No. 90SC383Supreme Court of Colorado.
Decided June 10, 1991.
Certiorari to the Colorado Court of Appeals.
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Paul Tochtrop, for Petitioners.
Ozer, Trueax Kullman, P.C., Ronald M. Coffee, for Respondent Roger L. Blair.
Gale A. Norton, Attorney General, Raymond T. Slaughter, Chief Deputy Attorney General, Timothy M. Tymkovich, Solicitor General, Paul H. Chan, Assistant Attorney General, for Respondent The Industrial Claim Appeals Office.
EN BANC
JUSTICE LOHR delivered the Opinion of the Court.
[1] We granted certiorari to review the Colorado Court of Appeals’ judgment in Blair v. The Industrial Claim Appeals Office, No. 89CA1222 (May 3, 1990) (unpublished opinion). The court of appeals reversed an administrative order denying workers’ compensation benefits for an injury incurred by Roger L. Blair in an altercation with a job site supervisor. The court of appeals held that an injury resulting from assault is compensable if the dispute was related to work conditions. The court further held that identification of the claimant as the “initial aggressor” does not lead to a denial of benefits. We affirm the judgment of the court of appeals. I.
[2] Roger L. Blair was employed as a painter by Triad Painting Company (Triad), a subcontractor of Bassett Construction Company (Bassett). On the date of his injury, December 19, 1985, Blair was painting at a job site supervised by Doug Brown, an employee of Bassett. In ensuing proceedings on Blair’s claim for workers’ compensation, an administrative law judge (ALJ) for the Department of Labor found Brown to be a credible witness and therefore adopted his version of the events that led
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to Blair’s injury. Brown described the incident as follows.[1]
[3] Brown overheard Blair voicing complaints about the job. Brown, seeking to avert the potential for a mechanic’s lien, approached Blair and asked him if Triad was paying him. Blair said he was being paid, but indicated that he was angry over lack of overtime. Brown remarked that Blair did not even show up during regular hours, then returned to his office. As Blair gathered his tools to leave, he continued to voice loud complaints, now directed at Brown. Blair’s comments included name calling and profanity. [4] Brown again left his office to confront Blair. Upon seeing Brown, Blair set down buckets he was carrying but continued to hold a roller pole, used in painting. Brown approached him “face-to-face,” the two stood looking at each other for a time, then Brown turned to walk away. Blair mumbled something, and Brown kicked over one of the buckets. Blair made a quick movement. Brown, thinking Blair intended to strike him with the pole, grabbed Blair by the collar and threw him to the floor. Blair rose swinging. Brown again threw him to the floor, ending the physical altercation. [5] Blair allegedly sustained injuries to his ribs and lower back that have made his return to work impossible. In May 1986, he filed for workers’ compensation. Included in the evidence before the ALJ was testimony by a psychologist who had examined Blair to evaluate his level of pain. The psychologist testified that in his opinion, Blair exaggerated his degree of pain. The psychologist further testified that tests administered during his one and one-half hour evaluation of Blair suggested a tendency by Blair “to bend the facts and rules to fit his situation to his benefit,” and that Blair’s test results indicated a longstanding personality disorder. [6] The ALJ found that the altercation between Blair and Brown “was provoked by the loud and obnoxious behavior of [Blair] toward Doug Brown,” and “that any injuries [Blair] sustained were caused by his longstanding personality disorder, and did not arise out of and within the course and scope of his employment.” The ALJ therefore denied Blair’s claim. The Industrial Claim Appeals Panel affirmed after concluding that the “factual determination” by the ALJ was supported by “substantial evidence.”[2]Page 641
altercation do not arise out of and in the course of the claimant’s employment, and (2) the injuries sustained by Blair are the expected result of his aggressive action and therefore are intentionally self-inflicted. As a threshold issue, we consider whether the ALJ erred in concluding that Blair’s injuries did not arise out of and within the course and scope of his employment because they were caused by his longstanding personality disorder. Determining that the ALJ’s conclusion is not legally supportable, we then address the employer group’s contentions that workers’ compensation is nevertheless precluded because Blair was the initial aggressor.
II. A.
[8] The Workers’ Compensation Act of Colorado, articles 40 to 47 of title 8, 3B C.R.S. (1990 Supp.), provides exclusive remedies for compensation of an employee by an employer for work-related injury. § 8-41-102, 3B C.R.S. (1990 Supp.); see, e.g., Popovich v. Irlando, 90SC259 (Colo. S. Ct. May 20, 1991), slip op. at 5; Curtiss v. GSX Corp. of Colorado, 774 P.2d 873, 874 (Colo. 1989); Kandt v. Evans, 645 P.2d 1300, 1302
(Colo. 1982). A right to recovery under the Workers’ Compensation Act is conditioned on a finding that the injury occurred while the claimant was “performing service arising out of and in the course of the employee’s employment,” § 8-41-301(1)(b), and that “the injury . . . is proximately caused by an injury . . . arising out of and in the course of the employee’s employment,” § 8-41-301(1)(c).[5] We have held that “arising out of” and “in the course of” employment comprise two separate requirements. Industrial Comm’n v. London Lancashire Indemnity Co., 135 Colo. 372, 376, 311 P.2d 705, 707 (1957); accord Popovich, slip op. at 8; Tolbert v. Martin Marietta Corp., 759 P.2d 17, 20 (Colo. 1988).[6]
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the employer in connection with the contract of employment.” Popovich, slip op. at 8.
[11] Blair’s injuries are not rendered noncompensable for failure to satisfy the “arising out of employment” requirement simply because they were caused by an intentional act of a supervisor. We held in Kandt that workers’ compensation provides the exclusive remedy for an employee injured by an intentional act of a co-employee when both were acting in the course of their employment. 645 P.2d at 1304-05. We considered this to be “consistent with the aim of workmen’s compensation schemes to spread the cost of hazards of the workplace, one of which is intentional interference with an employee’s legal interests by a fellow employee.” Id. at 1305. We conclude that these considerations are equally applicable to the situation present here, in which the supervisor of the job on which Blair was working was employed by the general contractor, Bassett, rather than the subcontractor, Triad, which employed Blair. [12] We recognized in Tolbert that for the purpose of the “arising out of employment” requirement of the Workers’ Compensation Act, assaults upon employees can be divided into three categories: (1) those with an “inherent connection” to employment such as a dispute over performance, pay or termination; (2) those stemming from “inherently private” disputes imported into the employment from the claimant’s domestic or private life and not exacerbated by the employment; and (3) those resulting from a “neutral force” such as random assaults. Tolbert, 759 P.2d at 23-24 accord Banks v. Industrial Claim Appeals Office, 794 P.2d 1062, 1064Page 643
The Industrial Claim Appeals panel characterized the ALJ’s order as based on a factual finding “that it was the `obnoxious’ nature of [Blair’s] behavior, and not a disagreement about work-related matters, which resulted in a physical altercation.”
[14] It is well established that the determination of whether an injury arises out of employment is fact specific and is to be resolved by examining the totality of the circumstances. E.g., Tolbert, 759 P.2d at 20 City of Denver School Dist. No. 1 v. Industrial Comm’n of Colorado, 196 Colo. 131, 133, 581 P.2d 1162, 1163 (1978). The ALJ’s order, however, is ultimately grounded on the legal conclusion that based on her factual findings, Blair’s injuries did not arise out of his employment. This legal conclusion is inconsistent with Popovich and the prior cases on which it relied in determining whether an injury arises out of employment. The fact that a claimant may overreact to an adverse condition of employment, or that the overreaction may stem from some unusual quality of the claimant’s personality, does not alter the fact that the subject of that reaction had an inherent connection with employment. Thus, the court of appeals properly reversed the determination of the Industrial Claim Appeals Panel that Blair’s injuries did not arise out of his employment, unless the employer group’s arguments that Blair’s injuries are nevertheless noncompensable either because he was the initial aggressor or because the injuries were self-inflicted dictate a contrary result.B.
[15] A question that arises in work-related assaults is whether compensation should be denied the “initial aggressor.” See 1 Larson Workmen’s Compensation Law § 11.15(a) (1990). Jurisdictions that recognize the “initial aggressor defense” deny workers’ compensation to the party who initiates the physical altercation despite the fact that the topic of the dispute is work-related. Id. One view is that the defense operates to negate the claim that the injury arose out of the employment. Id. Instead, the injury is considered to arise out of the party’s act of aggression. Id.
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§ 97-12(3)) (emphasis added). An Oregon appellate court recognized the addition of the aggressor defense to the Oregon act when it was amended to exclude from the definition of “compensable injury” an “`injury to any active participant in assaults or combats which are not connected to th job assignment and which amount to a deviation from customary duties.‘”Kessen v. Boise Cascade Corp., 693 P.2d 52, 53 (Or.App. 1984) (quoting Or. Rev. Stat. § 656.005(8)(a)) (emphasis added in Kessen).
[20] In interpreting our own statutory scheme for workers’ compensation, when the language is ambiguous we look to the object sought to be attained. § 2-4-203(1)(a), 1B C.R.S. (1980). We have stated that “[t]he primary purpose of the Workmen’s Compensation Act is to afford workmen compensation for job-related injuries, regardless of fault.” Frohlick Crane Service, Inc. v. Mack, 182 Colo. 34, 38, 510 P.2d 891, 893 (1973). Although we made that statement in the context of considering the effect of negligence by the employer or employee, id., it is equally applicable to the situation of intentionally-inflicted injury. We have also recognized that one of the aims of workers’ compensation is “to spread the cost of hazards of the workplace, one of which is intentional interference with an employee’s legal interests by a fellow employee.” Kandt, 645 P.2d at 1305. Finally, and most importantly, the legislature has provided that “[i]t is the intent of the general assembly that the `Workers’ Compensation Act of Colorado’ be interpreted so as to assure the quick and efficient delivery of disability and medical benefits to injured workers at a reasonable cost to employers . . . . The workers’ compensation system in Colorado is based on a mutual renunciation of common law rights and defenses by employers and employees alike.” § 8-40-102, 3B C.R.S. (1990 Supp.). [21] Judicial recognition of an initial aggressor defense would be inconsistent with the aims of the Workers’ Compensation Act. It would introduce the common law concept of fault into a comprehensive statutory scheme designed to allocate cost and ensure compensation, not analyze culpability. Such analysis of “who threw the first punch” is contrary to quick and efficient administration of disability benefits. The Workers’ Compensation Act of Colorado does not expressly authorize a defense against an initial aggressor in an altercation leading to an otherwise compensable injury. In the absence of such express authorization, we decline to read an initial aggressor defense into the statutory scheme.[8] C.
[22] The employer group also asserts that Blair cannot recover because his injuries must be considered to be “intentionally self-inflicted.” Section 8-41-301(1)(c) of the Workers’ Compensation Act of Colorado precludes recovery when an injury is “intentionally self-inflicted.” The employer group asserts that this language provides a defense to coverage when the claimant is the initial aggressor in an altercation, at least under circumstances such as those presented by the facts of this case.
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[24] We have recognized the defense that an injury was “intentionally self-inflicted” in the situation of suicide. See, e.g., Industrial Commission of Colorado v. Peterson, 151 Colo. 289, 290-91; 377 P.2d 542, 544-45 (1962); London Lancashire, 135 Colo. at 374, 311 P.2d at 707. Suicide is the intended result of a self-inflicted act. In contrast, a person who instigates a fight, although aware that it may have repercussions, likely is intent on injuring the other party and can be deemed at most reckless or grossly negligent in the context of his or her own injury. We cannot read the language “intentionally self-inflicted” so broadly that it encompasses injuries resulting from grossly negligent or reckless behavior.[9] See, e.g., Cunning v. City of Hopkins, 103 N.W.2d 876, 880 (Minn. 1960) (statute providing defense to workers’ compensation claims for intentionally self-inflicted injuries contemplates deliberate intent to injure, not failure to realize probable consequences of foolish acts). To do so would require a strained and forced reading of the term “intentionally self-inflicted.” The commonly accepted and understood meaning of the words does not have the broad scope argued for by the employer group.III.
[25] An injury sustained in an assault resulting from a work-related dispute is compensable under the Workers’ Compensation Act of Colorado. In addition, an injury otherwise compensable under that act is not rendered non-compensable by the fact that the claimant was the initial aggressor. Nor can an injury be considered self-inflicted simply because the injured worker was the initial aggressor. Thus, we affirm the judgment of the Colorado Court of Appeals setting aside the order of the Industrial Claim Appeals Panel and remanding the case for further proceedings.
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