Welch v. Bowen

• Decision Date: 06 September 1988
• Docket Number: No. 87-8805,87-8805
• Parties: , Unempl.Ins.Rep. CCH 14149A James W. WELCH, Plaintiff-Appellant, v. Otis R. BOWEN, Secretary of Health and Human Services, Defendant-Appellee.
• Court: U.S. Court of Appeals — Eleventh Circuit

Page 436

854 F.2d 436

22 Soc.Sec.Rep.Ser. 606, Unempl.Ins.Rep. CCH 14149A

James W. WELCH, Plaintiff-Appellant, v. Otis R. BOWEN, Secretary of Health and Human Services Defendant-Appellee.

No. 87-8805.

United States Court of Appeals Eleventh Circuit.

Sept. 6, 1988.

T. Edward Tante, IV, Powell O'Dell Tante & Meacham, Columbus, Ga., for plaintiff-appellant.

Jack Hood, Asst. U.S. Atty., Macon, Ga., for defendant-appellee.

Appeal from the United States District Court for the Middle District of Georgia.

Before TJOFLAT and EDMONDSON, Circuit Judges, and WISDOM ^*, Senior Circuit Judge.

PER CURIAM:

In the light of Cowart v. Schweiker, 662 F.2d 731, 735-36 (11th Cir.1981), this case concerns the "basic obligation" of an Administrative Law Judge (ALJ) to "develop a full and fair record" regarding vocational opportunities available to a social security claimant. Appellant James W. Welch applied for disability insurance benefits and received a hearing on his claim before an ALJ. The ALJ found that "[t]he claimant is unable to perform his past relevant work" and that "[t]he claimant has the residual functional capacity to perform the physical exertion and nonexertional requirements of work except for heavy work or medium work requiring climbing, balancing, working at heights or around dangerous machinery." Relying exclusively upon regulations promulgated by the Secretary of Health and Human Services, ¹ the ALJ concluded that Welch was not "disabled" because "there are a significant number of jobs in the national economy which he could perform." Because the ALJ failed to develop an adequate record on this issue, a new hearing is required.

BACKGROUND

Welch filed an application for disability insurance benefits with the Department of Health and Human Services (HHS). He claimed that he suffered from "heart disease, double hernia, [and] vertigo-inner ear." After HHS denied his application, Welch filed a request for a hearing before an ALJ.

At the hearing, Welch testified that he was 53 years old and had completed one year of college. ² He stated that he last worked as a courier in June 1983; after a heart attack, he was unable to return to his job. ³ Welch explained that he suffered from vertigo and that he could no longer drive because of severe dizzy spells. He also complained of a heart condition, double hernia, chest pain, and breathing and circulation problems. In addition to Welch's testimony, various documents and medical evidence were submitted at the hearing.

Later, the ALJ rendered his decision, stating that Welch "has a severe impairment i.e., an impairment which significantly limits his ability to perform basic work activities. Although the medical evidence does not document an impairment that meets or equals a listed impairment in Appendix 1, ⁴ it clearly documents that the claimant's difficulties prevent him from returning to his prior relevant work." The ALJ specifically found that Welch suffers from exertional and non-exertional limitations or impairments. ⁵ Nonetheless, the ALJ relied upon HHS regulations--Rule 203.22 of 20 C.F.R. pt. 404, subpt. P, app. II sec. 203.00, Table No. 3, and 20 C.F.R. sec. 404.1569 (the "grids")--to determine that Welch can "perform ... medium work", ⁶ "except for ... medium work requiring climbing, balancing, working at heights or around dangerous machinery." Using the "grids" as "a framework for decisionmaking", the ALJ determined that "there are a significant number of jobs in the national economy which [Welch] could perform." Thus, the ALJ concluded that "[t]he claimant was not under a 'disability,' as defined in the Social Security Act...."

In the district court, Welch filed a challenge to the denial of his disability insurance claim. Among other things, Welch contended that the ALJ erred when he relied exclusively upon the "grids" to determine the availability of "jobs in the national economy which [Welch] could supposedly perform." Welch stressed that the ALJ "failed to cite any specific jobs which [Welch] could perform. The ALJ did not even point to specific jobs in the final decision." Furthermore, Welch stated that "the record is devoid of expert vocational testimony. Only when the medical evidence has clearly established the claimant's ability to do unlimited types of a certain category of work is expert testimony unnecessary." The district court affirmed the denial of benefits. ⁷

"FINDINGS" ON JOB AVAILABILITY

Welch contends that the ALJ failed to develop or to articulate any specific basis for his conclusion that "there are a significant number of jobs in the national economy which [Welch] can perform." This challenge implicates the important principle that "the ALJ has a basic obligation to develop a full and fair record." Cowart, 662 F.2d at 735. While our review of factual findings is necessarily limited by the "substantial evidence" standard, "[n]o similar presumption of validity attaches to the Secretary's legal conclusions, including determination of the proper standards to be applied in evaluating claims." Walker v. Bowen, 826 F.2d 996, 999 (11th Cir.1987).

The ALJ found that Welch "is unable to perform his past relevant work as [a courier]." As we recently explained,

once the claimant has established that she cannot return to her past relevant work, the burden shifts to the Secretary to prove that the claimant is capable, considering her age, education, and work experience, of engaging in any other kind of gainful employment.... At this stage, the Medical Vocational Guidelines, 20 C.F.R. pt. 404, subpt. P, app. II (the grids), may come into play. These guidelines include detailed grids and rules which, based on a claimant's residual functional capacity, age, education, and previous work experience, direct a finding of disabled or not disabled.

Walker, 826 F.2d at 1002. In this case, the ALJ received no testimony from a vocational expert (VE) regarding the availability of suitable jobs for Welch to perform. Instead, the ALJ relied exclusively upon the "grids" to make his determination.

We have consistently held that "the Secretary may rely on the grids only in 'appropriate cases.' " Gibson v. Heckler, 762 F.2d 1516, 1520 (11th Cir.1985). As we recently explained,

"Exclusive reliance on the grids is not appropriate either when claimant is unable to perform a full range of work at a given functional level or when a claimant has non-exertional impairments that significantly limit basic work skills." ... The grids may be used only when each variable on the appropriate grid accurately describes the claimant's situation.... The grids also may not be used when the claimant's non-exertional impairments are severe enough to preclude a wide range of employment at the level indicated by the exertional impairments....

Walker, 826 F.2d at 1002-03 (emphasis in original) (quoted and cited sources omitted). ⁸

The ALJ found that Welch has "nonexertional limitations", so that Welch cannot do "work requiring climbing, balancing, working at heights or around dangerous machinery...." The ALJ also stated that "the claimant has a severe impairment, i.e., an impairment which significantly limits his ability to perform basic work activities." Although the ALJ concluded that Welch could do some "medium work", he failed to "make a specific finding as to whether the nonexertional limitations are severe enough to preclude a wide range of employment at the given work capacity level indicated by the exertional limitations." Sryock v. Heckler, 764 F.2d 834, 836 (11th Cir.1985). We hold that the ALJ's exclusive reliance upon the grids to make his determination on job availability was inappropriate under the circumstances. See Gibson, 762 F.2d at 1520 ("the regulations are only applicable where each variable on the appropriate grid matrix accurately describes the claimant's situation as a matter of objective historical fact.").

The ALJ stated as follows: "[a]lthough the claimant's additional nonexertional limitations do not allow him to perform the full range of medium work, using the above-cited rule as a framework for decisionmaking, there are a significant number of jobs in the national economy which he could perform." Yet, in the absence of any specific findings on this issue, the ALJ's determination was inappropriate. "[O]nce the ALJ found that [the claimant] could not perform his past relevant work, the burden was on the Secretary to prove by a preponderance of the evidence that [the claimant] could perform a job which existed in substantial numbers in the economy." Gibson, 762 F.2d at 1521. Although the ALJ may rely upon the grids as a "framework" to determine whether the Secretary has met this burden, "where a claimant's condition is not met by the criteria of a rule the disability determination is generally made by reference to individualized evidence and principles relating to the assessment of individual factors...." Id. at 1521 n. 7. Put differently, the ALJ must ...