Icici Lombard General Insurance Co. Ltd. v. Ajay Kumar Mohanty & Anr.
DR. D. Y. CHANDRACHUD, J. 1. In a claim for compensation
under Section 166 of the Motor Vehicles Act, arising out of a disability
sustained by the claimant as a result of a motor accident, the Tribunal
awarded an amount of Rs. 22,85,322/-. The High Court in an appeal
filed by the insurer reduced the compensation to Rs. 12,00,000/-Interest
was reduced from 7.5 per cent per annum to 7.0 per cent. The onl y
reasoning contained in support of the order of the High Court reads as
follows:
“Considering the grounds taken in appeal and the submissions
made by the learned counsel for the parties and keeping in view
the findings of the learned Tribunal given in the impugned award
with regard to the quantum of compensation amount awarded
and the basis on which the same has been arrived at, I feel , the
interest of justice would be best served, if the aw arded
compensation amount of Rs. 22,85,322/- is modified and reduced
to Rs. 12,00,000/-. The award of interst @ 7.5% per annum is
also modified and reduced to 7% only. Accordingly, the claimant
is entitled to the modified compensation amount of Rs. 12,00,000/
- along with interest @ 7% per annum from the date of filing of
the Claim application. The impugned award is modified to the
said extent.”
2. Ex-facie, there has been no application of mind by the High
Court to the evidence on the record and to the relevan t facts and
circumstances. The above extract cannot be regarded as the expression
of a reasoned view. Ordinarily, we would have remitted the case back to
the High Court for a fresh determination. However, we are inclined not
to do so in order to prevent a miscarriage of justice which delay in itself
is likely to occasion. The accident took place on 25 April 2009 when the
appellant was 32 years of age. The judgment of the Tribunal was rendered
on 26 February 2014. The High Court delivered its judgment on 15 April
2015. Leave was granted by this Court on 25 February 2016. Hence,
we have heard the learned counsel appearing on behalf of the contesting
parties on merits and proceed to resolve the dispute so as to render
finality to the case.
3. The accident in question took place on 25 April 2009 when the
claimant was proceeding from Keonjhar to Badbil. The vehicle fell over
ICICI LOMBARD GENERAL INSURANCE CO. LTD. v. AJAY
KUMAR MOHANTY & ANR.
a bridge of NH 215. The claimant was rescued by the villagers and was
shifted to hospital for treatment. He suffered from a fracture to the left
elbow and femur. The Tribunal entered a finding of fact that the evidence
of the claimant remained unshaken and that the accident was caused by
the rash and negligent act of the driver of the vehicle. The vehicle was
insured with ICICI Lombard General Insurance Company Lt d. (the
insurer).
4. While assessing the claim for compensation, the Tribunal noted
the evidence of PW2, the Doctor who had issued a disability certificate
to the claimant. The Doctor opined that the disability was temporary and
not permanent. It appears that an admission was elicited during the course
of the cross-examination to the effect that he had made certain
interpolations in the disability certificate without the consent or knowledge
of the CDMO. The Tribunal held that whether the dis ability was
permanent or temporary, it was duty bound to make an assessme nt.
From the income tax returns of the claimant for 2007, 2008 and 2009,
the Tribunal observed that his annual income would work out to Rs .
1,45,231/-. The Tribunal thereafter observed that the annual income was
Rs. 2,62,372/-. The Tribunal however accepted the evidence of the
claimant which placed his income at a lower amount of Rs. 2,22,000/-
annually on the basis of the evidence of the claimant that as a B-Class
contractor, he was earning Rs. 18,500/- per month. The Tribunal applied
a multiplier of 17 per cent. Treating the disability to be 55 per cent, on
the basis of the certificate of the District Medical Board, B hadrak, the
Tribunal computed the compensation at Rs. 20,75,700/-. In addition, an
amount of Rs. 2,09,622/- was awarded on account of medical expenses.
A total quantum of Rs. 22,85,322/- was awarded.
5. Learned counsel appearing on behalf of the insurer submits
that the order of the Tribunal is contradictory and contrary to the weight
of the evidence. The error has been compounded by the failure of the
High Court to attribute reasons. Counsel submits that the Tribunal
proceeded on the manifestly erroneous basis that the claimant suffered
a permanent disability. It was urged that the evidence of PW 2, the
doctor, indicates that the disability certificate w as unauthorizedly
interpolated by him. The admissions of the doctor in the cours e of his
evidence that the injury was of a temporary nature and was li kely to
improve have been ignored. Moreover, it has been submitted that the
judgment of the Tribunal, especially paragraph 10, would indicate that
47
the Tribunal has committed serious and apparent errors of computation
and there is an internal inconsistency in its reasoning.
6. On the other hand, learned counsel appearing on behalf of the
claimant submits that while PW 2 admits having interpolated the disability
certificate, this should in fact weigh in favour of the cla imant as the
nature of the interpolation would indicate. Like the insurer, the claimant
also has a grievance in regard to the fact that the order of the High
Court is not reasoned. However, what the claimant submits is that there
was no justification for the High Court to reduce th e quantum of
compensation awarded by the Tribunal.
7. On perusing the order of the Tribunal, we find merit in t he
contention of the insurer that while calculating the income in paragraph
10 of its order, the Tribunal has committed an error of computation. The
Tribunal has on the basis of the income tax returns for 2007, 2008 and
2009 arrived at an average income of Rs. 1,45,231/-. However, the
Tribunal has thereafter noted that the average income comes to Rs.
2,62,372/-. Ultimately, the Tribunal proceeds on the annual income of
Rs. 2,22,000/- on the basis of the testimony of the claimant that he was
earning Rs. 18,500/- per month. This is contradictory. In our view, on the
basis of the finding of the Tribunal that the average income of the claimant
for the previous three years was Rs. 1,45,231/-, it would be necessary to
take into account the evidence of PW2 that the disability is to the extent
of 55 per cent. In other words, the loss of earning as a result of the
aforesaid disability would work out to Rs. 79,877/- per year.
8. In arriving at the quantification of compensation, we must be
guided by the well-settled principle that compensation can be gr anted
both on account of permanent disability as well as loss of future earnings,
because one headrelates to the impairment of the person’s capacity and
the other to the sphere of pain and suffering on account o f loss of
enjoyment of life by the person himself.
9. In SriLaxman @ Laxman Mourya v Divisional Manager,
Oriental Insurance Co. Ltd 1, this Court held thus:
“The ratio of the above noted judgments is that if the victim of an
accident suffers permanent or temporary disability, then ef forts
should always be made to award adequate compensation not only
for the physical injury and treatment, but also for the pain, suffering
12011 (12) SCALE 658
ICICI LOMBARD GENERAL INSURANCE CO. LTD. v. AJAY
KUMAR MOHANTY & ANR. [DR. D.Y. CHANDRACHUD, J.]
and trauma caused due to accident, loss of earnings and victim’s
inability to lead a normal life and enjoy amenities, which he would
have enjoyed but for the disability caused due to the accident.”
In Govind Yadav v New India Insurance Company
Limited 2,this Court after referring to the pronouncements in R.D.
Hattangadi v Pest Control (India) (P) Ltd. 3 , Nizam’s Institute of
Medical Sciences v Prasanth S. Dhananka 4, Reshma Kumari v
Madam Mohan 5, Arvind Kumar Mishra v New India Assurance
Co. Ltd. 6, Raj Kumar v Ajay Kumar 7 held thus:
“18. In our view, the principles laid down in Arvind Kumar Mishra
v. New India Assurance Co. Ltd. and Raj Kumar v. Ajay Kumar
must be followed by all the Tribunals and the High Courts i n
determining the quantum of compensation payable to the victims
of accident, who are disabled either permanently or temporarily.
If the victim of the accident suffers permanent disability , then
efforts should always be made to award adequate compensation
not only for the physical injury and treatment, but also for the loss
of earning and his inability to lead a normal life and enjoy amenities,
which he would have enjoyed but for the disability caused due to
the accident.” (Id at page 693)
These principles were reiterated in a judgment delivered by one
of us (Justice Dipak Misra, as the learned Chief Justic e then was) in
Subulaxmi v MD Tamil Nadu State Transport Corporation 8.
10. In the present case, the evidence of PW2 Dr Umakanta Jena
indicates that he had initially, before issuing the disabili ty certificate,
examined the shoulder joint, elbow joint and left femur as per the discharge
certificate. The discharge certificate indicated that the injuries sustained
were grievous in nature. The Doctor initially placed a tick mark over the
word ‘permanent’. However, subsequently he made an interpolation by
cutting the word ‘permanent’ and “not likely to improve”. The evidence
of the Doctor is reproduced below, insofar as it is material:
2(2011) 10 SCC 683
3(1951) 1 SCC 551
4(2009) 6 SCC 1
5(2009) 13 SCC 422
6(2010) 10 SCC 254
7(2011) 1 SCC 343
8(2012) 10 SCC 177
49
“4) The disability is temporary but not permanent. The disability is
likely to improve. The disability certificate is the original one. By
mistake, I gave a tick mark on the word “permanent”. Per d ay
about one hundred disability certificates are issued. So, I committed
this wrong. I have not mentioned which documents I verified prior
to issuance of this disability certificate. There is n othing in the
certificate to show that there was nailing. Particularly in this case,
the disability may improve. Any fracture of extremity will cause
disability. I cannot give any authority to the opinion of my above
sentence.
5) It is not a fact that the percentage of disability has been made
by me being gained over by the injured and that there was no
disability. It is not a fact that being gained over by the in jured I
gave this disability certificate.
TO COURT:-
Q. No. 1:- Whether the certificate issued by you
is creating confusion?
Ans; Yes.
Q. No. 2: Whether you will be paid T.A. and
D.A. from State Exchequer for your
mistake?
Ans:, No, I should be paid.
Q. No. 3:- Whether my attendance in the court
is a govt. duty or C.L.?
Ans: For my mistake I should take C.L.
Q. No. 4:- Can you explain why you interpolated
the certificate which was signed
by 4 doctors including CDMO,
Bhadrak?
Ans: I cannot explain.
Q. No. 5:- Was not it desirable to obtain the
consent of other three doctors
before cutting and putting tick mark
and making interpolation on an
already prepared public document?
ICICI LOMBARD GENERAL INSURANCE CO. LTD. v. AJAY
KUMAR MOHANTY & ANR. [DR. D.Y. CHANDRACHUD, J.]
Ans: I should have obtained the consent and
signature of all other signatories before
interpolating the document.”
11. The doctor has admitted to having made an interpolation in the
disability certificate. The above evidence indicates that the disability is
temporary and not permanent. The Doctor admitted that the disab ility
certificate indicated a tick mark on the word ‘permanent’ b y mistake.
He further stated that the disability in the present cas e was likely to
improve.
12. Having regard to all these facts and circumstances, we f ind
merit in the contention that the claim for compensation on the basis that
the disability was permanent was clearly not established. There was no
basis to award an amount of Rs. 20,75,700/-. The Tribunal has awarded
an amount of Rs. 2,09,622/- towards medical expenses. We accept the
figure of an annual loss of income of Rs. 79,877/-. The disability being of
a temporary nature, we award compensation of Rs. 5 lakhs towar ds
loss of income. We allow compensation of Rs. 2 lakhs towards trauma,
pain and suffering. In addition, the claimant is entitled to medical expenses
of Rs. 2,09,622. We are of the view that the ends of justice woul d be
met by directing a payment of Rs. 9,10,000/-. The claimant shal l be
entitled to interest at the rate of 9 per cent per annum from the date of
the filing of the petition. The insurer shall deposit the compensation along
with interest before the Tribunal within twelve weeks whic h shall be
disbursed to the claimant on proper identification.
13. For the above reasons, we set aside the impugned judgment
and order of the High Court. Both the appeals are disposed of in terms
of the directions issued above. There shall be no order as to costs.
Nidhi Jain Appeals disposed of.