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(영문) 서울행정법원 2016.04.14 2013구단16510
최초요양급여불승인처분취소
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 2006. 2. 13. 기승공업 주식회사(아래에서는 소외 회사라 쓴다)에 입사하여 스폿 용접업무에 종사하던 자인바, 2012. 10. 17. 회사에 출근하여 17:00까지 용접작업을 하다가 저녁식사를 하기 위해 구내식당으로 가던 중 머리 뒤쪽이 땡기는 두통이 발생하여 휴게실에서 휴식을 취하던 중 곧바로 의식을 잃고 경북대학교 병원에 이송되어 CT촬영을 한 결과 ‘동맥류 파열로 인한 뇌지주막하 출혈’(아래에서는 이 사건 상병이라 쓴다)로 진단받고 혈관 조영술을 받았다.

B. On November 12, 2012, the Plaintiff filed an application for medical care benefits with the Defendant on the ground that he/she applied for the brain dystrophism (the instant injury and disease in the following). However, on December 28, 2012, the Defendant performed excessive duties compared to the daily work before the occurrence of the injury and disease.

In the absence of or unpredictable cases, the Court made a non-approval disposition (the disposition in this case is conducted below) on the ground that the prop-free blood from the Macro was deemed to be the plaintiff's existing disease.

[Ground of recognition] Facts without dispute, Gap evidence Nos. 1 through 4, Eul evidence Nos. 1 and 2, the purport of the whole pleadings

2. Determination on the legitimacy of the disposition

A. The Plaintiff asserted that the Plaintiff entered the company as working hours from 08:0 to 17:00, but in fact, the average working hours per day were over 11 hours to 15 hours, etc., and that the Plaintiff did not break down on holidays, and that the Plaintiff was a majority of the members of the wall due to remaining work due to the above long-time work, which led to stress arising from accumulated illness, noise exposure, poor working environment, image, etc., and the production volume per hour, which led to the injury of the instant injury and disease. However, even though the injury and disease of this case was caused by stress arising from psychological burden that should take up the production volume per hour, it was excessive on the basis of only the work experience for the three-month period prior to the occurrence of the injury and disease of this case.

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