Lipske, David v. Adam's Wood Flooring, a/k/a Adam's Hardwood Flooring ( 2018 )

FILED
Sep 07, 2018
09:32 AM(CT)
TENNESSEE COURT OF
WORKERS' COMPENSATION
CLAIMS
TENNESSEE BUREAU OF WORKERS' COMPENSATION
IN THE COURT OF WORKERS' COMPENSATION CLAIMS
AT NASHVILLE
David Lipske, ) Docket No. 2017-06-0419
Employee, )
v. ) State File No. 16280-2017
Adam's Wood Flooring, a/k/a Adam's )
Hardwood Flooring, ) Judge Kenneth M. Switzer
Employer. )
)
EXPEDITED HEARING ORDER DENYING REQUESTED RELIEF
This case came before the Court on September 5 on David Lipske' s Request for
Expedited Hearing. The threshold factual issue is whether Mr. Lipske was an employee
of Adam's Hardwood Flooring when he suffered a work injury. For the reasons below,
the Court holds that on the present record Mr. Lipske is not likely to prevail at a hearing
on the merits in proving that he was an employee of Adam's Hardwood Flooring.
Therefore, at this time, he is not entitled to medical and temporary disability benefits.
History of Claim
Mr. Lipske testified that Mike Shaw hired him to work for "Adam's Wood
Flooring," a/k/a Adam's Hardwood Flooring. Adam Shaw represented to the Court that
he is the owner of Adam's Hardwood Flooring, a sole proprietorship.' Mr. Lipske
understood the owner of the business was Mr. Shaw or that possibly Mr. Shaw and Mike
were business partners, although Mr. Lipske later testified that Mike said he [Mike] was
working with Adam's Wood Flooring. Mr. Lipske believed the Shaws were brothers.
Mr. Lipske acknowledged he never met Mr. Shaw in person and did not think they had
ever spoken. Mr. Lipske said he completed an employment application bearing the name
"Adam's Hardwood Flooring," which he gave to Mike. However, he did not present this
document to the Court.
1
Because Adam and Mike Shaw have the same surnames, for clarity, the Court will refer to Adam Shaw
as "Mr. Shaw" and Mike Shaw as "Mike" in this order.
1
Mr. Lipske alleged that, after just one day's work, he injured his hand while
operating a table saw. He gave immediate notice of the injury to Mike. According to Mr.
Lipske, "The conversation I had with Michael-! told him we wasn't going to report this.
Just take care of my hospital bills and keep me working. He said, 'No problem."'
However, a few days later, according to Mr. Lipske, Mike sent a text that said, "I hope
you find a job so you can pay your bills." Mr. Lipske testified that he was paid in cash
for the time he worked, but he did not say who paid him. Adam's Hardwood Flooring
never offered a panel, paid for any treatment, or provided temporary disability benefits.
Mr. Lipske filed a Petition for Benefit Determination, which launched an
investigation by the Bureau's Compliance Unit, culminating with a written report. The
report documented that the investigator spoke with Mr. Shaw, an Ohio resident, who
"confirmed employment for Mr. Lipske and that the injury did occur as reported." Mr.
Shaw clarified at the hearing that he meant he confirmed Mr. Lipske's employment "with
Michael Shaw." Mr. Shaw said he did not know why Mike represented to Mr. Lipske
that Mike was working for Adam's Hardwood Flooring.
Mr. Shaw testified that Mike is not his brother but a second cousin. Mike worked
for Adam's Hardwood Flooring in Ohio for approximately four years before moving to
Tennessee. Mr. Shaw said his second cousin attempted to start his own hardwood
flooring business in the new location, forming Wolf Works LLC in 2016 and registering
it in the name of "Michael Kirk Shaw" with the Tennessee Secretary of State's Office.
Mr. Shaw acknowledged lending equipment to help with the new business.
Mr. Shaw further stated that he had no knowledge of Mike hiring Mr. Lipske. Mr.
Shaw acknowledged that, after Mr. Lipske's accident, Mr. Shaw's attorney made a
settlement offer to Mr. Lipske's counsel. Mr. Shaw said he did so because Mike was
"scared," and "I was helping my cousin out."
Neither party subpoenaed Mike to testify at the hearing.
Findings of Fact and Conclusions of Law
At an expedited hearing, Mr. Lipske must present sufficient evidence from which
this Court might determine he is likely to prevail at a hearing on the merits. McCord v.
Advantage Human Resourcing, 2015 TN Wrk. Comp. App. Bd. LEXIS 6, at *7-8, 9
(Mar. 27, 2015); Tenn. Code Ann. § 50-6-239(d)(l) (2017).
Specifically, Mr. Lipske must show he was Mr. Shaw's employee. The Tennessee
Workers' Compensation law defines "employee" as "every person ... under any contract
of hire or apprenticeship, written or implied." Tenn. Code Ann. § 50-6-1 02(12)(A). "In
order for one to be an employee of another for purposes of our Workers' Compensation
2
Law, it is, therefore, required that there be an express or implied agreement for the
alleged employer to remunerate the alleged employee for his services in behalf of the
former." Black v. Dance, 643 S.W.2d 654, 657 (Tenn. 1982). Mr. Lipske, as the
employee, has the burden of proof on all essential elements of his workers' compensation
claim. Scott v. Integrity Staffing Solutions, 2015 TN Wrk. Comp. App. Bd. LEXIS 24, at
*6 (Aug. 18, 20 15). This includes the burden of proving that he was employed by
Adam's Hardwood Flooring.
Mr. Lipske credibly testified that Mike hired him, representing that Mr. Lipske
would be an employee of Adam's Hardwood Flooring. Mr. Lipske stated that he was
paid for his work before the injury, but he did not say who paid him. Under Black, this is
a critical consideration; if Mike paid him, this suggests he was Mike's employee.
Mr. Shaw was also a credible witness. He testified that around the date of alleged
injury, Mike was starting his own hardwood flooring business in Tennessee. The filing
information for Wolf Works LLC bearing the name Michael Kirk Shaw backs this
assertion. Mr. Shaw testified that he had no knowledge of Mike hiring Mr. Lipske before
the accident. Further, the Court does not construe the settlement offer by Mr. Shaw's
attorney as an admission that he employed Mr. Lipske. These facts are not the only lack
of proof.
Notably absent from the hearing was Mike, whose testimony would shed light on
what he said when Mr. Lipske was hired. Without it, on the present record, the Court is
unable to hold that Mr. Lipske carried his burden of showing he would likely to prevail at
a hearing on the merits in proving he was an employee of Adam's Hardwood Flooring on
the date of injury.
IT IS, THEREFORE, ORDERED as follows:
1. Mr. Lipske's requested relief is denied at this time.
2. This case is set for a scheduling hearing on November 5, 2018, at 2:30 p.m.
Central Time. The parties must call (615) 532-9552 or (toll-free) (866) 943-0025
to participate. Failure to appear by telephone may result in a determination of the
issues without your further participation.
ENTERED September 7, 2018.
3
Expedited Hearing Order Right to Appeal:
If you disagree with this Expedited Hearing Order, you may appeal to the Workers’
Compensation Appeals Board. To appeal an expedited hearing order, you must:
1. Complete the enclosed form entitled: “Expedited Hearing Notice of Appeal,” and file the
form with the Clerk of the Court of Workers’ Compensation Claims within seven
business days of the date the expedited hearing order was filed. When filing the Notice
of Appeal, you must serve a copy upon all parties.
2. You must pay, via check, money order, or credit card, a $75.00 filing fee within ten
calendar days after filing of the Notice of Appeal. Payments can be made in-person at
any Bureau office or by U.S. mail, hand-delivery, or other delivery service. In the
alternative, you may file an Affidavit of Indigency (form available on the Bureau’s
website or any Bureau office) seeking a waiver of the fee. You must file the fully-
completed Affidavit of Indigency within ten calendar days of filing the Notice of
Appeal. Failure to timely pay the filing fee or file the Affidavit of Indigency will
result in dismissal of the appeal.
3. You bear the responsibility of ensuring a complete record on appeal. You may request
from the court clerk the audio recording of the hearing for a $25.00 fee. If a transcript of
the proceedings is to be filed, a licensed court reporter must prepare the transcript and file
it with the court clerk within ten business days of the filing the Notice of
Appeal. Alternatively, you may file a statement of the evidence prepared jointly by both
parties within ten business days of the filing of the Notice of Appeal. The statement of
the evidence must convey a complete and accurate account of the hearing. The Workers’
Compensation Judge must approve the statement before the record is submitted to the
Appeals Board. If the Appeals Board is called upon to review testimony or other proof
concerning factual matters, the absence of a transcript or statement of the evidence can be
a significant obstacle to meaningful appellate review.
4. If you wish to file a position statement, you must file it with the court clerk within ten
business days after the deadline to file a transcript or statement of the evidence. The
party opposing the appeal may file a response with the court clerk within ten business
days after you file your position statement. All position statements should include: (1) a
statement summarizing the facts of the case from the evidence admitted during the
expedited hearing; (2) a statement summarizing the disposition of the case as a result of
the expedited hearing; (3) a statement of the issue(s) presented for review; and (4) an
argument, citing appropriate statutes, case law, or other authority.
For self-represented litigants: Help from an Ombudsman is available at 800-332-2667.
Filed Date Stamp Here EXPEDITED HEARING NOTICE OF APPEAL
Tennessee Division of Workers' Compensation
Docket#: - - - -- -- - --
www.tn.go v/labor-wfd/wcomp.shtm l
State File #/YR: - - -- - - --
wc.courtclerk@tn.gov
1-800-332-2667 RFA#: _ _ _ _ _ _ _ _____ _
Date of Injury: - - - -- - - - -
SSN: _______ _ ______ __
Employee
Employer and Carrier
Notice
Noticeisg~enthat _ _ _ _ _ _ _``--````---``~--------~
[List name(s) of all appealing party(ies) on separate sheet if necessary]
appeals the order(s) of the Court of Workers' Compensation Claims at _ __
-``~-----````````-to the Workers' Compensation Appeals Board .
[List the date(s) the order(s) was filed in the court clerk's office]
Judge___________________________________________
Statement of the Issues
Provide a short and plain statement of the issues on appeal or basis for relief on appeal:
Additional Information
Type of Case [Check the most appropriate item]
D Temporary disability benefits
D Medical benefits for current injury
D Medical benefits under prior order issued by the Court
List of Parties
Appellant (Requesting Party): _____________ .A t Hearing: DEmployer DEmployee
Address:. _______________________ ______________ ___________
Party's Phone:.____________________________ Email: _________________________
Attorney's Name:________________________________ ___ BPR#: - - - - - - - - - - - -
Attorney's Address:. _ _ _ _ _``-````----``---- Phone:
Attorney's City, State & Zip code: _____________________ ___________ _ _ _ __ _
Attorney's Email :_ _ _ _ _ _ _ _ __ _ _ _ _ _ _ _ _ __ _ _ _ __ _ _ _ _ _ _ __
*Attach an additional sheet for each additional Appellant*
LB-1099 rev.4/15 Page 1 of 2 RDA 11082
Employee Name: - - - -- - - -- - - - SF#: _ _ _ _ __ _ _ _ _ DO l: _ __ _ __
Aopellee(s)
Appellee (Opposing Party): _ _ _ _ _ _ _ _.At Hearing: OEmployer DEmployee
Appellee's Address: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Appellee's Phone:_ _ _ _ _ _ _ _ _ _ _ _ _ _ _.Email:_ _ _ _ _ _ __ _ _ _ _ _ __
Attorney's Name:_ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ _ BPR#: - - - - - - - -
Attorney's Address:._ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Phone:
Attorney's City, State & Zip code: - - - -- - - - - - - - - - - - - - - - - - - -- -
Attorney's Email:._ _ _ _ __ _ __ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __
* Attach an additional sheet for each additional Appellee *
CERTIFICATE OF SERVICE
I, certify that I have forwarded a true and exact copy of this
Expedited Hearing Notice of Appeal by First Class, United States Mail, postage prepaid, to all parties
and/or their attorneys in this case in accordance with Rule 0800-02-22.01(2) of the Tennessee Rules of
Board of Workers' Compensation Appeals on this the day of__, 20_ .
[Signature of appellant or attorney for appellant]
LB-1099 rev.4/1S Page 2 of 2 RDA 11082
.
ll .I
Tennessee Bureau of Workers' Compensation
220 French Landing Drive, 1-B
Nashville, TN 37243-1002
800-332-2667
AFFIDAVIT OF INDIGENCY
I, , having been duly sworn according to law, make oath that
because of my poverty, I am unable to bear the costs of this appeal and request that the filing fee to appeal be
waived. The following facts support my poverty.
1. Full Name:_ _ _ _ _ _ _ _ _ _ __ 2. Address: - - - - - - - - - - - - -
3. Telephone Number: - - - - - - - - - 4. Date of Birth: - - - - - - - - - - -
5. Names and Ages of All Dependents:
- - - - - - - - - - - - - - - - - Relationship: - - - - - - - - - - - - -
- - - - - - - - - - - - - - - - - Relationship: - - - - - - - - - - - - -
- - - - - - - - - - - - - - -- - Relationship: - - - - - - - - - - - --
- - - - - - - - - - - - - - - - - Relationship: - - - - - - - - - - - - -
6. I am employed by: - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - , -
My employer's address is: - - - - - - - - - - - - - - - - - - - - - - - - -
My employer's phone number is: - - - - - - - - - - - - - - - - - - - - - - -
7. My present monthly household income, after federal income and social security taxes are deducted, is:
$ _ _ _ _ _ _ ___
8. I receive or expect to receive money from the following sources:
AFDC $ per month beginning
SSI $ per month beginning
Retirement $ per month beginning
Disability $ per month beginning
Unemployment $ per month beginning
Worker's Camp.$ per month beginning
Other $ per month beginning
LB-1108 (REV 11/15) RDA 11082
9. My expenses are: ' ; !•
'
Rent/House Payment $ per month Medical/Dental $ per month
Groceries $ per month Telephone $ per month
Electricity $ per month School Supplies $ per month
Water $ per month Clothing $ per month
Gas $ per month Child Care $ per month
Transportation $ per month Child Support $ per month
Car $ per month
Other $ per month (describe:
10. Assets:
Automobile $ _ _ __ _
(FMV) - - - - - -- - - -
Checking/Savings Acct. $ _ _ _ __
House $ _ _ _ __
(FMV) - - -- - - -- - -
)
Other $ _ _ _ __ Describe:_ _ _ __ _ _ _ _ __
11. My debts are:
Amount Owed To Whom
I hereby declare under the penalty of perjury that the foregoing answers are true, correct, and complete
and that I am financially unable to pay the costs of this appeal.
APPELLANT
Sworn and subscribed before me, a notary public, this
_ _ _ dayof _____________ ,20____
NOTARY PUBLIC
My Commission Expires:_ _ _ _ _ __ _
LB-1108 (REV 11/15) RDA 11082