F I L E D
United States Court of Appeals
Tenth Circuit
UNITED STATES COURT OF APPEALS
April 27, 2006
FOR THE TENTH CIRCUIT Elisabeth A. Shumaker
Clerk of Court
ROBERT DEWEY,
Plaintiff-Appellant,
v. No. 05-3329
(D.C. No. 03-CV-1385-JTM)
JO ANNE B. BARNHART, (D. Kan.)
Commissioner of Social Security,
Defendant-Appellee.
ORDER AND JUDGMENT *
Before TYMKOVICH, McKAY, and BALDOCK, Circuit Judges.
Plaintiff-appellant Robert Dewey appeals from the order entered by the
district court affirming the Social Security Commissioner’s decision denying his
applications for disability insurance benefits and supplemental security income
benefits under the Social Security Act. Exercising jurisdiction under 42 U.S.C.
*
After examining the briefs and appellate record, this panel has determined
unanimously to grant the parties’ request for a decision on the briefs without oral
argument. See Fed. R. App. P. 34(f); 10th Cir. R. 34.1(G). The case is therefore
ordered submitted without oral argument. This order and judgment is not binding
precedent, except under the doctrines of law of the case, res judicata, and
collateral estoppel. The court generally disfavors the citation of orders and
judgments; nevertheless, an order and judgment may be cited under the terms and
conditions of 10th Cir. R. 36.3.
§ 405(g) and 28 U.S.C. § 1291, we reverse and remand for further proceedings.
I.
Plaintiff filed his applications for benefits on September 14, 1998. On July
15, 1999, a hearing was held before an administrative law judge (ALJ). In a
decision dated July 27, 1999, the ALJ denied plaintiff’s applications for benefits
at step five of the five-step sequential evaluation process for determining
disability, finding that: (1) because plaintiff had filed prior applications for
benefits, “August 1, 1998 is the earliest date on which the issue of disability can
be considered,” Aplt. App., Vol. 1 at 17; (2) since August 1, 1998, plaintiff has
suffered from severe physical impairments in the form of hepatitis C and chronic
obstructive pulmonary disease and a severe mental impairment in the form of an
adjustment disorder manifested by a depressed mood; (3) plaintiff did not retain
the residual functional capacity (RFC) to perform the medium to heavy physical
exertion requirements of his past relevant work as a welder and plastics cutter;
but (4) plaintiff retained the RFC to perform the physical exertion requirements of
some light work; and (5) based on the hearing testimony of the vocational expert,
plaintiff was capable of making a vocational adjustment to work in jobs within
ten percent of the entire light, unskilled occupational base, which included the
jobs of information clerk and ticket seller, both of which existed in significant
numbers in the national economy.
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In April 2002, the Appeals Council denied plaintiff’s request for review of
the ALJ’s decision. In October 2003, plaintiff filed a complaint in the district
court, and the district court subsequently entered an order and a related judgment
affirming the denial of plaintiff’s applications for benefits in June 2005. This
appeal followed.
Without recounting the specific events involved in the delays, we note that
the proceedings pertaining to plaintiff’s request for review and district court case
were delayed for a number of reasons. Although, at this point, we do not wish to
assign blame for the delays, we urge the Commissioner to expedite plaintiff’s case
and promptly address this matter in accordance with the rulings and remand
instructions set forth below.
II.
Because the Appeals Council denied review, the ALJ’s decision is the
Commissioner’s final decision for purposes of this appeal. See Doyal v.
Barnhart, 331 F.3d 758, 759 (10th Cir. 2003). In reviewing the ALJ’s decision,
“we neither reweigh the evidence nor substitute our judgment for that of the
agency.” Casias v. Sec’y of Health & Human Servs., 933 F.2d 799, 800 (10th Cir.
1991). Instead, we review the decision only to determine whether the correct
legal standards were applied and whether the ALJ’s factual findings are supported
by substantial evidence in the record. See Doyal, 331 F.3d at 760. “Substantial
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evidence is such relevant evidence as a reasonable mind might accept as adequate
to support a conclusion.” Id. (quotation omitted).
In this appeal, plaintiff claims the ALJ committed reversible error by:
(1) failing to properly assess his credibility; (2) failing to give controlling weight
to the opinions of his treating physicians; and (3) failing to properly evaluate his
RFC at step five. As set forth herein, we agree with plaintiff that the ALJ’s RFC
finding is not supported by substantial evidence in the record. We therefore
remand this matter for reconsideration of plaintiff’s RFC, and, given our
disposition of the RFC issue, we do not need to address plaintiff’s other alleged
errors. In addition, because plaintiff has asserted in this appeal that his primary
disabling condition is the fatigue caused by his liver disease, we will limit our
analysis to that physical impairment. See Aplt. Opening Br. at 17, 23; Aplt. Reply
Br. at 3; see also Aplt. App., Vol. I at 22 (setting forth ALJ’s finding that
“[f]atigue is certainly supported by the nature of the claimant’s liver disease”).
A. The ALJ’s RFC Finding.
As set forth above, the ALJ denied benefits at step five. At step five, “after
the claimant has established at step four that he . . . cannot return to his . . . past
relevant work, the burden shifts to the [Commissioner] to show that the claimant
retains the residual functional capacity . . . to do other work that exists in the
national economy.” Thompson v. Sullivan, 987 F.2d 1482, 1487 (10th Cir. 1993);
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see also id. at 1491 (noting that, at step five, “[i]t is not [the claimant’s] burden .
. . to prove [he] cannot work at any level lower than [his] past relevant work; it is
the [Commissioner’s] burden to prove that [he] can”). “The [Commissioner]
meets this burden if the decision is supported by substantial evidence, and,
therefore, the ALJ’s decision is reviewed for substantial evidence.” Id. at 1487
(quotation and citations omitted).
“RFC is what an individual can still do despite his or her limitations,” and
it constitutes “an administrative assessment of the extent to which an individual’s
medically determinable impairment(s), including any related symptoms, . . . may
cause . . . limitations or restrictions that may affect his or her capacity to do
work-related . . . activities.” Soc. Sec. R. 96-8p, 1996 WL 374184, at *2. To
determine a claimant’s RFC, the ALJ must therefore assess the claimant’s ability
to perform the “physical demands of work activity, such as sitting, standing,
walking, [and] lifting.” 20 C.F.R. §§ 404.1545(b), 416.945(b). 1 Further, the ALJ
must assess “the individual’s ability to perform sustained work activities in an
ordinary work setting on a regular and continuing basis,” and this requires the
ALJ to “describe the maximum amount of each work-related activity the
individual can perform.” Soc. Sec. R. 96-8p, 1996 WL 374184, at *7. In
1
All citations herein to the Code of Federal Regulations are to the
regulations that were in effect at the time of the ALJ’s decision in July 1999.
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addition, “[t]he RFC assessment must be based on all of the relevant evidence in
the case record,” including medical history, medical signs and laboratory findings,
effects of treatment, reports of daily activities, lay evidence, medical source
statements, effects of symptoms, and evidence from attempts to work.
Id. at *5. Finally, the ALJ “must . . . make every reasonable effort to ensure that
the file contains sufficient evidence to assess RFC.” Id.
To determine the physical exertion requirements of work in the national
economy, the Commissioner has classified “jobs as sedentary, light, medium,
heavy, and very heavy.” 20 C.F.R. §§ 404.1567, 416.967. Here, we are dealing
with a claimant whose physical abilities put him in either the sedentary or the
light work categories. The Commissioner uses the following definitions for these
categories:
(a) Sedentary work. Sedentary work involves lifting no more than
10 pounds at a time and occasionally lifting or carrying articles like
docket files, ledgers, and small tools. Although a sedentary job is
defined as one which involves sitting, a certain amount of walking
and standing is often necessary in carrying out job duties. Jobs are
sedentary if walking and standing are required occasionally and other
sedentary criteria are met.
(b) Light work. Light work involves lifting no more than 20 pounds
at a time with frequent lifting or carrying of objects weighing up to
10 pounds. Even though the weight lifted may be very little, a job is
in this category when it requires a good deal of walking or standing,
or when it involves sitting most of the time with some pushing and
pulling of arm or leg controls. To be considered capable of
performing a full or wide range of light work, you must have the
ability to do substantially all of these activities.
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Id. at §§ 404.1567(a)-(b), 416.967(a)-(b).
As these definitions indicate, the ability to perform “a good deal of walking
or standing . . . [is] the primary difference between sedentary and most light
jobs.” Soc. Sec. R. 83-10, 1983 WL 31251, at *5. The Commissioner has further
delineated the differences between these two work categories by defining the
ability to perform “the full range of light work” as being able to “stand[] or
walk[], off and on, for a total of approximately 6 hours of an 8-hour workday.”
Id. at *6 (emphasis added). By contrast, sedentary work requires “periods of
standing or walking [that] should generally total no more than about 2 hours of an
8-hour work day.” Id. at *5.
As noted above, the ALJ found that plaintiff retained the RFC to perform
“the exertional demands of some light work,” Aplt. App., Vol. I at 24, and he
specifically assessed plaintiff’s ability to perform such work as follows:
The evidence supports a finding that with normal rest periods and
breaks [plaintiff] is able to occasionally lift and carry up to 20
pounds and up to 10 pounds frequently; to stand and walk about 30
minutes at a time up to a total of 4 hours in an 8 hour work day; and
to sit about 1 hour at a time up to a total of 6 hours in an 8 hour
workday.
Id. Given this RFC determination, as well as the hearing testimony of the
vocational expert, the ALJ further found that plaintiff retained “the capacity for
10% of the light unskilled occupational base represented by such jobs as
information clerk and ticket seller.” Id. at 27.
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Having thoroughly reviewed the record in this matter, we do not find any
errors in connection with the ALJ’s assessment of plaintiff’s ability to lift, carry,
and sit. We do have a problem with the ALJ’s assessment of plaintiff’s ability to
walk and stand, however, and we conclude that the assessment is not supported by
substantial evidence in the record.
As set forth in the ALJ’s decision, plaintiff testified at the hearing that:
(1) he is able to stand for about thirty minutes at a time; (2) he can walk one
block, but must rest for fifteen to twenty minutes afterwards; and (3) he requires a
thirty-minute to two-hour nap each day. Id. at 18. Further, the ALJ accurately
summarized plaintiff’s routine daily activities as follows:
fixing breakfast, washing the dishes, doing 3 loads of laundry (on a
weekly basis), assisting his son in mowing the yard at a very slow
pace, vacuuming and other light household chores. He shops for his
own groceries and drives a car, . . . but gets tired driving after 8-10
miles. He visits friends every week.
Id. at 19. In addition, plaintiff also “goes fishing regularly, [and] engages in
activities with his younger children.” Id. at 22.
This evidence regarding plaintiff’s daily activities is certainly relevant to
the RFC determination, but it is also quite equivocal in terms of providing a
meaningful benchmark concerning plaintiff’s ability to stand and walk over the
course of an entire eight-hour work day. Nonetheless, the ALJ seized on
plaintiff’s descriptions of his daily activities, as described in plaintiff’s hearing
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testimony and the questionnaires that he completed, id. at 161-73, to conclude that
“[a] significant amount of physical ability and ambulation is reflected by
[plaintiff’s] earlier statements.” Id. at 22. The ALJ further concluded that “[t]he
claimant has indicated in testimony a significant ability to stand, walk, sit and
lift.” Id. at 23.
While the ALJ properly took into account plaintiff’s statements regarding
his daily activities in determining plaintiff’s RFC, the statements, standing alone,
do not provide substantial evidence to support the ALJ’s finding that plaintiff can
stand and walk for a total of four hours each work day. First, the ALJ’s
conclusion that plaintiff had indicated a “significant ability” to walk is not
supported by plaintiff’s hearing testimony, because, as set forth above, plaintiff
testified that he had a very limited ability to walk. Id. at 40-41. In addition,
while plaintiff testified that he could stand for thirty minutes while doing the
dishes, id. at 41, he was not asked how long he could stand over the course of an
entire work day, and none of the questionnaires that he completed address that
issue.
Second, the daily activities enumerated by plaintiff in his testimony and
questionnaires were not significant enough to take him out of the general rule that
“evidence that a claimant engages in limited activities . . . does not establish that
the claimant can engage in light or sedentary work activity.” Thompson, 987 F.2d
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at 1491 (quotation omitted). As a result, the evidence concerning plaintiff’s daily
activities cannot constitute the substantial evidence that is required to support the
ALJ’s RFC determination. Id.
Finally, for purposes of evaluating plaintiff’s ability to walk and stand, the
medical evidence in the record is inconclusive and does not provide substantial
support for the ALJ’s RFC finding. In fact, the medical evidence from one of
plaintiff’s treating physicians seems to undercut the ALJ’s finding that plaintiff
can perform some light work, because Dr. Kairouz opined that plaintiff should
have a “more desk related [job] if possible so it will fit his physical needs.” Aplt.
App., Vol. 1 at 297.
As noted above, the ALJ must “make every reasonable effort to ensure that
the file contains sufficient evidence to assess RFC.” Soc. Sec. R. 96-8p, 1996
WL 374184, at *5. To properly evaluate a claimant’s RFC, an ALJ is obligated to
develop the record even where, as here, the claimant is represented by counsel.
See Thompson, 987 F.2d at 1492. Consequently, because the record did not
contain sufficient evidence upon which to base an RFC finding, the ALJ should
have recontacted plaintiff’s treating physicians to obtain additional information.
See 20 C.F.R. §§ 404.1512(e), 416.912(e); see also White v. Barnhart, 287 F.3d
903, 908 (10th Cir. 2002). Alternatively, if the necessary information was not
readily available from plaintiff’s treating physicians, the ALJ should have
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required plaintiff to attend a consultative examination at the Commissioner’s
expense. See 20 C.F.R. §§ 404.1512(f), 416.912(f); see also Thompson, 987 F.2d
at 1491 (“The ALJ, however, finding no evidence upon which to make a finding
as to RFC, should have exercised his discretionary power to order a consultative
examination of [the claimant] to determine her capabilities.”).
Accordingly, the judgment of the district court is REVERSED, and this
case is REMANDED to the district court with instructions to remand the case to
the Commissioner for further proceedings before the ALJ. Specifically, in
accordance with the standards set forth above, the ALJ shall obtain the
information necessary to properly reconsider plaintiff’s RFC, and the ALJ must
then reconsider whether plaintiff was disabled at step five during the relevant
time period. We emphasize that no particular result is dictated by our remand.
As stated above, however, we urge the Commissioner to expedite plaintiff’s case
and promptly address this matter in accordance with the rulings and remand
instructions set forth herein. The Commissioner’s cooperation in this regard will
be greatly appreciated.
Entered for the Court
Bobby R. Baldock
Circuit Judge
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