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Ashraf vs United India Insurance Company Ltd
2025 Latest Caselaw 1022 Ker

Citation : 2025 Latest Caselaw 1022 Ker
Judgement Date : 15 July, 2025

Kerala High Court

Ashraf vs United India Insurance Company Ltd on 15 July, 2025

                                                       2025:KER:50233
M.A.C.A.No.221 of 2020
                                    1

           IN THE HIGH COURT OF KERALA AT ERNAKULAM

                               PRESENT

             THE HONOURABLE MRS. JUSTICE C.S. SUDHA

 TUESDAY, THE 15TH DAY OF JULY 2025 / 24TH ASHADHA, 1947

                         MACA NO. 221 OF 2020

       AGAINST THE AWARD DATED 24.04.2019 IN OP(MV) NO.201
    OF 2017 OF MOTOR ACCIDENT CLAIMS TRIBUNAL, VATAKARA
APPELLANT/PETITIONER:

             ASHRAF
             AGED 41 YEARS
             S/O.MAMMAD, RESIDING AT THADATHIL (H),
             MUCHUKUNNU(PO), KOYILANDY,
             KOZHIKODE (DT.)-673307.

             BY ADV SHRI.AVM.SALAHUDDEEN

RESPONDENT/2ND RESPONDENT:

             UNITED INDIA INSURANCE COMPANY LTD.,
             BOI RAMEEZ ARCADE, CHEROOTY ROAD, NEAR CH FLY
             OVER, KOZHIKODE BEACH.P.O., KOZHIKODE-673032,
             REPRESENTED BY BRANCH MANAGER.

             BY ADVS. SRI.JOHN JOSEPH VETTIKAD
             SRI.C.JOSEPH JOHNY
             P.K.MANOJ KUMAR

      THIS    MOTOR      ACCIDENT   CLAIMS    APPEAL    HAVING    BEEN
FINALLY    HEARD    ON   08/07/2025,    THE   COURT    ON   15/07/2025
DELIVERED THE FOLLOWING:
                                                               2025:KER:50233
M.A.C.A.No.221 of 2020
                                       2

                              C.S.SUDHA, J.
              ----------------------------------------------------
                        M.A.C.A.No.221 of 2020
              ----------------------------------------------------
                 Dated this the 15th day of July 2025


                            JUDGMENT

This appeal has been filed under Section 173 of the Motor

Vehicles Act, 1988 (the Act) by the claim petitioner in O.P.(MV)

No.201/2017 on the file of the Motor Accidents Claims Tribunal,

Vatakara, (the Tribunal), aggrieved by the amount of compensation

granted by Award dated 24/04/2019. The sole respondent herein is

the second respondent/insurer in the petition. In this appeal, the

parties and the documents will be referred to as described in the

original petition.

2. According to the claim petitioner, on 16/10/2016 at 03:00

p.m. at Purakkad road, Thikkodi, he was riding motorcycle bearing

registration no.KL-56/F-5042 and when he reached Purakkad road,

autorickshaw bearing registration no.KL-56/G-877 owned and driven 2025:KER:50233

by the first respondent collided with the motorcycle, as a result of

which he sustained serious injuries. A sum of ₹25,00,000/- was

claimed as compensation under various heads.

3. The first respondent/owner cum driver of the offending

vehicle filed written statement contending that the accident was due

to the negligent driving of the rider of the motorcycle. The age,

occupation and monthly income of the injured were disputed.

Compensation claimed under various heads was contended to be

excessive.

4. The second respondent/insurer filed written statement and

additional written statement admitting the existence of a valid policy.

The negligence attributed to the first respondent was denied.

5. Before the Tribunal, PW1 was examined and Exts.A1 to

A11 and Ext.C1 report of the Medical Board were marked on the

side of the claim petitioner. No oral evidence was adduced on the

side of the respondents. Exts.B1 and B2 were marked on the side of

the respondent.

2025:KER:50233

6. The Tribunal on consideration of the oral and

documentary evidence and after hearing both sides, found that the

accident was due to the negligent driving of the first

respondent/driver. Hence awarded an amount of ₹22,55,800/-

together with interest @ 8% per annum from the date of the petition

till realisation along with proportionate costs. Aggrieved by the

quantum of compensation, the claim petitioner has come up in

appeal.

7. The only point that arises for consideration in this appeal

is whether there is any infirmity in the findings of the Tribunal

calling for an interference by this Court.

8. Heard both sides.

9. It was submitted by the learned counsel for the claim

petitioner that the latter was a loading and unloading worker. Due to

the injuries sustained, the Medical Board as per Ext.C1 has assessed

his disability at 67%. The disability ought to have been taken as

100%. In support of the argument reference has made to Section 2025:KER:50233

2(1)(l) of the Employee's Compensation Act, 1923 (the EC Act).

Reference was also made to the dictum in Indra Bai v. Oriental

Insurance Company Ltd., 2023 KHC 6708 : AIR 2023 SC 3478.

Per contra, it was submitted by the learned counsel for the second

respondent/insurer that the EC Act is applicable to workers coming

within the definition of the said Act and hence the said definition

does not require to be borrowed in this case. A competent Medical

Board assessed the disability of the claim petitioner herein. If the

claim petitioner was aggrieved by the report, he ought to have taken

steps for rectifying the same. The said course has not been adopted

by the claim petitioner and hence the Tribunal was justified in fixing

the functional disability based on Ext.C1 report of the Medical Board

which suffers from no infirmity, calling for an interference by this

Court, goes the argument.

10. Section 2(1)(l) of the EC Act reads thus-

"(l) "total disablement" means such disablement, whether of a temporary or permanent 2025:KER:50233

nature, as incapacitates a employee for all work which he was capable of performing at the time of the accident resulting in such disablement Provided that permanent total disablement shall be deemed to result from every injury specified in Part I of Schedule I or from any combination of injuries specified in Part II thereof where the aggregate percentage of the loss of earning capacity, as specified in the said Part II against those injuries, amounts to one hundred per cent or more;"

(Emphasis supplied)

In Indra Bai (Supra), the appellant therein was employed as a

loading and unloading worker in a Company. During the course of

her employment of loading poles/pillars into a truck, the chain pulley

broke and the poles fell on her left arm resulting in a compound

fracture of her left arm as well as damage to the nerves. Claiming

that due to the injury, she had suffered permanent total disablement,

as there was no grip in her left arm, compensation was sought. The

appellant was examined by a Medical Board which found that there

was a compound fracture in her left arm and that plates and screws 2025:KER:50233

were installed in her radial and ulna bone after operation, due to

which, the fingers of her left hand had lost movement and the

muscles had become thin. The Board certified that her permanent

disability was to the extent of 50% with a declaration that she was

unfit for labour work. The Commissioner under the E.C.Act

assessed the permanent disability as 'total' and awarded

compensation accordingly. In appeal, the High Court assessed the

permanent disability as 40% and reduced the compensation awarded.

When the matter came up before the Apex Court, referring to Section

2(1)(l) of the EC Act, it was held that if the disablement incurred in

an accident incapacitates a workman for all work which he was

capable of performing at the time of the accident resulting in such

disablement, the disablement would be taken as 'total' for the purpose

of award of compensation under Section 4(1)(b) of the said Act,

regardless of the injury sustained being not one as specified in Part-I

of Schedule I of the EC Act. It was noticed that on the basis of the

medical certificate provided by the Board, the Commissioner had 2025:KER:50233

found the appellant unfit for labour in as much as there was complete

loss of grip in the appellant's left hand. It was held that when the

Board had certified that the appellant was rendered unfit for labour,

there was no perversity in the decision of the Commissioner in

awarding compensation by treating the disability as 'total' on account

of her functional disability. Hence, it was held that the High Court

erred in partly setting aside the order of the Commissioner and

assessing the disability as 40% instead of 100%, as assessed by the

Commissioner.

11. In the case on hand, the materials on record show that the

claim petitioner sustained the following injuries -

"1. Comminuted Type III A open fracture supra condylar and intra condylar fracture of right femur with mangled foot.

2. Comminuted fracture 1st and IInd metatarsal right foot.

3. Amputation mangled right foot.

4. Degloving injury on right knee and multiple tendons cut and bone exposed."

He was hospitalized for a period of 96 days in different spells. He

had to undergo several surgeries also. Ext.C1 report of the Medical 2025:KER:50233

Board, Government District Hospital, Vatakara, reads thus:

"We after Careful examination of Sri./Smt.Asharaf, 42 y, S/o. Mammad, Thadathil, Muchukunnu, Koyilandy, whose signature is give above, Certify that He/She is having Amputation of Right foot, Ankylosis of knee, partial ankylosis hip with shortening of femur due to Type III open supracondylar fracture femur and mangled foot sustained in traffic accident 16/10/16 and is physically handicapped, His/her percentage of permanent disability due to the injury is 67% (Sixty seven percent) as per Mc Bride's schedule and occupational disability due to the injury is --------"

The disability sustained by the claim petitioner and assessed by the

Medical Board as 67% is high and so this must have certainly

affected the discharge of his duties as a loading and unloading

worker.

11.1. In this context it would be apposite to refer to the

dictum in Raj Kumar v. Ajay Kumar, (2011)1 SCC 343 which has

been followed in Anthony Swami v. M.D., KSRTC, (2020)7 SCC

161 and in many other subsequent decisions, wherein the Apex Court

has lucidly set out the principles for grant of compensation in cases 2025:KER:50233

of permanent physical functional disability as follows: Where the

claimant suffers a permanent disability as a result of injuries, the

assessment of compensation under the head of loss of future earnings

would depend upon the effect and impact of such permanent

disability on his earning capacity. The Tribunal should not

mechanically apply the percentage of permanent disability as the

percentage of economic loss or loss of earning capacity. In most of

the cases, the percentage of economic loss, that is, the percentage of

loss of earning capacity, arising from a permanent disability will be

different from the percentage of permanent disability. Some

Tribunals wrongly assume that in all cases, a particular extent

(percentage) of permanent disability would result in a corresponding

loss of earning capacity, and consequently, if the evidence produced

show 45% as the permanent disability, will hold that there is 45%

loss of future earning capacity. In most of the cases, equating the

extent (percentage) of loss of earning capacity to the extent

(percentage) of permanent disability will result in award of either too 2025:KER:50233

low or too high a compensation. Ascertainment of the effect of the

permanent disability on the actual earning capacity involves three

steps. The Tribunal has to first ascertain what activities the claimant

could carry on despite the permanent disability and what he could

not do as a result of the permanent disability (this is also relevant for

awarding compensation under the head of loss of amenities of life).

The second step is to ascertain his avocation, profession and nature

of work before the accident, as also his age. The third step is to find

out whether (i) the claimant is totally disabled from earning any kind

of livelihood, or (ii) whether in spite of the permanent disability, the

claimant could still effectively carry on the activities and functions,

which he was earlier carrying on, or (iii) whether he was prevented

or restricted from discharging his previous activities and functions,

but could carry on some other or lesser scale of activities and

functions so that he continues to earn or can continue to earn his

livelihood.

2025:KER:50233

11.2. Therefore it is the functional disability that needs to be

assessed. The 'permanent disability' going by the definition

contained in the EC Act means total disablement of a temporary or

permanent nature which would incapacitate an employee from all

work for which he was capable of performing at the time of the

accident resulting in such disablement. In this context, I refer to the

testimony of the claim petitioner who was examined before the

Tribunal as PW1. In the proof affidavit filed in lieu of chief

examination, he refers to Ext.C1 and states that the Medical Board

has certified his disability as 67%. He has no case that the disability

assessed by the Board is low or that based on Ext.C1, the functional

disability ought to have been fixed as 100%. That being the position

and taking into account the avocation of his work, I find that the

Tribunal was justified in fixing the functional disability also as 67%.

Hence, I do not find any infirmity calling for an interference by this

Court.

2025:KER:50233

In the result, the appeal sans merit is dismissed.

Interlocutory applications, if any pending, shall stand closed.

Sd/-

C.S. SUDHA JUDGE

ami/

 
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