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Injury Must Arise From
Employment
Injury is generally compensable if it
arises out of employment. Injury is considered to arise out of
employment where it results from a risk related to the duties
performed in the course of employment. To determine whether employment
duties give rise to a particular risk, courts look primarily at
whether employment duties place the employee in a position to be
injured as a result of a risk. This discussion looks at a variety of
scenarios containing risk of injury and describes whether specific
occurrences of injury are compensable. The following guidelines range
from injury occurring as the result of extreme weather conditions, to
automobile accidents en route to a job site and even to injury
occurring as the result of drinking or resting on the job.
Risks specifically associated with
employment are always compensable. These are risks occurring most
commonly in manual labor environments such as factories. Examples
include machinery breaking, objects falling, explosions, fingers
catching in gears and even those disease-causing elements inherent in
some factory environments. Injuries resulting from these risks are
attributable to job duties and are thus within the scope of coverage.
On the other hand, risks personal to
an individual employee are never compensable. A risk personal to an
employee is one existing independent of the employment relationship.
In other words, if an employee suffers an injury that only happened on
the job by coincidence rather than as a result of some job-related
risk, then that injury is outside the scope of employment. For
example, a hemophiliac who bleeds to death from a paper cut obtained
from his time card while clocking in for a shift as a cotton-handler
is not likely to have a claim for benefits, since his death resulted
from his hemophilia and not an inherent risk of his job.
However, personal risk injuries
should not be confused with mixed risk injuries. Mixed risk injuries
are caused by a combination of employment related as well as personal
causes. For example, where an employee with a weak heart suffers a
heart attack due to the excessive strain of his employment, the injury
is compensable so long as the employment is at least a contributing
factor.
Finally, injury from a neutral risk
occurs where it is unclear whether the risk stems from the nature of
the employment or from the individual employee. Courts also use
neutral risk analysis where the cause of the injury is unknown. Where
a neutral risk injury occurs in an employment setting, courts will
assume that the injury is job related unless the employer produces
evidence showing otherwise.
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