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(영문) 서울행정법원 2017.02.03 2016구단24116
요양급여부지급처분취소
Text

1. On February 25, 2016, the Defendant revoked the disposition of non-approval for medical care granted to the Plaintiff.

2. The costs of the lawsuit are assessed against the defendant.

Reasons

1. Details of the disposition;

가. 원고는 2015. 9. 18. 의왕시 소재 주식회사 이강종합건설의 B 공사현장(이하 ‘이 사건 공사현장’이라 한다)에서 함몰된 진입로에 시멘트를 투입하는 작업을 하다가 점심식사를 하기 위해 인근 짬뽕집으로 현장소장의 차를 타고 이동해 점심식사를 마친 후 현장으로 돌아오기 위해 차량 뒷좌석에 승차하던 중 차에 다 타기 전에 차가 출발하는 바람에 오른쪽 무릎이 안쪽으로 꺾이는 사고(이하 ‘이 사건 사고’라 한다)로 ‘우측 슬관절부 염좌, 우측 대퇴사두근 부분파열, 우측 슬관절부 내측 반월상연골판 파열’ 진단을 받고 피고에게 요양급여를 신청하였다.

B. On February 25, 2016, the Defendant rendered a disposition not to grant medical care (hereinafter “instant disposition”) against the Plaintiff on the ground that “A non-approval disposition for medical care (hereinafter “instant disposition”) was rendered against the Plaintiff on the ground that the Plaintiff’s “a non-approval of medical care is closely related to the business of providing labor, even if the non-fluorcian is closely related to the business of providing labor.”

[Ground of recognition] Facts without dispute, Gap evidence Nos. 1, 2, and 5, the purport of the whole pleadings

2. Whether the instant disposition is lawful

A. The plaintiff's alleged occupancy awarenessr is an act naturally incidental to the plaintiff's business with physical labor. In a situation where no restaurant is located within the construction site of this case at the time, he/she should provide meals from outside, he/she was allowed to board and provide meals according to the proposal of C, which is a site manager, and the accident of this case occurred due to C's negligence in the course of returning to the site after meals. The accident of this case constitutes occupational accidents that occur under the control and management of the business owner.

B. Since free action is allowed to workers during the time of determination, ordinary workers are under the control and management of the employer.

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