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National Insurance Company Limited vs Ombeer & Anr
2025 Latest Caselaw 6407 Del

Citation : 2025 Latest Caselaw 6407 Del
Judgement Date : 16 December, 2025

[Cites 4, Cited by 0]

Delhi High Court

National Insurance Company Limited vs Ombeer & Anr on 16 December, 2025

                          *      IN THE HIGH COURT OF DELHI AT NEW DELHI
                          %                              Judgment Reserved on: 10.12.2025
                                                         Judgment pronounced on:16.12.2025

                          +      FAO 531/2016
                                 NATIONAL INSURANCE COMPANY LIMITED .....Appellant

                                                Through:      Mr. Manoj Ranjan Sinha, Advocate
                                                              with Mr. Vishal Agrawal, Advocate

                                                versus

                                 OMBEER & ANR                                  .....Respondents

                                                Through:      Mr. R.K. Nain Chandan Prajapati
                                                              Advocate with Ms. Arti Sharma,
                                                              Advocate for Respondent No.1


                          CORAM:
                          HON'BLE MS. JUSTICE CHANDRASEKHARAN SUDHA
                                                JUDGMENT

CHANDRASEKHARAN SUDHA, J.

1. This appeal under Section 30 of the Employee's

Compensation Act, 1923 (the EC Act) has been filed by

respondent no. 2/ Insurance Company in WC/126/NW/12/2751 on

the file of the Commissioner, Employee's Compensation,

Employment Exchange Building, Pusha Complex, New Delhi,

aggrieved by the order dated 08.04.2016 by which the claim for

compensation filed by the claimant was allowed.

2. In this appeal, the parties herein unless otherwise specified

will be referred to as described in the claim petition.

3. In the application for compensation filed under Section 22

of the EC Act, it is alleged thus:- The applicant/claimant Ombeer

was employed as a cleaner in vehicle bearing No. DL-1L-E-3887

owned by respondent no. 1. On 08.07.2003, he sustained injuries

in an accident which occurred during the course of his

employment. The applicant/claimant while working as cleaner in

the aforesaid vehicle on 08.07.2003 at about 12:00 noon sustained

injuries. On the said day, while he was on the seat of the vehicle

bearing No. DL-1L-E-3887 coming from Vijaypura, District

Aligarh, U.P. towards Delhi loaded with goods and when the

vehicle reached near Bulandsahar, a crane coming from the

opposite side being driven in a rash and negligent manner, collided

with his vehicle on the side where the seat of the cleaner is

situated. The applicant/claimant was thrown on to the road

whereby he sustained grievous injuries. He was immediately taken

to Dinesh Fracture Clinic and Maternity Centre, Bulandsahar with

the help of some persons. He was admitted in the hospital and

remained there as an in-patient for about 8 days and after

discharge, he returned to his village. The applicant/claimant

incurred an expenditure of ₹ 70,000/- to 75,000/- for his treatment.

After the accident, the applicant/claimant is not in a position to do

any work as both his hands have become disabled. The disability

is 100% as far as employment as a cleaner is concerned and he has

become completely crippled. The vehicle bearing No. DL-1L-E-

3887 is owned by respondent no. 1 and it was insured with

respondent no. 2/M/s National Insurance Company Ltd. for the

period from 19.07.2002 to 18.07.2003. An additional premium

was also charged by respondent no. 2 from respondent no. 1 under

the EC Act.

3.1. The claimant was drawing wages @ ₹4,000/- per month

and food allowance of ₹50/- per day. He was aged 18 years at the

time of his accident. Respondent no. 1 was aware of the accident

on the date of occurrence itself. Respondent no. 2/ the insurer was

immediately informed of the accident. Moreover, a notice under

Section 10 of the EC Act had also been served. The accident

occurred during the course of the employment. Due to the injuries

sustained, the extent of his disability is 100% and, therefore, as per

Section 4 (1)(c) and 4(1)(d) of the EC Act, he is entitled to

temporary and permanent disablement compensation along with

interest @ 12% per annum from the date of accident till realization

and penalty to the extent of 50%. Hence, the claim seeking a

direction to the respondents to deposit the amount of compensation

as per the EC Act.

4. Separate written statement was filed by both the

respondents. Respondent no. 1 filed written statement admitting

the factum of employment and the accident. It was admitted that

the claimant had met with an accident while working as a cleaner

in the vehicle.

5. Respondent no. 2 filed written statement and an amended

written statement in which they contended that the claim filed after

a delay of 9 years from the date of the alleged accident, was not

maintainable. Respondent no. 2 denied the allegation that the

claimant had met with an accident as alleged in his application.

However, the fact that the vehicle was owned by respondent no. 1

and that it had a valid policy issued by respondent no. 2 was

admitted. The allegation that the claimant due to the accident had

become 100% disabled, was also denied. It was contended that the

driver of the vehicle was not holding a valid driving license. It

was also contended that though the necessary documents were

directed to be produced, respondent no. 1 failed to do so. As the

driver did not have a valid license, there has been a violation of the

policy conditions.

6. On completion of pleadings, necessary issues were raised

by the Commissioner. The parties went to trial on the basis of the

aforesaid pleadings. On behalf of the applicant/claimant, PW-1 to

PW-3 were examined and Exhibits Ex. AW1/1 to Ex. AW1/5 were

marked. On behalf of respondent no. 2, RW-1 was examined and

Exhibit Ex. R2W1/2 to Ex. R2W1/1 was marked. On

consideration of the oral and documentary evidence and after

hearing both sides, the learned Commissioner condoned the delay

and allowed the claim and awarded compensation of ₹1,19,528/-

along with simple interest @ 12% per annum from the date of

accident, i.e., 08.08.2003 till the date of realization. Aggrieved,

respondent no. 2/ insurer has come with an appeal.

7. It was submitted by the learned counsel for respondent no.

2/ insurer that the claim was filed after a lapse of 9 years of the

alleged accident. The claimant had not produced any evidence

whatsoever in support of his claim. The claimant admits that no

crime had been registered and that there are no contemporaneous

medical records to substantiate his case. The only document that

has been produced is the disability certificate, which is dated

17.12.2012 and marked as Ex. AW1/1. The accident is alleged to

have taken place on 08.07.2003. However, the disability

certificate is dated 17.12.2012, issued after a lapse of more than 9

years and hence, the same cannot be relied on for establishing or

substantiating the claim regarding the disability sustained. That

being the position, the Commissioner went wrong in appreciating

the evidence and allowing the claim, goes the argument.

8. Per contra, it was submitted by the learned counsel for the

applicant/claimant that there has been a proper appreciation of the

materials on record and that there is no infirmity in the impugned

Award. It is also submitted that the learned Commissioner has

referred to the various decisions of the Apex Court and has rightly

appreciated the evidence in the correct perspective and, therefore,

there is no infirmity calling for an interference for this Court.

9. Heard both sides.

10. I briefly refer to the evidence adduced by the claimant in

support of the case. The applicant/claimant, Ombeer Singh was

examined as PW-1 and the affidavit filed in lieu of chief-in-

examination has been marked as PW-1/A. In his cross-

examination, he deposed that as per his voter's identity card, his

year of birth is 1993. According to him, his employer was one

Param Pal Singh who had three vehicles. PW1 does not know the

name of the driver who was driving the vehicle at the time of the

accident. He was unable to refer to the registration number of the

crane which had hit the vehicle in which he was working as a

cleaner. He was also unable to say the details of the goods that

were being carried in his vehicle nor could he provide the details

of the address from which the goods were loaded and the

destination where the goods were unloaded. He admitted that he

had not given a complaint to the police regarding the accident. He

also admitted that he is unable to produce any documents either

relating to the accident or relating to the injuries sustained by him.

He said that he is not possession of any documents to evidence his

case of hospitalization. He admitted that he is not in possession of

any documents to show that intimation of the accident had in fact

been given to the respondent no. 2/ insurer after the accident. He

denied the suggestion that no accident had occurred as alleged by

him.

10.1 PW-2 Prem Pal Singh deposed that the claimant

sustained injuries in the accident that occurred on 08.07.2003. He

was informed about the accident and that he reached the place of

occurrence by about 3:00 P.M. and took the claimant to the

hospital, i.e. Dinesh Fracture Clinic and Maternity Centre,

Bulandsahar. PW1 was admitted in the hospital and continued to

be an in-patient for 8 days. After PW1's discharge, he was taken

to his village. PW-2 further deposed that the claimant sustained

expenses of about ₹70,000/- to ₹75,000/- for his treatment. In the

cross-examination, PW-2 admitted that the claimant is his brother

and that he had not witnessed the incident. He reiterated his case

in chief examination that his brother was admitted in the hospital

for about 7 to 8 days. However, he was also unable to refer to any

documents relating to the admission of his brother in the hospital.

10.2 PW-3 Ranjeet Singh deposed that he was working with

Tej Singh along with claimant, who was working as a cleaner in

the vehicle owned by respondent no. 1. On 08.07.2003, while he

was going along with the claimant in truck bearing No. DL-1L-E-

3887, a crane coming from the opposite side and in the wrong

direction hit his vehicle on the portion where the cleaner was

seated. The claimant sustained injuries in the accident pursuant to

which he took the claimant to Dinesh Fracture Clinic and

Maternity Centre in Bulandsahar. According to PW-3, the

claimant was hospitalized for about 7 days. In his cross-

examination, he denied the suggestion that he was never the driver

of vehicle bearing registration No. DL-1L-E-3887.

11. The specific case in the claim petition is that respondent

no. 1/ Tej Singh is the owner of the lorry in which the claimant

Ombeer was employed as a cleaner. But in his examination before

the Court, PW-1 deposed that his employer is Prem Pal. Prem Pal

was examined before this Court as PW-2 who does not have such a

case. The claimant has not explained as to why there are no

documents relating to the incident. Admittedly, no crime was

registered. Even assuming that no crime was registered, there will

certainly be documents to substantiate his case that he had been

admitted in the hospital for about 8 days. The claimant neither in

the pleadings nor in his evidence had a case that the documents

were lost and, therefore, he is unable to produce the same. The

disability certificate that has been produced is of the year 2012.

The accident is alleged to have taken place on 08.07.2003. There

is no explanation as to why the claimant was not subjected to

medical examination and why no disability certificate obtained

soon after the accident.

12. The learned Commissioner condoned the delay of 9

years, holding that, being a beneficial legislation, technicalities

should not come in the way and the benefit must go to the injured.

There is no doubt that the act being a social legislation, the

interpretation should be liberal and relief should not be denied on

technical grounds. However, in this case, it has to be noted that

there are absolutely no contemporaneous records relating to the

incident. The oral evidence let in by the claimant and his witness

also does not inspire confidence of the Court relating to the

occurrence of the incident.

13. That being the position, I find that there has been a

complete misappreciation of the evidence on record by the

Commissioner. It is true that under Section 30, it is only

substantial questions of law that can be challenged in appeal.

However, when there has been a complete misappreciation of the

evidence on record, the said aspect is required to be looked into by

this Court. I find that neither the oral nor the documentary

evidence substantiates or proves the case of the claimant and

hence, he is not entitled to the reliefs prayed for.

14. In the result, the appeal is allowed and the impugned

Award is set aside.

15. Application(s), if any pending, shall stand closed.

CHANDRASEKHARAN SUDHA (JUDGE)

DECEMBER 16, 2025

 
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