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FILE NAME: Insulators Workers' Comp Claims (IWC) DATE: 1959 DOC#: IWC028 DOCUMENT DESCRIPTION: Claimant - Thorsted, Roy i I1 1 2 3 4 i 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 re 97 5*139 M FILED AND SERVED: 1 2 -3 0 -5 9 On a l l p a r t i e s o f re c o rd --R.Crow ley EFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIi CLAIM NO. OAK 1367 OY THORSTED ) A pplicant ) vs >LANT ASBESTOS COMPANY, ARMSTRONG IORK COMPANY, PACIFIC EMPLOYERS 'NSURANCE COMPANY, INDUSTRIAL INDEMNITY COMPANY, STANDARD OCCIDENT INSURANCE COMPANY an d TRAVELERS INSURANCE COMPANY D efendants FINDINGS AND ORDER The above e n title d m a tte r having been re g u la rly su b m itted b e fo re John H. A n k e le, R e f e r e e , s a i d R e f ^ e e now m akes h i s d e c is io n is fo llo w s: ' FINDINGS 01 1 . Roy T h o rs te d , an m i n s t a l l e r , born December 1, L926, was em ployed b y P la n t s'vCompany and A rm stro n g C ork Company f o r v a r i o u s p e as in d ic a te d by th e rec o rd , and alleg es th a t he su s ta lta ^ ja ^ JL n ju ry a ris in g out of and o ccu rrin g in he c o u rse o f h is em ploym ents, c o n s is tin g o f an a s b e s t o s i s . 2. A pplicant d id not su sta in any in ju ry a ris in g out of or D ccurring in th e co u rse o f h is s a id em ploym ents. ^ 3 . The d i s a b i l i t y o f w hich a p p lic a n t co m plains was n o t proxim ately caused, o r caused a t a l l , by any in ju ry a ris in g out of o r o c c u rrin g i n th e c o u rse o f h is em ploym ents, o r by h is employment! ORDER IT IS HEREBY ORDERED t h a t a p p l i c a n t t a k e n o t h in g b y r e a s o n of h is claim a s s e rte d in th is p ro ceed in g . IT IS FURTHER ORDERED t h a t t h e Amended C laim o f L in e f i l e d d e re ln by th e D epartm ent o f Employment on A p ril 27, 1959 be and th e same i s h e re b y d is a llo w e d . (SEAL) JOHN H. ANKELE, REFEREE INDUSTRIAL ACCIDENT COMMISSION Cl/c< 1/1"/ /^cicj ~~Th o r s e c / 'T 'tirf'Ci / C.ct,yy\ /% / 1 /"t t 1s A s Cc*y/fc>1y f i fu* s f r c ,-^cj Cc'-^ I S'/n Ve D c*. ta i z o / r ? u tr 1 ?d S INTER ! ___________ _______________ ~ OFFICE COMMUNICATION To J . E . Z e l l e r , L a n c a s te r From J . s . T a y lo r , S an F r a n c i s c o Subject R e p o r t o f F i n d i n g s & O rd e r Roy Thors te d v r s . E m ployers ___ (A r m s tr o n g January 6, I960 CO N TRACTIN G E n c lo s e d r e p o r t o f F in d in g s a n d O rd e r n^c n^ e c ] ; ^ , ith asbestosis Commission of c la im o f Roy T h o rste d b e fo re th e I n d u s t r i a l A ccid en t the S ta te of C a lif o r n ia . . I assume you w ill want to ad v ise our In su ran ce C a rrie r through the A rm strong Cork Conpany of th is d e c is io n . FORM 31501 1-5 M aroh 17 I9 6 0 Mr. D. B. Edgar T, L. P. S h rirar Agency 1801 Union Bank B u ild in g Pittsburgh 22, Pa. Daar Dareji 8ubjeot* Claim ^ 6 -0 -9 2 8 3 9 2 Roy Thorated, s / i - w ? 9 - C alif. My tardy acknovledgaent c a r ta in ly doea n o t in d ic a te a la c k o f f r*c^ n on ay p a r t o f your Mar* 9 l a t t a r regarding th e d is p o s i t i on o f th i# As you know, th e se pn eu aonoooniosii and a s b e s to s is la i* * ' c r a in many s e c tio n s o f th e country, and ye are c a r ta in ly h a p p y to hear th a t Standard Accident* a d efen se r e s u lte d o n ly in an expense item o f & 83 for leg a l serricea. " Thank you. Very tru ly yours, R. C. S ch ied t, J r . Insurance Department JEZ . ^ H MSq~ a rti ^ ^ V .l. P. SHRIVER AGENCY, G eneral A gent 1801 UNION BANK BLDG. PITTSBURGH 22, PENNSYLVANIA Phone Grant 1-7*00 March 9 , 19^0 1 0 X 1 0 1 9 6 0 WLH Mr. E C . S chiedt, J r . . Insurance Department Armstrong Cork Company Lancaster, Penna. Dear Mr. Schiedt: B e:- Claim No. 96-C-928392 Boy T horsted, In ju red Employee - 2/19/59 P o licy No. AZ-688800 The Standard Accident Insurance Company has closed th e ir f i l e on the captioned c a se . No payments vere made and the only expense to them was $183*00 fo r le g a l se rv ic e s. The above was an Asbestos Worker in C a lifo rn ia and Buffered what is known as Pneumonoconios is w ith date of d is a b ility in d ic ate d as February 18, 1959. Tou may r e c a ll furn ish in g the San Bruno, C alifornia o ffice of the Standard Accident Insurance Company w ith Mr. T h o rsted 's employment record fo r th e years 1950 and 1951 We are clo sin g our f i l e in the m a tte r. Thanking you, we are Very tr u ly yours, VOL'.' P . SHBIVEB AGENCT D. B. Edgar / / - < FILED AND SERVED: 1 2 -3 0 -5 9 On a l l p a r t i e s o f re c o rd --R.Crow ley BEFORE THE INDUSTRIAL ACCIDENT COMMISSION OF THE STATE OF CALIFORNIA 1 CLAIM NO. OAK 1367 2 ROY THORSTED ) 3 A pplicant ) 4 \ 5 vs. ) PLANT ASBESTOS COMPANY, ARMSTRONG ) 6 CORK COMPANY, PACIFIC EMPLOYERS FINDINGS AND ORDER INSURANCE COMPANY, INDUSTRIAL 7 INDEMNITY COMPANY, STANDARD ACCIDENT INSURANCE COMPANY a n d 8 TRAVELERS INSURANCE COMPANY 9 D efendants 10 The above e n title d m a tte r having been re g u la rly subm itted 11 12 b e f o r e Jo h n H. A n k e le , R e f e r e e , s a i d R e f ^ e e now m akes h i s d e c i s i o n 13 as follow s: 14 FINDINGS 01 1 . Roy T h o rs te d , an in a T ^ ^ ti^ n i n s t a l l e r , b o rn December 1, 15 1926, was em ployed by P la n t//sb e ^ p s 'G o m p a n y and A rm strong Cork 16 Company f o r v a rio u s p e r ^ g c f c s a s in d ic a te d by th e r e c o r d , and 17 18 a l l e g e s t h a t h e s u s t a i U ^ ^ A n J u r y a r i s i n g o u t o f a n d o c c u r r i n g i n 19 t h e c o u r s e o f h i s e m p lo y m e n ts, c o n s i s t i n g o f an a s b e s t o s i s . 20 2 . A p p lic a n t d id n o t s u s ta in any in ju r y a r i s i n g o u t o f o r 21 o c c u r r i n g i n t h e c o u r s e o f h i s s a i d e m p lo y m en ts. ^ 22 3 . The d i s a b i l i t y o f w hich a p p lic a n t com plains was n o t 23 p r o x i m a te l y c a u s e d , o r c a u s e d a t a l l , by a n y i n j u r y a r i s i n g o u t o f 24 o r o c c u r r in g i n t h e c o u rs e o f h i s em ploym ents, o r b y h i s em ploym ents 25 ORDER 26 IT IS HEREBY ORDERED t h a t a p p l i c a n t t a k e n o t h in g b y r e a s o n 27 o f h i s c la im a s s e r t e d i n t h i s p r o c e e d i n g . 28 IT IS FURTHER ORDERED t h a t t h e Amended C laim o f L in e f i l e d 29 h e r e i n b y t h e D e p a rtm e n t o f Em ploym ent on A p r i l 2 7 , 1959# b e and 30 t h e same i s h e r e b y d i s a l l o w e d . JHA:rc Form 297 2*7* -* taM *ro (SEAL) JOHN H. ANKELE, REFEREE INDUSTRIAL ACCIDENT COMMISSION 3 m i IU AJ*KXS a fe re Oahl&ad, Id-M-Cv TS3HST5S5 Injury i repost op S ? es 5 9 OAS 1 3 -T A steatoais Tiw employee, an insulation installer, fawn 19 2 6 , e la iK .3 t o h a v e s u s t a i n e d a n e a L e a t a a i a s a r e s u l t o* -- ployiaent with various defersdants* Occupation Injur;-.' tied! ml Disability Statute of liiaitatiorso Laci. of notice and prejudice Harttine Jurisdiction Litiration costa ,, ^ _ L ie n i l a i n Doparfci&cnfc o f SSisp-loyj?ict>v <3EHALL' L . CHETiDHV*, M .D ., Le a t i f l e d on b e h a l f o f t h e a p p li c a n t i n e a c a ta n o e a t .*ollewi>i Be i s d u ly lic e n s e d to 'p ractice n e d ic in e in the ui&vG ? C a lifo rn ia * H is s p e c ia lty i s d ise ase* o f th e c h est ana s u r r e r y Be f i r s t sa* th e a p p lic a n t on D e c k e r in h i a o ffic e and re c e iv e s a h i to r, a* l.^ .-su -e u -n ru r^Esort and th e h o s p ita l re c o rss * wa<- Ua based his collusion on the pattelo&* report of &r. j^ls clinical examination. Applicant hae a pathology "auS id S T th e in h a la tio n o f a s b e s to s f i b e r s , * * 3 w ith a prod* - t t L i iS S s * ^ . . 1 * s f 'e x s : indicated that if asbestos ^article* a-* a***ft -- r -* ttOKS will cause oc&rrlnp of the lur^a. At t-uS %i~se s t a t e u h s t h e r o r n->t t h e r e w i l l b . a f f u r t h e r e x p o s u r e , t h e r e n i r h t no-, t e any ~a ^ 3i d . s a - i i - v ^ . kits ad vice would be again st furth er exposure t a usoesj.os. J.w ^ car. wur.-r a t h i t eM Jot by u i i in h a lo ta r t r i f a w ; l a - ------- Be eoea hot -show bo* o a ia t a e t lb r a a l ' 1 ^ W * ' * ; i y?<-*i i n a tu r e * The- l u n ; h a s s fa r ..a * t l c r e s e r v e * ^1* tU so s ^ l l -Oil I f t t o p r S e n t S n d l t t o n a l i i war;.- w ith o u t f u r t h e r s w p a s u r s . Bo was paid * pC?.> for hi a teatiffiOhy* The surgery was fo r d ia -jn sstic purposes. At th e tl-sc uivcr-;. th e ap p lican t was not dis& ulec* *** W *J" was *V:.en e-r tn e nurc-c a f t e r ho ha<i seer, th e p a tien t* *r*e o / t n c ca rt i d e a o f a sb e sto s and th e co n cen tration wore- opor..*.. ` when he l a s t e.xatalncd th e a p p lic a n t on K l o t e s i , ! ; , . - , the- v i t a l e a - a c l t y a v e ra g e d a b o u t u l i v e r s , ^ ^ n ln u t.e i s n o t f a r o f f fra c ; n o ^ c u l . T h e re rruy a l s o *-e a c U U C u i a c tio n in a s t e s t o s i s c a s e s but in a sb c a 'v o a is i t as o a ly auss^eux u w h e re a s t h e c h e m ic a l a c t i o n i s lcriswn i n a i l i e o B . o . tp a S T E D Wa . k . Mft* crLVfii T Ttwsrc a v i V ^ . jie ca. * | ^ j s U l csw a* a lo * part-l o i c a K * * * ^ J ^ ^ . D / t o t h e r * r " " Stssrsx- a s s %?&.*. ..-- *- such ors vere. K l* c h a r s c a a r c a a , r " ^ h , i , " H oe t l l ' mcearonco U h the cast o f th e o n t , . They in -- Six rite r per E ls t e r / 1 an important U conclusive l jcnewa e i t h e tw o f e l l o e elusion in th is " Know the exact wonc starx* they worked w ith #*- n t Liest r a r s a a n a l i a a o u z it. c f 2 t *K dia.rroa i s . What isfte Jt % Even i f fcs ha<* not ^ v n s . a e o e a to sia , M a * > - * . t b e s a a e . He o e s n o t asloyaea involved tut under f ib e r ^ s over ten years, h ts r -ia n a n la ja no part in a o p li- g b K l l i c r o l a a a and ho otoh t l s o w ith b c s .o . *-> * Titihiieo l**a**st ---**&w/ --a s ta-'Ker* et o t e r i 1 .;Oy* _,, uU!***h>w,. His i-r a y The a ab c tto sijs readin g Si f r r r m t ^ r e o t ih s a o . fa u to r. la not severe ^ o V any other le e a a e s , Tn* a B jto a can be i ni U j - i ; A RU;*b*r o f p a r v i e l e a dwioaugldn onsoi*t *fc&c*upr?I o: iw* t n r o a ^ o u - -ne i*u"i-*c. * oecsk fpienriftoeral / ^tht oe r surgery for lagnosi i s a c -e =tod u r s le a l pro p r a c t ic e o f other a p e c la U a t a . I - i a - fc' v*',,w ^ *$durs. n r ^ i - m nsA*. K .C ., t e a t i f i a In b eh sl: o f d* r e n d a la H. Cw*U * * m Fr e e l a i t y l a I n t e r n a i m e d ic in e , i n s u b s ta n c e a r *u ^ * 1 r i e l a s t its y e a r s . Be e x e s p e c i a l l y d i s t a c c o a f t h f 15.*- ?* , f a *^ t h e e x x tiR a i io n & n e d t h e a p p lic a n t or. s s e r y . Fe h e * a in e t h e ' ^JL * jV e rc s -o ri c f Dr* C renshaw , an t h e a la * review*? th e * -r f* of D r. crenanah. o a tfc u lo is f* re p o rt a s eohva.ne or R io te r 1 , Te o r ig in a l re p)Ooin' . Vo*f i**A4r. K*%a**t*s*ow.>..p, t--h--e * *. If *s 1 x >* i g-ror pcs nf. h s the o r tilw a Vf,Tfc S e o t e w' te r 10 , l' ^ -r * enei opir.ior. t i ^ M S*,-itcnfcer i - , Mi Xj j j . Th1*e `:h i s - to r, . * * * - S t e i ' d S ^ r u w o '^ S lS '>h.e*have a s i i s t a s i a t c f o r c . He i s n o t l e s e l e t . t e s a o s ! - r o ^ .r ^ T v j- th s lo tf ls * . fo u n d no ln fla .a > A to ry t l s e u e , fc^- S y ; S S i i i l t f e i . b t t h o c t o e u . d id Oi pfodooc su-! / ia c & a e . ^ r, ^ ^5^caanir n * th e -rath s i c o i ot's s r e p o r t and th e h o c r i t a l fi...* <k-nw. I4TWT. L-tei. e ^`a--a**'i n e o^. re D c r. o rd v&t e in on d ci. cu a e t s e shova o rf^i'n-d-* a--x-;-; BU<.. v t -y--, eoe s net belie'- e fj-idt he saw th e i * p o rt o-v." *J"--. t -.,,.a?A-, ubict.fohji*xi sc. fcut tf'i o d o r c c report d.>es not refu te rioruianld bi crasA t ethtihnej ccaaupsaec.ityI-nn oarnythee v leanct , of x -r a y s evier.ce of a s s e s - t o s t e o r c l i n i c a l e v id e n c e o . a s ^ s - o Tbe?'**ari ftf th # tw o p a t h o l o g i s t s a r e n o t 1 a g re e m e n t. r . b s s son round f i o r i i . fir. Sowaan round none* The , **! f 0unsi e r e v e ry few . r u s h r i t a r a a r e n o t e a s i l y * Watson was very d e f i n i t e a t o th e fin d in g o f no pathology in tii lu n 1* t i s s u e . It 1 reaaonahle t o aaaucae th a t i f f l e e r s were 5 f S t b" o ? : t a w i , th a t th e p ttb o lta r he found was * * * * * * * * hy a s t e s t o t , Is** Bewss&n cade no fin d in g o f **u**fcfri* * a d is * a ili n g lu a e c o n d itio n tu t t h i s w itn e s s can not s t a t e tfee^ ause %-f ?"hS c o n d i t i o n fo u n d fcy Dr* b o w aen . W ith a h i s t o r y g iv e n by ao cto r# th e n th e r e roust p an i- r a y Jta& lhatian. P rev io u s a--r a y s ssu si a l s o b e s t u d i e d # i f a v a i l a b l e * a s w e l l a tf i . tte d le a l h is to ry * I f th e s e la a tte r* d e a e n e tfa te a peuanocenl eiB# th e re should be a b re a th in g c a p a c ity t e s t . Then If- th e re i s s d e f in ite diagjnosls# I t would n o t he unusual t a biopsy* i i i t h n e g a t iv e f i n d i n g s on S^jrajr a s i n t h i s cnae# he# faissoclf# w o u ld n o t h a v e p e rfo rm e d a lu n g b i o p s y feus t h e r e a r e o t h e r s w.-.o would* fe e s fo r biopsy vary* C e rta in fee schedules# such a s th t' I n d u s t r i a l Accident C o aaiaaio n # th e isidiroal fe e a a re n o t acw h e re t o by i&ary d o c to rs * Tr,e K edi-cai A s s o c ia tio n h a s a f e e 8-"fc>folu I k d o c s n o t know w h at l u . s a s a n a h l e o r c u sto m a ry # n s w e v e r, he* h i a s o l f w su ld n o t h a v e rftoooiiiendL tit* p r o c e d u r e in t h i s c a s e . The fin d in g o f d im in u tio n o r energy l a no t d ia g n o stic * Patik-ue and p a in a c ro s s th e ehe&i a rc not n e c e s s a r ily syapiaBb o f a s te s to s is * fb o rtn e s a o f b re a th a f t e r a c tiv ity I s one o f th e sy sp tsu a but not a:* cifically o f s-st-eato sis. The jh s o r tn e a s o f b r e a t h or a c t i v i t y i s g e n e r a l l y d i a g n o s t i c o f aoas lung or h e art disorder* Cough and product la o f y e llo w ish put on a ls o I t d ia g n o stic hut not o f any s p e c ific lung d io o ro c r w ith th e h i s t o r y o f sbufrineiMt o r b re a th on a c tiv ity # cough p ro d u cin g y e ll W ish putit and o th e r fin d in g s and c li n i c a l h is to ry in _ r e ? e re r .e e t o xi*. T h o r s tc d v a u lt! no- l a u d h i s t o ?sjLi? a t e n t a t i v e d ia ^ jn o s io o f asfceatcftis Me w ould t h e n p ro c c e u w i t h f u r t h e r l e s t a , l luny b io p sy ia on* a c t hod o f r e f lin g a diagnoala ;x isajar surgery# not islsor* I f he so*pe?teo a lung d ise ase f o r W iiirb tre a tm e n t w ould bcxasflt* he would p erfo rm a b io p sy , 'Ine rtpor. o f I 'r . Bow;an was net. t o t a l l y c o n s is te n t w ith ss c -e a t 20 .n* ill a o n ly e x p l a n a t i o n o f t h e d if if c s ,er?cc fee*w e e n b e rc -? o rt e f h r* w ataor. and t h a t o f It . b o *aa* I p .t h a t th e y s-^- a hlffei'^-r.v p o rtio n o f th e lu n g s . yycK3 t h e r e c o r d fcha a a o u n t o f Tung t i s s u e reiaovod i s i^fesJ^u>* th ii s ii o f Ita li' t h e p a le, o f o n e* hand* and t h i s , c .oxsrsws# i a enou-jh. f o r staay a l i d e i n ^ fc;-4-r->--6i*h--l a ll p,. or_tions of the lung w ill '. situi 1stly affected but they will not be entire*. anU'-oru'i^r a finding of fibers of natoatod. He* hiatsolf* UiUh-c that the a--ruyo that bb reviewed tire no v.ul * although r* vrendi' * ifeiougno t>o. b-o* a*b*nor.-sLl, *H--e- d--oe~-- --no-fe' th--in*'. th--a-t- . **- CrensiutW*; riruilngr sre m i a l k ir ihc; Ito :ec ai tie f b t . mero i >: *:i.> oT r w ^ o l v i n j csr t i c s u c o t h tesitrv'/'-io i: cause ty;ICl au.t--esi.osla. Tti progreoa i irrcvcraiile. The ltiiy t e a ti ? th a he t*>3. w crc tiu lv e x o 'rc a l l-oroo breov.hlr,,_, e r e 1&cs v i l i c l c a r ou* tsucua lr< bl'0<it*d c r e ta # t u t l i 3 teil-i a le rte o u t th c -rts* lv e s li* t h p a iie n v b re & th e s cee-r-ly. TTfcre l e si y l i t t l e attuai Increate in lunj calseli y fo li swing forced ircathlng* alihou,;h there often la a roarhed senae of well neiny# follonir.i uuji treatment. TH33Tfi& - * inform ation Ju st obtained fro a th e h o sp ita l th e adeU lojjsa. f *TM i clve s a a k l a g o f a b o u t >> re c o rd aihloh c o n ta in s a conclude th a t any one ho aoites th a t eisarettesi day* t i t l e d to a l l th e yoptco th a t T horatcd aany cl,iare tte 5* o n ly r e c e i v e d a h i s t o r y o f h ad , Vhen he too* th e h is to r y , ^ lik e ly th at ' awfetns h feu eii^rcttes a dy routltj by sar. Bewoan as hr. fcrenefeieettA ls caused t h e j ^ t h o i o ^ * BoNtoaa fo u n d n o a a h e s t o o f - t e r * _ A T r s M ^ u ^ - ^ s w a s . ' s - " :- none a t a l l , *- th ll ata i s y ello w ish . I t in d ic a te s an in fe c tio n O f 02*5 s o r t . B e f o r e a b io p s y h e w ould t e s t t o e a p t u s h u S i a T S o r ^ c r i t i c a l i f i t wore n o t done. the acction referred to by Cr. vom an iM t Pliably jj* 5ihole section, h description of fch* specimen as a whole is t of nonaal lung tis s u e . The o p e r a t i v e f i n d in g o f *>r. C re n a h a d o e s n o t sscon Koch to the witness# w a t n a y . . . * i a , r 2 s r u i r Bt s ^ B t r s . 4 j a i tbare is. reoosh there la S S S f d ii^ S 'S " S S n i f t o w # o r - in c #i*h * ritU h " "P t O f l b . r o i l l o r 6u## l i T U * . i a r l e s s a l i o a l w re b ^ jm / * " . i f " ---aijla of expansion# It is probably a igeaha.'iieal n ln as * v?iU*- fraa a chessieal irritation &s 1 caneed by smlic-osis. j- "he oartlelea are very elnute and they are r e n e d ?n S i r k t l . the ion s. tiiouiandaof fibers are not fcaraful in the luns but ereathi.^ Ulions would, and certain persona would f.r& T h e re i * no e v id e n s e o f any B e e fta n ic a l r e S e o * re tb* t t e w .# *** they ere Joan*. * - fSU*IS til u ro o lle preficosioaU.; i - 1 * AM not m k S r * * * bas i ^ r s n o t m orer the period# _ APPLICANT testified in substance au f o l l o w s ; ' we haa b eer, w o rk in a with a s b e s t o s isst r i a l s fur ^ ,J;' , **rswulatlon on water linas end boilers# do t*c- t1h*eyfaesubr-ess, toapspt1a/ atcrji*al*7*Z t:loc\^ ?foInSt, a*r*u&., t*h e fo-r t ha.,t$ T*4its trt hieer- : * ^ e The b l o c k s W ill u s u a l l y r u n t n r e e i m 1<MS. ^ t; ^ f a T a c "K J i L i f o & S / S S i r e r ec ererev ff? rf u re4rre B"re ree <.. ^ h i h a i r te s "Jtc. * 3 2 . 1 . a tT P ieal .I ta .U a n # r ^ - I r e h j.r e a . . . . ,, js .. %* ^*4 4 a t y p i c a l * o ri. a itu s - v io n a t u"* s " * ;? r e n s . U r r e t a l a Su ^ t , TH335Z2 Abiyaf. a y& r a g o fc* Got harrt o f fc r n .h pooled, and hlft fc-feht t &< T* CretiSil* l liSt-iCOi t *# 6f-5r tCSi f rl*tii*i h* ! * * ^ U * * # * * * * * * r^ m ^ V S b u llin g , he . , . of Ula eneas caed an * oua * J a . ,,Jjj .Jf. t ; . t ^ fv* 4 * 'Ha r&a-*M.n> t a r a r e a a o r tn e / *hc ix * v ** f a ` S t t * ? r t t a o ad fe*ferurv. h., h* o f f a p p ^ n a a s e i ., ',, g "f. l . fe* n e v a r ,,ed r a s CU V U l o ' d e p * d r a la s f a r Ib*-. * * * *1 * > i J E ' * S i t a r s f a r T tta r s * . A f t e r I a * f f * " *" UlE r i , h s &zjl#y* vy Thorvc He f l r e l kn** h naoo*tl# r to r j e fc tes i t f w * fcufc n o t t o t o r r fc* ***>' t o * c s v * ^ ru n ^ .w TVie tro& ftidhw A f t e r antTgcry h e l p e d . C ro aa ;.r ` ne s i l i l a * f `yt ,.#o.= f o r s i n * i, 1(w V*, c^ioi i o - s ^ - o *:* t n t w w r y o i y , U 4i.iun& l C h arles v tx i lc&v* , fce &1 C t h t a l a r s e o f t h e a h sa p it-u l ~Vw0c5yo ^*-v*fro r2!;/>tv\;0 trt.:&r* t `c u tsm&** &n i *i"i>*%#u-i *** -Xe. * ** K' i'tti Si-VCti $>Uhi'l. rttttri Vily -*.f ***& 10 *.5**i.l..*-i> He i s a ll risiti no except, he feels tired * .r*4 t, V. ***.,_ *S r ti-e lt * Ka d-r e . f^f f o r t t o h.u" u ` f u l-l e <iU. }t`*: fv ^l ..M rli*.1- `s2 t, ?i ll, h&L**t ` fnaa;n^ r * # in* j"r;lo s h e e t o f f Si.i . ihtd<c o c u r -v--h--r---G- - -r'--s- ;f o- u r t*.&_ S Ci.:,, .. and mbcULkc th ; / v i l i t h e r e f o r a;; h o u r U a c y . at*f t>-3 v A r . B i f o r e a u r r; ry h so*?Ci o e i r - W t u & a y . /j-e surgery he s t o r e d s i t i n g tu t th e l i s t pth & -tcr re.or.a.n,. t o or.; he- &sov:cl A to u t f v r o r i i v t a tlao c 1 C W^r*- i- 'i .^ l -Tw&eIatv,, **cr tr..n...s.t..r-^--:-g--:---C--o- rk-, ,_thr-i^^- h e r e i r .u u l ^ l c n v a o * g * !n s t w-^lh, ^ ' - i , ...... -'-.stri''. >*. on# l o t he u sed fcooi 1* * **'*a * I * '" ''" f-;; ; ho .or. Ith M r c e l l A r^ tro,^ *- I.1 U A orllh.-. fo r A r ^ o tr o t: hit uf,*o u t x i ^ - o s hno ^ n h v ..a ;.e. and ev.f-' v-utt: fh i f fA rcs--* ' Am*, row,;., o.i J h e ' d.*, s o r te e ? or, th e r t t , . , i.CJ. - Z * * * t . . ^ r` vTrhic there. 2 - or i h# o s t l> wagw^ . , . . , 4 ^ ^ -- t r ^ i ' .t s e h <iia a l e a s t e v c r ^ tix lr g lrx th-n .nA ulatl^.. It-* . T h e re t r e l c o u r l t t toa* Joe a t >oort B h i;/h r o in 'h.-ilar.t A id ;1 v o r i*Ao &t ho t i ; . s ha . h i1-5! A1^0 S'. h . t s o s tlta l v~ *:t. f u n i l y d o t o r i *-r r.'^a , h it. ia a out lo* chao -, * a r t.rs *-o t n t h,`.;& - i t a l '.a> 11 f a i y f * t > MI he Si....' %& i*?!. a u ^1 us <. s i wi--*>* rV>..3i4 l j ' :~ v.o 1 , >. he oreved o-e a s i l y - - f P la n t A a t e s t c ?. ai th e" in staU & 'Ion for Plant A c e s ia * sa t ^icuourti c^ i- a tr a w tio i. m o s t ly . A; ou.. L t - or th e ti: ; h* *'` r" r- so v era r^ . A lso so c f i h s r ^ ls s s and very l i t t l e o*a S ab*at l o or i ; > a d te u tn c t i ' er i n r a . -'.ts.ua niT o r t ,v v . U'^i1 ^ i s fiuL^j-aV Tim STH ) - C DZSCOSSIO A ia DSCX313K1 The g re a t preponderando o r th a t ap p lican t does net and did not a d e n ia l award w ill ia a o e , th e m edical have a sh e sto sls, th erefo re, ' JHA w$ JO Hh il. AH&LS9 H e ft re e W ARREN L. HANNA DONALD R. BROPHY W ALTER JAKOBSEN IVAN A. SC H W A B R O B E R T N. M AC LEA N JOHN A. MAC DONALD EDW ARD P. MC A L E ER H ERBERT C. JEN SEN EDW ARO W. KORAB j . M. M C E L R A T H THOM AS B. RICH A RD SO N DONALD V. M ITCH ELL GEO RGE W. BONNEY law o r n e * . op Hanna & B rophy 1 8 4 0 SAN PABLO A v b n u i O A K LA N D 12. C A L IF O R N IA TEM PLIBAR 2 -8 8 6 9 O otober 1 6 , 199 S an F ran cisco O ffice too B u s h S t r e e t S an F r a n cisco 4 F resno Office S ecu r ity ba n k b ld o . F r e s n o 21. C a l if . Sacramento office 9 26 J STREET SACRAM EN TO 14. C A L IF . San J ose O ffice 2 0 0 0 HEOOINO STREET S an JOSE 2 8 . CALIF. A rm strong C o n trac tin g & Supply C orp. aOk Shaw Road _, ^ , South San F ra n c isc o , C a lifo rn ia Attention: M r, J o h n S . T a y l o r Re: Roy T h o rste d v s . A rm strong Cork C o., ai C -entlem en ( , __T f or f u r th e r h e a rin g , and i t T" ! C^ L n o T ^ f i i i e a i n f o i r a t i o n a s t o t h e ty p e ie i K n o r t o t to have more . n<3 h l s WOr k h i s t o r y , 'e of P ^ duc^ ^ ^ n d le d ^ ^ ! ;t* K e ` woulddlik e a d e ta ile d re p o rt h av e e a r n i n g a --ggpor^ ^ ` sdh'n', t t e d u n d e r d a te o f claim of R obert Z in i. X Dr. H tn e h a \r a good b i t of work on . l i k e t o know w h e th e r t h i s boats't h a t h ad p r e v i o u s ly * / X i , t o r v th a t Mr. T h o rste d did fltyfC;+-hlehem S h ip y a r d . VJe w ould va^fnew Sphip c o n /tr u c tic n o r work on va* oot^H ssiopdd. Very tr u ly y o p e , iASiiiR n C.c. A rm strong Cork c o . L ancaster, Pa. A tt: R. C. S o n ied t, J r . In su ra n c e Dept* CtC T ra v e le rs Insxirance Co. O akland (B-89726b.6) C C < S ta n d a rd A cc. I n s . Co. (9 6-C -928392) J SielocRzr y yJ 1hi- i , . J1<:i'-!< W 11icU ;; INSURANCE CuMPANi U -o YVt^TLR ST. OAKLAND 12. CAL1B. ITEmplebar 2-8200 June 30, 1959 Armstrong Cork Company, 304 Shaw Road, San Francisco, C alifo rn ia. B-S972646 Armstrong Cork Co. re t Roy Thorated d /a 1-1-52 G entim ent P lease subm it, in q u ad ru p licate, a statem ent showing d ates o f employment, hourly r a t e , occupation, lo c a tio n o f employmeht, d ate of and reason fo r term in a tio n , gross earnings fo r th e twelve month period immediately preceding term in a tio n , whether Mr. Thorsted was a temporary or permanent employeem and whether in h is employment with your company h is d u tie s ex posed him to asb esto s. A hearing before th e I n d u s tria l Accident Commission w ill be held very s h o rtly , and t h is inform ation i s required by our attorneys so th a t we may affo rd you a proper defense. rulyyours, NHAj J J cc: Armstrong Cork C o., L ancaster, P a ., / - 1( u u 'll. R. Abreu Adjustor E M P L O Y E R ' S R EPO R T OF IN D U S T R IA L I N J U R Y TO STATE OF CALIFORNIA DEPARTM ENT OF INDUSTRIAL RELATIONS DIVISION OF LABOR STATISTICS AND RESEARCH Claim Department THE TRAVELERS INSURANCE COMPANY 1956 W ebster Street, O akland 12, Calif. Every question must be answered fully to avoid further correspond ence. FAILURE TO FILE IS A MISDEMEANOR SUBJECT TO MAXIMUM FINE OF $100. (Labor Code, Section* 6407-6413) Please make this report in DUPLICATE so that we can fi' e, |onteer3than"hef<lavbof f h e ^ n j 'u r y ^ v v h l c h requires medical services other than first T u 7 t be r e ^ r t ^ h ^ v e " a y fa f " the j u r y . U t h l injury results in death, a report m ust be made by telephone or telegraph directly to the Division of Labor Statistics and Research not later than 24 hours after death.------------------------------------------------------------------------------------------ DO NOT WRITE EMPLOYER IN THIS COLUMN (Give name under which 1 Nam e concern does business) . * (No. and 2. Office address Street) (M an u factu rin g shoes, retailing m en's (City or ...T o w n )... Case No. clothes, trucking for hire, etc.) ....... Employer No. in ju 4. 5. 6. 9. 10. 11. red em ployee N am e. Address (No. and S treet) .... Age.---------------------- - 7. Sex: Check (V ) Male.. Female.. N um ber of hours w orked per d a y ---------------------------------1 P 'r weelc------------------------- (City and .. S ta te ). .. .. . ..Soc. Sec. No.. 8. Check (vO Married--------- N um ber of days w orked per week. Single _____________ per week. (If earnings a t Irregular rate, W ages: *_____________ ________ Der h o u r- OT *------ -------------------------- P a A a y ' " *" as piece work or on commission basis, enter actual average weekly earnings for convenient period not to exceed one year.) If board, lodging, or o th er ad v an tag es furnished in addition to wages, give estim ated value S.---- . per day. or $ ..................................,,...per such week ACCIDENT 12. Place of accident (No. and S tre e t)........... (Yes or 13. On em ployer's premises N o)........ (City or .Tow n).... 14. D ep artm en t.. IS. D ate of accid en t----- ------------- --------------------------- 16, H our of day----- --- ..A.M ./P.M . ............. accident? (n I) " ..... - ............ 18. If yes. give d a te last w o rk ed ............ ........................................ n o ? r ................. 20. If injured in a mine, check ( y0 accident location: Surface, .(C ounty). 17. Did injury result In disability beyond day of ...... ......... ................. 19 , W as injured paid in full for ..M ill. ..Underground.................S haft........... CAUSE OF ACCIDENT 21. O ccupation (job title )............................................. ------------------ ---- occupation? Check (vO Less th a n 6 m o n th s............ .^ ^ m o n t h s to 2 years-----(Describe briefly, such as: loading truck, operating occurred? drill press, shoveling d irt, w alking down stairs, etc.)---- _________________________ 22. How long employed by you a t this over 1 years._____ 23. W h a t was em ployee doing w hen accident Industry Age Sex and Marital Status Weekly Wage County Accident Date Occupation - ................................................. ........... fD e s c r ib e f u ily . statin g w iirth rr the injured person fell, was struck, e tc .; give all How did th e accident happen? factors con trib u tin g to accident. Use other s:de of report for additional sp ce) Accident Type Agency ____________________________________ ______________ ____ ______ ____________ (N am e the specific m achine, tool, appliance. 25. W hat machine, tool, substance, or object was most closely connected with the accident? gas. liquid, etc., involved) - ------------------------------ - ............ (S tate if gears, pulley. 26. If miechanical a p p a ra tu s or vehicle, w h at p a rt oi it? motor, etc.) (Yes or ..................................... 28. W as injured using them ? No) 27. W ere m echanical guards, or other safeguards provided? No) 'preVen\ive"m easures th a t can'be taken by employer and workers. 29. W h at do you recom m end for prev en tin g th is ty p e of accident? Do not say, " By being more careful." Specify w hat should or should not be done) Agency Part Mech. Defect Unsafe Act m r tn tttr y AND PART OF BODY AFFECTED . Personal Defect 31. N am e and address of physician----------- 32. Name and address of hospital-- (Yes or 33. H as em ployee retu rn ed to work? N o )............. (Yes or 34. If yes. give d ate....................................... 33. A t w hat wage? *.......... ....................Per--------- . .......... ..................... .. 36. Did injury result in death? N o )................. 37. If yes. K've date.......... ............................................ - ......................................- 38. In case of death, give nam e and address of nearest re la tiv e .............................. ..................... - ............................ ............................................. N ature of Injury Location E xtent of Injury 39. N am es and addresses of witnesses. ___-- Insurance Carrier 40. Is injured related to Em ployer?.. If so how?._ D ate of this report-- ... Signed b y ------------------------------ ---- ~ Signature .... Official position---------- C-4587 Rev. 7-53 p r in t e o in u S ? Filing of this report is not an admission of liability. l, v a n employer nr an .mirer by 1hi ch.tpte. r lull ceeding before the Industrial Accident Comnu-Mon. ! / N o report of injury re.iimed to be filed " Labor Code, Section 641d. Report Lag Coded by June 23, 1959 Standard A ccident Insurance Company SA0 V. San Bruno AYanue San Bruno| C a lif . * *j U S* - Gentlaaeni A ttention* Tara X. Dowling In rep ly to your l a t t e r o f June 1 5 , wa e n c lo se Boy Thorated eaployaaat reoord fo r th e y e a rs 1950 and 1951* ---- -- Vary tr u ly yours, ABM8TB0MQ CORE COMPART JEZ Enclosures V.L.P. Sh river Agency 1301 Union Bank B u ild in g Pittsburgh 22, Pa. R. 0 8 c h ia d t, Jr* Insurance Departaeat Earnings of Employes i Claim No 9^928392 Standard Accident Insurance Co. DETROIT Compensation Claim Department Armstrong Cork Company _________ Tnjii-- ' * 7 T h orsta< i----------- Accident y e b n x a j7 1 8 ------ 19 Assured. Schedule of Weekly Earnings j Please g.ive actual. earnings ocf injuredA employe lfonrr------ --------wweeeenkss pDrrceccceudmingg accident. If not on daily' or weekly basis, Note: j explain basis of earnings. ____________________ Week No. ' From Date 1 " Week To Date , in ,i Amount Paid including overtime or extra work Number of days worked Week No. From We__e,k ' Date______ | AA mm nonunntt PP aaiind To ovinecrltuimdiengor D a t e _______ Brought Forward XNIu..mm be of days worked 1 1 A J 6 7 O 7 10 11 12 13 1 14 15 16 17 18 19 2U 21 22 23 24 25 26 Total 1 2 /2 5 /5 0 I V 3I / 5O 1 /2 /5 1 1 /8 /3 l A 5 / 5 1 ------1 /2 2 /5 1 1 /7 /5 1 1 /1 4 /5 1 -- I / 2I / 5I 1 /2 3 /5 1 1 /2 9 /5 1 V 5 /5 1 2*Y/ A1 2*y/ a.____ 2fr/1* 79//51 2/26/51 3 /5 /5 1 3 A 2 /3 3/19/51 3/26/51 "72/51 M //qy //AJfI*______ /16/5 /23/51 4 /3 0 /3 ` 5/7/51 5/14/51 5/21/51 5/28/5I 6/4/51 ' / i l / A 6/18/51 2 /4 /5 1 2 /1 1 /5 1 2 /1 8 /5 1 2/25/51 3 /4 /5 I 3 /117 3 1 3A 8/51 3/25/5 W3 4/8/51 4A 5/51 4/22/51 4/29/51 5/6/51 5/13/51 -5/2O /5I 5/27/51 6 /3 /5 I 6/10/51 6 /1 7 7 3 6/24/51 Carrier Forward 8 4 00 4 27 6 /2 5 /5 1 _ 7 A /5 i._ 1 0 8 40 ..... 5 84 00 4 28 7 /2 /5 1 7 /8 /3 _ 65 54 3 . 105 00 5 29 7 /9 /5 1 7/ I 5/ 3 . Did Hdt w >rx 84 00 4 30 7A 6/ 5I _ 7 / 2 2 / 3 1 0 8 40 5___ 1 0 5 00 5 31 7 /2 3 /5 1 7 /2 9 /3 1 1 3 40 5 105 00 5 32 7 /3 0 /5 1 , 8 / 5 / 3 ______ _____ 9Q_ Z 2_ L 105 00 5 0//6v/y>L4 34 8 A 3 /5 1 8A 2 / 3 8 /1 9 /3 113' 40 5 113 40 5 ff 105 00 5 84 00 4 35 8/20/51 8 /2 6 /3 113 40 94 50 5 36 8/27/51 --9l f// 2J / 3 _____ 90 72 ___ 4 . ^ i 105 00 5 37 9/ 3/ 5L 9 /9 /3 90 56 4 105 00 5 38 9 /1 0 /5 9 A 6 /3 90 7 2 4 10 5101 5 39 9 /1 7 /3 9 /2 3 /3 113 40 5 105 00 5 1 40 _ 9 /2 4 /5 1 . _9 /2 0 /3 113 40 5 105 00 5 41 lo A /5 1 1 0 /7 /3 113 40 5 105 00 5 42 10/8/51 10A 4/3 113 40 5 1--7~T--_ "" 105 00 5 43 IO A 5/5I 10/21/51 113 40 5 105 00 5 94 50 5 44 10/22/SL 1 0 /2 8 /3 4S 10/29/51 1 1 /4 /3 113 40 5 113 40 5 105 00 5 ' 46 11/5/51 1 1 /1 1 /3 113 41 5 1T i x r 5 47 9Q_ 72 4 __ 108 40 5 48 11A 9/51 1 1 /2 5 /3 90 72 4 102 98 5 49 n / 2 6 / 3 ^ 1 2 /2 /3 113 40 5 108 40 5 50 12/3/51 1 2 /9 /3 113 40 5 108 40 5 51 12A 0/51 1 2 A 6 /3 113 40 5 108 40 5 52 12A 7/51 1 2 /2 3 /3 113 40 ____ 5__ Total A R emarks I certify that the above is a true copy of payroll record of injured's earnings as shown on employer s records. Signed , <* Earnings of Employes Claim No 96C928392 Standard Accident Insurance Co. DETROIT , Compensation Claim Department v -nrni Armstrong Cork Company_________ .InjurecL 807 Thor8tsd . Accident. February 13 ^ 59 Schedule of Weekly Earnings tred employe for_______ weeks preceding accident. If not on daily or weekly basis, Week No. 1 From Date Week To Date Amount Paid including overtime or extra work Number of days worked I 2 3 4 s 6 7 g 9 10 11 17 13 14 15 17 1A 19 20 21 22 23 24 25 26 Total 7/ 2Z / 5O 7/ 3I / 5O 8 /7 /5 0 ft/i / An ft/5 1 /5H 8/28/5 9/ 4/50 9 / I I / 5O 9/18/50 9 / 25 / 5O 10/2/50 I O / 9/ 5O 10A 6/50 1 0 / 2 V 50 I O / 30/ 5O I I / 6/ 5O 11/13/50 11/20/50 T l / 2 7y/ 5^0 -- 12 / 4/50 12 / 11/5 0 12/18/50 7/ 3O / 5O 8/6/50 8A 3/50 8 / 2O / 5O 8/27/50 9 /3 /5 0 9/IO /50 9/17/50 9/24/50" " I O / 1/ 5 I O / 8/ 5 10A 5/50 10/22/50 I O / 29/ 5O 1 1 / 5/50 H / 12/50 11A 9/50 I I / 26/50 2/ 3/50 12/0/50 I 2/ I / 5O 12/24/50 Carried Forward 94 00 5 98 8 0 5 QQ 0 0 5 100 00 5 100 00 5 100 00 5 80 0 0 4 100 00 5 70 0 0 4 100 00 5 100 00 5 10 00 5 100 00 5 100 00 5 105 0 0 5 63 00 3 105 0 0 5 84 0 0 4 105 00 5 105 0 0 5 105 0 5 105 0 0 5 R emarks Week No. 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 Total ' Week From To ' Date Date Brought Forward Amount Paid including overtime or extra work Numbei of days worked - <j I certify that the above is a true copy of payroll record of injured's earnings as shown on employer s records. JW221SB6 Form L. C. 1275 Ed. Oct. 1924 Signed__ S Y M B O L OF S E R V I C E F OB 75 Y E A R S ROY W. SM ITH C A S U A L T Y F I R E M A R I N E F I D E L I T Y . S U R E T Y No r t h e r n C a l if o r n ia B r a n c h O f f ic e PHONS JUNO 3-4000 840 W E S T SA N B R U N O A V E N U E San B runo, Ca l if . June 15 1959 UIN 1 9 1959 WLH Armstrong Cork Company Lancaster, Pennsylvania Attn: Mabel E* Barnet Insurance Department Re : 96-C 928392 Armstronq Cork Company Roy Thorsted Date of Disability: 2-18-59 Policy No: AZ 688800 I - I - 50/ I - I - 5I Gentlemen: WE HAVE RECEIVED A COPY OF AN APPLICATION FROM THE INDUSTRIAL ACCIOENT COMMISSION ON THE ABOVE CAPTIONED. WE HAVE NOT FORMALLY BEEN SERVED ANY PAPERS AS OF THIS DATE, AND IF YOU HATE RECEIVED ANY WE SHALL APPRECIATE YOUR FORWARDING SAME TO US. ATTACHED TO THE APPLICATION IS A COPY OF HIS EMPLOYMENT RECORD THAT INDICATES THAT ROY THORSTED WORKED FOR ARMSTRONG CORK FROM 1950 TO ISO* WILL YOU PLEASE CAREFULLY CHECK YOUR RECORDS AND ADVISE US THE EXAC periods Roy Thorsted worked for your company and the exact wage received AND THE EXACT LOCATION OF EMPLOYMENT. WE SHALL APPRECIATE YOUR IMMEDIATE ATTENTION TO OUR REQUEST AND ADVISE US AS SOON AS POSSIBLE BY RETURN AIR MAIL. VED/ms cc: V.L.P. Shriver Agency 1801 Union Bank Building PITTSBURGH 22, PENNSYLVANIA cc: Hanna & Brophy, Attorneys 15*10 San Pablo Avenue Oakland, California Standard Accident Insurance Company. Detroit Pilot Insurance Company, Toronto Earnings of Employes Claim No._____ Standard Accident Insurance Co. DETROIT Compensation Claim Department Assured_________________________________________ InjurecL_________________________Accident___________________ 19 Schedule of Weekly Earnings Note- i ^ ease 8've actual earnings of injured employe for_________ weeks preceding accident. If not on daily or weekly basis, * (. explain basis of earnings. Week No. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 Week From To Date Date Amount Paid including overtime or extra work Number of days worked Week No. 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 Week Amount Paid From To including overtime or Date Date extra work Brought Forward Numbe of day? workec - Total Carried Forward Total . R emarks I certify that the above is a true copy of payroll record of injured's earnings as shown on employer's records. Form L. C. 1275 Ed. 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