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[Cites 5, Cited by 1]

Gujarat High Court

Oriental Insurance Co. Ltd vs Jivtabhai Mera Koli & 7 on 15 September, 2015

Author: Akil Kureshi

Bench: Akil Kureshi

                 C/FA/2741/2007                                                 JUDGMENT




                  IN THE HIGH COURT OF GUJARAT AT AHMEDABAD

                                  FIRST APPEAL NO. 2741 of 2007



         FOR APPROVAL AND SIGNATURE:



         HONOURABLE MR.JUSTICE AKIL KURESHI

         ==========================================================

         1   Whether Reporters of Local Papers may be allowed
             to see the judgment ?

         2   To be referred to the Reporter or not ?

         3   Whether their Lordships wish to see the fair copy of
             the judgment ?

         4   Whether this case involves a substantial question of
             law as to the interpretation of the Constitution of
             India or any order made thereunder ?

         ==========================================================
                       ORIENTAL INSURANCE CO. LTD.....Appellant(s)
                                       Versus
                        JIVTABHAI MERA KOLI & 7....Defendant(s)
         ==========================================================
         Appearance:
         MR KK NAIR, ADVOCATE for the Appellant(s) No. 1
         MR.HIREN M MODI, ADVOCATE for the Defendant(s) No. 1
         RULE SERVED for the Defendant(s) No. 2 - 8
         ==========================================================

                 CORAM: HONOURABLE MR.JUSTICE AKIL KURESHI

                                         Date : 15/09/2015


                                        ORAL JUDGMENT
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HC-NIC Page 1 of 6 Created On Thu Sep 17 01:39:54 IST 2015 C/FA/2741/2007 JUDGMENT

1. This appeal is filed by the Oriental Insurance Company Ltd  challenging   the   judgement   and   award   of   the   Motor  Accident   Claims   Tribunal     dated   9.3.2007   in   MACP   NO.  1863/1999. 

2. The   Claims   Petition   was   filed   by   the   husband   and   the  minor   children   of   deceased   Hamiben   who   died   in   a  vehicular   accident   which   took   place   on   12.8.1999.   The  claimants   sought   compensation   of   Rs.   5   lacs   from   the  driver,   owner   and   insurer   of   the   truck   in   which   the  deceased was travelling at the time of accident. The Claims  Tribunal  held the driver of the tractor solely negligent for  causing   the   accident.   Considering   the   fact   that   the  deceased   was   involved   in   the   labour   work   and   she   was  aged   about   36   years   at   the   time   of   accident,   the   Claims  Tribunal   awarded   compensation   of   Rs.3,85,000/­   to   the  claimants.   This   award   the   insurance   company   has  challenged   particularly   on   the   question   of   liability   of   the  insurance company.

3. In   order   to   appreciate   this   objection   of   the   insurance  company,   facts   can   be   seen   a   little   more   closer.   On  12.8.1999   at   about   6   O'   clock   in   the   evening   deceased  Hamiben  was  travelling  in   a  tractor  trolley   driven  by   the  opponent. Her son was accompanying her. According to the  claimants,   the   tractor   was   being   driven   at   an   excessive  speed and rather rashly. In the process, Hamiben fell down  on the road and wheel of the tractor ran over her causing  her death. The Claims Tribunal accepted this version of the  claimants and held that the accident occurred due to the  sole   negligence   of   the   driver.   The   insurance   company  Page 2 of 6 HC-NIC Page 2 of 6 Created On Thu Sep 17 01:39:54 IST 2015 C/FA/2741/2007 JUDGMENT argues that the deceased being a passenger in the tractor,  the   driver   committed   breach   of   the   terms   of   the   policy  which   would   absolve   the   insurance   company   from   the  liability covering the risk. 

4. Learned   counsel   for   the   insurance   company   pointed   out  that the Claims Tribunal did not devote any discussion to  this   objection   in   the   impugned   award.   He   further  submitted  that the counsel  for the insurance  company in  its written arguments exh.43 has raised such a contention  and   also   cited   several   authorities.   The   contention   of   the  authority   were   both   ignored   by   the   Claims   Tribunal.  Counsel   relied   on   the   decision   of   Division   Bench   of   this  Court dated 7.2.2012  in case of   National Insurance Co.  Ltd. v. Smitaben wd/o Bhogilal Jiagjivandas Gadhia and  others  passed   in   First   Appeal   No.   2214/1999,   in   which  such   a   contention   was   allowed   at   the   appellate   stage  observing that the question presented was a pure question  of law and therefore, could be raised for the first time even  at the appellate stage.

  Learned   counsel   relied   on   the   decision   of   Learned  Single Judge in case of  New India Assurance Co. Ltd. v.  Heirs & L.RS of Decd. Pravinsinh Ranubha Zala reported  in   2013   (2)   GLR   1580   to   contend   that   this   cannot   be  termed   as   an   accident   to   a   third   party   but   it   is   a   case  where   gratuitous   passenger   carried   in   a   tractor   received  fatal injuries. 

5. On   the   other   hand,   learned   counsel   Shri   Modi   for   the  claimants   firstly   contended   that   the   Insurance   company  Page 3 of 6 HC-NIC Page 3 of 6 Created On Thu Sep 17 01:39:54 IST 2015 C/FA/2741/2007 JUDGMENT never raised any such dispute before the Claims Tribunal.  It   was   the   duty   of   the   Insurance   company   to   establish  breach of policy if that was its case. Counsel also relied on  judgement   of   Supreme   Court   in   case   of  New   Indian  Assurance   Company   Ltd.   v.   Darshana   Devi  reported   in  2008(2)   SCALE   432.   He   further   submitted   that   Learned  Single   Judge   of   this   Court   in   case   of    United   India  Insurance   Co.   Ltd.   v.   Kalabhai   Bachubhai   Parmar    by  judgement   dated   24.9.2014   passed   in   First   Appeal  No.2332/2007,     in   similar   circumstances   held   that   the  deceased   cannot   be   considered   as   gratuitous   passenger  since he was run over by trolley of the tractor after he had  fell   down   and   therefore,   would   be   a   third   party.   The  Insurance company would be liable to cover the risk. 

6. Having   thus   heard   learned   counsel   for   the   parties   and  having  perused  the evidence  on record,  the first question  arises whether the Claims Tribunal ought to have absolved  the insurance company of its liability. In this background,  one may notice that in the written statement   exh.16, the  insurance company raised no such defence. In fact, the full  insurance  policy  was also not  produced  though  one  page  insurance   slip   was   on   record.   Obviously,   therefore,   in  absence   of   such   defence   by   the   Insurance   company,   the  Claims Tribunal did not raise any corresponding issue. The  Tribunal   raised   only   two   points   namely,   whether   the  claimants  prove  that the deceased  sustained  injuries  and  died due to such injury which were received in an accident  caused by rash and   negligent driving by the driver of the  tractor   during   his   employment   with   the   opponent   no.2  owner   and   whether   the   claimants   prove   that   they   are  Page 4 of 6 HC-NIC Page 4 of 6 Created On Thu Sep 17 01:39:54 IST 2015 C/FA/2741/2007 JUDGMENT entitled   to   receive   compensation   for   opponent   or   any   of  them? If yes what amount? Thus the question of liability of  the   Insurance   company   was   never   raised   nor   disputed  before the Claims Tribunal. Obviously therefore, the Claims  Tribunal  had  no opportunity  to lead  any evidence  in this  respect.   Even   the   cross   examination   of   the   claimants'  witness exh.32 did not contain any reference to this aspect  of   the   matter.   The   Insurance   Company   did   not   examine  any   witnesses.   Primarily   it   would   be   the   duty   of   the  Insurance   company   to   plead   and   prove   a   case   of   any  breach   of   terms   of   the   policy   which   would   enable   the  Insurance company to avoid its liability. This was precisely  what   was   held   by   the   Supreme   Court   in   case   of  Fahim  Ahmad & ors. v. United India Insurance Co. Ltd. & ors.  reported   in   AIR   2014   Supreme   Court   2187   observed   as  under :

"8. Although the plea of breach of the conditions of policy  was raised before the Tribunal, yet neither any issue was  framed   nor   any   evidence   led   to   prove   the   same.   In   our  opinion, it was mandatory for respondent No. 1­Insurance  Company   not   only   to   plead   the   said   breach,   but   also  substantiate   the   same   by   adducing   positive   evidence   in  respect of the same. In the absence of any such evidence, it  cannot   be   presumed   that   ­  there   was   breach   of   the  conditions of policy." 

7. In case of   Smitaben wd/o Bhogilal Jiagjivandas Gadhia  and others(supra), short question was whether the policy  which was already on record was a limited policy covering  only statutory risk. It was in this background the question  was allowed to raise for the first time in an appellate stage.




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                    C/FA/2741/2007                                              JUDGMENT




8. The   Tribunal   was   therefore,   perfectly   justified   in   not  making any observations with respect to the liability of the  Insurance company. Mere contention that for the first time  in the written statement without any attempt on part of the  Insurance   company   to   lead   evidence   and   to   put   the  claimants   to   notice   about   its   opposition,   would   not   be  sufficient.

9. In view of above discussions, I am not inclined to consider  whether this accident can be stated to have caused death  of a gratuitous passenger  or a third party. Issue requires  closer scrutiny and may be made in an appropriate case.  Very   little   has   been   argued   before   me   with   respect   to  quantity  of compensation.  In any case,  I do  not  find  any  reason to interfere on this count. Reliance in this respect  can be made to decision of the Supreme Court in case of  Kishan Gopal and another v. Lala and others reported in  (2014)   1   Supreme   Court   Cases   244   in   which   in   case   of  death of a boy aged ten years, where accident took place in  1992,   adopting   notional   income,   compensation   of  Rs.5,00,000/­ was awarded.

10. In the result, First Appeal is dismissed.

R&P be sent back to concerned trial Court.

(AKIL KURESHI, J.) raghu Page 6 of 6 HC-NIC Page 6 of 6 Created On Thu Sep 17 01:39:54 IST 2015