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(영문) 부산지방법원 2018.04.25 2017구단20464
요양불승인처분취소
Text

1. The plaintiff's claim is dismissed.

2. The costs of lawsuit shall be borne by the Plaintiff.

Reasons

1. Details of the disposition;

가. 원고는 2015. 7. 1.부터 지산특수토건 주식회사(이하 ‘소외 회사’라 한다)에서 천공기 기사로 근무하였는데, “2016. 5. 28. 22:00경 부전-마산간 터널공사 현장에서 천공기 부품인 롯드를 교체하기 위해 롯드를 들던 중 허리를 삐끗하였고, 통증 때문에 천공기 가이드 붐을 타고 내려오다 미끄러져 바닥으로 떨어지는 사고(이하 ‘이 사건 사고’라 한다)로 ‘요추 제3-4번간 추간판탈출증’(이하 ‘이 사건 상병’이라 한다)이 발병하였다”는 취지로 주장하며 피고에게 요양급여신청을 하였다.

B. Accordingly, on March 3, 2017, the Defendant rendered a disposition of non-approval of medical care (hereinafter “instant disposition”) on the ground that it is difficult to recognize the causal relationship between the business branch of the instant case.

[Reasons for Recognition] Uncontentious Facts, Gap evidence 1, 2, Eul evidence 6, the purport of the whole pleadings

2. Whether the instant disposition is lawful

A. The plaintiff asserted that the accident of this case was caused by the accident of this case, while the plaintiff was suffering from severe pain and was receiving medical treatment at the emergency room of the Incheon National University Busan National University, Busan National University Hospital. The plaintiff worked on May 29, 2016 upon the request of the sub-committee, but was hospitalized again by the certificate of Huuri. The disease of this case was exposed to strong vibration occurring in the astronomical air, and the plaintiff was rapidly proceeding with Huuri-ri when changing a lusing machine to the lusical air, while performing the duty that imposes a burden on Huuri-ri when changing a lusing machine to the lusical air, there is a proximate causal relation between the work of this case and the injury and disease of this case.

Nevertheless, the instant disposition based on a different premise is unlawful.

B. The term "occupational accidents" under the Industrial Accident Compensation Insurance Act refers to occupational accidents caused by a worker's performance of his/her duties, and thus there should be causation between occupational and disaster, and with regard to such causation.

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