Citation : 2023 Latest Caselaw 4330 Tel
Judgement Date : 14 December, 2023
THE HONOURABLE SMT. JUSTICE M.G.PRIYADARSINI
CIVIL MISCELLANEOUS APPEAL NO.921 OF 2011
JUDGMENT:
Aggrieved by the order dated 18.12.2009 in W.C.Case No.7 of
2007 passed by the learned Commissioner for Workmen's
Compensation and Deputy Commissioner of Labour, at Karimnagar,
the opposite party No.3/Insurance company has filed the present Civil
Miscellaneous Appeal.
2. For the sake of convenience, hereinafter, the parties will be
referred as per their array before the learned Deputy Commissioner.
3. The brief facts of the case are that the applicant has filed an
application under the provisions of Workmen's Compensation Act,
1923 (amended as Employee's Compensation Act, 1923) claiming
compensation of Rs.3,50,000/- for the death of her husband late Sri
Gadamshetty Umakantham, hereinafter called as the 'deceased
workmen', against the employer/owner of the deceased and against
the insurer of the of the alleged vehicle. The applicant in her claim
application stated that the deceased was working as a cleaner in the
service bus bearing No. AAJ-7578 under the employment of opposite
party No.1 on payment of a monthly salary of Rs.3,000/- and bata at
Rs.100/- per day. On 27.01.2006, while the deceased was on duty as
cleaner on the said bus and as per the instruction of the opposite 2 MGP,J CMA_921_2011
party No.1 the deceased along with 50 members of Cheryala,
Gambhirraopet, Gagillapur and other neighboring villages engaged the
private service bus bearing No. AAJ-7578 and were going to visit Sri
Kalki Bhagavan Ashramam at Chennai. While so, when the hired bus
reached near Kota cross road on N.H-5, the driver of bus drove the bus
in a rash and negligent manner with high speed and dashed behind of
a stationed lorry bearing No. APD-8178 loaded with iron bars, as a
result, the deceased and one Kompelli Narayana who sat at the left
side seat of front cabin in the bus bombarded with the right rear
portion of the lorry and the deceased died on spot. A case in Crime
No.20 of 2006 under Sec. 337 and 304-IPC was registered by police at
Chillakur Police Station, Nellore District and later charge sheet was
filed against the drivers of the bus and stationed lorry. The applicant
stated that the deceased died during the course and out of his
employment as cleaner on the said bus and was paid wages at
Rs.3,000/-per month along with bata at Rs.100/- per day and he was
aged about 48 years at the time of accident. The applicant stated that
the opposite party No.2 has insured the bus with the opposite party
No. 3 which was subsequently purchased by opposite party No.1 and
the said policy was valid from 09.03.2005 to 08.03.2006, covering the
date of accident. Therefore, the applicant, as dependant of the
deceased, claimed compensation against the opposite parties jointly
and severally.
3 MGP,J CMA_921_2011
4. The 1st opposite party did not file counter nor present, hence,
he was set ex parte on 02.04.2008 for his default and therefore, the
opposite party No.1 deemed to have admitted the allegations and
averments of the applicant.
5. The opposite party No.2, in his counter though did not dispute
the averments of the application including manner of accident,
employment of the deceased as cleaner with the opposite party No.1,
however, he stated that on 20.08.2005 opposite party No.2 sold the
service bus bearing No. AAJ-7578 to opposite party No.1 and the bus
was insured with opposite party No.3, which was valid during the
period from 09.03.2005 to 08.03.2006 with cover note No.493351 and
hence, the opposite party No.1 is the absolute owner of the said bus
and the opposite party No.2 has no connection with deceased or with
the opposite party No.1 and that on submission of no objection
certificate, the Regional Transport Office transferred the registration in
the name of the opposite party No.1 and prayed to dismiss claim
against the opposite party No.2.
6. The opposite partyNo.3/insurance company, in his counter
denied all the averments made in the claim application including
employer-employee relationship and manner of accident. It is further
contended that the compensation claimed is excessive, exorbitant and 4 MGP,J CMA_921_2011
not in accordance with the provisions of the Act and prayed to dismiss
the claim application.
7. On behalf of the applicant, P.W-1 and P.W-2 were examined
and Exs.A1 to A5 were marked. Exs.A-1 and A-2 are the certified
copies of first information report and certified copy of charge sheet, Ex.
A-3 is the certified copy of inquest report, Ex.A-4 is the copy of motor
vehicle investigation report and Ex. A-5 is the copy of post mortem
examination report.
8. On behalf of opposite party Nos. 1 and 2, none were
examined, no documentary evidence was adduced. On behalf of
opposite party No. 3, R.W-1 was examined and Ex. B-1 Copy of
Insurance policy issued in respect of the bus bearing No. AAJ-7578
was marked.
9. Based on the pleadings of the parties, the learned
commissioner framed the following issues:
1. Whether there was employee-employer relationship between the workman and the opposite party No.1 as on the alleged date of accident ?
2. Whether there was an accident out of and in course of employment of the workman with the opposite party No.1 resulting in his injuries and death ?
5 MGP,J CMA_921_2011
3. The exact age and wage of the workman in case of compensation is due ? and;
4. Whether the opposite party No.3 is liable to pay compensation if due?
10. The learned Assistant Commissioner after considering entire
evidence on record, with respect to issue No. 1, 2 and 3 held in
affirmative and with respect to issue No.3 the learned Commisisoner
taking into consideration the minimum rates of wages as per G.O 30
dated 27.07.2000, determined the total wage of deceased as
Rs.2,475.50 paise per month (Basic wage Rs.1,437+VDA
Rs.1,038.50ps, CPI points 134 XRs.7075 paise per point) and by
applying the factor '159.80' for the age of injured being 48 years, has
awarded compensation of Rs.1,97,792/- (Rupees one lakh ninety
seven thousand seven hundred and ninety two only).
11. Aggrieved by the quantum of compensation awarded by the
learned Deputy Commissioner, the opposite party No. 3 / insurance
company has filed the present appeal to set aside the impugned order.
12. Heard both sides and perused the record.
13. The first and foremost contention of the learned counsel for
appellant/insurance company is that in the absence of positive
evidence to indicate that the policy covers cleaner on the bus, the
learned Commissioner committed grave error in drawing an inference 6 MGP,J CMA_921_2011
that insurance policy issued to opposite party No.1 covers cleaner on
the alleged vehicle as the policy issued was a package/comprehensive
policy and assailed the liability to pay compensation on Insurance
Company. On this ground, the appellant insurance company is not
liable to pay any compensation and prays to set aside the order passed
by the learned commissioner and allow the appeal.
14. The learned counsel for respondent/applicant contended that
the learned Commissioner after considering oral and documentary
evidence on record came to the right conclusion and recorded a finding
that the deceased was employed as a cleaner in the alleged bus and
the employer and employee relationship is established by the
applicant, therefore, the award passed by the learned commissioner
does not warrant any interference by this Court and prayed that
appeal deserves to be dismissed at the threshold.
15. From perusal of record it is evident that, there is no dispute
regarding the employment of the deceased under the employment of
the opposite party No.1, who met with the accident occurred on
28.01.2006, while he was on duty as cleaner on the said bus and
succumbed to injuries. RW1, who is Administrative officer working in
the appellant Insurance Company, deposed in his chief examination
that the opposite party No.1 has taken a insurance policy covering the
passenger carrying commercial vehicle bearing No. AAJ-7578 from the 7 MGP,J CMA_921_2011
appellant, vide policy No. 610605/31/04/010003238 covering the
period from 09.03.2005 to 08.03.2006 for 'package/comprehensive
policy only' and was in force on the alleged date of accident. It is
further stated that, the insured has paid extra premium for covering
the risk of the driver and passengers only as such the risk of deceased,
who was a cleaner, is not covered by the policy as no extra premium
was paid to cover the risk of cleaner. He has also stated that in case of
breach of terms and conditions of the policy, hence the insurance
company is not liable to pay the compensation and that the learned
Commissioner erred in fixing the liability on it.
16. On careful examination of Ex. B-1 Copy of Insurance policy
issued in respect of the bus bearing No. AAJ-7578 clearly establishes
that the deceased was only a labourer on the insured vehicle and
premium has been collected to cover the risk of W.C 1-employee. Ex.B-1
Insurance Policy shows that the vehicle insured is a passenger
carrying commercial vehicle and apart from 51 passengers and driver
cum owner any risk to 1-employee is covered within the policy for
which extra premium of Rs.25/- has been paid by the opposite party
No.1.
17. It is pertinent to note that when the terms of policy covers the
risk of other employees in addition to the statutory coverage and the
premium collected for such special coverage is not proportionate to the 8 MGP,J CMA_921_2011
premium prescribed in the Tariff Regulations, it is not necessary that
the liability of the insurer should be judged from the point of the
premium collected. If the terms of the policy are clear and
unambiguous, despite collection of a lesser premium, the liability of
the insurer should be interpreted as per the clear terms of the policy
and not by the amount of premium collected. It is also possible that
lesser premium might have been collected by mistake or inadvertently.
If there is conflict between the terms of policy and the amount of
premium collected, the terms of policy shall prevail. In the instant
case, the terms of policy covers one employee in addition to driver and
passengers by way of a special contract. No doubt for a passenger
vehicle, there is no statutory coverage for a cleaner. But when
additional workmen are covered by a contractual liability, the liability
of a cleaner would get included in the special coverage of one workman
for which additional premium of Rs.25/- is collected by the appellant
insurance company.
18. Thus, the very clause mentioned in the policy clearly
establishes that the risk of deceased cleaner, who was working on the
insured vehicle, is also covered within the word 'employee'. Thus, the
legal liability of insurance arises based on the terms and condition of
the policy and on careful observation of the Ex. B1 insurance policy, it
shows that under entry (a) of the schedule of insurance premium the 9 MGP,J CMA_921_2011
policy covers risk of one workman on the insured vehicle. Thus, this
Court is of the opinion that the existing insurance policy being a
comprehensive policy, the basic premium covers the risk of the
employees like driver and cleaner also. The RW-1 also could not reveal
the details of risks covered under the basic premium. The opposite
party No. 3 could not place any material to establish that the existing
insurance policy (Ex. B-1) did not cover the liability of the employee
like cleaner on the said vehicle. Therefore, argument of appellant
insurance company that policy covers the risk of driver and passenger
only and not the cleaner cannot be accepted.
19. Therefore, so far as factual details of present case is
concerned, it is quite, clear and certain that deceased was on duty as
cleaner on the said bus and it can certainly be said that the death of
the deceased in the fatal accident occurred on 27.01.2006 is arising
out of and in the course of his employment. Thus, the said accident
falls within the ambit of in course of employment.
20. The learned Standing Counsel appearing for the insurance
company has though pleaded in many substantial questions of law,
but the same on scrutiny have been found to be questions of fact. The
learned counsel appearing for the insurance company was heard in
extenso on the aforesaid questions of fact. Since the nature of
injuries/disablement, the age of the workmen is factual in nature, no 10 MGP,J CMA_921_2011
appeal would lie against such finding of fact. Section 30 of the Act is
quite explicit and prohibits entertaining of an appeal against an award
of the Commissioner, unless it raises substantial questions of law. The
appeal provided under Section 30 of the Workmen's Compensation
Act, 1923 (for short, 'the Act of 1923') against the order of the
Assistant Commissioner is not like a regular first appeal akin to
Section 96 of the Civil Procedure Code, 1908 and the appellate
jurisdiction of the High Court to decide the appeal is confined only to
examine the substantial question of law arising in the case. It would
be contextually relevant to note the observations made by Hon'ble
Apex Court in the case of NORTH EAST KARNATAKA ROAD
TRANSPORT CORPORATION V/s SUJATHA, 1 in para No.9,10,11 of
the judgment it was held as follows:
"9. At the outset, we may take note of the fact, being a settled principle that the question as to whether the employee met with an accident, whether the accident occurred during the course of employment, whether it arose out of an employment, how and in what manner the accident occurred, who was negligent in causing the accident, whether there existed any relationship of employee and employer, what was the age and monthly salary of the employee, how many are the dependants of the deceased employee, the extent of disability caused to the employee due to injuries suffered in ana accident, whether there was any insurance coverage obtained by the employer to cover the incident, etc. are some of the material issues which arise for the just decision of the Commissioner in a claim petition when an employee suffers any bodily injury or dies during the course of his employment and he/his LRs sue(s) his employer to claim compensation under the Act. 10. The aforementioned questions are essentially the questions of fact and, therefore, they are required to be proved with the aid of evidence. Once they are proved either way, the findings recorded thereon are regarded as
1 AIR 2018 (SC) 5593
11 MGP,J CMA_921_2011
the findings of fact. 11. The appeal provided under Section 30 of the Act to the High Court against the order of the Commissioner lies only against the specific orders set out in clauses (a) to (e) of Section 30 of the Act with a further rider contained in the first proviso to the section that the appeal must involve substantial questions of law. 12. In other words, the appeal provided under Section 30 of the Act to the High Court against the order of the Commissioner is not like a regular first appeal akin to Section 96 of the Code of Civil Procedure, 1908 which can be heard both on facts and law. The appellate jurisdiction of the High Court to decide the appeal is confined only to examine the substantial questions of law arising in the case."
21. Thus, almost all the contentions raised in the grounds of
appeal are based essentially on the questions of fact and, therefore,
they are required to be proved with the aid of evidence. Once they are
proved either way, the findings recorded thereon are regarded as the
findings of fact and it is the Commissioner, who is the last authority to
decide the question of fact.
22. In view of these facts and circumstances and considering the
principle laid down in the above said authority, I do not find any
substance in the appeal so as to disturb the reasoned order passed by
learned Commissioner awarding compensation in favour of applicant.
Hence, the appeal is devoid of merits and is liable to be dismissed.
23. Accordingly, the Civil Miscellaneous Appeal is dismissed.
There shall be no order as to costs.
Pending Miscellaneous applications, if any, shall stand closed.
_______________________________ JUSTICE M.G.PRIYADARSINI Date: 14.12.2023 AS
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