COURT OF APPEALS OF VIRGINIA
Present: Judges Humphreys, Haley and Alston
Argued at Alexandria, Virginia
MATTHEW EDWARD SIMMS
OPINION BY
v. Record No. 1004-08-4 JUDGE ROSSIE D. ALSTON, JR.
JULY 28, 2009
RUBY TUESDAYS, INC. AND
HARTFORD INSURANCE COMPANY
OF THE MIDWEST
FROM THE VIRGINIA WORKERS’ COMPENSATION COMMISSION
Diane C. H. McNamara for appellant.
Kathryn Lea Harman (Semmes, Bowen & Semmes, on brief), for
appellees.
Matthew Edward Simms (claimant) appeals a decision of the Workers’ Compensation
Commission (commission) denying benefits on his claim against Ruby Tuesdays, Inc. and
Hartford Insurance Company of the Midwest (collectively, employer). Claimant contends the
commission erred in finding that his injury did not arise out of employment and erred in failing
to find that the disability and medical treatment he requested were related to the injury. Finding
no error, we affirm the commission’s decision.
I. BACKGROUND
On appeal, “we view the evidence in the light most favorable to [employer], the party
prevailing before the commission.” Great E. Resort Corp. v. Gordon, 31 Va. App. 608, 610, 525
S.E.2d 55, 56 (2000). On June 3, 2006, while working for employer as a restaurant server in
Manassas, Virginia, claimant was entering a food order into the microcomputer located in the
kitchen of the restaurant. Claimant was holding the customer checkbook in his left hand as he
entered the order by touch screen into the computer with his right hand. During the entry, three
idle co-workers began throwing ice at claimant. Claimant turned around when a piece of ice hit
him in the back of the head. As claimant turned around, he was continually hit in the face and
chest with pieces of ice. To block the ice from hitting his face, he threw up his left arm. As he
lifted his arm, his left shoulder dislocated and he dropped his checkbook to the floor. As a result,
claimant suffered an injury to his left shoulder. Subsequently, claimant underwent surgery to
resolve the injury.
On April 16, 2007, claimant filed a claim for benefits seeking compensation for
temporary total disability from June 3, 2006, through November 1, 2006, and payment of
lifetime medical costs for the injury.
On September 21, 2007, the deputy commissioner conducted a hearing on the matter. At
the hearing, Craig Davis testified that he had worked for employer for over seven years. On the
date of claimant’s injury, Davis was on duty as the assistant manager at the Manassas location.
Davis stated that he never approved of employees throwing ice. If he caught an employee
throwing ice, he would initially tell the individual to refrain from engaging in the conduct. If he
caught the same individual a second time, he would issue a written warning. Joseph Higgins, a
general manager for employer at the Manassas location, testified that he did not condone
ice-throwing in the restaurant.
In addition to the evidence shown at the hearing, the deputy commissioner was presented
with the August 30, 2007 deposition of Robert Simms, the claimant’s brother. At the deposition,
Robert stated that he had previously worked for employer as a bartender and server at two
different restaurants. Robert testified that during his employment, employees engaged in
horseplay or wrestling in the presence of management. Typically, management would interject
and direct the employees to refrain from the conduct.
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Finding that claimant was an “innocent victim of horseplay” perpetrated by some
co-employees pursuant to Dublin Garment Co. v. Jones, 2 Va. App. 165, 342 S.E.2d 638 (1986),
the deputy commissioner concluded that claimant sustained an injury by accident arising out of
and in the course of normal events. In addition, the deputy commissioner found that claimant
proved “total work incapacity from June 4 through June 7, 2006[,] causally related to the work
accident.” The deputy commissioner also granted claimant causally related medical attention for
as long as necessary.
Upon review, the commission disagreed with the deputy commissioner’s findings. In
doing so, the commission noted that at the time the deputy commissioner rendered the decision,
Dublin controlled the outcome. The commission stated that since that time, however, the
Supreme Court of Virginia issued Hilton v. Martin, 275 Va. 176, 654 S.E.2d 572 (2008), a case
that “materially changed the ‘innocent victim of horseplay’ law.” Relying on Hilton, the
commission concluded as follows:
In the instant case, . . . it is immaterial whether the claimant’s
co-workers were playful or hostile. They were using ice, a tool of
the restaurant business, in an unauthorized manner, which is also
immaterial. Their unauthorized use of the employer’s ice against
the claimant in a playful manner, without his consent, was
horseplay. However, there is no connection between the
conditions under which the employer required the work to be
performed and the assault by the co-workers.
Thus, the commission reversed the deputy commissioner’s finding that claimant’s injury arose
out of his employment.
This appeal by claimant followed.
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II. ANALYSIS
On appeal, claimant contends the commission erred in failing to find his injury arose out
of employment. Relying on Dublin, 1 claimant maintains his injury arose from the unilateral acts
of his co-workers, perpetrated upon him as a non-participating claimant. See Dublin, 2 Va. App.
at 168, 342 S.E.2d at 639. For this reason, he concludes he was an innocent victim of horseplay.
Employer responds that the commission correctly applied Hilton in finding that the ice-throwing
was not directed at claimant in his status as an employee. Thus, employer argues that because
there was no causal connection between the injury and the conditions under which employer
required the work to be done, the commission did not err in finding that the injury did not arise
out of employment. We agree with employer.
As a threshold matter, we note that “[t]he question of ‘whether an accident arises out of
the employment is a mixed question of law and fact and is reviewable by the appellate court.’”
Stillwell v. Lewis Tree Serv., Inc., 47 Va. App. 471, 477, 624 S.E.2d 681, 683 (2006) (quoting
Cleveland v. Food Lion, L.L.C., 43 Va. App. 514, 518, 600 S.E.2d 138, 140 (2004)). In
applying this standard, “we are bound by the commission’s underlying factual findings if those
findings are supported by credible evidence, see Artis v. Ottenberg’s Bakers, Inc., 45 Va. App.
72, 83-84, 608 S.E.2d 512, 517 (2005) (en banc), [but] we review de novo the commission’s
ultimate determination as to whether the injury arose out of the claimant’s employment, see
Caplan v. Bogard, 264 Va. 219, 225, 563 S.E.2d 719, 722 (2002).” Id.
1
In Dublin, an employee touched a co-worker, Kaye T. Jones, on her shoulders from
behind, pushing her forward and jerking her back with sufficient force to buckle her knees.
Dublin, 2 Va. App. at 166, 342 S.E.2d at 638. As a result of the act, Jones sustained a cervical
strain. Id. at 167, 342 S.E.2d at 638. Characterizing the incident as “horseplay,” this Court
stated that “[w]here . . . the injury arises from the unilateral act of a co-worker upon a
non-participating claimant, it is an ‘injury by accident’ insofar as that claimant is concerned.” Id.
at 168, 342 S.E.2d at 639. Thus, it was concluded that the injury was causally connected to the
employment and was compensable. Id. at 168-69, 342 S.E.2d at 639.
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In Hilton, Joshua Philip Martin, an employee of an ambulance company, shocked his
co-worker with charged defibrillator paddles. Hilton, 275 Va. at 178-79, 654 S.E.2d at 573.
This conduct caused the co-worker’s death. Id. The administrator of the decedent’s estate
brought an action in the trial court against Martin, the ambulance company, and the paramedic
who assessed the victim’s condition prior to her death. Id. at 179, 654 S.E.2d at 574. Among
other things, the complaint alleged assault and battery. 2 Id. The defendants filed pleas in bar
claiming that the plaintiff’s sole remedy was under the Virginia Workers’ Compensation Act. Id.
The trial court agreed and found the accident arose out of and in the course of employment and
the plaintiff’s exclusive remedy was as provided by the Act. Id.
On appeal, the Supreme Court of Virginia reversed the trial court’s finding. Id. at 181,
654 S.E.2d at 575. In doing so, the Court considered that the “arising out of” prong required
application of the “actual risk” test. Id. at 180, 654 S.E.2d at 574. Under that test, “the injury
comes within the Act only if there is a causal connection between the employee’s injury and the
conditions under which the employer requires the work to be done.” Id. Next, the Court
considered that all “assault upon employee” cases adhered to a common principle: “‘If the
assault is personal to the employee and not directed against him as an employee or because of his
employment, the [resulting] injury does not arise out of employment.’” Id. at 180-81, 654 S.E.2d
at 574 (quoting Richmond Newspapers, Inc. v. Hazelwood, 249 Va. 369, 373, 457 S.E.2d 56, 58
(1995)). The Court additionally stated:
It is immaterial whether the assailant’s subjective
motivation is playful, amorous, vindictive, or hostile. An injury
2
The complaint also alleged medical malpractice against the ambulance company and the
paramedic and negligent hiring and negligent retention against the ambulance company. Hilton,
275 Va. at 179, 654 S.E.2d at 574.
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resulting from an assault arises out of the injured person’s
employment when it is directed at the victim as an employee.
Id. at 181, 654 S.E.2d at 574-75.
After considering these principles under the circumstances of Hilton, the Court concluded
that the assault had no relationship with the decedent’s status as an employee. Id. at 181, 654
S.E.2d at 575. The Court noted that “[w]hether intended as flirtatious, merely playful, or as
harassment, it was purely personal.” Id. The Court further stated that “the employer’s
workplace requirements had no causal connection with the risk of injury by assault.” Id. In
addition, Martin’s use of the employer’s equipment in assaulting a fellow employee “was
entirely his own and unconnected with the conditions of employment.” Id. Thus, the Court
concluded that the injury did not arise from the employment. Id.
Upon our review of Hilton, we believe the continued viability of the horseplay doctrine
as set forth in Dublin is called into serious question. It is clear that Hilton involved a playful act,
perpetrated upon a non-participating employee by a co-worker, resulting in a willful or unlawful
touching, see Wood v. Commonwealth, 149 Va. 401, 404, 140 S.E. 114, 115 (1927), and causing
subsequent injury to the employee. Notwithstanding the fact that Hilton involved an innocent
victim of horseplay, the Supreme Court concluded that such an injury did not arise out of
employment. Under these circumstances, we decline claimant’s invitation to apply the horseplay
doctrine in the present case. Thus, we conclude Hilton requires that we find claimant, who was
an innocent victim of horseplay, did not sustain an injury that arises out of employment.
We also reject claimant’s attempt to distinguish Hilton on the grounds that the Supreme
Court denominated the incident in that case as an “assault.” In sustaining the defendant’s pleas
in bar, the trial court viewed the evidence in the light most favorable to the defendants as the
moving parties. See Weichert Co. of Va. v. First Commerical Bank, 246 Va. 108, 109, 431
S.E.2d 308, 309 (1993). Accordingly, there was no adjudication that the employee’s acts that
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caused the injury constituted an assault as a matter of law. Although the Supreme Court
generally characterized the acts causing the injury in Hilton as an “assault,” we believe that
characterization does not distinguish Hilton from claimant’s case.
In the alternative, claimant asserts that even if we find Hilton controlling, we should
conclude his injury arose out of his employment. To support that contention, he maintains that
the conditions of employment exposed him to the special risk that led to his injury. He further
contends that “horseplay was part of the everyday culture, and was known and acquiesced to by
the [restaurant] management.” We disagree with claimant.
“The language ‘arising out of’ refers to the origin or cause of the injury . . . .” Briley v.
Farm Fresh, Inc., 240 Va. 194, 197, 396 S.E.2d 835, 836 (1990). “An injury will therefore be
deemed to ‘arise out of’ the claimant’s employment ‘when there is apparent to the rational mind
upon consideration of all the circumstances, a causal connection between the conditions under
which the work is required to be performed and the resulting injury.’” Stillwell, 47 Va. App. at
477-78, 624 S.E.2d at 683 (quoting Combs v. Va. Elec. & Power Co., 259 Va. 503, 509, 525
S.E.2d 278, 282 (2000)).
Here, the evidence before the commission showed that when management saw employees
engage in horseplay or wrestling, management would interject and direct the employees to
refrain from the conduct. Craig Davis, a manager for employer, testified that he never approved
of any employees throwing ice. If Davis caught an employee throwing ice, he would issue oral
and written warnings to the individuals to refrain from the conduct. Joseph Higgins, a general
manager for employer, testified that he did not condone ice-throwing in the restaurant.
From this evidence, the commission concluded that there was no connection between the
conditions under which employer required the work to be performed, and the ice-throwing
engaged in by claimant’s co-workers. In making that conclusion, the commission implicitly
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rejected claimant’s evidence and accepted employer’s evidence. We note that “the
[c]ommission’s conclusions upon conflicting inferences, legitimately drawn from proven facts,
are equally binding on appeal.” Watkins v. Halco Eng’g, Inc., 225 Va. 97, 101, 300 S.E.2d 761,
763 (1983). Thus, considering the evidence in this case, the commission could properly find that
the incident was personal in nature to claimant, and was not directed at him in his status as an
employee or because of employment. See Hilton, 275 Va. at 180-81, 654 S.E.2d at 574. We
conclude, therefore, that the commission could reasonably find that ice-throwing was not a risk
of employment and, therefore, that the injury did not arise out of employment.
Claimant further contends the commission erred in failing to find that the disability and
medical treatment he requested were related to the injury. Because we conclude the injury did
not arise out of employment, we need not consider whether the disability and medical treatment
were related to the injury.
III. CONCLUSION
For these reasons, we affirm the judgment of the commission.
Affirmed.
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