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National Consumer Disputes Redressal

The Oriental Insurance Co. Ltd.,Mr. ... vs Kerala Aviation Training Centre & ... on 31 January, 2006

  
 
 
 
 
 
 National Consumer Disputes Redressal Commission
  
 
 
 
 
 
 
 







 



 

National Consumer Disputes Redressal Commission 

 

  New Delhi 

 

  

 

 FIRST APPEAL Nos. 454 to 456 OF 2002 

 

(From the order dated 3.10.2002 in OP No. 43-44 & 85 of 1998 of
the State Commission, Kerala) 

 

  

 

The Oriental Insurance Co. Ltd.
  Appellant 

 

 Versus 

 

Kerala Aviation Training Centre & Ors.  Respondents 

 

   

 

 FIRST APPEAL No. 460 OF 2002 

 

(From the order dated 3.10.2002 in OP No. 43-44 & 85 of 1998 of
the State Commission, Kerala) 

 

  

 

K.S.Radhakrishnan & Anr.  Appellants 

 

 Versus 

 

The Oriental Insurance Co. Ltd. & Anr.  Respondents 

 

   

 

 FIRST APPEAL No. 461 OF 2002 

 

(From the order dated 3.10.2002 in OP No. 43-44 & 85 of 1998 of
the State Commission, Kerala) 

 

  

 

Sudha Rajkumar & Ors.  Appellants 

 

 Versus 

 

The Oriental Insurance Co. Ltd.  Respondent 

 

   

 

 FIRST APPEAL No. 493 OF 2002 

 

(From the order dated 3.10.2002 in OP No. 43-44 & 85 of 1998 of
the State Commission, Kerala) 

 

  

 

Kerala
Aviation Training Centre  Appellant 

 

 Versus 

 

The Oriental Insurance Co. Ltd.  Respondent 

 

   

 

 BEFORE: 

 

 HONBLE MR. JUSTICE M.B.SHAH,
PRESIDENT. 

 

  MRS.
RAJYALAKSHMI RAO, MEMBER. 

 

  

 

For the Insurance Co. : Mr. Vishnu Mehra, Advocate 

 

  

 

For the Kerala Aviation Training Centre: Mr.Ramesh Babu, Advocate. 

 

  

 

For the Others : Mr. P.Vinod Kumar, Advocate.  

 

   

 

 Date:   31st JANUARY, 2006  

 

 O R D E
R  

 

 M.B.SHAH, J. PRESIDENT 

 

  

 

I.
  Brief Facts: 

 

 Air Craft, Cesna FA-152, a
two seater, took off at 16.25 hrs. with Captain Raj Kumar as Pilot and Mr.
Satish Radhakrishnan as Co-Pilot, for a
demonstration flight on 22.2.1997 for the Fly in 1997 Convention which was
organised jointly by the Government Flying Training School (GFTS), Bangalore,
and the Agni Aerosports Adventures Pvt. Ltd.,
and immediately thereafter hit the ground and burst into flames. The
occupants of the air craft, namely, Capt. Raj Kumar, Pilot and Mr. Satish Radha
Krishnan, Co-Pilot succumbed to injuries.  

 

  

 

 It is also pointed out that Kerala
Aviation Training Centre (hereinafter referred to as the KATC) had taken an
insurance policy, namely, The Aircraft
Hull/Liabilities Policy. 

 

  

 

 The
Insurance Company repudiated the claims preferred by the KATC and the legal
heirs of the deceased Pilot and the Co-Pilot for reimbursement/compensation, on
the sole ground that the aircraft was used for aerobatic exercises. Hence, the
Complainants filed complaints before the State Consumer Disputes Redressal
Commission, Kerala, against the Oriental Insurance Company Ltd. Since the
incident in all these complaints is the same, these complaints were dealt with
by the State Commission by a common order and judgment dated 3.10.2002. The State Commission directed the Insurance
Company in: 

 

  

 

(i)               
O.P. No. 43 of 1998 which was filed
by the heirs of the deceased Pilot, Rajkumar, to pay to the heirs of the
deceased, Raj Kumar, a sum of Rs.6 lakhs with interest at the rate of 9% p.a.
from 18.2.1998 till the payment or recovery;
 

 

  

 

(ii)             
O.P. 44 of 1998 which was filed by
the heirs of Satish Radhakrishnan, the deceased Co-Pilot to pay to the heirs of
the deceased Satish Radhakrishnan a sum of Rs.6 lakhs with interest at the rate
of 9% p.a. from 18.2.1998.  

 

  

 

(iii)           
O.P. No. 85 of 1998 which was filed
by the KATC to pay Rs.8,80,000/- with interest at the rate of 9% p.a. from
18.2.1998 to the Complainant, KATC;  

 

  

 

In
addition to the above amounts, the Insurance Company was also directed to pay
costs, in all the cases, assessed at Rs.3,000/- to
each of the Complainants. 

 

  

 

  Against
that common judgment and order of the State Commission dated 3.10.2002, the
following Appeals are filed by the Insurance Company and by the Complainants
before this Commission: 

 

  

 

(i)               
F.A. Nos. 454-456 of 2002 are filed
by the Oriental Insurance Company Ltd. against the Complainants praying for
dismissal of the complaints: And, 

 

  

 

(i).
 F.A. No. 460 of 2002 is filed by the heirs of
the deceased, Satish Radhakrishnan against the Insurance Company; and, 

 

(ii)             
F.A. No. 461 of 2002 is filed by
the heirs of the deceased, Rajkumar against the Insurance Company; 

 

(iii)           
F.A. No. 493 of 2002 is filed by
the KATC is filed against the Insurance Company  

 

praying for enhancement of the
compensation. 

 

  

 

II.  CONTENTIONS
OF THE COMPLAINANT: 

 

  Loss of Licence - Insurance coverage: 

 

  At
the outset, we deal with the contention of the Complainants with regard to the
reimbursement for loss of licence as per the Loss of Licence Insurance
Coverage. In our view, a bare reading of the insurance policy reveals that
reimbursement under this policy is for loss of licence due to bodily injury
during or after the period of insurance and compensation for such bodily injury
is provided by Term Nos. 1, 2, 3, 4, and 5. In all these cases, except Item
No.5, there is a specific mention of incapacity causing permanent total
disablement or incapacity causing temporary total disablement. Item No.5 deals
with insured being required
to attend any court of enquiry which in the opinion of the
Insurance Company might give rise to a claim under the insurance policy.
Thereafter, the definition clause provides as under: 

 

 Definitions: 

 

Incapacity: Any
incapacity causing the permanent total disablement or temporary total
disablement of the person insured.  

 

  

 

Permanent total Disablement: Any disablement
due to personal injury or to illness, disease or disability including
natural deterioration of the person insured which entirely prevents him from
attending to the occupation and which appears beyond reasonable doubt to be of
a permanent nature. 

 

  

 

  In
case of death, there is no question of permanent disability or incapacity.
There is no insurance coverage for loss of licence due to death. In this view
of the matter, the State Commission rightly held that the Insurance Company is
not liable to pay any amount for loss of licence.  

 

  

 

  Next
it is contended that the Complainants are not consumers. In our view, this
submission is without any basis. Admittedly, the KATC had taken the policy for
the benefit of the Pilots; and, in case of fatal accident, for the
benefit of their heirs. It has also taken an insurance policy for covering any
loss or damage in respect of the aircraft. In this set of circumstances, the
State Commission rightly arrived at the conclusion that the Complainants, i.e.
the KATC and the legal heirs both the pilot and the co-pilot, are consumers.  

 

  

 

  

 

III.  SUBMISSIONS OF INSURANCE
COMPANY: 

 

   Now,
we would deal with the relevant contentions raised by the learned Counsel for
the Insurance Company.  

 

  

 

(a)   The
learned Counsel for the Insurance Company submitted that Insurance company is not liable to pay any compensation or reimburse
the Complainants because of the exclusion clause provided in the policy. It is
contended that the KATC took the insurance coverage for the period between
14.12.1996 and 13.12.1997 in respect of their air craft Cesna 152 for a
declared value of Rs.25 lakhs. In column
No.6, of the proposal form, which deals with the purpose for which the air
craft will be used - the reply given was, Flying Training; in Column 15 of
the proposal which provides details of the Pilot who will fly the air craft
- it was stated that Raj Kumar (36
years) and Anil Prakash (32 years). Learned Counsel referred to and emphasised
the exclusion clause which is as under: 

 

  

 

General exclusions (applicable to all sections of the
policy): 

 

  

 

The Company
shall not be liable to indemnify under any Section of this policy any direct or
indirect loss / damage of or liability of expenses however caused: 

 

.1. Whilst the Aircraft is being used for any
illegal purpose or for any purpose or purposes other than those stated in
the Schedule. 

 

.2. Whilst the Aircraft is being piloted by
any person other than as stated in the Schedule except that the Aircraft may be
operated on the ground by any person competent for that purpose. 

 

.3. Due to or arising out of or directly or
indirectly connected with the use of the Aircraft for racing, record
attempts, speed trials, any form of competitive flying, aerobatics,
aerial seeding or fertilization or crop dusting or spraying, patrol, fire
fighting, hunting, shooting, heeding, fish spotting or any other form of flying
involving abnormal hazards unless covered by a special endorsement. 

 

 

 

(b)   Learned Counsel,
Mr.Mehra, further relied upon the report of Director General of Civil Aviation,
(D.G.C.A.) and contended that it was a statutory body which investigates into
the cause of action. In the said report, it has been mentioned as under: 

 

 Circumstances leading to the
accident: 

 

  

 

The
aircraft took off from Jakkur for a demonstration flight, within the designated
area of the Air Show. After getting airborne, the Pilot initially carried out a
loop manoeuvre which was completed uneventfully. In continuation the Pilot
initiated another aerobatic manoeuvre (wing over) without gaining much altitude
by pulling up the aircraft initially and steeply turned it to left during which
the aircraft made steep dive with a lot of left bank. Due to insufficient height during the
manoeuvre, the aircraft crashed into the ground. 

 

  

 

3.1  Findings: 

 

6.                
The Airshow organizers had no
experience in arranging such events in the past. No written procedures on
operation of aircraft during the show were laid down and circulated to the
participants before conducting the show. 

 

  

 

9.                
The pilot initiated another
aerobatic manoeuvre (wing over) without gaining much altitude by pulling up the
aircraft initially and steeply turning it to left during which the aircraft
made steep dive with a lot of left bank. 

 

  

 

3.2.  Probable cause of accident: 

 

While
executing an aerobatic manoeuvre at low height the Pilot failed to recover due
to which the aircraft impacted the ground resulting in fatal injuries to both
the Pilots on board. 

 

  

 

(c).
  On the basis of exclusion clauses and
the aforesaid report the learned Counsel further contended that: 

 

  

 

(i)  as the aircraft
was executing aerobatic manoeuvre at low height it crashed and therefore it
would be flying in breach of the policy conditions, and, therefore, the
Insurance Company is not liable to reimburse under the policy; 

 

 

 

(ii)  in view of the
report by the D.G.C.A. the State Commission ought to have rejected the
complaints and it erred in holding that the said report is not a substantive
piece of evidence, by observing that Witness, R.W.-2 did not issue any public
notice before holding the inquiry.  

 

  

 

(iii) Capt. Satish Radhakrishnan was flying the
aircraft as Co-Pilot and was not sitting in the aircraft in the capacity of a passenger. The
policy is for the two named Pilots, namely, Mr. Raj Kumar and Mr. Anil Prakash.
Therefore, the complaint filed by the heirs of Satish Radhakrishnan was not
maintainable; 

 

  

 

(iv).  Capt. Raj Kumar who was flying the aircraft
as Pilot cannot be treated as a passenger, and, therefore, the liability of the
Insurance Company should be confined only to the insurance coverage for a
Pilot.  

 

  

 

He relied
upon the decision rendered by the   Apex Court in AIR
1966 SC 1644 and Polymat India (P) Ltd. & Anr. Vs. National Insurance
Company Ltd., (2005) 9 SCC 174 and contended that in interpreting the terms of insurance policy
it is the duty of the Court to interpret the words in which the contract is
expressed by the parties and it is not for the Court to make a new contract
however reasonable it may be; and,  

 

  

 

(v).  there is no liability of the Insurance
Company under the hull of the aircraft which was flying in breach of the
policy, as the aircraft was used for competitive flying and not for flying for
training.  

 

  

 

IV.  Proposal Form:  

 

 For deciding the contentions,
we would first refer to the proposal form submitted by the K.A.T.C. for the
insurance policy, which is sought to be relied upon by the learned Counsel for
the parties. In the proposal form submitted by the KATC, it has been
specifically mentioned in Column 3 that the proposers business or occupation
was flying purpose
and in Column no.6, the purposes for which the aircraft will be
used is mentioned as Flying Training; in Cloumn No. 5 the total value of the
aircraft is mentioned as Rs.8,80,000/-; and in Column No.15 the details of
Pilots who will fly the aircraft is mentioned as Raj Kumar and Anil Prakash.
Their flying experience, licence number, etc. were also mentioned.  

 

  

 

  The
insurance coverage, as per the policy,  issued after the accident, is as
under: 

 

A.   Section-I - Loss Or Damage to the Aircraft: 

 

 Whether cover required : Comprehensive 

 

 If so, risks to be covered 

 

 (State Flight, Taxying,
Ground,  

 

 Moored as the
case may be)  

 

  

 

B.  Section-II - Third Party
Liability: 

 

 Whether cover required : Yes 

 

 If so, limit of indemnity  : Rs. 2,50,000/- 

 

 (Any one accident) 

 

  

 

  

 

C.  Section-III -- Passenger
Liability: 

 

  

 

  Passenger
Liability: 

 

  

 

 Whether cover required : Yes 

 

  

 

 Limit of Liability per passenger : Rs.5 lacs 

 

  

 

 Whether cover required on Legal : Yes, Admitted liability 

 

 Liability basis or  Admitted
Liability 

 

 ( Voluntary settlement) basis 

 

  

 

  Baggage
liability: 

 

  

 

 Whether cover required : Yes 

 

  

 

 Limit of indemnity per passenger : Rs.1,00,000/- 

 

  

 

  

 

This
policy provided cover for those sections against which a premium is shown in
Part-I of this Schedule: 

 

The Schedule 

 

  

 

This Policy
provided cover only for those sections against which a premium is shown in
Part-I of this Schedule 

 

  

 
   
   
   

Part-I 
  
   
   

Policy No. 441201/0/0/AVN/9/005/RB 
   

The Insured: Kerala Aviation Training 
   

 Centre,   Trivandrum  Airport, 
   

 Pettah ( PO), 
   

   Trivandrum. 
   

  
   

Period of insurance : From
  : 14.12.96  
   

 To : 13.12.97 
  
   
   

Annual Premium 
  
 
  
   
   

  
  
   
   

Section-I: Hull All Risk
  Policy 
   

  
   

Section-II :T.P. Liability 
   

  
   

Section-III: Passenger
  liability 
   

  
   

MD/SRCC/Sabotage cover 
   

  
   

  
   

  
   

Add : 5% ST 
  
   
   

Rs.35,200 
   

  
   

  
   

Rs. 500 
   

  
   

Rs.12,500 
   

  
   

  
   

Rs. 1,320 
   


   

  
  
   

  
   

Rs.49,520 
   

  
   


   

Rs. 2,476 
  
   

Rs.51,996 
  
 
  
   
   

  
  
   
   

Date of
  proposal 23.11.97 
  
 
  
   
   

  
  
   
   

  
  
 
  
   
   

Part-II 
  
   
   

DESCRIPTION OF AIRCRAFT 
  
   
   

  
   

Engine 
  
   
   

Value 
  
 
  
   
   

Air   France 
  
 
  
   
   

Make, Type & Sl.
  No. 
   

  
   

  
   

  
   

  
   

  
   

  
   

  
   

(1) 
  
   
   

Year of const-ruction 
   

  
   

  
   

  
   

  
   

  
   

  
   

(2) 
  
   
   

Passenger
  Seating Capacity 
  
   
   

  
   

Registration/Identification
  Marks 
   

  
   

  
   

  
   

(5) 
  
   
   

Number &
  type 
   

  
   

  
   

  
   

  
   

  
   

  
   

  
   

  
   

(6) 
  
   
   

Aircraft with
  standard instruments & equipment 
   

  
   

(7) 
  
   
   

Value of exta
  equipment & accessories fitted to the aircraft 
   

  
   

(8) 
  
   
   

Total agreed
  value  
   

  
   

  
   

  
   

  
   

  
   

  
   

  
   

(9) 
  
 
  
   
   

Licenced 
   

  
   

  
   

  
   

(3) 
  
   
   

Declared  
   

for the purpose
  of this is insu-rance 
   

  
   

  
   

(4) 
  
 
  
   
   

  
  
   
   

CESSNA 152 LYCOMING _______ 
   

KENSAS 
  
   
   

  
   

  
   

1986 
  
   
   

  
   

  
   

2 
  
   
   

  
   

  
   

2 
  
   
   

  
   

VT KAB 
  
   
   

  
   

CESSNA 152 
  
   
   

  
  
   
   

  
  
   
   

  
   

  
   

8,80,000 
  
 
  
   
   

  
   

( ) Risk Covered
  FLIGHT 
   

 Insert Flight,
  Taxing, Moored, 
   

 Ground applicable for
  each aircraft 
   

  
  
 
  
   
   

  
  
 
  
   
   

Part III 
  
   
   

1.  Pilots 
   

  
   

2. Purpose for which the Aircraft will be used (insert Private
  Pleasuer, Pleasure, Business, Commercial, Rental as applicable). 
   

  
   

3. Geographical limits within which the Aircraft will be
  flown. 
  
   
   

M/s Raj Kumar
  & Anil Prakahs 
   

  
   

FLYING TRAINING 
   

  
   

  
   

  
   

  
   

  INDIA 
  
 
  
   
   

Part IV 
  
   
   

Limits and Deductibles 
  
   
   

  
  
 
  
   
   

  
  
   
   

(A) Policy Section 
  
   
   

(B) Amounts
  to be deducted 
  
   
   

(c) Limits of indemnity from which must be deducted the
  amount in column(s) 
  
 
  
   
   

  
  
   
   

I. Loss of or
  damage to Aircraft listed in Part-II of this Schedule 
  
   
   

Rs.75,000/- on each and every claim excluding IL/CTL. 
  
   
   

As per
  Part-II 
   

  
   

Rs.8,80,000/- 
  
 
  
   
   

  
  
   
   

II. Liability
  to Third Parties 
  
   
   

Bodily Injury 
   

  
   

  
   

  
   

  
   

  
   

Property
  Damage 
   

Nil 
  
   
   

Bodily Injury
  II Rs.2,50,000/- each 
   

  
   

  
   

Property
  Damage I 
  
 
  
   
   

  
  
   
   

I. Liability
  to Passengers 
  
   
   

Bodily injury
  NIL 
   

  
   

  
   

  
   

  
   

  
   

  
   

  
   

  
   

  
   

  
   

  
   

  
   

  
   

Baggage NIL 
  
   
   

Bodily injury
  Rs.5,00,000 each person Rs.5,00,000 each accdt.  
   

  
   

Basis of
  Indemnity: (Insert legal liability or admitted liability as the case may be) 
   

  
   

Baggage
  Rs._______ each person Rs.______ each accdt. 
  
 
 
  
   
   
   
   
   
   
   
   
   
   
   
   
 
 


 

  

 

  

 

The
policy provided cover for those sections against which a premium is shown in
Part-I of this Schedule: 

 

  

 
   
   
   

Section-I 
  
   
   

  Hull all risk 
  
   
   

Rs.35,200 
  
 
  
   
   

Section-II 
  
   
   

T.P. Liability  
   

(Third Party)  
  
   
   

Rs. 500 
  
 
  
   
   

Section-III 
  
   
   

Passenger Liability 
  
   
   

Rs.12,500 
  
 
  
   
   

  
  
   
   

MD/SRCC/Sabotage cover 
  
   
   

Rs. 1,320 
  
 
  
   
   

  
   

 Rs.49,520 
   


  Add : 5% ST Rs. 2,476  
   

  
  
 
  
   
   


  Total Rs.51,996 
  
 


 

  

 

  The
proposal form reflects the requirements of the Insurance Company and not the
requirements of the coverage sought by the insured. It is not disputed that the aircraft is
having only two seats. The insurance coverage is for two passengers and there
is no separate coverage for the Pilots. The question would be whether Pilots
can be stated to be passengers in the aircraft. It is the contention of
Mr.Mehra that as there is no separate coverage for the Pilots there is no
question of giving insurance coverage to them. If there were any passengers
then the coverage of insurance for them would be Rs.5 lakhs.  

 

  

 

 As against this, the learned Counsel
for the Complainant submitted that: 

 

(a).  the repudiation
of the claim is solely on the general exclusion clause of the policy, i.e.
aircraft was used for acrobatics. As it was known to the officers of the
Insurance Company that the aircraft could not be used for passengers,
therefore, they have not repudiated the claim on the ground that the insurance
coverage was only for passengers. Therefore, it is not open to the Insurance
Company to rely upon the exclusion clause by contending that there were no
passengers in the aircraft; 

 

(b).  the Aircraft is a two seater used for
training purpose only. Hence, there was no question for the aircraft to be used
for any passenger and the policy was given knowing full well that the Aircraft
was to be used only for training purpose by qualified pilot; 

 

(c).  after accepting the premium, the Insurance
Company had not given the insurance policy.
Otherwise, it could have been easily pointed out that the terms and
conditions which are applicable to the aircraft meant for general usage, are not applicable to the aircraft which is to be
used for training purpose having two seats for two persons, i.e. for Pilot and
Co-Pilot. The Insurance Company was aware of this aspect and, therefore, the
claim was not repudiated on the said ground. The Insurance Company accepted the
premium for covering pilots/trainees as two persons/passengers to occupy the
aircraft. 

 

  

 

 Learned Counsel
for the Complainants have relied upon the decision in the case of United India
Co. Ltd. Vs. Pushpalaya Printers (2004) 3 SCC 694 which has referred to the
decision in General Assurance Society Ltd. Vs. Chandumull Jain, AIR 1966 SC
1644, and contended that in the event of ambiguity the contract is to be
construed as contra proferentem, i.e.
against the Insurance Company. It is,
therefore, contended that in the present case the policy was for covering the pilot, and, therefore, it shold be construed accordingly. To
that extent the exclusion clause is against the public policy and that is
required to be ignored. 

 

  

 

V.   For
appreciating aforesaid contentions, we would refer to the aforequoted schedule
to the insurance policy. 

 

  

 

  The
Schedule to the Policy specifically provides that:  

 

(i). the
insurance policy was taken for aircraft which was to be used only for Flying
Training; 

 

(ii). the
Aircraft is a two seater; 

 

(iii). if
Pilot/trainee is to be excluded there cannot be two persons/passengers sitting
in the aircraft; and, 

 

(iv). aircraft
was meant only for training purpose, and, there is no question of covering any
passengers under the policy; 

 

(v). The cross-examination of the Assistant Development Manager
examined by the Insurance Company establishes that (there was no) crew policy was taken by the
K.A.T.C. 

 

 

 

  In
this view of the matter, we have to accept the contention raised by the learned
Counsel for the Complainant that the policy was meant for Pilots and not for passengers, otherwise the whole purpose of taking insurance
coverage would be frustrated. 

 

  

 

  However,
learned Counsel Mr.Mehra submitted that the terms of Insurance policy are to be
read as they are, and, therefore, the words used therein cannot be changed. 

 

  

 

   We
accept that in the matter of contract the words used therein are required to be
interpreted as they are. However,
knowing fully well, if the insurance policy is given for an aircraft which was
used only for training of Pilot, and, thereafter to contend that the
coverage is not there for Pilot or trainee pilot would be totally
unjustifiable and tantamount to fraud, may be unintentional. 

 

 In
any case, the policy is totally vague. This would be clear from the fact that
even though no passengers were to be allowed in the aircraft it seeks to cover
passengers risk. In the schedule it is
further mentioned that it would cover legal liability or admitted liability, as
the case may be. If it is a legal liability, then the KATC had admitted to
compensate the heirs of the Appellant.
This reveals vagueness and every stage at the time of issuing the
policy. 

 

  

 

  Further,
if the policy was immediately issued after receipt of the premium, the officers
of the KATC might have gone through the terms and conditions of the policy and
would have pointed out that the insurance coverage required was for Pilot and
the Trainee Pilot as the aircraft was not to be used for passengers. However,
the Insurance Company contended that admittedly this was a wrongly issued
policy, and, therefore, the terms and conditions which were mentioned in the
previous policy would be applicable. In
our view, this contention is also without any substance, because it is quite
possible that for some years the officers of the KATC might not have looked
into the terms and conditions of the policy, because the evidence discloses
that the officers of the KATC require the policy for crew, i.e. for Pilot and
Co-Pilot. This evidence we would discuss
hereinafter.  

 

  

 

 Further, in case
of ambiguity, in the terms of the policy, they are required to be interpreted
in favour of the insured. The law on
this subject is settled. 

 

 (i)
 Even in cases
where two reasonable interpretations of the terms of the policy are possible, the Court in the case of Shashi
Gupta (Smt) Vs. Life Insurance Corporation & Anr., (1995) Suppl. 1 SCC 754,
held that . we would accept the one which favours the policy-holder, as the same advances the
purpose for which the policy is taken and would be in consonance with the
object to be achieved for getting the lives assured.  

 

 This
has been relied in Life Insurance Corporation of India Vs.
Raj Kumar Rajgarhia & Anr., (1999) 3 SCC 465. 

 

  

 

  (ii) Skandia Insurance Co. Ltd. Vs. Kokilaben Chandravadan &Ors. (1987) 2 SCC 654: 

 

  In the above case the   Apex Court observed : 

 

  It is the statutory provision
defining the conditions of exemption which is being interpreted. These must
therefore be interpreted in the spirit in which the same have been enacted
accompanied by an anxiety to ensure that the protection is not
nullified by the
backward looking interpretation which serves to defeat
the provision rather than to fulfil its life-aim. To do otherwise would amount to nullifying
the benevolent provision by reading it with a non-benevolent eye and with a
mind not turned to the purpose and philosophy of the legislation without being
informed of the true goals sought to be achieved. 

 

 

 

  

 

.In fact it
appears that the former view is more plausible apart from the fact that it is
more desirable. When the option is between opting for a view which will relieve
the distress and misery of the victims of accidents or their dependants on the
one hand and the equally plausible view which will reduce the profitability of
the insurer in regard to the occupational hazard undertaken by him by way of
business activity, there is hardly any choice. The Court cannot but opt for the
former view. Even if one were to make a strictly doctrinaire approach, the very
same conclusion would emerge in obeisance to the doctrine of reading down the
exclusion clause in the light of the main purpose of the
provision so that the exclusion clause does not cross swords with the main
purpose highlighted earlier. The effort must be to
harmonize the two instead of allowing the exclusion clause to snipe
successfully at the main purpose. 

 

  

 

VI.   Now,
we would refer to the evidence of Mrs.V. Rema Devi, Assistant
Divisional Manager, Oriental Insurance Company Ltd., Ulloor, Trivendrum, who
has stated that the KATC had asked for seat insurance policy. She has
added that after discussion they were (KATC) informed that no such policy was
available. And, instead of that the personal accident aircraft crew policy
can be given covering the instructor and student. .. The proposal form
was given on 14th March and she has also produced the correspondence
relating to the proposal form and issuance of the policy. It is relevant to
refer to some questions and answers in the cross-examination.: 

 

  

 

Q. I
put it to you that a premium of Rs.2,310/- for availing personal accident crew
to policy which is covered under Ext.P-2 was paid because you had called or
directed to pay by Ext. P-26 letter dated 22.11.1996. 

 

A.    Premium when it was given was receipt and details
regarding the names of the persons to be insured was called for to issue
the personal accident aircraft crew policy. 

 

  

 

Q.               
Ext. P-29 is asking the KATC to
receive the seat insurance policy. Am I correct? 

 

A.               
Yes. 

 

  

 

The aforesaid admission clearly reveals that the policy was given not
for the passengers but on the basis of the seats in the aircraft. 

 

  

 

  She has also stated : 

 

 Q. According to you how many persons could
travel in Cessna 152 

 

A. As
per the survey report and DGCA report perused by me CESSNA is a two seat
aircraft and that is in it cannot carry two persons. 

 

 . 

Q.                Have you got separate proforma for two seaters and multi seaters?

A.                No.   Q.                KATC is insuring then air craft from 1987?

A.                Of course may be.

 

Q.                Have you at any point of time made enquiries regarding the seating capacity?

A.                No.   Q.                I put to you that in every policy was issued after having convinced about the entries in the proposal.

A.                As stated earlier the proposal are accepted in good faith as the insured is better aware of the nature of thing they are insuring. There is no reason for us to doubt the proposal.

..

Q.                Anyhow, you have been collecting retaining premium from 1988 onwards.

A.                As I have told you the premium is collected on the sum insured suggested by the KATC. So an importation of the number of passengers need not be correct.

 

Q.                Will you collect premium from the consumers without covering risk?

A.                No. .

Q.                How many policies you had issued against this particular aircraft Cessena 152.

A.                Only one.

 

Q.                You had issued no other policy pertaining to this particular aircraft.

A.                No.   Q.                Have you issued Aircraft Seat Insurance policy to this CESSNA 152?

A.                There is no policy called aircraft seat insurance policy. The insured KATC had proposed to cover and that we could issue personal accident aircraft crew policy. On submission of proposal.

 

Q.                Have you neither issued any aircraft seat insurance policy nor received any premium, am I right?

A.                The insured had deposited some premium when the proposal cover for seat insurance policy was no such policy existed we had asked them to submit proposal forms named personal accident aircraft crew policy covering the instructors. The premium were to be adjusted for issuing the personal accident aircraft crew policy.

 

Q.                According to you proposal and premium voluntarily come from the insured and you had accepted.

R.                No. As the case of seat insurance policy because there was no such policy in existence we advised them to submit proposal forms to cover the instructors under PA aircraft policy.

.

 

Q. You had also issued loss of licence policy to the pilot Rajkumar of CESSNA 152.

A. A loss of licence policy for Captain Raj Kumar was issued it was current at the time of accident.

 

Q. What was the premium collected for that policy?

A. Rs.6,880/-

and service tax at Rs.344/- payable to the Government Ext. P-9 is the receipt for the premium collected for the loss of licence policy of Capt. Rajkumar. The Captain sum assured against that policy was Rs.3,93,120/-. I had collected premium for Aircraft Policy. Aircraft seat insurance policy and loss of licence policy. We had collected premium for loss of licence policy and Aircraft hull policy and for the proposed PA aircraft crew policy.

 

Q. So you are denying the receipt of aircraft seat insurance policy as per Ext.P-6?

A. No. Ext. P-6 shows premium that were to be accounted in the aircraft crew policy.

 

From the aforesaid cross-examination it is clear that

(i).

KATC had paid premium of Rs.2,310/- for availing personal accident crew policy;

(ii). Ex.P-29 reveals that KATC was demanding the seat insurance policy;

(iii). It is admitted that the aircraft was a two seat aircraft and it cannot carry any passengers;

(iv). There is no separate proforma of the insurance policy for two seaters and multi-seaters;

(v). the witness had admitted that the premium is collected on the sum insured suggested by the KATC and importation of the number of passengers need not be correct;

(vi). Only one policy was issued by the insurance company against the aircraft Sessna-152;

(vii). The premium collected was to be adjusted for issuing the personal accident crew policy; and

(viii). The insurance company advised the KATC to submit proposal form to cover the instructors under personal accident aircraft policy.

 

Exclusion clause:

The Insurance Company next contended that in view of the exclusion clause which provides that in case of accident due to manoeuvring aerobatic exercises the Insurance Company would not be liable.
 
This submission is also without any substance. The aircraft was admittedly required to be used for giving training and training would requires such exercise. There is no exclusion that training would not include such exercises.
 
Learned Counsel for the Insurance Company further contended that the report given by the D.G.C.A. establishes that aerobatic or manoeuvre of the aircraft had resulted in the accident. The learned Counsel for the Insurance Company submitted that the final report of the DGCA has probative value and is required to be accepted as it is. If that is accepted, it establishes that there was aerobatic manoeuvre at low level by the pilots, and therefore, the Insurance Company, in view of the exclusion clause, is not liable to reimburse the Complainants. It has been pointed out that RW-2, DGCA had concluded that probable cause of accident was that while executing the aerobatic manoeuvre at low level the pilot failed to recover due to which the aircraft impacted the ground resulting in fatal injuries to the pilots.
Requirements of Exclusion Clause:
Firstly, it is also a settled law that it is for the Insurance Company to establish the facts beyond doubt which would reveal that the terms and conditions of the exclusion clause are applicable. The report relied upon by the Insurance Company only mentions with regard to probable cause of accident. There is nothing on record to justify the said conclusion. It is possible that because of technical fault the accident might have occurred.
 
Secondly, the said report is in contravention of Rule 17(1)(iv) of the Aircraft rules, 1937, which provide that before investigating, public notice is required to be given and the persons who has witnessed the occurrence or had knowledge about the same were not examined. If that was done, the inquiry could have revealed the true cause of the accident.
 
In this connection, the State Commission observed that (i) no eye witness is examined on the side of the Opposite Party; (ii) a video tape produced by RW-3, and according to RW-2 the same was taken by an amature videographer whose name was not mentioned and he was also not examined to prove the same. In the cross-examination RW-2s reply to the question as to what was wing-over, is it is a type of manoeuvre. When he was asked to explain the same, his answer was that he would have to verify, and, then added that he does not have a flying licence. From this, the State Commission concluded that, the expertise of the witness was such that he does not know what is meant by wing over. The State Commission also observed that the Insurance Company did not examine the Chief Aircraft Maintenance Engineer, Office of the Principal Government Flying Training Centre, and the Principal, Govt. Flying Training Centre, Jakkur, though they were present and have witnessed the incident on 17.12.2001.
 
Further, the Complainants have led the evidence of the Chief Flying Instructor, Madras, and a retired Wing commander and Aerosports Specialist for National Adventure Foundation as expert witnesses.
 
PW-4 is the Chief Flying Instructor, Madras, an expert, who has witnessed the occurrence. He was competent to speak about the occurrence. He has stated that after about 15 minutes of the taking off the aircraft it was doing the loop, after which the aircraft flew to the western side of the airfield and flew on an easternly direction trying to position the aircraft for a second manoeuvre which nobody knew what was in pilots mind, and after a few seconds he saw the aircraft coming down vertically, and this was what he saw (witnessed), and then the aircraft was destroyed. According to him wing over manoeuvre means the positioning of the aircraft. He has stated that the positioning of the aircraft is not connected with manoeuvre. He has also stated that positioning of the aircraft could be done only after completion of the loop. The State Commission also observed that the literatures on which reliance was placed by the Opposite Party was not put to the expert witnesses. The State Commission also observed that when the expert was in the box and at the time of giving evidence his attention should have been invited to the said commentary upon which reliance was sought.
 
According to PW-5, a retired wing Commander and Aerosports Specialist for National Adventure Foundation, an expert witness, wing over is considered as a lazy manoeuvre for positioning the aircraft in a desired direction. The State Commission observes that the literature relied upon by the learned Counsel was not put to this witness also. It further held that : Therefore, ignoring the said evidence of PW-4 and PW-5, one cannot rest a finding merely on the basis of the commentaries particularly when the attention of experts was not drawn to the said commentaries. From the above, not only the evidence adduced on the side of the Opposite Party cannot prove the exclusion under Clause 6 of the policy, the evidence on the side of the Complainant would support the case of the Complainant that the peril cannot fall within the exclusion clause.
 
From the aforesaid discussion, it is apparent that the Insurance Company has failed to establish that the aircraft was used for aerobatic, so as to satisfy the requirement of the exclusion clause. On the contrary, the evidence on record brought by the Complainant supports its say. In this view of the matter, the State Commission rightly arrived at the conclusion that the report submitted by the DGCA cannot be the basis for holding that the exclusion clause would be applicable in the present case. The author of the report was not an eye witness. As against this, the persons who were experts in the field, were present at the site and they have stated that while taking over position wing over was done and therefore, the aircraft crashed. Reasons were not known. Therefore, in our view, it cannot be held that Pilots were manoeuvering the aerobatic exercise.
In this view of the matter, the appeals filed by the Insurance Company are required to be dismissed.
Quantum:
It has rightly been discussed by the State Commission that the liability of the Insurance Company is Rs.5 lakhs as passenger liability and Rs.1 lakh towards seat liability. And, therefore, the heirs of the deceased are not entitled to recover more than Rs.6 lakhs from the Insurance Company. The award of compensation is on the basis of the liability limit as per the insurance policy. Hence, the impugned order does not call for any interference at the instance of the Complainants. In this view of the matter, the appeals for enhancement of the compensation are required to be dismissed.
 
In the result, the appeals filed by the Complainants as well as the Insurance Company are dismissed. There shall be no order as to costs.
J. (M.B.SHAH) PRESIDENT ..
(RAJYALAKSHMI RAO) MEMBER