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:,




Findings:



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.


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


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


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.


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:


%ted at Chicago, Illinois, this 26th day of September, 1972. I