(Advance copy. The usual printed copies will be sent later.)
Form 1 NATIONAL 
RAILROAD 
ADJUSTMENT BOARD Award No. 
6367
   
SECOND DIVISION Docket No. 6202
    
2-AT&SF-EWE
 
The Second Division consisted of the regular members and in
 
addition Referee Irving R. 
Shapiro when award was rendered.
  
( System Federation No. 97, Railway 
Employes'
  
( Department, A. F. of L. - C. I. 0.
Parties to Dispute: ( (Electrical Workers)
 
(
 
( The Atchison, Topeka and Santa Fe Railway Company
 
( -Coast Lines -
Dispute: Claim of Employes:,
(1) That the A tchison, Topeka and Santa Fe Railway Company erred and
violated the contractual rights of Mr. M. 0. Dasher, when they
denied him the provisions of Item 19 of Appendix B to the August 1,
1945 Agreement.
i
(2) That, therefore, commencing on September 25, 1969 and running
through February 9, 1970 the Claimant be compensated for all lost
wages and/or other benefits, rights and privileges.
Findings:
The Second Division of the Adjustment Board, upon the whole record and i
all the evidence, finds that:
 
I
The carrier or carriers and the employe or employes involved in this
dispute are respectively carrier and employe within the meaning of the Railway
Labor Act as approved June 21, 1934.
This Division.of the Adjustment Board has jurisdiction over the dispute
involved herein.
Parties to said dispute waived right of appearance at hearing thereon. 
I
This appears 
to be a case of initial impression. The Awards of this
Division that were cited deal with the right of management., for the safety of an
employee believed to b e suffering a disabling physical condition and that of his
fellow workers as well as the property which must be properly maintained and safely
operated,, to ascertain, through competent medical examination, whether such employee
may be retained at work without hazard to himself and others. Upon receipt of a
disqualifying medical report, the carrier may take appropriate steps consistent j
therewith.
The Petitioner herein does not dispute the fundamental concept of the
reviewed Awards. It invoked Item 19.ef Appendix "B" ©f the Controlling Agreement
which affords to an employee an opportunity to contest the findings and 
recamnenda
tions of the physician upon whiLdh the Carrier 
relied 
for action it took. Said pro-
rision reads:,
Form 1
 
Award No. 
6367
Page 2 Docket No.
 
"(19) In the application of ftle 40, if, after ent.·ring service,
 
any employe undergoing physical examination as prow%ded by that
 
axrie is disqualified by a Company doctor, such eWlaye will be
 
privileged to present a certificate of examination from a physician -'
 
of his own choice. If the two 
physicians 
disagree as to the physical
 
condition of such employes they will select a third physician to be
 
agreed upon by them, who shall be a practitioner of recognized standing
 
in the medical profession, and may be a specialist in the disease, or
 
ailment, from which the employe is alleged to be suffering. The board
 
of medical examiners thus selected will examine the employe and render
 
a report within a reasonable time, (ten(10) days after selection, if
 
practicable), setting forth his physical condition and their opinion
 
as to his fitness to continue service in his regular employment, will
be accepted as final..."
petitioner charges that the Carrier refused to proceed in accordance with
Item 
19, 
as requested, to the detriment of the Claimant. The Carrier denies the
charge, clainlibg that Claimant did not meet the conditions precedent for implementing
the procedures of Item 
19.
The Claimant, who commenced employment with the Carrier in 
191+6, 
suffered
two heart attacks, one in 
1953 
and another in 
1962. 
He was granted a three months
leave of absence for sickness following the 
1953 
attack and returned to work at the
expiration thereof. Following his 
1962 
disability, he was kept out of service for a
little less than one year. He resumed working in his capacity as an E lectriciar
head Workman upon application in his behalf by his Organization. In agreeing to
reinstate him, the Carrier stated that he would be "on a more or less trial basis
subject to further review if the work appears too strenuous for him." Thereafter,
Claimant submitted himself, at Carrier's request, to semi-annual physical examination at the Santa Fe Hospital, Los Angeles, California, and reports thereon were
submitted to the Carrier.
Immediately prior to the regularly scheduled physical examination in July,
1969, 
Carrier's Managers Mechanical Department, alerted the chief Surgeon at the
Hospital that Claimant appeared "to tire quite easily when physically exerting himself.." and appeared to suffer "shortness of breath after climbing stairs or other
strenuous work". The medical report of the July 21, 
1969 
examination, while
indicating a new factor, namely a heart enlargement, nevertheless released Claimant
for continuing work on the same basis as heretofore. Despite this, Claimant was
advised, at the conclusion of his vacation in mid-August, 
19699, 
that he was being
kept out of service, indefinitely, because of his physical condition. The Claimant
and his Organization grieved and when the Carrier averred that its action was based
upon competent medical advice, the Organization requested that Item 
19's 
procedure
be undertaken. The Carrier rejected this requ-tst on the ground that the Claimant
had failed to submit "a certificate of examination from a physician of his own
choice". There then ensued extensive discussion and correspondence between the
parties hereto.
We cannot fault the Carrier for its concern, stemming from supervisional
observations of the Claimant at work, that he was not as well as the medical report
concluded, and its submission of the report for review and recoanxendations by it~,
Form 1 Award No. 
6367
  
i
Page 3 Docket No. 6202
 
2-AT83F-E'4-' 72
i
ov- medical department sad its reliance upon the findings and opinion of its medical
d !ctor. However, at this point, the issue was drawn. There were tyro medical
determinations and they conflicted. This is the "re gestae" which gives rise
to the applicability of Item 19 of the Appendix "B". We find nothing in this provision which precludes Claimant from electing to rely on the report of the physician
who examined him on July 31, 
1969, 
and declaring that physician to be one of his own
choice. The 
fact that the Doctor was employed at an institution jointly directed
by the Carrier and representatives designated by Labor Organizations, and the July
1969, 
and prior physical ex~inations of the Claimant were pursuant to the Carrier's
request does not eliminate him 
from being considered a 
physician of the claimant's
own choice, if 
he so states. The clause does not require a 
certificate 
from an emplvye's "personal physician", as demanded by the Carrier, We must therefore hold that
the report 
relied upit by claimant 
and Petitioner constituted the 
necessary document
for its application.
It is conceivable that had 
the medical board 
been convened promptly, and j
the alleged deficiencies in the July, 
1969 
report carefully been reviewed, the
Carrier's position would have been confirmed and the matter would have been resolved
without further ado. The entire tenor of Item 19 is to submit to the expertise of
the medical profession all questions of 
physical fitness 
of Carrier's employees j
covered by the controlling Agreement. Lay personnel are not empowered to have their
observations 
and judgments in 
this area determine employability.
  
We are mindful of 
the fact that 
the 
medical ccasaunity makes no claim that
't can precisely ascertain 
the impact 
of work on a patient who has incurred conditions
such as that suffered by the claimant herein. This is borne out by the events which
 
-erred shortly 
after claimant's return 
to 
work in February, 
1970, 
after the Carrier
a._cepted the report and recommendations of the claimant's treating physician. However,
hindsight cannot justify failure to comply with the contractually established ob
ligations and procedures at the time they are asserted.
  
We find that the Petitioner rightfully called for agreement to a medical
board to determine the differences between the recommendations of the examining
physician 
at Santa Fe Hospital and 
the Carrier's medical director and that Claimant 
f
should have been retained in Carrier's employ pending its agreement to submit to the
procedures of 
Item 19 of Appendix "B" of the Controlling Agreement.
  
Consistent with our many Awards, ire are limiting the remedy to remuneration
of wages claims at would have earned including payment for vacation and holidays
accrued, during the period September 25, 
1969 
and February 9, 1970, had he been in
the continuous employ of the Carrier during that time.
    
I
   
A W A R D
  
Claim sustained to the extent set forth in the Findings.
    
i
   
NATIONAL RAILROAD ADJUSTMENT BOARD
   
By Order of Second Division
Attest:
Executive Secretary
%ted at Chicago, Illinois, this 26th day of September, 1972. I