|
Velasquez alleged that
specifically on 9/15/09, he was moving some bags of fertilizer in a store
room in an attempt to “clean up” the storage area. Allegedly, he moved some bags
from the top of a full pallet to another pallet in an effort to “even out” the
pallets.
While performing this
activity, he alleged that one of the bags started to fall, and he turned quickly
to keep it from falling. In doing so, he alleged that he sustained injury to his
neck and both shoulders. He further alleged that he was working alone and there
were no witnesses to the incident.
He stated that at first he
thought it would get better so he didn’t bother to report it to management. He
stated that he is aware of reporting procedures in the event of an injury but
failed to follow those procedures. In fact, he had a prior work injury in 2007
and received a settlement of that claim in 2008.
He eventually reported the
incident to management on or around 10/18/09. He was provided a claim form
(DWC1) on or around 10/20/09 and he signed it on 10/25/09, thus declaring that
he was injured on 9/15/09.
The claim was placed in “delay”
status on 10/26/09 pending an investigation due to the late reporting of the
injury by Velasquez and the suspicions of the employer.
Velasquez commenced medical
treatment on 10/20/09. He was given restrictions of no lifting, pulling, pushing
over 10 lbs., and no reaching above shoulder level. Surveillance was obtained on
11/23/09 depicting Velasquez exceeding these restrictions. He was interviewed
the following day, 11/24/09, regarding the alleged incident
Our investigator obtained
still pictures of the site. It was noted that the pallet stacks were
undisturbed. Additionally, there is a significant amount of equipment stacked in
front of the pallets and that it would be very difficult to access the pallets
without moving all of the equipment .Also, there was dirt on top of the bags
which would mean that the bags were not moved.
Velasquez commenced medical
treatment on 10/20/09. He was given restrictions of no lifting, pulling, pushing
over 10 lbs., and no reaching above shoulder level. Surveillance was obtained on
11/23/09 depicting Velasquez exceeding these restrictions. He was interviewed
the following day, 11/24/09, regarding the alleged incident as well as any
recent activities. He denied having exceeded the restrictions since 10/20/09.
Based on the results of our
investigation, the claim for benefits was denied on 1/14/10. The
investigation showed that the injury could not have occurred as indicated by
Velasquez.
Additionally, based on the
false filing of a claim, and his false statements regarding his activities, the
case was referred to Los Angeles County District Attorney’s office 3/25/10.
Will keep you updated as the
case progresses through the court process.
|