BVA9503885 DOCKET NO. 93-09 269 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in Albuquerque, New Mexico THE ISSUE Entitlement to service connection for an amputation of the left leg, residuals of a right ankle sprain, a psychiatric disability and hearing loss of the left ear. REPRESENTATION Appellant represented by: The American Legion ATTORNEY FOR THE BOARD R. A. Caffery, Counsel INTRODUCTION The veteran served on active duty from August 1985 to April 1990. This is an appeal from 1990 and 1992 actions by the Department of Veterans Affairs (VA) Regional Office, Albuquerque, New Mexico, denying entitlement to service connection for an amputation of the veteran's left leg, residuals of a right ankle sprain, a psychiatric disability and hearing loss of the left ear. It was determined that the amputation of the left leg resulting from an April 1989 accident had not been incurred in line of duty, but was a result of the veteran's own willful misconduct. REMAND The record reflects that, in August 1989, while still in an active duty status, the veteran sustained an amputation of the left leg. He had been skateboarding down a hill approaching a train track and was unable to stop and slid under a moving train. A report by the University of New Mexico Hospital, where the veteran was taken following the accident, reflects that, according to the veteran, he had drunk about 10 beers prior to the accident. His blood alcohol level at the hospital was .246 percent. In a statement of medical examination and duty status (DA Form 2173) dated in October 1989, it was indicated that the veteran's injury was incurred in the line of duty. That determination was subsequently confirmed by a reviewing authority in February 1990. The Board notes that, under 38 C.F.R. § 3.1(m), a service department finding that an injury, disease or death occurred in the line of duty is binding on the VA unless it is patently inconsistent with the requirement of laws administered by the VA. In a December 1992 administrative determination, the regional office held that the veteran's amputation had been a result of his own willful misconduct. However, there was no reference to the foregoing regulation in either the administrative decision or the subsequent supplemental statement of the case sent to the veteran. The veteran's service medical records reflect that he sustained a sprain of his right ankle in March 1989 while skateboarding and was thereafter treated on several occasions for the sprain. His service medical records also reflect that he was seen in 1989 and 1990 for psychiatric problems which were diagnosed as an adjustment disorder resulting from a partial left leg amputation. The veteran's service medical records also reflect that, when he was examined for entry into service in March 1985, an audiological examination showed decibel thresholds of 20, 55 and 35 at 3,000, 4,000 and 6,000 hertz, respectively, in the left ear. His hearing in the right ear was normal. Audiological examinations in January 1986 and March 1988 showed the hearing in both ears to be normal. An audiological examination in February 1990 showed decibel thresholds of 45, 65 and 45 at 3,000, 4,000 and 6,000 hertz, respectively, for the left ear. His hearing in the right ear was normal. The Board notes that the veteran has not been afforded a VA examination in connection with his claim. In view of the aforementioned matters and in order to afford the veteran every consideration, findings of fact and conclusions of law are being deferred pending a REMAND for the following action: 1. The appropriate state, county or city police department should be contacted and asked to provide a copy of any accident report completed in connection with the August 1989 train accident which reportedly occurred some 60 miles from Albuquerque. Any such report should be associated with the claims file. 2. The veteran should then be afforded special orthopedic, psychiatric and audiological examinations in order to determine the current nature and severity of any right ankle sprain residuals, psychiatric disorder and hearing loss of the left ear. All indicated special studies should be conducted. The psychiatric examiner should express an opinion, to the extent possible, as to whether any psychiatric condition found resulted from the August 1989 train accident. The claims file should be made available to the examiners for review. 3. The veteran's case should then be reviewed by the regional office. In particular, consideration should be afforded the provisions of 38 C.F.R. § 3.1(m) regarding the line-of-duty/misconduct question as to the left leg amputation. If the denial is continued, the veteran and his representative should be sent a supplemental statement of the case and be afforded the appropriate time in which to respond. When the above action has been completed, the case should be returned to the Board for further appellate consideration, if otherwise in order. No action is required of the veteran until he receives further notice. The purpose of this REMAND is to obtain clarifying information and also to ensure that the requirements of due process of law are satisfied. The Board intimates no opinion as to the disposition warranted in this case pending completion of the requested action. JAMES R. ANTHONY Member, Board of Veterans' Appeals The Board of Veterans' Appeals Administrative Procedures Improvement Act, Pub. L. No. 103-271, § 6, 108 Stat. 740, ___ (1994), permits a proceeding instituted before the Board to be assigned to an individual member of the Board for a determination. This proceeding has been assigned to an individual member of the Board. Under 38 U.S.C.A. § 7252 (West 1991), only a decision of the Board of Veterans' Appeals is appealable to the United States Court of Veterans Appeals. This remand is in the nature of a preliminary order and does not constitute a decision of the Board on the merits of your appeal. 38 C.F.R. § 20.1100(b) (1993).