서울행정법원 | 2023-06-01 | 2021구합52181
법원 판례 기준으로 판결요지와 원문 출처를 내부에서 확인하세요.
원문이 아닌 정리본이며, 저장된 요약의 끝부분이 잘려 있을 수 있습니다.
업무상 과로 및 스트레스로 인한 급성심근경색 사망 사건에서 업무상 재해 불인정
결과 요약
망인의 급성심근경색으로 인한 사망이 업무상 재해에 해당하지 않는다고 판단하여 근로자의 유족급여 및 장의비 지급 청구를 기각함.
사실관계
망인은 2001. 5. 14. D 주식회사에 기술직으로 입사하여 근무함.
3. 18. 15:49경 회사에서 의식을 잃고 쓰러져 병원으로 후송 중 급성심근경색으로 사망함.
망인의 배우자인 근로자는 회사에게 유족급여 및 장의비 지급을 청구하였으나, 회사는 망인의 업무와 사망 사이에 상당인과관계가 없다는 이유로 부지급 결정을 함.
핵심 쟁점, 법리 및 법원의 판단
업무상 재해 인정 여부 (업무와 질병 간 상당인과관계)
법리: 산업재해보상보험법 제5조 제1호의 업무상 재해는 근로자가 업무수행 중 업무에 기인하여 발생한 재해를 의미하며, 업무와 재해 사이에 상당인과관계가 있어야 함. 인과관계는 반드시 의학적·자연과학적으로 명백히 증명되어야 하는 것은 아니나, 제반 사정을 고려하여 추단될 수 있어야 함. 다만, 사적인 생활 요인이 관여하여 업무에 내재하는 위험이 현실화된 것으로 볼 수 없는 경우, 막연히 과로나 스트레스가 질병 발생·악화의 원인이 될 수 있다고 하여 곧바로 상당인과관계가 있다고 추단하기는 어려움.
판단:
업무상 스트레스 및 과로:
해당 회사의 경영 악화로 인한 고용불안, 급여 및 복지 삭감 등으로 망인이 긴장과 스트레스 상태에서 근무했을 것으로 짐작되나, 회사가 정리해고 등을 계획하거나 시행한 사실이 없고, 망인이 겪은 스트레스가 동일 직종 근로자들이 통상 겪는 수준을 넘어섰다고 볼 만한 사정이 없음.
망인의 발병 전 24시간 이내에 돌발적이고 예측 곤란한 사건이나 급격한 업무환경 변화가 없었음.
발병 전 1주일 동안 총 업무시간은 42시간 46분, 발병 전 12주 동안 1주 평균 업무시간은 26시간 53분으로, 업무시간이 다소 증가했으나 동일 업무의 반복 특성상 스트레스가 크지 않았을 것으로 보임.
망인의 업무시간은 업무와 질병 관련성이 강하다고 평가되는 기준(발병 전 12주 동안 1주 평균 60시간 초과 또는 발병 전 4주 동안 1주 평균 64시간 초과)이나 관련성이 증가하는 기준(발병 전 12주 동안 1주 평균 52시간 초과)에 해당하지 않음.
만성적인 과중한 업무에 시달렸다고 볼 만한 사정을 찾기 어려움.
개인적인 위험인자:
망인은 원발성 고혈압, 당뇨병, 이상지질혈증, 과도한 음주 등 해당 상병을 유발할 수 있는 위험인자들을 보유하고 있었음.
확보한 수집 내용입니다. 전문 여부와 앞뒤 누락, 문단·표·공백의 원형 보존은 확인되지 않았습니다.
공식 원문 미확인
서울행정법원 제13부 판결
사건: 2021구합52181 유족급여및장의비부지급처분취소 원고: A 소송대리인 법무법인 명석 담당변호사 노용균 피고: 근로복지공단 변론종결: 2023. 3. 30. 판결선고: 2023. 6. 1.
1. 원고의 청구를 기각한다. 2. 소송비용은 원고가 부담한다.
1. 처분의 경위 가. 망 B(C생 남자, 이하 '망인'이라 한다)은 2001. 5. 14. D 주식회사(이하 '이 사건 회사'라 한다)에 기술직으로 입사하여 기사원, 기술주임, 기술선임 등으로 근무한 자이다. 나. 망인은 2020. 3. 18. 15:16경 이 사건 회사에 출근하여 릴리프 업무, 서무 업무 등을 수행하다가 15:49경 갑자기 의식을 잃고 쓰러져 병원으로 후송되던 중에 급성심 근경색(이하 '이 사건 상병'이라 한다)으로 사망하였다. 다. 망인의 배우자인 원고는 피고에게 유족급여 및 장의비 지급청구를 하였으나, 피고는 2020. 11. 20. 다음과 같은 업무상질병판정위원회 심의 결과 등을 토대로 망인의
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2013\ub144, 2019\ub144\uacbd \uc74c\uc8fc, \uacfc\uccb4\uc911\uc774 \uc8fc\uc694 \uc6d0\uc778\uc778 \uc9c0\ubc29\uac04 \uc99d\uc0c1\ub3c4 \ub098\ud0c0\ub0ac\uc74c.\n- \uac74\uac15\uad00\ub9ac\uc5d0 \uc18c\ud640\ud55c \ud0dc\ub3c4\ub97c \ubcf4\uc600\uc73c\uba70, \uac1c\uc778\uc801\uc778 \uc704\ud5d8\uc778\uc790\ub4e4\uc774 \ub204\uc801\ub418\uc5b4 \uad00\uc0c1\ub3d9\ub9e5\uc758 \uc8fd\uc0c1 \uacbd\ud654 \ud604\uc0c1\uc744 \uac70\uccd0 \uc0c1\ubcd1\uc5d0 \uc774\ub974\uac8c \ub418\uc5c8\uc744 \uac00\ub2a5\uc131\uc774 \ub192\uc74c.\n- \uc9c4\ub8cc\uae30\ub85d \uac10\uc815\uc758\ub294 \ud608\uc555\uc57d \ubcf5\uc6a9 \uc774\uc804\uae4c\uc9c0\uc758 \uace0\ud608\uc555\uc774 \uc911\ub4f1\ub3c4 \uc774\uc0c1\uc5d0 \ud574\ub2f9\ud558\uc5ec \uc2ec\uadfc\uacbd\uc0c9\uc758 \uae30\uc804\uc778 \uad00\uc0c1\ub3d9\ub9e5\uc758 \uc8fd\uc0c1\uacbd\ud654\uac00 \uc9c4\ud589\ud558\uace0 \uc788\uc5c8\uc744 \uac1c\uc5f0\uc131\uc774 \ub192\ub2e4\ub294 \uc18c\uacac\uc744 \uc81c\uc2dc\ud568.\n- \uae30\uc800\uc9c8\ud658(\uace0\ud608\uc555, \ub2f9\ub1e8, \uc774\uc0c1\uc9c0\uc9c8\ud608\uc99d \ub4f1)\uacfc \uc74c\uc8fc, \uacfc\uccb4\uc911 \ub4f1 \uc704\ud5d8\uc694\uc778\ub9cc\uc73c\ub85c\ub3c4 \uc774 \uc0ac\uac74 \uc0c1\ubcd1\uc774 \ubc1c\ubcd1\ud588\uc744 \uac00\ub2a5\uc131\uc774 \ucda9\ubd84\ud568.\n- **\uad50\ub300\uadfc\ubb34\uc758 \uc601\ud5a5**:\n- \uad50\ub300\uadfc\ubb34 \uc911 \uacfc\ub85c \ub610\ub294 \ubcc4\ub3c4\uc758 \uc5c5\ubb34\ubd80\ub2f4 \uac00\uc911\uc694\uc778\uc774 \ub3d9\ubc18\ub418\uc9c0 \uc54a\uc558\uc74c.\n- \uc57c\uac04\uadfc\ubb34 \ud6c4 \uc8fc\uac04\uadfc\ubb34 \uc0ac\uc774\uc5d0 \ucd5c\uc18c 2\uc77c\uc758 \ud734\uc77c\uc774 \ubcf4\uc7a5\ub418\uc5c8\uc74c.\n- \ub9dd\uc778\uc758 \uc804\ubc18\uc801\uc778 \uadfc\ubb34\ud658\uacbd\uacfc \uc2e0\uccb4\uc870\uac74\uc5d0 \ube44\ucd94\uc5b4 \ubcfc \ub54c, \uad50\ub300\uadfc\ubb34\ub85c \uc778\ud574 \uc0c1\ubcd1\uc774 \ubc1c\ubcd1\ud588\uac70\ub098 \uc790\uc5f0\uc801\uc778 \uacbd\uacfc\ub97c \ubc97\uc5b4\ub098 \ube60\ub974\uac8c \ubc1c\ubcd1\ud588\ub2e4\uace0 \ucd94\ub2e8\ud560 \uadfc\uac70\uac00 \ubd80\uc871\ud568.\n- **\uc758\ud559\uc801 \uc18c\uacac**:\n- \ud53c\uace0 \uacf5\ub2e8 \uc790\ubb38\uc758\uc640 \uc9c4\ub8cc\uae30\ub85d \uac10\uc815\uc758 \ubaa8\ub450 \uc5c5\ubb34\uc0c1 \uacfc\ub85c \ubc0f \uc2a4\ud2b8\ub808\uc2a4\uac00 \uc774 \uc0ac\uac74 \uc0c1\ubcd1\uc758 \uc8fc\ub41c \uc6d0\uc778\uc774\ub77c\uace0 \ubcf4\uae30 \uc5b4\ub835\uace0, \uc6d0\ubc1c\uc131 \uace0\ud608\uc555 \ub4f1 \uae30\uc874 \uc9c8\ubcd1\uc774 \ubc1c\ubcd1\uc5d0 \uc601\ud5a5\uc744 \uc904 \uc218 \uc788\uc73c\uba70, \uc5c5\ubb34\uc640\uc758 \uad00\ub828\uc131\uc774 \ub192\uc9c0 \uc54a\ub2e4\ub294 \uc18c\uacac\uc744 \uc81c\uc2dc\ud568.\n- \uc774\ub7ec\ud55c \uc758\ud559\uc801 \uc18c\uacac\uc744 \ubc30\ucc99\ud560 \ub9cc\ud55c \uc0ac\uc815\uc774 \uc5c6\uc74c.\n- **\uacb0\ub860**: \ub9dd\uc778\uc758 \uc5c5\ubb34\uc640 \uc774 \uc0ac\uac74 \uc0c1\ubcd1\uc758 \ubc1c\ubcd1 \ub0b4\uc9c0 \uc545\ud654 \uc0ac\uc774\uc758 \uc0c1\ub2f9\uc778\uacfc\uad00\uacc4\uac00 \ucda9\ubd84\ud788 \uc99d\uba85\ub418\uc5c8\ub2e4\uace0 \ubcfc \uc218 \uc5c6\uc74c.\n#### \uad00\ub828 \ud310\ub840 \ubc0f \ubc95\ub839\n- \ub300\ubc95\uc6d0 2002. 2. 5. \uc120\uace0 2001\ub4507725 \ud310\uacb0\n- \uc0b0\uc5c5\uc7ac\ud574\ubcf4\uc0c1\ubcf4\ud5d8\ubc95 \uc81c5\uc870 \uc81c1\ud638\n## \ucc38\uace0\uc0ac\uc2e4\n- \ub9dd\uc778\uc740 E\ud300 \ud654\uc774\ub110\uacfc \uae30\uc220\uc120\uc784\uc73c\ub85c, \uc120\uacf5\uc815\uc758 \ud488\uc9c8\ubb38\uc81c \ubc0f \ubd88\ub7c9 \uc218\uc815 \uc791\uc5c5(75%)\uacfc \uc11c\ubb34 \uc5c5\ubb34(25%)\ub97c \uc218\ud589\ud568.\n- \uc8fc\u00b7\uc57c 2\uad50\ub300, \uc8fc 5\uc77c \uadfc\ubb34 \ud615\ud0dc\uc600\uc73c\uba70, \uc8fc\uac04 07:00~15:40, \uc57c\uac04 15:40~00:20 \uadfc\ubb34\ud568.\n- \uc774 \uc0ac\uac74 \ud68c\uc0ac\ub294 \uacbd\uc601 \uc545\ud654\ub85c 2019\ub144 \ub178\uc0ac\ud569\uc758\uc11c \ubc0f '\uacbd\uc601 \uc815\uc0c1\ud654\ub97c \uc704\ud55c \ub3d9\uc758\uc11c'\ub97c \uc791\uc131\ud558\uc5ec \uc0c1\uc5ec\uae08 \uc0ad\uac10, \uc784\uae08 \ub3d9\uacb0 \ub4f1\uc744 \uc2dc\ud589\ud568.\n- 2020\ub144 \ucf54\ub85c\ub09819 \uc0ac\ud0dc\ub85c \ud734\uc5c5\uacfc \ub2e8\ucd95 \uadfc\ubb34\ub97c \uc2dc\ud589\ud558\uc600\uace0, \uc774\ud6c4 \ucd5c\ub300\uc8fc\uc8fc\uac00 \ud22c\uc790 \ud3ec\uae30\ub97c \ubc1c\ud45c\ud568.\n- \ub2f9\uc2dc \uace0\uc6a9\ubd88\uc548\uc740 \uc788\uc5c8\uc73c\ub098, \uc815\ub9ac\ud574\uace0, \ud1f4\uc0ac \ub4f1\uc744 \uacc4\ud68d\ud558\uac70\ub098 \uc2dc\ud589\u00b7\ud1b5\ubcf4\ud55c \uc0ac\uc2e4\uc740 \uc5c6\uc74c.\n- 2009\ub144\ubd80\ud130 2020\ub144\uae4c\uc9c0 \uc774 \uc0ac\uac74 \ud68c\uc0ac\uc5d0\uc11c \ub1cc\ud608\uad00 \uc9c8\ubcd1 \ub610\ub294 \uc2ec\uc7a5 \uc9c8\ubcd1\uc73c\ub85c \uc694\uc591\uc2b9\uc778\uc744 \ubc1b\uc740 \uc0ac\ub840\ub294 \uc5c6\uc74c.\n- \ub9dd\uc778\uc740 2018\ub144 \uac74\uac15\uac80\uc9c4\uc5d0\uc11c \uace0\ud608\uc555\u00b7\ub2f9\ub1e8\ubcd1 \uc9c8\ud658 \uc758\uc2ec \uc18c\uacac\uc744 \ubc1b\uc558\uace0, 2019\ub144 4\uc6d4\ubd80\ud130 12\uc6d4\uae4c\uc9c0 \uc6d0\ubc1c\uc131 \uace0\ud608\uc555\uc73c\ub85c 7\ud68c \uce58\ub8cc\ubc1b\uc74c.\n- \uc74c\uc8fc\ub294 1\uc8fc\uc77c\uc5d0 1~2\ud68c \uc815\ub3c4\uc600\uc74c.\n## \uac80\ud1a0\n- \ubcf8 \ud310\uacb0\uc740 \uc5c5\ubb34\uc0c1 \uc7ac\ud574 \uc778\uc815\uc5d0 \uc788\uc5b4 \uc5c5\ubb34\uc640 \uc9c8\ubcd1 \uac04\uc758 \uc0c1\ub2f9\uc778\uacfc\uad00\uacc4\ub97c \uc5c4\uaca9\ud558\uac8c \ud310\ub2e8\ud558\uace0 \uc788\uc74c\uc744 \ubcf4\uc5ec\uc90c. \ud2b9\ud788, \uadfc\ub85c\uc790\uc758 \uac1c\uc778\uc801\uc778 \uac74\uac15 \uc0c1\ud0dc \ubc0f \uc0dd\ud65c \uc2b5\uad00\uc774 \uc9c8\ubcd1 \ubc1c\uc0dd\uc5d0 \ubbf8\uce5c \uc601\ud5a5\uc744 \uc911\uc694\ud558\uac8c \uace0\ub824\ud568.\n- \uacbd\uc601 \uc545\ud654\ub85c \uc778\ud55c \uc2a4\ud2b8\ub808\uc2a4\ub098 \uad50\ub300\uadfc\ubb34\uc640 \uac19\uc740 \uc5c5\ubb34\uc0c1 \uc694\uc778\uc774 \uc874\uc7ac\ud558\ub354\ub77c\ub3c4, \uadf8\uac83\uc774 \ud1b5\uc0c1\uc801\uc778 \uc218\uc900\uc744 \ub118\uc5b4\uc11c\ub294 \uacfc\uc911\ud55c \uc5c5\ubb34\ub77c\uace0 \ubcf4\uae30 \uc5b4\ub835\uac70\ub098, \uadfc\ub85c\uc790\uc758 \uae30\uc800\uc9c8\ud658 \ub4f1 \uac1c\uc778\uc801\uc778 \uc704\ud5d8\uc778\uc790\uc5d0 \uc758\ud55c \ubc1c\ubcd1 \uac00\ub2a5\uc131\uc774 \ucda9\ubd84\ud55c \uacbd\uc6b0 \uc5c5\ubb34\uc0c1 \uc7ac\ud574\ub85c \uc778\uc815\ub418\uae30 \uc5b4\ub824\uc6c0\uc744 \uc2dc\uc0ac\ud568.\n- \uc5c5\ubb34\uc0c1 \uc7ac\ud574\ub97c \uc8fc\uc7a5\ud558\ub294 \uce21\uc740 \uc5c5\ubb34\uc0c1 \uc694\uc778\uc774 \uc9c8\ubcd1 \ubc1c\uc0dd\uc5d0 \uacb0\uc815\uc801\uc778 \uc601\ud5a5\uc744 \ubbf8\ucce4\uc74c\uc744 \uad6c\uccb4\uc801\uc774\uace0 \uac1d\uad00\uc801\uc778 \uc790\ub8cc\ub85c \uc785\uc99d\ud574\uc57c \ud560 \ud544\uc694\uac00 \uc788\uc74c."}
2013년, 2019년경 음주, 과체중이 주요 원인인 지방간 증상도 나타났음.
건강관리에 소홀한 태도를 보였으며, 개인적인 위험인자들이 누적되어 관상동맥의 죽상 경화 현상을 거쳐 상병에 이르게 되었을 가능성이 높음.
진료기록 감정의는 혈압약 복용 이전까지의 고혈압이 중등도 이상에 해당하여 심근경색의 기전인 관상동맥의 죽상경화가 진행하고 있었을 개연성이 높다는 소견을 제시함.
기저질환(고혈압, 당뇨, 이상지질혈증 등)과 음주, 과체중 등 위험요인만으로도 해당 상병이 발병했을 가능성이 충분함.
교대근무의 영향:
교대근무 중 과로 또는 별도의 업무부담 가중요인이 동반되지 않았음.
야간근무 후 주간근무 사이에 최소 2일의 휴일이 보장되었음.
망인의 전반적인 근무환경과 신체조건에 비추어 볼 때, 교대근무로 인해 상병이 발병했거나 자연적인 경과를 벗어나 빠르게 발병했다고 추단할 근거가 부족함.
의학적 소견:
피고 공단 자문의와 진료기록 감정의 모두 업무상 과로 및 스트레스가 해당 상병의 주된 원인이라고 보기 어렵고, 원발성 고혈압 등 기존 질병이 발병에