2014 Supreme(Bom) 1314
IN THE HIGH COURT AT BOMBAY APPELLATE SIDE, BENCH AT AURANGABAD
T.V. NALAWADE, J.
United India Insurance Company Ltd., Through its Divisional Office, Divisional Manager, Osmanpura, Dist. Aurangabad. - Appellant.
Versus
Pandurang s/o. Bhimrao Dhere - Respondents.
FIRST APPEAL NO. 351 OF 2013 WITH FIRST APPEAL NO. 3037 OF 2013
Decided on : 07/07/2014
Mr. S.V. Kulkarni, Advocate for appellant.
Mr. A.R. Devakate, Advocate for respondent No. 1.
Headnote:EMPLOYEES COMPENSATION ACT, 1923 - Section 4-A - Liability of insurer. - Since insurer, under contract of insurance not agreed to indemnify in respect of penalty amount hence order of Commissioner directing payment of penalty amount by insurer, not sustainable. - The Commissioner has committed error in directing the insurance company to pay the penalty. Under the contract of insurance, the Insurance Company had not agreed to indemnify in respect of penalty amount. So, this Court holds that to that extent the decision of Commissioner needs to be set aside and the appeal filed by the Insurance Company needs to be allowed.
1. Both the appeals are admitted. Notice after admission made returnable forthwith. By consent, heard both the sides for final disposal.
2. Both the appeals are filed against judgment and order of W.C.A. No. 42/2011, which was pending before the Commissioner appointed under the Workmen's Compensation Act, 1923 ('the Act' for short). In an application filed by the injured, the compensation of Rs. 1,94,430/- is awarded by the Commissioner and order is made against both the employer and the Insurance Company to pay the penalty of 50% amount of compensation. Interest at the rate of 12% p.a. is awarded on the compensation amount, but it is awarded from 19.7.2011 and not from the date of accident. The injured claimant has filed First Appeal No. 3037/2013 to challenge the quantum and also the period from which the interest is made payable. The Insurance Company has challenged the decision against the order of penalty and also against the calculation of compensation.
3. The injured was working as a driver on the truck belonging to original respondent No. 1, employer. Accident took place on 26.4.2010. Claimant sustained fracture injury to his right leg. It is contended that due to the injuries sustained in accident, the claimant is suffering to permanent disability to the extent of 20%, but the functional disability is of 100%.
4. It is the case of claimant that his monthly salary was Rs. 5,000/- and he was getting daily Bhatta of Rs. 50/- from the employer. It is his case that his age was 45 years at the relevant time and due to the injuries, he cannot drive any vehicle including the truck. It is his case that he is entitled to get compensation of Rs. 6,03,320/- and interest on it from the date of accident. It is his case that he had given notice to the employer and as employer did not pay the amount due, he is entitled to get the penalty.
5. The owner filed written statement and contested the matter. He contended that the claimant was appointed on daily wages. He denied that monthly salary of the claimant was Rs. 5,000/-. He admitted that notice was given to him, but he contended that the notice was replied, but the claimant was not available at the address given by him in the notice.
6. The Insurance Company also filed written statement and contested the matter. It is the case of Insurance Company that there has been breach of conditions of policy like absence of licence.
7. The record like notice given by claimant and reply given by employer are placed on the record. Oral evidence is given by the claimant that his monthly salary was Rs. 5,000/-, but there is no record whatsoever in support of this contention. However, in view of the fact that the claimant was working as a driver on heavy vehicle like truck, the Commissioner has presumed that his monthly salary was Rs. 5,000/-. The Commissioner has held that the earning capacity of the claimant is reduced by 20% as permanent disability is to the extent of 20%. The accident took place in the year 2010 and this fact is considered by the Commissioner by making presumption about the monthly income.
8. There is substantive evidence of the claimant that he cannot drive the truck. He has examined the doctor, who gave him treatment and who gave him disability certificate. The evidence of doctor and disability certificate show that there was fracture to right leg and due to the fracture there is permanent disability to the extent of 20%. The evidence of doctor shows that X-ray plate was not there when he made assessment of permanent disability. His evidence does not show that any test was taken by him to ascertain that the claimant cannot drive four wheeler vehicle. When in the discharge card, there is mention that there was fracture of tibia right, evidence is given by the doctor that there was compound communitted fracture of right tibia middle third. When there is no mention about shortening of limb and there is no X-ray, evidence is given by the doctor that there is shortening