“545 Bedded Hospital”environmentclearance.nic.in/writereaddata/EIA/030820196...“545 Bedded...

1

Application for Environmental Clearance

of

“545 Bedded Hospital”

Site no. 2, Zone H-4/5, Facility Centre

Pitampura, New Delhi

For: -

Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society

Regd. Off. -823, DLF Tower-A, Jasola District Centre, New Delhi-110025

PREPARED BY:

M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. (NABET Registered Vide list of accredited consultants organizations/ Rev.78 /10th July, 2019 at S.No.-112)

(An ISO 9001:2008 & ISO 14001:2004 Certified Company)

5th Floor, NN Mall, Sector 3, Rohini, New Delhi-110085

Phone: +91-11-49281360

TABLE OF CONTENTS

ENCLOSURE 1. FORM-I & IA ......................................................................................................................... 4

ENCLOSURE 2: CONCEPTUAL PLAN ......................................................................................................... 41

INTRODUCTION .......................................................................................................................................................... 42

ACTIVITIES/ AMENITIES ............................................................................................................................................. 42

SITE LOCATION .......................................................................................................................................................... 42

TYPE OF PROJECT ...................................................................................................................................................... 42

PROJECT DETAILS ...................................................................................................................................................... 42

POPULATION DETAILS ............................................................................................................................................... 45

WATER MANAGEMENT .............................................................................................................................................. 45

RAIN WATER COLLECTION DETAILS ........................................................................................................................... 45

POWER REQUIREMENT & BACK-UP ........................................................................................................................... 45

SOLID & HAZARDOUS WASTE MANAGEMENT ........................................................................................................... 46

PARKING MANAGEMENT ........................................................................................................................................... 46

GREEN AREA DEVELOPMENT .................................................................................................................................... 46

ENCLOSURE 3. ENVIRONMENT MANAGEMENT PLAN ......................................................................... 47

3.1 PROJECT DETAILS .................................................................................................................................... 49

3.1.1 . AREA DETAILS: ........................................................................................................................................... 50

3.1.2 POPULATION DETAILS ................................................................................................................................... 51

3.1.3 PARKING MANAGEMENT ............................................................................................................................... 51

3.1.4 POWER REQUIREMENT AND BACKUP DETAILS .............................................................................................. 52

3.1.5 WASTE WATER, RAIN WATER AND SOLID WASTE DETAILS ......................................................................... 52

3.2 LAND USE AND OWNERSHIP OF THE SITE LAND ............................................................................................. 53

3.3 LAND USE ..................................................................................................................................................... 53

3.4 LOCATION OF THE PROJECT WITH CONNECTIVITY .......................................................................................... 54

3.4.1 GEOGRAPHICAL INFORMATION OF SITE......................................................................................................... 54

3.4.2 TOPOGRAPHICAL MAP................................................................................................................................... 55

3.5 CONNECTIVITY OF THE PROJECT ................................................................................................................... 55

3.6 CENTRALLY PROTECTED MONUMENTS UNDER DELHI CIRCLE ...................................................................... 56

3.7 LAYOUT PLAN ............................................................................................................................................... 56

3.8 WATER MANAGEMENT ................................................................................................................................. 57

3.8.1 SOURCE OF WATER ....................................................................................................................................... 57

3.8.2 PRESENT QUALITY ........................................................................................................................................ 57

3.8.3 WATER REQUIREMENT .................................................................................................................................. 57

3.8.4 DISPOSAL ...................................................................................................................................................... 58

3.9 AIR AND NOISE MANAGEMENT ..................................................................................................................... 59

3.9.1 DURING CONSTRUCTION PHASE .................................................................................................................... 59

3.9.2 DURING OPERATION PHASE .......................................................................................................................... 59

3.10 ENERGY CONSERVATION MEASURES ............................................................................................................ 59

3.11 ENVIRONMENT MANAGEMENT ...................................................................................................................... 59

3.11.1 ENVIRONMENT MANAGEMENT DURING CONSTRUCTION PHASE ............................................................... 60

3.11.1.1 AIR ENVIRONMENT ......................................................................................................................... 60

ANNUAL WINDROSE DIAGRAM.................................................................................................................................. 60

3.11.1.2 NOISE ENVIRONMENT ........................................................................................................................... 61

3.11.1.3 WATER ENVIRONMENT ......................................................................................................................... 62

3.11.1.4 SOLID WASTE MANAGEMENT ............................................................................................................... 62

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“545 Bedded Hospital” at Site no. 2, Zone H-4/5, Facility Centre, Pitampura. New Delhi

By Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society

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

3.11.2 ENVIRONMENT MANAGEMENT DURING OPERATION PHASE ...................................................................... 63

3.11.2.1 AIR ENVIRONMENT ......................................................................................................................... 63

3.11.2.2 NOISE ENVIRONMENT .................................................................................................................... 63

3.11.2.3 WATER MANAGEMENT .................................................................................................................. 64

3.11.2.3.1 WASTE WATER TREATMENT................................................................................................................. 64

3.1.1.1.1 SCHEME OF EFFLUENT TREATMENT PLANT............................................................................. 67

3.11.2.3.2 RAIN WATER HARVESTING ................................................................................................................... 68

3.11.2.4 WASTE MANAGEMENT .................................................................................................................. 71

3.11.2.4.1 MUNICIPAL SOLID WASTE .................................................................................................................... 71

3.11.2.4.2 BIOMEDICAL WASTE MANAGEMENT .................................................................................................... 72

3.11.2.4.3 HAZARDOUS WASTE MANAGEMENT: - ................................................................................................. 72

3.11.2.5 PLANTATION .................................................................................................................................... 72

3.11.3 ANTICIPITATED IMPACT & MITIGATION MEASURES ................................................................. 73

3.11.3.1 DURING CONSTRUCTION PHASE ................................................................................................. 73

3.11.3.2 DURING OPERATION PHASE ......................................................................................................... 74

3.12 ENVIRONMENT MONITORING PLAN ................................................................................................... 76

3.13 ENVIRONMENT MANAGEMENT COST ............................................................................................................ 77

3.13.1 CAPITAL COST .......................................................................................................................................... 77

3.13.2 RECURRING EXPENDITURE ........................................................................................................................ 77

3.14 CORPORATE ENVIRONMENT RESPONSIBILITY ............................................................................................... 77

ENCLOSURE 4. RISK ASSESSMENT ............................................................................................................ 79

4.1 RISK ASSESSMENT ................................................................................................................................... 80

4.1 DISASTER MANAGEMENT PLAN .......................................................................................................... 80

4.2 SAFETY MEASURES: ................................................................................................................................ 82

ENCLOSURE 5. DISCLOSURE OF THE CONSULTANT ............................................................................. 88

ENCLOSURE 6. EARLIER ENVIRONMENTAL CLEARANCE ................................................................... 91

ENCLOSURE 7. CERTIFIED COMPLIANCE REPORT ............................................................................... 99

ENCLOSURE 8. CENTRALLY PROTECTED MONUMENTS AROUND DELHI CIRCLE ........................104

ENCLOSURE 9. LAND PAPERS .....................................................................................................................106

ENCLOSURE 10. DUAC APPROVAL ............................................................................................................117

ENCLOSURE 11. WATER PERMISSION ..................................................................................................... 119

ENCLOSURE 12. AIRPORT AUTHORITY OF INDIA APPROVAL ........................................................... 121

ENCLOSURE 13. POWER ASSURANCE .......................................................................................................124

ENCLOSURE 14. TEST REPORTS .................................................................................................................126

ENCLOSURE 15. AIR DISPERSION REPORT ..............................................................................................136

ENCLOSURE 16. TRAFFIC ASSESSMENT REPORT ..................................................................................148

ENCLOSURE 17. LANDSCAPE REPORT ................................................................................................... 162

ENCLOSURE 18. TOPOGRAPHICAL MAP ................................................................................................ 164

ENCLOSURE 19. LAYOUT PLAN ................................................................................................................166

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ENCLOSURE 20. TYPICAL BASEMENT PARKING PLAN ...................................................................... 168

ENCLOSURE 21. FIRE FIGHTING PLAN .................................................................................................. 170

ENCLOSURE 22: STORM WATER DRAINAGE PLAN .............................................................................. 172

ENCLOSURE 23. SEWERAGE LAYOUT PLAN ......................................................................................... 174

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ENCLOSURE 1. FORM-I & IA

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APPENDIX I

(See paragraph – 8.9)

FORM 1

I. Basic Information

S.No. Item Details

1. Name of the project/s “545 Bedded Hospital”

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: 29999.34 m2 (2.999934 ha.)

Total Built up area: 94956.31 m2

4. New/ Expansion/ Modernization New

The project has already been granted Environmental

Clearance for the construction of Hospital vide letter

no. 21-1114/2207-IA.III dated 14.11.2008 for plot

area 29999.34 m2 and built-up area 96740.19 m2.

However, only excavation & part basement

construction has been done after the grant of

Environmental Clearance and no construction has

been carried out after that. Environmental Clearance

has also been expired.

Now, due to change in planning, the built-up area

shall be revised to 94956.31 m2.

5. Existing Capacity/ Area etc. Not Applicable

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

However, the tenure of SEAC (Delhi Committee) has

been completed so the application is being applied to

MoEF & CC.

7. Does it attract the general condition? If

yes, please specify.

No

8. Does it attract the specific condition? If

yes, please specify.

No

9. Location

Plot/ Survey/ Khasra No. Site No. – 2, Zone H-4/5, Facility Centre

Village Pitampura

Tehsil Saraswati Vihar

District North West Delhi

State New Delhi

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10. Nearest railway station/ airport along

with distance in kms.

Nearest Railway Station:

Shakur Basti Railway Station, 1.83 km SE

Nearest Airport:

Indira Gandhi International Airport, 14.72 km SSW

11. Nearest Town, city, District

Headquarters along with distance in

kms.

Project is in Delhi Itself.

12. Village Panchayats, Zilla Parishad,

Municipal Corporation, Local body

(complete postal addresses with

telephone nos. to be given)

North Delhi Municipal Corporation at Pitampura

Village, Saraswati Vihar, Pitampura, New Delhi-

110034.

13. Name of the applicant Dr. Narayan Dutt Shrimali Foundation International

Charitable Trust Society

14. Registered Address 823, DLF Tower - A, Jasola District Center, New

Delhi - 110025

15. Address for correspondence:

Name Mr Harsh Vardhan Bansal

Designation (Owner/Partner/CEO) Secretary

Address 823, DLF Tower - A, Jasola District Center, New

Delhi

Pin Code 110025

E-mail [email protected]

Telephone No. 9811612189

011-20218668

Fax no. -

16. Details of Alternative Sites examined,

if any. Location of these sites should be

shown on a Topo sheet.

No alternative site has been chosen. The land has

been given on lease by DDA to Dr. Narayan Dutt

Shrimali Foundation International Charitable Trust

Society for development of Integrated Hospital.

17. Interlinked Projects No

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

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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, 1991?

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 forest land is involved.

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.

Not Applicable

Not Applicable

Not Applicable

II. 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 As per the Master Plan Delhi 2021, the site has already been

earmarked for Hospital. Hence, there will be no change in

Land Use.

However, land cover shall change to Hospital Building.

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1.2 Clearance of existing

land, vegetation and

buildings?

No At proposed site, excavation & part basement construction has

already been done after the grant of Environmental Clearance

and no other construction has been carried out after that. Also,

around 70-80 trees are present at the site which shall be

transplanted within the site during construction.

1.3 Creation of new land

uses?

No Since, the land of the proposed project has already been

earmarked for Hospital building as allowed according to the

Master Plan of Delhi 2021.

Hence, there will be no creation of new land uses.

1.4 Pre-construction

investigations e.g. bore

houses, soil testing?

Yes Pre-construction Geo-technical investigation have been done.

1.5 Construction works? Yes

Construction will be done as per approved Building Plan/

Master Plan.

1.6 Demolition works? No There will be no demolition works.

1.7 Temporary sites used

for construction works

or housing of

construction workers?

No Not Applicable.

1.8 Above ground

buildings, structures or

earthworks including

linear structures, cut and

fill or excavations

Yes The building will be elevated to height of maximum height of

45 m at terrace level. At proposed site excavation & part

basement construction has already been done after the grant of

Environmental Clearance. The maximum level of basement is

two.

1.9 Underground works

including mining or

tunnelling?

No Not applicable

1.10 Reclamation works? No Not applicable

1.11 Dredging? No Not applicable

1.12 Offshore structures? No Not applicable

1.13 Production and

manufacturing

processes?

No No production or manufacturing will be done as the proposed

land will be used for Hospital and for development of hospital

related infrastructures.

1.14 Facilities for storage of

goods or materials?

Yes During Construction Phase:

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Separate raw material yard will be made within the project

site.

Cement will be separately stored under cover in bales.

Sand will be stacked nearby under tarpaulin cover.

Bricks and steel will be laid in open.

During Operation Phase:

As the proposed project is a Hospital, hence, the material will

be chemicals, medicines, other biomedical materials,

radioactive material etc. which will be stored in respective labs

or storage rooms. The chemicals within threshold limit will be

stored properly as per MHISC rules.

1.15 Facilities for treatment

or disposal of solid

waste or liquid

effluents?

Yes During Construction phase:

Approx. 150 labours shall be hired during the construction

phase. Hence, the solid waste of 23 kg/day shall be generated

from labours which shall be disposed off to municipal solid

waste management site.

Construction debris like Concrete will be reused for backfilling

& waterproofing for terrace, toilets etc. Tiles will be used in

creating pathways in the landscape area, & rest will be sent to

the construction & demolition facility.

Total 6 KLD waste water shall be generated from construction

labours which will be discharged to septic tank followed by

soak pit.

During operation phase:

The biodegradable waste shall be disposed to organic waste

converter for conversion to manure. The recyclable solid waste

shall be sent to approved recycler for disposal. While, the

biomedical waste shall be sent to approved biomedical waste

service provider for disposal.

The waste water generated in the complex will be 422 KLD

(Laboratory Waste water-18 KLD and Sewage- 404 KLD).

The laboratory waste water of 18 KLD shall be treated in

Effluent Treatment Plant of capacity 25 KLD. 16 KLD treated

water shall be generated from ETP which shall be retreated in

STP. The 404 KLD of sewage generated & 16 KLD treated

water generated from ETP shall be treated in STP of 500 KLD.

399 KLD of treated water shall be generated from STP which

shall be completely reused in flushing, gardening, cooling and

misc. purposes. It will be zero discharge complex.

Details are given in Environmental Management Plan.

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1.16 Facilities for long term

housing of operational

workers?


Approx. 150 no. of labours will be hired during construction

phase. Separate housing in the form of hutments shall be

provided on the site for around 100 labours. Other labour will

come from nearby areas. There shall be provision of crèche

facility, kitchen, temporary toilets & bathrooms, drinking

facility, rest room and first aid facility within the hutments.


As the proposed project is Hospital hence staff will only be

needed in the hospital which will be from the nearby areas.

Separate housing will not be provided.

1.17 New road, rail or sea

traffic during

construction or

operation?

No No new road, rail or sea traffic is proposed. Existing

transportation facilities will be used during construction or

operation phase.

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. Exiting facilities

shall be used

Existing transport facilities near site are given below:

Nearest Railway Station:

Shakur Basti Railway Station, 1.83 km SE

Nearest Airport:

Indira Gandhi International Airport, 15.21 km SSE

Nearest Highway:

NH-10, 1.21 km S

Nearest Metro Station:

Paschim Vihar East Metro Station, 1.55 km SW

1.19 Closure or diversion of

existing transport routes

or infrastructure leading

to changes in traffic

movements?

No No such closure or diversion of existing transport is required.

1.20 New or diverted

transmission lines or

pipelines?

No No new or diversion of transmission lines or pipelines would

be done.

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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 watercourse is required.

1.22 Stream crossings? No No stream crosses the project site.

1.23 Abstraction or transfers

of water from ground or

surface waters?

No

No abstraction of ground water is proposed.

1.24 Changes in water bodies

or the land surface

affecting drainage or

run-off?

No There will be no changes in water bodies on the land and

drainage or run-off.

1.25 Transport of personnel

or materials for

construction, operation

or decommissioning?


Materials during construction phase will be transported by

truck, trolley etc. Parking of trucks will be provided in case of

emergency.


Ambulances, Cars, two – wheeler etc. will be used during

operation phase.

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

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1.28 Influx of people to an

area in either

temporarily or

permanently?

Yes During Construction phase

Temporary but a long-term influx of people in the form of

labours will be there till construction is done. Approx. 150 no.

of local labour shall be employed.

During operation phase

Influx of people will be as follows:

Particulars Proposed Details

No. of IPD Patients 545

No of OPD Patients 2000

Staff 1635

Visitor 2000

Total Population 6180

1.29 Introduction of alien

species?

No As on date, there is no history of alien species at the proposed

site.

1.30 Loss of native species or

genetic diversity?

No There shall not be any cutting of existing tree species. Around

70-80 trees are present on the site which shall be transplanted

within the site during construction. Hence, there will not be

any 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)

Yes 29999.34 m2 of undeveloped land shall be

developed into Hospital Building. The land has

been given on lease by DDA to Dr. Narayan Dutt

Shrimali Foundation International Charitable Trust

Society for development of Integrated Hospital

Building. Excavation & part basement construction

has been done after the grant of Environmental

Clearance vide letter no. 21-11114/2007-IA-III

dated 14.11.2008 and no construction has been

carried out after that.

2.2 Water (expected source &

competing users) unit: KLD

Yes Source & Quantity During Construction phase:

For construction purpose: Water during

construction phase will be taken from tanker water

12




supplier which supply treated water from STP of

nearby area.

For drinking purpose: Tanker supply

Source & Quantity During Operation Phase:

The total water requirement of the project will be

759 KLD. Out of which, fresh water requirement

will be 360 KLD. The fresh water requirement shall

be met by Delhi Jal Board.

Detailed Water Management & Water Balance are

given in Environment Management Plan.

2.3 Minerals (MT) No Not Applicable

2.4 Construction material – stone,

aggregates, sand / soil

(expected source – MT)

Yes Building materials will be sourced from indigenous

supply. The major materials required for

construction of the project will be steel, tiles, glass,

cement, agate, bricks, flooring tiles/stones, sanitary

and hardware items, electrical fittings etc.

2.5

Forests and timber (source –

MT)

Yes Wood for Doors shutters/ furniture will be used as

per the requirement.

2.6 Energy including electricity and

fuels (source, competing users)

Unit: fuel (MT), energy (MW)

Yes Source of power supply: TATA Power DDL

Power requirement: 5500 kVA

DG Sets: 2 x 1010 kVA and 2 x 1500 kVA

Fuel: Low Sulphur Diesel

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. Information/Checklist

confirmation

Yes/

No

Details there of (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 As proposed project involves Hospital, chemicals

shall be used. The chemicals within threshold limit

will be stored properly as per MHISC rules.

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3.2 Changes in occurrence of

disease or affect disease

vectors (e.g. insect or water

borne diseases)

No Since the proposed project is a hospital, there would

be generation of bio-medical wastes which could lead

to infections.

Suitable drainage and waste management measures

including bio-medical waste will be adopted during

operational phase. There will be no stagnation of

water or accumulation of water outside or within the

complex.

3.3 Affect the welfare of people

e.g. by changing living

conditions?


This project shall provide employment to approx. 150

no. of local labours during construction phase which

shall lead to better quality of life & also set a standard

for future developments in the area.


There would be generation of employment

opportunities after the development of hospital as

nurses, doctors & staff and other consultants will be

required.

Type Population

Working Staff & employee 1635

The hospital will have a positive impact as it will be

used for treatment of patients. No adverse changes in

living conditions are anticipated as land is earmarked

for development of Hospital building.

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 are seen near the

project site.

3.5 Any other causes Yes There will be generation of Bio-medical waste,

which will be given to State Approved Biomedical

Waste Service Provider for final disposal.

Radioactive waste will be generated from the

Oncology department which shall be disposed off in

accordance with the Atomic Energy (Safe disposal of

radioactive waste) rules.

14




4. Production of solid wastes during construction or operation or decommissioning

(MT/month)


confirmation

Yes/

No

Details thereof (with approximate

quantities/rates, wherever possible) with source of

information data

4.1 Spoil, overburden or mine

wastes

No Not applicable

4.2 Municipal waste (domestic

and or commercial wastes)

Yes During construction

Domestic waste –23 kg/day shall be generated from

150 no. of labours which shall be disposed off to

municipal solid waste management site.

During operation

Total Solid Waste generation will be 1091 kg/day.

Out of which 654 kg/day biodegradable waste will

be treated in Organic Waste convertor while 218

kg/day recyclable waste and 218 kg/day plastic

waste will be given to approved recycler.

Detailed Solid Waste Description is given in

Environment Management Plan.

4.3 Hazardous wastes (as per

Hazardous Waste

Management Rules)

Yes Production of hazardous wastes in form of

radioactive wastes and chemical waste shall be there.

Proper management & disposal of chemical waste

and radioactive waste will be done. 48 lt/month of

used oil shall be given to Approved vendor

Hazardous & other waste (Management & Handling)

Rules, 2016

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 30.5 kg/day dried sludge will be generated

from STP of capacity 500 KLD. This sludge will be

passed through filter press where it will be

dewatered/ dried & form a cake and then it shall be

used as manure in green areas and excess shall be

given to farmers/ nurseries.

4.7 Construction or demolition

wastes

No Not Applicable since it is a new project

4.8 Redundant machinery or

equipment

No Not applicable

15




4.9 Contaminated soils or other

materials

No Not applicable

4.10 Agricultural wastes No Not applicable

4.11 Other solid wastes Yes During operation phase, E-Waste of approx. 3-4

kg/month shall be generated from the project which

shall be given to approved recycler.

Radioactive waste will be generated from the

Oncology department which shall be disposed off in

accordance with the Atomic Energy (Safe disposal of

radioactive waste) rules of 1987 promulgated by the

Indian Central Government Atomic Energy Act

1962.

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

S. No Information/Checklist

confirmation

Yes/

No

Details thereof (with approximate quantities/rates,


5.1 Emissions from

combustion of fossil fuels

from stationary or mobile

sources.


DG sets of capacities 1×125 kVA shall be installed

acoustically enclosed with adequate stack height.


The only source of emission from combustion of fossil

fuels will be DG sets of 2×1010 kVA and 2×1500 kVA

Hence, to avoid the emissions, stack height of 6 m above

roof level for the DG set shall be provided. The DG set

shall meet all the norms prescribed by CPCB.

5.2 Emissions from

production processes

No Not Applicable

5.3 Emissions from materials

handling including

storage or transport Yes

Dust shall be generated during construction from the

movement of transport vehicles and other construction

activities. The effect will be restricted to construction

phase only.

Water sprinklers shall be used for dust suppression.

Material will be stored under tarpaulin cover.

5.4 Emissions from

construction activities

Yes Batching Plant shall be installed during construction

phase for which necessary approval shall be taken. Dust

& emissions shall be generated during construction

activities which shall be reduced by sprinkling of water

16




including plant and

equipment

in a specific time interval & timely maintenance schedule

for machinery. Also, the machines shall be kept shut

down during idle period.

5.5 Dust or odours from

handling of materials

including construction

materials, sewage and

waste


During loading and unloading of construction material

dust is likely to be generated during construction phase.

Water shall be sprinkled and tarpaulin cover shall be

provided over stored raw material to reduce dust

emission.


The sewage generated will be treated in STP of 500 KLD

and effluent generated from laboratory shall be treated in

ETP of 25 KLD & then retreated in STP. Proper

ventilation will be provided to control odour from STP

& ETP.

Biomedical waste shall be segregated and sent to State

Approved Biomedical Waste Service Provider for final

disposal.

Organic waste shall be treated in Organic Waste

Convertor & converted into manure.

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

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


confirmation Yes/

No



with source of information data

6.1 From operation of equipment

e.g. engines, ventilation

plant, crushers.


Due to operation of machinery and equipment during

construction of proposed project.

17




During construction, the equipment such as mixer

machines, bulldozers, cranes, compactors will be used

which is of highest standard and adhered to international

standards. These standards itself will take care of noise

pollution control/ vibration control and air emission

control. Hence, an insignificant impact due to

construction machinery will be envisaged.

Apart from this, the construction activities will be

restricted to daytime only.

During Operation phase:

The DG Sets of capacity 2×1010 kVA and 2×1500 kVA

shall be installed in acoustically treated room on Surface.

Vibration pads in DG sets shall be provided to minimize

the vibration effect.

6.2 From industrial or similar

processes

No Not applicable

6.3 From construction or

demolition

Yes Due to the various activities, there will be short-term

noise impacts in the immediate vicinity of the project site.

This shall be restricted to day time only.

It has been estimated that during the construction period

the average noise level will be 70-75 dB (A) during peak

construction hours.

Barricading of site shall be done in order to reduce noise

impacts outside the project boundary.

6.4 From blasting or piling No Not Applicable

6.5 From construction or

operational traffic

Yes Some amount of noise will be generated from vehicular

movement in construction and operational phase around

the boundary wall shall be done to reduce noise from

traffic.

6.6 From lighting or cooling

systems

No Not Applicable

6.7 From any other sources No None

18




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:


confirmation

Yes/

No



7.1 From handling, storage,

use or spillage of

hazardous materials

Yes

As the proposed project is a Hospital, chemicals will be

used which may be hazardous in nature. The chemicals

within threshold limit will be stored properly as per

MHISC rules.

Used oil from DG sets will be stored in HDPE drums and

kept in covered rooms under lock & key. Special care shall

be taken to prevent leakages and spills.

7.2 From discharge of sewage

or other effluents to water

or the land (expected

mode and place of

discharge)

Yes The waste water generated in the complex will be 422

KLD (Laboratory Waste water-18 KLD and Sewage- 404

KLD). The laboratory waste water of 18 KLD shall be

treated in Effluent Treatment Plant of capacity 25 KLD.

16 KLD treated water shall be generated from ETP which

shall be retreated in STP. The 404 KLD of sewage

generated & 16 KLD treated water generated from ETP

shall be treated in STP of 500 KLD. 399 KLD of treated

water shall be generated from STP which shall be

completely reused in flushing, gardening, cooling and

misc. purposes. It will be zero discharge complex.

7.3 By deposition of

pollutants emitted to air

into the land or into water

Yes The only source of air emission will be DG sets &

vehicular emissions. The DG sets adhering to CPCB

standards will be installed with adequate stack height. The

emission from DG sets will be dispersed in the air & will

not create any contamination to land or water.

7.4 From any other sources Yes Risk of occurrence of disease from biomedical waste can

be observed.

204 kg/day of biomedical waste shall be generated from

the Hospital complex. The Biomedical wastes shall be

disposed as per Bio medical waste (management &

handling) rules, 2016.

Radioactive waste will be generated from the Oncology

department which shall be disposed off in accordance with

the Atomic Energy (Safe disposal of radioactive waste)

rules of 1987 promulgated by the Indian Central

Government Atomic Energy Act 1962.

7.5 Is there a risk of long-term

build-up of pollutants in

the environment from

these sources?

No None

19




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

human health or the environment.


confirmation

Yes/

No



8.1 From explosions, spillages,

fires etc. from storage,

handling, use or production

of hazardous substances

Yes The possible sources of accidents from explosions,

spillages, fires etc. from storage, handling would be diesel,

chemicals from laboratory, pharmaceutical wastes etc.

Proper care shall be taken and fire-fighting system shall be

installed within the complex to avoid any accident.

8.2 From any other causes Yes During Construction Phase

The possible sources of accidents would be mis

happenings due to other sources from the complex can be

electrical shocks, mechanical damages etc. PPE shall be

provided to the labours.


The possible sources of accidents from the other sources

in the complex would be radiation leaks, mechanical

accidents, chemical/biomedical hazards etc. Proper care

shall be taken to avoid it.

8.3 Could the project be

affected by natural disasters

causing environmental

damage (e.g. floods,

earthquakes, landslides,

cloudburst etc)?

Yes The area under study falls in Zone-IV, according to the

Indian Standard Seismic Zoning Map. Suitable seismic

coefficients in horizontal and vertical directions

respectively has been adopted while designing the

structure.

For reasons of earthquake: Earthquake measures has been

incorporated in the building design. However, the area is

not prone to flood and landslide etc.

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. Information/Checklist

confirmation

Yes/No Details there of (with approximate

quantities/rates, wherever possible) with source

of information data

9.1 Lead to development of

supporting facilities, ancillary

development or development

20




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

No

No

No

No

No

Not Applicable

Not Applicable

Not Applicable

Not Applicable

Not Applicable

9.2 Lead to after-use of the site,

which could have an impact

on the environment

No Proper care shall be taken to avoid any adverse

impact on the environment

9.3 Set a precedent for later

developments

Yes It will attract people to develop organized and

environment friendly Hospital.

9.4 Have cumulative effects due

to proximity to other existing

or planned projects with

similar effects

No No impact

III. 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

Ancient Mosque (Babur’s Period)

together with adjacent area comprised

in part of Survey plot No. 177

Delhi fort or Lal Qila, NaubatKhana,

Diwan-i-am, Mumtaz Mahal' Rang

Mahal, Baithak,MaseuBurj, diwan-i-

Khas' Moti Masjid, sawanBhadon

,Shah Burj, Hammam with all

surrounding including the gardens,

paths, terraces and water courses.

Salimgarh Fort, comprising the main

gate on North, Ancient structure near

the main gate and the entire

fortification wall

11.10 km SSW

13.20 km SEE

13.31 km SEE

21




Fortification Wall AsadBurj, Water

gate, Delhi Gate, Lahori Gate,

Jahangiri Gate, Chhattra Bazar, Baoli

13.70 km SEE

2 Areas which are important or

sensitive for ecological

reasons - Wetlands,

watercourses or other water

bodies, coastal zone,

biospheres, mountains,

forests

Water Bodies

Lake near Madipur

Najafgarh Drain

Japanese Park Lake

Swarna Jayanti Lake

Delhi Tail Distributary (Western

Yamuna Canal)

Nangloi Distributary

Distributary near Nithari

Pond near Ambedkar Nagar

Supplimetary Drain

Bhalswa Lake

Pond near Model Town

Mundka Minor

Nalni Lake

Santokh Sarover

Madanpur Distributary

Sultanpur Minor

Drain near Kamalpur

Drain near Chandpur Kalan

Yamuna River

Reserve Forest

Central Ridge Reserve Forest

Northern Ridge Reserve Forest

2.14 km SSE

2.95 km S

3.07 km NNE

4.05 km NNE

4.18 km NE

4.28 km NNW

5.22 km NWW

5.43 km NE

6.69 km NNE

7.61 km NE

7.85 km NE

8.14 km NW

8.16 km NEE

9.31 km NE

9.55 km NWW

9.78 km NWW

10.17 km NE

10.57 km NW

11.32 km NE

8.48 km SE

9.48 km SEE

3 Areas used by protected,

important or sensitive

species of flora or fauna for

breeding, nesting, foraging,

resting, over wintering,

migration

None within 15 km Radius None within 15 km

Radius

4 Inland, coastal, marine or

underground waters

None None

5 State, National boundaries

U.P State Boundary 14.01 km NE

6 Routes or facilities used by

the public for access to

recreation or other tourist,

pilgrim areas

Roads

NH-10

NH-1

NH-8

Railway Station

Shakur Basti Railway Station

Nangloi Railway Station

Adarsh Nagar Railway Station

Daya Basti Railway Station

1.21 km S

6.52 km NEE

11.67 km SSE

1.83 km SE

5.27 km SWW

5.85 km NEE

6.19 km SE

22




Badli Railway Station

Sarai Rohilla Railway Station

Mundka Railway Station

Khera Kalan Railway Station

Subzi Mandi Railway Station

Kisanganj Railway Station

Sadar Bazar Railway Station

Ghevra Railway Station

New Delhi Railway Station

Airport

Indira Gandhi International Airport

Metro Station

Paschim Vihar West Metro Station

Paschim Vihar West Metro Station

Madipur Metro Station

Rohini East Metro Station

Peeragarhi Metro Station

Pitampura Metro Station

Kohat Enclave Metro Station

Netaji Subhash Place Metro Station

6.65 km NNE

7.73 km SE

8.01 km W

8.69 km N

8.83 km SE

8.96 km SE

10.70 km SE

11.11 km W

11.54 km SE

15.21 km SSE

1.30 km S

1.55 km SW

1.58 SSE

2.14 km SW

2.17 km SSE

2.47 km NE

2.90 km ENE

3.94 km E

7 Defence installations

None within 15 km Radius None within 15 km

Radius

8 Densely populated or built-

up area

Mangolpuri S Block 1.93 km NWW

23




9 Areas occupied by sensitive

man-made land uses

(hospitals, schools, places of

worship, community

facilities)

Hospital

Bhagwan Mahavir Hospital, H-45,

Pitampura

Navjeevan Hospital, A-12

Pushpanjali Enclave, Pitampura

Saransh Hospital,2949, Sant

Nagar,Pitampura

Post Office

Post Office Saraswti Vihar, C-Block,

Main Market, Pitampura

Post Office Rani Bagh, 927 Rishi

Nagar, Pitampura

Post Office, 2876 Sant NagarRani

Bagh Pitampura

Place of Worship

Sankat Mochan Shiv Shakti Mandir,

Guru Sandeepan Marg,Saraswati

Vihar, Pitampura

Shiv Mandir, Multani Mohalla,

Pitampura

Shri Sheetla Devi Mndir, Block-L,

Raj Nagar, Pitampura

School

Maxfort School, Zone H-4&5,

CHBS Moulana Azad Society,

Pitampura

Bal Bharti Public School, Parwana

Rd, Pitampura

Apeejay School, Plot No.-10, Road

No.-42, Sanik Viha, Pitampura

Bank

HDFC Bank, Community Centre,

NN Tower, 23A, Rani Bagh,

Pitampura

Nainital Bank, Shatabdi House,

Commercial Complex, Rohit Kunj,

Pitampura

Induslnd Bank, CHBS Ltd. Society,

Kohat Enclave, Pitampura

0.51 km SEE

0.59 km NNW

1.94 km E

1.58 km NE

1.63 km SEE

1.89 km E

1.78 km NE

1.99 km SEE

2.90 km E

0.21 km NW

0.39 km NW

0.81 km E

2.16 km SEE

2.70 km NEE

2.71 km NEE

24




10. Areas containing important,

high quality or scarce

resources

(Ground water resources,

surface resources, forestry,

agriculture, fisheries,

tourism, minerals)

Ancient Mosque (Babur’s Period)

together with adjacent area comprised


Delhi fort or Lal Qila, NaubatKhana,

Diwan-i-am, Mumtaz Mahal' Rang

Mahal, Baithak,MaseuBurj, diwan-i-

Khas' Moti Masjid, sawanBhadon

,Shah Burj, Hammam with all

surrounding including the gardens,

paths, terraces and water courses.

Salimgarh Fort, comprising the main

gate on North, Ancient structure near

the main gate and the entire

fortification wall

Fortification Wall Asad Burj, Water

gate, Delhi Gate, Lahori Gate,


11.10 km SSW

13.20 km SEE

13.31 km SEE

13.70 km SEE

11 Areas already subjected to

pollution or environmental

damage. (Those where

existing legal environmental

standards are exceeded)

Wazirpur Critically Polluted Area

Anand Parvat Critically Polluted

Area

5.15 km NEE

6.54 km SE

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)

Area falls in Seismic

Zone IV

25

26




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.

The proposed project will be located at Site no. 2, Zone-

H 4/5, Facility Centre, Pitampura, New Delhi.

Since, the site has already been earmarked for Hospital

Complex. Hence, there will be no change in land use of

the proposed site.

However, land cover shall change to Hospital Building.

Yes, the proposed development conforms to the Master

Plan of Delhi, 2021.

The site location is given in Environment Management

Plan.

Location Map is given Environment Management Plan.

Layout Plan is enclosed in Environment Management

Plan.

1.2 List out all the major project

requirements in terms of the

Land area,

Built up area

Water consumption

Power requirement

Community Facility

Connectivity

Plot Area: - 29999.34 m2

Built-Up Area: - 94956.31m2

759 KLD

5500 kVA

None

Nearest Highway: - NH-10, 1.21 km S

Nearest Railway Station: - Shakur Basti Railway

Station, 1.83 km SE

Nearest Airport :- Indira Gandhi International Airport,

14.72 km SSW

27




Parking needs etc.

Nearest Metro Station- Rohini East metro Station, 2.45

km NE

Parking Required: - 1046 ECS

Parking Provided: - 1116 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 land

use, and disturbance to the local

ecology).

During construction of hospital building proper care will

be taken to minimize the dust effects during 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).

Soil Type: Silt loam

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: Seismic Zone-IV, for which appropriate

safety measures shall be taken.

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)

Yes, there will be any alterations of natural drainage

system due to construction of the proposed Hospital.

Artificial contour shall be maintained and proper

drainage system shall be provided.

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.)

During construction phase-

Excavation & part basement construction has already

been done as per the grant of Environmental Clearance

granted. During part basement (2 level) construction, soil

was excavated which was used for backfilling purposes

in nearby areas & out of it, top soil generated was used

for landscaping purpose in nearby areas.

There shall be done further excavation for foundation and

basement. The further excavated soil will be used for

backfilling purposes within the site and out of it, top soil

shall be preserved separately and will be used for

landscaping purpose only.

In total Approx. 112332 m3 of soil excavation is involved

for providing foundation and 2 levels of basement

completely.

C& D waste shall be disposed as per C&D Rules. Hence,

no immediate adverse impacts on the land environment

are envisaged.

28




1.7 Give details regarding water supply,

waste handling etc during the

construction period.

Water Supply:

During construction stage, water will be sourced through

STP treated water for construction activities & tanker

suppliers for drinking purpose.

Waste Generation / Handling:

The solid waste of 23 kg/day shall be generated from

labours which shall be disposed off to municipal solid

waste management site.

For construction labour, proper sanitary facilities & wash

areas shall be constructed and good hygienic conditions

shall be maintained.

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 wetland area exist 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)

Construction debris like Concrete will be reused in

backfilling & for levelling of land/ back filling. Tiles will

be used in creating pathways in the landscape area etc.

Recyclable waste like aluminium, steel, wood pieces,

cement bags, plastic containers, cartons, glass etc. will be

sold to authorized recyclers.

The solid waste of 23 kg/day shall be generated from

labours which shall be disposed off to municipal solid

waste management site. Temporary toilets & drinking

water facility for construction labour will be provided.

The waste water generated during construction phase will

be 6 KLD sewage which will be discharged into septic

tank followed by soak pit.

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 have

met?

State the sources & quantities and

furnish a water balance statement.

The total quantity of water requirement will be 759

KLD. Out of which, fresh water requirement will be 360

KLD. The break-up details are given in Environment

Management Plan.

Fresh Water requirement will be met by Delhi Jal Board

(DJB)

Water Balance Diagram is given in Environment

Management Plan.

29




2.2 What is the capacity (dependable

flow or yield) of the proposed source

of water?

Delhi Jal Board (DJB) which is the dependable source

of water is the proposed source of supply.

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)

The quality of water complying with IS 10500 is

required. In case, if municipal water is not available,

quality of water complying with IS 10500 will be

arranged.

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)

399 KLD of treated water shall be generated from STP

which shall be completely reused in flushing, gardening,

cooling and misc. purposes. It will be zero discharge

complex.

Hence 52.56 % of total water requirement will be met

from recycled water.

2.5 Will there be diversion of water from

other users?

(Please assess the impacts of the

project on other existing uses and

quantities of consumption)

There will not be any substantial effect on water demand

of this region as the development will be done as per the

development plan.

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)

There is no incremental pollution load from the complex

as no waste water shall be discharged outside the

complex. It will be zero discharge complex.

2.7 Give details of the water requirements

met from water harvesting? Furnish

details of the facilities created.

No water requirement shall be met from rain water

harvesting however, 7 no. of rain water harvesting pits

shall be installed in the complex for recharging of

ground water only.

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?

There will be no impact of the proposed construction on

the run-off characteristics as runoff from the

construction site shall not be allowed into the roadside.

It will be collected in a tank & after pre-treatment it will

be reused for sprinkling, etc.

30




Would it aggravate the problems of

flooding or water logging in any way?

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).

Ground water extraction is not proposed in the complex.

However, 7 no. of rain water harvesting pits will be

provided for ground water recharge. Ground water

extraction, if required will be done with prior

permission from CGWA.

Thus, there will be no adverse impact on the ground

water.

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 of the proposed site,

runoff from the construction site shall not be allowed

into the roadside. It will be collected in a tank & after

pre-treatment it will be reused for sprinkling, etc.

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).

During construction phase

Adequate measures shall be taken to channelize storm

water and the same shall be collected in a tank & after

pre-treatment it will be reused for sprinkling etc.

During operation phase

Storm water, will be channelized to 7 no. of rainwater

harvesting pits to be installed within the complex.

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)

Approx. 6 KLD of waste water will be discharged from

labours employed during construction phase.

Temporary toilets will be provided for labourers during

construction period. The waste water shall be disposed

off to septic tank followed by soak pit.

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)

During Construction Phase-

Approx. 6 KLD Waste water will be discharged during

construction phase from labours. The waste water shall

be disposed off to septic tank followed by soak pit.

During Operation Phase-

The waste water generated in the complex will be 422

KLD (Laboratory Waste water-18 KLD and Sewage-

404 KLD). The laboratory waste water of 18 KLD shall

be treated in Effluent Treatment Plant of capacity 25

31




KLD. 16 KLD treated water shall be generated from

ETP which shall be retreated in STP. The 404 KLD of

sewage generated & 16 KLD treated water generated

from ETP shall be treated in STP of 500 KLD.

Details of STP & ETP are given in Environment

Management Plan.

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 for using treated water will be

provided in the Hospital.

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:

There exist, around 70-80 trees at the site which shall

be transplanted within the site during construction

after getting prior permission.

Buffer Zone:

Ashok Kikar Neem

Eucalyptus Peepal Gulmohar

Amaltas Kachnar Kadam

3.2 Will the construction involve extensive

clearing or modification of vegetation?

(Provide a detailed account of the trees

& vegetation affected by the project)

There exist, around 70-80 trees at the site which shall

be transplanted within the site during construction

after getting prior permission.

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)

The Shelter belt for the proposed project has been

planned to provide a clean, healthy and beautiful

green environment for the people to live in within the

proposed project site.

To minimize the impact, the provision of total

plantation area 5999.87 m2 (i.e. 20.00 % of total plot

area), with lawns, ornamental plants 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: This place is not a common habitat for

local fauna. However, fauna such as squirrel, Indian

Chameleon etc were commonly found.

There will not be any type of displacement or any

other effect on the local fauna due to proposed project

activities.

32




Buffer Zone:

There will not be any type of displacement or any

other effect on the local fauna due to proposed project

activities. No threat to the biodiversity as there is no

national park/wildlife sanctuary within 10 km radius

of the site.

4.2 Any direct or indirect impacts on the

avifauna of the area? Provide details.

At present, there exist, around 70-80 trees at the site

which shall be transplanted within the site during

construction after getting prior permission. However,

proper landscaping has been planned to provide a

clean, healthy and beautiful green environment for

the population.

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

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 present air quality of the area has been measured.

Test reports are Enclosure along with EMP.

The traffic will increase due to the proposed Hospital.

Increased traffic generation of vehicles due to Hospital

will not cause increase in atmospheric concentration

of gases and will not result in the heat island

formation.

Tree plantation in the complex shall minimize the

impact of air pollution.

D.G. sets will be provided with adequate stack for

better dispersion of the flue gases.

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.

During construction phase sprinkling will be done so

no dust and odour will be generated at site. The only

source of dust generation at the site during the

operation phase will be traffic movement. However,

regular cleaning of dust from roads shall be taken care

of.

33




Smoke will be generated from the operation of DG

sets. Proper emission standards will be 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 at

Basement-1, Basement-2 and Surface Parking. Hence

there will be no shortage of parking space for vehicles.

The total parking requirement of the project will be

1046 ECS. Total parking provision of complex will be

1116 ECS.

5.4 Provide details of the movement patterns

with internal roads, bicycle tracks,

pedestrian pathways, footpaths etc., with

areas under each category.

In the proposed Hospital project, separate entry drive

way will be provided for private vehicles and

Emergency Ambulances.

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.

To reduce/ avoid traffic following steps will be taken:

1. One-way traffic movement

2. No honking zones

3. No vehicle movement in specified areas.

Shelter belt within the complex will further mitigate

the traffic noise.

The foundation will be made very hard and paved with

rubber flooring to minimize the vibration, also all

other measures to reduce vibration will be adopted

during designing of new 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.

There would be slight impact of D.G. Sets on noise

levels, vibration and in ambient air quality around the

project site.

1. All the D.G. Sets shall be kept in acoustically treated

room on Surafce.

2. Stack height as per C.P.C.B. norms to reduce the

impacts on air quality around the project site shall be

provided.

3. The noise from D.G. Sets will meet the desired

standard as per C.P.C.B guidelines. Low Sulphur fuel

is being used to run these D.G. Sets and the same shall

be followed after expansion also.

4. Vibration pads in DG sets to minimize the vibration

effect.

34




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 project in any way will not cause any

obstruction.

Yes, all the considerations have been taken into

account.

6.2 Will there be any adverse impacts from

new constructions on the existing

structures? What are the considerations

taken into account?

The construction of proposed building will be done as

per approved building plan. Hence no adverse impact

is anticipated.

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 artefacts nearby?

State if any other significant features in the

vicinity of the proposed site have been

considered.

None

Yes, there are archaeological sites situated at a distance

from project site. The list of ASI sites has been

attached as Enclosure-8.

None.

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 will come for treatment and go back hence there

will be no change to the demographic structure of local

population.

7.2 Give details of the existing social

infrastructure around the proposed

project.

Social infrastructures exist near the site:

Hospital

Bhagwan Mahavir Hospital, H-

45,

Pitampura

Navjeevan Hospital, A-12

Pushpanjali Enclave, Pitampura

Saransh Hospital,2949, Sant

Nagar,Pitampura

Post Office

Post Office Saraswti Vihar, C-

Block, Main Market, Pitampura

Post Office Rani Bagh, 927

Rishi Nagar, Pitampura

0.51 km SEE

0.59 km NNW

1.94 km E

1.58 km NE

1.63 km SEE

35




Post Office, 2876 Sant

NagarRani Bagh Pitampura

Place of Worship

Sankat Mochan Shiv Shakti

Mandir, Guru Sandeepan

Marg,Saraswati Vihar,

Pitampura

Shiv Mandir, Multani Mohalla,

Pitampura

Shri Sheetla Devi Mndir, Block-

L, Raj Nagar, Pitampura

School

Maxfort School, Zone H-4&5,

CHBS Moulana Azad Society,

Pitampura

Bal Bharti Public School,

Parwana Rd, Pitampura

Apeejay School, Plot No.-10,

Road No.-42, Sanik Vihar,

Pitampura

Bank

HDFC Bank, Community

Centre, NN Tower, 23A, Rani

Bagh, Pitampura

Nainital Bank, Shatabdi House,

Commercial Complex, Rohit

Kunj, Pitampura

Induslnd Bank, CHBS Ltd.

Society, Kohat Enclave,

Pitampura

1.89 km E

1.78 km NE

1.99 km SEE

2.90 km E

0.21 km NW

0.39 km NW

0.81 km E

2.16 km SEE

2.70 km NEE

2.71 km NEE

7.3 Will the project cause adverse effects

on local communities, disturbance to

sacred sites or other cultural values?

What are the safeguards proposed?

There are the following sacred sites present in the vicinity

of the proposed project site: -

Place of Worship

Sankat Mochan Shiv Shakti Mandir, Guru Sandeepan

Marg,Saraswati Vihar, Pitampura- 1.78 km NE

Shiv Mandir, Multani Mohalla, Pitampura-1.99 km SEE

Shri Sheetla Devi Mndir, Block-L, Raj Nagar, Pitampura-

2.90 km E

Measures shall be considered so that no negative impact is

envisaged due to construction of the project.

36




8. BUILDING MATERIALS

8.1 May involve the use of building materials

with high-embodied energy.

Is 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 required for construction of the

project are steel, cement, bricks, flooring tiles / stones,

sanitary and hardware items, electrical fittings, water,

etc.

Energy efficient Building material will be used.

Details of Energy Conservation measures given in

Environment Management Plan.

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 results in

air pollution and noise however will be minimized by

covering material by the tarpaulin and ensuring PUC

certificate of vehicles and good condition silencers.

8.3 Are recycled materials used in roads and

structures?

State the extent of savings achieved?

The debris of construction material will be also used in

backfilling, roads etc. The rest of the waste shall be sent

to C & D facility. Recyclable waste like aluminium,

steel, wood pieces, cement bags, plastic containers,

cartons, glass etc. will be sold to authorized recyclers.

8.4 Give details of the methods of collection,

segregation & disposal of the garbage

generated during the operation phases of

the project.

This solid waste will be disposed off as per municipal

solid waste management and handling norms. Details

of collection, segregation and disposal of the

biomedical waste is given in the Environment

Management Plan.

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?

Power Requirement: 5500 kVA

Source of Power: TATA Power DDL

Back-up Source:


Fuel: Low sulphur Diesel

DG Sets shall be placed in acoustically treated room on

Surface.

Appropriate energy conservation measures & management

plan have been adopted in order to minimize the

consumptions of non-renewable fuel. Details are given in

Environment Report.

9.2 What type of and capacity of

power back-up do you plan to

provide?


Fuel: Low sulphur Diesel

37




All have been installed to provide power backup during

power failures.

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

radiatio

S.

No

BUILDING

MATERIAL

PROPOSED

WITH U & R

VALUES

‘R’ Values

(in Sq m.

Deg K/

Watts)

‘U’

Values

(in Watts/

Sq m.

Deg K)

1. Glass

(High-

performance

double-glazed

glass unit)

0.71 1.4

9.4 What passive solar architectural

features will be used in the

building?

Illustrate the applications made in

the proposed project.

Building design and envelope shall be optimized through

selection of appropriate wall and roof construction and

through adoption of solar measures.

Yes, the layout of building shall be designed to maximize the

potential for use of solar lighting per day devices.

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 building shall be designed to maximize the

potential for use of solar lighting.

Yes, solar power-based street, common area light and solar

water heaters shall be used.

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 affected?

Architectural measures shall be adopted to provide shading

devices for windows and roof which would effectively

reduce heating up of building envelope. Louvers and

sunshades will be used around windows in order to protect

from direct sunlight.

9.7 Do the structures use energy-

efficient space conditioning,

lighting and mechanical systems?

Provide technical details.

Provide details of the

transformers and motor

efficiencies, lighting intensity and

Suitable energy optimization will be adopted during the

calculation of energy load of the proposed project. The space

heating load will be minimized by using solar structure and

suitable buildings envelop material.

The details of the transformers and motor efficiencies,

lighting intensity and air-conditioning load assumptions will

be given in the Environment Management Plan.

38




air-conditioning load

assumptions?

Are you using CFC and HCFC

free chillers? Provide

specifications

Uses of incandescent lamp and halogen lamps will be

avoided and energy efficient LED will be used for all

common area.

CFC & HCFC free chillers will be used.

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 D.G. 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.

Brickwork, plaster, stone work, double insulated glass for

external façade

S. No BUILDING

MATERIAL

PROPOSED

WITH U & R

VALUES

‘R’ Values

(in Sq m.

Deg K/

Watts)

‘U’ Values

(in Sq m. Deg

K/ Watts)

1. Exterior Wall

Brick & AAC Blocks

wall (230 mm thick),

both side thick sand

cement plaster (20

mm) with insulation.

1.33 0.749

2. Exterior Roof

150 mm RCC slab

with 50 mm Cement

sand screed, 80 mm

Brick Batt Coba and

50 mm thick Puff)

2.84 0.352

3. Glass

(High-performance

double-glazed glass

unit)

0.71

1.4

9.10 What precautions & safety

measures are proposed against

fire hazards? Furnish details of

emergency plans.

Fire storage tank with fire pumps like Hydrant pump, Jockey

Pump, Pressure vessel & Diesel Engine Driven Pump have

already been installed in the plant room.

Fire Hydrant System:

The hydrant ring main from fire pumps header are running

all around the buildings with yard hydrants at suitable

intervals. Wet risers are tapped from ring main and run along

39




the shaft. Fire hose cabinet is provided on all floors with

accessories.

Sprinkler System:

It is provided on all floor areas except electrical rooms,

server rooms.

Overhead water storage tank at roof is connected to sprinkler

system.

Fire Extinguishers:

Portable type class A, B & C fire extinguishers will be

provided at all fire sensitive places.

9.11 If you are using glass as wall

material provides details and

specifications including emissive

and thermal characteristics.

All fenestration with U-factors, SHGC, or visible light

transmittance determined, certified, and labelled in

accordance ISO-15099 shall be adopted.

9.12 What is the rate of air infiltration

into the building?

Provide details of how you are

mitigating the effects of

infiltration.

The air inflow and outflow shall be maintained as per norms.

All the window and door will be airtight quality; hence we

don’t foresee any air infiltration. Proper inflow and outflow

of air shall be maintained and proper dilution shall be

provided by using air exhaust to maintain air quality.

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 will be used. It is proposed to install solar

panels on the roof.

The details of the renewable technologies used will be given

in the Environment Management Plan.

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.

Detailed Management Plan along with

Monitoring Plan has been given in

Environment Management Plan given at

Enclosure-3.

40




ENCLOSURE 2: CONCEPTUAL PLAN

41




Introduction The proposed project titled “545 Bedded Hospital” will be located at Site no. 2, Zone H-4/5, Facility

Centre, Pitampura. New Delhi- 110034. The land has been given on lease by Delhi Development

Authority to Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society vide

letter no. F (8)94/IL dated 02.06.2015 for the development of Integrated Hospital Building. The

project has earlier been granted Environmental Clearance vide letter no. 21-11114/2007-IA-III

dated 14.11.2008. However, only excavation & part basement construction (2 level of basement

each having area 9179.21 sqm) has been done after the grant of Environmental Clearance and no

construction has been carried out after that.

The total plot area of the project is 29999.34 m2 and the built-up area of the project is 94956.31

m2. As, the built-up area of the project will be less than 1,50,000 m2, hence it falls under Category

‘B’, Activity 8(a) of Schedule of the EIA notification, 2006 and its subsequent amendments.

Since the tenure of SEAC (Delhi Committee) has been completed, the application is being applied

to MoEF&CC. The cost of the project is 130 Cr.

Activities/ Amenities The activities proposed in the project are the following-:

• IPD

• OPD

• Day Care

• Emergency (casualty)

• Laboratories

• Operation theatres (OT),

• Intensive care units (ICU)

Site Location The proposed project titled “545 Bedded Hospital” will be located at Site no. 2, Zone H-4/5, Facility

Centre, Pitampura. New Delhi - 110034. The location of site is given in Environment Management

Plan.

Type of Project The proposed project is a new Hospital to be developed at built-up area 94956.31 m2. Since, the

built-up area of the project will be less than 1,50,000 m2. Hence, it falls under category B, Item 8(a)

of schedule of EIA notification, 2006 and its subsequent amendments.

Project Details

Project details are given in Table 1.

42




Table 1: Project Details

Particulars

Unit Details as per

Earlier

Environmental

Clearance granted

dated 14-11-2008

Proposed

Details

Change

Plot Area m2 29999.34 No change

Ground Coverage (Permissible)

(40 % of total plot area)

m2 - 11999.736 -

Ground Coverage (Achieved)


m2 - 8999.802 -

FAR AREA

FAR Permissible

(3.75 of total plot area)

m2 - 112497.53 -

FAR proposed

(1.74 of total plot area)-A

m2 - 52285.16 -

Free from FAR AREA

Permissible waiting area (Free

from FAR) (10% of proposed

FAR)

m2 - 5228.5 -

Proposed waiting area (Free

from FAR) -B

m2 - 4767.7 -

NON-FAR AREA

Service Floor m2 - 4820.39

-

Other Non-FAR area m2 - 5000

-

Total Non-FAR area-C m2 - 9820.39

-

BASEMENT AREA

Basement -I m2 - 12467.32 -

Basement -II m2 - 15615.72

-

Total basement Area-D m2 - 28083.04

-

Built-up Area (A+B+C+D) 96740.19

94956.31

Decrease-

1783.88

Total Green Area (20% of plot

area)

m2 - 5999.87 -

Surface Parking area m2 - 5911.00 -

Total Open & Road Area m2 - 9088.67

-

No of block No. 3

(Hospital block:

B+G+9

Research Block:

1

(Hospital block:

B+G+10)

Decrease-

2 blocks

43




G+10

Parking block;

2B+G+3)

Number of Basements No. 2 2 No change

Maximum No. of Floors No. G+10 G+10 No change

Max. height of building m - 45 -

No. of IPD Beds No. - 545 -

POPULATION IN HOSPITAL

No of IPD Patients No. - 545 -

No of OPD Patients No. - 2000 -

Staff in Hospital No. - 1635 -

Visitors in Hospital No. - 2000 -

Total Population No. - 6180 -

SERVICE DETAILS

Total Power load kVA 5500 5500 No change

No. of DG sets kVA - 2 x 1010 KVA

& 2 x 1500

KVA

-

No. of Rain water Harvesting

pits

No. - 7 -

Total Water Requirement KLD 883 759 Decrease-

125

Fresh Water Requirement KLD - 360 -

Treated Water reuse KLD 755 399 Decrease-

357

Waste Water Generation KLD - 422 -

STP capacity KLD 794.5 500 Decrease-

294.5

ETP capacity KLD - 25 -

Total Solid waste Generation kg/day 770 1091 Increase-

321

Total Biomedical Waste

Generation

kg/day 185 204 Increase-

19

Parking Requirement ECS - 1046 -

Parking Provision ECS 1753 1116 Decrease-

637

44




Population Details During Construction phase-: 150 no. of labours shall be employed for the construction of the

project.

During Operation Phase-: The total population of the project has been estimated to be 6180 persons

including IPD Patients, OPD Patients, Staff and Visitors.

The population details are given in Table below-:

Table 2- Population Details

Particulars Unit Proposed Details

No. of IPD Patients No. 545

No of OPD Patients No. 2000

Staff No. 1635

Visitor No. 2000

Total Population No. 6180

Water Management

During Construction Phase

Approx. 12 KLD of water will be required which will be arranged on temporary basis through the

tankers. 7 KLD or water will be required for domestic purposes while 5 KLD of water will be used

for construction purposes. The waste water generated during construction phase will be 6 KLD

sewage which will be discharged into septic tank followed by soak pit.

During Operation Phase

The total water requirement of the project will be 759 KLD. Out of which, fresh water requirement

will be 360 KLD. The fresh water requirement shall be met by Delhi Jal Board. The waste water

generated in the complex will be 422 KLD (Laboratory Waste water-18 KLD and Sewage- 404

KLD). The laboratory waste water of 18 KLD shall be treated in Effluent Treatment Plant of

capacity 25 KLD. 16 KLD treated water shall be generated from ETP which shall be retreated in

STP. The 404 KLD of sewage generated & 16 KLD treated water generated from ETP shall be

treated in STP of 500 KLD. 399 KLD of treated water shall be generated from STP which shall be

completely reused in flushing, gardening, cooling and misc. purposes. It will be zero discharge

complex.

Rain water collection Details To recharge the ground water, 7 no. rain water harvesting pits shall be provided within the project

area.

Power Requirement & Back-up Power requirement during Construction Phase will be met by DG set of 1×125 kVA which shall be

used for construction works.

45




Total Power Requirement during Operation Phase will be 5500 kVA which will be sourced through

TATA Power DDL. In case of power failure, power backup will be provided through DG sets of 2

x 1010 kVA and 2 x 1500 kVA. The DG sets will be kept in acoustically treated room on Surface.

Solid & Hazardous Waste Management During Construction Phase- Solid waste generation will be approx. 23 kg/day from labourers.

Excavation & part basement construction has already been done as per the grant of Environmental

Clearance granted. During part basement (2 level) construction, soil was excavated which was used

for backfilling purposes in nearby areas & out of it, top soil generated was used for landscaping

purpose in nearby areas.

There shall be done further excavation for foundation and basement. The further excavated soil will

be used for backfilling purposes within the site and out of it, top soil shall be preserved separately

and will be used for landscaping purpose only. In total Approx. 112332 m3 of soil excavation is

involved for providing foundation and 2 levels of basement completely.

C& D waste shall be disposed as per C&D Rules. Hence, no immediate adverse impacts on the land

environment are envisaged.

During operation phase- Total Solid Waste generation will be 1091 kg/day. Out of which 654

kg/day biodegradable waste will be treated in Organic Waste convertor while 218 kg/day recyclable

waste and 218 kg/day plastic waste will be given to approved recycler.

204 kg/day of Biomedical Waste shall be generated from the Hospital Complex which shall be

segregated properly and sent to State Approved Biomedical Waste Service Provider for final

disposal.

48 kl/month used oil shall be generated and 3-4 kg/month E-waste will be generated.

Battery waste shall be generated mainly from inverters & UPS.

Parking Management During construction phase- Proper parking provisions of trucks and other construction vehicles

shall be made. Proper spaces for loading and unloading shall be defined.

During operation phase- Total parking requirement for the project will be 1046 ECS. Total Parking

Provision for the Project will be 1116 ECS which shall be provide in Basements -1,2 and on Surface.

Green Area Development Green Area shall be developed on 5999.87 m2 i.e (20.00 % of total plot area) with trees and

plantation.

46




ENCLOSURE 3. ENVIRONMENT MANAGEMENT PLAN

47




ENVIRONMENT MANAGEMENT

PLAN

of

“545 BEDDED HOSPITAL”

Site no. 2, Zone H-4/5, Facility Centre

Pitampura, New Delhi

For: -

Dr. Narayan Dutt Shrimali Foundation International Charitable Trust Society

Regd. Off. -823, DLF Tower-A, Jasola District Centre, New Delhi-110025

PREPARED BY:

M/S PERFACT ENVIRO SOLUTIONS PVT. LTD. (NABET Registered Vide list of accredited consultants organizations/ Rev.78 /10th July, 2019 at S.No.-112)

(An ISO 9001:2008 & ISO 14001:2004 Certified Company)

5th Floor, NN Mall, Sector 3, Rohini, New Delhi-110085

Phone: +91-11-49281360

48




3.1 PROJECT DETAILS

The proposed project titled “545 Bedded Hospital” will be located at Site no. 2, Zone H-4/5, Facility

Centre, Pitampura. New Delhi- 110034. The land has been given on lease by Delhi Development




dated 14.11.2008. However, only excavation & part basement construction (2 level of basement

each having area 9179.21 sqm) has been done after the grant of Environmental Clearance and no

construction has been carried out after that.

The total plot area of the project is 29999.34 m2 and the built-up area of the project is 94956.31

m2. As, the built-up area of the project will be less than 1,50,000 m2, hence it falls under Category

‘B’, Activity 8(a) of Schedule of the EIA notification, 2006 and its subsequent amendments.

Since the tenure of SEAC (Delhi Committee) has been completed, the application is being applied

to MoEF&CC. The cost of the project is 130 Cr.

The activities proposed in the project are the following-:

• IPD

• OPD

• Day Care

• Emergency (casualty)

• Laboratories

• Operation theatres (OT),

• Intensive care units (ICU)

The total plot area of the project is 29999.34 m2 and the built-up area of the project will be 94956.31

m2. 8999.802 m2 shall be utilized as Ground Coverage. Total FAR proposed of the project will be

52285.16 m2, proposed waiting area (Free from FAR) will be 4767.7 m2, total Non-FAR Area will

be 9820.39 m2 and total Basement area will be 28083.04 m2. The maximum no. of floors will be

G+10.

49




3.1.1. Area Details: Table 3: Detailed Project Information

Particulars

Unit Details as per

Earlier

Environmental

Clearance granted

dated 14-11-2008

Proposed

Details

Change

Plot Area m2 29999.34 No change

Ground Coverage (Permissible)


m2 - 11999.736 -

Ground Coverage (Achieved)


m2 - 8999.802 -

FAR AREA

FAR Permissible

(3.75 of total plot area)

m2 - 112497.53 -

FAR proposed

(1.74 of total plot area)-A

m2 - 52285.16 -

Free from FAR AREA

Permissible waiting area (Free

from FAR) (10% of proposed

FAR)

m2 - 5228.5 -

Proposed waiting area (Free

from FAR) -B

m2 - 4767.7 -

NON-FAR AREA

Service Floor m2 - 4820.39

-

Other Non-FAR area m2 - 5000

-

Total Non-FAR area-C m2 - 9820.39

-

BASEMENT AREA

Basement -I m2 - 12467.32 -

Basement -II m2 - 15615.72

-

Total basement Area-D m2 - 28083.04

-

Built-up Area (A+B+C+D) 96740.19

94956.31

Decrease-

1783.88

Total Green Area (20% of plot

area)

m2 - 5999.87 -

Surface Parking area m2 - 5911.00 -

Total Open & Road Area m2 - 9088.67

-

No of block No. 3

(Hospital block:

B+G+9

1

(Hospital block:

B+G+10)

Decrease-

2 blocks

50




Research Block:

G+10

Parking block;

2B+G+3)

Number of Basements No. 2 2 No change

Maximum No. of Floors No. G+10 G+10 No change

Max. height of building m - 45 -

No. of IPD Beds No. - 545 -

3.1.2 Population Details During Construction phase-: 150 no. of labours shall be employed for the construction of the

project. Separate housing in the form of hutments shall be provided on the site for around 100

labours. Other labour will come from nearby areas. There shall be provision of creche facility,

kitchen, temporary toilets & bathrooms, drinking facility, rest room and first aid facility within the

hutments.

During Operation Phase-: The total population of the project has been estimated to be 6180 persons

including IPD Patients, OPD Patients, Staff and Visitors.

The population details are given in Table below-:

Table 4- Population Details

Particulars Unit Proposed Details

No. of IPD Patients No. 545

No of OPD Patients No. 2000

Staff No. 1635

Visitor No. 2000

Total Population No. 6180

3.1.3 Parking Management Parking Required:

Table 5: Parking Requirement Details

Particulars Factor Parking Required (in ECS)

Parking Required 2 ECS/100 m2 1046 ECS

51




Parking Provision:

Table 6: Parking provision details

Particulars

Total

Area

Service

area

Parking

area

Factor Parking

provision

(in ECS)

Basement -1 12467.32 601.72 11865.6 32 371

Basement -2 15615.72 2.92 15612.8 32 488

Surface Parking - - 5911 23 257

Total Parking

1116 ECS

3.1.4 Power Requirement and Backup Details During Construction Phase-: DG sets of 1×125 kVA will be used for construction works.

During Operation Phase-: The total power requirement of the project will be 5500 kVA which will

be met by TATA Power DDL. In case of failure, power backup will be provided through DG sets

of 2 x 1010 kVA and 2 x 1500 kVA.

Table 7- Electric Details

Power Source TATA Power DDL

Total Power Load 5500 KVA

No. of DG Sets 2 x 1010 kVA and 2 x 1500 kVA

3.1.5 Waste Water, Rain Water and Solid Waste Details Table 8- Waste Water, Rain Water and Solid Waste Details

Particulars

Unit Details as per

Earlier

Environmental

Clearance granted

dated 14-11-2008

Proposed

Details

Change

No. of Rain water Harvesting

pits

No. - 7 -

Total Water Requirement KLD 883 759 Decrease-

125

Fresh Water Requirement KLD - 360 -

Treated Water reuse KLD 755 399 Decrease-

357

Waste Water Generation KLD - 422 -

52




STP capacity KLD 794.5 500 Decrease-

294.5

ETP capacity KLD - 25 -

Total Solid waste Generation kg/day 770 1091 Increase-

321

Total Biomedical Waste

Generation

kg/day 185 204 Increase-

19

Parking Requirement ECS - 1046 -

Parking Provision ECS 1753 1116 Decrease-

637

3.2 Land Use and Ownership of the site land The proposed project “545 Bedded Hospital” will be located at Site no. 2, Zone H-4/5, Facility

Centre, Pitampura. New Delhi - 110034. The land has been given on lease by Delhi Development




dated 14.11.2008.

Since, the land has already been earmarked for Hospital Building as per Master Plan of Delhi,2021.

Hence, there shall be no change in Land Use.

3.3 Land Use The land use proposed at the site is given in Table below.

Table 9: Land use of the project Site

Land use Area (m2) Percentage (%)

Ground Coverage 8999.802 30.00

Green Area 5999.87 20.00

Surface Parking Area 5911.00 20.00

Road and Open Area 9088.67 30.00

Total Plot Area 29999.34 m2 100.00 %

53




Figure 1: Land use

3.4 Location of the project with connectivity

3.4.1Geographical Information of Site Table 10: Geographical information of project site

Latitude Longitude Elevation

28°41'22.60"N 77° 6'42.92"E 217 m

Location map is shown in Figure 2.

Figure 2. Location of Project Site on Google Map

30%

20%20%

30%

Land Use

Ground Coverage

Green Area

Surface Parking Area

Road and Open Area

N

54




3.4.2 Topographical Map

3.5 Connectivity of the Project Details of connectivity are shown in Table below-:

Table-11 – Details of Connectivity around the Project Site

S. No. Accessibility Description Distance & Direction

1. Highway/ Road NH-10 1.21 km S

2. Railway Station Shakur Basti Railway Station 1.83 km SE

3. Airport Indira Gandhi International Airport 14.72 km SSW

55




3.6 Centrally Protected Monuments under Delhi Circle The list of Centrally Protected Monuments under Delhi Circle is the following-:

Ancient Mosque (Babur’s Period) together with adjacent area comprised


Delhi fort or Lal Qila, NaubatKhana, Diwan-i-am, Mumtaz Mahal' Rang

Mahal, Baithak,MaseuBurj, diwan-i-Khas' Moti Masjid, sawanBhadon

,Shah Burj, Hammam with all surrounding including the gardens, paths,

terraces and water courses.

Salimgarh Fort, comprising the main gate on North, Ancient structure

near the main gate and the entire fortification wall

Fortification Wall Asad Burj, Water gate, Delhi Gate, Lahori Gate,


11.10 km SSW

13.20 km SEE

13.31 km SEE

13.70 km SEE

3.7 Layout Plan

N

56




3.8 Water Management

3.8.1 Source of Water The water will be resourced through Delhi Jal Board.

3.8.2 Present Quality The present quality of Surface Water of nearby site canal has been accessed, the summarised results

with prescribed standards has been tabulated below-:

Sample Code Unit Nearby site canal Class

pH - 7.2 E

Total Dissolved Solids mg/l 216.9

Total Hardness mg/l 212

Biochemical Oxygen Demand mg/l 37.4

Chemical Oxygen Demand mg/l 112

The detailed studies have been done by M/s Perfact Researchers Pvt. Ltd.

3.8.3 Water Requirement During construction phase- Treated water will be arranged on temporary basis through the tankers

water supply. For construction activities, water will be sourced through nearby STP and will be

retreated on site before use. Drinking water will be sourced through the tankers.

Total water requirement during construction phase will be 12 KLD.

During operation phase-: The total water requirement of the project will be 759 KLD. Out of

which, fresh water requirement will be 360 KLD. The fresh water requirement shall be met by Delhi

Jal Board.

Table 12: Water Requirement

Particulars Population Factor

Water

Requirement

(in KLD)

Domestic

(in KLD)

Flushing

(in KLD)

Waste

Discharge

(in KLD)

IPD patients 545 450 245 164 81

OPD patients 2000 15 30 10 20

Staff and

employee 1635 45 74 41 33

Visitors 2000 15 30 10 20

Sub total 6180 379 225 154

Waste Discharge 158 154 312

Lab 20 18

Kitchen 35 28

57




Café 15 12

Dialyses 25 22

De-ionized water for medical use 10 8

Cooling 217 11

Gardening 18 0

Filter Backwash 30 6

Misc. 10 5

Total Water

Requirement 759 422

Water Balance: -

Figure 3 Water Balance

3.8.4 Disposal The waste water generated in the complex will be 422 KLD (Laboratory Waste water-18 KLD and

Sewage- 404 KLD). The laboratory waste water of 18 KLD shall be treated in Effluent Treatment

Plant of capacity 25 KLD. 16 KLD treated water shall be generated from ETP which shall be

retreated in STP. The 404 KLD of sewage generated & 16 KLD treated water generated from ETP

shall be treated in STP of 500 KLD. 399 KLD of treated water shall be generated from STP which

shall be completely reused in flushing, gardening, cooling and misc. purposes. It will be zero

discharge complex.

.

Total Water Requirement(759 KLD)

Fresh Water(360 KLD)

Flushing(154 KLD)

Treated Water Re Used(399 KLD)

Gardening(18 KLD)

Waste Water directly to STP(404 KLD)

STP (500 KLD)

RECYCLED

WATER

Waste waterNIL

Treated Water(399 KLD)

Waste water

(154 KLD)

Reuse(399 KLD)

Cooling(217 KLD)

Lab(20 KLD)

To ETP(25 KLD)

Waste water

(18 KLD)

Treated water(16 KLD)

Misc.(10 KLD)

Domestic(225 KLD)

Waste water

(158 KLD)

Waste water

(106 KLD)

Waste water

(8 KLD)

Wastewater

(28 KLD)

Waste water

(12 KLD)

Waste water

(6 KLD)

Dialysis(31 KLD)

De-ionized water for

medical use(10 KLD)

Kitchen(35 KLD)

Cafe(15 KLD)

Filter Backwash(30 KLD)

Total Waste Water to STP(420 KLD)

Waste water

(5 KLD)

Waste water

(11 KLD)

To STP (16 KLD)

58




3.9 Air and Noise Management

3.9.1 During Construction Phase DG sets of 1×125 kVA with adequate stack height shall be used for Power supply during the

construction phase.

3.9.2 During Operation Phase During operation phase 5500 kVA of power load from TATA Power DDL shall be supplied to the

project. Power backup shall be provided by DG sets of capacity 2 x 1010 kVA and 2 x 1500 kVA.

3.10 Energy Conservation Measures

Following are the measures adopted to conserve the energy:

• Energy efficient lighting fixtures in parking and above grade floors.

• Basement lighting is controlled by alternate circuit switch for reducing energy consumption

during peak hours, by switching off the alternate lighting fixtures.

• Energy efficient pumps and motors (BEE star rated).

• Energy efficient water-cooled screw chillers with VSD drive.

• AAC blocks proposed for external wall construction.

• High performance double glazing for hospital building.

• Voltage drop for feeders shall not exceed 2% at design load and voltage drop for branch

circuit shall not exceed 3% at design load.

• Losses of transformer shall not be exceeding than ECBC requirement.

• All 3 phase shall maintain 0.95 power factor at the point of connection.

• Uses of incandescent lamp and halogen lamps shall be avoided and energy efficient LEDs

shall be used for all common area.

Solar Measures:

• External street lighting shall be provided by standalone solar panel.

• Solar Water Heater will be used to meet hot water requirement of the project.

• Hot water shall be taken from solar power generation.

• Solar panels shall be installed on the roof. 1 % of total load shall be met by solar power

generation.

• The layouts of buildings are designed to maximize the potential for use of solar lighting per

day devices.

• The space heating load will be minimized using solar structure and suitable buildings

envelop material.

3.11 Environment Management

The Environment Management Plan (EMP) is a site-specific plan developed to ensure that the

project is implemented in an environmentally sustainable manner where all stakeholders including

59




the project proponents, contractors and subcontractors, including consultants, understand the

potential environmental risks arising from the proposed project and take appropriate actions to

properly manage that risk. Adequate environmental management measures need to be incorporated

during the entire planning, construction and operating stages of the project to minimize any adverse

environmental impact and assure sustainable development of the area.

The EMP presented below should be followed and regular monitoring of relevant parameters as

stated in post project-monitoring schedule shall be carried out. The EMP is to be proactive in nature

and will be upgraded if new facilities or modification of existing facilities, with environmental

concerns, come up at a later stage.

3.11.1 Environment Management During Construction Phase

3.11.1.1 AIR ENVIRONMENT INDIAN METEROOGICAL DATA

Indian Meteorological Data conditions of the Project area can be summarised in the table below-:

S.no. Particulars Unit Details

1. Temperature ˚C 21.1-29.3

2. Relative Humidity % 43

3. Annual Rainfall mm 799

4. Wind Direction - North East to South West

5. Predominant Wind Direction - East to West

Annual Windrose Diagram

The Windrose Diagram of Annual AVERAGE (2002-2013) is given in figure below-:

Figure 4 Annual Windrose Diagram

(Source- IMD, Safdarjung)

Air quality around the project will be adversely impacted during the construction stage. Various

construction activities especially related to lose material likely to cause generation of dust that

60




adversely impacts the air quality of the surrounding area of the project site. To minimize such

impact, following measures will be taken:

• Dust mitigation measures shall be taken as per Environment (Protection) Amendment Rules,

2018.

• Metallic Roads leading to or at construction sites shall be paved and blacktopped.

• No excavation of soil shall be carried out without prior barricading of the project site &

other adequate dust mitigation measures in place.

• No loose soil or sand or Construction & Demolition Waste or any other construction

material that causes dust shall be left uncovered.

• Wind-breaker around the project site shall be provided.

• Water sprinkling system shall be put in place using spraying Nozzles.

• Sprinkling shall be done every hour by fixed sprinkling system.

• Proper barricading up to 10 m shall be provided.

• Grinding and cutting of building materials in open area shall be prohibited.

• Construction and Demolition waste shall be stored only within earmarked area and road side

storage of construction material and waste shall be prohibited.

• Only covered vehicles carrying construction material and waste shall be permitted inside

the complex.

• Construction and Demolition Waste processing and disposal site shall be identified and

required dust mitigation measures be notified at the site.

• DG sets shall be installed with adequate stack heights.

Maximum Ground Level Concentration of PM10 due movement of tankers and operation of DG Set

shall be maintained.

3.11.1.2 Noise Environment

During the construction stage, expected noise levels will be in the range of 80-100 dB(A), which

will decrease with increase in distance. Hence all the construction activities shall be carried out

during the daytime.

Due to the construction activities undertaken for the project, there will be some noise generation

due to the movement of vehicles carrying construction materials and as this will be only a temporary

phenomenon, it shall be managed by properly regulating the movement of vehicular traffic so that

the ambient noise quality will not be adversely affected.

To prevent any occupational hazard, ear muff / ear plug shall be given to the workers working

around or operating the plant and machinery emitting high noise levels. Operation of such plant or

machinery shall be strictly prohibited during night hours. Careful planning of machinery operation

and scheduling of operations shall be taken to minimize such impact. Furthermore, following

measures shall also be adopted:

• All the machinery and equipment shall be regularly maintained to reduce the noise level.

• DG sets of capacity 125 kVA shall be installed acoustically enclosed.

61




• Noise barriers shall be installed to reduce traffic noise & vibrations.

• Plantation shall be developed along the periphery of the site.

3.11.1.3 Water Environment

During the construction of the proposed project, the services required like water supply and sewage

facilities shall be arranged on a temporary basis and the same shall be maintained without any

adverse impact on the environment. Following are the measures required to manage the water

environment at site:

• Approx. 12 KLD of water will be required which will be arranged on temporary basis. 7 KLD

or water will be required for domestic purposes which will be supplied by tankers while 5 KLD

of water will be used for construction purposes which shall be taken from STP treated water of

nearby area.

• The waste water generated during construction phase will be 6 KLD sewage which will be

discharged into septic tank followed by soak pit.

• Runoff from the construction site shall not be allowed to stand (water logging) or enter into the

roadside or nearby drain. Adequate measures shall be taken to collect such run off and either

are reused or disposed off at the designated construction waste disposal location.

3.11.1.4 Solid Waste Management Excavation & part basement construction has already been done as per the grant of Environmental

Clearance granted. During part basement (2 level) construction, soil was excavated which was used

for backfilling purposes in nearby areas & out of it, top soil generated was used for landscaping

purpose in nearby areas. There shall be done further excavation for foundation and basement. The

further excavated soil will be used for properly stacked under tarpaulin cover and will be reused for

back filling purpose and road construction, etc. and out of total excavated soil, top soil shall be

preserved separately and will be used for landscaping purpose only. As soon as proposed green area

will be ready the top soil will be transferred and seeding will be done with regular sprinkling.

In total Approx. 112332 m3 of soil excavation is involved for providing foundation and 2 levels of

basement completely.

Construction debris like Concrete will be recycled and will be used in lean concrete, brick work

wastage will be used waterproofing for terrace, toilets etc. Tiles will be used in creating pathways

in the landscape area etc. Recyclable water like aluminium, steel, wood pieces, cement bags, plastic

containers, cartons, glass etc. will be sold to recyclers.

Approximately, 23 kg/day of Municipal solid waste shall be generated from temporary labours

which shall be disposed off at Municipal Landfill site.

Used oil whenever generated from the DG sets shall be kept in a secured place and in leak prof

container and shall be sent to approved recycler.

62




3.11.2 Environment Management during Operation Phase

3.11.2.1 AIR ENVIRONMENT DG set of 2 x 1010 kVA and 2 x 1500 kVA will be installed as power backup for emergency use

during power failure. Hence, to avoid the emissions, the DG sets shall be kept in acoustically treated

room on Surface. Stack height of 6 m above roof level for each D.G. sets shall be provided to reduce

the air emissions, meeting all the norms prescribed by CPCB.

Table 13: DG set & stack Height

As per the specifications from D.G. Set manufacturer following emissions shall be maintained, as

given in Table 12.

Table 14: DG Set emission standards

D.G Sets No. PM

mg/Nm3

Nox

mg/Nm3

HC

mg/Nm3

CO

mg/Nm3

1010 kVA 2 75 887.5 100 150

1500 kVA 2 75 887.5 100 150

3.11.2.2 NOISE ENVIRONMENT

The main sources of the noise pollution will be D.G sets. of 2 x 1010 kVA and 2 x 1500 kVA will

be installed in the project.

DG sets shall be kept in acoustically treated room on surface and shall meet the norms prescribed

by CPCB. Planting of the trees at the boundary of the project will help in reducing the level of the

noise within the project.

Location of DG sets: Surface

Insulation of air inlet and outlet points

The sound travels along with air therefore it is necessary to control the travelling sound with the

help of insulated ducts [2” glass wool pads and perforated sheets] and louvers at inlet and outlet air

points. The ducts have S-type shape to prevent any direct escape of noise Insulated service door

The maintenance and servicing of D.G. set is done using a suitable service door of 5’ x 7’ size. The

door is made of MS sheet and frames fully insulated with 3” thick glass wool pad followed by

perforated aluminium sheets.

D. G. Set. Capacity No Stack Height

1010 kVA 2 6 m above roof level

1500 kVA 2 6 m above roof level

63




3.11.2.3 WATER MANAGEMENT The total water requirement of the project will be 759 KLD. Out of which, fresh water requirement

will be 360 KLD. The fresh water requirement shall be met by Delhi Jal Board. The waste water

generated in the complex will be 422 KLD (Laboratory Waste water-18 KLD and Sewage- 404

KLD). The laboratory waste water of 18 KLD shall be treated in Effluent Treatment Plant of

capacity 25 KLD. 16 KLD treated water shall be generated from ETP which shall be retreated in

STP. The 404 KLD of sewage generated & 16 KLD treated water generated from ETP shall be

treated in STP of 500 KLD. 399 KLD of treated water shall be generated from STP which shall be

completely reused in flushing, gardening, cooling and misc. purposes. It will be zero discharge

complex.

3.11.2.3.1Waste Water Treatment

The Sewage Treatment Plant of 500 KLD based on 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.

The characteristics of Raw sewage and the characteristics required for the treated water will be as

given in Table below.

Table 15: RAW SEWAGE CHARACTERISTICS

The Sewage Treatment Plant (STP) will give treated water, which will be reused for Flushing,

Gardening & Tower Cooling purposes.

Flow m3 / day 404 KLD

pH - 7.5 – 8.0

BOD mg / l 200 - 350

COD mg / l 400 - 500

TSS mg / l 100

Oil & Grease mg / l 10

Figure 5: Anti-vibration pads

64




Table 16: TREATED SEWAGE CHARACTERISTICS

pH - 6.5-9.0

BOD mg / l <10

COD mg / l <50

TSS mg / l <20

Oil & Grease mg / l NIL

TREATMENT PROCESS:

It is proposed to treat the complete wastewater 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 MBBR Technology. The

sewerage treatment plant can be constructed in such a way that it becomes viable by providing

Treated water for reuse and sludge that can be used as for manure for further use.

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




PROCESS DESCRIPTION

a) Raw sewage from main sewer line shall be collected through gravity pipes into the screen

chamber. This manually cleaned screen shall be provided to remove floating and big size

particles which may otherwise choke the pumps and pipe lines.

b) After screening, the waste water shall 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 shall be then passed 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. Air mixing shall be provided

to mix the contents of the equalization tank. A coarse bubble aeration grid shall be provided to

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

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

d) 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.

e) 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.

f) 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.

g) 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.

h) 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.

66




i) 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.

Hydraulic Flow Diagram of STP based on MBBR Technology

Figure 6. Hydraulic Flow Diagram of STP (MBBR Technology)

3.1.1.1.1 SCHEME OF EFFLUENT TREATMENT PLANT

Approx. 18 KLD effluent will be generated from the laboratory which will be treated in the ETP of

25 KLD.

Details of ETP are given as follows:

The waste water firstly passes through the oil and grease tank to remove excess oil from the

wastewater. The waste water after removal of oil and grease will collected in equalization tank to

holding the wastewater for some pre-determined time in a continuously mixed basin to produce a

uniform wastewater. The wastewater then subjected to Flocculation tank. In a flocculation tank, the

water is stirred or otherwise moved around so that the particles move around, bump into other

particles. Chemicals (most commonly "alum"/ polyelectrolyte) are often added to the water going

into a flocculation tank to help aid particle formation. The next step in the process is to separate the

solid sludge with the wastewater hence the wastewater will be transfer to Tube settlers which

capture the settleable fine floc that escapes the clarification zone beneath the tube settlers and allows

the larger floc to travel to the tank bottom in a more settleable form. The tube settler’s channel

collects solids into a compact mass which promotes the solids to slide down the tube channel to

INCOMIN

G

SEWAGEBAR

SCREEN BAFFLE

WALL

OIL &

GREASE EQUALIZATION

TANK

MBBR-1 MBBR-2 TUBE

SETTLER

CLEAR

WATER

TANK MGF ACF

TREATED

WATER

TANK

TREATED

WATER

USED

UV

FILTER

PRESS

SLUDGE

HOLDING

TANK FINAL

DISPOSAL

TO

EQUALIZATION

TANK

MBBR STP TECHNOLOGY

LEGENDS

Mark Descriptions

Air Line

Sludge Line

Effluent line

Air Blowers

Air Diffusers

Butter Fly Valv

Non Return

Valv

Pump

67




sludge drying beds and the water content will be goes into the carbon filter to remove contaminants

and impurities, utilizing chemical adsorption. Finally, the water will be retreated in STP.

Schematic diagram of ETP is given below:

3.11.2.3.2Rain 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. In the proposed complex there

will be 7 no. of Rainwater Harvesting pits. The runoff from the rooftop and storm water shall go to

the recharge pits.

Scheme for Ground Water Recharging

The rainwater is diverted from the rooftop using rain water pipes to the surface / underground

drainage network. The entire campus is sub divided for recharging structures. The rainwater is

diverted into the desilting tank to remove inorganic impurities and the outflow of the desilting tank

is taken into the recharge well.

Desilting Tank

The desilting tanks are used to remove silt and other floating impurities from rainwater. Desilting

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 the soil. The rainwater collected in these desilting chambers shall be utilized for

horticulture.

Recharge well

The recharge well consists of percolation pits with boreholes in the middle of the pit. 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 consisting of boulders, gravel and coarse sand. The mouth of the UPVC pipe

Treated

water to

STP

68




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 CALCULATIONS: -

Soil Quality Silt loam

Infiltration Rate 36 mm/hr

Porosity 35 %

Annual Rainfall 794 mm

Peak Hourly Rainfall 90 mm/hr

No. of Rainwater Collecting Pits 7

Size of Pits Diameter- 4.9 m, Depth- 4.5 m

Table 17: detailed calculation of rain water harvesting calculation

S.No. Type of surface Catchment

area (m2)

Runoff

coefficient

Intensity of

rainfall

(mm/20 min)

Water

Discharge

(runoff)

(in m3) Peak hourly

90 mm

1 Roof top area 8999.802 0.9 30 242.99

2

Paved surface, Roads &

other built up area

(including Surface

Parking Area) 14999.67 0.7 30 314.99

3 Lawns, Garden & all

other Open area 5999.87 0.2 30 36.00

Grand Total 29999.34

m2 594 m3

69




RWH Pit Diagram: -

4900

70




3.11.2.4 WASTE MANAGEMENT

3.11.2.4.1 Municipal Solid Waste

For 6180 persons, around 1091 kg/day of municipal solid waste will be generated from the proposed

site.

The solid waste categories and disposal method detail is shown is given in Table 17:

Table 18: Municipal Waste Management

Type of Waste Colours of

Bins

Category Disposal Method Total Waste

(kg/day)

Bio Degradable Green Organic

waste

The waste shall be treated

in organic waste converter

and converted to manure

654

Non-

Biodegradable

Blue Recyclable Recycler 218

Plastic Blue Recyclable Recycler 218

Total

1091 kg/day i.e.

398 tons/annum

DETAILS OF ORGANIC WASTE CONVERTER

Tentative details of the Organic Waste Converter are as follows:

Model no. No. of OWC

provision

Capacity per

batch

Power Dimension

(l x w x h)

RN-125 1 no. 125 kg/batch 5.6 kW; 3 Phase

440 V, 50 Hz

4 m x 1.28 m

Biodegradable Waste Batch Capacity No of Batch

654 kg/day 125 kg/batch 6 batch/day

• No. of organic waste converter = 1 Nos.

• Volume of waste = 1.308 m3

• Space for organic waste converter= 4 m x 1.28 m = 5.12 m2

• Area required for storage and management of solid waste = 10 m2

• Area provided for storage and management of solid waste = 30 m2

71




3.11.2.4.2 Biomedical Waste Management Type of Waste No of Beds Disposal Method Total Waste

Biomedical No of IPD Beds- 545 Hospital will handover duly

segregated and disinfected

waste to State Approved

Biomedical Waste Service

Provider for final disposal

204 kg/day

75 tons/annum

3.11.2.4.3 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.

Table 2: Hazardous & E-Waste Management

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

(Management & Handling) Rules, 2001.

3.11.2.5 PLANTATION

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.

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 has been developed along most of the periphery of the project area as well as

along roads. Area under plantation/greenery will be 5999.87 m2 (20% of plot area) which shall be

maintained with trees and plants. The trees planted are of adequate height.

Type of Waste Disposal Method Total Waste

Used Oil

Used oil shall be given to Approved vendor

Hazardous & other waste (Management &

Handling) Rules, 2016

48 lt/month

E-waste Shall be given to Approved vendor as per E-

Waste (Management & Handling) Rules, 2016 3-4 kg/month

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Total No. of trees required = Total plot area/80

= 29999.34/80

= 375 nos.

No of existing at site = 70-80

No of trees to be cut = 0

No of trees to be Transplant = 70-80

No. of trees proposed = 305

Total No of trees (Transplant +Proposed) = 375

Table 19: Total no. of Species proposed

S. No. Scientific Name Common Name Number of Trees

1. Wodyetia bifurcate Foxtail Palm 50

2. Polyalthia longifolia Pseudo Ashoka 75

3. Mimusops elengi Maulsari 40

4. Azadirachta indica Neem 64

5. Neolamarckia kadamba Kadamb 40

6. Plumeria alba White firangipani 46

Total 305

3.11.3 ANTICIPITATED IMPACT & MITIGATION

MEASURES

3.11.3.1 DURING CONSTRUCTION PHASE S. No. Description Impacts Mitigation Measures

1. Air & Noise

Environment

Dust will be generated due to

Site clearance and emissions

may be generated due to

vehicles, DG sets and

machinery/equipment etc.

Loading and unloading of

construction materials like,

cement, sand, stones, bricks, etc.

will result in dust generation.

Procurement and transport of

construction materials such as

sand, cement etc. will also result

in dust generation.

Water sprinkling shall be done

to reduce the dust during

construction of buildings.

D.G. set of 1×125 kVA shall be

provided with adequate stack

height to avoid emissions.

Trees will be planted along the

construction site to reduce dust

& emissions.

73




2. Water

Environment

Soil runoff from the site leading

to off – site contamination

(Particularly during rainy

season).

Improper disposal of

construction debris leading to

off-site contamination of water

resources.

Disposal of domestic waste

water from temporary labour

rest rooms.

Spillage of oil and grease from

the vehicle and waste water

stream generated from on-site

activities.

During construction phase,

water will be provided from

the nearby STP/tanker water

supplier.

The rain water from the

construction site shall be

collected, treated & reused for

sprinkling.

Approx. 6 KLD of sewage

from labours shall be

discharged into septic tank

followed by soak pit.

3. Solid Waste The waste from labour rest

rooms/sheds would be mainly

household domestic waste

The solid waste generated

during construction phase used

oil from DG sets.

Approx. 23 kg/day municipal

solid waste shall be generated

from 150 labours which shall

be disposed off in MSW site.

Used oil whenever generated

from the DG sets shall be kept

in an isolated area and in leak

proof container and sent to

approved recycler.

3.11.3.2 DURING OPERATION PHASE S. No. Description Impacts Mitigation Measures

1. Air & Noise

Environment

Running of DG sets of capacities

2 x 1010 kVA & 2 x 1500 kVA

during power failure will result into

air emissions.

DG sets shall be provided with

stack height of 6 m above roof

level for 2 x 1010 kVA & 2 x

1500 kVA as per CPCB norms

and shall be kept in

acoustically treated room.

2. Water

Environment

During the operation phase

abstraction of water is not proposed

for project. Fresh water

requirement of 360 KLD shall be

met by municipal supply of Delhi

Jal Board.

Fresh water requirement shall

be reduced by using 399 KLD

treated water.

399 KLD of treated water shall

be generated from STP which

shall be completely reused in

flushing, gardening, cooling

74




In the proposed project, water will

be used for domestic use, flushing,

laboratory, Kitchen, Café,

Dialyses, De-ionized water for

medical use, Cooling, Filter

Backwash, gardening & misc.

purposes etc. The waste water

generated in the complex will be

422 KLD (Laboratory Waste water-

18 KLD and Sewage- 404 KLD).

The laboratory waste water of 18

KLD shall be treated in Effluent

Treatment Plant of capacity 25

KLD. 16 KLD treated water shall

be generated from ETP which shall

be retreated in STP. The 404 KLD

of sewage generated & 16 KLD

treated water generated from ETP

shall be treated in STP of 500 KLD.

and misc. purposes. It will be

zero discharge complex.

Rain water shall be recharged

into the ground water by 7 no.

of rain water harvesting pits.

3. Solid Waste Bio-degradable and recyclable

waste from households’ activities.

Used oil from DG sets and e- waste.

E- waste & battery waste

generation.

Bio-degradable waste of 654

kg/day shall be disposed in

Organic waste convertor.

Biomedical Waste of quantity

204 kg/day shall be duly

segregated and given to

approved Biomedical Waste

Service Provider.

Used oil of 48 lt/month will be

generated from the DG sets

which shall be kept in an

isolated area and in leak proof

container and shall be given to

authorised recycler.

The generated E-waste of 3-4

kg/month shall be given to

Authorized vendor.

Battery waste shall be treated

as per the Batteries (Handling

& Management) Rules, 2001.

75




3.12 ENVIRONMENT MONITORING PLAN During Construction

Sr. No. Type of Monitoring Frequency of

Monitoring

Parameter Location

1 Ambient Air Quality Six Monthly Particulate Matter (PM 2.5)

Particulate Matter (PM 10)

Sulphur Dioxide (SO2)

Nitrogen Oxides (NOx)

Two Locations in

and around the

project site

2 Stack Monitoring Six Monthly Particulate Matter, Sulphur

Dioxide (SO2), Nitrogen

Oxides (NOx)

DG sets of capacity

125 KVA installed

for construction

purposes

3 Water Quality Monitoring for

drinking water

Six Monthly All parameters mentioned in

IS:10500

One drinking water

sample

4 Water Quality Monitoring for

Construction purpose

Six Monthly All parameters mentioned in

IS:456

One construction

water sample

5 Noise Level Monitoring Six Monthly Day and Night noise level Two locations

6 Soil Quality Monitoring Six Monthly All parameters to check soil

Fertility

Two Locations in

and around the

project site

7 Monitoring of waste

generation and other pollution

control aspects

Six Monthly _ _

During Operation Phase

Sr. No. Type of Monitoring Frequency of

Monitoring

Parameter Location

1 Ambient Air Quality Annually Particulate Matter (PM 2.5),

Particulate Matter (PM 10),

Sulphur Dioxide (SO2),

Nitrogen Oxides (NOx)

Two Locations in

and around the

project site

2 Stack Monitoring Annually Particulate Matter, Sulphur

Dioxide (SO2), Nitrogen

Oxides (NOx)

DG sets (2 x 1010

kVA & 2 x 1500)

installed for backup

purposes

3 Water Quality Monitoring

for drinking water

Annually All parameters mentioned in

IS:10500

One drinking water

sample

4 Sewage Treatment Plant &

Effluent Treatment Plant

Monitoring

Annually BOD, COD, TSS, Oil and

Grease and pH

Inlet and Outlet of

STP & Inlet and

Outlet of ETP

5 Ambient Noise Level

Monitoring

Annually Day and Night noise level Two locations

6 DG Set Room Noise

Monitoring

Annually Inside and Outside of DG Set

Room

One Locations

7 Soil Quality Monitoring Annually All parameters to check soil

Fertility

Two Locations in

and around the

project site

76




8 Monitoring of Waste

Generation and other

pollution control aspects

Annually _ _

3.13 Environment Management Cost

3.13.1 Capital Cost

S No. Description Total Cost

(In Lacs)

01. Landscaping 30.0

02. STP & ETP 110.0

03. DG Stack & Acoustic Treatment 7.2

04. Solid Waste Management 30.0

05. RWH 10.5

06. Miscellaneous 5.0

Total 192.7

3.13.2 Recurring Expenditure

S No. Description Total Cost

(In Lacs/ year)

01. Landscaping 3.0

02. Water Management 12.0

03. Air Management 1.0

04. Environment Management 1.5

05. Solid Waste Management 3.0

06. Miscellaneous 2.0

Total 22.5

3.14 Corporate Environment Responsibility As per CER office memorandum of MOEF dated 1.5.2018, the project cost for project is

Rs 130 Cr, hence the industry has to spend 1.5 % of the cost of the project (Rs 195 lacs) on CER

activities.

As per the Office Memorandum some of the activities which can be carried out in CER, are

infrastructure creation for drinking water supply, sanitation, health, education, skill development,

roads, cross drains, electrification including solar power, solid waste management facilities,

scientific support and awareness to local farmers to increase yield of crop and fodder, rain water

harvesting, soil moisture conservation works, avenue plantation, plantation in community areas,

etc.).

77




The following provisions shall be contributed under Corporate Environment Responsibility-:

S.No Activity Provision 1st

year 2nd year

3rd year

4th year

5th year

Total Cost

(Lakhs)

1

Conservation of water body in Jheel Park Lake (Pitampura) and Native Plantation

Water level Restoration of Jheel in consultation with local NGO for Conservation and plan to develop green belt with native species, ornamental plants

12 35 40 35 30 152

2 Solar Light in Jheel Park Pitampura

Provision of streetlight powered by photovoltaic panels with rechargeable battery, LED lamps.

7.5 5 10 10 5 37.5

3 Waste Management

Providing coloured dust bins and collection of segregated waste and their disposable.

2 2 0.5 0.5 0.5 5.5

Total Rs in Lakhs 22 42 50.5 45.5 35.5 195

78




ENCLOSURE 4. RISK ASSESSMENT

79




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.

4.1 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.

80




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.

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.

81




4.2 SAFETY MEASURES:

Fire Safety

All the arrangements shall be made as per National Building Code Part-IV: 2016.

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 shall be practiced. The preventive measures taken for fire

safety are as follows:

➢ The hospital shall be 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 person. The

theft of or tampering with an extinguisher should be reported immediately to the

Maintenance concerned In-charge.

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

or upon any exit door.

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

82




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.

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.

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 equipment.

Dry Chemical Powder, CO2 and

FM -200 or Clean agent type

83




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. The

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.

• 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.

84




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

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 In-charges, 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 in-charges & 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 Anaesthesia- Arranges adequate no. of anaesthetist. Organize OT teams by

name comprising of anaesthetist, 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.

85




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 &

casualty for blood demand. Arrange staff for blood grouping & cross matching in Causality/ OT.

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

operator, carpenter, etc.) throughout 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 casualty 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:

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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).

b. Hazardous materials (flammable and caustic).

c. Equipment (biomedical equipment etc.).

d. Power equipment (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

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