Channel v. Heckler, 83-2322

• Decision Date: 29 October 1984
• Docket Number: No. 83-2322,83-2322
• Citation: 747 F.2d 577
• Parties: , Unempl.Ins.Rep. CCH 15,598 Billy J. CHANNEL, Plaintiff-Appellant, v. Margaret M. HECKLER, Secretary of the United States Department of Health and Human Services, Defendant-Appellee.
• Court: U.S. Court of Appeals — Tenth Circuit

Page 577

747 F.2d 577

7 Soc.Sec.Rep.Ser. 192, Unempl.Ins.Rep. CCH 15,598

Billy J. CHANNEL, Plaintiff-Appellant, v. Margaret M. HECKLER, Secretary of the United States

Department of Health and Human Services, Defendant-Appellee.

No. 83-2322.

United States Court of Appeals, Tenth Circuit.

Oct. 29, 1984.

Philip Hornbein, Jr., of Hornbein, MacDonald, Fattor & Buckley, P.C., Denver, Colo., for plaintiff-appellant.

Robert N. Miller, U.S. Atty., Colo., and Robert Gay Guthrie, Asst. U.S. Atty., Denver, Colo., for defendant-appellee.

Before SETH, McKAY and SEYMOUR, Circuit Judges.

PER CURIAM.

After examining the briefs and the appellate record, this three-judge panel has determined unanimously that oral argument would not be of material assistance in the determination of this appeal. See Fed.R.App.P. 34(a); Tenth Cir.R. 10(e). The cause is therefore ordered submitted without oral argument.

Billy J. Channel appeals from a judgment of the district court affirming a decision of the Secretary of Health and Human Services that denies his claim for disability insurance benefits and supplemental security income under Titles II and XVI of the Social Security Act, 42 U.S.C. Secs. 401 et seq. and 1381 et seq. He claims, among other things, that the Secretary misapplied the Medical-Vocational Guidelines used in determining whether jobs exist in the national economy for claimants of various proven strength abilities. Because we agree that the administrative law judge (ALJ) did misapply the guidelines, we vacate the district court's judgment and order that the matter be remanded to the Secretary for further proceedings.

I.

The Secretary promulgated medical-vocational guidelines in 1978 to assist in the determination of social security disability claims. See 20 C.F.R. Sec. 404, subpt. P, app. 2 (1983) (hereinafter cited as App. 2). These guidelines, often termed "the grids," consider a claimant's residual functional capacity--the functional level of work that he is physically able to perform on a sustained basis--in relation to his age, education, and work experience, and then set forth corresponding rules that identify whether there exist a significant number of jobs in the national economy that the claimant can perform. Where the claimant's characteristics coincide with the criteria of a specific rule in the grids, that rule directs a conclusion as to whether the claimant is disabled.

In Heckler v. Campbell, 461 U.S. 458, 103 S.Ct. 1952, 76 L.Ed.2d 66 (1983), the Supreme Court examined these guidelines and concluded that the Secretary properly could rely on them in appropriate circumstances to determine disability claims. In upholding the validity of the grids, however, the Court recognized that "some claimants may possess limitations that are not factored into the guidelines," and cautioned that under the terms of the regulations themselves, the grids are applicable "only when they describe a claimant's abilities and limitations accurately." Id. 103 S.Ct. at 1955 n. 5. The Court observed that "[i]f an individual's capabilities are not described accurately by a rule, the regulations make clear that the individual's particular limitations must be considered." Id.

At the time of his disability hearing in July 1982, Channel was forty-seven years old. He had an eighth grade education and past work experience as a butcher, a truck driver, and a roofer. On April 2, 1981, while working as a roofer, he slipped on hot tar and suffered second and third degree burns on his hands, ankles, and buttocks. He was hospitalized until April 24, during which time he had skin grafts on all of the burned areas.

At the hearing, the ALJ received medical evidence of Channel's condition as well as Channel's own testimony. The treating physician's report in December 1981 stated that Channel "has slowly improved since his dismissal but continues to be unable to use the left hand any length of time without abrasing the skin or developing blisters. The right foot also is extremely painful with limited dorsiflexion because of thin skin." Rec., vol. II, at 125. The doctor noted in March 1982 that Channel still suffered from a ten percent loss of range of motion in his left hand and that the skin of the left wrist blistered and became "extremely tender when he uses the hand for a short period of time." Id. at 128. The medical reports also showed that Channel had hypothesia (loss of feeling) of the four smaller toes on his right foot.

Channel testified that he is left handed and that his grip and coordination were bad; that if he used his left hand "too much, the sides would crack and split," id., vol. II, at 40; that he could dial a telephone and write a list; and that he did mow the lawn. He stated that he could walk four or five blocks at a time before his right foot would get numb and that he could stand for fifteen minutes at a time, but that he could not drive because of his foot. He spent his days watching television and doing some gardening. He testified that although he had obtained employment for three weeks in September 1981, the work, which included handling an air hose, made his hand crack.

Based on this evidence, the ALJ found that Channel was not capable of returning to his past work but that he retained the ability to perform sedentary work. The ALJ then applied Rule 201.19 of the guidelines, which directed a conclusion of not disabled. ¹ The district court concluded that substantial evidence supported the ALJ's determination and affirmed. On appeal, Channel contends the Secretary erred in mechanically applying the grids despite evidence indicating that he could not perform a full range of sedentary work. ²

II.

The claimant bears the burden of proving a disability within the meaning of the Social Security Act. 42 U.S.C. Sec. 423(d)(5). Once the claimant makes a prima facie showing of disability that prevents his engaging in his prior work activity, however, the burden of going forward shifts to the Secretary, who must show that the claimant retains the capacity to perform an alternative work activity and that this specific type of job exists in the national economy. Id. Sec. 423(d)(2)(A); Grant v. Schweiker, 699 F.2d 189, 191 (4th Cir.1983); see also Salas v. Califano, 612 F.2d 480, 482-83 (10th Cir.1979).

In many cases, the Secretary can meet this burden by relying on the grids. Through the grids, the Secretary has taken administrative notice of the number of jobs that exist in the national economy at the various functional levels (i.e., sedentary, light, medium, heavy, and very heavy). App. 2, Sec. 200.00(b). "Where the findings of fact made with respect to a particular individual's vocational factors and residual functional capacity coincide with all of the criteria of a particular rule," the existence of jobs in the national economy for that claimant is established, and the rule "directs a conclusion as to whether the individual is or is not disabled." Id. Sec. 200.00(a)-(b).

However, "[w]here any one of the findings of fact does not coincide with the corresponding criterion of a rule, the rule does not apply in that particular case and, accordingly, does not direct a conclusion of disabled or not disabled." Id. Sec. 200.00(a). In such circumstances, "full consideration must be given to all of the relevant facts of the case," id., and the existence of jobs in the national economy for that individual must be further considered "in terms of what kinds of jobs or types of work may be either additionally indicated or precluded." Id. Sec. 200.00(b); see also 20 C.F.R. Sec. 404.1569; 43 Fed.Reg. 55,349, 55,351-53 (1978). Under the regulations, therefore, the grids may not be applied conclusively in a given case unless the claimant's characteristics precisely match the criteria of a particular rule.

This "exact fit" requirement for application of the grids frequently comes into play where a claimant's residual functional capacity (RFC) is concerned. ³ Placement in one of the five categories of RFC depends on a claimant's "maximum sustained work capability"--that is, his "capacity for work activity on a regular and continuing basis." App. 2, Sec. 404.1545(b); App. 2, Sec. 200.00(c); see Fed.Reg. at 55,358. Significantly, a claimant must be able to perform the full range of such work on a daily basis in order to be placed in a particular RFC category. See App. 2, Sec. 201.00(h). As the report accompanying the initial promulgation of the grids points out, "within a range of work (sedentary, light, medium, heavy or very heavy) unless the individual possesses physical capacities equal to the strength requirements for most of the jobs in that range, he or she cannot be classified as able to do the pertinent range of work." 43 Fed.Reg. at 55,361 (emphasis added). See also O'Leary v. Schweiker, 710 F.2d 1334, 1339 (8th Cir.1983); Santise v. Schweiker, 676 F.2d 925, 934 (3d Cir.1982); Kirk v. Secretary of Health & Human Services, 667 F.2d 524, 537 (6th Cir.1981), cert. denied, 461 U.S. 957, 103 S.Ct. 2428, 77 L.Ed.2d 1315 (1983); Davis v. Schweiker, 536 F.Supp. 90, 100 (N.D.Cal.1982).

In addition, because the grids consider only impairments that result in exertional or strength limitations, they may not be fully applicable where other, nonexertional impairments are present. As the regulations make clear, the RFC categories in the grids are based on the physical exertion requirements of work in the national economy. See 20 C.F.R. Sec. 404.1567. Thus, a claimant's placement in a particular category depends on his "ability to do physical activities such as walking, standing, lifting, carrying, pushing, pulling, reaching, [and] handling." Id. Sec. 404.1545(b). ⁴ However, "[s]ome medically determinable impairments, such as skin impairments, epilepsy, and impairments of vision, hearing or other senses, postural and manipulative limitations, and environmental restrictions do not limit physical exertion." Id. Sec. 404.1545(d) (emphasis...