model format of notes of arguments by insurer when there is no employer employee relationship in workmen's compensation cases.

 

BEFORE THE DEPUTY COMMISSIONER OF LABOUR,

place.

EC      /  20  .

Name of the petitioners                     ----                 Petitioners.

                                                                   VS

Name of the respondent                 ----                  2nd respondent

 

NOTES OF ARGUMENTS FILED ON BEHALF OF 2ND RESPONDENTS ABOVE NAMED.

1.     This claim petition has been filed by ----- claiming compensation of a sum of Rs.--------/-for the death of one ------- in a motor vehicle accident which tookplace on ----- while he was riding an auto bearing regn.no. ----- which was insured with the 2nd opposite party at the time of accident.

2.     To claim compensation under work man compensation, essential requirement is there should be employer – employee relationship and the accident must arise during and in the course of employment. Sec.3 of Employees compensation act clearly states that If personal injury is caused to a *[employee] by accident arising out of and in the course of his employment, his employer shall be liable to pay compensation in accordance with the provisions of this chapter.

3.     In this case the 1st opposite party had sold his vehicle to the deceased  Before the date of accident. The 1st opposite party has deposed these facts and produced the sale agreement between him and the deceased. The petitioner says that this 2nd respondent has not taken any plea regarding this, and not cross examined PW1 regarding this aspect.  This statement by the petitioner in their notes of arguments is wrong.

4.      Actually this 2nd respondent has taken a plea in their counter statement in para 3 that, the petitioner is put to strict proof that there was employer and employee relationship between deceased and the 1st opposite party and he was working as driver in the auto bearing regn.no. ------------- belonging to 1st opposite party and the accident  took place during and in the course of employment with  necessary documents and certificates.

5.     Moreover in the cross examination also it was asked to the petitioner (PW1) that they have not produced any documents to show that the deceased was employed with the 1st opposite party at the time of accident, and the accident arose out of and in the course of employment. Even after questioning, petitioner has not produced any document like salary receipts or voucher, trip sheet appointments orders or any bit of evidence to show that he was employed with 1st opposite party at the time of accident and the accident arose out of and in the course of employment.

6.     1st opposite party also denies the plea of petitioner that the deceased was employed with him at the time of accident. He also says that accident had taken place while the deceased was driving his vehicle in the capacity of owner of the vehicle. Even after the plea and questioning of 2nd respondent, that petitioner has not proved the employer -  employee relationship and had not produced any document or evidence to show that the accident had taken place during and in the course of employment. When the existence of a fact is questioned and denied by parties to the litigation (opposite parties) , it is the duty of the petitioners to prove it with cogent evidence. The burden of proof is now with the petitioner, to prove that he was employed with the 1st opposite party at the time of accident and the accident arose out of and in the course of employment. Since the petitioner had failed to do so adverse inference may be taken.

7.     In 2003 ACJ 1454 it is clearly explained that insurer is liable to indemnify the owner in case of third party loss, deceased was not employed as driver, liability does not arise under workmen’s compensation act. It is humbly submitted by this 2nd opposite party that this claim petition is not maintainable on the ground that insurer was to indemnify the insured qua loss of third party and it was not to indemnify the owner for his own rashness and negligence and the legal heirs could not claim compensation on account of his death in the accident.

8.     Since the deceased was owner of  the offending vehicle auto, was himself owner as such was not a third party under the provisions of  the act, so, the insurance company is not required to indemnify him but is required only to indemnify the owner in case of third party loss and risk of self injuries and death is not covered under the present policy. Even if driver is covered under the insurance policy, then he also having the status of owner of the offending vehicle, the insurance company is liable to indemnify the owner only in case of third party loss.

9.     A contract of insurance which stipulates to pay compensation for the death of the insured person himself cannot be said to be a contract of indemnity. If the owner of the vehicle, who has the benefit of indemnity is himself not covered by the policy, his representative, unless he be an employee covered by the act is in no better position in relation to the insurer’s obligations or the absence of it. In the present case, it is not the case that the deceased was employed as  driver, but he is owner himself. Therefore the liability does not arise under the workmens compensation act, 1923 in respect of death or bodily to owner cum driver of the vehicle.

10.                          The citations quoted by the petitioner is not applicable to this case. Here the deceased had driven the vehicle in the capacity of owner of the vehicle which is proved by the evidence of 1st opposite party and the sale agreement which has been marked as exhibit. The petitioner in turn has not given any evidence to rebut this.

11.                        In 2017 LLr 338 SC, the owner of the truck had sold the vehicle to someone else. But here the ownership has been transferred to the deceased himself.

12.                        In 2010 TNMAC 410 insurer putting suggestion to PWs without pleading in counter statement. But now in this case, the insurer has taken a plea in their counter statement in para 3 that, the petitioner is put to strict proof that there was employer and employee relationship between deceased and the 1st opposite party and he was working as driver in the auto bearing regn.no. TN 75 C 1328 belonging to 1st opposite party and the accident  took place during and in the course of employment with  necessary documents and certificates.

13.                         2012 ACJ 487 is regarding non – intimation of transfer of ownership to some other person. In that case, it was decided that the deceased as driver was covered under the policy on payment of premium and he was a third party to the insurance contract, and insurer was held liable. But in the present case, the deceased himself is the owner of the vehicle and cannot be held as third party.

14.                        2017 SAR (civil) page NO.722 is also regarding absence of transfer of ownership of the vehicle to the insurer. In this case also some other person I the owner of the vehicle and not the deceased. The question arose in that case is who is the owner of the vehicle whether 1st defendant or the 4th defendant, and it was decided that, it is unnecessary to decide that. But in the present case the deceased himself is the owner of the vehicle and he cannot be considered as third party.

15.                        More over the seating capacity of the vehicle is 4 in all. But more than 10 persons have travelled in it. And there is permit given to the vehicle by the RTO to ply within the limits of --------. But at the time of accident the vehicle had plied in the roads of -----------, which leads to violation of policy conditions. At this juncture also this 2nd opposite party is not liable to pay any amount of compensation.

                                    Hence this hon’ble court may be pleased, having consideration of employer -  employee relationship being denied by the opposite parties and the fact of the accident arising out of and in the course of employment was not proved by the petitioner, even after denial by the opposite parties, adverse inference may be taken against the petitioner, and come to a conclusion that there was no employer – employee relationship between the 1st opposite party and the deceased and the accident does not arise during and in the course of employment and this petition may be dismissed with the cost of this 2nd respondent, and prays that this 2nd respondent may be exonerated from the proceedings, and thus render justice.

 

 

Advocate for 2nd opposite party.

 

 

BEFORE THE DEPUTY

COMMISSIONER OF LABOUR,

Place.

 

EC    /  20  .

 

 

Name of the petitioners                             

                               --- Petitioners.

 

 

 

--------------------------------

NOTES OF ARGUMENTS

--------------------------------

 

 

                                                                Name of the Respondent..

---2nd respondent

 

BY

Name of the Advocate.,

ADVOCATE,

PLACE.

 

 

 

 

 

 

 

 

 

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