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2024 Supreme(Kar) 514

IN THE HIGH COURT OF KARNATAKA, AT BENGALURU
HANCHATE SANJEEVKUMAR, J.
The Divisional Manager, Oriental Insurance Company Limited – Appellant
Versus
Ramesh Poojary, S/O Narayana Poojary – Respondent
MISCELLANEOUS FIRST APPEAL NO.4671 OF 2014 (MVC) C/W MISCELLANEOUS FIRST APPEAL CROB NO.112 OF 2014
Decided on : 25-09-2024

Advocates:
Advocate Appeared:
For the Appellant :SRI O. MAHESH, ADVOCATE.
For the Respondent:SRI NAGARAJ HEGDE, ADVOCATE FOR R1; SRI GURURAJ R. ADVOCATE

IMPORTANT POINT
The court affirmed that an employee traveling in a Goods Auto Rickshaw is covered under the insurance policy, and compensation must reflect the claimant's permanent functional disability.

Headnote:

(A) Motor Vehicles Act, 1988 - Section 166 - Claim for compensation due to accident involving Goods Auto Rickshaw - Claimant, a delivery boy, sustained injuries while traveling in the vehicle - Insurance Company challenged liability based on policy terms regarding seating capacity - Court found claimant was covered under the policy as an employee permitted to travel - Compensation awarded by Tribunal was deemed insufficient and enhanced. (Paras 3, 11, 15, 18, 32)

(B) Insurance Policy - Interpretation of terms regarding coverage for employees traveling in Goods Auto Rickshaw - Court emphasized the distinction between gratuitous passengers and employees under the policy. (Paras 11, 13)

Facts of the case:

The claimant was injured in an accident while delivering gas cylinders in a Goods Auto Rickshaw, leading to a claim for compensation under the Motor Vehicles Act. The Insurance Company contested liability based on policy restrictions regarding seating capacity.

Findings of Court:

The claimant was found to be covered under the insurance policy as an employee, and the compensation awarded by the Tribunal was inadequate, leading to an enhancement.

Issues: The main issues included the interpretation of the insurance policy regarding employee coverage and the adequacy of compensation awarded by the Tribunal.

Ratio Decidendi: The court ruled that the claimant, as an employee, was permitted to travel in the Goods Auto Rickshaw, and the insurance policy covered such risks, justifying the Tribunal's decision to award compensation. The court also highlighted the need for adequate compensation reflecting the claimant's permanent functional disability. (Paras 11, 15, 18)

Result: The claimant is entitled to enhanced compensation of Rs.10,13,000/- with interest at 6% per annum.

JUDGMENT :

MFA No.4671/2014 is filed by the Insurance Company challenging the judgment and award dated 08.04.2014 passed in MVC No.1147/2005 by the Additional District and Sessions Judge and MACT, Udupi sitting at Kundapura, questioning the liability to pay the compensation and also quantum of compensation awarded by the Tribunal.

2. The claimant has filed MFA Crob.No.112/2014 in MFA No.4671/2014 for seeking enhancement of compensation awarded by the Tribunal.

Brief facts of the case:

3. It is the case of the claimant that the claimant was working as Gas Cylinder delivery boy under the employment of Owner of Bharat Gas Distributors and on 28.08.2005 at 12:15 p.m., the claimant was travelling in the Goods Auto Rickshaw bearing Registration No.KA-20 A-2743, from Tekkatte to Kundapura and the said Auto Rickshaw was driven by one Ganesh Marakala and the claimant was sitting beside the driver and due to driving of the Goods Auto Rickshaw with high speed, rash and negligent manner, the Goods Auto Rickshaw was toppled down and hence, the claimant has sustained injuries and claimed compensation by filing the claim petition under Section 166 of the Motor Vehicles Act.

4. The Tribunal after considering the documentary evidence on record has awarded compensation by fastening the liability on the appellant-Insurance Company under various heads as follows:

5. The Insurance Company has challenged the liability and quantum of compensation awarded by the Tribunal.

Sl. No.

Heads

Amount in (Rs.)

1.

Towards Pain and Suffering

Rs.1,00,000/-

2.

Towards Medical Expenses

Rs.70,629/-

3.

Towards Future Medical Expenses

Rs.20,000/-

4.

Towards Loss of Amenities of life

Rs.30,000/-

5.

Towards Loss of Income

Rs.30,000/-

6.

Towards Loss of Future Earning Capacity

Rs.5,10,000/-

7.

Towards Nourishing Food, Conveyance and Attendant charges

Rs.30,000/-

8.

Towards Marriage Prospectus

Rs.20,000/-

 

Total

Rs.8,10,629/-

Grounds raised:

6. Learned counsel for the Insurance Company in support of the appeal has argued and raised two grounds as follows:

    a. Admittedly, the vehicle is Goods Auto Rickshaw and the seating capacity is one as per the RC book and insurance policy, but the claimant was sitting beside the driver therefore, there were two persons travelling in the Goods Auto Rickshaw one is driver and another one is claimant therefore, there is violation of conditions of insurance policy hence, the Insurance

Company is not liable to pay the compensation.

b. PW-1 has admitted and also it is proved from the documentary evidence at Ex.R-4-B Registered Extract of Goods Auto Rickshaw, which shows the seating capacity of the Goods Auto Rickshaw is one. Further, Ex.R-5-Insurance Policy shows seating capacity is one therefore, only driver alone can travel by driving the Goods Auto Rickshaw and no other person is allowed to travel in the Goods Auto Rickshaw thus, there is violation of conditions of insurance policy. Accordingly, the Insurance Company is not liable to pay the compensation.

Submissions of counsel for appellant-Insurance Company:

7. It is argued that even if the Insurance Company is liable to pay the compensation, that is according to the Employees Compensation Act, 1923, by complying with Section 147 of the Motor Vehicles Act. Therefore, whatever the amount of compensation awarded by the Tribunal is as per the Employees Compensation Act, 1923, and if it exceeds the amount the claimant can claim by the owner, but not by the Insurance Company. Hence, on these two grounds, the Insurance Company prays to allow the appeal.

Submissions of counsel for claimant:

8. On the other hand, learned counsel for the claimant submitted that Ex.R-4-B Register Extract proves the seating capacity is one plus one, therefore, the Insurance policy covers risk of the claimant also. H

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