
    8
    B.
    The Warnings
    1.
    In 1968, Union Carbide began placing a warning on its Calidria asbestos
    bags. The labeling on the bags stated: “WARNING: BREATHING DUST
    MAY BE HARMFUL DO NOT BREATHE DUST.” However, an asbestos
    toxicology report in 1964, revised in 1969, authored by physicians in Union
    Carbide’s Industrial Medicine and Toxicology Department, presented a fuller
    picture of the dangers posed to workers by the asbestos in its bags. The 1969
    Union Carbide toxicology report explained that “[a] type of cancer named
    mesothelioma has been noted to be associated with asbestos exposure” and
    “may occur in individuals with histories of only slight exposures” twenty to
    forty years earlier. (emphasis added). The report further discussed the known
    risks of asbestos exposure and recommended health and safety measures.
    Although Union Carbide instructed its salesmen to inform customers of the
    report’s contents, nothing in the record indicates that the report itself was sent
    to Edenfield’s employers.
    In compliance with an emergency standard imposed by the Occupational
    Safety and Health Administration (OSHA), in 1972 Union Carbide changed
    the warning label to state: “CAUTION Contains Asbestos Fibers Avoid
    9
    Creating Dust Breathing Asbestos Dust May Cause Serious Bodily Harm.”
    That same year, OSHA invited comments on its emergency standard for
    warning labels on asbestos products.
    The National Institute for Occupational Safety and Health (NIOSH)
    recommended that a more urgent warning be given: “HARMFUL: May Cause
    Delayed Lung Injury (Asbestosis, Lung Cancer). DO NOT BREATHE DUST
    Use only with adequate ventilation and approved respiratory protective
    devices.”5 Union Carbide did not upgrade its warning based on the NIOSH
    recommendation.
    Similarly, the Manufacturing Chemists’ Association proposed an
    enhanced label warning:
    WARNING: HARMFUL IF INHALED MAY CAUSE
    DELAYED LUNG INJURY (ASBESTOSIS, LUNG
    CANCER) Do not breathe dust. Use only with
    adequate local exhaust ventilation or approved
    respiratory protective devices. Remove dust and fibers
    5
    OSHA and NIOSH are different government organizations. OSHA is a part
    of the United States Department of Labor. Centers for Disease Control and
    Prevention, National Institute for Occupational Safety and Health (NIOSH)
    Fact Sheet 1 (2003), https://www.cdc.gov/niosh/docs/2003-116/pdfs/2003-
    116.pdf?id=10.26616/NIOSHPUB2003116. OSHA is charged with
    “developing and enforcing workplace safety and health regulations.” 
    Ibid.
    NIOSH is a part of the United States Department of Health and Human
    Services. 
    Ibid.
     It is charged with ensuring “safe and healthful working
    conditions for working men and women by providing research, information,
    education, and training in the field of occupational safety and health. ” 
    Ibid.
    10
    from clothing only by vacuum cleaning. Clean work
    areas with vacuum cleaners or wet cleaning methods.
    In a letter to OSHA, the Manufacturing Chemists’ Association indicated
    that its proposed warning would “reflect additional critical information” and
    “strengthen the message.” One of the doctors from Union Carbide’s medical
    department was a member of the Association’s committee that made the
    proposal. Nevertheless, Union Carbide did not upgrade its warning label on its
    asbestos bags.6
    By 1983, Union Carbide’s in-house staff placed the company on notice
    that its warning label inadequately addressed the lethal dangers of asbestos
    exposure. An internal memorandum dated February 15, 1983, from Union
    Carbide employee R.W. Rebholz, stated that “[i]t is widely recognized” that
    the 1972 label on Union Carbide’s Calidria products “understates the risk
    associated with exposure to asbestos dust.” Rebholz proposed an alternative
    warning:
    Asbestos: Warning -- cancer hazard, higher risk in
    smokers, cancer hazard is associated with breathing
    asbestos dust. Where dust is present wear a respirator,
    which has been approved by O.S.H.A. or N.I.O.S.H. for
    the conditions encountered. For industrial use only. Do
    not reuse packaging material.
    6
    OSHA retained the language in its emergency standard.
    11
    Rebholz explained that Union Carbide could have used the more
    protective warning label with OSHA’s approval. Nevertheless, Union Carbide
    declined to adopt Rebholz’s proposed warning label, claiming that, when
    combined with the 1972 label, it “would be confusing to the individual using
    the product.” Accordingly, Union Carbide never submitted Rebholz’s
    proposed enhanced warning to OSHA for approval.
    2.
    Union Carbide presented evidence that it periodically provided
    information and various safety warnings about its asbestos products to
    Edenfield’s employers and requested that the information and warnings be
    made available to the Plant’s employees. Over a course of years, Union
    Carbide forwarded to its “Calidria” customers such items as Material Safety
    Data Sheets, OSHA regulations, health and safety pamphlets published by the
    Asbestos Information Association of North America (AIA/NA), and
    toxicology reports, which, in their totality, discussed the chemical properties
    of asbestos and provided safety warnings and measures to minimize the danger
    of asbestos inhalation.
    In 1969, Union Carbide furnished its customers with a toxicology report
    that recommended ways to control asbestos dust through adequate ventilation
    and noted that “mesothelioma” had been “associated with asbestos exposure in
    12
    recent years” and “may occur in individuals with histories of only slight
    exposures.”
    In 1971, Union Carbide representatives met with an environmental
    control manager at the Bloomfield Plant and discussed “toxicity problems in
    using Calidria asbestos” and “safe operating procedures,” though a Plant
    manager still expressed concern “about the generation of asbestos dust”
    through a particular procedure. By 1972, Union Carbide offered to provide air
    monitoring to its customers.
    In 1975, 1977, and 1981, Union Carbide forwarded to the operators of
    the Bloomfield Plant Material Safety Data Sheets and requested that the
    Plant’s employees be advised of “best safety practices” in the use of its
    Calidria asbestos and that safety data and material be made available to them.
    In its 1981 letter, Union Carbide provided a copy of the OSHA standards
    on asbestos and recommended putting up posters instructing employees to use
    respirators, vacuum dust spills, leave dusty clothes at work, repair broken
    asbestos bags, report unsafe conditions, and stop smoking. The 1981 letter
    included a poster warning that “[e]xposure to asbestos fiber can increase the
    risk of developing certain diseases over a period of years,” including
    “mesothelioma -- a rare cancer of the lining of the chest or abdominal
    cavities.”
    13
    Testimony was also elicited about a June 1972 Union Carbide
    memorandum to its salespersons on how to deal with customers who
    questioned the safety of its asbestos products. The memorandum instructed
    salespersons to “control[] the conversation,” to emphasize that “the vast
    numbers of customers successfully use asbestos without problem,” and to put
    the customer on the defensive “[i]f the customer is persistent and threatens to
    eliminate asbestos.”
    In its Appellate Division brief, Union Carbide highlighted that the
    Plant’s operators declined its offer “to monitor the Plant’s air quality” and “to
    disseminate the warnings or instructions to Plant employees.”
    C.
    The Expert Witnesses
    In a proverbial battle of the experts, each side presented differing
    opinions about the nature of the danger posed by Calidria asbestos and the
    degree of exposure necessary to cause mesothelioma.
    1.
    Plaintiff’s Expert
    Dr. Jacqueline Moline, M.D., an expert in occupational medicine in the
    field of asbestos-related diseases, testified that mesothelioma is “a dose
    response disease” -- the greater the exposure to asbestos, the greater the
    14
    likelihood of contracting mesothelioma. Dr. Moline emphasized, however,
    that even “short exposures to asbestos cause mesothelioma.” She noted that
    Edenfield’s exposure to asbestos was not brief but a daily feature of his work
    life for years, as he was “pouring or scooping” Union Carbide’s products.
    Because “asbestos is light and fluffy and it becomes airborne easily,” she
    opined, “Edenfield’s exposure to Union Carbide’s asbestos [was] significant
    enough to substantially contribute to his mesothelioma.” Dr. Moline stated
    that she and most scientists share the opinion that all forms of asbestos,
    without exception, cause mesothelioma. She concluded that Edenfield’s
    exposure to Union Carbide’s Calidria asbestos was a substantial factor in his
    contracting the deadly disease.
    2.
    Union Carbide’s Experts
    Union Carbide presented the testimony of three experts.
    Dr. James D. Crapo, M.D., an expert in the field of pulmonary and
    internal medicine and asbestos-related diseases, testified that if Edenfield was
    exposed to Union Carbide’s Calidria asbestos, it would not have been a
    substantial contributing cause of Edenfield’s contracting mesothelioma. Dr.
    Crapo opined that Union Carbide’s Calidria asbestos does not contain the type
    of fibers that could reach the lower lung and cause mesothelioma.
    15
    Nevertheless, Dr. Crapo conceded that the type of asbestos produced by Union
    Carbide “has been associated . . . at high dose with mesothelioma.”
    Dr. William Dyson, Ph.D., an expert in the fields of industrial hygiene,
    exposure and risk assessments, and OSHA requirements, testified that Union
    Carbide’s Calidria asbestos presents a risk of mesothelioma only at “very high
    exposure doses,” if at all. Dr. Dyson concluded that Edenfield’s “cumulative
    exposure” to Union Carbide’s Calidria asbestos at the “[P]lant was not
    sufficiently high” to have presented a risk of his contracting mesothelioma.
    Dr. Victor Roggli, M.D., an expert in pathology and asbestos-related
    diseases, concluded -- for reasons similar to those of Dr. Crapo and Dr. Dyson
    -- that although asbestos exposure was the cause of Edenfield’s mesothelioma,
    Union Carbide’s Calidria asbestos was not a substantial contributing factor in
    Edenfield’s illness.
    D.
    The Charge to the Jury
    Union Carbide objected to two jury instructions that are the focus of this
    appeal. One instruction addressed the adequacy of the warnings that Union
    Carbide gave about its asbestos products to the Bloomfield Plant’s employees,
    and the other instruction addressed the standard to prove medical causation.
    16
    1.
    The trial court instructed the jury that plaintiff had to prove by a
    preponderance of the evidence the following elements of her strict liability and
    negligence claims:
    1. Edenfield was exposed to Union Carbide’s asbestos;
    2. Edenfield’s exposure to Union Carbide’s asbestos was a substantial
    factor in causing his mesothelioma (medical causation);
    Solely for strict liability claim:
    3a. Union Carbide failed to provide adequate warnings or instructions
    on its products rendering them not reasonably safe for their intended and
    foreseeable use; 7 or
    3b. Union Carbide failed to take reasonable steps to ensure that its
    warnings reached Edenfield;
    If the jury found that plaintiff proved 3a or 3b, or both, then the jury was
    instructed to consider whether plaintiff established product-defect causation.
    4. Union Carbide’s failure to provide adequate warnings or instructions
    with respect to its product or failure to take reasonable steps to ensure
    7
    The jury asked the trial court regarding question 3a, “is adequate
    warning/instructions only to the labels on the asbestos bags or does it include
    other materials[?]” The trial court replied, “[t]he answer to that question is it
    deals with the asbestos bags.”
    17
    that its warnings reached Edenfield was a proximate cause of
    Edenfield’s exposure to Union Carbide’s asbestos;
    Solely for negligence claim:
    5. Union Carbide was negligent in failing to provide adequate warnings
    or instructions with respect to its asbestos; and
    6. Union Carbide’s negligence in failing to provide adequate warnings
    or instructions with respect to its asbestos was a proximate cause of
    Edenfield’s exposure to Union Carbide’s asbestos.
    The court made clear in its instructions that Union Carbide could be held liable
    either for failing to place adequate warnings on its Calidria asbestos bags or
    failing to disseminate adequate warnings and information to the Bloomfield
    Plant intended for its employees.
    The trial court instructed the jury as follows: 8
    In the employment context, a manufacturer or supplier
    of products that are used by employees is required to
    take reasonable steps to ensure that its warnings reach
    those employees. Satisfying that obligation may
    require that warnings be communicated to employers,
    as well as employees. In this case there has been
    evidence of warnings provided both on labels on Union
    Carbide’s asbestos as well as warnings and information
    provided to Mr. Edenfield’s employers. In determining
    whether Union Carbide satisfied its duty to warn, you
    8
    The trial court modified Model Jury Charge 5.40C to address the facts of this
    case. See Model Jury Charges (Civil), 5.40C, “Failure to Warn/Instruct” (rev.
    Sept. 2021).
    18
    may consider both of these avenues of warning. The
    duty to put an adequate warning on the product may not
    be discharged by warnings and information to the
    employer.
    [(emphases added).]
    The trial court further instructed the jury:
    In an employment context, the manufacturer or supplier
    of products that are used by employees has an
    additional duty to take reasonable steps to ensure that
    its warnings reach those employees, which may require
    that warnings be communicated to employers, as well
    as employees. Thus, even if you find that the warnings
    on Union Carbide’s asbestos were adequate, you may
    find that Union Carbide’s failure to take reasonable
    steps to ensure that its warnings reached Mr. Edenfield
    was a proximate cause of Mr. Edenfield’s exposure to
    Union Carbide’s asbestos and his mesothelioma.
    Union Carbide objected to those instructions. It had earlier offered its
    own proposed charge, which would have allowed the jury to find that, even if
    the warnings on the asbestos bags were inadequate, Union Carbide was not
    liable if it provided the employer warnings and information “with the intention
    or purpose that the employer alert employees to the dangers of the product and
    the proper methods of mitigating the risks presented by the product.”
    2.
    The court gave the following instructions on medical causation:
    By proximate cause it is meant that the failure to warn
    was a substantial factor which singly, or in combination
    with another cause, brought about the injury.
    19
    “Substantial” means that a product was an efficient
    cause of the Plaintiff’s injury, and that it was not a
    remote or trivial cause having only an insignificant
    connection with the harm. Liability should not attach
    based on casual or minimal contact with the product.
    Liability should not be imposed on mere guesswork.
    The trial court rejected Union Carbide’s proposed Sholtis charge on
    medical causation, which would have required plaintiff to “prove that Mr.
    Edenfield was exposed to [Union Carbide’s] product with sufficient frequency,
    with a regularity of contact, and with the product in close enough proxim ity to
    show that the exposure . . . was a substantial contributing factor to Mr.
    Edenfield’s mesothelioma.” (emphasis added). The court reasoned that it had
    never given such a charge in a mesothelioma case and had always relied on the
    substantial factor test in the Model Charge.
    E.
    The Verdict
    The jury returned a verdict in favor of plaintiff on both her strict liability
    and negligent failure to warn claims. In reaching that conclusion, the jury
    made specific findings recorded on the verdict sheet. The jury found that (1)
    Union Carbide failed to provide adequate warnings or instructions on its
    product (the asbestos bags), (2) the failure to do so was a proximate cause of
    Edenfield’s exposure to Union Carbide’s asbestos, and (3) that exposure was a
    substantial factor in causing his mesothelioma.
    20
    The jury also determined that plaintiff did not prove that Union Carbide
    failed to take reasonable steps to ensure that the warnings it gave to
    Edenfield’s employers reached Edenfield -- a finding that, in the end, did not
    undermine the verdict because, pursuant to the charge, the jury was advised
    that providing warnings and instructions to the employer alone did not satisfy
    Union Carbide’s duty to warn Edenfield. 9
    The jury awarded plaintiff an aggregate amount of $2,380,000 in
    damages.
    The court denied Union Carbide’s motions for judgment notwithstanding
    the verdict and, alternatively, for a new trial. Union Carbide appealed.
    9
    Contrary to our dissenting colleagues’ assertion, post at ___ (slip op. at 16-
    17), the jury charge made clear that Union Carbide had to provide adequate
    warnings not only on the asbestos bags, but also to Edenfield’s employers. No
    objective reading of the charge suggests that Union Carbide had only a duty to
    provide adequate warnings on the asbestos bags but could provide lesser
    warnings to the employer.
    For example, the jury was instructed that it “must determine what
    warnings and instructions [Union Carbide] provided and whether those
    warnings and instructions were adequate.” The court stated that “[a]dequate
    information may be required to be given to others in the chain of distribution
    of the product such as from the manufacturer and the seller to the buyer” --
    Edenfield’s employer. The court made clear to the jury that it could consider
    the adequacy of the warnings communicated on the bags and those
    communicated to the employer. The jury knew that question 3a related to the
    warnings on the asbestos bags and question 3b related to the warnings
    provided to the employer, as indicated by its query to the court.
    21
    F.
    The Appellate Division
    In an unpublished decision, the Appellate Division reversed, finding that
    the trial court erred in charging the jury on two separate issues.
    On the first issue, the Appellate Division held that the trial court
    wrongly instructed the jury that, if Union Carbide placed inadequate warnings
    on its asbestos products, it could not otherwise discharge its duty by providing
    adequate warnings and information to the employer to be passed along to
    employees. According to the Appellate Division, under case law, the adequacy
    of the warnings depends on a standard of “reasonableness under the
    circumstances.” The Appellate Division agreed that Union Carbide owed a
    “concurrent duty to warn both the employee and employer,” and that a
    “manufacturer may not delegate to the employer its duty to warn the employee
    of the unsafe product.” Nevertheless, the court stated that “in appropriate
    circumstances, the manufacturer may discharge this duty . . . by conveying the
    warnings to the employer and relying on the employer to convey them to the
    employee.”
    The Appellate Division reasoned:
    If the warnings and instructions on the product are
    inadequate, the manufacturer must make greater efforts
    22
    to warn the employer of the product’s dangers, provide
    sufficient information to the employer on the product’s
    dangers and safe use, and ensure that the employer
    conveys this information to the employee. However,
    the manufacturer may also have to establish that the
    nature of the workplace prevented the manufacturer
    from conveying the information directly to the
    employee.
    To a large extent, the court relied on its decision in Grier v. Cochran
    Western Corp., a failure-to-warn case involving an airline employee injured
    while using a beltloader vehicle manufactured by the defendant. 
    308 N.J. Super. 308
    , 312-14 (App. Div. 1998). In determining the scope of the
    manufacturer’s duty to warn, the Appellate Division looked to the Grier
    court’s reliance on the Restatement (Third) of Torts: Products Liability § 2
    cmt. i (Am. Law Inst. 1998), which sets forth a standard “of reasonableness in
    the circumstances.”
    On the second issue, the Appellate Division asserted that the trial court
    erred in not charging the jury on the “frequency, regularity, and proximity”
    test set forth in Sholtis, 
    238 N.J. Super. at 28-29
    , and later adopted in James v.
    Bessemer Processing Co., 
    155 N.J. 279
    , 301-04 (1998), for establishing
    medical causation in asbestos-exposure cases involving multiple defendants.
    According to the Appellate Division, “[t]he Sholtis test requires plaintiff to
    prove that Edenfield was exposed to Union Carbide’s asbestos on numerous
    occasions, and while he was physically close to the product.” The trial court
    23
    went awry, said the Appellate Division, because “the court’s instructions
    required plaintiff to prove only that Edenfield’s exposure was more than
    minimal and that it had a connection to his injury that was greater than
    insignificant.” The appellate court concluded that “[a]lthough the jury found
    plaintiff proved that Edenfield was exposed to Union Carbide’s asbestos, it is
    not possible to know whether the jury would have found that he was exposed
    with the requisite frequency, regularity and proximity.”
    Based on what it perceived to be erroneous jury instructions, the
    Appellate Division remanded for a new trial.
    We granted plaintiff’s petition for certification, 
    248 N.J. 409
     (2021),
    which raised two issues. The first issue is whether a manufacturer or supplier
    that puts inadequate warnings on its asbestos products used in the workplace
    can fulfill its duty to warn by disseminating adequate information to the
    employer with the intention that such information will reach the workers using
    those products. The second issue is whether, in charging on medical causation
    in this mesothelioma case, the trial court was required to give the frequency,
    regularity, and proximity language in Sholtis rather than the substantial factor
    test in the Model Civil Charge, as modified by the court.
    We also granted the motions of the New Jersey Association for Justice,
    the Chamber of Commerce of the United States of America and the New
    24
    Jersey Civil Justice Institute, and the Coalition for Litigation Justice, Inc., to
    participate as amici curiae.10
    II.
    A.
    Plaintiff submits that the Appellate Division’s decision is inconsistent
    with well-settled case law. She contends that a manufacturer of a hazardous
    product used in the workplace has a non-delegable duty to provide not only
    adequate warnings to the employer, but also to the employee, citing Coffman,
    
    133 N.J. at 607
    , and Theer, 
    133 N.J. at 620-21
    . The employer warnings, she
    states, are not a substitute for a safety label on a dangerous product; the
    employer warnings are intended as an additional safeguard so an employee can
    make an informed and meaningful decision on whether and how to work with a
    product such as asbestos. Plaintiff asserts that Union Carbide failed to provide
    adequate warnings on its asbestos bags to alert Edenfield about known dangers
    but now seeks to evade liability for its unsafe products because it forwarded
    useful information to the employer. She argues that the manufacturer should
    not be allowed to outsource its duty because the “harsh[] reality” is that some
    10
    The Chamber of Commerce and the New Jersey Civil Justice Institute filed
    a joint brief.
    25
    employers have been known to subject “workers to the risks of injury and
    disease,” quoting Millison v. E.I. du Pont, 
    101 N.J. 161
    , 177 (1985).
    Additionally, plaintiff argues that the trial court gave the proper medical
    causation charge -- the substantial factor test -- in this asbestos case involving
    mesothelioma. Plaintiff relies on Kurak v. A.P. Green Refractories Co. for the
    proposition that “[w]here there is competent evidence that one or a de minimis
    number of asbestos fibers can cause injury, a jury may conclude the fibers
    were a substantial factor in causing a plaintiff’s injury,” quoting 
    298 N.J. Super. 304
    , 321 (App. Div. 1997). Plaintiff contends that the Appellate
    Division erred in finding that the “frequency, regularity, and proximity” test
    was appropriate in this mesothelioma case.
    Amicus the New Jersey Association for Justice echoes the arguments
    advanced by plaintiff. The Association emphasizes that “warnings conveyed
    by the manufacturer directly to workers are necessary to ensure their safety ”
    and that allowing a manufacturer to discharge its duty by simply warning the
    employer will profoundly limit an injured employee’s remedies to those
    afforded under the Workers’ Compensation Act, N.J.S.A. 34:15-7 to -35.22.
    B.
    Union Carbide urges this Court to affirm the Appellate Division. In
    Union Carbide’s view, “the Appellate Division simply held that jurors should
    26
    be allowed to consider whether it was reasonable for Union Carbide to rely on
    Edenfield’s employer to relay some of . . . [the] product warnings to
    Edenfield.” Union Carbide argues that the jury should have been instructed
    that if it took “reasonable steps” to have its warnings reach employees through
    the employer, then it could be absolved of liability, even though its warnings
    on the asbestos bags were inadequate. Union Carbide asserts that it is
    reasonable in some workplaces to rely on employers to disseminate warnings
    to employees, a position consistent with the Third Restatement § 2 cmt. i,
    relied on by the Appellate Division in Grier.
    Union Carbide also contends that the Appellate Division rightly held that
    the trial court erred in not charging the Sholtis “frequency, regularity, and
    proximity” test as the standard for proving medical causation. It reasons that
    the Sholtis test can be “calibrated to the level of exposure required for the
    injury at issue” and asserts that the test has been applied by New Jersey courts
    in mesothelioma cases.
    Amici the Chamber of Commerce of the United States of America and
    the New Jersey Civil Justice Institute echo Union Carbide’s arguments and add
    that “[f]ocusing solely on a product’s packaging” fails to account for the way
    industrial products are used in the workplace and will cause manufacturers to
    27
    attach lengthy warnings that will diminish important information needed to be
    conveyed to employees.
    Amicus the Coalition for Litigation Justice, Inc., also maintains that the
    jury in this case should have been instructed to consider whether Union
    Carbide’s warnings to the employee -- directly through labeling on the product
    and through the employer as a third-party intermediary -- were reasonable
    under the circumstances. The Coalition proposes that the Court adopt the
    Third Restatement’s approach and allow the jury to weigh all of the factors
    related to the reasonableness of the employer’s actions.
    III.
    A.
    Whether the trial court correctly instructed the jury on the adequacy of
    the product warnings and medical causation are issues of law that we review
    de novo. State ex rel. Comm’r of Transp. v. Marlton Plaza Assocs., L.P., 
    426 N.J. Super. 337
    , 347 (App. Div. 2012) (citing Manalapan Realty, L.P. v. Twp.
    Comm. of Manalapan, 
    140 N.J. 366
    , 378 (1995)). We do not defer to the trial
    court or Appellate Division’s interpretive legal conclusions, unless we are
    persuaded that they are correct. See Lewis v. Harris, 
    188 N.J. 415
    , 431-32
    (2006).
    28
    B.
    This case is governed by our common law jurisprudence on product
    liability and not the New Jersey Products Liability Act (PLA), N.J.S.A.
    2A:58C-1 to -11. See Whelan v. Armstrong Int’l Inc., 
    242 N.J. 311
    , 331
    (2020). “The PLA by its explicit terms does ‘not apply to any environmental
    tort action.’” 
    Ibid.
     (quoting N.J.S.A. 2A:58C-6). Asbestos claims fall within
    the category of an environmental tort because such cases largely involve
    workers’ exposure to contaminated air. 
    Ibid.
     Significantly, “[t]he standard in
    a failure-to-warn case is no different, whether the action is considered under
    the PLA or our common law jurisprudence.” 
    Ibid.
     (citing Zaza v. Marquess &
    Nell, Inc., 
    144 N.J. 34
    , 49 (1996)). 11
    “[A] manufacturer has a duty to ensure that the products it places into
    the stream of commerce are safe when used for their intended purposes.” 
    Id.
     at
    11
    The PLA states, in part, that
    [a]n adequate product warning or instruction is one that
    a reasonably prudent person in the same or similar
    circumstances would have provided with respect to the
    danger and that communicates adequate information on
    the dangers and safe use of the product, taking into
    account the characteristics of, and the ordinary
    knowledge common to, the persons by whom the
    product is intended to be used.
    [N.J.S.A. 2A:58C-4.]
    29
    332 (alteration in original) (quoting Zaza, 
    144 N.J. at 48
    ). A product that is
    shipped to a workplace without adequate warnings about the product’s inherent
    dangers is a defective product. 
    Ibid.
     (citing Feldman v. Lederle Labs., 
    97 N.J. 429
    , 450 (1984)); see also Becker v. Baron Bros., Coliseum Auto Parts, Inc.,
    
    138 N.J. 145
    , 166 (1994) (stating “that an asbestos-related product is unsafe
    because a warning could have made it safer” (quoting Campolongo v. Celotex
    Corp., 
    681 F. Supp. 261
    , 264 (D.N.J. 1988))).
    The risk of contracting “serious and often deadly asbestos-related
    illnesses, such as asbestosis and mesothelioma,” from exposure to asbestos
    dust is well known. Whelan, 242 N.J. at 338 (citing Beshada v. Johns-
    Manville Prods. Corp., 
    90 N.J. 191
    , 197-98 (1982)). Equally clear is that
    manufacturers of asbestos products “have the ability to act reasonably” by
    putting “proper warnings on their products, making those products safer ‘at
    virtually no added cost and without limiting [the product’s] utility.’” 
    Ibid.
    (alteration in original) (quoting Beshada, 
    90 N.J. at 201-02
    ).
    In this common law, strict-liability failure-to-warn action, plaintiff had
    to prove that (1) without adequate warnings, use of Union Carbide’s asbestos
    bags by workers, such as Edenfield, was dangerous -- a product defect; (2)
    Union Carbide forwarded the asbestos bags to the Bloomfield Plant without
    30
    adequate warnings -- in a defective condition; and (3) the inadequate warnings
    proximately caused Edenfield to contract mesothelioma. See 
    id. at 333
    .
    The third factor requires proof of two different forms of causation:
    product-defect causation and medical causation. 
    Ibid.
     (citing James, 
    155 N.J. at 297
    ). “For product-defect causation, the plaintiff must show that the defect
    in the product -- the lack of warnings or adequate warnings -- was a proximate
    cause of the asbestos-related injury.” 
    Ibid.
     (citing Coffman, 
    133 N.J. at 594
    ).
    “For medical causation, the plaintiff must show that the injury was
    ‘proximately caused by exposure to defendant’s asbestos product . . . .’” 
    Ibid.
    (quoting Coffman, 
    133 N.J. at 594
    ).
    The first issue is whether the trial court properly charged the jury on
    product defect in a workplace setting. The court instructed the jury that
    plaintiff had to prove that Union Carbide’s asbestos products were rendered
    defective in one or two ways: the failure to place adequate warnings on the
    asbestos bags handled by Edenfield, or the failure to disseminate adequate
    warnings to the operators of the Bloomfield Plant with the intention that they
    reach Edenfield. In other words, did the trial court correctly charge the jury
    that if the warnings on the asbestos bags were inadequate, Union Carbide
    could not escape liability by giving Edenfield’s employers proper warnings?
    31
    In line with the trial court’s charge, our jurisprudence establishes that an
    asbestos manufacturer or supplier has a duty to provide adequate warnings to
    both the employee directly and the employer.
    C.
    In Coffman, we held that, in the workplace context, “the basic duty of a
    manufacturer or supplier [is] to warn both employers and employees with
    respect to unsafe products in the workplace.” 133 N.J. at 608. In that strict
    liability failure-to-warn case arising in a workplace setting, we recognized a
    presumption -- subject to limited exceptions -- that if the manufacturer had
    provided an adequate product warning, the plaintiff worker would have heeded
    the warning to minimize the risk of injury. Id. at 591, 602-03. In coming to
    that conclusion, we emphasized in asbestos-exposure cases the importance of
    the warning actually reaching the employee. See id. at 606. The asbestos
    products supplied by the defendant and handled by the plaintiff in Coffman did
    not contain any safety warnings. Id. at 592.
    In light of the dangers posed by asbestos to the health of workers, we
    have repeatedly noted the dual duty of an asbestos manufacturer or supplier to
    warn both the employee and the employer. Thus, we stated in Coffman: “we
    reasonably assume that a manufacturer or supplier, consistent with its own
    duty, will provide an adequate warning of its unsafe product to employers as
    32
    well as employees”; “[c]onsistent with [the] duty to warn, it should be
    presumed that such warnings directed to employers and employees will be
    heeded”; and “in the employment setting, the adequacy of a warning with
    respect to unsafe products may require that they be communicated to
    employers as well as employees.” Id. at 607-09 (emphases added) (citing
    Michalko v. Cooke Color & Chem. Corp., 
    91 N.J. 386
    , 400 (1982); Bexiga v.
    Havir Mfg. Corp., 
    60 N.J. 402
    , 403 (1972)).
    The importance of placing adequate warnings on the product itself, when
    feasible, is informed by the fact that some employers may not provide critical
    health warnings and information to their workforce. “Unfortunately, there are
    examples of employers who fail to take reasonable measures to assure the
    safety and health of their employees in the face of warnings.” 
    Id.
     at 608
    (citing Millison v. E.I. du Pont, 
    115 N.J. 252
     (1989); Beshada, 
    90 N.J. 191
    ).
    Dual warnings -- possibly redundant warnings -- are warranted because
    workers “exposed to a defective product” without adequate warnings are
    deprived of the ability “to exercise [a] meaningful choice with respect to
    confronting the risk of injury posed by the product.” See id. at 605. When
    dealing with a potentially lethal product such as asbestos, it is also reasonable
    to impose a duty requiring the manufacturer to provide important information
    to the employer, who can then “give its employees adequate warnings as part
    33
    of its more encompassing duty to provide employees with a safe and healthy
    workplace.” Id. at 607.
    In Theer, a companion case to Coffman, we emphasized again “that
    employers have an independent duty to provide a safe workplace for their
    employees, and that a manufacturer or supplier of a product intended for use in
    the workplace is under a concurrent duty to warn employers, as well as
    employees, concerning the safety risks of its products.” Theer, 
    133 N.J. at 620-21
     (emphasis added) (citing Coffman, 
    133 N.J. at 606-08
    ). In cases
    involving toxic substances, the dual duty to warn both the employee and
    employer is now well ingrained in our law. We repeated this simple
    proposition in James, a toxic tort case, stating that “[i]n the employment
    context, a manufacturer’s duty to warn of the dangers posed by its products
    extends to both the employer and the employees of the recipient entity.” 
    155 N.J. at
    298 (citing Coffman, 
    133 N.J. at 606-09
    ).
    D.
    In cases involving asbestos products in a workplace setting, we have
    hewed to the concurrent duty to warn, as in Coffman, where placing a warning
    on the product itself is feasible. In the present case, Union Carbide put an
    inadequate warning on its asbestos bags, despite its knowledge of the
    deficiency of that warning.
    34
    Union Carbide points to Grier, 
    308 N.J. Super. 308
    , a non-asbestos PLA
    case involving a sophisticated piece of machinery, as charting a different path.
    We disagree.
    In Grier, the plaintiff airline employee operated a beltloader vehicle,
    which conveys cargo onto an aircraft. Id. at 312-13. Walking down the
    beltloader while the guardrail was down, the plaintiff slipped and fell
    approximately thirteen to fourteen feet onto the tarmac, injuring himself. Id. at
    313-14. One of the plaintiff’s product defect theories was “that the
    manufacturer breached its duty to give an adequate warning of the hazard of
    climbing and descending the conveyor without the raised guardrail.” Id. at
    316.
    The evidence in Grier established that the guardrail on the beltloader
    was “painted ‘OSHA yellow’ to highlight its availability and required use” and
    that the manufacturer “offered free training to each airline who bought its
    beltloader.” Id. at 319. Although the airline declined the manufacturer’s offer,
    the airline trained its employees “on the use of the beltloader, including when
    to use the safety guardrail.” Ibid. Two of the plaintiffs’ co-workers testified
    that they were instructed to raise the guardrail when using the beltloader, and
    the airline’s training specialist testified that he trained the plaintiff, who would
    have received the same guidance as his co-workers. Id. at 320-21.
    35
    The Appellate Division stated that “[t]he question simply is whether, in
    the context of a given case, the manufacturer acted reasonably in conveying
    adequate information on the safe use of its product.” Id. at 318. The
    Appellate Division rejected the plaintiff’s “contention that, as a matter of law,
    a manufacturer may not discharge its duty to warn by alerting the employer of
    the dangers in the operation of sophisticated machinery.” Ibid. (emphasis
    added). In reaching that conclusion, the Grier court relied on the Restatement
    (Third) of Torts: Products Liability § 2 cmt. i, which, in part, provides:
    There is no general rule as to whether one supplying a
    product for the use of others through an intermediary
    has a duty to warn the ultimate product user directly or
    may rely on the intermediary to relay warnings. The
    standard is one of reasonableness in the circumstances.
    Among the factors to be considered are the gravity of
    the risks posed by the product, the likelihood that the
    intermediary will convey the information to the
    ultimate user, and the feasibility and effectiveness of
    giving a warning directly to the user.
    The jury in Grier found in favor of the defendant. Id. at 316. The
    Appellate Division held that the jury’s verdict was entitled to deference and
    that the evidence supported “the jury’s finding that [the defendant
    manufacturer] did not breach its duty to warn.” Id. at 321.
    E.
    Tens of thousands of employees have died from mesothelioma as a result
    of exposure to asbestos in the workplace. Jacek M. Mazurek et al., Malignant
    36
    Mesothelioma Mortality -- United States, 1999-2015, 66 Morbidity &
    Mortality Wkly. Rep. 214, 217 (2017), available at https://www.cdc.gov
    /mmwr/volumes/66/wr/pdfs/mm6608a3.pdf. Our common law failure-to-warn
    jurisprudence involving asbestos products is informed by the lethality of
    asbestos exposure. It recognizes “the simple notion that without warnings, the
    users of potentially dangerous products are ‘unaware’ of the products’ hazards
    and therefore cannot ‘protect themselves from injury.’” Whelan, 242 N.J. at
    335-36 (quoting Beshada, 
    90 N.J. at 209
    ). No one truly questions that raw
    asbestos dispersed into the air is a highly toxic substance that threatens the
    health of workers.12
    In light of the deadly dangers posed by asbestos in the workplace,
    Coffman and Theer imposed a special duty on manufacturers and suppliers of
    asbestos -- the concurrent duty to warn not only the employee but also the
    employer. Coffman, 
    133 N.J. at 607, 609
    ; Theer, 
    133 N.J. at 620-21
    . That
    dual-warning requirement provides heightened protections to workers in an
    employment setting and the greatest assurance that critical -- perhaps even life-
    saving -- information is disseminated to workers. Under that approach, if the
    12
    We acknowledge “that asbestos-containing products are not uniformly
    dangerous.” Whelan, 242 N.J. at 336 n.8 (quoting Becker, 
    138 N.J. at 160
    ).
    Here, however, we are dealing with raw asbestos.
    37
    worker does not read or is unable to read the warnings on the product -- here,
    the asbestos bags -- the fail-safe is that the manufacturer will supply the
    employer with warnings to disseminate to the employees. The goal is to
    ensure that the worker is informed of the product’s dangers and of the safety
    measures to be taken. Holding manufacturers and suppliers of asbestos
    products liable for not complying with the concurrent warning requirement
    maximizes the likelihood that adequate warnings will reach the workers at risk.
    In the end, if adequate warnings are not communicated to workers about
    the real health risks of asbestos, then those workers are denied the right “to
    exercise [a] meaningful choice with respect to confronting the risk of injury
    posed by the product.” See Coffman, 
    133 N.J. at 605
    .
    This case illustrates the importance of the dual-warning doctrine set
    forth in Coffman and Theer in asbestos cases and in James in highly toxic
    substance cases. Union Carbide was aware that the warnings on its asbestos
    bags understated the health risks to workers at the Bloomfield Plant , yet there
    was no mention in the warnings that inhaling asbestos fibers may cause lung
    cancer. Union Carbide knew that NIOSH and the Manufacturing Chemists’
    Association proposed more detailed warnings, particularly about the product’s
    association with cancer; and it ignored its own in-house staff member who
    informed the company that its label warning on Calidria products “understates
    38
    the risk associated with exposure to asbestos dust” by failing to address the
    “cancer hazard.”
    In this case too, the dual warning requirement failed. Not only did
    Union Carbide provide inadequate label warnings on its products, but as even
    Union Carbide conceded in its Appellate Division brief, the Bloomfield Plant’s
    operators did not “disseminate the [manufacturer’s] warnings or instructions to
    Plant employees.”
    Our common law jurisprudence governed the environmental torts in
    Coffman, Theer, and James -- cases involving highly toxic substances that
    posed an inherent risk to the users of the manufacturers’ products on which the
    placement of adequate warnings was clearly feasible. Inadequate warnings on
    those products rendered the products defective. See Whelan, 242 N.J. at 332.
    Grier, which fell within the domain of the PLA, presented a much different
    scenario -- the operation of a sophisticated machine. The complex nature of
    the machinery in Grier impelled the manufacturer to provide instructional
    manuals and to offer training, which ultimately was provided by the employer
    to its employees, including the plaintiff.
    Different products may require different approaches. Instructive label
    warnings may be more efficacious and feasible in dealing with certain toxic
    substances than sophisticated pieces of machinery. Although information
    39
    disseminated by the employer may always be important in addressing how to
    safely operate or handle dangerous products in the workplace, in the case of
    sophisticated machinery supervisory training may be an especially significant
    component in reducing safety hazards, as suggested by Grier. We do not
    suggest a one-size-fits-all approach.
    The PLA states that “[a]n adequate product warning . . . communicates
    adequate information on the dangers and safe use of the product.” N.J.S.A.
    2A:58C-4. But that standard must be viewed through the lens of how “a
    reasonably prudent person in the same or similar circumstances would have
    provided” the warnings, “taking into account the characteristics of, and the
    ordinary knowledge common to, the persons by whom the product is intended
    to be used.” Ibid. Pouring asbestos into a container with the likely dispersal
    of some toxic fibers into the air, with even brief exposure having potentially
    deadly consequences, is different from the potential dangers of operating a
    beltloader. The two scenarios do not present the same or similar
    circumstances, and therefore a reasonably prudent manufacturer must take into
    account the different characteristics of the products and the people who will
    use them.
    No Supreme Court case or reported Appellate Division case has applied
    the Third Restatement of Torts: Products Liability to a case involving
    40
    asbestos, and we do not do so here. But, if we were to do so, the directives in
    Coffman and Theer, and the charge to the jury in this case, would be consistent
    with the Third Restatement.
    Looking at the factors enumerated in the Third Restatement in defining
    the standard of reasonableness, we begin with “the gravity of the risks posed
    by the product.” Third Restatement § 2 cmt. i. We need not repeat that
    asbestos exposure causes such deadly diseases as mesothelioma. Asbestos
    exposure clearly poses grave health risks.
    Next, we consider “the feasibility and effectiveness of giving a warning
    directly to the user.” Ibid. The appropriate warnings on Union Carbide’s
    asbestos bags stating the products’ risks fit just as well as the inadequate ones
    the company chose to maintain on the bags. Placing effective warnings on the
    product was clearly feasible without additional cost.
    Last, we consider “the likelihood that the intermediary will convey the
    information to the ultimate user.” Ibid. Responsible employers will present to
    their workforce the health risks related to the products that they handle, and
    the appropriate safety measures needed to be taken. But our case law reveals
    that not all employers are responsible, and therefore the manufacturer’s label
    warnings on the product may be critical in enabling workers to have a
    41
    “meaningful choice” in protecting their own health. See Coffman, 
    133 N.J. at 605
    .
    Thus, this Court’s asbestos jurisprudence is not inconsistent with the
    Third Restatement.
    In this asbestos case, we stand by the directives given in Coffman and
    Theer that the manufacturer had a duty to provide concurrent warnings both to
    the employee, through product labeling, and to the employer with the intention
    that the necessary safety information would be disseminated to the workforce.
    We also conclude that the trial court properly charged the jury that “[t]he
    duty to put an adequate warning on the product may not be discharged by
    warnings and information to the employer.” Thus, Union Carbide’s asbestos
    bags were defective products because of the inadequate warnings -- regardless
    of the information conveyed to the Bloomfield Plant with the intention that
    adequate safety information reach employees such as Edenfield. The trial
    court appropriately allowed the jury to consider whether the lack of adequate
    warnings on the asbestos bags were “a proximate cause of Edenfield’s
    exposure to Union Carbide’s asbestos.”
    We therefore affirm the trial court’s charge on product defect and reject
    the reasoning and holding of the Appellate Division on that issue. In rendering
    this decision, we remain faithful to our jurisprudence, which holds “that ‘[t]he
    42
    burden of illness from dangerous products such as asbestos should be placed
    upon those who profit from its production and, more generally, upon society at
    large, which reaps the benefits of the various products our economy
    manufactures.’” See Whelan, 242 N.J. at 336 (alteration in original) (quoting
    Beshada, 
    90 N.J. at 209
    ).
    IV.
    We now turn to the question of whether the trial court correctly charged
    the jury on medical causation.
    To establish medical causation in this case, plaintiff had to prove that
    Edenfield’s disease was “proximately caused by exposure to [Union Carbide’s]
    product.” See James, 
    155 N.J. at 299
    . More specifically, to prove proximate
    cause, plaintiff had to establish that Edenfield’s exposure to Union Carbide’s
    Calidria asbestos, alone or in combination with other suppliers’ products, “was
    a substantial factor in causing or exacerbating [his] disease” -- mesothelioma.
    See 
    ibid.
     (quoting Sholtis, 238 N.J. at 30-31); see also Model Jury Charges
    (Civil), 5.40I, “Proximate Cause” (approved Feb. 1989). Generally, a
    substantial factor is “not a remote, trivial or inconsequential cause.” Model
    Jury Charges (Civil), 6.12, “Proximate Cause -- Where There Is Claim That
    Concurrent Causes of Harm Were Present” (approved May 1998).
    43
    In this asbestos exposure case, in addition to instructing the jury in
    accordance with the Model Jury Charge on “substantial factor,” the court
    charged the jury with language adapted to asbestos exposure cases. The court
    instructed the jury that a substantial factor is an “efficient cause” of the injury
    or disease and “not a remote or trivial cause having only an insignificant
    connection with the harm.” The trial court also advised the jury that
    “[l]iability should not attach based on casual or minimal contact with the
    product. Liability should not be imposed on mere guesswork” -- language
    coming directly from Sholtis, 
    238 N.J. Super. at 29
    . (emphases added).
    Union Carbide claims that the trial court strayed from the “frequency,
    regularity, and proximity test” set forth in Sholtis -- a test adopted by our
    Court in James. However, the Sholtis test is adaptable to varying scenarios
    and should not be rigidly and inflexibly applied. By any objective standard,
    the essence of the Sholtis test was conveyed to the jury in the distinctive
    circumstances of this case.
    In Sholtis, the Appellate Division looked to other jurisdictions for
    guidance in refining the substantial factor test in cases involving asbestos
    exposure that caused asbestos-related diseases. 
    238 N.J. Super. at 28-29
    .
    Notably, the disease contracted in that case was asbestosis. 
    Id. at 14
    . The
    Sholtis court took the approach that “a plaintiff [must] prove an exposure of
    44
    sufficient frequency, with a regularity of contact, and with the product in close
    proximity; and that such factors should be balanced for a jury to find liability.”
    
    Id.
     at 28 (citing Lohrmann v. Pittsburgh Corning Corp., 
    782 F.2d 1156
    , 1162-
    63 (4th Cir. 1986) (establishing the “frequency, regularity and proximity”
    test)). By embracing the “frequency, regularity and proximity test,” the
    Sholtis court asserted that liability should not be based on exposure to a
    product that is “casual or minim[al]” or “predicated on guesswork.” Id. at 29.
    The court made clear, however, that the test is not defined by “catch words”
    and “the underlying concept should not be lost.” Ibid.
    In James, we applied the Sholtis test to an occupational-exposure, toxic-
    tort case in which the plaintiff alleged that the decedent’s death from “stomach
    and liver cancer was proximately caused by prolonged, frequent and repetitive
    exposure to defendants’ petroleum and chemical products.” 
    155 N.J. at
    284-
    86. In that case, we held that generally “a plaintiff in an occupational-
    exposure, toxic tort case may demonstrate medical causation by establishing
    . . . factual proof of the plaintiff’s frequent, regular and proximate exposure to
    a defendant’s products.” 
    Id. at 304
    .
    Importantly, we explained that plaintiffs seeking to prove causation in
    toxic-tort litigation face “extraordinary and unique burdens” that are “more
    subtle and sophisticated than proof [burdens] in cases concerned with more
    45
    traditional torts.” 
    Id. at 299
     (first quoting Rubanick v. Witco Chem. Corp.,
    
    125 N.J. 421
    , 433 (1991); and then quoting Landrigan v. Celotex Corp., 
    127 N.J. 404
    , 413 (1992)).
    Courts have recognized that, in cases involving asbestos-exposure that
    allegedly caused mesothelioma, “the frequency, regularity and proximity test
    ‘is not a rigid test with an absolute threshold level necessary to support a jury
    verdict.’” Est. of Brust v. ACF Indus., LLC, 
    443 N.J. Super. 103
    , 125 (App.
    Div. 2015) (quoting James, 
    155 N.J. at 302
    ). Flexibility is required because
    “[t]he amount of evidence needed to establish the regularity and frequency of
    exposure will differ from case to case.” Kurak, 298 N.J. Super. at 321
    (quoting Wehmeier v. UNR Indus., Inc., 
    572 N.E.2d 320
    , 337 (Ill. App. Ct.
    1991)).
    Many courts have acknowledged that mesothelioma can be “caused after
    only minor exposure to asbestos dust.” See 
    ibid.
     (quoting Wehmeier, 
    572 N.E.2d at 337
    ); see also, e.g., Brust, 443 N.J. Super. at 126-27 (“[I]t is
    undisputed that mesothelioma can develop from minimal exposure to
    asbestos.”); Tragarz v. Keene Corp., 
    980 F.2d 411
    , 421 (7th Cir. 1992)
    (applying Illinois law and concluding “that low exposures of asbestos induce
    and contribute to the development of mesothelioma”); Larson v. Johns-
    Manville Sales Corp., 
    399 N.W.2d 1
    , 4 (Mich. 1986) (recognizing that
    46
    mesothelioma “appears to develop with only minimal exposure to asbestos”);
    Holcomb v. Ga. Pac., LLC, 
    289 P.3d 188
    , 196 n.9 (Nev. 2012)
    (“[M]esothelioma is a signature asbestos disease that can be contracted from
    low doses of asbestos exposure.”); Gregg v. V-J Auto Parts, Co., 
    943 A.2d 216
    , 225-26 (Pa. 2007) (adopting Tragarz and holding that even minimal
    exposure to asbestos can cause mesothelioma); Borg-Warner Corp. v. Flores,
    
    232 S.W.3d 765
    , 771 (Tex. 2007) (“[I]t is generally accepted that one may
    develop mesothelioma from low levels of asbestos exposure[.]” (quoting
    David L. Faigman et al., Modern Scientific Evidence: The Law and Science of
    Expert Testimony § 28:5 at 416 (2007))).
    The frequency, regularity, and proximity of exposure to a toxic
    substance necessary to cause a disease, therefore, will depend on the peculiar
    characteristics of the toxic substance and the disease induced. Certain
    substances are much more toxic than others and have a much greater capacity
    to cause deadly diseases, even if exposure is relatively minimal. For example ,
    “[m]alignant mesothelioma can develop after short-term asbestos exposures of
    only a few weeks, and from very low levels of exposure. There is no evidence
    of a threshold level below which there is no risk for mesothelioma.” Mazurek,
    66 Morbidity & Mortality Wkly. Rep. at 215.
    47
    The frequency, regularity, and proximity test is merely an articulation of
    what constitutes a substantial factor for purposes of determining proximate
    cause in an occupational exposure setting. See Johnson v. Allis-Chalmers
    Corp. Prod. Liab. Tr., 
    11 F. Supp. 3d 1119
    , 1126 (D. Wyo. 2014) (concluding
    that “the ‘frequency, regularity, and proximity’ standard is not a new or
    different test” from the substantial factor test but one formulation of that test
    in the asbestos context). When a plaintiff has presented competent and
    credible evidence that even a minimal “number of asbestos fibers can cause”
    mesothelioma, then “a jury may conclude the fibers were a substantial factor in
    causing a plaintiff’s injury.” Kurak, 298 N.J. Super. at 321 (quoting
    Wehmeier, 
    572 N.E.2d at 337
    ).
    Here, plaintiff’s expert, Dr. Moline, emphasized that even “short
    exposures to asbestos cause mesothelioma.” In addition, Dr. Moline expressed
    that Edenfield’s exposure to Union Carbide’s Calidria asbestos was a daily
    occupational hazard over many years and “[was] significant enough to
    substantially contribute to his mesothelioma.” In the end, it was for the jury to
    determine whether to accept the expert opinion of Dr. Moline or the opposing
    opinions of the defense experts.
    The trial court here properly tailored the charge to the evidence because
    neither plaintiff’s nor Union Carbide’s experts agreed on the level of exposure
    48
    to Union Carbide’s asbestos necessary to cause Edenfield’s mesothelioma.
    See Komlodi v. Picciano, 
    217 N.J. 387
    , 409 (2014) (“[T]he trial court must
    tailor the instructions on the law to the theories and facts of a complex case fo r
    a jury to fully understand the task before it.” (citing Reynolds v. Gonzalez,
    
    172 N.J. 266
    , 288-89 (2002))). As earlier noted, the court instructed the jury
    on the essential features of Sholtis -- that, for medical causation purposes,
    Edenfield’s exposure to Union Carbide’s asbestos could not be “a remote or
    trivial cause having only an insignificant connection” to his contracting
    mesothelioma, nor could liability be “based on casual or minimal contact with
    [its] product” or “be imposed on mere guesswork.” No incantation of magic
    “catch words” was necessary to satisfy the substantial factor test. See Sholtis,
    
    238 N.J. Super. at 29
    .
    At the charge conference, the trial court suggested that the Sholtis
    frequency, regularity, and proximity test was appropriate at the summary
    judgment stage, but not in instructing the jury. Plaintiff advanced that position
    in her brief before this Court. We reject the position taken by the trial court
    and plaintiff that there can be one standard used by the trial court in deciding
    summary judgment and another standard used in instructing the jury. See Brill
    v. Guardian Life Ins. Co. of Am., 
    142 N.J. 520
    , 533 (1995) (“[T]he inquiry
    involved in a ruling on a motion for summary judgment or for a directed
    49
    verdict necessarily implicates the substantive evidentiary standard of proof that
    would apply at the trial on the merits.” (quoting Anderson v. Liberty Lobby,
    Inc., 
    477 U.S. 242
    , 252 (1986))). The substantive law governing the summary
    judgment motion is the same law that guides the jury in making its ultimate
    determination.
    We conclude that the trial court correctly charged the jury on the core
    concepts underlying medical causation in this case.
    We refer to the Supreme Court Committee on Model Civil Jury Charges
    for its consideration whether there is a need to modify the Model Charge on
    proximate cause and substantial factor in the toxic tort setting.
    V.
    Accordingly, we reverse the judgment of the Appellate Division and
    reinstate the verdict of the jury. We remand to the trial court to address any
    remaining issues, consistent with this opinion.
    CHIEF JUSTICE RABNER and JUSTICE PIERRE-LOUIS join in
    JUSTICE ALBIN’s opinion. JUSTICE SOLOMON joins JUSTICE ALBIN’s
    opinion in part. JUSTICE PATTERSON filed a dissent, which JUSTICE
    SOLOMON joins in part. JUDGE FUENTES (temporarily assigned) did not
    participate.
    50
    Thomasenia L. Fowler, as Administrator
    and Administrator ad Prosequendum of the
    Estate of Willis Edenfield,
    Plaintiff-Appellant,
    v.
    Akzo Nobel Chemicals, Inc.
    as successor to Imperial Chemical
    Industries PLC, and National Starch
    and Chemical Co. (Discovery Only),
    Corn Products International, Inc.,
    as successor to National Starch
    and Chemical Co. (Discovery Only),
    Henkel Corporation, individually
    and as successor-in-interest to
    the Adhesive and Electronics
    Division of National Standard
    Chemical Co. (Discovery Only), and
    National Starch, LLC,
    individually and as successor to
    National Starch and Chemical Co.
    (Discovery Only),
    Defendants,
    and
    Union Carbide Corporation,
    Defendant-Respondent.
    JUSTICE SOLOMON, dissenting in part and concurring in part.
    1
    This appeal presented the Court with two questions. First, whether the
    trial court erred in not using the exact language expressed in the Sholtis v.
    American Cyanamid Co. test when it instructed the jury on medical causation.
    See 
    238 N.J. Super. 8
    , 28-29 (App. Div. 1989). And second, whether a
    manufacturer may reasonably rely on an employer to convey warnings and
    instructions to its employees to satisfy the manufacturer’s duty to warn.
    As to the first issue -- the medical causation charge -- I agree with the
    majority that a trial court’s failure to use the specific language from Sholtis
    when instructing the jury will not always lead to reversal where the trial court
    adequately explains the standard to the jury. Accordingly, I join the majority’s
    decision to reverse the Appellate Division on this issue.
    As to the second issue -- adequate warnings -- I agree with the dissent
    that, consistent with this Court’s decisions in Coffman v. Keene Corp., 
    133 N.J. 581
    , 602-03 (1993), and Theer v. Philip Carey Co., 
    133 N.J. 610
    , 622
    (1993), a manufacturer could discharge its duty to warn by conveying adequate
    warnings and information to employers for distribution to employees.
    Therefore, I join the dissent and would affirm the Appellate Division on this
    issue.
    2
    Thomasenia L. Fowler, as Administrator
    and Administrator ad Prosequendum of the
    Estate of Willis Edenfield,
    Plaintiff-Appellant,
    v.
    Akzo Nobel Chemicals, Inc.
    as successor to Imperial Chemical
    Industries PLC, and National Starch
    and Chemical Co. (Discovery Only),
    Corn Products International, Inc.,
    as successor to National Starch
    and Chemical Co. (Discovery Only),
    Henkel Corporation, individually
    and as successor-in-interest to
    the Adhesive and Electronics
    Division of National Standard
    Chemical Co. (Discovery Only), and
    National Starch, LLC,
    individually and as successor to
    National Starch and Chemical Co.
    (Discovery Only),
    Defendants,
    and
    Union Carbide Corporation,
    Defendant-Respondent.
    JUSTICE PATTERSON, dissenting.
    1
    In this asbestos product liability appeal, the Appellate Division held that
    defendant Union Carbide Corporation was denied a fair trial by virtue of errors
    in the jury charge, the verdict sheet, and the trial court’s response to a jury
    question.
    First, the Appellate Division held that the trial court improperly charged
    the jury with respect to the two categories of warnings and instructions at issue
    in this case: the warnings that appeared on Union Carbide’s asbestos bags, and
    the warnings, instructions, and other materials that Union Carbide sent to
    Willis Edenfield’s employers for dissemination to employees. The appellate
    court concluded that when the trial court charged the jury that Union Carbide
    could not discharge its duty to warn by conveying adequate warnings and
    information to the employers for distribution to employees, it ran afoul of this
    Court’s decisions in Coffman v. Keene Corp., 
    133 N.J. 581
    , 602-03 (1993),
    and Theer v. Philip Carey Co., 
    133 N.J. 610
    , 622 (1993). The Appellate
    Division ruled that the trial court compounded that error by directing the jury
    to consider only the warnings on asbestos bags when it answered the sole
    question on the verdict sheet about the adequacy of Union Carbide’s warnings.
    I consider the Appellate Division’s decision to be grounded in
    longstanding and sound jurisprudence addressing asbestos product liability
    failure-to-warn claims. In my view, the majority replaces the fair and
    2
    workable failure-to-warn standard for workplace exposure cases set forth in
    Coffman and Theer with a confusing and unrealistic test that precludes a
    finding that the manufacturer has met its duty to warn unless warnings on
    asbestos bags, if feasible, were adequate. Moreover, the majority sanctions the
    trial court’s jury interrogatories and its response to a jury question, which
    guided the jury to limit its consideration of the adequacy of the warnings to the
    asbestos bags alone. Yet that guidance contradicted the trial court’s own jury
    charge and conflicts with the majority’s formulation of the governing test.
    Second, the Appellate Division reaffirmed its holding in Sholtis v.
    American Cyanamid Co., 
    238 N.J. Super. 8
    , 28 (App. Div. 1989), and this
    Court’s holding in James v. Bessemer Processing Co., 
    155 N.J. 279
    , 304
    (1998), that a three-factor standard governs the question of medical causation
    in cases arising from toxic tort exposures in the workplace. Viewing general
    causation concepts to be inadequate to guide juries in workplace toxic tort
    cases, the Appellate Division in Sholtis and this Court in James expressly
    required plaintiffs in toxic tort cases “to prove ‘an exposure of sufficient
    frequency, with a regularity of contact, and with the product in close
    proximity’ to the plaintiff.” James, 
    155 N.J. at 301
     (quoting Sholtis, 
    238 N.J. Super. at 28
    ). Here, the trial court did not charge the jury to apply that test,
    3
    and the Appellate Division accordingly deemed the trial court’s jury
    instructions to inadequately state the law.
    In today’s decision, the majority dismisses the “frequency, regularity
    and proximity” language set forth in Sholtis and James as nothing more than
    an “incantation of magic ‘catch’ words” that a trial court is free to ignore.
    Ante at ___ (slip op. at 49). It defaults to the general proximate cause test
    without the Sholtis/James refinement of that standard for toxic tort cases, thus
    altering the plaintiff’s burden of proof on the question of medical causation.
    Ante at ___ (slip op. at 43-48). The majority insists that the general proximate
    cause standard charged by the trial court and the test adopted in Sholtis and
    James for workplace exposure cases are somehow one and the same. I view
    the majority’s holding on the core question of causation to contravene our
    precedent and muddle our law.
    Because of the trial court’s errors, I conclude that Union Carbide did not
    receive a fair trial and would affirm the determination of the Appellate
    Division. I respectfully dissent.
    I.
    A.
    In an asbestos failure-to-warn case, the plaintiff has the burden to prove
    that
    4
    (1) without warnings or adequate warnings, the product
    was dangerous to the foreseeable user and therefore
    defective; (2) that the product left the defendant’s
    control in a defective condition (without warnings or
    adequate warnings); and (3) the lack of warnings or
    adequate warnings proximately caused an injury to a
    foreseeable user.
    [Whelan v. Armstrong Int’l, Inc., 
    242 N.J. 311
    , 333
    (2020).]1
    Once proof of knowledge in the industry of a product’s harmful effects has
    been shown, “the plaintiff must show that an adequate warning was not
    provided.” James, 
    155 N.J. at 298
    .
    The touchstone of that inquiry is whether the manufacturer’s conduct
    was reasonable. “[I]n a failure-to-warn case, the element of reasonableness,
    which is generally a negligence principle, comes into play in determining
    whether a manufacturer failed to give a necessary warning or an adequate
    warning.” Whelan, 242 N.J. at 333; see also Feldman v. Lederle Labs., 
    97 N.J. 429
    , 451 (1984) (“[O]nce the defendant’s knowledge of the defect is imputed,
    strict liability analysis becomes almost identical to negligence analysis in its
    focus on the reasonableness of the defendant’s conduct.”). The jury thus
    1
    Because this case is an “environmental tort action,” it is not governed by
    N.J.S.A. 2A:58C-4, the failure to warn provision of the New Jersey Products
    Liability Act, N.J.S.A. 2A:58C-1 to -11. See N.J.S.A. 2A:58C-6; Whelan, 242
    N.J. at 331.
    5
    decides whether the plaintiff has met her burden to prove that the manufacturer
    failed to provide an adequate warning, defined as “one that includes the
    directions, communications, and information essential to make the use of a
    product safe.” Whelan, 242 N.J. at 332 (quoting Freund v. Cellofilm Props.,
    Inc., 
    87 N.J. 229
    , 243 (1981)).
    In Coffman, this Court eased the burden on plaintiffs in failure-to-warn
    product liability cases by adopting a heeding presumption -- “a rebuttable
    presumption that had a warning been provided by the manufacturer, the
    plaintiff would have heeded the warning by acting to minimize the risk of
    injury.” 133 N.J. at 591. It also set forth guiding principles for failure-to-
    warn claims arising from asbestos exposure in the workplace. Id. at 606-09.
    The Court recognized in Coffman that warning claims in workplace
    exposure cases are distinct from warning claims in consumer settings. Ibid.;
    see also Grier v. Cochran Western Corp., 
    308 N.J. Super. 308
    , 317 (App. Div.
    1998) (citing Coffman and holding that “[w]hat a manufacturer may be
    reasonably required to do in order to transmit information to a consumer/user
    of a product may be quite different from what is required of a manufacturer of
    a product intended for use by many people over an extended period of time in
    an industrial environment”).
    6
    The Court reiterated in Coffman that the manufacturer’s duty is to “take
    reasonable steps to ensure that its warning reaches those employees” who use
    the product in the workplace. 133 N.J. at 606. The Court recognized that a
    manufacturer may in certain settings act reasonably when it relies on the
    employer to convey warnings provided by the manufacturer to employees,
    noting that
    [r]eliance on supervisors and managers to become
    apprised of safety hazards and to retransmit these
    warnings orally to workers “rather than the individual
    reading of a product warning, is a typical method by
    which information is disseminated in the modern
    workplace.”      Thus, one must assume, in many
    situations, that an employer must itself be warned in
    order to give its employees adequate warnings as part
    of its more encompassing duty to provide employees
    with a safe and healthy workplace.
    [Id. at 607 (quoting Ferebee v. Chevron Chem. Co., 
    736 F.2d 1529
    , 1539 (D.C. Cir. 1984)).]
    The Court stated that “in the employment setting, the adequacy of a
    warning with respect to unsafe products may require that they be
    communicated to employers as well as employees; the adequacy of a warning
    entails alerting the employer in order to alert the employee of the dangers of
    the unsafe product.” 
    Ibid.
    Refuting the defendant’s contention that the heeding presumption would
    “result in asbestos manufacturers being liable for almost any injury caused by
    7
    a product,” id. at 603, the Court commented that its holding in Coffman did
    not “posit an insuperable burden or . . . impose absolute liability on
    manufacturers of defective products,” id. at 608. It observed that “in a given
    case, the defendant may be able to establish that the employer’s conduct, not
    the failure to warn, was the cause in fact of the injuries attributable to the
    harmful product.” Ibid. The Court stated that “[a]n employer’s conduct, in
    either thwarting effective dissemination of a warning or intentionally
    preventing employees from heeding a warning, may be a subsequent
    supervening cause of an employee’s injury that will serve to break the chain of
    causation between manufacturer and employee,” and that “[i]f an employer’s
    subsequent course of misconduct is an independent cause of an employee’s
    injury, the absence of a warning itself may have too remote a causal
    connection to the injury.” Ibid. (citing Brown v. U.S. Stove Co., 
    98 N.J. 155
    ,
    171-75 (1984)). It thus confirmed that a warning claim may fail if the
    manufacturer provides adequate warnings to the employer, but the employer
    fails to convey those warnings to employees. 
    Ibid.
    The principles stated in Coffman were reiterated in its companion case,
    Theer, 
    133 N.J. at 618-24
    . There, the Court stressed the manufacturer’s
    “concurrent duty to warn employers, as well as employees” of a product’s
    8
    risks. 
    Id. at 620-21
    . It stated that to satisfy the duty to warn, an asbestos
    manufacturer could present evidence of
    the adequacy of the warnings that were given, whether
    they were directed to employers, whether they were
    calculated to reach and inform employees who would
    foreseeably be exposed to those products in the
    workplace, and whether the employer would have
    required or allowed employees to take precautionary
    measures to overcome the risks of exposure to asbestos.
    [Id. at 622.]
    The Court thus recognized in Coffman and Theer that an asbestos
    manufacturer has a duty to warn employers as well as employees, and that it
    may in certain circumstances satisfy that duty by taking reasonable steps to
    convey warnings, instructions, and other information to employers for
    dissemination to employees. Coffman, 133 N.J. at 606-09; Theer, 
    133 N.J. at 622
    .
    The drafters of the Restatement (Third) of Torts: Products Liability
    similarly acknowledged that products intended for an industrial workplace
    present issues not raised by consumer products, and endorsed the imposition of
    a flexible reasonableness standard on the manufacturer’s conduct. Section 2(c)
    of that Restatement provides that a product
    is defective because of inadequate instructions or
    warnings when the foreseeable risks of harm posed by
    the product could have been reduced or avoided by the
    provision of reasonable instructions or warnings by the
    9
    seller or other distributor, or a predecessor in the
    commercial chain of distribution, and the omission of
    the instructions or warnings renders the product not
    reasonably safe.
    As the Restatement commentary observed, “[c]ommercial product sellers
    must provide reasonable instructions and warnings about risks of injury posed
    by products.” 
    Id.
     at cmt. i. “Depending on the circumstances, Subsection (c)
    may require that instructions and warnings be given not only to purchasers,
    users, and consumers, but also to others who a reasonable seller should know
    will be in a position to reduce or avoid the risk of harm.” 
    Ibid.
     The
    commentary noted that
    [t]here is no general rule as to whether one supplying a
    product for the use of others through an intermediary
    has a duty to warn the ultimate product user directly or
    may rely on the intermediary to relay warnings. The
    standard is one of reasonableness in the circumstances.
    Among the factors to be considered are the gravity of
    the risks posed by the product, the likelihood that the
    intermediary will convey the information to the
    ultimate user, and the feasibility and effectiveness of
    giving a warning directly to the user. Thus, when the
    purchaser of machinery is the owner of a workplace
    who provides the machinery to employees for their use,
    and there is reason to doubt that the employer will pass
    warnings on to employees, the seller is required to
    reach the employees directly with necessary
    instructions and warnings if doing so is reasonably
    feasible.
    [Ibid.]
    10
    The standard set forth in Coffman, Theer, and the Restatement by no
    means minimized the importance of adequate warnings on asbestos packaging
    when it was reasonably feasible to provide such warnings; indeed, it
    emphasized the importance of direct communication with the employee if such
    a step is reasonable under the circumstances, as well as the importance of
    warnings and information provided to the employer. Coffman, 
    133 N.J. at 606-09
    ; Theer, 
    133 N.J. at 621-22
    ; Third Restatement § 2(c), cmt. i. That
    standard, however, allowed for circumstances in which a manufacturer
    satisfies its duty to adequately warn by communicating warnings and other
    health and safety information to the employer. Coffman, 
    133 N.J. at 607
    ;
    Theer, 
    133 N.J. at 622
    ; Third Restatement § 2(c), cmt. i. It thus incentivized
    manufacturers to send into the workplace detailed information on the product’s
    dangers, instructions, and training materials designed to reduce the risk. At
    trial, it would be the jury’s task to determine whether the manufacturer acted
    reasonably in light of the circumstances of the specific case.
    B.
    The majority maintains that its holding follows Coffman and Theer.
    Ante at ___ (slip op. at 32-34).2 To the contrary, the majority opinion is at
    2
    The majority omits from its opinion language from the Coffman and Theer
    opinions that is central to this appeal. See ante at ___ (slip op. at 32-34/). It
    11
    odds with those decisions. Compare ante at ___ (slip op. at 4-5; 31-34; 37-39;
    42-43), with Coffman, 
    133 N.J. at 606-09
    , and Theer, 
    133 N.J. at 622
    . The
    majority has changed the law, and it should say so.
    In my view, the majority replaces our existing jurisprudence with a
    framework that invites confusion. On the one hand, the majority imposes a
    duty to place “adequate warnings on the product itself, when feasible,” as well
    as to provide warnings to the employer. Ante at ___ (slip op. at 33). In that
    regard, the majority recognizes that if it was impractical to provide the
    information necessary to adequately warn on asbestos packaging, then the
    manufacturer could meet its burden to adequately warn through alternative
    means. 
    Ibid.
     On the other hand, the majority holds that “an asbestos
    manufacturer or supplier that places inadequate warnings on asbestos bags
    makes no mention, for example, of the Court’s statement in Coffman that “the
    adequacy of a warning entails alerting the employer in order to alert the
    employee of the dangers of the unsafe product,” 133 N.J. at 607; the Court’s
    recognition in Coffman that in a “modern workplace,” manufacturers typically
    rely on supervisors and managers to retransmit warnings to employees, ibid.;
    and the Court’s holding in Coffman that if an employer fails to convey such
    warnings to employees, that failure may break the chain of causation in a
    failure to warn case and preclude the imposition of liability, id. at 608-09.
    Similarly, the majority omits from its discussion of Theer the Court’s holding
    that an asbestos manufacturer seeking to demonstrate the adequacy of its
    warnings can present evidence relating “to the adequacy of the warnings that
    were given,” whether those warnings were “directed to employers,” or whether
    those warnings were “calculated to reach and inform employees.” 133 N.J. at
    622.
    12
    used in the workplace has breached its duty to the worker, regardless of
    whether it provides the employer with the correct information, which is
    reasonably intended to reach its employees.” Ante at ___ (slip op. at 4). That
    language suggests that even if the employer takes reasonable steps to provide
    the employer with adequate warnings that are reasonably intended to reach the
    employees, it has breached its duty to warn unless adequate warnings appear
    on asbestos bags. Under that formulation, the manufacturer would be liable
    for failure to warn even if it was impractical to explain the dangers on a bag
    and even if employees worked with asbestos that was no longer contained in
    the packaging in which it was shipped. The majority denies that it adopts a
    “one-size-fits-all” approach, ante at ___ (slip op. at 40), but that is precisely
    what it does.
    The majority’s contradictory language is at odds with the principle
    articulated by this Court that in the complex field of product liability,
    “statements delimiting the duty owed by a party in a strict-liability failure-to-
    warn case involving complex issues of causation, proof, and preemption
    should, in the interests of justice, be unmistakably clear.” Feldman, 132 N.J.
    at 345-46. Moreover, the majority’s standard retroactively devalues the efforts
    that some asbestos manufacturers have made, by sending information to
    employers for distribution to employees, to ensure that employees were
    13
    properly warned, educated, and trained to minimize the risks of asbestos
    products.
    In my view, the majority prescribes an unwarranted departure from
    Coffman and Theer and leaves the governing standard for asbestos litigation
    failure to warn claims unclear and unfair.
    C.
    The majority approves the failure-to-warn questions on the trial court’s
    verdict sheet and its guidance to the jury in response to the jury’s question ,
    which are not even consistent with the new standard prescribed in today’s
    decision.
    As the majority notes, ante at ___ (slip op. at 9-14), the trial court
    admitted substantial evidence regarding the warnings that appeared on asbestos
    bags, as well as Union Carbide’s provision of Material Safety Data Sheets
    (MSDSs), pamphlets, standards promulgated by the federal Occupational
    Safety and Health Administration (OSHA), training materials, and other health
    and safety documents to the entities that operated Edenfield’s workplace.
    In the charge conference, Union Carbide requested that the trial court
    charge the jury that,
    [f]or purposes of deciding whether the warning given
    was adequate, you may consider as part of the warning
    the cautionary information given to employer with the
    intention or purpose that the employer alert employees
    14
    to the dangers of the product and the proper methods of
    mitigating the risks presented by the product.
    The trial court declined that request. It charged the jury:
    In the employment context, a manufacturer or supplier
    of products that are used by employees is required to
    take reasonable steps to ensure that its warning reaches
    those employees. Satisfying that obligation may
    require that warnings be communicated to employers as
    well as employees.
    In this case there has been evidence of warnings
    provided both on labels on Union Carbide’s asbestos as
    well as warnings and information provided to Mr.
    Edenfield’s employers. In determining whether Union
    Carbide satisfied its duty to warn, you may consider
    both of these avenues of warning.
    The duty to put an adequate warning on the product may
    not be discharged by warnings and information to the
    employer.
    Over Union Carbide’s objection, the verdict sheet required the jury to
    answer the following questions:
    3.a. Has Plaintiff proven by a preponderance of the
    credible evidence that Defendant Union Carbide failed
    to provide an adequate warning or instruction on its
    product rendering it not reasonably safe for its intended
    and foreseeable use?
    YES ____ NO ____ VOTE ____
    3.b. Has Plaintiff proven by a preponderance of the
    credible evidence that Defendant Union Carbide failed
    to take reasonable steps to ensure that its warnings
    reached Mr. Edenfield?
    15
    YES ____ NO ____ VOTE ____
    Question 3.a. was the only question on the verdict sheet that addressed
    the adequacy of Union Carbide’s warnings. It thus provided the jury with its
    sole opportunity to consider both categories of Union Carbide’s warnings: the
    warnings on its asbestos bags and the warnings, instructions, MSDSs,
    pamphlets, OSHA standards, training materials, and other information that
    Union Carbide provided to Edenfield’s employers.
    During deliberations, the jury inquired as follows: “On question 3A is
    adequate warnings/instructions only to the labels on the asbestos bags or does
    it include other materials, that is to say M.S.D.S. and pamphlets[?]”
    The trial court declined Union Carbide’s request that the jury be
    instructed to refer to the trial court’s jury charge, which had addressed the
    relevance of warnings and instructions that Union Carbide had given the
    employers. Instead, the trial court told the jury, “the answer to that question is
    that it deals with the asbestos bags as to question 3A. Thank you.” The jury
    was thus instructed not to consider the warnings, MSDSs, pamphlets, OSHA
    standards, training materials, and other information that Union Carbide had
    provided to Edenfield’s employers when it determined whether plaintiff met
    her burden to prove that Union Carbide’s warnings were inadequate.
    16
    I share the Appellate Division’s view that the adequacy-of-the-warning
    portion of the verdict sheet misled the jury on a crucial question, warranting a
    new trial. See Wade v. Kessler Inst., 
    172 N.J. 327
    , 341 (2002) (holding that
    erroneous questions on a verdict sheet warranted reversal of the trial court’s
    judgment and a new trial); Sons of Thunder v. Borden, Inc., 
    148 N.J. 396
    , 418
    (1997) (holding that erroneous jury interrogatories may require reversal if
    “they were misleading, confusing, or ambiguous”). I also concur with the
    Appellate Division that the trial court’s response to the jury question
    compounded that error. See Fayer v. Keene Corp., 
    311 N.J. Super. 200
    , 207
    (App. Div. 1998) (ordering a new trial in an asbestos product liability case
    because the trial court’s response to a jury question misled the jury as to the
    determination that it was required to make); State v. Conway, 
    193 N.J. Super. 133
    , 157 (App. Div. 1984) (holding that “[w]hen a jury requests clarification”
    during its deliberations, “the trial judge is obligated to clear the confusion”).
    Here, the jury was clearly directed not to consider Union Carbide’s
    warnings and instructions that were sent to the employer to inform Edenfield
    and other employees when it decided whether Union Carbide’s warnings were
    adequate. Those instructions were clearly contrary to the trial court’s jury
    charge and the standard adopted by the majority. I respectfully submit that
    17
    even under the majority’s reformulation of the law, that instruction constituted
    reversible error.
    In sum, I agree with the Appellate Division that Union Carbide was
    denied a fair trial by virtue of the jury charge, the verdict sheet, and the trial
    court’s response to the jury’s question on the failure to warn issue. I would
    grant a new trial on that basis alone.
    II.
    A.
    I also agree with the Appellate Division that the trial court improperly
    declined to charge the jury on the question of medical causation in accordance
    with the “frequency, regularity and proximity” test of Sholtis, 
    238 N.J. Super. at 30-31
    , and James, 
    155 N.J. at 299-301
    . I part company with the majority’s
    conclusion that the general standard for proximate cause is an acceptable
    substitute for the Sholtis and James standard in workplace exposure cases, and
    that it is immaterial that the jury in this case was not charged to apply the
    factors identified in Sholtis and James. See ante at ___ (slip op. at 43-50).
    To the contrary, the “frequency, regularity and proximity” test of Sholtis
    and James was adopted because this Court and the Appellate Division
    recognized the need for a proximate cause charge that addressed the special
    considerations present in a workplace exposure case.
    18
    Reversing the trial court’s grant of summary judgment to defendants in
    an asbestos case, the Appellate Division in Sholtis addressed the appropriate
    standard for determining whether workplace exposure to a particular product
    was a proximate cause of the plaintiff’s injury. 
    238 N.J. Super. at 25-31
    . The
    court reasoned that for a defendant to be held liable, “[t]he contact between a
    plaintiff and the defective product must be sufficiently significant so that a
    reasonable jury could determine that the product was a substantial factor in
    bringing about the plaintiff’s injury.” 
    Id. at 21
    .
    The Appellate Division accordingly introduced to our law a requirement
    previously imposed by the United States Court of Appeals for the Fourth
    Circuit and other federal courts -- that “a plaintiff prove an exposure of
    sufficient frequency, with a regularity of contact, and with the product in close
    proximity; and that such factors should be balanced for a jury to find liability.”
    
    Id.
     at 28-29 (citing Lohrmann v. Pittsburgh Corning Corp., 
    782 F.2d 1156
    ,
    1162-63 (4th Cir. 1986)). The Appellate Division in Sholtis considered the
    “frequency, regularity and proximity” test to be “well-reasoned, properly
    focusing upon the cumulative effects of the exposure,” and to represent “a fair
    balance between the needs of plaintiffs (recognizing the difficulty of proving
    contact) and defendants (protecting against liability predicated on
    guesswork).” Id. at 29.
    19
    In James, this Court noted that “[i]n toxic tort cases, the task of proving
    causation is invariably made more complex because of the long latency period
    of illnesses caused by carcinogens or other toxic chemicals.” James, 
    155 N.J. at 300
     (quoting Ayers v. Jackson Township, 
    106 N.J. 557
    , 585 (1987)). It
    stated that “the burden of proving that the plaintiff’s exposure to the products
    of any single defendant was a ‘substantial factor’ causing or exacerbating the
    plaintiff’s illness is a formidable one.” Id. at 301. Noting federal courts’
    broad acceptance of the “frequency, regularity and proximity” test adopted by
    the Appellate Division in Sholtis, this Court held in James “that a plaintiff in
    an occupational-exposure, toxic tort case may demonstrate medical causation
    by establishing: (1) factual proof of the plaintiff’s frequent, regular and
    proximate exposure to a defendant’s products; and (2) medical and/or
    scientific proof of a nexus between the exposure and the plaintiff’s condition.”
    Id. at 304.
    The Court stressed in James that the standard “is not a rigid test with an
    absolute threshold level necessary to support a jury verdict.” Id. at 302
    (quoting Slaughter v. S. Talc Co., 
    949 F.2d 167
    , 171 & n.3 (5th Cir. 1991)).
    Under the standard, however, a “plaintiff cannot rest on evidence which
    merely demonstrates that a defendant’s asbestos product was present in the
    workplace or that he had ‘casual or minimal exposure’ to it.” Kurak v. A.P.
    20
    Green Refractories Co., 
    298 N.J. Super. 304
    , 314 (App. Div. 1997) (quoting
    Goss v. Am. Cyanamid Co., 
    278 N.J. Super. 227
    , 236 (App. Div. 1994)).
    In the wake of Sholtis and James, “New Jersey courts, as well as courts
    in a majority of other jurisdictions, look to the ‘frequency, regularity and
    proximity’ of exposure as pronounced in Sholtis.” Est. of Brust v. ACF Indus.,
    LLC, 
    443 N.J. Super. 103
    , 125 (App. Div. 2015) (citing James, 
    155 N.J. at 302-04
    ; Sholtis, 238 N.J. at 28). Indeed, this Court recently reaffirmed the
    standard of Sholtis and James, observing that:
    [f]or medical causation, the plaintiff must show that the
    injury was “proximately caused by exposure to
    defendant’s asbestos product,” [Coffman, 
    133 N.J. at 594
    ], that is, “the exposure [to each defendant’s
    product] was a substantial factor in causing or
    exacerbating the disease,” James, 
    155 N.J. at 299
    (alteration in original) (quoting Sholtis, 
    238 N.J. Super. at 30-31
    ). Medical causation requires proof of “‘an
    exposure of sufficient frequency, with a regularity of
    contact, and with the product in close proximity’ to the
    plaintiff.” Id. at 301 (quoting Sholtis, 
    238 N.J. Super. at 28
    ).
    [Whelan, 242 N.J. at 333-34.]
    In short, the standard of Sholtis and James has clearly defined the core
    inquiry on medical causation issues in toxic tort cases for more than thirty
    years. Ibid.
    21
    B.
    In this case, Union Carbide requested a jury charge that precisely tracked
    the language of Sholtis and James:
    [I]n order to prove medical causation, the Plaintiff must
    prove that Mr. Edenfield was exposed to the
    Defendant’s product with sufficient frequency, with a
    regularity of contact, and with the product in close
    enough proximity to show that the exposure to
    Defendant’s product was a substantial contributing
    factor to Mr. Edenfield’s mesothelioma. If you find
    that Mr. Edenfield was not exposed at all to a
    Defendant’s asbestos products, or that the level of
    exposure to that Defendant’s product was casual or
    minimal, then you must find for that Defendant.
    The trial court declined Union Carbide’s request for that instruction.
    The court told counsel that it had never given such a charge, that it relied
    instead on the substantial factor test, and that it considered Sholtis and James
    to provide only “the summary judgment standard,” not the standard for a jury
    determination. Instead of directing the jury to apply the “frequency, regularity
    and proximity” test of Sholtis and James, the trial court gave the jury a generic
    medical causation charge devoid of any reference to the frequency, regularity
    or proximity of Edenfield’s contact with Union Carbide’s products:
    Under the second requirement of proximate cause,
    Plaintiff must prove that Mr. Edenfield’s exposure to
    Union Carbide’s asbestos was a proximate cause of his
    mesothelioma. This is called the medical causation
    portion of the proximate cause element.
    22
    By proximate cause it is meant that the failure to warn
    was a substantial factor which singly, or in combination
    with another cause, brought about the injury.
    “Substantial” means that a product was an efficient
    cause of the Plaintiff’s injury, and that it was not a
    remote or trivial cause having only an insignificant
    connection with the harm. Liability should not attach
    based on casual or minimal contact with the product.
    Liability should not be imposed on mere guesswork.
    The fact that there may have been other independent or
    contributing causes does not mean that there cannot be
    a finding of proximate cause. Nor is it necessary for
    the failure to warn to be the sole cause of Mr.
    Edenfield’s injury.
    It is not necessary for an exposure to be the sole or even
    the dominant cause of Mr. Edenfield’s disease in order
    to be considered a proximate cause. There can be more
    than one proximate cause of an injury or disease, and
    there can be many substantial factors in causing a
    disease or death.
    The word “substantial” refers not to quantity but to
    quality. The fact that there may have been other
    independent or contributing causes does not necessarily
    relieve Union Carbide from liability.
    Thus instructed, the jury received no direction to consider the three
    factors that this Court has repeatedly stated are crucial to the question of
    medical causation. As the Appellate Division properly recognized, the charge
    substantially eased plaintiff’s burden of proof and allowed the jury to decide a
    core issue without considering the relevant factors.
    23
    C.
    The majority concedes that the trial court erred when it ruled that the
    Sholtis and James test applies only to summary judgment, not to a jury’s
    determination of medical causation at trial. Ante at ___ (slip op. at 49-50)
    (“[W]e reject the position taken by the trial court and plaintiff that there can be
    one standard used by the trial court in deciding summary judgment and another
    standard used in instructing the jury.”). As the majority acknowledges, the
    substantive standard applied in a summary judgment motion is, by definition,
    the same standard that would apply to the jury’s determination if the case were
    to be tried. Ante at ___ (slip op. at 49); see also Brill v. Guardian Life Ins. Co.
    of Am., 
    142 N.J. 520
    , 533 (1995) (holding that “the inquiry involved in a
    ruling on a motion for summary judgment or for a directed verdict necessarily
    implicates the substantive evidentiary standard of proof that would apply at the
    trial on the merits” (quoting Anderson v. Liberty Lobby, Inc., 
    477 U.S. 242
    ,
    252 (1986))).
    Notwithstanding its rejection of the trial court’s rationale for omitting
    the standard of Sholtis and James from its jury charge, however, the majority
    nonetheless endorses the trial court’s generic causation charge. Ante at ___
    (slip op. at 48-49). It insists that the trial court “instructed the jury on the
    essential features of Sholtis,” ante at ___ (slip op. at 49), despite the trial
    24
    court’s undisputed omission of all three of the medical causation factors
    prescribed in that decision, see Sholtis, 
    238 N.J. Super. at 28-29
    . The majority
    dismisses the three-factor test of Sholtis and James as “merely an articulation
    of what constitutes a substantial factor for proximate cause purposes in an
    occupational exposure setting,” ante at ___ (slip op. at 48), as if that standard
    represented nothing more than an exercise in semantics. To the surprise, no
    doubt, of courts and counsel who have long viewed this Court’s chosen terms
    to state the governing law, the majority pronounces that “[n]o incantation of
    magic ‘catch’ words was necessary to satisfy the substantial factor test.” Ante
    at ___ (slip op. at 49).
    When this Court announces a substantive standard such as the
    “frequency, regularity and proximity” medical causation test of Sholtis and
    James, the factors it identifies and the language it uses are integral to its
    holding. Jury charges on the issue addressed by the Court should accurately
    reflect the governing standard. See Wade, 
    172 N.J. at 341
     (“[J]ury charges
    must outline the function of the jury, set forth the issues, correctly state the
    applicable law, and plainly spell out how the jury should apply the legal
    principles to the facts as it may find them[.]” (second alteration in original)
    (quoting Velazquez v. Portadin, 
    163 N.J. 677
    , 688 (2000))). Today’s decision
    25
    sends the message that a trial court need not charge a jury in accordance with a
    standard that this Court prescribes if it prefers a different test.
    I do not view the majority’s after-the-fact justification for the trial
    court’s error to advance our jurisprudence in this important area of the law. I
    concur with the Appellate Division’s conclusion that the trial court’s medical
    causation charge denied Union Carbide a fair trial.
    III.
    I would affirm the Appellate Division’s determination. I respectfully
    dissent.
    26