JUDGEMENT
K.KANNAN,J. -
(1.) ALL the three appeals are connected. FAO
Nos.5252 and 5253 of 2003 are at the instance
of the insurance company on the issue of
liability, while FAO No.1559 of 2004 is at the
instance of the claimant seeking for
enhancement of claim for compensation at
RS.5,20,000.00.
(2.) IN this case the claimant was the wife of the proprietor of Chowdry Diagnostic Centre and it was her contention that she was
working as Manager in her husband's
diagnostic centre and receiving RS.5000.00 per
month as salary. On account of serious
injuries suffered by her, she had been taking
treatment from CMC Hospital, Ludhiana and
remained admitted from 18.1.2000 to
2.2.2000. The contention is that on account of the injuries suffered by the wife, the diagnostic centre remained closed and her
husband had suffered a loss of RS.1,50,000.00.
AW-4 Michael Joseph had produced
documents relating to the hospital bills levied
on the claimant by the CMC Hospital,
Ludhiana. The Doctor had certified her to
have suffered 14% disability on account of
shortening of right femur by 1 cm. with 1/3rd
loss of flisces (SIC) of right elbow. Dr. Gurbaksh
Chowdry who appeared as AW-3 stated
that his wife was using crutches for two
months and continued to limp till the day of
trial. It was stated that that she had
undergone two operations due to non-union
of thigh bone and had a rod placed in right leg
to reduce the fracture. Jaw bone had also
been broken and there had been straightening
by wiring. A certificate from the Trauma &
Spine Centre, Pathankot was to the effect
that she required surgical removal of nails
and screws from the humerous and femur
under anaesthesia and while determining
the compensation, the Tribunal had awarded
X 5,20,000.00 that included X 60,000.00 for loss
of income for nearly a year @ X 5000.00 per
month. I will accord the same and will not
factor the issue of loss alleged to have been
suffered by her husband by his inability to
carry on with his diagnostic centre on account
of the injuries suffered by his wife. The damage
claimed through her husband is not the
proximal cause and therefore, it cannot be
accommodated. The Tribunal had awarded
X 20,000.00 for special diet and X 20,000.00 for
attendant charges which are reasonable and
would not require any modification. The
entire amount of treatment expenses
governed through the bills had been fully
provided for by grant of RS.3,30,000.00 under
that head. I will find no reason to increase the
same. The claimant had produced taxi fare
bills Ex.A54 to Ex.A79 amounting to
X 61,000.00 and further a amount of
X 46,000.00 from CMC Hospital, Ludhaina.
The Tribunal found that there had been some
exaggeration in the bills in respect of taxi fare
and therefore, did not totally discount them,
but took that into consideration while
awarding the compensation of X 3,30,000.00
for hospital expenses that included
transportation charges also. The reason for
not accepting all the bills has been properly
explained by the Tribunal and I would,
therefore, not find any reason to increase the
same. For a fracture of the arm and the leg
and for injuries suffered on her face, the
Tribunal had awarded X 40,000.00 for pain
and suffering and provided for future
operation for removal of plates and screws
X 20,000.00. For the disability of 14%
ascertained, which was temporary in
character, by her having to walk on crutches
with further difficulty of movement of the
arm while eating, the Tribunal had provided
for X 40,000.00 as pain and suffering which
also, in my view, was appropriate. The overall assessment of compensation by the
Tribunal is fair and just and I will not find
any reason to modify the same. The appeal
filed by the appellant-claimant is, therefore,
dismissed on merits, although the counsel
for the appellant did not appear to present
his case. The details of determining
compensation even for injuries are
reasonably certain and I, therefore, found no
reason for dismissal of the appeal in default,
especially also by the fact that in connected
two appeals arising out of the same accident
the counsel for the insurance company is
present and was ready with all the details. I
have examined this case with the records
available and with the assistance of the
counsel appearing on behalf of the insurance
company.
The matter of relevance in the appeal FAO Nos.5252 and 5253 of 2003 are on the issue of liability in a case where the Tribunal
Judge had engaged in a letter of
communication with the licencing authority
from Hyderabad and there was a report to
state that the particulars of licence produced
before the Tribunal as revealed through the
document filed in Court did not tally with
any valid licence issued by the fencing
authority. Counsel for the insurance
company would state that there had been a
prevalent practice governed by the circular
from the administrative side to allow for
Tribunals to collect evidence from licencing
authorities who were in far-off places like
Hyderabad and Cuttack and in this case the
licence produced showed that it had been
issued by the licencing authority at
Hyderabad. The evidence had been tendered
and they were under the impression that
letter of communication was sufficient to
prove its defence. The Tribunal while
rejecting the plea that driver was not duly
licenced observed that the insurance
company had not taken steps to examine any
person connected with the record from the
licencing authority. I am of the view that an
opportunity has to be granted to the insurer
to establish its defence and the insurance
company shall be at liberty to summon the
appropriate records and the official from the
licencing authority to vouch for what the
communication of the licencing authority to
the Tribunal Judge revealed.
(3.) THE insurer shall be liable to satisfy the claim of the claimants. For adjudication, this issue will have a bearing only to settle the
inter se dispute between the insurer on the one
hand and the insured and the driver on the
other hand. The award is set aside as regards
the issue liability, while affirming the award
as regards the quantum and the liability of
the insurer to satisfy the claim of the
claimants.;
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