Oceguera v. Labor Commission , 2020 UT App 83 ( 2020 )


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    2020 UT App 83
    THE UTAH COURT OF APPEALS
    MARTHA OCEGUERA,
    Petitioner,
    v.
    LABOR COMMISSION AND
    THE CORPORATION OF THE PRESIDING BISHOP,
    Respondents.
    Opinion
    No. 20190367-CA
    Filed May 29, 2020
    Original Proceeding in this Court
    Loren M. Lambert, Attorney for Petitioner
    Lori L. Hansen and Cody G. Kesler, Attorneys for
    Respondent The Corporation of the Presiding Bishop
    JUDGE RYAN M. HARRIS authored this Opinion, in which
    JUDGES GREGORY K. ORME and MICHELE M. CHRISTIANSEN
    FORSTER concurred.
    HARRIS, Judge:
    ¶1     Martha Oceguera injured her knee while working as a
    seamstress for The Corporation of the Presiding Bishop (CPB),
    and sought temporary total workers’ compensation benefits. The
    Appeals Board (the Board) of the Utah Labor Commission
    dismissed Oceguera’s claim after determining that she failed to
    show that her work activity legally caused her injuries. Oceguera
    asks us to review the Board’s determination, and we conclude
    that the Board erred by rejecting Oceguera’s legal causation
    argument. Accordingly, we set aside the Board’s order and
    return this matter to the Commission for further proceedings.
    Oceguera v. Labor Commission
    BACKGROUND
    ¶2     In 2016, Oceguera was employed as a seamstress at
    Beehive Clothing, a clothing factory operated by CPB to produce
    religious garments. Oceguera usually tried to work quickly in
    order to maximize her production rate, and the nature of the
    work required her to move quickly from one sewing machine to
    another. Oceguera was required to depress a foot pedal in order
    to activate each machine. Most of the foot pedals were covered
    in “grip tape” to help prevent a worker’s foot from slipping, but
    a few of the pedals had no grip tape.
    ¶3     On August 20, 2016, Oceguera was hurrying to a table to
    operate a sewing machine. Once she arrived, she placed the
    garment on the table and, from a standing posture, applied
    “significant pressure” to the machine’s pedal with her right foot.
    Oceguera later testified that the pedal in question turned out to
    be lacking grip tape. In addition, at the moment Oceguera
    stepped on the pedal, it happened to be covered with “a piece of
    slippery cloth” that had fallen onto it. As Oceguera applied
    pressure to the pedal, her right foot “slipped and twisted inward
    with her toes facing left and her ankle [and] heel facing right.”
    This movement caused a “very strong pain” and a “crack” in the
    back of Oceguera’s right knee, which eventually went numb.
    ¶4      Oceguera reported the injury to her supervisor, and later
    went to the hospital for treatment. She was diagnosed with a
    torn meniscus, which eventually required surgical treatment.
    Doctors also noticed that Oceguera had preexisting osteoarthritis
    in the injured knee.
    ¶5     In November 2016, Oceguera filed an application for
    workers’ compensation benefits, including temporary total
    disability benefits, related to the August 2016 workplace injury.
    Following the filing of her claim, medical experts retained by
    each side independently examined her. CPB’s medical
    consultant, an orthopedic surgeon, concluded that the pain
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    Oceguera believed was caused by her August 2016 workplace
    accident was instead attributable to her preexisting
    osteoarthritis. On the other hand, a chiropractor retained by
    Oceguera disagreed, and concluded that Oceguera’s injury was
    caused by the workplace accident and that her preexisting
    condition did not contribute to her injury. In addition, the
    surgeon who performed Oceguera’s meniscus surgery also
    indicated that her meniscus tear was not caused by any
    preexisting condition.
    ¶6     Due to the existence of conflicting medical opinions, an
    administrative law judge (the ALJ) referred the medical aspects
    of Oceguera’s claim to an impartial medical panel. 1 The panel
    observed that Oceguera’s osteoarthritis pre-dated the August
    2016 workplace accident, and concluded that this preexisting
    condition contributed, in part, to the severity of her meniscal
    tear. The ALJ credited the medical panel’s report, and found that
    Oceguera had a preexisting condition at the time of the accident
    that contributed to her injury by “allow[ing] the injury to occur
    with reduced force” that likely “would not have been sufficient
    to cause a meniscal tear in a healthy knee.” Accordingly, the ALJ
    determined that, under Utah law, in order to prove that her
    injury was legally caused by the workplace accident, Oceguera
    would have to “show that the employment contributed
    something substantial to increase the risk [she] already faced in
    everyday life because of [her preexisting] condition.” See Allen v.
    Industrial Comm’n, 
    729 P.2d 15
    , 25 (Utah 1986). In the ALJ’s view,
    1. Under Utah law, an ALJ may refer medical aspects of a case to
    a panel of qualified medical professionals specializing in the
    treatment of the disease or condition involved in the claim. Once
    the panel has submitted their report, the ALJ may base his or her
    findings on the report of the medical panel if the ALJ determines
    that the panel’s conclusions are credible. See Utah Code Ann.
    § 34A-2-601(1)(c), (2)(e)(i) (LexisNexis 2015).
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    Oceguera could not meet that standard; the ALJ determined that
    “[t]he act of one’s foot slipping in a limited manner on a slippery
    surface is a common place occurrence in modern, non-
    employment life,” and that the “physical exertion” Oceguera
    faced did “not exceed” the usual and customary activities of
    daily life in the modern world. The ALJ also determined that
    “the force with which [Oceguera] slipped and twisted her knee
    would not have been sufficient to cause a meniscal tear in a
    healthy knee, but her pre-existing condition allowed the injury
    to occur with reduced force.” The ALJ therefore dismissed
    Oceguera’s request for benefits.
    ¶7     Oceguera appealed the ALJ’s decision to the Board,
    arguing that her osteoarthritis was not the type of preexisting
    condition that triggers the heightened Allen standard, and
    arguing that she could in any event demonstrate legal causation.
    However, a majority of the Board adopted the ALJ’s findings
    and upheld the ALJ’s decision, concluding that Oceguera could
    not show legal causation because the workplace activity that led
    to the injury did not involve “an unusual or extraordinary
    exertion above the usual wear and tear of nonemployment life,”
    and opining that “[i]t is not unusual for a person to hurry and
    then step on a surface and have one’s foot slip off and twist to
    the side such as when a person hurries to cross a street and his
    or her foot slips off a street curb or hurries to catch a bus or train
    and then slips while boarding.” One member of the Board
    dissented, opining that the majority was too “obsessed with the
    ‘mechanism of injury’” and had not focused enough on the
    “environs of the work place.”
    ISSUES AND STANDARDS OF REVIEW
    ¶8    Oceguera now asks us to review two aspects of the
    Board’s order. First, Oceguera asserts that the heightened Allen
    standard for legal causation does not apply here. Second,
    Oceguera argues that, even if Allen applies, she can satisfy its
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    test, asserting that, under the totality of the circumstances
    presented, her “employment contributed something substantial
    to increase the risk she already faced in everyday life” due to her
    osteoarthritis, see Allen v. Industrial Comm’n, 
    729 P.2d 15
    , 25 (Utah
    1986), and that her meniscus tear was therefore legally caused by
    the workplace accident. Both of these issues involve questions on
    which we owe no deference to the Board’s conclusions. The first
    issue requires us to interpret the scope of a Utah Supreme Court
    opinion, a subject on which we do not defer to lower tribunals.
    Ortega v. Ridgewood Estates LLC, 
    2016 UT App 131
    , ¶ 29, 
    379 P.3d 18
     (“The district court’s interpretation of caselaw presents a
    question of law, which we review for correctness.”). And our
    supreme court has determined that, in making a determination
    about whether a workplace situation presents unusual
    conditions not present in everyday life, “the ultimate question is
    the legal effect of the facts rather than witness credibility or
    demeanor,” and that “unusualness” is “an objective legal
    standard that we are in a better position to analyze than the
    [Labor] Commission.” See Murray v. Utah Labor Comm’n, 
    2013 UT 38
    , ¶ 40, 
    308 P.3d 461
    .
    ANALYSIS
    ¶9      In Utah, workers’ compensation benefits are available to
    any employee injured in an “accident arising out of and in the
    course of” employment. Utah Code Ann. § 34A-2-401(1)
    (LexisNexis 2015). For an injury to be compensable, the worker
    must prove both that the injury was “by accident” and that there
    is “a causal connection between the injury and the employment.”
    Allen, 729 P.2d at 18. “In this context, causation is a two-fold
    concept encompassing both medical causation and legal
    causation,” Layton v. Labor Comm’n, 
    2019 UT App 59
    , ¶ 16, 
    440 P.3d 954
     (quotation simplified), and the injured worker “must
    supply proof of both” in order to succeed on her claim, Nyrehn v.
    Industrial Comm’n, 
    800 P.2d 330
    , 334 (Utah Ct. App. 1990).
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    ¶10 In this case, CPB does not contest the fact that Oceguera’s
    injury happened “by accident,” nor does it—at least not in its
    briefing before this court—contest that Oceguera’s injury was
    medically caused by the August 2016 accident. The only issue
    contested here is the one on which the Board rejected Oceguera’s
    claim: whether Oceguera has satisfied her burden of proving
    that her injuries were legally caused by her workplace accident.
    ¶11 In order to show legal causation, Oceguera must show
    that her injury arose “out of and in the course of” her
    employment. See Utah Code Ann. § 34A-2-401(1); see also Allen,
    729 P.2d at 25. Our supreme court has noted the difficulty in
    determining causation in cases “where the employee brings to
    the workplace a personal element of risk such as a preexisting
    condition.” Id. Injured employees are “not disqualified from
    obtaining compensation” just because they have preexisting
    conditions that contributed to their injuries, and can even
    recover for the “aggravation or lighting up of a pre-existing
    disease.” Id. (quotation simplified). However, such employees
    must demonstrate that their injury or aggravation was due to
    workplace activity rather than day-to-day wear and tear; for that
    reason, a heightened test for legal causation is “necessary to
    distinguish those injuries which coincidentally occur at work
    because a preexisting condition results in symptoms which
    appear during work hours without any enhancement from the
    workplace.” See Murray v. Labor Comm’n, 
    2013 UT 38
    , ¶ 46, 
    308 P.3d 461
     (quotation simplified). In order to meet the heightened
    test, claimants “must show that the employment contributed
    something substantial to increase the risk [they] already faced in
    everyday life because of [their] condition.” Allen, 729 P.2d at 25.
    “This additional element of risk in the workplace” can be
    satisfied by evidence that the injury occurred as the result of “an
    exertion greater than that undertaken in normal, everyday life.”
    Id. In summary, “where the claimant suffers from a preexisting
    condition which contributes to the injury, an unusual or
    extraordinary exertion is required to prove legal causation,” but
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    “[w]here there is no preexisting condition, a usual or ordinary
    exertion is sufficient.” Id. at 26.
    ¶12 As noted above, the ALJ and the Board both determined
    that Oceguera had to satisfy the Allen test, and that she could not
    do so under the facts of this case. Oceguera takes issue with that
    determination, asserting first that the Allen test does not apply to
    her case, and arguing in the alternative that, on the facts
    presented here, the test is satisfied in any event. We address each
    of Oceguera’s arguments in turn.
    A
    ¶13 A workers’ compensation claimant must satisfy the Allen
    test anytime “the claimant suffers from a preexisting condition
    which contributes to the injury.” Allen, 729 P.2d at 26. In this
    case, the Board made factual findings that both (a) Oceguera
    suffered from preexisting osteoarthritis, and (b) her preexisting
    condition contributed to her injury by “making her more
    susceptible to the meniscal tear” and allowing her meniscus to
    “be torn with less force than would normally be required for
    such a tear.” Oceguera does not contest these factual findings;
    indeed, she acknowledges that she had preexisting osteoarthritis,
    and that her condition “allowed her meniscus to be torn with
    less force than in a healthy knee.” However, she argues that her
    preexisting condition “was insignificant or trivial,” and is not
    “the type that requires the higher legal causation standard.” She
    asserts that, for the Allen standard to apply, the preexisting
    condition must be “a significant or substantial cause of the
    workplace injury.”
    ¶14 But this requirement appears nowhere in existing case
    law discussing legal causation of a workplace injury involving
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    an employee with a preexisting condition. 2 In Allen itself, our
    supreme court indicated that the more stringent legal causation
    test applies “where the claimant suffers from a preexisting
    condition which contributes to the injury”; the court did not
    make any effort to limit the test’s application to cases where the
    preexisting condition’s contribution was significant or
    substantial. See Allen, 729 P.2d at 26. Since Allen, our supreme
    court has continued to apply the test when the preexisting
    condition “causally contributed to” the injury, see Murray, 2013
    2. Oceguera directs our attention to Washington County School
    District v. Labor Commission, 
    2015 UT 78
    , 
    358 P.3d 1091
    . In that
    case, our supreme court analyzed the “causal connection
    required between an initial workplace injury and a subsequent
    non-workplace injury to allow workers’ compensation benefits
    for the second injury.” Id. ¶ 19. In that context, an employee
    must show that “the original workplace injury was a significant
    contributing cause of the subsequent non-workplace injury,” and
    it is not enough for the employee to show that the initial
    workplace injury was “a mere contributing cause.” Id. In
    Washington County, the supreme court did not cite Allen, and did
    not state or imply that the test it applied would apply outside
    the subsequent-non-workplace-injury context. And we are not
    aware of any Utah court applying this standard in a case
    analyzing the impact of a preexisting condition on a workplace
    injury. And in any event, the Allen test itself already absolves an
    employer from paying benefits to an employee with a
    preexisting condition who was injured in the workplace unless
    “the employment contributed something substantial to increase
    the risk” the employee already faced due to the preexisting
    condition. See Allen v. Industrial Comm’n, 
    729 P.2d 15
    , 25 (Utah
    1986). We do not perceive the Allen test, as presently constituted,
    to contain a second level of inquiry aimed at evaluating the
    qualitative nature of the causal link between the preexisting
    condition and the injury.
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    UT 38, ¶ 45, and so have we, see, e.g., Acosta v. Labor Comm’n,
    
    2002 UT App 67
    , ¶ 25, 
    44 P.3d 819
     (stating that “[t]he sole
    question is whether the worker came to the workplace with a
    condition that increased his risk of injury,” and that “[i]f he did
    and that condition contributed to the injury, then Allen’s higher
    standard of legal causation comes into play” (quotations
    simplified)).
    ¶15 We are, of course, bound to follow Allen and Murray,
    because they represent the pronouncements of a higher court.
    See Ortega v. Ridgewood Estates LLC, 
    2016 UT App 131
    , ¶ 30, 
    379 P.3d 18
     (“[W]e are bound by vertical stare decisis to follow
    strictly the decisions rendered by the Utah Supreme Court.”
    (quotation simplified)). To the extent Oceguera is simply making
    a record to preserve her right to ask the supreme court to revisit
    Allen, we acknowledge her efforts. But we are not empowered to
    revisit Utah Supreme Court precedent, and we may not add a
    threshold element—that the contribution made by the
    preexisting condition be “significant” or “substantial”—to a test
    articulated by that court.3
    ¶16 Given that the Allen test applies, by its terms, anytime a
    preexisting condition contributes to a workplace injury, and
    given that the Board made unchallenged findings that Oceguera
    3. Given that our case law contains no requirement that the
    contribution to the injury made by the preexisting condition be
    substantial, none of the experts involved in the case offered a
    specific opinion, one way or the other, on that question.
    Oceguera’s expert opined that the preexisting condition made no
    contribution at all to her injury. And the medical panel, in an
    opinion shared by CPB’s expert, opined that Oceguera’s
    osteoarthritis “allowed the meniscus to be torn with less force”
    than in a healthy knee, but did not analyze whether the
    osteoarthritis’s contribution was “significant” or “substantial.”
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    suffered from a preexisting condition that contributed, at least in
    part, to her injury, the Allen test applies here. Oceguera cannot
    demonstrate that her injury was legally caused by the workplace
    accident without satisfying that test.
    B
    ¶17 Under that test, because she came to the workplace with a
    preexisting condition, Oceguera may recover workers’
    compensation benefits only if she can show that “the
    employment contributed something substantial to increase the
    risk [she] already faced in everyday life because of [her]
    condition.” See Allen, 729 P.2d at 25. To make this showing,
    Oceguera must compare the circumstances of the workplace
    injury to the “exertions” of a typical person’s “nonemployment
    life,” and persuade us that her injury was caused “by an exertion
    greater than that undertaken in normal, everyday life.” Id. at 25–
    26. This endeavor involves two steps: “first, we must
    characterize the employment-related activity that precipitated
    the employee[’s] injury, taking into account the totality of the
    circumstances; and second, we must determine whether this
    activity is objectively unusual or extraordinary.” Murray, 
    2013 UT 38
    , ¶ 48.
    ¶18 The facts related to the mechanism of injury, as
    determined by the Board, are not a matter of much dispute. As
    noted above, in an effort to maximize her production rate,
    Oceguera was attempting to work quickly, and she “hurried to a
    sewing table to operate a sewing machine.” Upon arriving at the
    table, she “applied significant pressure” on the machine’s pedal
    with her right foot. Unbeknownst to Oceguera, the pedal in
    question had no grip tape, and was covered with a stray piece of
    cloth. As she pressed the pedal, her foot slipped off of it and
    twisted inward, causing immediate pain and tearing the
    meniscus in her right knee.
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    ¶19 The parties do, however, dispute the legal import of these
    facts. The ALJ and a majority of the Board determined that the
    activity required of Oceguera in the workplace was not unusual
    or extraordinary, when compared with typical non-employment
    life; the Board analogized the foot-pedal mishap to situations in
    which a person is in a hurry—for instance, crossing a street or
    trying to catch a bus—and then “step[s] on a surface” and slips.
    CPB agrees, asserting that Oceguera’s workplace activity “is not
    unusual compared with normal nonemployment exertions
    experienced by the general public in today’s society.” Oceguera,
    on the other hand, points to the specific circumstances of her
    workplace, in which she—in an effort to maximize her
    production—was hurrying to get to the next workstation, and
    notes that the pedal in question was covered by a slippery piece
    of cloth, and turned out to have no grip tape beneath the cloth.
    She also notes the “significant pressure” that she applied to the
    pedal, and asserts that the workplace activity that led to her
    accident, when viewed in its entirety, is more strenuous than the
    activities of normal everyday non-employment life.
    ¶20 The second part of the legal causation test—the inquiry
    into the “unusualness” of the workplace activity—is an objective
    assessment. See Murray, 
    2013 UT 38
    , ¶ 48. In comparing “the
    activity that precipitated the employee’s injury with the usual
    wear and tear and exertions of nonemployment life,” we focus
    on “what typical non-employment activities are generally
    expected of people in today’s society, not what this particular
    claimant is accustomed to doing.” 
    Id.
     (quotations simplified). In
    making this comparison, we examine “the totality of the
    circumstances, including the employee’s exertions and the
    workplace conditions.” Id. ¶ 47. These examinations are quite
    specific. For instance, under the facts of Allen, our supreme court
    noted that the assessment should take into account not just how
    much weight the employee lifted and moved, but specifically
    “how many crates were moved . . . , the distance the crates were
    moved, the precise weight of the crates, and the size of the area
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    in which the lifting and moving took place.” See Allen, 729 P.2d
    at 28. And in Murray, the court took into account more than just
    the fact that the employee lost his balance in a boat; it also
    considered the angle at which he was “bent over the edge of the
    boat,” the fact that he “was wearing a fifteen-pound service belt
    and a one-pound inflatable life jacket, and that the wave that hit
    his boat was unexpected.” See Murray, 
    2013 UT 38
    , ¶ 50.
    ¶21 In addition to Allen and Murray, we find two of our own
    cases instructive here. In Peterson v. Labor Commission, 
    2016 UT App 12
    , 
    367 P.3d 569
    , an employee with a preexisting condition
    in her right shoulder worked in a grocery store’s bakery
    department as a cake decorator, and her “regular duties
    included lifting and moving cakes and buckets of frosting.” Id.
    ¶¶ 2, 4. The cakes “weighed about four pounds each, and the
    buckets of frosting weighed as much as forty-two pounds.” Id.
    One day, the claimant sustained an injury to her right rotator
    cuff after she “reached behind her with her arm extended like a
    waiter” in order “to remove a tray of cakes from a rack.” Id. ¶¶ 3,
    16. The tray in question contained four cakes, “weighed over
    sixteen pounds, and was positioned about shoulder-height on
    the rack.” Id. ¶ 3. The Board denied her claim for workers’
    compensation benefits under Allen, concluding that her
    “exertion was not unusual or extraordinary.” Id. ¶ 9. This court
    disagreed, focusing not just on the amount of weight lifted but
    on the totality of the circumstances, including “the awkward
    manner” in which the employee lifted the tray. Id. ¶ 15. We
    summed up our conclusion as follows: “Looking at the totality of
    the circumstances of [the employee’s] injury, we are satisfied
    that her lifting of the sixteen-pound cake tray in the peculiar
    manner that she did ‘contributed something substantial to
    increase the risk she already faced in everyday life because of
    her preexisting condition.’” Id. ¶ 16 (quoting Allen, 729 P.2d at
    25) (quotation simplified)).
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    ¶22 In American Roofing Co. v. Industrial Commission, 
    752 P.2d 912
     (Utah Ct. App. 1988), we addressed a claim for workers’
    compensation involving an employee with a preexisting back
    condition who was injured while lifting a thirty-pound bucket
    from the back of a truck. 
    Id. at 913
    . As the employee leaned over
    the side of the truck and attempted to lift the bucket out of the
    truck bed, “the bucket snagged on something,” and the
    employee experienced “lightning bolts” of pain through his back
    and legs. 
    Id.
     This court applied Allen and declined to disturb the
    Board’s conclusion that the employee’s exertion was unusual
    and extraordinary. 
    Id. at 915
    . The Board had concluded that
    “evidence of the weight, together with the manner in which [the
    employee] lifted the bucket and the fact that the bucket snagged,
    combined to characterize [his] action as unusual or
    extraordinary under the Allen definition.” 
    Id.
    ¶23 Applying this test, and this case law, to the facts of this
    case, we conclude that Oceguera has established that her injury
    was legally caused by the August 2016 workplace accident. In
    our view, after examining the circumstances of Oceguera’s
    accident in their totality, we are persuaded that the exertion
    expended by Oceguera in the course of her accident was greater
    than that usually undertaken by an average person in non-
    employment life. See Murray, 
    2013 UT 38
    , ¶ 47; Allen, 729 P.2d at
    28. In an effort to maximize her production rate, Oceguera was
    hurrying to the next station. She applied “significant pressure”
    to the foot pedal. And that foot pedal, unbeknownst to her, was
    more slippery than she was anticipating, since it had no grip
    tape and was covered by a stray piece of cloth. In the course of
    daily non-employment life, people do not typically encounter
    situations like that.
    ¶24 We disagree with the Board’s conclusion that Oceguera’s
    exertion was comparable to slipping while walking or boarding
    a bus. As an initial matter, we are not convinced that taking a
    step on level ground, or even stepping upward to board a bus or
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    mount a flight of stairs, is the same as applying “significant
    pressure” to the foot pedal of an industrial sewing machine.
    Moreover, Oceguera was hurrying from station to station in an
    effort to maximize her production rate. We certainly
    acknowledge that ordinary people in non-employment life
    sometimes find it necessary to depress foot pedals using
    “significant pressure,” and sometimes find it necessary to hurry.
    But most people do not encounter those things very often in
    non-employment life, especially at the same time, and Oceguera
    was required to do so constantly throughout her workday—hour
    after hour, garment after garment. See Fastenal v. Labor Comm’n,
    
    2020 UT App 53
    , ¶ 15 (“Repetition of a workplace activity can
    constitute an objectively unusual or extraordinary exertion.”),
    petition for cert. filed, May 20, 2020 (No. 20200409); see also Miera v.
    Industrial Comm’n, 
    728 P.2d 1023
    , 1024–25 (Utah 1986) (holding
    that an employee’s repeated “jumps into an eight-foot hole from
    a four-foot platform at thirty-minute intervals constitute[d] a
    considerably greater exertion than that encountered in
    nonemployment life”).
    ¶25 But perhaps most significant, in light of Peterson and
    American Roofing, is the unanticipated manner in which her foot
    slipped off of the pedal. In those cases, it was “the unusual and
    awkward manner in which the employee lifted an otherwise-
    manageable amount of weight” that helped differentiate the
    workers’ exertions from those typically encountered in non-
    employment life. See Peterson, 
    2016 UT App 12
    , ¶ 16. Similarly
    here, Oceguera did not expect the pedal to be slippery from lack
    of grip tape and from the presence of the stray piece of cloth.
    Encountering a pedal with those characteristics was unusual and
    extraordinary, even for Oceguera, who was used to depressing
    foot pedals often during her work; it is certainly out of the
    ordinary for anyone in non-employment life to unexpectedly
    encounter such a situation. In Peterson, we concluded that the
    employee’s “activity when she was injured—twisting and
    reaching behind herself with her extended right arm to place her
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    palm under a sixteen-pound cake tray to lift and move it from a
    shoulder-height rack to a mid-chest height table—was
    objectively unusual or extraordinary.” See id. ¶ 13. And in
    American Roofing, we determined that “the manner in which the
    bucket snagged” on the truck bed, when “combined” with its
    thirty-pound weight, was “unusual or extraordinary under the
    Allen definition.” See American Roofing, 
    752 P.2d at 915
    .
    ¶26 Oceguera’s exertion was at least as awkward and unusual
    as the activities at issue in Peterson and American Roofing. Neither
    Oceguera nor the worker in American Roofing anticipated the
    difficulty of their activity: the worker did not know that the
    bucket would snag on the truck, and Oceguera did not know
    that her foot pedal was especially slippery. And unlike the
    activity in Peterson, Oceguera’s activity was more or less
    required by the nature of the job: she was hurrying to maximize
    her production rate, and she had to depress the foot pedal with
    “significant pressure” to complete her task. The employee in
    Peterson was required to lift the cake tray, but was not required
    to lift it in the awkward manner she selected; we nevertheless
    found her activity to be unusual or extraordinary. See Peterson,
    
    2016 UT App 12
    , ¶ 16.
    ¶27 The ultimate question Allen asks us to answer is this one:
    did the demands of Oceguera’s employment “contribute[]
    something substantial to increase the risk [she] already faced in
    everyday life because of” her osteoarthritis? See Allen, 729 P.2d at
    25. And on the facts of this case, taking into account the totality
    of the circumstances, we answer that question in the affirmative.
    CONCLUSION
    ¶28 Because her preexisting osteoarthritis contributed to her
    workplace injury, Oceguera must meet Allen’s heightened legal
    causation standard in order to prevail on her claim for workers’
    compensation benefits. Oceguera’s request that we apply the
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    Oceguera v. Labor Commission
    Allen test only where the worker’s preexisting condition made a
    significant or substantial contribution to the workplace injury is
    a request more appropriately directed to our supreme court.
    ¶29 But Oceguera can meet the Allen test, under the facts of
    this case. After examining the totality of the circumstances, we
    conclude that the exertions she expended in sustaining the injury
    are not the sort of exertions one typically makes in everyday
    non-employment life, and that therefore the demands of her
    employment, on this particular occasion, substantially increased
    the injury risk she already faced due to her preexisting
    osteoarthritis. Accordingly, Oceguera has established that her
    workplace activity was the legal cause of her injury. We
    therefore set aside the Board’s order and return this matter to the
    Labor Commission for further proceedings.
    20190367-CA                    16                
    2020 UT App 83