Appeal from the United States District Court for the Northern District of Illinois, Western Division. No. 84-20156--Stanley J. Roszkowski, Judge.
Before CUMMINGS, Chief Judge, BAUER and WOOD, JR., Circuit Judges.
The Medical-Vocational Guidelines (or "grid") found at 20 C.F.R. Part 404, Subpart P, Appendix 2 (1985), is a useful starting point and may provide a sufficient basis to evaluate whether a significant number of jobs exists in the national economy which a social security disability claimant can perform when he is unable to return to his past relevant work and suffers from a non-exertional impairment. Nelson v. Secretary of Health and Human Services, 770 F.2d 682, 684-85 (7th Cir. 1985) (per curiam). Application of the grid is precluded, however, in cases where a claimant's non-exertional limitation restricts the full range of employment opportunities at the level of work that he is physically capable of performing; in such cases, resolution of the issue generally will require consultation of occupational reference materials (see 20 C.F.R. § 404.1566(d) (1985)) or the services of a vocational expert. Id.; see also Heckler v. Campbell, 461 U.S. 458, 462 n.5, 76 L. Ed. 2d 66, 103 S. Ct. 1952 (1983) ("The regulations provide the rules [of the grid] will be applied only when they describe a claimant's abilities and limitations accurately.").
Appellant Eugene Warmoth complains that the Administrative Law Judge ("ALJ") used the grid "exclusively" to determine that he was not disabled. Warmoth asserts that he is unable to work in an environment where any respiratory irritants are present and argues that the ALJ's conclusory statement that "most of the jobs which make up the basis for the rules in Table No. 1 [of the grid] are performed in dust and fume-free working environments" is insufficient to show job availability. We agree and therefore reverse the district court's grant of summary judgment in favor of the Secretary and remand for further proceedings.
Warmoth, now 42 years old and a high school graduate, last worked in August 1980. He traces his respiratory problems to a 1980 industrial accident at Kane International of Rockford, Illinois. He worked as a maintenance supervisor in the company's filter department n.1 [footnote omitted] and was attempting to clear a machine blockage when the machine opened and spilled toxic toluene diisocyanate*fn2 on his face. This highly intensity exposure, combined with the day-to-day exposure to this noxious substance during Warmoth's one-and-a-half years of maintenance work at Kane International, caused the claimed respiratory damage. Following a hearing, the ALJ found that Warmoth suffers from a respiratory disorder but that the impairment neither met nor equalled the level of severity required by the Listing of Impairments in Appendix 1 of 20 C.F.R. Part 404, Subpart P; a severe heart attack which hospitalized Warmoth shortly before the hearing was thought not to be disabling because the condition "will not meet or equal the level of severity required by the Listings for 12 continuous months."*fn3 The ALJ also determined that Warmoth "is unable to return to his past relevant work because his jobs required either heavy lifting or exposure to respiratory irritants" though he still "retains the residual functional capacity to perform [a wide range of] sedentary work on a sustained basis." Relying on the grid alone (and referencing Rule 201.28 of Table No. 1 of his guide) to show the availability of jobs, the ALJ concluded that Warmoth is not disabled.
Warmoth does not seriously challenge the ALJ's finding that he can still do sedentary work, and we conclude that the record contains substantial evidence to support the finding since no physician ever suggested that Warmoth is totally disabled from all types of work. Warmoth instead focuses his argument on the ALJ's use of the grid without more to show that "there are a significant number of jobs existing in the national economy" which Warmoth can perform even with his respiratory ailment; the argument concludes that the ALJ's decision therefore lacks the requisite substantial evidence to support the conclusion that Warmoth is not disabled.*fn4
The various medical opinions unanimously agree that Warmoth cannot work in environments where respiratory irritants are present. One of Warmoth's treating physicians, Dr. do Pico, stated that Warmoth has residual hyperactive airways but that he should be able "to performa [sic] gainful employment in environments free of respiratory irritants." (R. 9 at 114). Another treating physicians, Dr. Main, reported that Warmoth "must avoid" exposure to "many environmental agents, such as smoke, [and] perfume . . . ." (R. 9 at 151). Dr. Sengal, a physician who completed a residual functional capacity assessment of Warmoth at the request of the Social Security Administration, also felt that Warmoth must "[a]void dust, fumes, perfume and other irritants." (R. 9 at 144). Such environmental restrictions, contrary to the ALJ's finding, could have more than a minimal effect on the types of occupations that fall within unskilled, sedentary work.
In a recent Social Security Ruling,*fn5 the Secretary explains by example how to evaluate the effect that various environmental restrictions have on work generally:
Where a person has a medical restriction to avoid excessive amounts of noise, dust, etc., the impact on the broad world of work would be minimal because most job environments do not involve great noise, amounts of dust, etc.
Where an individual can tolerate very little noise, dust, etc., the impact on the ability to work would be considerable because very few job environments are entirely free of irritants, pollutants, and other potentially damaging conditions.
Where the environmental restriction falls between very little and excessive, resolution of the issue will generally require consultation of occupational reference materials or the services of a VS [vocational specialist].
Social Security Ruling 85-7 at 29 (Jan. 1985). The ALJ's failure to substantiate his finding that most unskilled, sedentary jobs "would not be ruled out by the claimant's nonexertional limitations imposed by his respiratory impairment" with any authoritative references or other evidence directly conflicts with the Secretary's policy statement on the issue and runs contrary to ordinary experience. Compare McLamore v. Weinberger, 538 F.2d 572, 575 (4th Cir. 1976) (Secretary's decision supported by substantial evidence when it is within common knowledge and experience of ordinary men).
Approximately 85 percent of the 200 unskilled, sedentary occupations that exist throughout the national economy are in the machine trades and bench work categories. 20 C.F.R. Part 404, Subpart P, Appendix 2, § 201.00(a) (1985). But the Secretary's regulations do not further contain such relevant evidence or other material to support the finding that Warmoth can sill perform a significant number of these jobs. The Fifth Circuit, on the other hand, observed that "machine trades and bench work by their nature often involve exposure to dust, fumes, and other suspended particulates irritating or intolerable to persons afflicted with respiratory ailments." Thomas v. Schweiker, 666 F.2d 999, 1005 n.8 (5th Cir. 1982) (per curiam). Similarly, it is hard to conceive of many unskilled, sedentary jobs that are performed in surroundings free of cigarette smoke, perfume and other like irritants which Warmoth cannot tolerate.
True, some cases will be obvious in that the non-exertional limitation will have very little effect on, or will significantly erode, the range of work remaining than an individual can perform; in such cases, reference to the grid may be all that is necessary. In line with the regulations which provide for the grid's use as "a framework" in cases involving non-exertional impairments, see 20 C.F.R. Part ...