Broken tooth while eating mussels is not an accident

ATA/134/1997Corte di giustizia / Camera amministrativa19 feb 1997Dismissed

Estratto da Omnilex

Sintesi Omnilex

The insured sought accident insurance coverage after breaking a tooth while eating mussels that had already been removed from their shells. The court held that this did not constitute an accident within the meaning of Art. 9(1) OLAA, because the possibility of a shell fragment or concretion being ingested with the food remains an ordinary risk. The claim was therefore dismissed.

Massima Omnilex

Art. 9 al. 1 OLAA; accident concept and extraordinary external cause; a dental injury sustained while eating shell-free mussels is not an accident where the injury may equally result from the ordinary risk of ingesting a shell fragment or detached concretion with the food or cooking liquid. The event lacks the extraordinary character required by the ordinance, even if the shell had been removed beforehand.

Testo completo

Descripteurs

ASSURANCE SOCIALE; ACCIDENT; AA; AFFECTION DENTAIRE; ASSU

Normes

OLAA.9 al.1

Résumé

Se casser une dent en mangeant des moules (préalablement débarassée de leur coquille), ne présente pas un caractère extraordinaire. Il subsiste toujours le risque qu'un écalt de coquille ou uen concrétion détachée d'une coquille soit absorbé en même temps que le jus dans lequel on fait cuire les mollusques.

Parole chiave

social insuranceaccidentdental injuryextraordinary causefood consumption

Estratto da Omnilex

Questione giuridica chiave

Whether the dental injury sustained while eating shell-free mussels qualifies as an accident under Art. 9(1) OLAA.

Decisione estratta

No extraordinary external cause was shown; the risk of swallowing a shell fragment or concretion while consuming mussels remains ordinary, so the event is not an accident.

Motivazione estratta

Eating mussels without shells does not eliminate the ordinary possibility that a shell fragment or detached concretion is present in the food or cooking juice. The injury therefore lacks the extraordinary character required by Art. 9(1) OLAA.

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