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HomeMy WebLinkAboutPhillips 02-08-22 / IN THE MATTER OF AN ARBITRATION RECEIVED -08- 2 6 2002 OPSEU UONNSV I EW BETWEEN: ONTARIO PUBLIC SERVICE EMPLOYEES UNION, (the "Unionll) - AND - BAYCREST CENTRE FOR GERIATRIC CARE { (the II Employer" ) AND IN THE MATTER OF THE GRIEVANCE OF DIANE PHILLIPS BOARD OF ARBITRATION Robert D. Howe, Chair Michael Lyons { Union Nominee Robert Gallivan, Employer Nominee APPEARANCES For the Union Mary Anne Kuntz, District Grievance Officer Diane Phillips For the Employer John Saunders, Counsel Joyce Lagunoff Elizabeth Miller Gurjeet Gill A hearing in the above matter was held in Toronto, Ontario on July 18, 2002. ., ".~. AWARD The issue in these proceedings is whether the two hours that the grievor was away from work on July 5, 2001 for an x-ray and medical appointment should be treated as sick leave time or as time which she is required to make up. The parties agreed to argue the grievance on the 'basis of the following agreed statement of facts: In addition to various documents that the parties intend to admit on consent in this matter{ the following facts are agreed upon: 1. The grievor, Diane Phillips is a Senior Social Worker at the Centre (MSW II) and has been employed since April 1974. She normally works seven hours per day from 9:00 am to 5:00 pm with a one hour unpaid lunch. 2. She currently holds the position of President of OPSEU Local 595. 3. On or about February 14, 2001{ Ms. Phillips sustained an undisplaced fracture of the right elbow arising from being hit by a puck while attending a hockey game at the Air Canada Centre. 4. Ms. Phillips is right handed. While the injury did not require surgery, she was required to wear a stabilizing brace on her right arm for some time. 5. She remained off work on sick leave for approximately four and one-half (4 1/2) weeks. 6. Toward the end of March 2001, she returned to work on modified hours and duties owing to the limitations imposed by the injury. 7. The return to work plan called for a gradual increase from four hours daily to seven hours over a period of weeks. During this time she received wages from the Centre for those hours that she actually worked and was then "topped Up" with sick leave hours to a maximum of seven hours per day. 8. After the first three weeks of modified hours during which she progressed to six hours per day, she asked for and obtained medical approval to freeze her hours at six per day for a further few weeks. 1 9. Ms. Phillips returned to full-time hours the week of April 30{ 2001 but remained unable to perform certain aspects of her position. For example; writing, computer work and manipulating wheelchairs remained difficult and painful, 10. Throughout this period, Ms. Phillips continued with prescribed Physiotherapy treatment. Whenever these treatments occurred during working hours Ms. Phillips took the appropriate amount of time off for the treatment and made up an equivalent amount of time at a later opportunity. She did not suffer any financial loss and did not receive any sick leave payments for this time away from work. 11. At the time of her return to work, her physiotherapy treatments were four times weekly and she attended these on her own time. 12. As she progressed{ the treatments were reduced to three times weekly. As her work hours increased, she used personal and other time to attend these treatments but made an effort to minimize any disruption in her workday. 13. The physiotherapy treatments continued until June 2001. The hours used for this purpose during her workday were not taken as sick time. 14. From the date of the injury in February 2001, through to and including July 5, 2001, Ms, Phillips was treated by Dr. Erin Boynton, an orthopedic Surgeon at Mount Sinai Hospital. . 15. Her elbow fracture was x-rayed regularly and she saw Dr. Boynton monthly. 16. The Occupational Health Service at the Hospital was regularly furnished with the requisite medical reports on the progress of the grievor1s injury. 17. Ms. Phillips had expected that her last appointment and x-ray would be on June 21, 2001. 18. However, on June 15, 2001, Ms. Phillips advised her supervisor{ Ms. Lagunoff that the appointment date of June 21{ 2001 had been cancelled by the Doctor's office and rescheduled to July 5, 2001, 19. She asked Ms. Lagunoff at the time for confirmation that, as with previous related medical appointments, j-his rimf" 'll()ll1d hp rltr-rir)llt,-:'rl to sirk timp 2 20. On June 7, 2001, in spite of not having attended what turned out to be her final x-ray and appointment with Dr. Boynton (expected to be June 21, 2001), Ms. Phillips took herself off modified duties in consultation with Dr. Gratton of the Occupational Health Department. Dr. Gratton was aware that there was at least one appointment scheduled and x-ray planned. 21. On July 5{ 2001 Ms. Phillips attended for an x-ray and medical appointment with Dr. Boynton. The appointment was between the hours of 8:00 am and 10:30 am and she returned to the Centre at 11:00 am for the remainder of her shift. Had she not had the medical appointment Ms. Phillips would have been able to work her regular hours of work between 9:00 am and 5:00 pm, 22. The Centre offered to allow Ms. Phillips to continue to receive her regular pay of seven hours for the day in question if she umade up" the two hours at a later time. 23. All of Ms. Phillip'S previous x-ray appointments and evaluations by her physician arising from this injury were attributed to sick time except for the appointment on July 5, 2001. Previous medical appointments had not overlapped with actual working hours. On the days in question, Ms. Phillips had been in receipt of sick leave benefits. 24. When Ms. Phillips was advised that she could not attribute two hours on July 5, 2001 to her sick time, she filed a grievance dated August 2, 2001 asserting a violation of Article 24.01 of the collective agreement. The documents entered into evidence on the consent of the parties included the collective agreement, the grievance, the Employer's reply to the grievance, medical reports, modified duties documentation{ an employee health report, excerpts from the Employer's Human Resources Manual, and a number of e-mails. The employee health report, which was signed by Dr. Gratton of the Employer's Occupational Health and Safety Department on lJune 7, 2001, indicates that the grievor IImay resume regular dut.ies" without any rest.rictions. l)r, C;ratton wrote the words lias neededll on the IIFo11owup j appointment datell line of the report immediately above his signature. The grievor also signed the report, thereby authorizing that information to be released to her supervisor. The e-mails indicate that an appointment which the grievor had with Dr. Boynton on Thursday April 26{ 2001 was attributed to sick time. They also indicate -that the grievor IImade Upll the two hours which she was absent from work on July 5, 2001 as a result of her x-ray and medical appointment by allocating one and one-half hours of accumulated overtime and by working an additional one-half hour (by taking a half-hour lunch on November 29, 2001). Collective Agreement provisions Article 24 of the collective agreement (the HAgreement") provides, in part, as follows: Article 24 - Sick Leave 24.01 Sick leave is time taken with pay due to illness, disability or quarantine not compensable by Workers' Compensation. When an employee has an accident and is unable to work her day or part of her day because of the accident she will be entitled to sick pay for any part of the day she misses. 24.03 (a) Upon completion of three (3) months of service{ employees will be entitled to up to fifteen (15) weeks of sick leave pay in accordance with the following schedule: Length of Service Benefit Paid at % of Salary 3 - 9 months 9 months - 2 2 - 3 years 3 - 4 years Tl1nrp rhFln ft years 66 2/3% 70%' 80~o 90%' JOO%- '/F);-l rs J. .. .. <1 For the purpose of this article, service means service since September 11 1979. Persons employed prior to that date will continue to benefit from use of their sick leave supplement bank. (b) Where an employee returns to work after an absence and continues working for a period of more than three weeks without a further absence the employee's entitlement to a full fifteen (15) weeks will be reinstated. Summary of the Union's Submissions In her submissions on behalf of the Union { Ms. Kuntz submitted that the July 5{ 2001 x-ray and medical appointment flowed directly from the grievor1s injury and should be covered by sick leave in the same manner as all of her previous appointments with Dr. Boynton, including the one which took place on April 26, 2001. The Employer's failure to treat the July 5, 2001 appointment in the same way as the April 26, 2001 appointment penalizes the grievor for taking herself off modified duties. Article 24 is quite a generous sick leave plan and is fairly unique. Although entitlement under that provision is subject to the Employer's ability to determine that sick leave is being paid for a bona fide illness, there is no dispute in the present case regarding the bona fide nature of the grievor's situation. Article 24.01 contains no conditions which set out any substantial limitations on entitlement. It does not give the Employer a discretion to deny sick leave for an absence resulting from a bona fide illness or injury. Given the contiguous nature of the appointment, it was inappropriate for the Employer to 5 require the grievor to make up the time involved in attending it. Although the only specific reference to receiving sick pay for part of a day relates to compensable accidents, there is no barrier to sick leave being attributed to part of a day so long as it relates to a disability. Entitlement to sick leave for part of a day avoids possible abuse{ as it renders it unnecessary for an employee to take an entire day off for a medical appointment that only requires an absence of a few hours. Here there was an ongoing disability for which the grievor had approved sick leave time off in the past. The July 5, 2001 appointment was simply a follow-up not materially different from the April 26, 2001 appointment. Those appointments are distinguishable from a normal maintenance of health medical appointment. Finding sick leave to only be accessible for medical appointments which occur while an employee is on modified duties would be an excessively narrow interpretation of Article 24. Cases relied upon by the Union include Re St. Joseph's Hospital and United Nurses of Alberta (1987) { 28 L.A.C. (3d) 185 (Ponak) i Re Peel Board of Education and O.S.S.T.F. (Lambert) (1998){ 73 L.A.C. (4th) 183 (Albertyn)i Re Air Canada and I.A.M. Lodge 40 (Ardito) (2000){ 91 L.A.C. (4th) 94 (M.G. Picher) i Re B.C. Cancer Agency and B.C.N.U. (Edwards) (1997), 65 L.A.C. (4th) 380 (Larson) i and Re Meadow Park Nursing Home and Service Employees International Union. Local 220 (1983) 1 9 L.A.C. (3d) 137 (Swan). The remedipscequestpd are rl declCi1'at ion that Acticle 6 24 has been breached and an order that the time the grievor was required to make up be returned to her. Summary of Employer Counsel's Submissions Mr. Saunders submitted that the Employer has no obligation under Article 24.01 to provide sick leave to the grievor for the two hours in question because the grievor did not have an illness or disability on July 51 2001. As of June 7, 2001, she had been cleared to return to her regular duties with no restrictions. Since she was not precluded by an illness or a disability from working on July 5, 2001{ she was not entitled under the first sentence of Article 24.01 to receive sick pay for the two hours that she was away from work that day for an x-ray and medical appointment. The second sentence of Article 24.01 is also inapplicable. Since under the Workplace Safety and Insurance Act entitlement to compensation in respect of a compensable accident starts on the day after the accident, that sentence is included in the Agreement to ensure that employees receive a full day's pay for the day of the accident. It has no application to ongoing medical appointments. In support of his submissions, Mr. Saunders referred to Re Ontario (Ministry of Housing) and C.U.P.R. Loc. 767 (1994), 39 L.A.C. (4th) 1 (G.S.B.); Re General Bakeries Ltd. and Milk and Bread Drivers Union, Local 647 (1981)1 2 L.A.C. (3d) 444 (Rayner); Re Bell Canada and Communications Workers of Canada, unreported award issued in 1979 by arbitrator Burkett.; and Re Metropolitan Toronto (Municipality) and 7 C.U.P.E.. Loc. 79 (1989){ 7 L.A.C. (4th) 214 (Davis). He also submitted that none of the cases relied upon by the Union apply to the facts of the present case, as they are all factually distinguishable. Summary of Union Counsel's Reply Submissions In replying to those arguments { Ms, Kuntz noted that Dr. Gratton wrote the words lias neededll on the IIFollow-up appointment datell line of the employee health report which he signed on June 7, 2001. She also noted that there is no dispute between the parties that the July 51 2001 appointment was needed. She submitted that it was a necessary and logical follow-up arising from the grievor's injurYI and that it would be an unnecessarily restrictive interpretation of Article 24 to limit sick time in the manner advocated by counsel for the Employer. She further submitted that although it confirmed the decision made by Dr. Gratton{ the July 51 2001 appointment and x-ray could have gone the other way. While the grievorrs injury no longer prevented her from working seven hours a day, she was still in the process of healing at the time of that appointment. Decision The cases cited by the Union establish a number of principles regarding sick leave. In construing a provision which gave the employer a discretion to deny sick leave payment tlfor the first two (2) days of absence in the fourth and succeeding periods of leave due to sickness in each calendal':' yearrr I arbitxatol':' Swan wl':'ote, in pal':'t, as follows in 8 Re Meadow Park Nursing Home and Service Employees International Union. Local 220{ supra, at pages 142-3: In these circumstances, where the parties have agreed to give the employer a discretion to suspend payment of earned benefits in certain circumstances, we think that it must have been intended in using that formulation to incorporate a number of elements of the administrative law concept of discretion. In particular, we think that the exercise of the employer's discretion must be in good faith, must be a genuine exercise of discretion and not merely the application of rigid policy, and must include a consideration of the merits of each individual case. All relevant factors must be considered, but no extraneous or irrelevant considerations may be taken into account. Finally{ we think the parties must have intended that an exercise of discretion so unreasonable that no reasonable employer could ever have come to it would fall outside the meaning of art. 14:05. Re St. Joseph's Hospital and United Nurses of Alberta, supra{ indicates (at page 193) that where an employee reacts to a relative's serious illness with great anxiety, depression, and an inability to cope, that reaction can fall within the definition of "illness" because Hone cannot base illness on causes rather than on symptoms". That case was cited with approval in Re B.C. Cancer Agency and B,C.N.U, (Edwards) { supra, in which arbitrator Larson noted (at page 387) that "a number of authorities have expressly denigrated causation as a factor of entitlement and have chosen to rely entirely upon a test of disablement. II A similar approach was adopted by the Grievance Settlement Board in Re Ontario (Ministry of Housing) and C.U.P.E. Loc, 767, in rejecting the concept of self-infliction as a basis for determining whether a condition constitutes an illness, and adopting the test that II illness and hence entitlement to sick leave is estahl. ished 9 where the objective evidence establishes a physical (and possibly emotional) inability to perform work. II Disablement was also the test applied in Re Peel Board of Education and O.S.S.T.P. (Lambert) { supra, which held that sick leave may be available to an employee for a portion of a day, where the employee lacks the capacity to work a full day due to ill health. The test of disablement or inability to perform work has also been applied by arbitrators in the context of determining employee entitlement to sick pay for time spent attending medical (and dental) appointments. In Re Bell Canada and Communications Workers of Canada, supra, an employee who resided in Cornwall was under the care of a medical practitioner in Kingston for Crohn's disease. On May 17{ 1978 the employee was absent from work in order to attend an appointment with that physician{ having advised his foreperson of the appointment two weeks in advance. The issue which the board of arbitration chaired by arbitrator Burkett was called upon to determine in that case was whether on the day in question the grievor was lIabsent on account of sickness" (within the meaning of Article 25.01 of the applicable collective agreement). The award includes the following passage (at page 6) which has been quoted with approval in subsequent awards: It is necessary to distinguish three types of doctor's appointments. Employees may visit the doctor because of the onset of health problems which are making it difficult or impossible for them to carry out their daily functions,... Employees may also visit the doctor atter having been confined because ot sickness 10 in order to be advised as to whether or not they are fit to return to their normal routine.... Employees may also visit the doctor when they are well enough to work but suffer from some ongoing health problem which requires periodic monitoring. The board concluded that although the first two types of appointments could be considered IIsickness" and could, therefore, fall within the sick-pay provision, the latter type of appointment could not. In interpreting the word II sickness II , the board accepted the Company's argument Uthat there is no such thing as perfect health so that the word 'sickness., which connotes a lack of health, must be given meaning from the context in which it is usedll, After noting the duty of the employee to attend at work if able, the Board expressed the following view: ... having regard to this fundamental requirement of the employer/employee relationship we are unable to conclude in the absence of clear and compelling language to the contrary, that the term sickness as used by the parties in art. 25.01 of their collective agreement { refers to a state of health which would allow a person to attend at work. In our view, the term "sickness" in art. 25.01 refers to a state of health which renders a person unable to attend at work and accordingly, the entitlement under art. 25.01 is to be paid when unable to work because of the state of one's health. Consequently, the board concluded that the employee was not entitled to sick pay for the day in question because he llmissed work not because his health was such that he could not work but because he scheduled a doctor1s appointment during his scheduled work hoursll. In Re General Bakeries Ltd. and Milk and B~~aQ Drivers Union, Local 647, supra, a driver salesperson was absent from work for a day for the purpose of attending a 11 diagnostic appointment with a specialist{ at which he underwent several tests in respect of his chronic problem with migraine headaches. The employee was capable of attending work on the day in question and would have been at work if he had not had that appointment. The specialistrs schedule and the company's schedule rendered it impossible for the employee to see the specialist without missing time from work. Under the provisions of the applicable collective agreement, a driver salesman absent from his route would normally lose one-fifth of the route earnings for the week for each day of absence. However{ an article designed to protect earnings when there was a verified illness provided that a non-probationary employee would !Iif absent for verified personal illness, have deducted from his pay the sum of $18.00 for each of the first three working days of illness!l (with weekly sickness indemnity benefits becoming payable thereafter). The majority of the arbitration board chaired by arbitrator Rayner adopted and applied the Bell Canada reasoning. After summarizing and quoting from that award, they wrote as follows (at pages 447-8) : In essence, the board in the Bell Canada case had to engage in a line-drawing exercise. Obviously, all appointments with physicians or specialists who treat the body in one fashion or another cannot be said to amount to personal illness. Hence, it becomes necessary to draw a line between those appointments which would be covered by the article in question and those appoints which would not be covered by the article in question. In passing, we point out that we feel that there is no distinction between the word !Iillness" and the word "sickness". rn ('In!:' vi_e"', the rr::'21-sordng of the bO,3_:cd iq for application to the situation at hand. Hnnrnnri H t- p --J-.-;i..- n., ."-i-,,-' '",....- ,. - The line 12 , , drawn by the board in the earlier case is a sensible line and one that protects both parties as much as possible. We therefore adopt the reasoning in Bell Canada. Applying that reasoning to the instant case, we must conclude that the grievor was not absent from work on the day in question because of his chronic migraine headache condition. Rather, he was capable of attending at work but was absent because of the conflict of the doctor's schedule and the company's schedule. Given this conclusion, it is necessary therefore to dismiss the grievance. The Bell Canada reasoning was also adopted and applied by arbitrator Davis in Re Metropolitan Toronto (Municipality) and C.D.P.E., Loc. 79{ supra. The applicable collective agreement provided (in Article 11) for sick pay "for any time lost by reason of illness, or injury" (other than compensable injuries) to the full extent of the sick pay credits available to the employee under the terms of the agreement. In that case an employee had a number of absences from work as a result of a fractured tooth and an infection which developed after the fractured portion of the tooth was removed by the employee's dentist, culminating in the extract'ion of the remainder of the tooth. The employee received sick pay for all of those absences. However{ she was denied sick pay for two subsequent dental appointments which she attended for the purpose of obtaining a fixed bridge prosthesis to replace the extracted tooth. After referring with approval to the Bell Canada and General Bakeries cases, arbitrator Egan wrote, in part, as follows (at pages 220-1) in dismissinq the qrievances by which the employee souqht to 1 C) ~,) obtain sick pay for the time spent attending those two appointments: In viewing the instant case against the background of art. 11 and the arbitral reasoning in the Bell Canada and General Bakeries cases it is evident that from August 31, 1987, the grievor was suffering from a periodic disability causing a loss of time from work on August 31stl September 1st, September 9th, October 2nd and October 22nd. The recurring disability was brought to an end on October 22nd by the extraction of the tooth. The grievor was paid for the time lost on those days as was required by art. 11.12. How then are the dental appointments of January 21 and 28, 1988 to be viewed? -l--- It is [true], as argued by the union, that had it not been necessary in the treatment of the grievor's disability to extract the tooth there would have been no [rationale] for the bridge prosthesis. I have difficulty in accepting the further suggested step that accordingly the prosthesis was part and parcel of the original treatment. In my view as of October 22, 1987, the grievor was no longer suffering from the unhealthy condition which resulted in her previous lost time from work and there was no remaining vestige of the initial disability to be ameliorated whether by way of prosthesis or otherwise. The only purpose of the prosthesis would appear to be, as suggested in the grievor's evidence, to facilitate the mastication of food and to preclude a potential future shifting of teeth. What would be the medical implications of either of those events is not a facet I could comment on absent expert evidence which is not before me. In the three types of doctor's appointments enumerated in the Bell Canada case it is evident that sick pay is considered as being for the purpose of compensating the employee for his absence as a result of illness. The third type of appointment makes clear that appointments for the periodic monitoring of an ongoing health problem [do] not reveal a condition making it difficult or impossible for the employee to perform his usual dutiesl and that being the case it cannot be said that the absence from work is one which qualifies for paid sick time. Rather it is in the nature of preventive treatment to ensure that the chronic condition is not developing to a level which would result in an absence from work. While the instant circumstances do not fit four-square into the third type of enumerated appointment in that here there is not even an ongoing or continuing health condition to be monitored but the purpose of the prosthesis, at its highest, can only be 14 to potentially prevent a health problem from developing in the future. Whether such a future health problem as might develop would be one which would make it necessary for the employee to absent himself from work can only be a matter of sheer speculation. While the installation of the prosthesis may well be good preventive medicine and a sensible precaution to takel it is too remote to be brought within the meaning of art. 11 as it now stands to qualify for the payment of sick pay. For the foregoing reasons the grievances must be dismissed. In the instant easel the operative language contained in Article 24 of the Agreement does not differ materially from that contained in the provisions construed in the Bell Canada and Metropolitan Toronto cases. It provides sick pay for "time taken ... due to illnessl disability or quarantine not compensable by Workers' Compensation". Since it is clear that the two hours which the grievor was absent from work on July 51 2001 were not compensable by Workers' Compensation and did not involve any quarantinel the issue is whether the grievor was absent from work for those two hours due to illness or disability. We respectfully agree with the rationale set forth in the Bell Canada easel which has been adopted and applied in subsequent arbitration awards. That rationale is based upon the test of disablement or inability to perform workl which test has found favour with many arbitrators in the context of cases involving sick pay. Moreoverl as noted by arbitrator Rayner in General Bakeries, the line drawn by arbitrator Burkett in .6.el1~_.C.9n9.cta is a sensible one which duly protects the disparate interests of the parties, l':i In the instant case, the grievor took herself off modified duties on June 7, 2001 in consultation with Dr. Gratton, who signed an employee health report that day indicating that she was able to resume her regular duties. Although the need for her x-ray and medical appointment with Dr. Boynton on July 5{ 2001 arose from the fact that she suffered a disabling injury on February 14{ 2001, by the time of that appointment she was no longer disabled by that injury. As indicated in paragraph 21 of the Agreed Statement of Facts, it is common ground between the parties that had the grievor not had the medical appointment with Dr. BoyntQn on July 5, 2001, she would have been able to work her regular hours of work between 9:00 a.m. and 5:00 p.m. Thus, the grievor was not absent from work from 9:00 a.m. to 11:00 a.m. that day due to illness or disability within the meaning of Article 24 of the Agreement, but rather was absent for those two hours because the timing of her medical appointment { which falls within the purview of the third category described by arbitrator Burkett in Bell Canada, conflicted with some of her normal working hours that day. For the foregoing reasons, the grievance is hereby dismissed. DATED at Burlington, Ontario, this 22nd day of August, 2002. /~ ' .~ /1 /~2J" , ~ /(;'~A (D "'-J' '.>' Z.L'~ Robert D. Howe Chair 16 I concur. "Michael Lyons" Union Nominee I concur. "Robert Gallivan" Employer Nominee 17