JOHN W. LUNGSTRUM, District Judge.
Plaintiff seeks review of a decision of the Commissioner of Social Security (hereinafter Commissioner) denying Disability Insurance benefits (DIB) under sections 216(i) and 223 of the Social Security Act. 42 U.S.C. §§ 416(i) and 423 (hereinafter the Act). Finding error in the Administrative Law Judge's (ALJ) step four finding and in his alternative step five finding regarding the period before July 31, 2012, the court ORDERS that the Commissioner's decision shall be REVERSED and that judgment shall be entered pursuant to the fourth sentence of 42 U.S.C. § 405(g) REMANDING the case for further proceedings consistent with this opinion.
Plaintiff applied for DIB, alleging disability beginning December 9, 2008. (R. 15, 193-99). At the hearing, through counsel Plaintiff amended his onset date to September 21, 2009, the date he was terminated from his job due to the inability to perform all of the functional requirements of that job. (R. 42-43). In due course, the Commissioner issued a decision finding Plaintiff was disabled beginning on July 31, 2012 but not before that date. (R. 11-27). Plaintiff appealed the decision to the Appeals Council, who denied his request for review (R. 1-5, 9-10, 310), and he now seeks judicial review of the final decision. Plaintiff claims the ALJ erred in failing to utilize his amended onset date and in failing to adequately distinguish his residual functional capacity (RFC) before July 31, 2012 from his RFC thereafter; that the RFC assessed is unsupported by the record evidence; that the step four finding (that before July 31, 2012 Plaintiff was able to perform his past relevant work as a warehouse order filler) is erroneous as a matter of law; and that the ALJ's determination that Plaintiff's allegations of symptoms were not credible before July 31, 2012 but credible thereafter is unsupported by record evidence.
The court's review is guided by the Act.
The court may "neither reweigh the evidence nor substitute [its] judgment for that of the agency."
The Commissioner uses the familiar five-step sequential process to evaluate a claim for disability. 20 C.F.R. §§ 404.1520, 416.920;
The Commissioner next evaluates steps four and five of the sequential process— determining at step four whether, in light of the RFC assessed, claimant can perform her past relevant work; and at step five whether, when also considering the vocational factors of age, education, and work experience, claimant is able to perform other work in the economy.
The court finds that even assuming, without deciding, that the ALJ's RFC assessment is supported by substantial evidence, remand is necessary because of error in the step four and alternative step five findings. Plaintiff may make his arguments regarding use of the amended onset date, credibility determination, and RFC assessment to the Commissioner on remand. Herein, the court considers and decides only the alleged errors regarding the step four and step five determinations.
Plaintiff claims the ALJ erred at step four by failing to make specific on-the-record findings regarding the physical and mental demands of his past relevant work as an order filler as required by
At step four of the sequential evaluation process, the ALJ is required to make specific findings in three phases.
In his step four evaluation, the ALJ determined that, "[p]rior to July 31, 2012 the claimant was capable of performing past relevant work as an order filler, warehouse," because such "work did not require the performance of work-related activities precluded by" Plaintiff's RFC. (R. 21). Moreover, the ALJ determined that before July 31, 2012 Plaintiff had the RFC "to perform a wide or essentially full range of `light' work, as defined in" the regulations. (R. 21). Implicit in these two findings is the ALJ's determination that Plaintiff had past relevant work as an order filler, and that work was performed at the light exertional level.
Earlier in his decision, the ALJ found that from December 9, 2008 through September 21, 2009 Plaintiff performed substantial gainful activity "in the form of performing modified `light' work, on an 8-hours, 5 days a week basis." (R. 17) (citing Ex. 2E, p.2 (R. 211)). The ALJ found that after his work injury on December 9, 2008 Plaintiff "was approved for `modified' light work" which he performed "with his former employer until September 21, 2009."
The court notes that the record evidence does not support the ALJ's finding that the job of an "order filler, warehouse" was past relevant work. As the ALJ explained:
(R. 17) (citing 20 C.F.R. §§ 404.1560(b), 404.1565).
Plaintiff's Work History Report details but a single job for Plaintiff from May 1989 through September 2009 — a loader at a distribution center. (R. 210-19) (Ex. E2). Moreover, the vocational expert (VE) testified at the hearing that based upon the "E exhibits," Plaintiff had one
The VE testified that the RFC provided by the ALJ in the hypothetical question was "close to the full range of light, unskilled work" (R. 66), and that an individual with such capabilities would be able to perform the representative jobs of a cashier or a counter rental clerk position. (R. 66-69, 85-86). There is simply no record evidence in the "E exhibits," in Plaintiff's Work History Report, or in the VE testimony that Plaintiff has past relevant work as an "order filler, warehouse," or that such work was performed at the "light" exertional level as defined in the
The decision suggests that the ALJ found past relevant work based upon evidence that from December 9, 2008 through September 21, 2009 Plaintiff performed substantial gainful activity "in the form of performing modified `light' work, on an 8-hours, 5 days a week basis." (R. 17). However, the ALJ cited Plaintiff's Work History Report for that finding (R. 17) (citing Ex. 2E, p.2 (R. 211)), and that report suggests nothing regarding work at the light exertional level. The report reveals that the heaviest weight lifted in Plaintiff's past work was "100 lbs. ... or more," and that Plaintiff frequently lifted "50 lbs, or more." (R. 211). That report provides no support for a finding that Plaintiff performed work as an "order filler, warehouse" or that such work was done at the light exertional level. The decision also suggests that the ALJ reached his finding regarding past relevant work from Dr. Shriwise's treatment note in which he "approved of the claimant's new job, order filler, which filled his modified `light' duty status." (R. 18) (citing Ex. 5F, p.2 (R. 404)). This suggestion is also unavailing. Dr. Shriwise did note on July 20, 2009 that Plaintiff "is now working in receiving and order filling, and thinks he can tolerate this job better than his prior job as a shipper." (R. 404). However, in context, it is clear that both of the jobs mentioned by Dr. Shriwise (receiving and order filling, and shipper) were included within the job of a "material handler" as testified by the VE. Moreover, Dr. Shriwise did not suggest that the "receiving and order filling" job was at the light exertional level as defined in the
Finally, as the discussion above confirms, even if it were possible to determine that Plaintiff had past relevant work as an "order filler, warehouse," it is impossible to tell from the record evidence what the physical and mental demands of that job were, either as performed by Plaintiff, or as usually performed in the economy. Substantial evidence does not support the ALJ's step four finding that Plaintiff is able to perform past relevant work as an "order filler, warehouse."
Contrary to the Commissioner's argument, the ALJ's alternative step five finding cannot save the decision at issue. The ALJ stated that the VE interpreted the hypothetical RFC assessed prior to July 31, 2012 "to represent a wide or essentially full range of `light' work." (R. 21-22). The ALJ then determined that "a finding of `not disabled' relevant to this earlier period, would also be directed at Step 5." (R. 22). But, as Plaintiff points out, it is error to use the grids to
In the grids, the Commissioner has provided a tool to aid in making uniform, efficient decisions in determining the types and numbers of jobs existing in the national economy for certain classes of claimants.
20 C.F.R., Pt. 404, Subpt. P, App. 2, § 200.00(e)(2);
The grids direct a finding in a particular case only when there is an "exact fit" between the criteria of the grid and the situation before the ALJ.
Where plaintiff is unable to do a full range of work in an exertional category, the ALJ may not conclusively apply the grids.
But, "[T]he mere presence of a nonexertional impairment does not automatically preclude reliance on the grids. Use of the grids is foreclosed only `[t]o the extent that nonexertional impairments further limit the range of jobs available to the [plaintiff].'"
Grid rules 202.21 and 202.22 direct a finding of "not disabled" for a "younger individual," who is a "high school graduate" and whose previous work experience is "semiskilled," whether he has transferable skills or not. 20 C.F.R. Pt. 404, Subpt. P, App. 2 §§ 202.21, 202.22. Plaintiff would be an "exact fit" to one of these criteria except that he has non-exertional limitations including only occasional crawling or occasional bilateral overhead reaching, and no more than frequently climbing ladders, ropes, and scaffolds. Therefore, the grid rules may be used only as a framework for decision, and the ALJ erred in using them to direct a decision.
The Commissioner argues that if the grids had been used properly as a framework for decision, the same decision would be reached (that Plaintiff is not disabled) because SSR's 83-14 and 85-15 explain that the non-exertional limitations here do not have a significant impact on the occupational base for light work. Perhaps the Commissioner's argument is correct. However, the court may not re-weigh the evidence and substitute its judgment for that reflected in the decision at issue. It is the Commissioner's responsibility to determine disability in the first instance, and here she determined (through the ALJ) that the grids
The further argument might be made that the VE testified that the hypothetical question reflected "close to a full range of light work" (R. 66), and that an individual with such an RFC would be able to perform a significant number of jobs in the economy, and the decision should be affirmed on that basis. There are two problems with this argument. First, although the VE testified that the hypothetical individual could perform a significant number of jobs in the economy, the ALJ chose not to rely on this testimony, and instead used the grids. The court may not substitute its judgment for that of the ALJ, particularly because it does not know the basis for the decision to rely on the grids. Second, and perhaps more importantly, the hypothetical question presented to the VE does not match the RFC assessed for Plaintiff. The hypothetical presented to the VE stated that the individual could reach
Finally, the court notes that Plaintiff's Brief also poses serious questions regarding the applicability of Dr. Verner's medical opinion to the period after July 31, 2012 but not to the period before July 31, 2012, and regarding the different credibility findings applied to Plaintiff's allegations before and after that date. Those questions must be addressed by the Commissioner on remand.