Broken tooth while eating mussels is not an accident

ATA/134/1997Tribunal de Justiça / Câmara Administrativa19 de fev. de 1997Dismissed

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Extraído pela Omnilex

Resumo 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.

Sumário 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.

Texto 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.

Palavras-chave

social insuranceaccidentdental injuryextraordinary causefood consumption

Extraído pela Omnilex

Questão jurídica principal

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

Decisão extraída

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.

Fundamentação extraída

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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