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Judgment Summary — Paul, J.

Factual and Procedural Background

On 25 May 1970 at about 3:30 p.m. a lorry (MSM 1078) belonging to the third respondent, Babu Reddi, was involved in an accident on the Poonamallee High Road which resulted in the death of Chandran (husband of the first respondent and father of the second respondent). The Motor Accidents Claims Tribunal awarded Rs. 10,000 as compensation to the first and second respondents and directed the insurer (the appellant) to pay the compensation. The insurance company appealed the Tribunal's decision.

Legal Issues Presented

  1. Whether the accident was caused by the rash and negligent driving of the lorry by its driver.
  2. Whether the Tribunal erred in awarding a compensation of Rs. 10,000 (i.e., whether the award was excessive).
  3. Whether the liability of the appellant (the insurer) was limited to the extent of the liability arising under the Workmen's Compensation Act.

Arguments of the Parties

Appellant's Arguments

  • The Tribunal erred in finding that the accident resulted from negligent driving by the lorry's driver.
  • The compensation of Rs. 10,000 awarded by the Tribunal is excessive.
  • The appellant's (insurer's) liability is limited to the statutory liability under the Workmen's Compensation Act (specifically referring to Schedule IV limits), which in this case would limit liability to Rs. 3,600.
  • At a later stage (before this Court) the appellant produced the insurance policy and relied on its terms (including limits of liability and endorsements) to contend for restricted liability.

Respondents' Position / Evidence Supporting the Award

  • The Tribunal accepted evidence (notably P.W.2) that the lorry was proceeding at a fast speed, skidded, left the road and overturned into an adjacent pit, causing the death of Chandran.
  • The Tribunal considered evidence about the deceased's earnings (P.W.2 stated Rs. 15 per week from brick-kiln work) and used that to assess loss of dependency and to calculate compensation.
  • The Tribunal rejected parts of P.W.1's evidence (claim of Rs. 200 monthly income) and relied on a lower weekly earning figure when computing compensation.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
Kesavan Nair v. State Insurance Officer, 1971 Ace CJ 219 (Ker) Clarification that insurer is confined to defenses specified in Section 96(2) of the Motor Vehicles Act. Used to support the proposition that the insurer cannot raise defenses outside Section 96(2) where no reservation of rights exists in the policy.
British India General Insurance Co. Ltd. v. Captain Itbar Singh; Mangilal v. Parasram (Full Bench) Authority reinforcing limits on insurers' defenses under Section 96(2). Relied on to show established position that insurers are ordinarily confined to the specified defenses under Section 96(2).
Orissa Cooperative Insurance Society Ltd. v. Bhagaban, 1971 Acc CJ 49 (Orissa) Held insurer cannot raise pleas outside Section 96(2), but if the policy reserves a right to defend in the name of the insured, insurer may raise pleas open to the insured with Tribunal's permission. Distinguished: the present policy did not reserve such a right, so the exception in Bhagaban did not apply.
Howrah Insurance Co. Ltd. v. Sundaram, 1974 TLNJ 58 Explained effect of Section 96(2) and Sub-section (2-A) of Section 110-C: insurers are normally confined to grounds in Section 96(2), with limited additional defences under exceptional circumstances (collusion or failure to contest). Applied to conclude neither exceptional pre-condition existed in this case, so the insurer could not raise the defense that the accident was not due to negligence.
Gobald Motor Service Ltd. v. R. M. K. Vehisami (Supreme Court) Described circumstances in which the doctrine of res ipsa loquitur applies: where injurious agency and surrounding circumstances are within defendant's control and events speak of negligence. Invoked to justify inferring negligence from the facts (skidding and capsizing) and to place evidential burden on defendant to rebut the inference.
Henderson v. Hendry E. Jenkins and Sons, 1969-3 All ER 756 (HL) Distinction between formal (legal) burden and evidential burden in negligence cases; where facts raise a prima facie inference of negligence the evidential burden shifts to defendant. Used to explain the shifting evidential burden once facts invoking res ipsa loquitur are proved.
Jagat Singh v. Sawal Singh, 1971 Acc CJ 66 (Punj) Example where res ipsa loquitur was invoked when a vehicle went off the road after evasive action (cow on road), and negligence was inferred because the driver ought to have had control. Referenced as analogous support for inferring negligence when a vehicle skids and overturns.
Venkataraman v. Abdul Munaf Sahib, 1971 Acc CJ 77 (Mad) Held the Claims Tribunal may determine liability under the Workmen's Compensation Act and award the amount against the insurer where policy permits. Applied to show the Tribunal could award Workmen's Compensation liabilities against the insurer; the present policy expressly indemnified for Workmen's Compensation and at common law, so the appellant's contention of limitation failed.

Court's Reasoning and Analysis

The Court's analysis proceeded in two main strands: (A) the question of negligence and evidential burden; and (B) the question of the insurer's liability limit under the insurance policy and the Workmen's Compensation Act.

A. Negligence and Evidential Burden

  • The Tribunal's finding that the accident was due to rash and negligent driving was not seriously challenged on appeal; the Court accepted that the Tribunal's finding was supported by evidence.
  • The Court observed the factual matrix: the lorry was driven by R. W. 2; the deceased was travelling in the lorry and was employed by the third respondent; P.W.2 described the lorry proceeding at a fast speed and then capsizing after a car from the opposite side came along; the lorry had skidded, left the cement road (which had a curve) and fallen into an adjacent pit and capsized.
  • The doctrine of res ipsa loquitur was invoked. The Court relied on precedent (Gobald Motor Service Ltd. v. R. M. K. Vehisami) to state that where the injurious agency and circumstances are within the defendant's control and the event would not have occurred if the defendant had taken proper care, an inference of negligence arises and the evidential burden shifts to the defendant to provide an adequate answer.
  • The Court applied the principle explained in Henderson v. Hendry E. Jenkins and Sons as to the distinction between the formal/legal burden (which remains on the plaintiff) and the evidential burden (which shifts to the defendant once a prima facie inference of negligence is established).
  • The Court found the driver's explanation (that a lorry came in front causing skidding and that the front left wheel moved into a pit of mud) unacceptable given the circumstances and the absence of any pleading before the Tribunal that the skidding was due to heavy rains or bad road conditions. The Court concluded the facts showed lack of control and excessive speed, supporting the Tribunal's finding of rash and negligent driving.

B. Insurer's Liability and Policy Interpretation

  • The appellant contended its liability was limited to the statutory liability under Schedule IV to the Workmen's Compensation Act (Rs. 3,600) and that the Rs. 10,000 award was excessive; this contention was not raised before the Tribunal and was first raised in this Court.
  • The Court examined the insurance policy (endorsement No. 16). The endorsement expressly stated that, in consideration of additional premium, the company shall indemnify the insured against his legal liability under the Workmen's Compensation Act and "at common law" in respect of personal injury to paid drivers, cleaners, conductors or persons employed in loading/unloading while in the service of the insured.
  • Under the policy's "Limits of Liabilities" clause the company agreed limits for liability required to meet Motor Vehicles Act requirements and specified an overall limit (Rs. 20,000) for any one claim or series of claims arising out of one event. The policy indicated an extra amount was paid for wider cover to paid drivers and cleaners.
  • The Court relied on Venkataraman v. Abdul Munaf Sahib to note that a Claims Tribunal may determine Workmen's Compensation liability and award the amount against the insurer where the policy provides such cover. The Court contrasted that case's facts (where certain provisos limited cover) with the present policy, which expressly indemnified for Workmen's Compensation and at common law, with extra premium paid for wider coverage.
  • Given the policy wording (endorsement and limits), the Court concluded the appellant's contention that its liability was limited to Rs. 3,600 under Schedule IV could not be accepted.

C. Quantum of Compensation

  • The Tribunal found the deceased was about 25 years old. P.W.1's evidence that the deceased earned Rs. 200 per month was rejected. The Tribunal accepted the evidence of P.W.2 that the deceased received Rs. 15 per week for brick-kiln work (i.e., Rs. 60 per month), and that Rs. 50 per month of that was contributed to the family.
  • The Tribunal assumed a normal working life until about age 60, i.e., 35 years of earnings. Annual loss over 35 years was computed as Rs. 21,000. The Tribunal deducted 20% (Rs. 4,200) for contingencies and uncertainties, resulting in Rs. 16,800. Considering that the first respondent was young and could do manual labor, the Tribunal found Rs. 10,000 as reasonable compensation and awarded that sum.
  • The Court found no error in the Tribunal's approach to the assessment of compensation and did not interfere with the Rs. 10,000 award.

Holding and Implications

HOLDING: The appeal is dismissed with costs; the judgment and award of the Motor Accidents Claims Tribunal (Rs. 10,000 to the first and second respondents) are affirmed.

Implications (direct effect on the parties):

  • The insurer (appellant) remains liable to pay the Rs. 10,000 compensation awarded by the Tribunal to the first and second respondents.
  • The Tribunal's finding that the death resulted from rash and negligent driving by the lorry's driver is upheld.
  • On the policy interpretation issue, because the insurance policy contained an endorsement indemnifying the insured for liabilities under the Workmen's Compensation Act and at common law (and additional premium was paid for wider coverage), the insurer could not restrict its liability to the smaller statutory Workmen's Compensation schedule amount claimed by it in this appeal.

The Court applied established principles on the insurer's limited defenses under Section 96(2) of the Motor Vehicles Act and on the doctrine of res ipsa loquitur and the shifting of evidential burden; it did not disturb the Tribunal's computation of damages.


Source: Judgment delivered by Paul, J., as provided in the supplied opinion text.

    General Assurance Society Ltd. v. Jayalakshmi Ammal And Ors.

    JUDGMENT Paul, J.

    1. This is an appeal by the insurance Co. with which the vehicle --Lorry MSM 1078 belonging to the third respondent Babu Reddi and which was involved in an accident on 25-5-1970 at about 3-30 p. m. on the Poonamallee High Road which resulted in the death of one Chandran, the husband of the first respondent and father of the second respondent was insured. The Claims Tribunal awarded a sum of Rupees 10,000, as compensation to be paid to the first and second respondents and the Insurance Co., the appellant herein was directed to pay compensation.

    2. It is contended in this appeal that the Tribunal erred in finding that the accident was due to the negligent driving of the vehicle by the driver of the vehicle and it also erred in awarding such a huge sum as Rs. 10,000 as compensation and thirdly that the liability of the appellant as the insurer was limited to the extent of the liability arising under the Workmen's Compensation Act. On the question as to whether there was adequate proof before the Motor Accidents Claims Tribunal for the rash and negligent driving of the lorry by the employee of the third respondent, the finding of the Tribunal has not been seriously challenged in this appeal. Moreover, the appellant Insurance Co. is precluded from raising the defence by reason of Section 96 (2) of the Motor Vehicles Act where the insurer can defend the action only on the grounds specified in that subsection. This has also been made clear by the Kerala High Court by the decision in Kesavan Nair v. State Insurance Officer, 1971 Ace CJ 219 (Ker) and in the decision in British India General Insurance Co. Ltd. v. Captain Itbar Singh, and Mangilal v. Parasram, (FB). In Orissa Cooperative Insurance Society Ltd. v. Bhagaban, 1971 Acc CJ 49 (Orissa) it was held that the Insurance Co. is not allowed to raise any plea outside the scope of the pleas specified in Section 96 (2) of the Motor Vehicles Act, but if it has reserved a right in the policy to defend an action in the name of the insured, it can raise all the pleas that may be open to the insured, with the permision of the Tribunal. In the case now before me, however, there is no such reservation of right in the policy in question. Therefore in this case the insurer was not enlitled to contend that the accident was not due to rash and negligent driving of the lorry by the third respondent's employee. In Howrah Insurance Co. Ltd. v. Sundaram, 1974 TLNJ 58, also it has been made clear that the effect of Section 96 (2) and Sub-section (2-A) in Section 110-C of the Motor Vehicles Act is that the Insurance Co. would normally be confined in its defence to the grounds specified in Section 96 (2). But under the exceptional circumstances contemplated in Sub-section (2-A), they would have the additional privilege of raising the defences which are normally available only to a person against whom the claim has been made, if either of two conditions precedent are satisfied, viz., (1) there is collusion between the person making the claim and the person against whom the claim is made; or (2) the person against whom the claim is made has failed to contest the claim. But where neither of these two pre-conditions exist, the insurer would be confined in his defence to the grounds that have been enumerated in Section 96 (2) which imposes a statutory embargo upon insurance companies raising any defence to the action similar to the one raised in that appeal which was that the accident was not due to rashness or negligence of the driver of the vehicle. In the case now before me none of these two pre-existing conditions exists.

    3. Even assuming that he has a right to raise such a defence, there is however overwhelming evidence in this case to prove that the accident which resulted in the death of the first respondent's husband and father of the second respondent was due to the rash or negligent driving of the lorry. The facts which emerge from the evidence adduced before the Tribunal are that on 25-5-1970, R. W. 2, the driver of the lorry which belongs to the third respondent, was driving the lorry at about 3-30 p. m. along the Poonamallee High Road. The deceased Chandran was also travelling in the lorry; and he was also working at the time as an employee under the third respondent. According to P. W. 2, who claims to have been standing outside a tea shop on the Poonamallee High Road, the lorry was proceeding at a fast speed and at that time a car from the opposite side came and this lorry after moving to a distance of 2 furlongs capsized and overturned. R. W. 2's explanation for the accident was that at the time of the occurrence, a lorry came in front of him and there was a skidding and since the front left wheel moved into a pit of mud the lorry overturned. This is a case in which the doctrine of res ipsa loquitur was invoked.

    4. In Gobald Motor Service Ltd. v. R. M, K. Vehisami, it was held by the Supreme Court in terms that where such an inanimate injurious agency and the surrounding circumstances are all entirely within the defendant's control and the accident takes place which originally could not happen if the defendant had taken proper care or had not remained negligent the doctrine of res ipsa loquitur applies, where the event charged as negligence tells its own story of negligence on the part of the defendant. In this case, the inference is that the defendant is liable unless he in the first instance discharges the burden to disprove his liability by saying that the accident could resonably happen without negligence on his part. In Henderson v. Hendry E. Jenkins and Sons, 1969-3 All ER 756 (HL), Lord Pearson made this distinction between evidential burden of proof and formal (or legal or technical) burden of proof in such negligence cases. The learned Judge observed that in any action for negligence, the plaintiff must allege and has the burden of proving that the accident was caused by the negligence on the part of the defendant. This is the issue throughout the trial and the formal burden of proof does not shift. But if in the course of the trial there is proved a set of facts which raise a prima facie inference that accident was caused by negligence on the part of the defendant the issue will be decided in the plaintiff's favour, unless the defendant by his evidence provides some answer which is adequate to displace the prima facie inference. It is in this situation that it is said that the evidential burden of proof rests on the defendant in such cases.

    5. In the bus was going along a road which passed over a culvert and then took a sharp bend with a downward gradient and the bus after crossing the culvert crashed against one of a number of stones which marked off a drain and then the bus hit against a tamarind tree which was at a distance of 20 or 25 ft. from the stone but travelled some more distance before it came to rest. Their Lordships of the Supreme Court have stated that these facts give rise to a presumption that the accident was caused by the negligence of the driver, and that the events which happened tell their own story and there is a presumption that the accident was caused by negligence on the part of the appellant.

    6. In Jagat Singh v. Sawal Singh, 1971 Acc CJ 66 (Punj) this doctrine was invoked where a cow strayed into the road, the driver swerved the vehicle which went off the road and turned turtle and it was held that the negligence could be inferred and that the driver ought to have driven the vehicle with sufficient control. In the case now before me the lorry which was being driven by R. W. 2 on the Poonamallee High Road which appears from the evidence is a cement road and which was taking a curve at a particular point in the road, had skidded and left the road and rolled into an adjacent pit. It cannot be said that this accident was due to vis-major. No doubt, it appears that there were heavy rains. In the counter filed before the Tribunal there was no mention that owing to heavy rains and bad condition of the road, the lorry skidded and overturned. Any way, it is admitted, however, that the lorry had skidded, left the road and had fallen into an adjacent pit and capsized. These facts would certainly show that the driver did not have control over the vehicle at that time and must have been driving it at an excessive speed. The explanation given by R. W. 2, for the accident is totally unacceptable. If he had driven at a slow speed and if he had applied the brakes the lorry would not have left the road and fallen into a pit. Therefore the finding of the tribunal that the death of the deceased Chandran was due to rash and negligent driving of the lorry by the driver employed by the third respondent is quite correct.

    7. The next question is whether the liability of the appellant as the insurer was limited to the extent of the liability arising under the Workmen's Compensation Act. It is argued on behalf of the appellant that the appellant cannot be made liable to pay more than the statutory liability in terms of Schedule IV to the Workmen's Compensation Act, 1923, which in this case is limited to Rs. 3,600, and in any event the amount of Rs. 10,000 awarded is excessive. It must be noted that this contention was not raised before the tribunal at all and was raised for the first time only before me.

    8. In order to appreciate this point the learned counsel for the appellant has produced the Insurance policy under which this vehicle was insured. Now this policy clearly shows that under endorsement No. 16 attaching to and forming part of the policy, it is stated -

    "In consideration of the payment of an additional premium, it is hereby understood and agreed that notwithstanding anything contained herein to the contrary the company shall indemnify the insured against his legal liability under the Workmen's Compensation Act, 1923 and subsequent amendments of that Act prior to the date of this endorsement, the Fatal Accidents Act 1855 or at common law in respect of personal injury to any paid driver (or cleaner or conductor or person employed in loading and/or unloading) whilst engaged in the service of the insured in such occupation in connection with the Motor vehicles....."

    Further the policy states under the heading 'Limits of Liabilities' thus:

    "Limit of the amount of company's liability under section 11-1 (i) in respect of any one accident -- such amount as is necessary to meet the requirements of the Motor Vehicles Act, 1939. Limit of the amount of the company's liability under section 11-1 (i) in respect of any one claim or series of claims arising out of one event -- Rs. 20,000." Further it is stated that an extra amount has been paid for wider cover to paid driver and cleaner etc.

    9. In Venkataraman v. Abdul Munaf Sahib, 1971 Acc CJ 77 (Mad) it has been held by this court that it was open to the Claims Tribunal to determine the liability under the Workmen's Compensation Act and award the amount so determined against the Insurance Co. In that case, however, the policy of insurance provided that the company will indemnify the insured against all sums which the insured has become legally liable to pay in respect of (i) death of or bodily injury to any person caused by or arising out of the use of the motor vehicle and there were seven provisos to this clause of which proviso (b) runs as follows-

    "Except so far as is necessary to meet the requirements of Section 95 of the Motor Vehicles Act 1939, the company shall not be liable in respect of death of or bodily injury to any person in the employment of the insured arising out of and in the course of such employment."

    and proviso (c) runs as follows-

    "Except so far as is necessary to meet the requirements of Section 95 of the Motor Vehicles Act, 1939 in relation to liability under the Workmen's Compensation Act 1923, the company shall not be liable in respect of death of or bodily injury to any person (other than a passenger carried by reason of or in pursuance of a contract of employment) being carried in or upon or entering or mounting or alighting from the motor vehicles at the time of the occurrence of the event out of which any claim arises."

    The effect of this exception was that the company undertook to indemnify the insured to the extent necessary to meet the requirements of Section 95 of the Motor Vehicles Act in relation to liability under the Workmen's Compensation Act. But in the case now be-fore me, the policy of insurance contained provisions which certainly make the insurer liable to indemnify the insured against the legal liability under the Workmen's Compensation Act, as also at common law and for that wider coverage an additional sum has been paid.

    10. Therefore the contention raised on behalf of the appellant cannot be accepted.

    11. With regard to the amount of compensation which has been awarded it is seen from the judgment of the Tribunal that the deceased was aged about 25 years and it was claimed that his income was Rs. 200 per month. The Tribunal, however, did not accept the evidence of P. W. 1, the first respondent that her husband was having a monthly income of Rs. 200. From the evidence furnished by P. W. 2, that he was receiving Rs. 15 per week and was working in a brick kiln the Tribunal came to the conclusion that it was reasonable and proper to hold that the deceased was earning an income on an average Rs. 60 per month at the rate of Rs. 15 per week and it was also safe to conclude that he would have been paying Rs. 50 per month to P. W. 1 for the family which income had been lost to the respondents 1 and 2 due to his death. The tribunal also found that normally the deceased would have lived upto 60 years and would have been earning for about 35 years and as such the loss of annual income for 35 years would come to Rs. 21,000. Deducting 20 per cent. of this for the contingencies and uncertainties of life and other conditions including lump sum payment, he arrived at the figure of Rs. 4,200 and deducting that amount from the aforesaid amount of Rs. 21,000 the tribunal had arrived at the figure of Rs. 16,800 and faking into consideration the fact that the first respondent is young and is eking out her livelihood as cooly and is able to work, the tribunal found that compensation of Rs. 10,000 claimed is reasonable and awarded that amount. I do not find that the tribunal erred in awarding that amount.

    12. In the result, I find that the appeal is devoid of merits, and it is dismissed with costs.

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    General Assurance Society Ltd. v. Jayalakshmi Ammal And Ors.
    (Apr 10, 1974)