Printing - FECA-PT2 - National Association of Letter Carriers

Jane Doe, date of birth 04/06/1965, is employed by the US Department of the Treasury, Internal Revenue
Service, as a Data Transcriber.
A Data Transcriber performs repetitive keyboard related tasks with an average keystroke of 7,500 to
8,500 per hour. In early May of 2008, Ms. Doe increased her keystrokes to 10,150 per hour and in so
doing developed cramping in both hands and wrists. She subsequently developed numbness involving the
4 th and 5 th fingers of the right hand.
Ms. Doe stopped work on 05/18/08 and received initial medical attention on this dateat theMemorial
Hospital emergency room. She returned to modified work on 05/19/08 performing keyboarding on a
reduced 4 hour per day schedule. Effective 05/25/08, Ms. Doe came under the care of her family
practitioner. She stopped work completely on 06/10/08.
The claim has been accepted for right ulnar nerve entrapment and left lateral epicondylitis as
work-related.
On 06/27/2008, Ms. Doe underwent a right elbow ulnar nerve decompression and right elbow medial
epicondylectomy, which were both accepted as work-related. She remains out of work following her
surgery.
CE Name
Title
Date
Exhibits 3- Sample HL
STATEMENT OF ACCEPTED FACTS
IN THE CASE OF JOHN JAMES
FILE NUMBER: xxxxxxxxx
Mr. James, date of birth 11/22/1954, was employed by the Department of the Army from July of 1985
until his retirement on June 1, 2009. His pre-employment physical on August 1, 1985 reported that he
had normal hearing. During this timeframe, Mr. James held the following jobs; his occupational noise
exposure for each position is summarized below:
September 7, 2003 to June 1, 2009 Mobile Equipment Repairer/Inspector
As a Mobile Equipment Repairer/Inspector, Mr. James was exposed to noise emanating from air tools,
trucks and combat vehicles for approximately 2 hours per day. The dBA levels in the auto maintenance
shop where he worked ranged from 84-104 dBA, with an average reading of 88 dBA. Mr. James wore ear
muffs while working in the shop.
June 9, 1986 to September 6, 2003 Heavy Mobile Equipment Mechanic
FECA-PT2 Printed: 06/08/2010 317