Full Judgment Text
REPORTABLE
2023 INSC 1022
IN THE SUPREME COURT OF INDIA
CIVIL APPELLATE JURISDICTION
CIVIL APPEAL NO. 339 OF 2023
NEW INDIA ASSURANCE CO. LTD. & ORS. APPELLANTS
VERSUS
M/S. MUDIT ROADWAYS RESPONDENT
J U D G M E N T
Hrishikesh Roy, J.
1. Heard Mr. Aditya Kumar, learned counsel appearing for the
appellants. Also heard Mr. Parthiv K. Goswami and Mr. Mrinal
Kumar Choudhury, learned Senior Counsel for the respondent.
2. This appeal challenges the 10.8.2022 order of the National
Consumer Disputes Redressal Commission (hereinafter referred to
as, ‘the NCDRC’ for short), which partially allowed the consumer
Signature Not Verified
complaint directing the Insurance Company to pay
Digitally signed by
Jayant Kumar Arora
Date: 2023.11.24
18:06:42 IST
Reason:
Rs.6,57,55,155/- for a fire insurance claim with 9% interest from
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claim denial date within 8 weeks, or face 12% interest beyond the
stipulated 8 weeks.
INSURANCE POLICIES & CLAIM PROCESS
3.
The respondent purchased the following insurance policies:
| Sr.<br>No. | Description | Date<br>Premium<br>Paid | Duration of<br>Policy | Sum<br>Insured |
|---|---|---|---|---|
| 1 | Standard Fire<br>and Special<br>Perils Policy<br>17080011170<br>100000734 | 19.06.2017 | 19.06.2017<br>to<br>18.06.2018 | Rs. 6<br>Crores |
| 2 | Customs Duty<br>Package Policy<br>11140046172<br>480000017 | 30.09.2017 | 30.09.2017<br>to<br>29.09.2018 | Rs. 20<br>Crores |
| 3 | Standard Fire<br>and Special<br>Perils Policy<br>11140011170<br>100001014 | 30.11.2017 | 30.11.2017<br>to<br>29.11.2018 | Rs. 150<br>Crores |
| 4 | Additional<br>Endorsement<br>to Customs<br>Duty Package<br>Policy | 29.12.2020 | - | Rs. 75<br>Crores |
4. These insurance policies covered premises of 106750 sq. ft.
(covered area) and 15000 sq. ft. (open area) at Survey No. 09, Hissa
No. 03, at Village – Veshvi, Taluka – Uran, District – Raigad,
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Maharashtra. The claimant leased the premises from M/s.
Platinum Logistics for warehousing purpose. Claimant paid
Rs.44,02,562/- to New India Assurance for safeguarding the
custom bonded goods and for covering the risk against fire, etc.
5. During the pendency of the insurance policies, on
14.03.2018, a fire broke out at the insured warehouse. The
respondent then informed the Insurance Company and the
Custom authorities about the same. The Insurance Company
appointed M/s. J.C. Bhansali and Co. as Surveyors to assess the
loss. On 03.10.2018, the insured raised a claim for a sum of Rs.
6,57,55,155/-. Of the total claim, Rs. 5,54,17,891/- was against
Policy No. 17080011170100000734; Rs.18,73,984/- under Policy
No.11140011170100001014 and Rs. 2,15,18,802/- under Policy
No.11140046172480000017 respectively.
REPORTS ON THE FIRE ON 14.03.2018
6. On the day of the fire incident, the matter was also reported
to the police, resulting in the FIR No. 03/2018 on 15.03.2018.
Police investigation prima facie concluded an electrical short
circuit as the cause, which was relayed to the Insurance Surveyor.
7. Another report (dated 23.04.2018), addressed by the
Inspection Division of Department of Industry Energy and Labour
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of the Maharashtra Government, recorded that the fire accident in
a portion of the warehouse was on account of electrical sparks
since the area had an electrical setup and stored combustible
materials like boxes, papers and chemicals.
8. The Jawaharlal Nehru Port Trust's investigation, conducted by
on-site firefighters revealed in their report (09.05.2018) that the
probable cause was an electrical short circuit.
9. Two additional reports (07.08.2018 & 31.08.2018) prepared
by independent surveyors appointed by the claimant's clients were
submitted. Both reports indicated that a short circuit was the
likely cause of the fire.
10. M/s. Screen Facts Services Pvt. Ltd., the Forensic Examiner
hired by the Insurance Company, inspected the portion of the fire-
affected warehouse and in their report (10.12.2018) stated that
combustible materials were stored where the fire occurred but
ruled out short circuit as the cause, due to the absence of electrical
wiring. The Forensic Examiner highlighted that welding work on
the roof, carried out until 16:04 hrs. on the incident day, was a
possible cause. It recorded that negligence during welding work in
the secure warehouse caused the fire due to sparks and
inflammable materials.
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11. The Investigator, M/s. J. Basheer & Associates, appointed by
the appellants, concluded in their 11.04.2019 report that fire was
due to an electrical short circuit, contradicting the Forensic
Examiner's findings. They also noted that the insurance policy did
not cover the warehouse at Survey No. 9/3 because it was not
affected by the fire.
12. M/s. J.C. Bhansali & Co., the Insurance Company's
Surveyor, in their report (15.04.2019) concluded the following:-
“ 1. Cause of Fire is due to the negligence on the part of
the management in not taking adequate precautions
when the construction work was going on;
2. Almost 18000 to 20000 sq. ft. area of the roof of
bonded Warehouse which is custom bonded Warehouse
was uncovered, i.e., there were no roof sheets at the time
of loss, due to which circumstances affected the building
insured or containing the insured property were
changed, in such a way which increased the risk of loss
or damage by insured perils and;
3. The Survey Numbers of the fire affected
Warehouse have not been declared/covered under the
Policy.
4. Policy covers location at survey No. 9/3, but the
office of the insured and a Warehouse located at the
Surveyor No. 9/3 were not fire affected and they were
safe;
5. Hence, claim under reference is out of the scope of
relevant policy & liability under the claim does not
arise .”
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13. After receiving the Survey and Investigation Reports, the
Insurance Company, with their 15.07.2019 communication,
rejected the respondent's claim. In their subsequent
communication (14.12.2019), the following two reasons were
stated: 1) The insured premises at Survey No. 9/3 was unaffected
by the fire, and 2) The fire resulted from the insured's negligence
during roof construction in a secure customs-bonded warehouse
with hazardous chemicals. Construction work in the warehouse
increased the risk, causing insurance coverage to cease under
Clause 3 of the policy's terms and conditions. Following are the
details of the repudiation letters issued by the Insurance
Company:
| Sr No | Date | Letter of Repudiation |
|---|---|---|
| 1. | 28.06.19 | Insurance Company’s letter repudiating the<br>claim with respect to policy no.<br>1114046172480000017 (Customs duty<br>package policy) |
| 2. | 15.07.19 | Insurance Company’s letter repudiating the<br>claim with respect insurance policy no.<br>17080011170100000734 (Standard Fire and<br>Special Perils Policy- Goods Held in Trust) |
| 3. | 14.12.19 | Insurance Company’s letter repudiating the<br>claim with respect insurance policy no.<br>17080011170100000734 (Standard Fire and<br>Special Perils Policy) |
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CONSUMER COMPLAINT
14. The respondent, dissatisfied with the aforesaid repudiation of
claim, filed Complaint No. 765 of 2020 under the Consumer
Protection Act, 1986, citing service deficiencies and unfair trade
practices by New India Assurance Co. Ltd. In their response, the
Insurance Company referred to the Investigation Report
(11.04.2019) from M/s. J. Basheer & Associates and the Final
Survey Report (15.04.2019) from M/s. J.C. Bhansali & Co. They
contended that the fire occurred during roof welding work
undertaken by the insured without adequate precautions. It was
also stated that the insured warehouse at Survey No. 9/3 was not
affected by the fire. Furthermore, the roof work in the warehouse
increased the risk, violating general condition 3 of the Insurance
Policy, justifying the repudiation.
15. In the impugned order, the NCDRC considered two vital issues
to arrive at its decision:
(i) Whether the Complainant’s Warehouse located at Survey
No. 9 Hissa 3 (9/3) Village Veshvi, Tal-Uran, District - Raigad
was insured by the Opposite Party;
(ii) What was the cause of fire incident that occurred on
14.03.2018?
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16. The NCDRC ruled in favour of the complainant concluding
that the insurance policy covered the complainant's warehouse.
On the second issue, NCDRC noted the time lag between the
welding work and the fire incident and observed that the Forensic
report is inconclusive. The other reports suggesting an electrical
short circuit as the cause of the fire was found to be more
acceptable.
17. Adverting to the roofing work done by the insured, NCDRC
held that it did not significantly increase the risk, and therefore
Clause no. 3 was inapplicable. Referring to the ratio in New India
1
Assurance Co. Ltd. vs. Pradeep Kumar ; NCDRC highlighted that
the approved Surveyor's report, though important, is not absolute
and not binding on the parties. The NCDRC accordingly ruled in
favour of the insured finding deficiency in service of the insurance
company. Thus, direction was issued for payment of the specified
sum, with interest.
ARGUMENTS
18. Mr. Aditya Kumar, the learned counsel for the appellants,
contended that the cause of the fire was negligence on the part of
1
(2009) 7 SCC 787.
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the insured. Reports of the forensic investigator (M/s Screen Facts
Services Pvt. Ltd.) dated 10.12.2018 (Annexure A-10) were relied
upon, which found that electrical short-circuit was not the cause
of the fire incident. Instead, the fire could have occurred due to
sparks that may have fallen on flammable chemicals stored in the
adjoining area, during welding. Surveyor’s Report (M/s Bhansali
& Co.) dated 15.04.2019 (Annexure A-12) was relied upon to
further suggest that the fire occurred due to negligence on the part
of the insured in not taking adequate precautions during the roof
repair work. By undertaking such repair work without
precautions, the insured property was altered in a way that
increased the risk of loss or damage. Additionally, storing
hazardous chemicals during construction or repair work was itself
a negligent act and amounted to violation of policy conditions.
19. The learned counsel points out that the forensic inspector
and the surveyors were specifically tasked to investigate the fire
incident. Since short-circuit as the cause of fire was ruled out, Mr.
Kumar argues that the negligence theory on the part of the
insured (in undertaking roof construction work in the vicinity of
stored combustible materials), ought to be accepted.
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20. For the appellants, Mr. Kumar also reads the Surveyor’s
Report (M/s Basheer & Associates) dated 11.04.2019 (Annexure
A-11) which concluded that the insurance policy did not cover the
premises of the fire-affected warehouse. And as such, repudiation
is justified since the insurance coverage was limited to the office
of the insured and the warehouse which suffered no burning
incident.
21. Since Rs. 2,15,18,802.45/- was claimed towards custom
duty liability, the appellants argue that compensating the insured
warehouse is erroneous as custom duty liability rests only upon
the importer under Sections 12 and 46 of the Customs Act, 1962 .
The counsel relies on Section 23 of the Customs Act, 1962 to argue
that granting of compensation for destroyed imported goods
stored in the warehouse, is unjustified. Additionally, it is also
contended that the Customs Department’s demand letter lacked
a statutory basis. It is therefore submitted that the insured
cannot seek indemnification for the fire loss as any such
compensation would amount to unjust enrichment.
22. The learned counsel submits that the doctrine of waiver as
applied in
Galada Power & Telecommunication Ltd. vs. United India
Page 10 of 33
2
Insurance Co. Ltd. , had been overruled. Moreover, a legal
submission can be urged at any stage of proceedings. Therefore,
grounds of unjust enrichment and customs duty could still be
argued before the court although they were not argued earlier.
23. Per contra, Mr. Parthiv K. Goswami, the learned senior
counsel appearing for the claimant contends that the insurance
company cannot be permitted to urge additional grounds beyond
those mentioned in the letter of repudiation. The appellants must
therefore limit their submissions to the grounds mentioned in the
repudiation letter.
24. The learned counsel then submits that it is clear from the
Leave & License Agreement dated 04.07.2015 that M/s Platinum
Logistics had leased out land situated on Survey No.9/3 in Village
– Veshvi, Taluka – Uran, Raigad to the claimant. Further, approval
was sought & obtained from the Customs Department for a
bonded warehouse on the same land. The insurance policy
mentions the location of the insured premises as Mudit Roadways,
Survey No.9/3 CPP Forbes CFS, Chirner Road, Village - Veshvi,
Uran, MH1369, Maharashtra-400702. For justifying the claim,
Mr. Goswami reads the two communications from the Tehsildar,
2
(2016) 15 SCC 161.
Page 11 of 33
Uran, Raigad dated 25.03.2018 (Annexure R-18) and 23.03.2018
(Annexure R-20) and also relies upon the telephone connection
(Annexure R-16), electricity connection (Annexure R-17) and other
communications from the Executive Magistrate (Annexure R-10)
to point out that the fire incident occurred in the same address of
the insured ware-house. Besides, the customers who appointed
their own independent surveyors (M/s Kannan & M/s Proclaim)
noted that the warehouse where the stock got burnt, was located
at Survey No. 9/3 (Annexure R-8). Accordingly, it is argued that
there was no basis for the insurance company to contend that the
fire in the warehouse was outside the purview of the premises,
covered by the insurance policy.
25. Specifically on the aspect of cause of fire, Mr. Goswami
contends that the welding machine & cylinders were taken away
from the field of view at 11.56.16 hours and the roof welding work
did not continue in any case, beyond 16.04 hours on 14.03.2018.
Therefore, if the sparks from the welding work were the cause of
the fire, it would not go un-noticed for 26 minutes since
combustible chemicals, papers, etc. would have instaneously
caught fire. Because of the conspicuous gap of around 26 minutes
between the end of the welding work and the occurrence of fire, it
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would be illogical according to Mr. Goswami to attribute the
welding work to be the cause for the fire. With this projection, the
claimants contend that there was no negligence on the part of the
insured and the cause of fire was rightly attributed to an electrical
short-circuit.
26. It was further argued that multiple reports from different
govt. departments as well as independent surveyors supported the
conclusion that the fire had occurred on account of a short-
circuit. In addition, it was also pointed out that no welding took
place during the GI sheet roofing work as those would melt during
welding. Instead, nuts & bolts were used in the GI roofing work.
27. On the aspect of the violation of insurance policy conditions,
it was argued that roof repair work was being carried out to
address the water leakage issue from the warehouse roof. Thus,
there was no alteration of the insured premises which would have
increased the fire risk. The insured therefore never violated the
general condition.
28. On the issue of remission of customs duty, it is argued that
the benefit of Sections 22 & 23 of the Customs Act 1962 was only
available to importers and not those who hold such goods in trust
for their clients. In addition, undertaking obtained from the
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claimant stating that they would not claim a remission or
abatement on the customs duty payable (Annexure R-4) was also
placed on record. It is accordingly submitted that the remission
and abatement of duty available does not benefit the claimants
and the said amount (Rs. 2,13,00,061/-) may directly be paid to
the Customs Department.
29. The learned counsel for the claimants relied on Canara Bank
3
vs. United India Insurance Company to contend that the
insurance company cannot escape its liability if there is nothing
to prove that the fire was caused by the insured itself, irrespective
of what the cause of fire was. Reliance was also placed on
4
Khatema Fibres Ltd. vs. New India Assurance Co. Ltd. & Anr. to
argue that the surveyor’s report was not sacrosanct and therefore,
could be departed from, if needed.
DISCUSSION AND CONCLUSION
30. We have reviewed both parties' arguments and carefully
examined the multiple reports from various agencies, civic
authorities, the insurance company, and surveyors.
CONTENTIONS BEYOND THE LETTER OF REPUDIATION
3
( 2020) 3 SCC 455 .
4
.
2021 SCC OnLine SC 818
Page 14 of 33
31. The relevant portion of the letter of repudiation is reproduced
below:
“... ... ... ... the insured premises not affected due to
alleged fire. The above mention premises where the loss
occurred due to alleged fire is not insured under the
Policy. Thus the alleged loss dogs (sic) not fall within the
purview of the policy... ... ... ...
The root cause of the fire incident was due to the
negligence on the part of the Management in not taking
adequate precautions when the construction work was
going on that too in a secured customs bonded
warehouse where many hazardous chemicals were
stored: The alleged cause of fire is hot (sic) covered under
the policy... ... ... ...”
The insurance company in their letter mentioned two specific
grounds to repudiate the claim: (i) that the location of fire was part
of the premises not covered under the insurance policy, and (ii)
that there was negligence on the part of the insured in carrying out
repairs at the roof of the warehouse which caused the fire.
32. Notably, in earlier cases like Galada Power and
5
Telecommunication Ltd. vs. United India Insurance Co. Ltd. & Anr.
6
and Saurashtra Chemicals Ltd. vs. National Insurance Co. Ltd. , it
was declared that new grounds for repudiation cannot be
introduced during the hearing if they were not included in the
5
(2016) 14 SCC 161.
6
(2019) 19 SCC 70
Page 15 of 33
repudiation letter. This legal principle was reiterated in JSK
7
Industries Pvt. Ltd. vs. Oriental Insurance Co. Ltd . :
“ 10. Mr. Gopal Shankarnarayan, learned senior
counsel for the appellants has argued both on substantive
and procedural points to assail the aforesaid orders. His
first submission is that the insurance company cannot
resist a claim petition on grounds beyond those cited by
them while repudiating a claim. In support of this
argument, a decision of this Court in the case Saurashtra
Chemicals Ltd. v. National Insurance Co. Ltd. [(2019) 19
SCC 70] has been cited. In this judgment, it has been held :
—
“ 23. Hence, we are of the considered opinion that
the law, as laid down in Galada [Galada Power &
Telecommunication Ltd. v. United India Insurance
Co. Ltd., (2016) 14 SCC 161: (2017) 2 SCC (Civ)
765] on Issue (2), still holds the field. It is a settled
position that an insurance company cannot travel
beyond the grounds mentioned in the letter of
repudiation. If the insurer has not taken delay in
intimation as a specific ground in letter of
repudiation, they cannot do so at the stage of
hearing of the consumer complaint before NCDRC.”
33. Canvassing supplementary arguments during the hearing,
(beyond those in the insurer's repudiation letter), is explicitly
prohibited. Consequently, it is held that the insurer cannot
introduce additional reasoning beyond those detailed in their
letter, to justify the repudiation.
LOCATION OF FIRE IF COVERED UNDER THE POLICY
7
2022 SCC OnLine 1451
Page 16 of 33
34. Let us now analyse whether the burnt site was covered under
the insurance policy. The Leave & License Agreement dated
04.07.2015 identifies all three warehouses functioning within the
compound operated by M/s Platinum Logistics, with the same
Survey No. i.e., 9/3. In fact, the policy documents as well as the
License issued under Section 57 of Customs Act 1962 refers to the
warehouse situated at Survey No. 9/3, Village – Veshvi, Gavan
Phata, Chirner Road, Opp. Forces CFS, Taluka – Uran, Raigad.
The policy document specified the address of the insured as
‘Mudit Roadways, Survey No. 9/3, Opp. Forbes CSF, Chirner
Road, Village - Veshvi, Uran, MH1369, MH-4000702.’ In addition,
the impugned order rightly points out that the warehouse was
physically verified by the Customs Authorities after which
telephone and electricity connections were provided to the insured
at the same address. All communication addressed to the
claimants, including letters of repudiation from the insurance
company, admit to having insured the premises located at the
given address.
35. Therefore, looking at the policy documents, the Leave &
License Agreement and various communications received from the
customs, police, fire & electricity departments, it is reasonable to
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conclude that the insured premises was the one that was
identified and insured at Survey No. 9/3, by the insurance
company. Needless to say, there is nothing to conclude that the
area where the fire occurred on 14.03.2018 was not covered by
the said insurance policy.
ALTERATION TO INSURED PREMISES & RISK INCREASE
36. To consider this aspect, Clause 3 in the insurance policy is
relevant which reads as below:
“3. Under any of the following circumstances the
insurance ceases to attach as regards the property
affected unless the insured, before the occurrence of
any loss or damage, obtains the sanction of the
Company signified by endorsement upon the policy by
or on behalf of the Company:-
(a) If the trade or manufacture carried on be
altered, or if the nature of the occupation of
or other circumstances affecting the building
insured or containing the insured property be
changed in such a way as to increase the
risk of loss or damage by Insured Perils.
(b) If the building insured or containing the
insured property becomes unoccupied and
so remains for a period of more than 30
days.
(c) If the interest in the property passes from the
insured otherwise than by will or operation
of law. ”
37. Clause 3(a) indicates that the insurance policy would cease
to be applicable or cover the insured premises in certain cases
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where there is an increased risk of loss or damage to the insured
premises or goods within it. In this case, the insured had
undertaken repairs on the rooftop to prevent water leakage to the
warehouse. Such essential repair work on the rooftop by itself,
cannot be reasonably construed to be an alteration that would
increase the risk of loss or damage, as has been urged by the
insurance company. In our assessment, the said repair work
would not fall in the category of an alteration which would increase
the risk insured for the warehouse premises. Therefore, no
infirmity is seen with the view taken by the NCDRC on the same.
CAUSE OF THE FIRE & NEGLIGENCE – MULTIPLE REPORTS
38. While dealing with the 14.03.2018 fire incident, several
agencies, authorities and organisations have reported on the
warehouse fire accident. Those are summarized as follows:
| S.NO. | REPORT | DATE | FINDINGS | APPOINTED<br>BY |
|---|---|---|---|---|
| 1. | Electrical<br>Inspector | 23.04.2018 | Sparks created from<br>the Short Circuit of<br>the Electrical setup at<br>the corner of the Go-<br>down. | Under Section<br>161(2)(a), The<br>Electricity Act,<br>2003 by the<br>Appropriate<br>Government. |
| 2. | Asst.<br>Manager,<br>Jawaharlal<br>Nehru Port<br>Trust’s | 09.05.2018 | Probable cause of<br>incident reported as<br>Electrical Short<br>Circuit. | Claimant |
Page 19 of 33
| 3. | Independent<br>Sy. – M/s H<br>Kannan | 07.08.2018 | Sparks from Electrical<br>Short Circuit ignited<br>inflammable<br>chemicals stored. | Bajaj Allianz<br>Gen. Insurance<br>Co. – Insurers<br>to M/s. Global<br>Exim (M/s<br>Mudit<br>Roadway’s<br>Clients) |
|---|---|---|---|---|
| 4. | Independent<br>Sy. – M/s<br>Proclaim | 31.08.2018 | Probable Cause of<br>incident determined<br>as Short Circuit based<br>on the police report &<br>fire brigade. | TATA AIG Gen.<br>Insurance Co. –<br>Insurers to<br>Expanded<br>Polymer<br>System (M/s<br>Mudit<br>Roadway’s<br>Clients) |
| 5. | Police<br>Investigation<br>(Not<br>annexed) | 03.11.2018 | Electrical short circuit<br>could be the cause of<br>fire | |
| 6. | Order of the<br>Executive<br>Magistrate | 03.11.2018 | IO concluded that the<br>accidental fire was<br>caused pursuant to<br>Short Circuit | Section 21<br>CrPC, Rule 105<br>of Bombay<br>Police Manual,<br>1959. |
| 7. | M/s. J<br>Basher &<br>Associates | 11.04.2019 | Relied on Police<br>Report (3.11.18) to<br>conclude cause of fire<br>as Short Circuit.<br>Observed that fire<br>affected warehouse<br>survey nos. are not<br>the risk location as<br>per insurance policy. | Insurance Co. |
| 8. | M/s Screen<br>Facts<br>Services<br>Pvt. Ltd.<br>Forensic<br>Investigatio<br>n Report | 10.12.2018 | Sparks from the<br>ongoing welding work<br>ignited the flammable<br>chemicals b/w A & D.<br>Cause not electrical in<br>nature as there was<br>no electrical wiring<br>equipment near the<br>area of incident. | Insurance Co. |
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| 9. | M/s. J.C.<br>Bhansali &<br>Co<br>Investigatio<br>n Report | 15.04.2019 | Negligence by<br>management in not<br>taking adequate<br>precautions while<br>construction work<br>was underway leading<br>to sparks falling<br>during wielding.<br>(Based on M/s Screen<br>& J Basheer). | Insurance Co. |
|---|
38.1 The above tabulated summary of reports reveals multiple and
conflicting findings. Seven of the reports suggest short-circuit as
the cause for fire. The 23.04.2018 report of the Electrical Inspector
highlighted that a short-circuit around 4:30 pm on 14.03.2018, led
to sparks in M/s. Mudit Roadways' warehouse. Consequently, the
falling electrical sparks ignited the boxes, papers, and chemicals.
The Assistant Manager of the Jawaharlal Nehru Trust also affirmed
that the fire was triggered by an electrical short-circuit, as observed
by the fire-fighting teams at site.
38.2 Likewise, M/s. J. Basheer & Associates' 11.04.2019 report
suggest that the fire's exact cause is inconclusive but a short-
circuit could be the spark for the incident. The Special Executive
Magistrate-cum-Assistant Police Commissioner in the Navi
Mumbai Port Division accepted the police investigation report and
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concluded (on 03.11.2018) that the accidental fire resulted from a
short-circuit.
38.3 The forensic investigation report dated 10.12.2018 analysed
various aspects, including the chemical analysis of debris and
CCTV footage from the 17 cameras installed in the insured
premises. It determined that a short-circuit was not the cause but
rather sparks from rooftop welding work may have triggered the
fire. The surveyor’s report from M/s. Bhansali & Co. dated
15.04.2019 also aligned with such conclusion. Investigators found
that substantial welding work was conducted that day and pointed
towards sparks igniting the stored flammable chemicals in the
warehouse. According to them, the insured's negligence during
construction work in a warehouse with numerous hazardous
chemicals, was the root cause for the fire.
38.4 Although the footage from Camera No. 3 and video from
Camera No.9 were not available, the forensic team analysed the
available CCTV footage. They observed that welding equipment
with cylinders were being brought to the rooftop at 11:51:17 hrs
and the welding work being carried out from 11:51:17 hrs to
11:56:16 hrs, after which the equipments were removed from the
vicinity. At 12:10:17 hrs., a worker was observed removing the
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welding red boxes. This is noteworthy as it indicates that the
welding equipments were taken away by the workers around four
hours before the fire occurred. Subsequently, the workers were
seen transporting GI roofing sheets as head loads to the roofing
work site, which continued until 16:04 hrs. The CCTV footage
showed workers also using a crane to move GI roofing sheets and
MS Roofing Trusses to the roof repair area post-welding. A
substantial time gap of 4 hours, 19 minutes, and 43 seconds
separated the end of welding work from the fire itself. Even if
rooftop repair continued until 16:04 hrs., a significant 26-minute
time lag existed before the fire started.
38.5 The Forensic Investigator's conclusion that sparks from
rooftop welding caused the fire appear to be illogical, as they
overlooked other potential causes like short-circuit. Negligence
despite workers not being involved in welding-related tasks near
the time of the fire, was wrongly attributed to the insured.
Moreover, evidence was not available that sparks fell on flammable
chemicals attributable to activities, undertaken by workers.
39. Of the nine reports, seven suggest short-circuit as the likely
fire cause, while two infer negligence on the insured's part, for in-
adequate precautions, during warehouse construction.
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40. Logically if it were the welding sparks which caused the fire,
it should have occurred shortly after 11:54:27 during the welding
works or around 16:04 hours during rooftop repair. The 4 hours
19 minutes 43 seconds time gap is startlingly significant. The 26-
minute time lag after roofing work ended and the fire does not have
any rational explanation. There is no evidence of welding during
the roofing work at 16:04 or closer to the fire time, which explains
the inconclusive forensic report stating sparks “could have” caused
the fire at 16:30.
41. The repudiation as noted is based on two reports (i) the
forensic report of Screen Facts Service Pvt. Ltd. and of (ii) M/s
Bhansali & Co. The first one notably was inconclusive. The other
reports suggest short-circuit as the likely cause, not negligence.
The significant time gap that exists between the welding work and
the fire at 16:30 has no logical explanation. The basis of the
repudiation accordingly appears to be un-reasonable and is not
acceptable.
VALUE OF A SURVEYOR’S REPORT
42. According to the Insurance Act 1938 , an approved surveyor's
assessment is necessary for a claim. The claimant however
contends that the surveyor's report is not definitive. The key
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question is the extent to which the report is binding and under
what conditions can it be overridden in. To address this, Section
64(UM)(4) of the Insurance Act, 1938 can be usefully read which
concerns surveyors and loss assessors:
64-UM. (4) No claim in respect of a loss which has occurred
in India and requiring to be paid or settled in India equal to
or exceeding twenty thousand rupees in value on any policy
of insurance, arising or intimated to an insurer at any time
after the expiry of a period of one year from the
commencement of the Insurance (Amendment) Act, 1968,
shall, unless otherwise directed by the Authority, be
admitted for payment or settled by the insurer unless he has
obtained a report, on the loss that has occurred, from a
person who holds a licence issued under this section to act
as a surveyor or loss assessor (hereafter referred to as
“approved surveyor or loss assessor”):
Provided that nothing in this sub-section shall be deemed to
take away or abridge the right of the insurer to pay or settle
any claim at any amount different from the amount assessed
by the approved surveyor or loss assessors” ."
43. The above provision mandates that claims above Rs. 20,000
must be initially assessed by an approved surveyor. It is
noteworthy that the insurer has the discretion to settle the claim
for a different amount, than what is assessed by the surveyor.
44. In New India Assurance Co. Ltd. v. Pradeep Kumar (supra) ,
the court addressed whether one had to accept payment based on
the surveyors' assessment or could provide independent evidence
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to support higher costs for replacement and repairs. The court's
pertinent conclusion is as follows:
“22. In other words 1 although assessment of loss by
approved surveyor is a prerequisite for payment or
settlement of claim of twenty thousand rupees or more by
insurer, yet surveyor's report is not the last and final word.
It is not that sacrosanct that it cannot be departed from; it
is not conclusive. The approved surveyor’s report may be
basis or foundation for settlement of a claim by the insurer
in respect of loss suffered by insured but such report is
neither binding upon the insurer nor insured.”
45. Guided by the above ratio, the situation in the present case
is found to be similar. The surveyor’s report cannot be considered
a sacred document and contrary evidence, including an
investigation report, is subject to rebuttal. The key question is
whether the investigation report is indispensable, or if the survey
report alone is sufficient, to determine the cause of the fire.
46. The analysis of the forensic examiner is reproduced below for
ready reference: -
“ 19.01. Insured has claimed for loss due to fire. Cause of
fire as claimed-fire due to short circuit.
19.02. Cause of fire was investigated by M/s Screenfacts
Services Pvt Ltd.
19.03. M/s Screenfacts Services Pvt. Ltd. have concluded
cause of fire as under:-
19.04. Taking into consideration the construction of
roofing in the gap between E & F segments of the
warehouse on that day. which involved considerable
welding working it is opined that during welding at the
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rooflevel sparks could have fallen on the adjoining
flammable chemicals stored between A & D indicating the
fire.
19.05. The root cause of the fire incident was due to the
negligence on the part of the management in not taking
adequate precautions when the construction work was
going on, that too in a secured customs bonded
warehouse where many hazardous chemicals were
stared.”
47. The surveyor’s abovementioned report, although
comprehensive otherwise, is inconclusive on the aspect identifying
the actual cause of fire. Given that the surveyor’s report only relies
on the Forensic Examiner, i.e., M/s Screen Facts Services Pvt.
Ltd.’s findings, it would be unsafe in this Court’s opinion to rely on
the said report.
EXTENT OF LIABILITY WHEN CAUSE OF FIRE
INDETERMINABLE
48. Multiple survey reports suggesting different causes of fire
present a perplexing conundrum on the insurance claim. The
reports provided by the insurer, though submitted with intent,
were found to be inconclusive and also contradictory. The reports
furnished by the claimant, which include assessments by
government departments and two independent surveyors, have
however consistently identified the cause of the fire as a short-
circuit. While it is difficult to go by the reports relied upon by the
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insurance company, the reports furnished by the claimants being
consistent and logical are more acceptable in ascertaining the true
cause of the fire.
49.
On the above aspect, the NCDRC has rightly placed reliance
8
on Canara Bank v. United India Insurance Co. Ltd. , wherein the
Court decided to not place reliance on the surveyor’s report
conducted by M/s Truth Labs, for lack of sufficient analysis & held
that:
“ In any event, neither in the report of M/s Truth Labs
nor in the other reports by the Insurance Company
is there anything to show that the insured had set
the cold store on fire. Whether the fire took place by
a short circuit or any other reason, as long as
insured is not the person who caused the fire, the
Insurance Company cannot escape its liability in
terms of the insurance policy. We reject the
contention of the Insurance Company that the fire
was ignited by the use of kerosene and hence it is
not liable. ”
50. Therefore, it was unequivocally declared that the precise
cause of a fire, whether attributed to a short-circuit or any
alternative factor, remains immaterial, provided the claimant is not
the instigator of the fire. This case underscored the fundamental
principle that an insurance company’s obligation to the insured is
8
(2020) 3 SCC 455.
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of much greater import. The NCDRC’s judicious application of this
binding precedent appears to be well-merited.
APPLICABILITY OF CUSTOMS DUTY & UNJUST ENRICHMENT
51. In order to better appreciate and understand the argument
pertaining to unjust enrichment, the claim statement
(11.02.2019) needs to be perused. The claimant as can be noticed,
deducted Rs. 2,39,00,664.20 for covered losses and Rs. 19,75,388
for burnt cargo salvage. Notably, the final custom duty amount
under the policy was determined as Rs. 2,13,00,061.01. Customs
authorities communicated their intent to recover this precise sum,
Rs. 2,13,00,061, from the insured through the letters dated
06.02.2019 and 26.10.2020. In response to these
communications, the insured submitted an undertaking on
11.08.2015 (Annexure R-4), explicitly stating that they would not
seek any remissions related to customs duty under Sections 22
and 23 of the Customs Act 1962 . This action rules out unjust
enrichment for the claimants on account of the customs duty.
52. Additionally, the Public Warehouse Licensing Regulations,
2016 mandate that public warehouse licensees must agree to pay
all duties, interest, fines, and penalties related to stored goods. It
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was for this reason that the customs duty package policy was also
obtained by the insured from the insurance company, so as to
indemnify themselves for the goods destroyed or damaged in the
warehouse. Needless to say, the said Regulations make the insured
duty-bound to pay all such necessary duties, fines or penalties. It
is in that context that the insured had specifically stated that the
insurance company may directly remit the said component of duty
to the authorities, instead of remitting it to the insured. This would
circumvent any unjust enrichment, towards the insured.
53. The key question here is whether the insurance claim should
include the customs duty amount of Rs. 2,13,00,061.01/- as
claimed by the respondent. The insurance company argued that
customs duty should not be included because the Customs Act,
1962 specifies that only the importer of goods is liable to pay
customs duty when they file a bill of entry.
54. The insurer anchored their stand on Section 15(1)(b) of the
Customs Act stating that duty rates for warehoused goods are
determined when a bill of entry for home consumption is filed, and
duty assessment (Section 17) only occurs when a bill of entry
(Section 46) is presented. In this case, no bills of entry were filed,
and no assessed goods were lost in the fire. According to the
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insurer, since the taxable event never happened, there is no
customs duty liability. The counsel also cited Section 23 of the
Customs Act, which required the Assistant Commissioner of
Customs to remit duty for lost or destroyed goods, before
clearance.
55. However, the counsel for the claimant rightly contended that
the privileges enshrined in Sections 22 and 23 of the Customs Act,
pertaining to abetment and remission, extend exclusively to those
classified as 'importers' of insured goods. The crux of the argument
revolves around the claimant's distinct position, as the claimant
neither assumes the role of importer nor owner; instead, they
function solely as a custodian entrusted with the goods on behalf
of their clients.
56. The upshot of the above discussion is that the reports
suggesting electrical short circuit as the trigger for the warehouse
fire, is found to fit in with the attendant circumstances. As a
corollary, the fire at the warehouse cannot be attributable to any
negligent act of the insured. Moreover, the fire is found to have
occurred within the insured warehouse and the appellant’s plea to
the contrary, is not believable. Therefore, it is a case of wrongful
repudiation by the appellants. No legal infirmity is thus seen with
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the impugned decision favouring the respondent’s insurance
claim.
57. In the realm of risk and uncertainty, individuals and
organisations seek solace in the bastion of insurance – a covenant
forged on the bedrock of trust. Trust serves as the cornerstone,
forming the essence of the insurer-insured relationship. The
fundamental principle is that insurance is governed by the
doctrine of uberrimae fidei – there must be complete good faith on
9
the part of the insured. The heart & soul of an insurance contract
lies in the protection it accords to those who wish to be insured by
it. This understanding encapsulates the foundational belief that
insurance accords protection & indemnification, preserving the
sanctity of trust within its clauses. Effectively, the insurer
assumes a fiduciary duty to act in good faith and honour their
commitment. This responsibility becomes particularly pronounced
when the insured, in their actions, have not been negligent. In light
of the vital role that trust plays in insurance contracts, it is
important to ensure that the insurer adequately fulfils the duty
that has been cast on it, by virtue of such a covenant.
9 th
MacGillivray on Insurance Law – 12 Ed., John Birds, Sweet and Maxwell (2012).
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58. Accordingly, the appeal of the Insurance Company deserves to
be dismissed. But even while dismissing the appeal, to avoid any
confusion, the customs duty component of the claim should, in the
given event, be discharged directly to the Customs Department. All
other legal consequences will follow on upholding the claim of the
insured against the appellants. It is ordered accordingly.
59. With the above, the appeal stands dismissed favouring the
insured. The parties to bear their own cost.
...……………………J.
[HRISHIKESH ROY]
………….…………..J.
[SANJAY KAROL]
NEW DELHI
NOVEMBER 24, 2023
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