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(영문) 서울행정법원 2018.10.19 2017구단53487
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. 주식회사 B 소속 일용직 근로자이던 원고는 2016. 4. 11. C발전소 9, 10호기 공사현장 터빈동 옥상에서 창틀 주변 미장 마감 작업을 하던 중 회반죽이 담긴 통을 들어 올리다가 허리를 삐끗하는 사고(이하 ‘이 사건 사고’라 한다)를 당하였고, 2016. 6. 22. D병원에 입원하여 ‘요추 제5번-천추 제1번간 외상성 추간판파열, 요추부 염좌’라는 진단 하에 디스크 절제술 등의 치료를 받았다.

B. The Plaintiff filed an application for medical care benefits with the Defendant, on November 18, 2016, for medical care for the instant accident, even if there was an external stressed signboard fever No. 5-Tin No. 1 in the 1 in the 2016.

(No. 5-T. 1 of the T.T. 5-T. 1 of the T.T. 1, and the medical care non-approval disposition for the instant injury and disease (hereinafter “instant disposition”). 【Ground for recognition” did not dispute, entry in the evidence No. 10-T. 1, No. 4, No. 11-T. 1, No. 11-T. 1, No. 2, No. 1, 9, and 10, and the purport of the entire pleadings

2. Whether the instant disposition is lawful

A. The plaintiff's assertion that the injury or disease of this case first occurred due to the accident of this case, or the plaintiff's existing disease of this case aggravated or its symptoms revealed, so there is a proximate causal relation between the occurrence of the injury or disease of this case and the accident of this case.

Therefore, the instant disposition issued on a different premise should be revoked as it is unlawful.

B. In order to constitute “occupational accident” subject to the Industrial Accident Compensation Insurance Act, a causal relationship between the business and the disaster is recognized. However, even if the accident is an existing disease that is not directly related to the business, if it becomes worse due to an accident, etc. that occurred in connection with the business or the symptoms thereof are revealed, a causal relationship between the business and the business

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