FOR - environmentclearance.nic.inenvironmentclearance.nic.in/writereaddata/FormB/TOR/PFR/20_Mar... · Press Enclave Marg, Sheikh Sarai, Phase-II, New Delhi, Delhi-110017 Being Developed

PRE-FEASIBILITY REPORT

FOR

Expansion of Hospital Complex “Pushpawati Singhania Hospital & Research Institute”

At

Press Enclave Marg, Sheikh Sarai, Phase-II, New Delhi, Delhi-110017

Being Developed By: -

Pushpawati Singhania Hospital & Research Institute

4th floor, Link house, 3, Bahadur Shah Zafar Marg, New Delhi-110002

Prepared by:

M/s Perfact Enviro Solutions Pvt. Ltd.

(NABET Registered Wide List of Accredited Consultant Organizations (Alphabetically) Rev. 61 January 05, 2018 at S. No-110)

5th floor, NN Mall, Sector-3, Rohini, New-Delhi-85

Expansion of Hospital Complex “Pushpawati Singhania Hospital & Research Institute” at Sheikh Sarai, Phase-II, New Delhi by Pushpawati Singhania Hospital & Research Institute

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Prepared by: M/s Perfact Enviro Solutions Pvt. Ltd.

CONTENT

1. ANNEXURE I : FORM 1 ................................................................................................................ 4

2. ANNEXURE I : FORM 1A ........................................................................................................... 23

3. ANNEXURE I : PRE-FEASIBILITY REPORT ................................................................................... 40

3.1.1 Introduction .................................................................................................................. 41

3.1.2 Activities: ....................................................................................................................... 41

3.1.3 Description & Details of Project: .................................................................................. 41

3.2 INTRODUCTION OF THE PROJECT/ BACKGROUND INFORMATION ...................................... 46

3.2.1 Identification of the project & project proponent: ...................................................... 46

3.2.2 Brief Description of the Nature of the Project: ............................................................ 46

3.2.3 Need for the Project & its Importance to the Country or the region: .......................... 46

3.2.4 Demand & Supply Gap: ................................................................................................. 47

3.2.6 Export Possibilities: ....................................................................................................... 47

3.2.7 Domestic/Expert Markets: ........................................................................................... 47

3.2.8 Employment Generation (Direct & Indirect) due to the Project: ................................. 47

3.3 PROJECT DESCRIPTION .......................................................................................................... 47

3.3.1 Type of Project including interlinked & interdependent Projects, if any: ................... 47

3.3.2 Location (with coordinates): ......................................................................................... 48

3.3.7 Selection of Site: ................................................................................................................... 51

3.3.8 Size or Magnitude of Operation: .......................................................................................... 52

3.3.10 Details of raw material required:....................................................................................... 53

3.3.13 Resource optimization and reuse and recycling in project resources: ........................ 53

3.3.14 Management of Resources: .......................................................................................... 54

3.3.15 Layout and Plans: .......................................................................................................... 55

3.4 Site Analysis: ..................................................................................................................... 55

3.4.1 Connectivity: ................................................................................................................. 55

3.4.2 Land form, land use and land ownership: .................................................................... 55

3.4.3 Existing Land Use Pattern: ............................................................................................ 56

3.4.4.3 Existing Infrastructure: ...................................................................................................... 57

3.4.4.4 Soil classification: .............................................................................................................. 57

3.4.5 Climate data from secondary sources: ................................................................................ 58

3.4.6 Annual Wind rose ......................................................................................................... 58

3.4.5 Social Infrastructure available: ............................................................................................ 59

3.5 PLANNING BRIEF: ....................................................................................................................... 59

3.5.1 Planning concept: ......................................................................................................... 59

3.5.2 Population projection: .................................................................................................. 59

3.5.3 Land use Planning as per Environmental Clearance and proposed plan: ................... 59

3.5.4 Assessment of infrastructure Demand (Physical and social): ...................................... 60

3.6 PROPOSED INFRASTRUCTURE: ...................................................................................................... 60

3.6.1 Industrial area: .............................................................................................................. 60

3.6.2 Other area: .................................................................................................................... 60

3.6.3 Green development and Plantation Details: ................................................................ 60

3.6.4 Drinking Water Management: ..................................................................................... 62

3.6.5 Sewage system: ............................................................................................................ 63

3.6.6 SCHEMATIC DIAGRAM OF STP and ETP: ....................................................................... 68


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3.6.8 Rain water harvesting: ......................................................................................................... 68

3.6.9 INDUSTRIAL WASTE MANAGEMENT: ........................................................................... 70

3.6.10 SOLID WASTE MANAGEMENT: ..................................................................................... 70

3.6.11 POWER REQUIREMENT: ................................................................................................ 72

3.7 ANALYSIS OF PROPOSAL: ...................................................................................................... 72

3.7.9 Social benefits to the local population: ........................................................................ 72

4. ANNEXURE III: RISK ASSESMENT .............................................................................................. 73

4.1 RISK ASSESSMENT ................................................................................................................. 74

4.2 DISASTER MANAGEMENT PLAN ............................................................................................ 74

4.3 SAFETY MEASURES: ............................................................................................................... 76

ANNEXURE–V: DISCLOSURE OF THE CONSULTANT SHOWING NABET/QCI ACCREDIATION STATUS . 83

ANNEXURE – VI:- TOPOGRAPHICAL MAP ......................................................................................... 85

ANNEXURE – VII: - LAND ALLOTMENT DOCUMENT .......................................................................... 86

ANNEXURE – VIII: LAYOUT PLAN AFTER EXPANSION ........................................................................ 87


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1. ANNEXURE I : Form 1


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FORM-1 I. Basic Information

S. No. Item Details

1. Name of the project/s Expansion of Hospital Complex “Pushpawati Singhania Hospital & Research Institute”

2. S. No. in the schedule 8 (a)

3.

Proposed capacity/ area/length/ tonnage to be handled/ command area/ lease area/ number of wells to be drilled

Total plot area – 8000 sqm Total Built-up area – 24982.13 Sqm (after expansion)

4. New/ Expansion/ Modernization Expansion

5. Existing Capacity/ Area etc.

Existing plot area– 8000 sqm Total Built-up area constructed– 24982.13 Sqm

6. Category of Project i.e. ‘A’ or ‘B’ ‘B’

7. Does it attract the general condition? If yes, please specify.

Not Applicable

8. Does it attract the specific condition? If yes, please specify.

Not Applicable

9.

Location Press Enclave Marg, Sheikh Sarai, Phase-II, New Delhi

Plot/ Survey/ Khasra No.

Village Press Enclave Marg

Tehsil

District

State New Delhi

10. Nearest railway station/ airport along with distance in kms.

Nearest Highways: NH-8: 6.11 Km SSE AH-1: 8.92 Km E Nearest Railway Station: Hazrat Nizamuddin: 6.85 Km NE Nearest Airport: Indira Gandhi International Airport at 11.81 km (W)

11. Nearest Town, city, District Headquarters along with distance in kms.

The project is in Delhi itself.

12.

Village Panchayats, ZillaParishad, Municipal Corporation, Local body (complete postal addresses with telephone nos. to be given)

South Delhi Municipal Corporation


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13. Name of the applicant Pushpawati Singhania Research Institute

14. Registered Address Link House (4th Floor), 3, Bahardur Shah Zafar Marg, New Delhi-110002

15. Address for correspondence: Link House (4th Floor), 3, Bahardur Shah Zafar Marg, New Delhi-110002

Name Dr. Dipak Shukla

Designation (Owner/Partner/CEO)

CEO

Address Link House (4th Floor), 3, Bahardur Shah Zafar Marg, New Delhi

Pin Code 110002

E-mail [email protected]

Telephone No. 9818877887

Fax no. -

16.

Details of Alternative Sites examined, if any. Location of these sites should be shown on a toposheet.

No alternative site has been taken into consideration, as it is case of a Proposed Expansion of Existing hospital.

17. Interlinked Projects No, it is not an interlinked project

18. Whether separate application of interlinked project has been submitted?

Not Applicable

19. If yes, date of submission Not Applicable

20. If no, reason Not Applicable

21.

Whether the proposal involves approval/clearance under: if yes, details of the same and their status to be given. (a) The Forest (Conservation)

Act, 1980? (b) The Wildlife (Protection) Act,

1972? (c) The C.R.Z. Notification,

154296?

Not Applicable Not Applicable Not Applicable

22. Whether there is any Government Order/ Policy relevant/ relating to the site?

Not Applicable

23. Forest land involved (hectares) No


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24.

Whether there is any litigation pending against the project and/ or land in which the project is propose to be set up?

(a) Name of the Court (b) Case No. (c) Orders/ directions of the

Court, if any and its relevance with the proposed project.

No Not applicable Not applicable Not applicable

I. Activity 1. Construction, operation or decommissioning of the Project involving actions,

which will cause physical changes in the locality (topography, land use, changes in water bodies, etc.)

S. No.

Information/Checklist confirmation

Yes/No Details thereof (with approximate quantities /rates, wherever possible) with source of information data

1.1 Permanent or temporary change in land use, land cover or topography including increase in intensity of land use (with respect to local land use plan)

No The land was given by DDA on perpetual lease to Lakshmipat Singhania Medical Foundation for hospital purpose. They hand over land to “Pushpawati Singhania Hospital & Research Institute” with agreement for development and running the hospital. Land use of the land has already been changed from vacant land to Hospital complex. Land area was demarcated for Hospital purpose. Construction is already done for built-up area 24982.13 sqm.

1.2 Clearance of existing land, vegetation and buildings?

No No clearance is required.

1.3

Creation of new land uses?

No The vacant land has been developed into Hospital. No further change in Land use will be there.

1.4 Pre-construction investigations e.g. bore houses, soil testing?

Yes Pre-construction Geo-technical investigations have been carried out.

1.5 Construction works? Yes Construction is already done.


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1.6 Demolition works? No None

1.7 Temporary sites used for construction works or housing of construction workers?

Yes Workers during construction phase were hired from nearby areas and hence there was no need of providing housing. Only temporary shelters were provided.

1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations

Yes Construction is already done for 3 no. of Basement and foundation. Building is elevated till 32.8m.

1.9 Underground works including mining or tunnelling?

No It is a Hospital complex. Hence, no underground works was required except excavation of foundation for basement.

1.10 Reclamation works? No No reclamation work required, as this is an expansion of Hospital complex.

1.11 Dredging? No Not applicable

1.12 Offshore structures? No Not applicable

1.13 Production and manufacturing processes?

No It is a Hospital complex; hence no production or manufacturing processes has been carried out.

1.14 Facilities for storage of goods or materials?

Yes Separate raw material yard was made within the project site.

Cement was separately stored under cover in bales.

Sand was stacked nearby under tarpaulin cover.

Bricks and steel were laid in open.

The raw material yard has been located within the project site.

During Operation Phase: The raw material is stationary & other medical items which will be stored in the hospital itself.

1.15 Facilities for treatment or disposal of solid waste or liquid effluents?

Yes During Construction phase: Total 150 labours were working during the construction phase and hence the solid waste generated was approx. 23 kg/day which was disposed off at municipal solid waste site. The clay soil excavated for basement development which was used for levelling and back filling. Top soil was


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preserved and has been reused for landscaping to the extent possible. Total 5 KLD of waste water was generated which was discharged to septic tank via soak pit. During Operation Phase after expansion: Approx. 372 Kg/day of solid waste shall be generated from the complex. Total waste water generation from the project will be 177 KLD out of which sewage will be 170 KLD & effluent from lab will be 7 KLD. In existing STP of 70 KLD already exist. After expansion STP of 190 KLD & ETP of 30 KLD shall be installed along with existing capacity. Treated water recovery from STP will be 163 KLD which will be used within the premises for flushing, gardening and cooling purposes. From lab 7 KLD waste water will be generated which will be treated in ETP and discharge to sewer. Details of Water Management & Solid Waste Management are given in PFR Report.

1.16 Facilities for long term housing of operational workers?

Yes During Construction phase: The workers during construction phase were hired from nearby areas and hence there was no need of providing long term housing. Only temporary shelters will be provided. The same shall be followed for further construction of expansion. During Operation Phase: No long-term housing is provided within the complex.

1.17

New road, rail or sea traffic during construction or operation?

No There is no need of New road, rail or sea traffic during construction or operation, as these facilities already exist.


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1.18

New road, rail, air, waterborne or other transport infrastructure including new or altered routes and stations, ports, airports etc.?

No No new road, rail, or sea traffic is proposed. The transportation measures already existing near site are as follows: Nearest Highways: NH-8: 6.11 Km SSE AH-1: 8.92 Km E Nearest Railway Station: Hazrat Nizamuddin: 6.85 Km NE Nearest Airport: Indira Gandhi International Airport at 11.81 km (W)

1.19 Closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements?

No No closure or diversion of existing transport routes or infrastructure leading to changes in traffic movements will be made. movements will be made

1.20 New or diverted transmission lines or pipelines?

No No such closure or diversion of transmission lines is required.

1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers?

No No impoundment, damming, culverting, realignment or other changes to the hydrology of surface water courses is required.

1.22 Stream crossings? No No stream crossing.

1.23 Abstraction or transfers of water from ground or surface waters?

No No, Abstraction of Groundwater. Total water requirement of entire project after expansion will be 313 KLD, which includes the fresh water requirement of 150 KLD and recycled treated water requirement of 163 KLD. The fresh water requirement will be provided by DJB (Delhi Jab Board)

1.24 Changes in water bodies or the land surface affecting drainage or run-off?

No There will be no change in water bodies or the land surface effective drainage or run-off.

1.25 Transport of personnel or materials for construction, operation or decommissioning?

Yes During Construction phase: Materials during construction phase were transported by truck, trolley etc. During Operation Phase: Car, two-wheeler, medical vans. will be used.


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1.26 Long-term dismantling or decommissioning or restoration works?

No Not Applicable

1.27 Ongoing activity during decommissioning which could have an impact on the environment?

No Not Applicable

1.28 Influx of people to an area in either temporarily or permanently?

No During Construction phase: Temporary influx of people in the form of labours was envisaged. Approx. 150 no. of local labours were employed. During Operation Phase: In this Hospital complex, 551 nos. of in patients, 630 of staff & employee, and approx. 900 nos. of visitors are envisaged after expansion.

1.29 Introduction of alien species? No Not Applicable

1.30 Loss of native species or genetic diversity?

No No loss of native species or genetic diversity.

1.31 Any other actions? No Not Applicable

2. Use of Natural resources for construction or operation of the Project (such as land, water, materials or energy, especially any resources which are non-renewable or in short supply):

S. No.

Information/checklist confirmation

Yes/No Details thereof (with approximate quantities /rates, wherever possible) with source of information data

2.1 Land especially undeveloped or agricultural land (ha)

No It is an expansion of already existing hospital building, there is no addition of undeveloped land. Land is demarcated for Hospital complex.

2.2 Water (expected source & competing users) unit: KLD

Yes 313 KLD of water will be required after expansion of existing hospital out of which 150 KLD is fresh water and 163 KLD is treated water. The fresh water requirement will be met by DJB (Delhi Jal Board)

2.3 Minerals (MT) No Not applicable


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2.4 Construction material – stone, aggregates, sand / soil (expected source – MT)

Yes The major materials required for construction of the project were steel, tiles, glass, cement, agate, bricks, flooring tiles / stones, sanitary and hardware items, electrical fittings, etc.

2.5 Forests and timber (source – MT)

Yes Plywood for doors & windows have been used which was procured from local market.

2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT), energy (MW)

Yes Source of Electricity - BSES Total Electrical load – 1123 KVA (Existing) 950 KVA (After expansion) D.G. sets for power back up- Existing: 1x1010 KVA & 1x380 KVA After expansion: 2X1010 KVA, 1X 380 KVA

2.7 Any other natural resources (use appropriate standard units)

No Not applicable

3. Use, storage, transport, handling or production of substances or materials, which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health.

S. No.


Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data

3.1 Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies)

Yes No storage of hazardous chemicals will be done as per MSIHC rules, except Ultra-Low sulphur H.S.D. required to run D.G. sets & Thermic fluid heater, for which the quantity stored will be below the threshold limit specified in the MSIHC rules. Necessary permission, if required, will be obtained from the Explosives Dept.

3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases)

Yes Suitable drainage and waste management measures were adopted in the construction phase and same will be maintained in operational phase which will restrict stagnation of water or accumulation of water. This will effectively restrict the reproduction and growth of disease vectors. However, possibility of nosocomial infections cannot be ruled out.

3.3 Affect the welfare of people e.g. by changing living conditions?

Yes During Construction phase:


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This expansion project provided employment to about 150 local labours during construction phase. During Operation Phase: As it is a Hospital complex, there shall be several services required which will generate direct & indirect employment for the people of nearby area. In addition, it will provide treatment to thousands of patients.

3.4 Vulnerable groups of people who could be affected by the project e.g. hospital patients, children, the elderly etc.,

No No vulnerable group of people will be affected by the project.

3.5 Any other causes No None

4. Production of solid wastes during construction or operation or decommissioning (MT/month)

S. No.



4.1 Spoil, overburden or mine wastes.

No Not applicable

4.2 Municipal waste (domestic and or commercial wastes)

Yes During Construction phase: Solid waste during construction phase was 23 kg/day which was disposed of at municipal solid waste site. During Operation Phase: Approx. 372 Kg/day of solid waste shall be generated from the complexes during operational phase after expansion. Detailed Solid Waste Management is given in PFR Report.

4.3 Hazardous wastes (as per Hazardous Waste Management Rules)

Yes During Construction phase: Used oil whenever generated from the DG sets was kept in leak proof containers in an isolated area and sent to approved recycler. During Operation Phase: 26 litre/m (after expansion) of used oil from D.G. Set will be generated. Used oil carefully stored in HDPE drums in isolated


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covered facility. The used oil will be sold to vendors authorized by Central Pollution Control Board for the treatment of the same. Suitable care will be taken so that spills / leaks of used oil from storage could be avoided.

4.4 Other industrial process wastes

No Not Applicable

4.5 Surplus product No Not applicable

4.6 Sewage sludge or other sludge from effluent treatment

Yes About 12 Kg/day of dried sludge will be generated from STP during operation phase after expansion and this sludge will be passed through filter press where it will be dewatered/ dried to form a cake and then will be used as manure in green areas. The unused sludge shall be given to farmers or nursery. ETP Sludge shall be disposed off at TSDF nearby.

4.7 Construction or demolition wastes

Yes Construction waste has been used for flooring & Back filling in roads etc.

4.8 Redundant machinery or equipment

No Not applicable

4.9 Contaminated soils or other materials

No Not applicable

4.10 Agricultural wastes

No Not applicable

4.11 Other solid wastes

Yes About 75 kg/day (after expansion) Biomedical waste generated from hospital will be handed over to authorized processor.

5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr)

S. No.




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5.1 Emissions from combustion of fossil fuels from stationary or mobile sources

Yes During Construction phase: DG sets of capacity 62.5 KVA was installed

acoustically enclosed with adequate stack

height.

During Operation Phase: The only source of emission after expansion from combustion of fuel is DG set of capacity 2X1010 KVA and 1X 380 KVA. Hence, to avoid the emissions stack height of 6 m above roof level has been provided with D.G. Sets.

5.2 Emissions from production processes

No Not applicable

5.3 Emissions from materials handling including storage or transport

Yes Dust was generated during construction, from the movement of transport vehicles & other construction activities. The effect is restricted to construction phase only. Water sprinklers were used for dust suppression. Material are stored under Tarpaulin cover.

5.4 Emissions from construction activities including plant and equipment

Yes RMC was used for the project. Dust & emissions were likely to be generated during construction activities which was reduced by sprinkling of water in a specific time interval & timely maintenance schedule for machinery. Also, the machines were shut down during idle period.

5.5 Dust or odours from handling of materials including construction materials, sewage and waste

Yes During loading & unloading of construction material dust was generated during construction phase. Water was sprinkled and tarpaulin cover was provided over stored raw material to reduce dust emission. Mobile Toilets during construction phase were provided & waste water is disposed of in septic tank followed by soak pits.

5.6 Emissions from incineration of waste.

No Not applicable.

5.7 Emissions from burning of waste in open air (e.g. slash materials, construction debris).

No Not applicable

5.8 Emissions from any other sources.

No None


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6. Generation of Noise and Vibration, and Emissions of Light and Heat:

S. No.


Yes/No Details thereof (with approximate quantities/rates, wherever possible) with source of information data with source of information data

6.1 From operation of equipment e.g. engines, ventilation plant, crushers

Yes During Construction phase: The equipment such as mixer machines, bulldozers, cranes, compactors & excavators were used which were of highest standard of reputed make and adhere to international standards. Hence, an insignificant impact due to construction machinery is envisaged. Apart from this, the construction activities were restricted to day time only and timely maintenance of machinery are ensured. During Operation Phase: Source of noise in the operational phase after expansion are D.G. Set of capacity 2X1010 KVA and 1X 380 KVA. The D.G. Sets has been bought acoustically enclosed & kept in acoustically treated room & installed with anti-vibration pads and are used during Power failure only. They may generate noise level maximum upto 75 dB (A). Proper maintenance of machinery is being done and kept in closed room.

6.2 From industrial or similar processes

No Not applicable

6.3 From construction or demolition

Yes Due to the various activities, there were short-term noise impacts in the immediate vicinity of the project site. These were restricted to day time only. It had been estimated that during the construction period the average noise level was 80-100 dB (A) during peak construction hours. However, embankment was done to further prevent the noise pollution. Approx. 372 Kg/day of solid waste shall be generated from the complex.

6.4 From blasting or piling No No blasting or piling has been done.

6.5 From construction or operational traffic

Yes Some amount of noise (70 – 75 dB (A)) was generated from vehicular movement in the construction and operational phase.


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Plantation around the boundary wall was done to reduce noise from traffic. Approx. 372 Kg/day of solid waste shall be generated from the complex.

6.6 From lighting or cooling systems

No Not Applicable

6.7 From any other sources No None

7. Risks of contamination of land or water from releases of pollutants into the ground or into sewers, surface waters, groundwater, coastal waters or the sea:

S. No.



7.1 From handling, storage, use or spillage of hazardous materials

Yes The hazardous waste generated was used oil only. Used Oil will be stored in HDPE drums and kept in covered rooms under lock and key and will be sold to authorized vendors only.

7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge)

Yes In existing, STP of 70 KLD already exist. After expansion STP of 190 KLD & ETP of 30 KLD shall be installed along with existing capacity. Treated water recovery from STP after expansion will be 163 KLD which will be used in the premises and 7 KLD of excess treated water from ETP will be discharge to Sewer line.

7.3 By deposition of pollutants emitted to air into the land or into water

No None

7.4 From any other sources No Not applicable

7.5 Is there a risk of long term build-up of pollutants in the environment from these sources?

No Not applicable

8. Risk of accidents during construction or operation of the Project, which could affect human health or the environment.

S. No.




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8.1 From explosions, spillages, fires etc. from storage, handling, use or production of hazardous substances

Yes During Construction Phase: All appropriate measures were taken to avoid accidents. During Operational Phase: Proper Disaster management & fire-fighting system has been installed at site.

8.2 From any other causes Yes During Construction Phase: All the labours were provided with suitable personal protective equipment (PPE) as required under the health & safety norms. Training and awareness about the safety norms are provided to all supervisors and labours involved in construction activity.

8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides, cloudburst etc.)?

No The area under study falls in Seismic zone-IV, according to the Indian Standard Seismic Zoning Map. Suitable seismic coefficients in horizontal and vertical directions respectively, are adopted while designing the structure.

9. Factors which should be considered (such as consequential development) which could lead to environmental effects or the potential for cumulative impacts with other existing or planned activities in the locality.

S. No.



9.1 Lead to development of supporting facilities, ancillary development or development stimulated by the project which could have impact on the environment e.g.:

• Supporting infrastructure (roads, power supply, waste or waste water treatment, etc.)

• Housing development

• Extractive industries

• Supply industries

• Other

Yes

No No No No

The project is for Expansion of Existing Hospital; it may lead to development of supporting services and infrastructure in and around the area. In existing hospital STP of 70 KLD already exist. After expansion STP of 190 KLD & ETP of 10 KLD shall be installed along with existing capacity. Not Applicable Not Applicable Not Applicable Not Applicable Not Applicable


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9.2 Lead to after-use of the site, which could have an impact on the environment.

No Not Applicable

9.3 Set a precedent for later developments

No Not Applicable

9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects

No No impact

II. Environmental Sensitivity

S. No.

Areas Name/

Identity

Aerial distance

(within 15 km.) from

Proposed project

location boundary

1 Areas protected under

international conventions,

national or local legislation for

their ecological, landscape,

cultural or other related value

None None

2 Areas which are important or

sensitive for ecological reasons

- Wetlands, watercourses or

other water bodies, coastal

zone, biospheres, mountains,

forests

Water Body

Yamuna River

Ghitorini Lake

Shamshi Talab

Neela Hauz

Hauz Khas Tank

Tuklaqabad Fort Pond

Bharadwaj Lake

CITM Lake

Forest

Pusa Hill forest

Central Ridge Reserve Forest

Rajokari Protected forest

Aravali biodivbersity Park

7.56 Km NE

9.36 Km SW

5.07 Km SW

5.27 Km W

3.87 Km NW

5.0 Km SE

9.44 Km SSE

9.95 Km SSE

11.78 Km NNW

8.72 Km NNW

9.02 Km W

7.68 Km NWW


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Jahanpanah City Forest

City Forest Hauzrani

0.66 Km E

2.22 Km SW

3 Areas used by protected,

important or sensitive species

of flora or fauna for breeding,

nesting, foraging, resting, over

wintering, migration

Okhla Bird Sanctuary

Asola Wild Life Century

7.65 Km E

3.47 Km S

4 Inland, coastal, marine or

underground waters.

None None

5 State, National boundaries Haryana Border U.P. Border

6.11 Km SSE

8.92 Km E

6

Routes or facilities used by the

public for access to recreation

or other tourist, pilgrim areas

NH-8

AH-1

Pt Triloki Chandra Marg

Mehrauli- Badarpur Road

Dr B.R. Ambedkar Marg

Railway Station

Safdarjung Railway station

Hazrat Nizamuddin

Okhala Railway Station

Airport

Safdargunj Airport

Indira Gandhi International Airport

9.46 Km WWN

3.70 Km N

0.09 Km S

1.82 Km S

0.63 Km E

6.71 Km NNW

6.85 KmNE

6.82 Km SE

5.97 Km N

11.81 Km W

7 Defense installations No Not applicable

8 Densely populated or built-up

area

Project is in Delhi itself which is densely populated area.

-


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9 Areas occupied by sensitive

man-made land uses

(hospitals, school, places of

worship, community facilities)

Hospital Holy Angels Hospital Max Super Speciality Hospital Fortis Fit Rajan Dhall hospital Safdurganj Hospital AIIMS Indraprastha Hospital Post Office Panchsheel Post Office

Pushp Vihar Post office

Post Office, Malviya Nagar

Places of worship Yogmaya Mandir St Marrys Ortodox Church Gurudwara Bangla Saheb Lotus Temple School/College The Sri Ram School Ramjas School St Pauls School Laxman Public school Jawahar Lal Nehru University Bank Fedral Bank Coorporation Bank Kotak Mahindra Bank

6.50 Km NW 1.44 Km SWW 6.50 Km SWW 4.32 Km NW 4.14 Km N 5.74 Km E

1.30 Km S 1.16 Km SW 1.18 Km NW 4.24 Km W 3.09 Km NNW 10.46 Km N 4.01 Km NE 7.82 Km NW 5.37 Km NW 3.06 Km NNW 2.24 Km NNW

5.77 Km W

1.63 Km E 2.78 Km NNW 1.54 Km NNW

10

Areas containing important,

high quality or scarce resources

(Ground water resources,

surface resources, forestry,

agriculture, fisheries, tourism,

minerals)

Monuments

Iron Pillar

Qutub Minar

Chaumachi Khans Tomb

Safdarjung Tomb

Humayuns Tomb

India Gate

4.03 Km W

3.99 Km W

4.76 Km W

6.42 Km N

7.07 Km NE

8.75 Km N


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11 Areas already subjected to

pollution or environmental

damage. (Those where existing

legal environmental standards

are exceeded)

None None

12 Areas susceptible to natural

hazard which could cause the

project to present

environmental problems

(Earthquakes, subsidence,

landslides, erosion, flooding or

extreme or adverse climatic

conditions)

Natural The project area falls

in seismic zone –IV.


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2. ANNEXURE I : Form 1A


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APPENDIX II (See paragraph 8.9)

FORM-1 A (only for construction projects listed under item 8 of the Schedule) CHECK LIST OF ENVIRONMENTAL IMPACTS

(Project proponents are required to provide full information and wherever necessary attach explanatory notes with the Form and submit along with proposed

environmental management plan & monitoring programme)

1. LAND ENVIRONMENT (Attach panoramic view of the project site and the vicinity)

1.1 Will the existing land use get significantly altered from the project that is not consistent with the surroundings? (Proposed land use must conform to the approved Master Plan / Development Plan of the area. Change of land use if any and the statutory approval from the competent authority be submitted). Attach Maps of (i) Site location (ii) Surrounding features of the proposed site (within 500 meters) (iii) The site (indicating levels & contours) to appropriate scales. If not available attach only conceptual plans.

It is an Expansion Existing hotel complex. Land use is already changed from vacant land to Hospital complex. Land has been given on Perpetual Lease to Lakshmipat Singhania Medical Foundation and they have agreement with the “Pushpawati Singhania Research Institute” for running the hospital. The site location shown on Google Map is enclosed as Heading- 2.3 site location- Map showing vicinity around the site is enclosed as Annexure- Layout plan is enclosed as Annexure- XV


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1.2 List out all the major project requirements in terms of the Land area, Built up area Water consumption Power requirement Connectivity Community facilities Parking needs etc.

Total Plot area – 8000 Sqm Built-up Area after expansion- 24982.13 Sqm 313 KLD 2073 KVA Nearest Highways: NH-8: 6.11 Km SSE AH-1: 8.92 Km E Nearest Railway Station: Hazrat Nizamuddin: 6.85 Km NE Nearest Airport: Indira Gandhi International Airport at 11.81 km (W) None Parking Requirement – 342 ECS Parking Provisions – 342 ECS

1.3 What are the likely impacts of the proposed activity on the existing facilities adjacent to the proposed site? (Such as open spaces, community facilities, details of the existing landuse, and disturbance to the local ecology).

The entire project is an expansion of existing Hospital which has been developed as per the provision of Master Plan, thus no induced development is foreseen due to the proposed project. Also, the development was carried out as per the defined building by-laws; hence no impact is envisaged due to proposed development. Construction phase as well as operation Phase of the project, will generate direct and indirect employment opportunities for a large section of society. The employment will have positive impact thereby increasing the quality of life. 1.4 Will there be any significant land

disturbance resulting in erosion, subsidence & instability? (Details of soil type, slope analysis, vulnerability to subsidence, seismicity etc. may be given).

No such significant land disturbance will result. However, care will be taken so that no erosion, subsidence & instability takes place. Soil Type: sandy silt Slope Analysis: The project area possesses fairly plain terrain. Erosion / Subsidence: Proper greening & paving of area will not cause any soil erosion problem and subsidence. Seismicity: The area under study falls in Seismic zone-IV according to the Indian Standard Seismic Map. Suitable seismic coefficients in horizontal and vertical directions respectively, was adopted while designing the structure.


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1.5 Will the proposal involve alteration of natural drainage systems? (Give details on a contour map showing the natural drainage near the proposed project site)

The proposed project activities are not cause any alteration of natural drainage system.

1.6 What are the quantities of earthwork involved in the construction activity cutting, filling, reclamation etc. (Give details of the quantities of earthwork involved, transport of fill materials from outside the site etc.)

Excavated soil for existing hospital was 23291.12 cubic meter. The Excavated soil was used for levelling and back filling. Top soil was preserved and has been reused for landscaping to the extent possible.

1.7 Give details regarding water supply, waste handling etc. during the construction period.

Water Supply: During Construction stage, water was sourced from treated water from nearby area. During Construction stage, water will be sourced from DJB (Delhi Jal Board). Waste Generation / Handling: Spillage of oil from the machinery or cement residual from concrete mixer plants was properly collected and reused in construction site. For construction labour, proper sanitary facilities & wash areas are constructed such as mobile toilets and good hygienic conditions are maintained. The same shall be followed for further construction of expansion.

1.8 Will the low lying areas & wetlands get altered? (Provide details of how low lying and wetlands are getting modified from the proposed activity)

No low lying and wetlands area are present in and around the project site.

1.9 Whether construction debris & waste during construction cause health hazard? (Give quantities of various types of wastes generated during construction including the construction labour and the means of disposal)

The construction waste generated from the project was common in nature and cause no health hazard to associate and nearby population. The construction debris will be used for land levelling /back filling. Waste concrete will be reused as aggregate in construction process. Mobile toilets & drinking water for construction labour were provided. The sewage and waste water generated were disposed off to septic tank


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via soak pit. The same shall be followed for further construction of expansion.

2. WATER ENVIRONMENT

2.1 Give the total quantity of water requirement for the proposed project with the breakup of requirements for various uses. How will the water requirement met? State the sources & quantities and furnish a water balance statement.

The total quantity of water requirement shall be 313 KLD (after expansion) in which fresh water requirement will be 150 KLD and Treated water will be 163 KLD. The fresh water is sourced from DJB (Delhi Jal Board. Fresh water Domestic: 129 KLD DG & HVAC Cooling: 11 KLD Lab- 10 KLD Treated Water Flushing: 65 KLD Gardening: 15 KLD DG & HVAC Cooling: 78 KLD Misc: 5 KLD Total Waste Water Discharge: 163 KLD

2.2 What is the capacity (dependable flow or yield) of the proposed source of water?

Presently the source of water is DJB in operational building. Same shall be maintained for expansion part.

2.3 What is the quality of water required, in case, the supply is not from a municipal source? (Provide physical, chemical, biological characteristics with class of water quality)

Presently the source of water is DJB in operational building. Same shall be maintained for expansion part.

2.4 How much of the water requirement can be met from the recycling of treated wastewater? (Give the details of quantities, sources and usage)

After expansion total treated water of 163 KLD shall be reused. 52.07% of total water requirement shall be met by treated water. The details of usage of treated water is given below- Treated Water Flushing: 65 KLD Gardening: 15 KLD DG & HVAC Cooling: 78 KLD Misc: 5 KLD Total: 163 KLD

2.5 Will there be diversion of water from other users?

There will not be any substantial effect on water demand of this region as the development will


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(Please assess the impacts of the project on other existing uses and quantities of consumption)

be done as per the development plan of the area.

2.6 What is the incremental pollution load from wastewater generated from the proposed activity? (Give details of the quantities and composition of wastewater generated from the proposed activity)

Treated water recovery from STP will be 163 KLD which will be reused in the premises. From lab 7KLD waste water will be generated which will be treated in ETP & the treated water will be discharge to sewer.

2.7 Give details of the water requirements met from water harvesting? Furnish details of the facilities created.

2 number (Existing – 1 No. & proposed 1 no.) of rain water harvesting pits shall be provided at complex. (Details of Rain Water harvesting pits are given in PFR Report).

2.8 What would be the impact of the land use changes occurring due to the proposed project on the runoff characteristics (quantitative as well as qualitative) of the area in the post construction phase on a long-term basis? Would it aggravate the problems of flooding or water logging in any way?

In existing complex; the rain water is properly channelized to rain water harvesting pit through storm water drain within the complex. It will have positive impact on the ground water in long term. The same shall be followed for further construction of expansion. No, it will not aggravate the problem of flooding or water logging in any way, rather will reduce the same.

2.9 What are the impacts of the proposal on the ground water? (Will there be tapping of ground water; give the details of ground water table, recharging capacity, and approvals obtained from competent authority, if any)

No Ground water extraction is being done.

2.10 What precautions/measures are taken to prevent the run-off from construction activities polluting land & aquifers? (Give details of quantities and the measures taken to avoid the adverse impacts)

During the construction phase, runoff from the construction site is not allowed into the roadside. It was collected in a tank & after pre-treatment, water was reused for sprinkling, curing, tyre washing etc.


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2.11 How is the storm water from within the site managed? (State the provisions made to avoid flooding of the area, details of the drainage facilities provided along with a site layout indication contour levels)

Construction phase: Adequate measures taken to channelize such storm water and the same was collected in a tank & after pre-treatment and reused for sprinkling etc. Same shall be done for further construction phase. Operation phase: Storm water will be channelized to 2 number (Existing – 1 No. & proposed 1 no.) of rainwater harvesting pits.

2.12 Will the deployment of construction labourers particularly in the peak period lead to unsanitary conditions around the project site (Justify with proper explanation)

Mobile toilets were provided for labourers during construction period. The waste water was disposed off to septic tank via soak pit. The same shall be followed for further construction of expansion.

2.13 What on-site facilities are provided for the collection, treatment & safe disposal of sewage? (Give details of the quantities of wastewater generation, treatment capacities with technology & facilities for recycling and disposal)

Waste water during construction phase from labors is discharged into septic tank followed by soak pit. During operation phase- Total waste water generation from the complex will be 170 KLD which will be treated in in-house S.T.Ps of total capacity 190 KLD & ETPs of total capacity 10 KLD. 163 KLD of the treated water will be reused within the premises. Treated water of 7 KLD generated from ETP shall be discharge to public sewer.

2.14 Give details of dual plumbing system if treated waste used is used for flushing of toilets or any other use.

Dual Plumbing line will be provided in the complex for reuse of treated water.

3. VEGETATION

3.1 Is there any threat of the project to the biodiversity? (Give a description of the local ecosystem with its unique features, if any)

Core Zone: Only grasses and bushes shall be cleared during construction. Buffer Zone:

Neem Kusum Trumpet Tree

Ashoka Yellow Cedar Kachnar

Shisham Bottle Brush Nili Gulmohur

Amaltas Champa Devil’s tree

3.2 Will the construction involve extensive clearing or modification of vegetation?

No clearance were required.


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(Provide a detailed account of the trees & vegetation affected by the project)

3.3 What are the measures proposed to be taken to minimize the likely impacts on important site features (Give details of proposal for tree plantation, landscaping, creation of water bodies etc. along with a layout plan to an appropriate scale)

There will not be any kind of impact of this project on site features. To minimize the impact, the provision of plantation area of 2731 Sqm (after expansion) area, with lawns, ornamental shrubs and trees shall be provided.

4. FAUNA

4.1 Is there likely to be any displacement of fauna- both terrestrial and aquatic or creation of barriers for their movement? Provide the details.

Core Zone: The project is expansion of existing operational Hospital, so in existing conditions this place is not the habitat for local fauna. There will not be any type of displacement or any other effect on the local fauna due to proposed project activities. Buffer Zone: There are 1 wild life sanctuaries within 10 km radius of the project site. Asola Wildlife Sanctuary

4.2 Any direct or indirect impacts on the avifauna of the area? Provide details.

As there exist plantation at site, hence avifauna exist at site. Proper landscaping has been planned to provide a clean, healthy and beautiful green environment for the population. After expansion due to increase in green area, there will be increase in avifauna too. Common native variety of trees and ornamental flowering species will be planted in the green space which will attract avifauna & hence will have direct positive impact on the local avifauna & this will provide shelter to local birds.

4.3 Prescribe measures such as corridors, fish ladders etc. to mitigate adverse impacts on fauna.

Not applicable


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5. AIR ENVIRONMENT

5.1 Will the project increase atmospheric concentration of gases & result in heat islands? (Give details of background air quality levels with predicted values based on dispersion models taking into account the increased traffic generation as a result of the proposed constructions)

The traffic will increase due to expansion of Hospital. Increased traffic generation of vehicles due to project will not cause significant increase in atmospheric concentration of gases and do not result in heat island formation. Tree plantation in the complex will be provided such that the impact of air pollution shall be minimized. After expansion D.G. Sets of capacity 2X1010 KVA, 1X 380 KVA will be operated during power cut only.

5.2 What are the impacts on generation of dust, smoke, odorous fumes or other hazardous gases? Give details in relation to all the meteorological parameters.

No dust, odour have been generated at site. Smoke will be generated from the operation of DG sets. Proper emission standards have been maintained as per CPCB guidelines.

5.3 Will the proposal create shortage of parking space for vehicles? Furnish details of the present level of transport infrastructure and measures proposed for improvement including the traffic management at the entry & exit to the project site.

The optimum parking provision is proposed in the basement & surface. Hence there will be no shortage of parking space for vehicles. Total parking provision of complex after expansion will be 342 ECS.

5.4 Provide details of the movement patterns with internal roads, bicycle tracks, pedestrian pathways, footpaths etc., with areas under each category.

Maximum capacity of parking has been provided on Basement & surface and proper route have also been provided for the traffic movement as well as pedestrian movement.

5.5 Will there be significant increase in traffic noise & vibrations? Give details of the sources and the measures proposed for mitigation of the above.

During construction, noise barriers was installed to reduce traffic noise & vibrations and during operation green belt developed within the complex which mitigate the traffic noise. Proper care is being taken during design so that there is not any increase in traffic noise by providing adequate traffic movement, hence no conjunction will cause. The foundation has been made very hard and paved with rubber flooring to minimize the vibration, also all other measures to reduce


32


vibration have been adopted during designing of buildings.

5.6 What will be the impact of DG sets & other equipment on noise levels & vibration in & ambient air quality around the project site? Provide details.

Existing DG Sets: 1X1010 KVA, 1X 380 KVA After Expansion DG Sets: 2X1010 KVA, 1X 380 KVA Fuel: Ultra Low Sulphur H.S.D Location of DG sets in existing: Surface Location of proposed DG Sets: Basement D.G sets have been bought acoustically enclosed & placed in acoustically treated room to reduce the noise from D.G. Sets with proper stack height as per C.P.C.B. norms to reduce the impacts on air quality around the project site. The noise emissions from D.G. Sets are meeting the noise level as per CPCB guidelines. Low Sulphur fuel is used to run these D.G. Sets. Vibration pads has been used in DG sets to minimize the vibration effect. The same shall be followed for proposed DG Sets.

6. AESTHETICS

6.1 Will the proposed constructions in any way result in the obstruction of a view, scenic amenity or landscapes? Are these considerations taken into account by the proponents?

No, the proposed construction in any way will not result in the obstruction of view, scenic amenity. However proper landscaping will be done. This will enhance the scenic beauty. Yes, all considerations have been taken by the proponents.

6.2 Will there be any adverse impacts from new constructions on the existing structures? What are the considerations taken into account?

No, it is case of a Proposed Expansion of Existing “Hospital” within project premises.

6.3 Whether there are any local considerations of urban form & urban design influencing the design criteria? They may be explicitly spelt out. Are there any anthropological or archaeological sites or artifacts nearby? State if any other significant features in the vicinity of the proposed site have been considered.

There are no typical urban form & urban design influencing the design criteria. No there is no anthropological or archaeological site or artifacts near the site. All significant features have been considered.


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7. SOCIO-ECONOMIC ASPECTS

7.1 Will the proposal result in any changes to the demographic structure of local population? Provide the details.

As it is a hospital, during the operation of the project, patients come for treatment only, no change in demography of the area.

7.2 Give details of the existing social infrastructure around the proposed project.

Hospital Holy Angels Hospital Max Super Speciality Hospital Fortis Fit Rajan Dhall hospital Safdurganj Hospital AIIMS Indraprastha Hospital Post Office Panchsheel Post Office



Places of worship Yogmaya Mandir St Marrys Ortodox Church Gurudwara Bangla Saheb Lotus Temple School/College The Sri Ram School Ramjas School St Pauls School Laxman Public school Jawahar Lal Nehru University Bank Fedral Bank Coorporation Bank Kotak Mahindra Bank

6.50 Km NW 1.44 Km SWW 6.50 Km SWW 4.32 Km NW 4.14 Km N 5.74 Km E 1.30 Km S 1.16 Km SW 1.18 Km NW 4.24 Km W 3.09 Km NNW 10.46 Km N 4.01 Km NE 7.82 Km NW 5.37 Km NW 3.06 Km NNW 2.24 Km NNW 5.77 Km W 1.63 Km E 2.78 Km NNW 1.54 Km NNW

7.3 Will the project cause adverse effects on local communities, disturbance to sacred sites or other cultural values? What are the safeguards proposed?

The proposed Hospital complex is expansion of Hospital and constructed within the premises as per the defined building by-laws of government authority. There is no sacred site or cultural heritage site within vicinity of proposed project; hence no adverse impacts are envisaged.


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8. BUILDING MATERIALS

8.1 May involve the use of building materials with high-embodied energy. Are the construction materials produced with energy efficient processes? (Give details of energy conservation measures in the selection of building materials and their energy efficiency)

The major materials used for construction of the project was steel, cement, bricks, flooring tiles/ stones, sanitary and hardware items, electrical fittings, etc. Energy efficient building material have been used.

8.2 Transport and handling of materials during construction may result in pollution, noise & public nuisance. What measures are taken to minimize the impacts?

Yes, transportation and handling of material would result in air & noise pollution; however, it has been minimized by covering material by the tarpaulin and ensuring PUC certificate of vehicles and good condition silencers. The same shall be followed for further construction of expansion.

8.3 Are recycled materials used in roads and structures? State the extent of savings achieved?

The debris of construction material have been used in backfilling, roads etc.

8.4 Give details of the methods of collection, segregation & disposal of the garbage generated during the operation phases of the project.

Approx. 372 Kg/day (after expansion) of solid waste shall be generated from the complex. In existing STP of 70 KLD already exist. After expansion STP of 190 KLD & ETP of 10 KLD shall be installed along with existing capacity. Treated water recovery from STP after expansion will be 163 KLD which will be reused in the premises and 7 KLD of excess treated water will be discharge to Sewer line. Details of Water Management & Solid Waste Management are given in PFR Report.

9. ENERGY CONSERVATION

9.1 Give details of the power requirements, source of supply, backup source etc. What is the energy consumption assumed per square foot of built-up area? How have you tried to minimize energy consumption?

Source of Electricity - BSES Total Electrical load – 2073 KW (after expansion) Existing DG Sets: 1X1010 KVA, 1X 380 KVA Proposed DG Sets: 2X1010 KVA, 1X 380 KVA

9.2 What type of and capacity of power back-up do you plan to provide?

Type of power backup- Ultra-Low Sulphur Diesel Generator and Solar energy.


35


D.G. sets for power back up- Existing DG Sets: 1X1010 KVA, 1X 380 KVA After Expansion DG Sets: 2X1010 KVA, 1X 380 KVA Solar backup details: - • Street light and landscape lights shall be

provided on solar power.

9.3 What are the characteristics of the glass you plan to use? Provide specifications of its characteristics related to both short wave and long wave radiation?

Glass with suitable solar heating gain co-efficient have been used for windows.

9.4 What passive solar architectural features are being used in the building? Illustrate the applications made in the proposed project.

Building design and envelope have been optimized through selection of appropriate wall and roof construction and through adoption of solar measures.

9.5 Does the layout of streets & buildings maximize the potential for solar energy devices? Have you considered the use of street lighting, emergency lighting and solar hot water systems for use in the building? Substantiate with details.

Yes, the layout of buildings has been designed to maximize the potential for use of solar lighting per day devices. Solar water harvesting systems and solar powered street lights shall be used to conserve energy. Yes, solar lights shall be used in operation.

9.6. Is shading effectively used to reduce cooling/heating loads? What principles have been used to maximize the shading of Walls on the East and the West and the Roof? How much energy saving has been effected?

Solar Measures have been adopted to provide shading devices for windows and roof which would effectively reduce heating up of building envelope. Louvers and sunshades have been used around windows in order to protect from direct sunlight. Roofs have been painted with reflective paints with solar reflectance ranging from 0.3-0.89. This will result in less absorption of sunlight causing 40 % back reflection and less heating of building structure during summer season. This will effectively reduce the heat load of the building envelope.

9.7 Do the structures use energy-efficient space conditioning, lighting and mechanical systems? Provide technical details.

Suitable energy optimization has been adopted during the calculation of energy load of the proposed expansion project. The space heating load will be minimized using solar structure and suitable buildings envelop material. Uses of incandescent lamp and halogen lamps have


36


Provide details of the transformers and motor efficiencies, lighting intensity and air-conditioning load assumptions? Are you using CFC and HCFC free chillers? Provide specifications

been avoided and energy efficient LED light have been installed for all common area and other areas. The diesel generator sets shall be automatically controlled to optimize their usage based on the actual load requirements at any time. Space conditioning will be provided as per norms of National Building Code – Part 8; Building Services Section 3–Mechanical Ventilation. Lighting intensity will be done as per the National Building Code Guidelines. CFC and HCFE free chiller have been installed.

9.8 What are the likely effects of the building activity in altering the micro-climates? Provide a self-assessment on the likely impacts of the proposed construction on creation of heat island & inversion effects?

No significant effect is envisaged on the surrounding environment of project. Increased traffic generation and use of diesel generators sets in the project will not cause significant increase in atmospheric concentration of gases and will not result in heat island formation.

9.9 What are the thermal characteristics of the building envelope? (a) roof; (b) external walls; and (c) fenestration? Give details of the material used and the U-values or the R values of the individual components.

S. No

BUILDING MATERIAL PROPOSED WITH U & R VALUES

‘R’ Values (in Sq m. Deg C/ Watts )

‘U’ Values (in Watts/ Sq m. Deg C)

1. Wall Brick & ACC Blocks wall (230 mm thick), both side thick sand cement plaster (12-18mm) with insulation.

2.28 0.44

2. Roof 200 mm RCC slab with mud phuska & clay tiles

2.04 0.49


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with 75 mm insulation.

3 Double reflective Glass

0.58 1.7

9.10 What precautions & safety measures are proposed against fire hazards? Furnish details of emergency plans.

The basic system of Fire Fighting has been designed as per the provisions of the National Building Code 2005 Water shall be drawn from fire reserve tanks by electrically driven jockey pumps, Sprinkler Pump, Common Diesel Engine Driven Pump & fire pumps. A standby diesel engine driven pump for fire hydrant pump shall also be provided. All pumps shall have separate suction line from the fire suction header and delivery shall be connected to the system. Diesel engine driven fire pump shall be of the same capacity and shall back up the electrically operated fire hydrant, as per fire regulations. This will be operated in case of total electrical power or electrical pump failure. Independent jockey pumps (for hydrant line) shall operate intermittently in order to take care of hydraulic losses in the system and shall maintain the minimum pressure respectively in wet risers. FIRE HYDRANTS Fire department connections, capable of directly feeding the ring mains or static fire reserve tanks, shall also be provided near the main entrance. It shall also be provided on the external wall of the property near the main entrance. Internal standpipe fire hydrant system shall be provided with landing valve, hose reel, first aid hose reels, complete with instantaneous pattern short gunmetal pipe. WET RISER AND SPRINKLER SYSTEM The Hospital will be equipped with sprinkler system of fire-fighting and the sprinkler heads shall be distributed as per NBC.


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FIRE HOSE CABINETS The hose cabinet to accommodate the Hose Pipes, Branch Pipe, Nozzle and Hydrant Outlets shall be fabricated from 2 mm thick or 14 mm gauge aluminium sheet. Internal Hydrants shall accommodate the Hose Reel equipment. The hose cabinet shall be painted red and stove enamelled. EXTINGUISHERS Hand held extinguishers shall be located so that the maximum travel distance is not more than 23 meters and would generally be located in or adjacent to the fire hose reel cabinet. Fire Safety: The building materials shall be of appropriate fire resistance standards. Further, design shall include provisions for the following:

The electrical systems shall be provided with automatic circuit breakers activated by the rise of current as well as activated by over current.

Fire detection system.

Fire alarm system at appropriate places.

Means of escape

Access for fireman

Adequate fire-fighting requirement shall be taken into account while designing the electrical distribution system.

Emergency Lighting: The emergency lights operated on battery power should be provided at appropriate locations such as corridors, common area, staircase, exit and entrance doors, parking etc. The transformers will be kept energized and should feed independently alternate rows of lights so that in case of failure of one transformer, there will not be complete darkness.

9.11 If you are using glass as wall material provides details and specifications including emissive and thermal characteristics.

Single reflective glass is used.


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9.12 What is the rate of air infiltration into the building? Provide details of how you are mitigating the effects of infiltration.

All the window and door is of airtight quality; hence we don’t foresee any air infiltration.

9.13 To what extent the non-conventional energy technologies are utilized in the overall energy consumption? Provide details of the renewable energy technologies used.

Solar energy has been used inside the complex. Solar water harvesting systems and solar powered street lights shall be used to conserve energy.

10. ENVIRONMENT MANAGEMENT PLAN

10.1 The Environment Management Plan would consist of all mitigation measures for each item wise activity to be undertaken during the construction, operation and the entire life cycle to minimize adverse environmental impacts as a result of the activities of the project. It would also delineate the environmental monitoring plan for compliance of various environmental regulations. It will state the steps to be taken in case of emergency such as accidents at the site including fire.

Environment Management Plan is given in Environment Report attached as


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3. ANNEXURE I : PRE-FEASIBILITY REPORT


41


3.1.1 Introduction We have existing running Hospital “Pushpawati Singhania Hospital & Research

Institute” having plot area 8,000 sqm and built-up area 8699.93 sqm (without service

floor area) or 9728.93 (with service floor area). As per our new planning, we are going

for expansion of the project & total built-up area after expansion will be 24,982.13

sqm (including service floor area) for which we had earlier applied for Environment

clearance for expansion of the project in SEIAA, Delhi on 03-04-2014. Meanwhile, we

had started the construction before the grant of Environmental Clearance for

expansion. We have already undergone for expansion, construction for proposed

expansion has already been completed.

Hence, as per MoEF&CC Notification No. S.O.804(E) dated 14.03.2017, where it has

been clearly notified that the violation cases/non-Compliance will be treated as ‘A’

category projects. Hence, in view of the aforesaid notification, where it has been

clearly stated that the projects in category as ours shall be entitled to apply for

environmental clearance and therefore we have submitted the proposal for grant of

Environmental clearance in MoEF&CC on 07.02.2018. Now as per amendment in

notification vide S.O. 1030(E) dated 8th March,2018, the project falls under category

‘B’, as project having built-up is greater than 20,000 sqm.

The land for plot area of 8000 sqm has been allotted by DDA on perpetual lease to

Lakshmipat Singhania Medical Foundation for hospital purpose. Then land was

handover to Pushpawati Singhania Hospital & Research Institute for development &

running of the Hospital. The agreement for the same was done. The expansion of the

project shall be done within the project premises. We have already undergone for

expansion, construction for proposed expansion has already been completed

3.1.2 Activities: The project is an Expansion of Hospital Complex “Pushpawati Singhania Hospital &

Research Institute” which shall include:

1. Hospital Building (1 block in existing & 1 block proposed)

3.1.3 Description & Details of Project: Project details are given in Table 3.


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Particulars Details of Existing Operational Hospital (in sqm)

Details of` Proposed Hospital – Already

constructed (in sqm)

Total details after expansion (in sqm)

cost of the project in Crore - - 92.53 Cr.

Plot Area in Sqm 8000 sqm (1.97 acre) 0.000 8000 sqm (1.97 acre)

Ground Coverage (Permissible) in Sqm 3200 (40%) - 3200 (40%)

Ground Coverage (Achieved) in Sqm 1557.19 (19.46%) 1414.610 2971.800 (37.1%)

FAR Permissible area (In sqm) 20000 (2.5)

20000 (2.5)

FAR Achieved area (In sqm) 8193.46 (1.02) 8373.41 16566.87 (2.07)

NON-FAR AREA - Service area (In sqm) 0 195.65 195.65

Basement -I area (In sqm) 506.47 1761.87 2268.34

Basement -2 area (In sqm) 0 1777.22 1777.22


Total basement Area (In sqm) 506.47 5316.31 5822.78

Service floor area (In sqm) 1029 1367.83 2396.83

Built-up Area (FAR + Non-FAR+ Basement area) (In sqm) 8699.93 13885.37 22585.30

Built-up Area (FAR + Non-FAR+ Basement area + Service Floor) (In sqm)

9728.93 15253.20 24982.13

Total Green Area (In sqm) - - 2731.00

Total Open & Road Area (In sqm) - - 2297.2

Activities in Hospital Hospital Block Hospital Block Hospital Block

No of beds 101 100 201

Population

In patient 101 100 201

OPD 200 150 350

Staff &employee 357 273 630

Visitors 300 600 900

Total Population 963 1123 2081

No of Towers 1 1 2


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Number of Basements 1 3 3

Maximum No. of Floors 1B+G+6 3B+G+6 3B+G+6

Max. height of building in m 32.8 m 32.8 m 32.8 m

Total Power load in KVA 1123 950 2073

No. of DG sets in KVA 1 x1010, 1X380 KVA 1X1010 KVA 2X1010 KVA, 1X 380 KVA

No. of Rain Water Harvesting pits 1 1 2

Other Service Details After Expansion:

S. No Particulars After Expansion

1. Total Power Load 2073 KVA

2. No. of DG Set 2X1010 KVA, 1X 380 KVA

3. No. of Rain Water Harvesting Pits 2 nos.

4. Parking Required (2 ECS/100 Sqm

FAR) 331 ECS

5. Parking Provision 342 ECS

6. Total Water Requirement 313 KLD

7. Fresh water 150 KLD

8. waste water generation 177 KLD

9. STP and ETP capacity STP- 70 KLD & 120 KLD and ETP- 10 KLD

10. solid waste generation 372 Kg/day

11. Bio-medical waste 75 Kg/day


45


Construction Status:

Particulars Existing Operational area (EC was not applicable)-A

Proposed area (already

Constructed)- B

Total area Constructed

FAR Achieved area (In sqm) 8193.46 8373.41 16566.87

NON-FAR AREA - Service area (In sqm) 0 195.65 195.65

Basement -I area (In sqm) 506.47 1761.87 2268.34



Total basement Area (In sqm) 506.47 5316.31 5822.78

Service floor area (In sqm) 1029 1367.83 2396.83

Built-up Area (FAR + Non-FAR+ Basement area) (In sqm) 8699.93 13885.37 22585.30

Built-up Area (FAR + Non-FAR+ Basement area + Service Floor) (In sqm) 9728.93 15253.20 24982.13

3.2 INTRODUCTION OF THE PROJECT/ BACKGROUND INFORMATION

3.2.1 Identification of the project & project proponent: The proposed project is Expansion of Hospital Complex “Pushpawati Singhania

Hospital & Research Institute” located at Press Enclave Marg, Sheikh Sarai, Phase-II.

The project is being developed by Pushpawati Singhania Hospital & Research Institute.

The land has been allotted by DDA on perpetual lease to Lakshmipat Singhania

Medical Foundation for hospital purpose. Then land was handover to Pushpawati

Singhania Hospital & Research Institute for development & running of the Hospital.

The agreement for the same was done.

3.2.2 Brief Description of the Nature of the Project:

We wish to inform you that we have existing running Hospital “Pushpawati Singhania

Hospital & Research Institute” having plot area 8,000 sqm and built-up area 8699.93

sqm (without service floor area) or 9728.93 (with service floor area). As per our new

planning, we are going for expansion of the project & total built-up area after

expansion will be 24,982.13 sqm (including service floor area) for which we had earlier

applied for Environment clearance for expansion of the project in SEIAA, Delhi on 03-

04-2014. Meanwhile, we had started the construction before the grant of

Environmental Clearance for expansion. We have already undergone for expansion,

construction for proposed expansion has already been completed.

Hence, as per MoEF&CC Notification No. S.O.804(E) dated 14.03.2017, where it has

been clearly notified that the violation cases/non-Compliance will be treated as ‘A’

category projects. Hence, in view of the aforesaid notification, where it has been

clearly stated that the projects in category as ours shall be entitled to apply for

environmental clearance and therefore we have submitted the proposal for grant of

Environmental clearance in MoEF&CC on 07.02.2018. Now as per amendment in

notification vide S.O. 1030(E) dated 8th March,2018, the project falls under category

‘B’, as project having built-up is greater than 20,000 sqm.

3.2.3 Need for the Project & its Importance to the Country or the region:

Seeing the increase in no. of patients in the area, Expansion of Hospital Complex will

provide the basic medical facilities for the individuals.


47


3.2.4 Demand & Supply Gap: In today’s world, there is a strong need of proper treatment of patient so as to save

the life of individual. This project will help to the patients to get better facility of

treatment.

3.2.5 Import vs. Indigenous production: As this is a Hospital Complex, so this section is not applicable.

3.2.6 Export Possibilities: As this is a Hospital Complex, so this section is not applicable.

3.2.7 Domestic/Expert Markets: As this is a Hospital Complex, so this section is not applicable.

3.2.8 Employment Generation (Direct & Indirect) due to the Project:

During construction phase, around 150 labourers were employed.

During Operation Phase,

Population Population of existing operational Hospital

Population Proposed

Total Population after expansion

In patients 101 100 201

OPD patients 200 150 350

Staff &employee 357 273 630

Visitors 300 600 900

Total Population 963 1123 2081

3.3 PROJECT DESCRIPTION

3.3.1 Type of Project including interlinked & interdependent Projects, if any:

As per MoEF&CC Notification No. S.O.804(E) dated 14.03.2017, where it has been

clearly notified that the violation cases/non-Compliance will be treated as ‘A’ category

projects. Hence, in view of the aforesaid notification, this project is a construction

project which comes under category 8 (a) ‘A’ of EIA Notification, 2006 and it is not an

interlinked project.


48


3.3.2 Location (with coordinates): Latitude Longitude Elevation

28°32'0.70"N 77°13'31.31"E 744 ft.

3.3.3 Map showing project location:

3.3.4 Map showing project site layout:

PROJECT SITE

N


49


Table 1: Connectivity to the Site

NH-8

AH-1




Railway Station


Hazrat Nizamuddin


Airport

Safdargunj Airport


9.46 Km WWN

3.70 Km N

0.09 Km S

1.82 Km S

0.63 Km E

6.71 Km NNW

6.85 KmNE

6.82 Km SE

5.97 Km N

11.81 Km W

3.3.5 Site Photographs 1. PSRI – A Block (Old Building)


50


2. PSRI - B Block (New Building)

3. PSRI Building ( A & B Block)


51


3.3.6 Topographical Map

3.3.7 Selection of Site:

3.3.7.1 Details of alternate sites considered:

No alternate or interlinked site is being considered in this project as we have

undergone expansion on existing land only.

3.3.7.2 Basis for site selection and the environmental considerations:

The land for plot area of 8000 sqm has been allotted by DDA on perpetual lease to

Lakshmipat Singhania Medical Foundation for hospital purpose. Then land was


52


handover to Pushpawati Singhania Hospital & Research Institute for development &

running of the Hospital. The agreement for the same was done. The expansion of the

project shall be done within the project premises. We have already undergone for

expansion, construction for proposed expansion has already been completed.

The surrounded area is well developed area. Area is well connected by road network

and has power supply with all necessary amenities.

3.3.8 Size or Magnitude of Operation: The total plot area of the project is 8000 sqm and the total built-up area after

expansion will be 24,982.13 sqm.

3.3.9 A schematic diagram showing project layout with components:


53


3.3.10 Details of raw material required:

Raw materials source and Quantity:

3.3.11 Marketing area of final products:

As this is a “Hospital Complex” so this section is not applicable.

3.3.12 Mode of transport of raw materials and finished products:

The raw materials during construction were transported by trucks and trolleys. The same shall be followed for further construction of services for expansion. Ambulances, cars, two wheelers etc. are used during operational phase. The same

shall be followed after expansion also.

3.3.13 Resource optimization and reuse and recycling in project resources:

The concept of reduce, recycle and reuse has been taken into consideration at every

step of this project. The excavated soil/ rock was properly stacked within the site

under tarpaulin cover and reused for backfilling purpose. The top soil was preserved

separately and used for landscaping purpose and the excess excavated soil was

disposed off to approve Municipal Filling Ground with the help of Authorised vendor.

Raw materials

S. No. Name Source Quantity

1 Aggregate-brick, over burnt,

stone, stone chipping.

Near By shop/ area As per requirement

2 Bitumen- Felt fibre base, hot

sealing compound and coal tar


3 Cement, bricks, brushes, lime,

caustic soda


4 G.I Pipes, back nuts, bend 90

degree, crosses, elbows, plugs,

sockets, tees, unions.


5 Water coupling and closets Near By shop/ area As per requirement

6 UPVC single equal tee and

double equal tee.


7 Sand cast iron and accessories Near By shop/ area As per requirement


54


The treated water from STP will be reused in gardening and flushing purpose and same

shall be followed in future. The quantification of the same is given later in Pre-

Feasibility report.

The municipal solid waste will be segregated and sent to organic waste converter. The

Organic waste from complex can be used as manure for landscaping. The

quantification of the same is given later in Pre-Feasibility report.

3.3.14 Management of Resources: 3.3.14.1 Water source and quantity:

The total quantity of water requirement during shall be 313 KLD (after expansion) in

which fresh water requirement is 150 KLD and Treated water will be 163 KLD. The

fresh water is sourced from DJB in operational building. The same shall be followed

after expansion also.

3.3.14.2 Energy Source and requirement:

During operation phase, 2073 KVA (Existing – 1123 KVA & Proposed – 950 KVA) of

electric load from BSES Rajdhani Power Limited, Delhi shall be supplied to the

Complex. For power backup D.G. Set of capacity 1X1010 KVA & 1 x 380 KVA already

exist & 1X1010 will be installed in the complex which will be operated during power

cut only.

Waste Management:

3.3.14.3 Amount of wastewater generated and STP capacity: The amount of total waste water generation after expansion will be 177 KLD, out of

which sewage generation will be 170 KLD & effluent generation from Lab & OT will be

7 KLD. For treatment of sewage 70 KLD of STP already exist & 120 KLD of STP is

proposed. For treatment of effluent 30 KLD of ETP is proposed.

Solid waste Management:

Total 372 kg/day (after expansion) solid waste will be generated from the complexes

which will be properly managed and send to organic waste converter & approved

vendors/recyclers.

The hazardous waste in the form of used oil will be 26 litres/month (after expansion)

which will be given to approved vender of CPCB and E-waste of 1-2 kg/month (after

expansion) will be handled as per e-waste management handling rules.

About 75 kg/day (after expansion) Biomedical waste generated from hospital will be

handed over to authorized processor.


55


Battery waste generated from inverters & UPS. It will be properly managed as per

Batteries (Management and Handling) Rules 2001.

Details of Solid Waste Management are given later in Pre-Feasibility Report.

3.3.15 Layout and Plans: • The Layout Plan is attached at Annexure VII

• The topographical Map is attached at Annexure-VI.

3.4 Site Analysis:

3.4.1 Connectivity: Site Location: Press Enclave Marg, Sheikh Sarai, Phase-II, New Delhi

NH-8

AH-1




Railway Station


Hazrat Nizamuddin


Airport

Safdargunj Airport


9.46 Km WWN

3.70 Km N

0.09 Km S

1.82 Km S

0.63 Km E

6.71 Km NNW

6.85 KmNE

6.82 Km SE

5.97 Km N

11.81 Km W

3.4.2 Land form, land use and land ownership: The project Expansion of Hospital Complex “Pushpawati Singhania Hospital &

Research Institute” is located at Press Enclave Marg, Sheikh Sarai, Phase-II, New Delhi.

The project is being developed by Pushpawati Singhania Hospital & Research Institute.

The land of 8000 sqm has been allotted by DDA on perpetual lease to Lakshmipat

Singhania Medical Foundation for hospital purpose. Then land was handover to

Pushpawati Singhania Hospital & Research Institute for development & running of the

Hospital. The agreement for the same was done. The expansion has been done on

existing land only.


56


3.4.3 Existing Land Use Pattern:

3.4.3.1 Land use of core zone

The land of 8000 sqm has been allotted by DDA on perpetual lease to Lakshmipat

Singhania Medical Foundation for hospital purpose. Then land was handover to

Pushpawati Singhania Hospital & Research Institute for development & running of the

Hospital. The agreement for the same was done.

3.4.3.2 Eco-sensitive areas with distance from project location:

S. No.

Areas Name/

Identity

Aerial distance

(within 15 km.) from

Proposed project

location boundary

1 Areas protected under

international conventions,

national or local legislation for

their ecological, landscape,

cultural or other related value

None None

2 Areas which are important or

sensitive for ecological reasons

- Wetlands, watercourses or

other water bodies, coastal

zone, biospheres, mountains,

forests

Water Body

Yamuna River

Ghitorini Lake

Shamshi Talab

Neela Hauz

Hauz Khas Tank

Tuklaqabad Fort Pond

Bharadwaj Lake

CITM Lake

Forest

Pusa Hill forest

Central Ridge Reserve Forest

Rajokari Protected forest

Aravali biodivbersity Park

Jahanpanah City Forest

7.56 Km NE

9.36 Km SW

5.07 Km SW

5.27 Km W

3.87 Km NW

5.0 Km SE

9.44 Km SSE

9.95 Km SSE

11.78 Km NNW

8.72 Km NNW

9.02 Km W

7.68 Km NWW

0.66 Km E


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City Forest Hauzrani 2.22 Km SW

3 Areas used by protected,

important or sensitive species

of flora or fauna for breeding,

nesting, foraging, resting, over

wintering, migration

Okhla Bird Sanctuary

Asola Wild Life Century

7.65 Km E

3.47 Km S

3.4.4.3 Existing Infrastructure: Hospital

Holy Angels Hospital

Max Super Speciality Hospital

Fortis Fit Rajan Dhall hospital

Safdurganj Hospital

AIIMS

Indraprastha Hospital

Post Office

Panchsheel Post Office



Places of worship

Yogmaya Mandir

St Marrys Ortodox Church

Gurudwara Bangla Saheb

Lotus Temple

School/College

The Sri Ram School

Ramjas School

St Pauls School

Laxman Public school

Jawahar Lal Nehru University

Bank

Fedral Bank

Coorporation Bank

Kotak Mahindra Bank

6.50 Km NW

1.44 Km SWW

6.50 Km SWW

4.32 Km NW

4.14 Km N

5.74 Km E

1.30 Km S

1.16 Km SW

1.18 Km NW

4.24 Km W

3.09 Km NNW

10.46 Km N

4.01 Km NE

7.82 Km NW

5.37 Km NW

3.06 Km NNW

2.24 Km NNW

5.77 Km W

1.63 Km E

2.78 Km NNW

1.54 Km NNW

3.4.4.4 Soil classification: Soil quality of the area is sandy Silt. Colour of the soil is Dark-brown


58


3.4.5 Climate data from secondary sources: Climatologically data from (2002-2013) [source: IMD station at Delhi (Palam)]

Temperature Record

(Source: IMD, Station – Palam from 2002 - 2013)

3.4.6 Annual Wind rose

Source: IMD Palam

Temperature (0C)

Month Year H

Max.

Year L

Min.

Year MMax. Year MMin.

January 2007 31.0 2006 0.3 2006 21.8 2008 6.9

February 2006 35.7 2004 3.2 2006 29.6 2002 9.6

March 2004 40.1 2003 6.7 2004 33.7 2003 15.1

April 2003 44.1 2013 12 2002 39.5 2005 20.6

May 2013 47.2 2004 16.8 2013 42.8 2008 25

June 2003 47.1 2011 21.4 2009 42.6 2008 26.2

July 2009 43.3 2003 23 2002 40.5 2003 26.3

August 2002 40.2 2013 20.8 2009 36.1 2004 26.2

September 2005 38.8 2002 20.4 2004 35.5 2002 23.5

October 2009 38.8 2004 13.7 2008 34.1 2007 17.7

November 2003 34.6 2003 5.9 2011 29.6 2003 11.8

December 2011 30.4 2013 3.1 2002 24.7 2005 5.9


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3.4.5 Social Infrastructure available: Already provided in sec. no. 3.4.4.3 of pre-feasibility report.

3.5 Planning Brief:

3.5.1 Planning concept: We have existing running Hospital “Pushpawati Singhania Hospital & Research Institute” having plot area 8,000 sqm and built-up area 8699.93 sqm (without service floor area) or 9728.93 (with service floor area). As per our new planning, we are going for expansion of the project & total built-up area after expansion will be 24,982.13 sqm (including service floor area) for which we had earlier applied for Environment clearance for expansion of the project in SEIAA, Delhi on 03-04-2014. Meanwhile, we had started the construction before the grant of Environmental Clearance for expansion. We have already undergone for expansion, construction for proposed expansion has already been completed.

3.5.2 Population projection: In this Hospital complex, 201 nos. of in patients, 350 nos. of OPD patients, 630 of staff

& employee, and approx. 900 nos. of visitors are envisaged after expansion.

3.5.3 Land use Planning as per Environmental Clearance and

proposed plan: Particulars Total Area After Expansion

(in Sqm)

Percentage (%)

Ground Coverage (Achieved) 2971.8 37%

Total Green Area 2731 34%

Total Open & Road Area 2297.2 29%

Total area 8000 100 %


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3.5.4 Assessment of infrastructure Demand (Physical and social):

The Hospital complex already exists, this project is expansion of the existing in

operational Hospital.

The development of “Hospital complex” in the project area will result in the increase

in the medical facility as the population will also increase in the form of inpatient, staff,

and visitors.

3.6 Proposed Infrastructure:

3.6.1 Industrial area: This is the Expansion of existing Hospital complex so there will not be any production

in the project area.

3.6.2 Other area: The project “Expansion of Hospital Complex” offers Hospital blocks only.

3.6.3 Green development and Plantation Details: Green belt planning will be done with ecological perspectives for the project taking

into consideration and availability of space and other aspects. This will help in

increasing the aesthetic effect of the environment.

37%

34%

29%

LAND USE OF CORE ZONE OF PROJECT AFTER EXPANSION

Ground Coverage (Achieved)

Total Green Area

Total Open & Road Area


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Since tree trunks are devoid of foliage, scrub should form there to give coverage to

the trunks. The trees maintain the regional ecological balance and conform to soil and

hydrological conditions. Indigenous species would be preferred.

Green belt/greenery will be developed along most of the periphery of the project area

as well as along roads. Area under plantation/greenery after expansion will be 2731

Sqm (34% of plot area) with trees and plants. The trees already planted & proposed

will be of adequate height. Any trees that do not survive will be replaced. The

plantation/greenery programme will be completed, simultaneously along with the

project.

Total Green area after expansion: 2731 sqm (34% of plot area)

No. of trees required after expansion: 100 No.

No. of trees proposed after expansion: 100 No.

3.6.3.1 Species to be planted:

Proposed Trees to be planted

S. No. Botanical Name Common Name

1. Terminalia arjuna Arjuna

2. Tecomella undulata Desert teak roheda

3. Callistemon lanceolatus Bottle brush

4. Plumeria alba Safed champa

5. Memosops elangi Maulsari

6. Pterospermum acerifolium Kanak Champa

7. Delonix regia Gulmohar

8. Saraca asoka Sita Ashoka

9. Roystonea regia Royal palm

10. Veitchia nerrilli Foxtail plam

11. Schelichera oleosa Kusum

12. Ficus benjamina Fig

13. Grevillea robusta Silver oak

14. Cassia fistula Amaltas

15. Azadirachta indica Neem

16. Ficus religiosa peepal

17. Syzygium cumini Jamun


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3.6.4 Drinking Water Management: 3.6.4.1 Source & Supply of Water:

The total quantity of water requirement during shall be 313 KLD (after expansion) in

which fresh water requirement is 150 KLD and Treated water will be 163 KLD. The

fresh water is sourced from DJB in operational building. The same shall be followed

after expansion also. The amount of total waste water generation after expansion will

be 177 KLD, out of which sewage generation will be 170 KLD & effluent generation

from Lab & OT will be 7 KLD. For treatment of sewage 70 KLD of STP already exist &

120 KLD of STP is proposed. For treatment of effluent 30 KLD of ETP is proposed.

Treated water recovery from STP will be 163 KLD which will be completely reused for flushing,

gardening, DG & HVAC Cooling & misc. purpose. 7 KLD of treated water generated from ETP

shall discharge to Sewer line.

Water Management:

WATER CALCULATION (After Expansion)

Population Factor in LPCD

Requirement in KLD

Domestic in KLD

Flushing in KLD

Waste Water in KLD

In patients 201 450 90 60 30

OPD Patients 350 15 5 3 2

Staff and Employee 630 135 85 57 28

Visitors 900 15 14 9 5

Total 2081 194 129 65

waste water discharge

103 65 168

Gardening 15

Nil

DG & HVAC Cooling 89

Nil

Lab 10 7

Misc. 5 2

Total 313 KLD

177 KLD


63


Water Balance:

3.6.5 Sewage system: The amount of sewage generation after expansion will be 170 KLD and effluent of 7

KLD from Lab will be generated from the Complex, 170 KLD will be sent to in hose STPs

of 70 KLD (already installed) & 120 KLD (proposed) for treatment and 7 KLD waste

water from lab will be treated in in house ETP of total capacity 30 KLD (proposed).

Scheme of Savage Treatment Plant and Effluent Treatment

Plant :

For treatment of sewage 70 KLD of STP (FBR Technology) already exist & 120 KLD of

STP (MBBR Technology) is proposed. For treatment of effluent 30 KLD of ETP is

proposed.

The Sewage Treatment Plant of MBBR Technology offered has some distinct

advantages over conventional activated sludge processes. The scheme is proven,

under a variety of operating conditions, and is highly flexible in operation. STP has

already been installed & is based on Moving Bed Biofilm Reactor (MBBR) process.


64


DESIGN CRITERIA

It is proposed to treat the complete wastewater as given above in a scientific manner

through a properly planned treatment plant. The objective is to stabilize the

decomposable organic matters present in sewage so as to get an effluent and sludge

having characteristics which are within safe limits. To have an efficient treatment

system, this aeration system is proposed consisting of Moving Bed Bio- Reactor

Technology (MBBR). The sewerage treatment plant can be constructed in such a way

that it becomes viable by providing Treated water and sludge that can be used as for

manure for further use.

Following are the benefits of providing the Sewage Treatment Plant in the present

circumstances:

• It is mandatory as per the latest requirements to provide the Sewage Treatment Plant.

• Reduced net daily fresh water requirements from various sources, by utilizing the treated water.

• Reduced dependence on the public utilities for water supply and sewerage systems.

• Solid waste generated from the Sewage Treatment Plant shall be rich in organic materials and is an excellent fertilizer for horticultural purposes.

Different Components of the Plant

In the proposed treatment scheme the following component unit shall be provided:

➢ Screen chamber ➢ Bar screen /Grit chamber within effluent collection sump. ➢ Submersible type raw effluent re-lift pumps ➢ Equalization tank ➢ MBBR tank/ Aeration tank ➢ Tube settler ➢ Clarified Water, Filtered Water & Soft Water Storage Tanks ➢ Filter feed pump ➢ Tertiary Treatment Units (Filtration, U.V treatment) ➢ Treated Water Supply Pumps ➢ Sludge return pump ➢ Sludge holding tank ➢ Centrifuge for solid waste management ➢ Sludge loading pumps ➢ Sludge drying beds, Centrifuge/Filter Press


65


Characteristics of Untreated & Water

The plant have been designed to treat the raw sewage having following characteristics,

PH : 7. 15 to 8.2

Color : Mild

BOD : 200-250 mg/l

COD : 300-400 mg/l

TSS : 250 - 350 mg/l

Oil & Grease : 10 – 50 mg/l

Treated sewage characteristics will be as follows:

PH : 6.5 – 7.5

BOD : < 5 mg/l

COD : < 50 mg / l

TSS : < 10 mg/l

Oil & grease : < 2 mg/l

PROCESS DESCRIPTION

a) Raw sewage from main sewer line should be collected through gravity pipes into

the screen chamber. This manually cleaned screen should be provided to remove

floating and big size particles which may otherwise choke the pumps and pipe

lines.

b) After screening, the waste water should be allowed to pass through a grit chamber

to remove the grit material. The screens and grit chambers shall be accessible so

that they may be manually cleaned from time to time.

c) The screened waste water from the Grit chamber should then pass into the

equalization tank to homogenize the waste water quality and also even out flow

fluctuations and feed waste water of uniform quality at constant rate to

subsequent treatment units.

d) Air mixing should be provided to mix the contents of the equalization tank. A

coarse bubble aeration grid should be provided to mix the contents of the


66


equalization tank and also to avoid septic conditions in the tank. From the

equalization tank the wastewater will be pumped into an MBBR Tank.

e) The MBBR process uses small plastic carrier elements to provide growth sites for

bacteria attachment in a suspended growth medium. The carrier elements shall

allow a higher biomass concentration to be maintained in the reactor. This shall

increase the biological treatment capacity for the given reactor volume.

f) The carrier elements shall be continuously kept in suspension by the aeration

system. The agitation pattern in the reactor shall be designed to provide an

upward movement of the carriers across the surface of the retention screen which

creates a scrubbing effect to prevent clogging. Combination of fine & coarse

bubbles may be provided to provide oxygen as per detailing.

g) From the MBBR tank mixed liquor shall flow by gravity into the Tube settler. The

solids will settle in the tank. The sludge that settles down shall be transferred to

sludge holding tank via sludge loading pumps, with provision of sludge return to

the bioreactor if necessary.

h) From the tube settler, treated wastewater will be fed by means of filter/softener

feed pump sets to pass through dual media filters, activated carbon filters and

softeners and stored in the filtered water and soft water storage tanks. The

activated carbon filters shall ensure removal of all coloration and odours present

in the treated effluent.

i) The filtered, clean and odourless water from filtered water tank is then fed

through a variable frequency drive hydro-pneumatic system to the external

treated effluent rings as per the master plan, from where connections are taken

to the garden hydrant system and to each unit for flushing water as per detailing.

j) The softened, clean and odourless water from soft water tank is then fed to HVAC

Plant Room by a separate variable frequency drive hydro-pneumatic system.

k) According to the guide lines of Ministry of Environment and Forest the UV system

will be provided on the discharge point of treated effluent supply lines to ensure

100% pathogen free treated water for recycling and re-use. The UV system shall


67


be provided as online installation on the treated water supply line being supplied

to the external distribution ring.

l) Excess sludge from the tube settler will be taken periodically into sludge holding

tank. In this tank sludge will be aerated for self-stabilization. Air will be shut off

periodically and superannuate water will be transferred to the aeration tank

creating stabilized sludge. The final sludge shall be de-watered through a

centrifuge mechanism. Sludge loading arrangements shall also be provided for

direct disposal of sludge to sludge tankers / trolleys.

TREATMENT PROCESS OF ETP:

The sewage is first passed through a Bar Screen Chamber & an Oil & Grease Chamber

where any extraneous / floating matter gets trapped.

The effluent is then collected in a Receiving Sump where the variations in flow and

characteristics are dampened, which otherwise can lead to operational problems and

moreover it allows a constant flow rate downstream. Here the sewage is kept in mixed

condition by means of coarse air bubble diffusion.

The equalized sewage is then pumped to the Bio-Reactors where BOD/COD reduction

is achieved by virtue of aerobic microbial activities. The oxygen required is supplied

through coarse air bubble diffusers.

The excess bio-solids formed in the biological process, which are separated in the

downstream Plate Settler Tank. The clear supernatant is sent to the tertiary treatment

section comprising of a Dual Media Filter and an Activated Carbon Filter, and UV

disinfections system. If needed Softener shall be provided.

The biological sludge generated from the bio-reactor, which is settled in the Plate

Settler, is drained through the Filter Press.


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3.6.6 SCHEMATIC DIAGRAM OF STP and ETP:

SCHEMATIC DIAGRAM OF STP

SCHEMATIC DIAGRAM OF ETP

3.6.8 Rain water harvesting:

The main source of ground water recharging in the study area is rainwater, which

infiltrates into the ground through various lithological units present in the study area.

After expansion, 2 number of rainwater harvesting pits (1 no. of pts in existing & 1 no.

of pit is proposed) are proposed within the Hospital complex. The runoff from the

rooftop and storm water shall go to the recharge pits.

• Scheme for ground water recharging

The rainwater will be diverted from the rooftop using rain water pipes to the

surface/underground drainage network.

The rainwater is diverted into the de-silting tank to remove inorganic

impurities and the outflow of the de-silting tank is taken into the recharge well.

Treated

water to

sewer


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• De-silting tank

The de-silting are used to remove silt and other floating impurities from

rainwater. De-silting tank is like an ordinary container having provision for the

inflow, outflow, and overflow. Apart from removing silt it holds the excess

amount of water till it is soaked up by the recharge structure. The bottom of

tank will have unpaved surface (layers of coarse sand) to allow standing water

to percolate into soil. The rainwater collected in these de-silting chambers shall

be utilized for horticulture.

• Recharge well

The recharge well consists of percolation pits with 4.1 mm dia boreholes in the

middle of the pits. UPVC pipe perforated will be lowered in the middle of the

boreholes and the pit will be filled with gravel and pebbles in three layers of

400 mm each consisting of boulders, gravel and coarse sand. The mouth of the

UPVC pipe shall be protected to avoid silt getting into it. The depth of the bore

will depend on the soil condition/water strata. The schematic diagram is

enclosed.

It should be therefore concluded that there is no significant impact on surface

water quality & hydrology of the area. The proposed rainwater-harvesting

scheme will stabilize the groundwater table in the area.

Rain Water Harvesting Calculation:

– Soil Quality: Silt Loam

– Annual rainfall: 723 mm

– Peak hourly rainfall: 60 mm/hr

– Infiltration rate: 20.3 mm/hr

– Porosity: 35%

– Ground water level-51-67 m

– Number of rain water harvesting pits: 2

– Size of rain water harvesting pits: Dia – 4.1 m & depth- 3.8 m

S. No.

Description of Area

Area Considered (Sq. M)

Harvesting Factor / Collection Efficiency per area

Retention time capacity of recharge tank in 20 min (60 mm)

Total Volume of Water Available for Rain Water Harvesting (cu. m/20 min)

1 Water Available from Terraces of Apartment buildings and other roof-top surfaces 2971.8

0.90 20 53

2 Paved Surfaces, Roads & other Built-up Areas

2731 0.70 20 38


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Rain Water Harvesting Pit Diagram -

3.6.9 INDUSTRIAL WASTE MANAGEMENT: As this is a construction of Expansion of Hospital complex this section is not

applicable.

3.6.10 SOLID WASTE MANAGEMENT:

After expansion for 2086 persons around 372 kg/day of municipal solid waste will be

generated for proposed site.

The solid waste categories and disposal method detail is shown is given in below:

Note: All dimensions are in m0.4 m

0.4

m0.

4 m

0.4

m

0.4 m

3 Lawns, Gardens & all other Open Areas

2297.2 0.20 20 9

GRAND TOTAL 8000 100 cum


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Municipal Waste Management

Type of Waste Colour of Bins

Category Disposal Method Total Waste (Kg/day) (Total)

Organics Green Bio Degradable Shall be treated in Organic Waste Converter

259

Recyclable Items Blue Recyclable Approved Recycler 94

Plastic Waste Blue Recyclable Approved Recycler 19

Total Municipal Waste 372 Kg/day

HAZARDOUS WASTE MANAGEMENT:

Hazardous waste is a waste with properties that make it dangerous or potentially

harmful to human health or the environment. The universe of hazardous wastes is

large and diverse. Hazardous wastes can be liquids, solids, contained gases, or sludge.

They can be the by-products of manufacturing processes or simply discarded

commercial products, like cleaning fluids or pesticides. All hazardous wastes are

required to be treated and disposed off in the prescribed manner.

The main objective is to promote safe management and use of hazardous substances

including hazardous chemicals and hazardous wastes, in order to avoid damage to

health and environment.

Hazardous waste, Bio-medical waste & E-Waste Management

Type of Waste Colours of Bins

Category Disposal Method Total

Waste

Used Oil

Black With Label

Hazardous Waste

Waste shall be collected in leak proof containers at isolated place

and then it will be given to approved vender of CPCB as per

Hazardous Wastes (Management/ Handling/ Transboundry

Movement) Rules, 2008, as amended in 2011

26 lit/month


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Battery waste will be generated from inverters & UPS, which shall be treated as per

the Batteries (Management & Handling) Rule

3.6.11 POWER REQUIREMENT: 3.6.11.1.1 SOURCE:

The total electric load for the hospital after expansion will be 2073 KVA (Existing – 1123

KVA & Proposed – 950 KVA) which will be sourced through BSES Rajdhani Power

Limited, Delhi.

3.6.11.1.2 BACK-UP:

After expansion, in case of power failure, power backup will be provided through DG

sets. D.G. Set of capacity 1X1010 KVA & 1 x 380 KVA already exist & 1X1010 will be

installed in the complex which will be operated during power cut only.

3.7 ANALYSIS OF PROPOSAL:

3.7.9 Social benefits to the local population: 1. The proposed complex is a Hospital Complex. After expansion It will increase

Infrastructure of the area & will provide better medical facilities to the people.

2. People of near-by will have immediate access to medical facility.

3. The benefits relate to the direct employment associated during the

construction of the infrastructure in the Hospital complex and for staff in the

Hospital complex. Additional employment opportunities will lead to a rise in

the income and improve their standard of living.

4. The proposed facility would also generate jobs for the labours during

construction phase as well as during operation phase.

E-waste

Black With Label

Hazardous Waste

E-Waste (Management & Handling) Rules, 2011

1-2 Kg/month

Bio Medical waste Hazardous

Waste

Biomedical waste generated from hospital will behanded over to authorized processor. In existing agreement with M/s Biotic Waste Solutions Pvt. Ltd. has already been done.

75 Kg/Day


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4. ANNEXURE III: RISK ASSESMENT


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4.1 RISK ASSESSMENT Hazard identification is the process used to identify all possible situations in the

hospital where people (patient, staff, visitors etc) may be exposed to injury, infections

or disease.

The risk hazards may be of two types:

1. Natural disasters

Earthquake

Cyclone / Storm

Flood / Draught

Landslides etc

2. Technological disasters

Gas leakages, Rupture of Gas cylinders / Pressurized Vessels / Pipe lines

Chemical, Biological, Radiological, Nuclear & Explosion Emergencies

Failure of Machines / Production

Human Error / Nuisance / Maniac

Terrorist Act

Fire Emergencies

The objectives of risk assessment are:

• To achieve a level of preparedness to safeguard the public and mitigate the impact

of the disaster.

• To prompt an effective disaster management strategy without causing panic

among the patients, visitors and the public.

4.2 DISASTER MANAGEMENT PLAN Hospital Disaster Management provides the opportunity to plan, prepare and when

needed enables a rational response in case of disasters/ mass casualty incidents (MCI).

Disasters and mass casualties can cause great confusion and inefficiency in the

hospitals. They can overwhelm the hospitals resources, staffs, space and or supplies.

Lack of any tangible plan to fall back upon in times of disaster leads to a situation

where there are many sources of command, many leaders, and no concerted effort to

solve the problem.


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A disaster planning shall be done in a way that the quality of care to the serious/ critical

patients is not compromised. The plan should aim at the survival and recuperation of

as many patients as possible.

An internal risk management authority is formed which may undertake periodic

evaluation of safety precautions to be followed by each department for hazard

recognition with the following steps:

1. Both Clinical and Non-clinical audits will be undertaken on a periodical basis to

identify the measures taken to prevent/reduce the impact of the potential

hazards.

2. All the staff of the hospital will be encouraged to routinely assess all activities

to identify potential hazards.

3. Departmental Heads and Managers will identify hazards within their specific

area of control. The same should be notified to the appropriate hospital

authorities for immediate corrective actions.

To make the proceedings easier, the hospital administrators will embark upon disaster

planning using a phase plan. The hospital emergency planning is divided into three

phases:

1) Pre disaster phase

(a) Planning: Risk assessment and planning for preparedness will be done, the

hospital plans will be formulated and then discussed in a suitable forum for

approval.

(b) The disaster manual: The hospital disaster plan shall be written down in a

document form and copies of the same should be available in all the areas of

the hospital.

(c) Staff education and training: Regular staff training by suitable drills shall be

undertaken in this phase.

2) Disaster Phase

(a) Phase of activation: Alter and notification of emergency.

(b) Activation of the chain of command in the hospital.

(c) Operational phase: This is the phase in which the actual tackling of mass

casualties will be performed according to the disaster/emergency plan.

(d) Phase of deactivation: When the administration/ command of the hospital will

be satisfied that the influx of mass casualty victims is not continuing to

overwhelm the hospital facilities.


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3) Post Disaster Phase

This is an important phase of disaster planning where the activities of the

disaster/ emergency phase will be discussed and the inadequacies will be noted for

future improvements.

4.3 SAFETY MEASURES: Fire Safety

All the arrangements shall be made as per National Building Code Part-IV: 2005

FIRE safety is so important to all hospital administrators, employees and designers

that the leadership in the hospital field should make every effort to keep abreast of

current developments in the fire safety field.

The basic principles of fire safety shall be kept in mind during the design, construction,

operation and maintenance of each hospital facility. Planning for fire safety can be

divided into five steps:

• Minimizing the chance of fire,

• Early discovery,

• Restricting fire spread,

• Extinguishing the fire, and

• Evacuating the building.

Fire Prevention:

To prevent the incidence of fire, appropriate measure to control fire hazards in the

building and maintenance of the building facilities has been practiced. The preventive

measures taken for fire safety are as follows:

➢ The hospital has been declared ‘No Smoking’ zone.

➢ Fire Detection & Alarm Systems are to be installed in different parts of the

hospital, in-case of the fire, on detecting fire the devices are activated and

hooter is alarmed in the security office.

➢ Fire Extinguisher: As per IS- 2190 Fire extinguishers, in appropriate sizes and

types, are to be provided throughout the hospital in every floor of the hospital.

The maintenance, Testing & inspection of Extinguishers as per schedule to be

carried out by a qualified persons. The theft of or tampering with an

extinguisher should be reported immediately to the Maintenance concerned

In-charge.


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➢ Emergency Exits shall be provided at places and no obstructions may be placed

in front of or upon any exit door.

Electrical Safety:

The following measures are required to be undertaken to ensure Electrical safety:

1. Routine Inspection of the power outlets throughout the hospital by the electrician.

2. Trip Switches are to be installed in different parts of the hospital to prevent short

circuits.

3. Periodic inspection of wires to ensures that they are in appropriate conditions.

4. Before any electrical appliance is brought into Hospital, a safety inspection is

necessary.

5. Electrical equipment not required during night is to be switched off.

6. Areas around electrical switchboards must be kept clear for a distance of at least 1

meter.

7. ABC type fire extinguisher is to be installed adjacent to electrical switchboards.

Bomb Threat:

Bomb threats are delivered in a variety of ways with the majority of threats being

called in to the target. In the event of a bomb threat, all personnel will follow the

following procedures:

i. The staff member receiving the call should make reasonable efforts to gain as

much information as possible. Keep the caller on the line as long as possible. Ask

who is calling, and have the caller repeat the message. Write down every word

spoken by the person making the call.

Class of Fire Description Suitable Type of Appliances

A Fire in ordinary combustibles (wood, fibers, rubber plastics, paper and the like)

Gas Expelled Water Type

B Fires in flammable liquids, paints, grease, solvents.

Fire extinguishers of CO2, Foam type, Dry powder type and buckets.

C Fire in gaseous substances under pressure including liquefied gases

Fire extinguishers of carbon dioxide and dry powder type

Electrical / Electronics Installations

IT & Server Rooms, Electrical Panels And equipments.

Dry Chemical Powder, CO2 and FM -200 or Clean agent type


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ii. If the caller does not indicate the location of the bomb or the time of the possible

detonation, the person receiving the call should ask the caller to provide this

information.

iii. Pay close attention to any strange or peculiar background noises such as motors

running, background music, or other noises that might give some clue

concerning the origin of the call.

iv. Immediately call the local Police Department regarding the threat & the caller.

v. Evacuation notification procedures will be activated to evacuate the buildings.

vi. The staff should direct and assist patients to exit the buildings consistent with

fire evacuation procedures

vii. The police and assigned staff (security Personal) will conduct an extensive search

of the building and remove the bomb with the help of Bomb Disposal Squad.

viii. The Director or authorized representative will approve re-entry into the building

after the search is completed and after consultation with the police for bomb

removal confirmation.

MOCK DRILL

a) Evacuation drills shall be conducted at established intervals not exceeding 12

months, at the start of each new season, and with new staff. Drills shall be

recorded in the operational log.

b) When the evacuation plan involves use of emergency services, they should be

involved in the preparation of the plan and should be accorded every opportunity

to undertake training or drills at least once per year for continuously operating

installations and prior to each opening for seasonal operations.

HOSPITAL SAFETY COMMITTEE:

The Hospital Safety Committee is a multidisciplinary committee consisting of five

members. It meets at least six times in a year to evaluate the various safety aspects of

the hospital. Committee undertakes detail analysis of the ongoing monitoring

activities and gives its feedback on the same .The Committee submits its report to the

Chief Medical Superintendent of the hospital.

The Hospital Safety Committee evaluates the ongoing monitoring activities on various

aspects of the following problems:

• Injuries to patients/ visitors

• Property damage.


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• Occupational illnesses and injuries to staff

• Hazardous materials and waste spills, exposures, and other related

incidents

• Security incidents involving patients, staff, students and visitors at Hospital.

• Fire-safety management problems, deficiencies, and failures.

• Medical equipment-management problems, failures, and user errors

• Utility systems management problems, failures, or user errors.

• Staff Unavailability (such as Weather Emergencies, natural disasters)

• Mass Casualty Patient Influx (such as Infectious Disease Outbreaks).

Role of the Hospital Safety Committee:

a. Provide guidance and direction in all phases of the Safety Management

Program.

b. Pro-active safety risk assessments of the clinical and clinical support areas of

hospital.

c. Facilitates the Environmental Monitoring Rounds.

d. Advising management of unsafe conditions or of non-compliance with

regulations and standards.

e. Conducts on-going safety education classes.

f. Responsible for proposing/revising safety policies.

GENERAL OUTLINE OF EMERGENCY PLANNING

➢ On site Emergency Plan

Role of Security I/C and Shift I’s/C

Emergency Control room with Emergency telephone numbers

Fire Wardens for each complex

Medical Aid / Hospital Available, Distance

Rehearsal / Training / SOP

➢ Off - site Emergency Plan

Local Fire Brigade at Distance

Disaster Management / Specialized Teams


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Dog Squad / Explosion Detective Teams

Hospital, Number of Doctors and Staff, Distance Availability round o’ clock Resources

Available

District / Police Authorities

Rehearsal / Training / SOP

ROLES, DUTIES & RESPONSIBILITIES AT THE TIME OF EMERGENCY

The emergency services provided are integrated with other departments of the

hospital.

Administrative Incharges, O.T- They will arrange operation theatres & adequate staff

and supervise the smooth movement of patients in & out of OTs. They will act as an

overall coordinator between medical & paramedical staff & ensure the functionality

of the OT & take care of the condition of their patients.

Duty Administrator- Coordinates with store incharges & ensure the availability of all

the desirable items. Allot the priorities to the casualties. Interact with CSO & police to

maintain calm in the hospital & instruct the staff to control any unwanted crowd. Keep

the interaction for mortuary & ice requirement.

Nursing Superintendent- Makes immediate arrangements for nursing staff in OTs,

Casualty & wherever needed and supervise the cwill be delivered by them. Check for

availability of medicine.

HOD, Department of Anesthesia- Arranges adequate no. of anesthesist. Organize OT

teams by name comprising of anesthetist, OT technicians, Nursing staff, bearers, safai

karamchari and allot their duties. Instruct & ensure that any bullets, arms, missile

recovered from the patient & hand over ultimately to the police after due signatures

from the operating surgeon. Keep chief coordinator informed on hourly basis.

Pharmacy & Central store- take immediate actions to replenish all the items used in

various wards/ areas. Regularly contact the local suppliers for emergency supply if

needed. They keep a sufficient inventory of vital & essential items as a part of

preparedness.

HOD, Imaging Services/ laboratories- check for availability of material like chemicals,

films, etc. look after the maintenance of the equipments & machines like X-ray

machine. Prepare CT/ MRI and immediate investigation as per the needs.

HOD Blood transfusion- ensures adequate availability of all elements of blood. Liase

with OT & casuality for blood demand. Arrange staff for blood grouping & cross

matching in Causality/ OT.


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Chief Engineer- ensures availability of all maintenance staff (electrician, plumber,

masson, pump operator, carpenter, etc.) thought the emergency period. Ensures

uninterrupted supply of water, power & gases.

Chief security officer- controls sudden rush or traffic. Keep a watch that no unwanted

elements are present in the treating area. Instructs his staff to assist casuality staff in

unloading & transporting patients.direct the visitors to control room. Coordinate with

police & help them in carrying out their duties.

EXTERNAL AGENCIES ENGAGED

External agencies engaged for risk assessment as well as risk management are:

• Government agencies (for eg. Hospitals, Fire, Police, civil administration,

Bomb disposal squad)

• Non Government Organizations,

• Private Hospitals,

• International relief agencies etc.

CHAIN OF COMMAND

A chain of command to be followed at the time of Emergency is as follows:

SAFETY INSPECTION AND RECORDS:

The Safety Management Officer or Committee may require periodic assessment of the

following inventory:

a. Environmental (lighting, dusts, gases, sprays, noises).


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b. Hazardous materials (flammable and caustic).

c. Equipment (biomedical equipments etc.).

d. Power equipment (boilers, motors, etc.).

e. Electrical equipment (switches, breakers, fuses, outlets, connections).

f. Hand tools.

g. Personal protective equipment (safety glasses, ventilators, radiation safety aprons

etc).

h. Personal service/first aid supplies (Medical Check Up).

i. Fire protection equipment (alarms and extinguishers).

j. Walkways/roadways (sidewalks, roadways).

k. Transportation equipment (Ambulances, lifts).

l. Containers (hazardous waste bags).

m. Structural openings (windows, doors, stairways).

n. Buildings/structures (floors, roofs, planter walls, fences).

o. Miscellaneous (any items not covered above).


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ANNEXURE–V: DISCLOSURE OF THE CONSULTANT SHOWING NABET/QCI ACCREDIATION STATUS


84



85


Annexure – VI:- TOPOGRAPHICAL MAP


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Annexure – VII: - LAND ALLOTMENT DOCUMENT


87


ANNEXURE – VIII: LAYOUT PLAN AFTER EXPANSION

Documents

FOR - environmentclearance.nic.inenvironmentclearance.nic.in/writereaddata/FormB/TOR/PFR/20_Mar... · Press Enclave Marg, Sheikh Sarai, Phase-II, New Delhi, Delhi-110017 Being Developed