CANADIAN RAILWAY OFFICE OF ARBITRATION
& DISPUTE RESOLUTION
CASE NO. 3997
Heard in
Concerning
CANADIAN NATIONAL RAILWAY COMPANY
And
TEAMSTERS
DISPUTE:
The
allegation of the
COMPANY’S STATEMENT OF ISSUE:
On
The Company’s Chief Medical Officer reviewed the grievor’s medical file and all information and medical reports submitted by the grievor and her physician with regards to her return to active service performing safety critical work. After this review Dr. Leger requested that additional medical information be provided before the grievor could be deemed medically fit to work. To date the grievor has not provided the requested information to the Chief Medical Officer and therefore the grievor has not been cleared for return to work in a safety critical position. The grievor denied access to her medical file in this matter to CN Labour Relations.
The
The Company
disagrees with the
FOR THE COMPANY:
(SGD.) P. PAYNE
FOR: DIRECTOR, LABOUR RELATIONS
There appeared on behalf of the Company:
Wm. Hblichuk – Counsel,
P. Payne –
Manager, Labour Relations,
S-P Paquette –
Counsel,
K. Morris –
Sr. Manager, Labour Relations,
Dr. D. Leger –
Chief Medical Officer,
D. VanCauwenbergh –
Director, Labour Relations,
D. Crossan – Manager, Labour Relations, Prince George
K. Smolynec –
Sr. Manager, Occupational Health Services,
J. Kwan –
Compensation Advisor,
N. Hart – Superintendent, Vancouver
And on behalf of the
M. A. Church –
Counsel,
B. R. Boechler –
General Chairman,
R. A. Hackl –
Vice-General Chairman,
J. Robbins –
General Chairman, CN Lines Central,
Employee X – Grievor
AWARD OF THE ARBITRATOR
On
Subsequently,
the parties were unable to agree on the method of the grievor’s reinstatement,
particularly in relation to her medical certification. It appears that the
grievor duly passed her rules test and successfully underwent a full
pre-employment medical evaluation with a view to returning to work.
Notwithstanding that she successfully passed that examination, the Company’s
Occupational Health Services asked the grievor’s physician, Dr. Caffaro of
That response did not satisfy Nurse Kuemper. On the same date she drafted a response to Dr. Caffaro. She requested “… the relevant medical documentation” regarding the three medical incidents in the grievor’s record. Dr. Caffaro responded, apparently by facsimile the following day, including appended information with respect to the neck and knee injuries, and with regards to the loss of consciousness in 1994 simply noting: “no information available on my chart.”
The record
discloses that at the time of the grievor’s single incident of having lost
consciousness, apparently in late 1994, she came under the care of Neurologist
Dr. Ted Roberts. In a report which he prepared dated
Unfortunately,
the Company’s new OHS Nurse, Nurse Sandra Hanna, misread Dr. Roberts’ report,
interpreting his writing to state “EEG now epileptic” rather than “EEG non
epileptic”. In the Arbitrator’s view that error was not unreasonable, at least
on the face of the writing, as Dr. Roberts did write the word “non” in such a
way as the final ‘n’ was indistinguishable from a ‘w’. However, it does not
appear disputed that that interpretation was, in the nurse’s own words
“contradictory given the attached EEG report dated
We should obtain a neuro report. Could be filled out by FP if he feels comfortable (don’t know if he has the neuro info on file; maybe we could send him …), or by neuro. We should have confirmation of last seizure approximate date, and history since including meds. If no EEG since 1995, we should have one.
On
On your Occupational Health Services medical file are several documents related to the 1994 “loss of consciousness”.
On
A consultation report from Dr. Ted Roberts,
Neurologist, dated
On
On
On
On
In conclusion, the diagnosis of grand mal epilepsy was established and was confirmed by neurologists and EEG. This condition would not be incompatible with a Safety Critical Position. Under the current medical practice and according to the Canadian Railway Medical Rules, as long as you have been seizure free for a period of 5 years, and there is no epileptiform activity in a EEG performed within 6 months of the return to work, you may be considered fit. After return to work, it is recommended that no rotating shifts and no overtime resulting in sleep deprivation be done so as to reduce the risk.
Since I have no information after 1995 concerning your seizure disorder, I am asking that a physician confirm the date of the last seizure activity and that you provide us with a normal EEG before returning to a SCP.
To reduce the
instant dispute to its simplest terms, the grievor refused to undergo the
medical examination, including an EEG, as required as a pre-condition to
returning to employment by the Company’s Chief Medical Officer. Her position
was that Dr. Roberts had originally stated in his report: “EEG non epileptic”.
As she had not suffered any seizures in the fifteen year period since 1995 and
was then found to not be epileptic, she apparently formed the view that the
Company’s request was conceived in error, was unreasonable and would not be
complied with. The Company, on the other hand, took the position that the
grievor’s medical history did justify an updating of her neurological
condition, which could be obtained by the taking of a more recent EEG or, at a
minimum, certification by a Neurologist that she is not epileptic.
Unfortunately, this standoff continued between the parties, and the
Unfortunately the matter remained unresolved. Notwithstanding that the Company offered to pay for the grievor’s medical assessment, Employee X declined to release any of the documents in her medical Company file to the Company’s Human Resources or Operations officers. Nor did she, until shortly prior to the hearing, herself obtain any medical reports to give satisfaction to the Company’s Chief Medical Officer.
Finally, a few
days before the arbitration hearing, the Company was provided with medical
documentation confirming that the grievor was not diagnosed as epileptic in
1995 and has suffered no seizure recurrences since August of 1994. That
diagnosis and information is confirmed in letters from Dr. Roberts, the
grievor’s Neurologist, and her family physician, Dr. Caffaro, in letters dated
July 6 and
The issue in
this grievance is whether the grievor should receive compensation for what the
The Arbitrator can hardly conceive a more unfortunate standoff created by the equally matched high-minded convictions of two parties diametrically opposed. For its part the Company, in the best of good faith, harboured a concern as to the possible contradictory information in the original Neurologist’s report in its possession. Being properly conscious of its obligation to ensure the fitness for work of employees in accordance with the Railway Safety Act, its Chief Medical Officer opted for the grievor to undergo a new neurological examination and EEG prior to returning to service. It does not appear disputed that other alternatives could have been pursued. Indeed, once Dr. Roberts and Dr. Caffaro did provide more current and complete reports which were given to the Company only days before the arbitration hearing, the Company did agree to reinstate Employee X into her position as a conductor, as directed by the Human Rights Tribunal. For its part, the Union adamantly defended the grievor’s right to not release her Company medical records to Human Resources or Operational officers, supported her in her refusal to undergo any further neurological medical examination and did nothing itself to obtain a more current and clear diagnosis from the grievor’s physicians until only a few days prior to the arbitration hearing.
In my view, while I accept that both parties acted in the best of good faith at all times, I am compelled to conclude that they share equally in the responsibility for the unfortunate ten month delay in the grievor’s reinstatement. It was clearly open to the Company to have simply communicated with Dr. Roberts as early as November of 2010 to obtain clarification of what the Company’s OCS Nurse acknowledged seemed to be a diagnosis which was contradictory to the actual EEG reading attached to Dr. Roberts’ report. While it is also true that the Company’s Chief Medical Officer was properly entitled to have more recent data, data which might take the form of a more EEG, current data as to the grievor’s condition and the history of her condition since 1994 could also have been obtained, as it ultimately was, from Drs. Roberts and Caffaro.
I am also
satisfied that the
On the whole of
the record, I am satisfied that the parties share equal responsibility for the
unfortunate delay in this matter. It was open to either of them to obtain the
information which led to the grievor’s reinstatement in a far more timely
fashion than in fact occurred. As a result, any order of compensation must take
into account the equal contribution of the Company on the one hand, and the
grievor and the
The grievance
is therefore allowed, in part. The Arbitrator directs that Employee X be
compensated for one-half of all wages and benefits lost for the period between
ARBITRATOR