Chris Guluarte 1/3/2022 - Laserfiche WebLink

CLAIM #1: SK36496 Claim Number SK36496 __ Date of Injury April 25, 2017 Description of Accident Claimant was a heavy equipment operator and was driving a Vactor truck for work and it rolled over onto the passenger side of the truck. When claimant took off his seatbelt he fell down towards the passenger side and grabbed the steering wheel with both hands. He _ _ had to pull himself out of the truck. Date Claim Received by April 25, 2017 Employer Date of Claim Allowance The Department of Labor& Industries issued an allowance order on July 14, 2017 Date Allowance Order The allowance order became final 60 days after it was Became Final received, which was on or about September 14, 2017 Nature and Extent of As a result of the industrial injury, Claimant sustained Condition and Disability bilateral shoulder injuries and has not worked since the date of injury. Claimant underwent various diagnostic studies,physical therapy, medication management, work conditioning, steroid injections, right shoulder arthroscopy, 1 decompression. rotator cuff repair and biceps tenodesis on 9/5/17. left shoulder arthroscopy, decompression, rotator cuff repair and biceps tenodesis on 5/1/18 and second surgery on left shoulder arthroscopy and repair of recurrent rotator cuff tear and lysis of adhesions and capsular release on 7/17/19. The claimant has reached maximum medical improvement with regard to the industrially related conditions. No further curative measures are indicated under the claim. The claimant has permanent restrictions of never climbing a ladder, never crawl, never work above shoulder level (bilaterally), no high impact vibratory tasks (bilaterally). seldom low impact vibratory tasks (bilaterally) and seldom lifting over 10 pounds with bilateral upper extremities. The claimant has permanent impairment of 14% of the right shoulder and 13% of the left shoulder, equal to Chris Guluarte Page 3 of 14