Citation : 2025 Latest Caselaw 1006 Bom
Judgement Date : 30 July, 2025
2025:BHC-AUG:20055
FA-2354.2022
-1-
IN THE HIGH COURT OF JUDICATURE AT BOMBAY
BENCH AT AURANGABAD
FIRST APPEAL NO.2354 OF 2022
Sandip S/o. Nanasaheb Shinde,
Age : 39 years, Occu. : Agril.,
R/o. Ganesh Nagar, Opp. Malpani Lodge,
Sakar Plaza, Sangamner,
Tq. Sangamner, Dist. Ahmednagar ... Appellant
(Orig. Claimants)
Versus
1. Arjun S/o. Damodhar Padekar,
Age : Major, Occu. : Agril. & Service,
R/o. Dhamangaon Road,
Dhumalwadi, Akole, Tq. Akole,
Dist. Ahmednagar.
2. United India Insurance Co. Ltd.,
Hotel Karam Building,
Pune Nashik Highway,
Opp. S. T. Bus Stand, Sangamner,
Tq. Sangamner, Dist. Ahmednagar. ... Respondents.
(Orig. Opponents)
.....
Mr. K. N. Shermale, Advocate for Appellant.
Mr. Vinodkumar R. Mundada, Advocate for Respondent No.2.
.....
CORAM : ABHAY S. WAGHWASE, J.
RESERVED ON : 22 JULY 2025
PRONOUNCED ON : 30 JULY 2025
JUDGMENT :
1. Original claimant, who preferred M.A.C.P. No.5 of 2014
seeking compensation for injury suffered by him by accident dated
04.09.2013, dissatisfied by the quantum of compensation as well as
failure to correctly ascertain the disability and non consideration of
medical bills.
FA-2354.2022
2. Brief facts giving rise to the accident claim petition are
that, on 04.02.2013, at around 11:00 a.m., appellant, who was a
pedestrian, walking over Sangamner to Akole Bypass road, who was
hit from backside by a Jeep bearing registration No. MH-17-AE-2072
causing him injuries to leg, back, head, left side rib and back side
bone requiring him hospitalization from 04.09.2013 to 19.09.2013
where he was required to spend around Rs.1,10,000/- and he also
suffered permanent disability. It is his case that, he was an
agriculturist and earning around Rs.5,00,000/- to Rs.6,00,000/- per
annum from the agriculture as well as milk business. Accidental
injuries and disability rendered him loss of earning and functional
capacity and thereby he set up claim of Rs.5,00,000/-.
3. After notice as there was no response from respondent
no.1, Tribunal has proceeded ex-parte against him.
4. Respondent No.2 Insurance Company resisted the claim
by filing written statement Exh.22 taking up a stand of false
implication denying involvement of jeep, denying negligence and
taking a stand of breach of policy on account of non availability of
effective driving licence.
FA-2354.2022
5. After appreciating the evidence adduced by the claimant,
learned tribunal was pleased to partly allow the claim by judgment
and order dated 02.11.2018 awarding compensation to the tune of
Rs.95,000/- including the amount of N.F.L. Rs.25,000/- with interest
@ 8% per annum. Getting dissatisfied by the same, original claimant
has preferred instant appeal on various grounds mentioned in the
appeal memo.
6. Learned counsel for original claimant would submit that,
there is improper appreciation of oral and documentary evidence
adduced by the claimant in trial court. He submitted that claimant
had proved injuries by examining medical expert and permanent
disability to the extent of 40% was also proved by placing certificate
on record. That, even medical bills were placed on record. The same
are not considered and appreciated correctly by the learned trial
court. He also raised the point that amounts granted under various
heads are meager, and therefore, he expects an enhancement.
7. Learned counsel for respondent no.2 supported the
judgment and opposed the appeal on the ground that, there was
firstly no evidence to show direct involvement of jeep in question
which was insured by Insurance Company. Secondly, disability
certificate and medical bills are manufactured documents. Therefore, FA-2354.2022
learned tribunal committed no error in not accepting the same.
Lastly, he justifies the compensation granted by tribunal and urges to
dismiss the appeal for want of merits.
8. Heard. Re-appreciated the evidence as regards to
accident dated 04.09.2013, on the strength of documents like FIR
and spot Exhs.35 and 36, occurrence of accident stands
demonstrated. Learned counsel for respondent no.2 Insurance
Company would submit that, there is delay in FIR and there is no
involvement of vehicle. However, considering the above fact and the
investigation papers which are placed before tribunal, this court does
not find any reason to doubt the involvement of offending jeep
insured by respondent no.2.
9. Close scrutiny of spot coupled with the hand sketch map
show that dash was given from backside to a pedestrian and
therefore, even question of negligence and rash driving need not be
doubted. Therefore, there is material before the trial Judge to hold
that on 04.09.2013, claimant, who was pedestrian, was given dash
from the backside of the jeep. As regards to injury is concerned, it is
the claim of appellant - claimant that he had suffered injuries to his
right leg, back, head, left rib and back side bone. He has examined
PW2 Dr. Dange, who claims to have not only treated, but has also FA-2354.2022
assessed and issued permanent disability certificate. This medical
expert has testified about fracture to hip and fracture to four ribs.
However, in cross examination he has admitted that, no
surgery was required to be undertaken for the said fracture and
minor surgery to remove air and blood from the lungs was required
to be undertaken.
10. Dr. Dange seems to have admitted that, he did not
perform any surgery in respect of fracture allegedly suffered by him.
However, in cross examination, he has answered that fracture to the
ribs automatically reunited, but not in every case. Therefore,
material placed on record as regards to disability is concerned, there
is no need to doubt doctor's evidence. Therefore, this court is also
convinced about sufficient evidence is available regarding accidental
injuries resulting into fracture to hip as well to the ribs.
11. Learned counsel for appellant has pointed out that above
aspects are not correctly appreciated by learned tribunal and learned
tribunal has held that there was no permanent disability. In view of
such objection, the impugned judgment is visited. It is noticed that
while answering issue no.2, there is discussion about alleged
disability and analysis of evidence of medical expert.
FA-2354.2022
12. In paragraph 26, learned tribunal has held that there is
no surgery required to be undergone for the fracture. However,
medical expert has specifically though stated that fracture to the ribs
reunite automatically, it does not happen so in every case. In
paragraph 27, learned tribunal has held that, in the net result the
petitioner/appellant has not sustained the injuries which can be
resulted into permanent disability, which would effect his earning
capacity and has further drawn inference that opinion given by
medical expert is on higher side and disability specially issued to help
the claimant. But again in paragraph 30, learned tribunal has held
that, "the fact remains that the petitioner had sustained fracture
injuries to ribs and hip. Therefore, naturally he will find difficulty in
making movements like normal person." Therefore, observations
raised in paragraph 24 and 27 are contrary.
13. Learned counsel pointed out that, there is non
consideration of medical bills and papers by the tribunal. On this
issue, there seems to be discussion in paragraph 34 and 35 by
answering issue no.4, wherein Insurance Company has seriously
questioned the bills stating that the same are manipulated. Here, it is
noticed that not only PW2 Dr. Dange, but another doctor whose name
appears on medical bills namely Dr. Mhaske has appeared. However,
he is not examined. When bills are sought to be relied, it was FA-2354.2022
expected of claimant to examine Dr. Mhaske, however, said doctor
has not been examined. Therefore, as held by tribunal, there are
reasons to doubt the credibility of the medical papers.
14. Under such circumstances, considering the nature of
injuries, in the considered opinion of this court and the claim petition
benevolent legislation, lump-sum amount for medical expenses to the
tune of Rs.1,00,000/- is required to be granted, more particularly
taking into account the duration of hospitalization, nature and parts,
which are impacted due to the mishap.
15. Though there is nothing to show that because of the said
disability, claimant is incapacitated permanently from rendering any
work, he is entitled for the distinct compensation under the head of
pain and suffering. Tribunal has granted only Rs.10,000/- and the
same is requires to be enhanced to Rs.25,000/-, more particularly in
view of the nature of injuries.
14. Therefore, in addition to the quantum awarded by the
Tribunal, an amount of Rs. 50,000/- needs to be added to the
compensation for medical expenses so also Rs.15,000/- needs to be
added under the head of 'pain and suffering'. Hence, I proceed to pass
the following order:-
FA-2354.2022
ORDER
(i) The First Appeal is partly allowed with proportionate costs.
(ii) Impugned judgment and award dated 02.11.2018, passed by
the Member of M.A.C.T., Sangamner in M.A.C.P. No.05 of 2014 is
modified.
(iii) Respondent no.2 - Insurance Company to pay enhanced
compensation of Rs.65,000/- to claimant within 12 weeks from today
along with interest @ 8% per annum from the date of registration of
claim petition till its realization.
(iv) Modified award be prepared accordingly.
(v) Rest of the award is maintained.
(vi) Claimant to pay court fees on enhanced compensation as per
rules.
(vii) On deposit of the amount by Insurance Company,
appellant/claimant is permitted to withdraw the same.
(ABHAY S. WAGHWASE, J.)
Tandale
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