Case: M/s  THE NEW INDIA ASSURANCE CO. LTD.  &amp; ANR Vs. SHASHIKALA J. AYACHI

3. The respondent took a policy of insurance for a sum of Rs.1,62,70,000/- from appellant No.2 herein, covering risks to the Mechanical Sailing Vessel MSV Sea Queen. The period of validity of the policy was from 4.10.2010 to 3.10.2011. Contending that on 30.05.2011, the vessel MSV Sea queen, which was the subject matter of insurance, sank in the high sea between Oman and Pakistan, due to bad weather and rough tides, which damaged the lower portion of the vessel, the respondent lodged a claim with the appellant-insurer. Since the claim was neither admitted nor repudiated, the respondent filed a consumer complaint on the file of the National Consumer Disputes Redressal Commission. Thereafter, the appellants repudiated the claim by a letter dated 4.09.2013 on the ground that the subject vessel was engaged in illegal activities and was hijacked by Somali pirates and that in any case the Meteorological reports of Oman and India showed absolutely fair weather conditions on May 29-30, 2011 and that, therefore, the claim was false.       4. But the National Consumer Disputes Redressal Commission allowed the claim after recording the following findings:        (i) that though the incident took place on 30.05.2011, the surveyor was appointed on 3.06.2011 and a Final Survey Report was sent on 25.03.2013, the claim was repudiated by the appellant only on 4.09.2013, which was after more than two years of the incident and that therefore the inordinate delay violating Regulation 9 of the Insurance Regulatory and Development Authority (Protection of Policyholders Interests) Regulations, 2000, constituted deficiency in service;        (ii) that though the insurer raised a dispute with regard to the place and nature of the incident, the claim of the respondent-complainant in this regard was supported by the statement of the crew members of the subject vessel which was recorded by the Superintendent of Customs and the Immigration Officer, while the plea of the insurer was not supported by any evidence;        (iii) that the Report of the Meteorological Departments relied upon by the insurer had nothing to do with the place of the accident;        (iv) the plea of the respondent-complainant that SOS/ distress calls were made from the sinking vessel, was corroborated by the statement of the crew members; and        (v) that it was too late for the insurer to raise a dispute with regard to the value of the vessel.        5. On the basis of the above findings, the National Consumer Disputes Redressal Commission directed the appellant-Insurance Company to pay the respondent, the sum assured of Rs.1,62,70,000/- together with interest @ 9% per annum. It is against the said order that the appellants have come up with the above statutory appeal.        6. The dispute between the parties revolves only around facts especially with respect to the place of occurrence of the event and the manner in which the same happened. According to the respondent-complainant, the subject vessel commenced its voyage from Dubai to Mombasa on 10.03.2011. The vessel reached Mombasa on 28.03.2011. On 21.04.2011, the vessel started from Mombasa and reached Djibouti on 5.05.2011. The vessel left Djibouti on 21.05.2011 on its return journey back to India. But on 30.05.2011 the vessel encountered bad weather and rough tides when it was between Oman and Pakistan. The rough tides damaged the lower portion of the vessel resulting in water entering the vessel and submerging it. According to the respondent-complainant, the crew of the vessel made a distress call, which was received by the crew of another vessel by name MSV Chetak and they came to the rescue of the crew of the sinking vessel. The crew of MSV Sea Queen left the sinking vessel and boarded MSV Chetak which brought them to Mandvi on 3.06.2011. The crew gave statements to the Superintendent of Customs, Mandvi on 3.06.2011 and to the Immigration Officer on 4.06.2011. Thereafter the respondent lodged the claim.        7. But the version of the appellant-Insurance Company was that the vessel was plying in Somalia waters, in violation of the policy condition and that the vessel could not have sunk at Latitude 24.40° N and Longitude 61.43° E, as it was 200 nautical miles North of the position where vessel was supposed to be, keeping in mind her course. The place where the vessel supposedly sank was not falling in the line of track from Oman to India. Moreover the Meteorological Departments of Oman and India confirmed to the Surveyors, on the basis of the weather reports for Persian Gulf that the weather was absolutely fair on May 29-30, 2011. Therefore, it was contended by the appellant that the vessel could not have sunk in the manner projected by the respondent, especially at the place indicated by them.        8. Thus, there were two versions, both about the place of the incident and about the manner in which the incident had taken place. The National Consumer Disputes Redressal Commission accepted the version of the respondent-complainant solely on the basis of the statements of the 10 crew members, made to the Customs and the Immigration Authorities. Since the statement of the crew members of the subject vessel was also corroborated by the Nakhuda (Nakhuda is a Persian word meaning Captain/Master of a vessel) of the rescuing vessel MSV Chetak, the National Commission found the version of the respondent-Complainant to have been proved.

Court's reasoning:
9. But what the National Consumer Commission failed to see was that there were more questions that remained unanswered in the version of the respondent-complainant and that there were more missing links. First of all the respondent-complainant did not state anywhere in the complaint as to where exactly the mishap had happened. In paragraph 9 of the complaint, the respondent stated only broadly that the vessel encountered bad weather and rough tides, when it was between Oman and Pakistan. As per the statement of Shri Osman Suleman Sumbhania who claimed to be the Tandel (Head of the ship or boat) of the subject vessel MSV Sea Queen, the vessel started its voyage from Djibouti on 21.05.2011 towards India, but it encountered bad weather on N 23=40 and E 61 =43°, between Oman and Pakistan. In the statement Shri Harun Abdreman Ruknani, the Tandel of the rescuing vessel MSV Chetak, he claimed that on 30.05.2011 at about 10 o clock in the morning, they were at N 23=40 and E 61 =43° and that they received a call for help on their Wireless Radio.10. Interestingly, the exact place of the occurrence of the incident was mentioned by both the above named persons, only in the statements given to the Superintendent of Customs on 3.06.2011. In the statements made by both the aforesaid persons on 4.06.2011 to the Immigration Officer Mandvi Sea Check Post, the exact place with Longitude and Latitude were not mentioned.11. The Marine Casualty Report dated 16.07.2012, issued by the Marine Mercantile Department, Kandla, of the Government of India, contains a column in Column No.47 relating to weather conditions. The respondent places reliance upon the said report to show that the vessel sank due to bad weather. But interestingly, column 47 of the report does not contain any detail except stating broadly that there was rough weather.12. It may be seen from the above that none of the sub-columns relating to weather direction, force, swell direction, precipitation etc. in Column No.47 has been filled up in the Marine Casualty Report.15. It is common knowledge that the time of receipt of the SOS message by the rescuing vessel and the actual time of rescue of the crew of the sinking vessel cannot be the same. Even according to the respondent, the subject vessel MSV Sea Queen could travel only at a speed of 6-7 knots. Unless the rescuing vessel is in close proximity, the time of the SOS call and the time of rescue cannot be the same. Keeping this in mind if we have a look at the statement made by Shri Harun Abdreman Ruknani, Tandel of the rescuing vessel it makes interesting reading.16. According to the above statement, the Tandel of the rescuing vessel heard the call for help on his wireless radio at 10 o clock in the morning. But according to the statement of the Tandel of the subject vessel, they were rescued at 10 o clock in the morning. However, the Marine Casualty Report indicates the time to be 4:00 a.m. on 30.05.2011. This crucial contradiction has been completely overlooked by the National Consumer Disputes Redressal Commission.17. The enquiry by the Surveyors with Muscat Radio revealed that no SOS calls were made from the Nakhuda of MSV Sea Queen nor was any response from the rescuing vessel reported. The Meteorological Departments of both countries namely Oman and India confirmed that the weather for the specific area coordinates, Latitude 23=40° N and Longitude 61 =43° E, was fair. In contrast to the absence of details in the sub-columns of Column No.47 of the Marine Casualty Report, the Final Survey Report gives minute details.18. Another important feature noted by the Surveyor is that the normal practice for the Indian Dhows trading from Indian West Coast to the Arabian Gulf Ports and Yemen/Africa, in the month of May is to sail along the coast of Southern Oman and after crossing Kuria Muria Islands and Ras Madraka and set course North easterly to Gujarat. The skipper of Sea Queen confirmed to the Surveyors that they also followed the same route. But the coordinates provided by the rescuing vessel showed that the rescuing vessel was positioned at 200 miles North. Therefore, the Surveyor was compelled to draw the inference that MSV Sea Queen could not have been in the area where she reportedly sank.19. All the above aspects were not taken note of by the National Consumer Disputes Redressal Commission.20. Admittedly the Directorate General of Shipping had issued a Circular dated 31.03.2010 prohibiting the operations/trading in waters South or West of the line joining Salalah and Male. The Certificate of Inspection of the vessel dated 26.08.2010 reiterates that sailing vessels are prohibited to ply South or West of the line joining Salalah and Male as per the Circular dated 31.03.2010 issued by the DG Shipping. The Circulars issued by the DG Shipping, especially with regard to the safety and security of the vessels and the crew are to be read as part and parcel of the policy conditions.21. The reason why the aforesaid condition assumes significance in the case on hand is that there was a query on 25.10.2010 both from the coast guard and DG Shipping about a piracy attack on the subject vessel MSV Sea Queen. The query was made at about 16:50 hrs. on 25.10.2010 and a reply was sent by the respondent through her representative at about 18:12 p.m. on the same day.23. To show that the suspected piracy attack on the vessel on 25.10.2010 could not have been true, the respondent relied upon a Ship Security Certificate purportedly issued by the Mediterranean Naval Security Bureau. Though it was contended by the learned counsel for the appellant that it was a forged and fabricated document, we do not think that we need to go so far as to discredit the said certificate. The exchange of e-mail about the suspected piracy attack demonstrated at least that the vessel was plying in the prohibited location.24. Therefore, we are of the view that the Consumer Forum which has a limited jurisdiction to find out if there was any deficiency in service, could not have allowed the complaint on the basis of sketchy pleadings supported by doubtful evidence. The delay on the part of the Insurance Company in securing the Final Survey Report and the further delay in issuing the letter of repudiation, cannot per se lead to the complaint being allowed. The delay in processing the claim and delay in repudiation could be one of the several factors for holding an insurer guilty of deficiency in service. But it cannot be the only factor.