Case: New India Assurance Co. Ltd Vs. Sukanta Kumar Behera

Arun Mishra, J. 1. Leave granted. 2. The appeal has been preferred by the insurer against the order dated 9.5.2014, passed by the High Court of Orissa at Cuttack in M.A.C.A. No.576 of 2008 awarding compensation of Rs.55,00,000/- to the respondent, Dr. Sukanta Kumar Behera for the injuries sustained and permanent disability incurred by him in the accident dated 9.9.2001. The Claims Tribunal had awarded compensation of Rs.4,01,414/-. 3. The appellant was working as Senior Medical Officer in Bhilai Steel Plant. He met with an accident and ultimately due to permanent disability incurred by him, his services were terminated on 29.8.2007. He incurred 60% permanent disability owing to various injuries sustained in the accident. The question to be considered is whether the High Court is justified in awarding compensation of Rs.55,00,000/- without any discussion and computation. The approach of the High Court cannot be said to be justified in such cases of injury. It is necessary to make computation of compensation to be awarded on account of pecuniary and non-pecuniary heads.4. The claimant suffered fracture in the right forearm, right femur neck, fracture of right radius midshaft and fracture of right ulnar midshaft in the right hand and grievous fracture of tebia in the left leg. His cervical spinal cord was also injured. He also suffered grievous abdomen injury for which he had to be operated. Besides, he also suffered injury in the chest.5. He was admitted in various hospitals as indoor patient. Firstly from 9.9.2001 to 24.9.2001, he was treated in SCB Medical College and Hospital, Cuttack where his left leg was operated, operation of abdomen, traction of right leg was done and a slab was put in right hand. Secondly, he was treated in Shanti Hospital, Cuttack, from 24.9.2001 to 30.9.2001 where he was operated upon for implanting two steel plates in right leg. Thirdly, he was admitted in Kalinga Hospital, Bhubaneswar, for treatment from 1.10.2001 to 15.10.2001 for abdominal surgery in which considerable part of his stomach and large intestine was removed to save his life. Thereafter, he was admitted in C.M.C. Hospital, Vellore as indoor patient from 16.10.2001 to 25.5.2002 for 7-1/2 months and again in the month of February 2004 he was admitted there for a period of 8 days. At Vellore in CMC Hospital, several surgeries were performed, besides bone grafting in left leg and removal of implanted right femur due to infection and discharging sinus. The amount spent by him at Vellore CMC Hospital towards treatment and medical expenditure was reimbursed to the extent of Rs.10,72,013/-. 6. As per Dr. R.K. Pandey, the claimant Dr. Sukanta Kumar Behera sustained injuries resulting into 60% permanent disability. In future, treatment of left ankle, foot drop and right hip replacement surgery may also be required. It is also apparent that due to removal of large part of intestine the claimant will have to remain on special diet and his digestion capacity has been declined to a great extent due to abdominal surgery for rest of his life. It is also apparent that he had also suffered grievous injuries resulting into 60% permanent disability besides one inch shortening of right limb. 7. The insurer company has contended that claimant was getting Rs.23,000/- per month at the time of accident. It appears that he was getting non-practitioner allowance also in addition to the salary. It would be appropriate to take his salary at Rs.25,000/- per month. Considering the fact that 60% permanent disability has been incurred and considering over all injuries caused, there is a loss of working capacity to the said extent. Monthly loss of earning capacity comes to Rs.15,000/-. Multiplier of 16 is applicable at the age of 36 years. Expenditure must have been incurred in 8 days when claimant was treated in Shanti Hospital when surgery of right leg was performed and two plates were inserted which we quantify at Rs.20,000/-. There was loss of earning during course of treatment which has been determined by the Claims Tribunal and medical expenditure in SCB Medical College and Hospital, Cuttack comes to Rs.66,566/-. Compensation for pain and suffering, expenditure on attendant and on special diet has also to be awarded. The compensation after deducting medical reimbursement already received, is awarded in the following manner :DescriptionAmount (Rs.)For loss of earning capacity due to permanent disability (Rs.15,000 x 12 x 16)28,80,000/-Loss of salary during treatment in the year 2001-20022,14,848/-Expenditure incurred in SCB Medical College & Hospital, Cuttack66,566/-Expenditure incurred in Shanti Hospital20,000/-Physical pain and sufferings2,00,000/-Expenditure incurred on attendant for 9 months during treatment90,000/-Special diet28,500/-Grand Total:34,99,914/- 8.

Decision reasoning: 1[ds]Considering the fact that 60% permanent disability has been incurred and considering over all injuries caused, there is a loss of working capacity to the said extent. Monthly loss of earning capacity comes to Rs.15,000/-. Multiplier of 16 is applicable at the age of 36 years. Expenditure must have been incurred in 8 days when claimant was treated in Shanti Hospital when surgery of right leg was performed and two plates were inserted which we quantify at Rs.20,000/-. There was loss of earning during course of treatment which has been determined by the Claims Tribunal and medical expenditure in SCB Medical College and Hospital, Cuttack comes to Rs.66,566/-. Compensation for pain and suffering, expenditure on attendant and on special diet has also to be awarded. The compensation after deducting medical reimbursement already received, is awarded in the following manner :DescriptionAmount (Rs.)For loss of earning capacity due to permanent disability (Rs.15,000 x 12 x 16)28,80,000/-Loss of salary during treatment in the year 2001-20022,14,848/-Expenditure incurred in SCB Medical College & Hospital, Cuttack66,566/-Expenditure incurred in Shanti Hospital20,000/-Physical pain and sufferings2,00,000/-Expenditure incurred on attendant for 9 months during treatment90,000/-Special diet28,500/-Grand Total:34,99,914/-