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New India Assurance Company, Ltd. v. Bharat Yadav (Alias) B.P Yadav And Another

Calcutta High Court
Sep 14, 2001
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Factual and Procedural Background

This appeal was filed by New India Assurance Company Limited (the insurer) under section 30 of the Workmen's Compensation Act, 1923, challenging the judgment and order dated 09.07.1996 passed by the Commissioner, Workmen's Compensation, West Bengal (Second Court) in Claim Case No. 177 of 1994.

The claimant, Bharat Yadav (respondent No. 1), alleged that on 05.04.1993 while employed as a khalasi in Vehicle No. DL-IG-A-0033 owned by Kuljit Singh (respondent No. 2, M/s. Shammi Road Corporation), a bulk of plywood fell on him causing injuries to both legs, wrist and back. He was initially treated at Medical College and Hospital, Calcutta for 18 days and then in a Howrah hospital for about nine months. A medical certificate was produced indicating "permanent total disablement of hundred percent". At the time of the accident the claimant's age was said to be 21 years; he was alleged to be earning Rs. 1,500 per month (the Commissioner later found Rs. 1,000).

The owner (respondent No. 2) did not file a written statement but sent a letter confirming the claimant's temporary employment in the vehicle and stating that the vehicle was insured with New India Assurance and that medical expenses had to be borne. The insurer filed a written statement challenging employment status, age, monthly income and extent of injury, but did not specifically deny that the vehicle was insured for the relevant period.

The Commissioner framed four issues for trial:

  1. Was there any accident arising out of and in course of applicant's employment under the O.P ?
  2. Has the applicant sustained any permanent partial disablement involving loss of earning capacity ? If so, to what extent ?
  3. What was the age and monthly wage of the applicant at the time of accident ?
  4. Is the Insurance Co. (O.P. No. 2) liable to pay any compensation ?

Evidence: The claimant testified as P.W.1 and Dr. Parbat as P.W.2. Documents were produced including medical records and the vehicle's insurance certificate covering the period 30.03.1993 to 29.03.1994. The Commissioner decided Issues Nos. 1, 2 and 3 in favour of the claimant, finding age 21 and wage Rs. 1,000 per month, and held that the vehicle was insured and the date of accident was covered. However, the Commissioner did not deal separately with Issue No. 4 and, without an expressed separate decision on that issue, fixed compensation of Rs. 1,11,355/- as payable by the insurer for 100% loss of earning capacity.

At the appeal hearing before this Court, the claimant appeared; the vehicle owner did not. The insurer challenged the Commissioner's award on legal grounds (principally non-compliance with statutory assessment requirements introduced by Amendment Act 22 of 1984).

Legal Issues Presented

  1. The Commissioner had earlier framed the following issues (as factual issues in the claim): (a) whether the accident arose out of and in course of employment; (b) whether the claimant sustained permanent partial disablement involving loss of earning capacity and if so to what extent; (c) the claimant's age and monthly wage; and (d) whether the insurer is liable to pay compensation.
  2. The Court identified the sole substantial question of law for consideration on appeal:
    1. Whether compensation has to be granted taking into consideration the provisions of Part I of the First Schedule read with Section 2(1) and Section 4(1) of the Workmen's Compensation Act, 1923 (i.e., whether loss of earning capacity must be assessed in the manner required by the statute and the Amendment Act 22 of 1984).

Arguments of the Parties

Appellant (New India Assurance Company Limited) — arguments

  • Counsel (Mr. K.K. Das) argued that the Commissioner failed to appreciate and apply the provisions introduced by Amendment Act 22 of 1984 which require assessment of loss of earning capacity by a qualified medical practitioner (as reflected in Section 4(1) and related provisions).
  • It was contended that the medical certificate and the evidence of Dr. M.N. Parbat did not include any assessment of loss of earning capacity and therefore the Commissioner's finding of 100% loss was unsupported by the statutoryly required medical assessment — this raises a substantial question of law warranting interference in appeal (relying on a Division Bench decision: New India Assurance Co. Ltd. v. Bishwanath Das and Anr).

Respondent (Claimant Bharat Yadav) — arguments

  • Counsel (Mr. Krishanu Banik) raised a preliminary objection that there was no substantial question of law and that the appeal should be dismissed under the first proviso to section 30(1) of the Workmen's Compensation Act.
  • It was further argued that the insurer's contention that the claimant did not suffer a permanent disabling injury (or did not suffer 100% loss) was a new plea raised for the first time in appeal and therefore could not be entertained at the appellate stage; several single‑Judge decisions were relied upon in support.
  • It was argued that the extent of disability is essentially a question of fact and, since the Commissioner relied on the doctor's evidence, there was no scope for interference in the appellate court (reliance placed on National Insurance Co. Ltd. v. Susanta Das and Anr).
  • Specific authorities were cited by the claimant in support of these contentions (see Table of Precedents below).

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
1983 TAC 419 (S. Chinnaswami v. Periaswamy) Cited by claimant's counsel for the proposition that a new plea cannot be taken at the appellate stage (i.e., limits on raising new factual pleas on appeal). The Court noted that such earlier single‑Judge decisions did not take into account the effect of Amendment Act 22 of 1984; therefore the principles in those decisions are not applicable to the statutory assessment requirement introduced by the Amendment Act in relation to loss of earning capacity.
1(2000) ACC 17 (Rattan Singh v. Haryana State Electricity Board & Ors) Relied upon by claimant for the contention that new pleas should not be entertained on appeal. Court observed that decisions of this kind did not consider the Amendment Act 22 of 1984 and hence were not applicable to the present statutory requirement concerning assessment of loss of earning capacity.
1998 ACJ 179 (Oriental Insurance Co. Ltd. v. Vasantha Pitambar and Anr) Relied upon by claimant in support of the proposition that extent of disability is a question of fact and new pleas cannot be entertained on appeal. The Court held that the principles from such decisions are not applicable where the Amendment Act prescribes a statutory mode for assessment of loss of earning capacity; thus they could not override the statutory requirements now in force.
1996 ACJ 627 (Janatha Modern Rice Mills v. Satyanarayana) Cited by claimant to support that a new plea cannot be raised for the first time in appeal. Court treated this and similar authorities as decided without consideration of Amendment Act 22 of 1984 and therefore not determinative of the present statutory issue regarding medical assessment of loss of earning capacity.
Rawal Das Nichal Das v. Jagamath Ekka (Patna High Court) Cited by claimant on the point that new pleas should not be entertained at the appellate stage. Court observed that such precedents did not take into account the statutory changes introduced by the Amendment Act and so were inapplicable to the central legal question before the Court.
1991 ACJ 74 (United India Insurance Co. Ltd. v. Roop Kanwar and Ors) Relied upon by claimant on the question of non-entertainment of new pleas and the factual character of disability assessment. Again, the Court found that the decision did not deal with the effect of the 1984 Amendment and therefore could not govern the present requirement that loss of earning capacity be assessed in the statutory manner.
1999 (II) CHN 226 (National Insurance Co. Ltd. v. Susanta Das and Anr) Relied upon by claimant to show that where the Commissioner rightly relies on the evidence of a doctor and the evidence is uncontroverted, appellate interference is limited. The Court noted this authority but distinguished it: the cited Division Bench held Smmayya inapplicable where a doctor gave evidence of 100% loss; in the present case the medical practitioner did not assess loss as required, so National Insurance did not preclude interference.
2000 (1) TAC 117 (Cal) (New India Assurance Co. Ltd. v. Bishwanath Das and Anr) Relied upon by the appellant-insurer to support the proposition that, post-Amendment Act 22 of 1984, loss of earning capacity must be assessed by a qualified medical practitioner. The Court treated this Division Bench decision as authoritative on the point that the amended Act requires assessment of loss of earning capacity by a qualified medical practitioner and applied that principle to conclude the Commissioner erred in the present case.
New India Assurance Co. Ltd. v. Bishuianath Das and Anr (supra) Referred to by the Court for the same principle: that, in view of the amended provisions, loss of earning capacity should be assessed by a qualified medical practitioner. The Court relied on this reasoning to conclude that where the medical practitioner did not assess loss of earning capacity as required, the Commissioner's award could not stand.
1997 ACJ 185 : 1996(1) TAG 237 (New India Assurance Co. Ltd. v. Smmayya @ M. Shankar and Ors) Single Judge decision considered in subsequent Division Bench rulings; concerned the competence of the Commissioner to assess loss of earning capacity absent medical evidence of actual loss. The Court noted that two Division Benches of this Court had practically ratified the findings in Smmayya's case, holding that the Commissioner should assess actual loss of earning capacity and cannot do so without appropriate medical evidence.
National Insurance Co. Ltd. v. Susanra Das and Anr (referenced) Referenced in the Court's discussion as a case where the decision in Smmayya was considered; used to illustrate limits on Smmayya's applicability where a doctor gives evidence of 100% loss. The Court pointed out that where a doctor expressly assesses 100% loss, Smmayya may be inapplicable; in the present case, however, the doctor did not provide such an assessment and therefore the Commissioner's award was unsustainable.

Court's Reasoning and Analysis

The Court proceeded methodically:

  1. The Court first identified the statutory framework and the change introduced by Amendment Act 22 of 1984 (which came into force on 1 July 1984). The Amendment introduced a specific provision requiring assessment of loss of earning capacity of the workman by a qualified medical practitioner (an aspect of Section 4(1) read with Section 2(1) and Part I of the First Schedule).
  2. The Court accepted the Commissioner's factual findings on issues of fact (employment, date and occurrence of accident, age and wage) as these were factual determinations not open for reappraisal in the present appeal.
  3. However, the Court found a critical legal and procedural defect: the Commissioner did not determine the percentage of loss of earning capacity as required by Section 4(1) following the Amendment Act, and the medical practitioner (Dr. M.N. Parbat) did not provide any assessment of loss of earning capacity in the evidence or certificate produced.
  4. Relying on precedents (including Division Bench decisions holding that in view of the amended provisions loss of earning capacity should be assessed by a qualified medical practitioner and that the Commissioner cannot assess actual loss without appropriate medical evidence), the Court held that the Commissioner's assessment of compensation (awarding 100% loss) was opposed to law because it lacked the statutorily required medical assessment foundation.
  5. The Court considered the claimant's argument that the insurer's contentions constituted a new plea and that extent of disability is a question of fact; it rejected that line insofar as those authorities had not considered the Amendment Act. The Court held that the statutory command as to how assessment is to be made converts the point into a substantial question of law (i.e., the Commissioner is bound to exercise the adjudicatory power in the statutory manner and failure to do so is an illegality).
  6. The Court further observed that the insurer's challenge to the 100% loss finding was not a new plea in this appeal because the written statement had initially challenged the liability for 100% loss (an issue was even framed); therefore the insurer's contention was properly before the appeal court.
  7. Accordingly, the Court concluded that the impugned judgment could not be sustained because of the procedural and substantive failure to assess loss of earning capacity as required by the statute and the Amendment Act.

Holding and Implications

Holding:

THE APPEAL IS ALLOWED. The Court set aside the judgment and order of the learned Commissioner dated 09.07.1996 and remanded the proceedings to the learned Commissioner, Workmen's Compensation, Second Court, West Bengal for fresh consideration strictly in accordance with the provisions of the Workmen's Compensation Act and the Rules framed thereunder.

Direct consequences and directions ordered by the Court:

  • The Commissioner is directed to consider the claim afresh in accordance with the Act and Rules, after affording an opportunity to the parties to adduce further evidence, preferably within three months from the date of communication of this order.
  • The Commissioner was directed to dispose of and decide all issues in accordance with law and not leave any issue unattended (noting the omission in the original proceedings where Issue No. 4 was not separately dealt with).
  • Because proceedings had been pending for long and the Court did not disturb the Commissioner's factual finding that the injury occurred in the course of employment, the Court ordered that out of the amount deposited, the claimant be allowed to withdraw 50% immediately (without prejudice to the parties' rights). The balance was to be invested as a short-term fixed deposit in a nationalised bank until final disposal; accrued interest to go to the successful party at the end.
  • An urgent certified copy of the judgment and order, if applied for, should be granted expeditiously.

Broader implications:

The decision enforces the post‑1984 statutory requirement that loss of earning capacity must be assessed in the manner prescribed by the Amendment Act (i.e., by a qualified medical practitioner and following Section 2(1) and Section 4(1) together with the First Schedule). The opinion does not state that it establishes a novel general precedent beyond applying the statutory requirement and existing Division Bench authority; its direct effect is to require the Commissioner to reassess in conformity with the statutory procedure and to remit the case for fresh consideration.

Show all summary ...

1. New India Assurance Company Limited (hereinafter referred to as 'the insurer') filed this appeal under section 30 of the Workmen's Compensation Act 1923 challenging the Judgment and order dated 09.7.1996 passed by the Commissioner, Workmen's Compensation, West Bengal, Second Court in Claim Case No. 177 of 1994.

2. The appellant respondent No. 1, Bharat Yadav filed the claim case claiming a compensation of Rs. 1,11,355/- alleging that in course of his employment on 5.4.1993 as a khalasi, in Vehicle No. DL-IG-A-0033 belonging to the respondent No, 2 Kuljit Singh, he sustained injuries on both legs including thigh, knee, ankle, foot and toes, wrist and back as a bulk of plywood that were being carried by the said vehicle (Truck), fell on him. Initially, he was treated at Medical College and Hospital, Calcutta for 18 days and subsequently in a Howrah Hospital for about 9 months. As a result of the accident, he was not in a position to move without the help of a pair of crutch. The claimant was examined by a doctor who issued a certificate to the effect that the claimant sustained permanent total disablement of hundred percent. At the relevant time the claimant was getting a salary of Rs. 1500/- per month and he was aged 21 years. The appellant, New India Assurance Company Limited was the insurer of the vehicle at the relevant time and hence, the claim was made against the owner as well as the insurer of the said vehicle.

3. Kuljit Singh of M/s. Shammi Road Corporation being the owner of the vehicle (opposite party No. 1 respondent No. 2) did not appear and file any written statement. But he filed a letter dated 10.8.1994 indicating that the claimant Bharat Yadav was temporarily employed as a cleaner-cum-helper in the offending vehicle and that the vehicle was insured with the New India Assurance Company Limited at the relevant time. It is also stated in the said letter that the Company had to bear the necessary medical expenses for the treatment of the claimant.

4. The insurer also filed a written statement challenging the employment of the victim as a khalasi in the offending vehicle, his age, monthly income and extent of injury. However, the insurance coverage of the offending vehicle at the relevant time was not specifically denied.

5. On the basis of the respective pleadings, the learned Commissioner framed the following four issues :

"Issue No. 1 : Was there any accident arising out of and in course of applicant's employment under the O.P ?

Issue No. 2 : Has the applicant sustained any permanent partial disablement involving loss of earning capacity ? It so, to what extent ?

Issue No. 3 : What was the age and monthly wage of the applicant at the time of accident ?

Issue No. 4 : Is the insurance Co. (O.P. No. 2) liable to pay any compensation ?"

6. The claimant examined himself as P.W. 1 and Dr. Parbat as P.W 2 and no witness was examined by the opposite parties, Documents were also produced before the learned Commissioner in support of the injury of the claimant and subsequent treatment. The certificate of insurance was also produced to show that the offending vehicle was covered by a policy of insurance during the period from 30.3.1993 to 29.3.1994. On the basis to the evidence on record, the learned Commissioner decided the issue Nos. 1, 2, and 3 in favour of the claimant and came to a finding that the claimant was aged 21 years at the time of the accident and his wage was Rs. 1000/- per month. The learned Commissioner also came to a conclusion that the offending vehicle was insured with the New India Assurance Company Limited and that the day of the accident was well covered with insurance policy. But without dealing with the issue No. 4 separately and without giving any decision on the issue No. 4, the learned Commissioner came to a finding that the claimant was entitled to get one hundred loss of earning capacity and fixed a sum of Rs. 1,11,355/- as compensation payable by the insurer.

7. In course of hearing of this appeal, the claimant respondent No. 1 appeared. But the owner of the vehicle, namely the respondent No. 2 did not appear and contest.

8. Mr. Krishanu Banik appearing on behalf of the claimant raised a preliminary objection to the effect that as no substantial question of law is involved in this appeal, the appeal is to be dismissed within the meaning of First proviso to section 30(1) of the Workmen's Compensation Act 1923. It is also contended that the plea raised by the appellant to the effect that the claimant did not suffer any injury in the accident making him permanently disabled and consequently, one hundred percent loss in earning capacity being raised for the first time in this appeal, such new plea cannot be taken a the appellate stage. On this score, he relied on a single Bench decision of the Karnataka High Court reported in 1983 TAC 419 (S. Chinnaswami v. Periaswamy). He also relied on another single Bench decision of Punjab & Haryana High Court reported in 1(2000) ACC 17 (Rattan Singh v. Haryana State Electricity Board & Ors.). Reliance was also placed on another single Bench decision of Karnataka High Court reported in 1998 ACJ 179 (Oriental Insurance Co. Ltd. v. Vasantha Pitambar and Anr.). On this score, the learned counsel further argued that extent of disability being a question of fact, it cannot be treated as a substantial question of law. On the question of new plea taken in appeal, reliance was placed in a judgment of Andhra Pradesh High Court reported in 1996 ACJ 627 (Janatha Modern Rice Mills v. Satyanarayana). Reliance was also placed on another decision of Patna High Court (Rawal Das Nichal Das v. Jagamath Ekka). In support of the contention that no new plea can be taken in appeal, reliance was also placed in a decision of Rajasthan High Court reported in 1991 ACJ 74 (United India Insurance Co. Ltd. v. Roop Kanwar and Ors.).

9. Finally, the learned counsel for the respondent No. 1 also placed reliance on a Division Bench judgment of this Court reported in 1999 (II) CHN 226 [National Insurance Co. Ltd. v. Susanta Das and Anr.) in support of the contention that when the learned Commissioner rightly relied on the evidence of a doctor and passed the award relying on the uncontroverted evidence adduced on behalf of the claimant, there is no scope of interference in appeal.

10. Mr. K.K. Das, the learned counsel for the appellant, on the other hand, placing reliance on a Division Bench Judgment of this Court reported in 2000 (1) TAC 117(Cal) (New India Assurance Co. Ltd. v. Bishwanath Das and Anr.) contended that the learned Commissioner failed to appreciate the provisions introduced in the Act by the Amendment Act 22 of 1984 and accordingly, failed to consider that the allegedly recognised medical practitioner did not give any assessment with regard to the loss of earning capacity of the claimant. The learned counsel further pointed out that the medical certificate issued by Dr. M.N. Parbat and the evidence adduced by the doctor has not stated anything about the loss of earning and hence, the finding of the learned Commissioner is opposed to law and as such, this forms a substantial question of law for a proper decision in this appeal.

11. After a careful scrutiny of the provisions of the Amendment Act 22 of 1984, we come to a conclusion that the only substantial question of law which arises for consideration in this appeal is as to whether compensation has to be granted taking into consideration the provisions of Part I of the First Schedule read with Section 2(1) and Section 4(1) of the Workmen's Compensation Act 1923.

12. At the very outset, it is to be noted from the materials on record that the employment of the claimant and consequent sustaining of injuries have been proved and the findings of the learned Commissioner on the facts namely the sustaining of injuries by the claimant in course of his employment, his age and the monthly income are not open for discussion in this appeal as all those findings are on the issues of fact. But it is to be noted from the impugned judgment that the learned Commissioner did not find out the percentage of loss of earning capacity of the claimant as is required under Section 4(1) of the Act. By the Amendment Act 22 of 1984 which came into force on 1st July 1984, a specific provision has been introduced for assessment of loss of earning capacity of the workman by a qualified medical practitioner. The Division Bench of this Court in New India Assurance Co. Ltd. v. Bishuianath Das and Anr. (supra) analysing this point came to a conclusion that in view of the amended provision of the Act, the loss of earning capacity of the appellant workman should be assessed by a qualified medical practitioner. After a careful scrutiny of the evidence adduced by the doctor in this case, we come to a conclusion that the medical practitioner failed to assess the loss of earning capacity in this case as required by the Act as it stands after the Amendment Act.

13. True it is that the decision of the single Judge of Andhra Pradesh High Court in New India Assurance Co. Ltd. v. Smmayya @ M. Shankar and Ors. reported in 1997 ACJ 185: 1996(1) TAG 237 was relied upon by the Division Bench in the above cited case of Biswanath Das and Anr. (supra). The same decision also fell for consideration before the Division Bench of this Court in National Insurance Co. Ltd. v. Susanra Das and Anr. (supra) and Their Lordships came to a conclusion that the decision in Smmayya's case (supra) was not applicable in the case where the doctor gave an evidence that the claimant suffered one hundred percent loss of earning capacity. In paragraph 13 of their decision, Their Lordships also viewed that unless there is any evidence as regards actual loss of earning capacity, the commissioner was not competent to assess the loss of earning capacity of the workman. From the above discussions, it would be noticed that two separate Division Bench of this Hon'ble Court practically ratified the findings in Smmayya's case and thereby came to a conclusion that for the purpose of calculating the compensation, it is incumbent upon the learned Commissioner to assess actual loss of earning capacity. While respectfully agreeing with the findings of two Benches of this Court, we come to a conclusion that before passing any order of compensation it is incumbent upon the Commissioner to assess the actual loss of earning capacity on the basis of the evidence required under Section 2(1) and Section 4(1) of the Act. Since in this case the qualified medical practitioner did not assess the actual loss of the earning capacity of the claimant, the learned Commissioner failed to arrive at a just conclusion. Or in other words, the compensation as assessed by the learned Commissioner being opposed to law is not acceptable and it is liable to be set aside.

14. With regard to the question of new plea taken in this appeal and the argument that the extent of disability is a question of fact as argued by the learned counsel for the respondent No. 1 and the decisions cited by him, it is to be mentioned that in those cited decisions the effect of the Amendment Act 22 of 1984 were not taken into consideration, and hence the principles adopted in those cases are not applicable in this case. The assessment of actual loss of earning capacity being a prime consideration in a case of this nature as introduced by the Amendment Act, it has taken a shape of substantial question of law which cannot be ignored or overlooked. When the statute commands the learned Commissioner, who is an Adjudicatory Authority under the Act, to exercise his power in a particular manner and subject to certain conditions statutorily laid, the learned Commissioner is statutorily bound to follow the same and if there is any departure from the prescribed procedure or violation of conditions, then it is to be construed that the learned Commissioner has committed an illegality. So the point raised in this appeal cannot be construed as a question of fart.

15. It is to be noted from the written statement filed by the insurer that at the very initial stage, the liability to pay one hundred percent loss of earning capacity of the claimant was challenged for which an issue was framed. But in the impugned judgment, the issue was not properly decided and practically there was no basis for a conclusion to the effect that there was actual loss of earning capacity of the claimant to the extent of one hundred percent. It is also to be noted that the question raised by the insurer in this appeal is not at all a new plea. So the objection raised in this regard is not entertainable.

16. In view of the above discussions, we come to a conclusion that the judgment under appeal cannot be sustained.

17. The appeal is accordingly allowed. The judgment and order of the learned Commissioner are hereby set aside. The proceedings are remanded to the learned Commissioner. Workmen's Compensation, Second Court, West Bengal with a direction to consider the claim of the claimant respondent No. 1 afresh strictly in accordance with the provisions of the Act and the Rules framed therein, after affording an opportunity to the parties to adduce further evidence, at an early date and preferably within a period of three months from the date of communication of this order.

18. The learned Commissioner is also directed to dispose of all the issues in accordance with the law and not to leave aside any of the issues unattended in the manner done in this case.

19. Since the matter is pending for long and we have not interfered with the finding of the learned Commissioner as regards sustaining of injury in course of employment, we deem it proper to order that out of the amount deposited, the learned Commissioner shall allow the claimant respondent No. 1 to withdraw 50% of the amount without prejudice to the rights and contentions of the parties. The balance amount, however, be invested in a short term fixed deposit in any nationalised bank as a deposit till the final disposal of this case and the interest accruing thereupon shall ensure to the benefit of the successful party.

Later Urgent Certified xerox copy of this judgment and order, if applied for be granted as expeditiously as possible.

S. Banerjea, J.

20. I agree.