High Court of KeralaSingle JudgeAppeal allowed; compensation enhanced to Rs. 4,...

Sasi @ Sasindran v. T.G. Paul and Oriental Insurance Company Ltd.

Case / Petition Number:MACA NO. 1462 OF 2013
Neutral Citation:/

Case Details & Bench

Court
High Court of Kerala
Hon'ble Judges
  • T.R.Ravi
Judgment Date
2021-09-22
Court Decision / Holding
The appeal is allowed. The Tribunal’s award is enhanced. The appellant is entitled to an increased amount for loss of earnings (half-year), clothing, amenities, and loss of teeth, and a 40% uplift for future prospects. The final computation results in a total enhanced compensation of Rs. 4,97,080 with 9% interest per annum from 31.12.2008 until realisation, with proportional costs and a deposit obligation by the 3rd respondent within two months of certified copy of the judgment, subject to deduction of any balance court fee and legal-benefit fund amount.
Final Disposition
Appeal allowed; compensation enhanced to Rs. 4,97,080 with interest at 9% p.a. from 31.12.2008; the 3rd respondent to deposit enhanced amount within two months; costs to be proportionate and disposal in accordance with law.

Parties to the Case

Appellants / Petitioners

  • Sasi @ Sasindran

Respondents

  • T.G. Paul
  • The Manager Oriental Insurance Company Ltd.

Legal Representation & Advocates

Counsels for Petitioners

  • • Sri. T.N. Manoj

Counsels for Respondents

  • • Sri. Titus Mani

Case Synopsis & Summary

The appellant, a toddy tapper, sustained injuries in a motor-vehicle accident on 04.04.2007 when a pickup van struck him as he rode a bicycle at about 6 AM. He suffered multiple injuries including a fractured clavicle, D12 vertebra injury, facial lacerations, tooth loss, and soft tissue injuries, leading to hospitalisation for seven days. Exhibit documents show a 20% whole-body disability and that the appellant had to quit toddy tapping by January 2010, with an employment certificate indicating six months’ leave in 2007. The Motor Accidents Claims Tribunal awarded Rs. 1,69,490 against a claim of Rs. 9,00,000, denying compensation for loss of earnings, clothing damage, amenities and conveniences, and loss of teeth, and giving only Rs. 12,000 for pain and suffering. The appellant contends that Rs. 4,500 monthly income was plausible and that his incapacity to work warrants loss of earnings, future prospects, and other heads of compensation justified by the evidence (including the 20% disability and the employer’s certificate). The insurer contends that the Disability Certificate from a private doctor is not enough without a Medical Board’s assessment and relies on Rajkumar v. Ajaykumar. The High Court re-evaluates income (Rs. 50,100/year), grants a 40% future-prospects uplift, accepts functional disability criteria, and partially grants loss of earnings, clothing, amenities, and teeth claims. The result is an enhanced total compensation and interest en route to payment.

Legal Doctrines & Maxims

  • Future prospects in compensation for permanent disability (as per Pappu Deo Yadav v. Naresh Kumar & Ors, AIR 2020 SC 4424)
  • Functional disability assessment for determining compensation (as per Mohan Sony v. Ram Avtar Tomar, (2012) 2 SCC 267)

Submissions & Arguments

Contentions of Appellants / Petitioners

The appellant argued that the claimed monthly income of Rs. 4,500 was undisputed and that the Tribunal erred in not granting loss of earning, future prospects, and other heads of compensation. He produced evidence of six months’ leave and disability, contending that 20% whole-body disability correlates to a higher functional incapacity, preventing toddy tapping. He sought enhancement for pain and suffering, loss of teeth, amenities, and clothing, and relied on Pappu Deo Yadav for future prospects.

Contentions of Respondents

The insurer contended that the disability certificate from a private doctor could not be relied upon without a Medical Board assessment. It argued that the injury, though serious, did not justify full loss of earning and demanded adherence to a Board-led evaluation; reliance was placed on Rajkumar v. Ajaykumar to challenge reliance on private medical certificates.

Cited Precedents (3)

Case NameCitationTreatmentExplanation
Pappu Deo Yadav v. Naresh Kumar & Ors.AIR 2020 SC 4424PositiveCourt relied on future-prospects enhancement principles for computation of compensation.
Mohan Sony v. Ram Avtar Tomar(2012) 2 SCC 267PositiveCourt applied functional disability criteria in determining permanent disability rather than a strict 100% disability, citing Mohan Sony.
Rajkumar v. Ajaykumar(2011) 1 SCC 343Mentioned OnlyCited by the insurer; used to challenge reliance on private disability certificate, but not adopted as controlling authority in this decision.

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Extracted Judgment Text

Exact text extracted from official judgment records.

**MACA NO. 1462 OF 2013** **1** ## **IN THE HIGH COURT OF KERALA AT ERNAKULAM** ## **PRESENT** ## **THE HONOURABLE MR. JUSTICE T.R.RAVI** **WEDNESDAY, THE 22ND DAY OF SEPTEMBER 2021 / 31ST BHADRA, 1943 MACA NO. 1462 OF 2013** **AGAINST THE AWARD IN OPMV 1500/2008 OF MOTOR ACCIDENT CLAIMS TRIBUNAL , IRINJALAKUDA, THRISSUR** ## **APPELLANT/PETITIONER:** SASI @ SASINDRAN AGED 49 YEARS S/O.NARAYANAN, POORATTUPARAMBIL HOUSE, KODAKARA,THRISSUR BY ADV SRI.T.N.MANOJ ## **RESPONDENTS/RESPONDENTS:** 1 T.G.PAUL MANAGING PARTNER , V C POLY POCKS, MUHAMA DESOM, ALAPPUZHA *2 JAYAN JAYESH S/O.KUNJUMON, VATTARACHIRA HOUSE, MUHAMMA DESOM, THANNIRMUKKAM VILLAGE, ALAPPUZHA DIST 688 001 **[DELETED]** 3 THE MANAGER ORIENTAL INSURANCE COMPALNY LTD, P N NO . 8,THODUPUZHA 685 584 **RESPONDENT No.2 DELETED** (R2 DELETED FROM PARTY ARRAY AS PER ORDER DATED 23/10/2019 IN IA.1/19 IN MACA1462/2013) BY ADV SRI.TITUS MANI THIS MOTOR ACCIDENT CLAIMS APPEAL HAVING COME UP FOR ADMISSION ON 01.09.2021, THE COURT ON 22.09.2021 DELIVERED THE FOLLOWING: **MACA NO. 1462 OF 2013** **2** ## **T.R.RAVI, J.** ## **-------------------------------------M.A.C.A.No. 1462 of 2013 -----------------------------------------------** Dated this the 22[nd] day of September, 2021 ## **J U D G M E N T** The appellant, a toddy tapper, while riding his bicycle at about 6 AM on 04.04.2007, was hit by a pickup van driven in a rash and negligent manner, causing injuries to the appellant. The appellant was aged 38 years at the time of the accident and according to him, he was earning a sum of Rs.4,500/- per month from his avocation. He suffered a fracture of the right clavicle, fracture of upper half of D12 vertebra, multiple soft tissue injuries, lacerated wound over left parietal region 2x4 cms with haematoma, laceration mucosal aspect of lower lip, laceration over chin, loss of upper central incisor and aberrations over lower one third of right leg. Exhibit A2 discharge summary shows that he was an inpatient for 7 days in the Amrita Institute. Exhibit A4 is a Certificate issued by the employer of the appellant, stating that the appellant was on leave from 04.04.2007 till 03.10.2007. Exhibit A6 Income Certificate shows that the appellant received a sum of Rs.50,100/- as salary in the year 2006- **MACA NO. 1462 OF 2013** **3** 07. Exhibit A8 is the disability certificate which shows that the appellant had 20% permanent disability. The disability certificate is proved by PW2 who is the Doctor who issued the Certificate. PW2 specifically stated that the appellant will not be able to do the work of toddy tapping anymore. Exhibit A11 issued by the Kerala Toddy Workers Welfare Board shows that the appellant had quit his work on 31.01.2010. 2. The Tribunal awarded a sum of Rs. 1,69,490/- as compensation against a claim of Rs.9,00,000/- made by the appellant. In arriving at the compensation, the Tribunal did not grant any amount towards loss of earning, damage to clothing, loss of amenities and conveniences and loss of teeth which were claimed. The Tribunal considered the annual income of the appellant as Rs.50,100/- and fixed the compensation towards permanent disability on the basis of 20% disability. An amount of Rs.12,000/alone was granted towards a claim of Rs. 25,000/- for pain and suffering. 3. Heard Sri T.N.Manoj on behalf of the appellant and Sri Jacob Abraham on behalf of the 3[rd] respondent insurer. 4. The counsel for the appellant contended that the appellant had claimed that he had a monthly income of Rs.4,500/- and that no **MACA NO. 1462 OF 2013** **4** amount was granted towards loss of earning, despite the fact that the appellant had not been able to do any work after the accident. It is stated that the appellant was under treatment for about one year and even though 20% is the whole body disability, the functional disability as far as his acovation of toddy tapping was concerned, was 100%. Exhibit A11 is relied on to show that the appellant had to quit his job. It is further contended that there is no reason to reduce the amount of pain and suffering claimed and for denial of the claim for loss of teeth. It is also contended that there is no justification for not granting any amount towards loss of amenities, despite the fact that the injury was serious enough to cause a total inability to perform the avocation which he was performing till then. Relying on the decision of the Hon'ble Supreme Court in **Pappu Deo Yadav v. Naresh Kumar & Ors.** reported in **[AIR 2020 SC 4424],** it is contended that the appellant is entitled to additional amount towards future prospects. 5. The counsel for the insurer contended that the Disablity Certificate cannot be relied upon since it has been issued by a private doctor and that a Medical Board should have assessed the disability. It is submitted that the appellant had to be hospitalised only for 7 days and therefore the injury cannot be treated as a **MACA NO. 1462 OF 2013** **5** severe injury. Reliance is placed on the decision of the Apex Court in **Rajkumar v. Ajaykumar** reported in **[(2011) 1 SCC 343]** . 6. I have considered the contentions raised by the counsel on either side. Since the Tribunal has considered an annual income of Rs.50,100/- on the basis of Exhibit A6 Income Certificate, I am of the opinion that the said amount is reasonable. However, while assessing compensation for permanent disability, going by the decision in **Pappu Deo Yadav (supra)** the appellant is entitled to an increase of 40% towards future prospects. The appellant has given evidence to show that he has not been able to continue the work of toddy tapping. The fact that he will not be able to do the job has also been spoken to by PW2, the doctor who issued the disability Certificate. In the above circumstances, there is no justification for not granting any amount towards loss of earning. The appellant had produced Exhibit A4 certificate from the employer stating that the appellant was on leave from April to October, 2007, a period of 6 months. The appellant is hence found entitled to one half of his annual income towards loss of earning. The appellant has claimed reasonable amounts of Rs.1,000/-, Rs.10,000/- and Rs.8,000/under the heads damage to clothing, laws of amenities and conveniences and loss of teeth, which ought to have been granted by **MACA NO. 1462 OF 2013** **6** the Tribunal. 7. Regarding the question of disability, Exhibit A8 shows that the appellant has a whole body disability of 20%. The certificate also says that functionally the appellant has the difficulty to lift or carry weight with right hand, pull or push or throw or support with the right hand, to climb trees, to hang, to bend forward or sideways, to stand for long, to climb up and down, and to jump, run or walk for long. He has further stated that the appellant cannot perform the work of a Toddy Tapper. Even though PW2 was cross examined, there is nothing in the evidence to discredit the statements in the certificate. As such, there is considerable force in the contention of the appellant that in relation to the work that he was performing till then, which should be the criterion for assessing permanent disability, going by the decision of the Hon'ble Supreme Court in **Mohan Sony vs. Ram Avtar Tomar** , reported in **(2012) 2 SCC 267** , the appellant has 100% disability. However, the appellant was only 38 years old at the time of the accident and he had quit the job by 2010, as seen from Exhibit A11. It cannot be presumed that the appellant will not be able to find any other avocation in his future life. In the circumstances, I am of the opinion that the functional disability to be applied for arriving the compensation for permanent **MACA NO. 1462 OF 2013** **7** disability can be considered as 40%. The compensation payable to the appellant is hence reworked on the basis of the aforesaid findings and the same will be as shown in the table below: |Sl.<br>No.|Head of Claim|Amount<br>claimed (Rs)|Amount<br>awarded<br>(Rs)|Amount<br>awarded/modif<br>ied by this<br>Court| |---|---|---|---|---| |1|Loss of Earning|30,000/-|NIL|25,050/-| |2|Medical &<br>Miscellaneous|30,000/-|5,290/-|5,290/-| |3|Transportation<br>expenses|3,500/-|500/-|500/-| |4|Pain & suffering|25,000/-|12,000/-|25,000/-| |5|Permanent Disability|8,00,000/-|1,50,300/-|4,20,840/-| |6|Damage to clothing|1,000/-|NIL|1,000/-| |7|Extra nourishment|1,000/-|700/-|700/-| |8|Loss of amenities<br>and conveniences<br>etc.|10,000/-|NIL|10,000/-| |9|Loss of teeth|8,000/-|NIL|8,000/-| |10|Bystander's expenses|2,000/-|700/-|700/-| ||Total|9,10,500/-<br>limited to<br>Rs.9,00,000/-|1,69,490/-|**4,97,080/-**| 8. In the result, the appeal is allowed. The compensation granted by the Tribunal is enhanced by a further sum of ## **Rs.3,27,590/- (Rupees Three lakhs Twenty Seven Thousand** **Five Hundred and Ninety only)** with interest at 9% per annum on the enhanced compensation from 31.12.2008 till the date of **MACA NO. 1462 OF 2013** **8** realisation, with proportionate costs. The 3[rd] respondent shall deposit the additional compensation granted in this appeal along with the interest and proportionate costs, before the Tribunal within two months from the date of receipt of a certified copy of this judgment, after deducting any amount to which the appellant is liable towards balance court fee and legal benefit fund. The disbursement of the compensation to the appellant shall be in accordance with law. Sd/Sd/- **T.R.RAVI JUDGE** dsn