APPENDIX I -...

APPENDIX I

(See paragraph – 6)

FORM 1

(I) Basic Information

Sr. No.

Item Details

1. Name of the project/s Environmental Clearance for Hospital Complex Project by M/s Aster DM Healthcare (Trivandrum) Pvt. Ltd.

2. Sr. No. in the schedule 8 (a), Construction Project with total built-up area 84,641.46 sq. m. which is more than 20,000 sq. m. and less than 1,50,000 sq. m.

3. Proposed capacity / area / length / tonnage to be handled/command area/lease area/ number of wells to be dr i l led

Total Plot Area = 2.630 ha. (26,300 sq. m.) Total Built-up Area = 84,641.46 sq. m. Total No. of beds = 600 Nos.

4. New/Expansion/Modernizat ion New

5. Existing capacity/area etc., N.A.

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

7. Does it attract the general condit ion? If yes, p lease specify

NO

8. Does it attract the specif ic condit ion? If yes, p lease specify

NO

Location Sy. Nos. 442/19, 442/10-1, 442/10, 442/10-2, 440/11-1-2, 440/10-1-1, 441/2-1-1, 440/11-1-1, 440/23-1, 440/22-4, 440/23-2, 440/22-1, 440/12-1-2, 442/3, 442/18, 442/2, 442/4, 442/5, 442/1, 442/7-1, 442/8, 442/9, 442/6, 442/13-1, 442/14-1, 439/12, 439/16-1, 439/9-1, 439/13, 439/15, 439/11, 439/7-3-1, 439/6-1, 439/10, 439/14, 440/10-1-1, 440/11-1-1, 441/15-3, 441/5-2, 441/15-2, 441/5-1, 441/2-1-3, 440/7-1-1, 440/12-1-1, 440/9-1-1, 440/22, 440/8-2, 441/5, 441/1, 441/6-1, 441/1-1, 441/2-1-2, 440/9-1, 440/27, 440/25, 440/12-1-4, 440/12-1-3, 440/25-1, 440/22-3, 440/7-1-2, in Att ipra Village, Thiruvananthapuram Corporat ion, Thiruvananthapuram Taluk, Thiruvananthapuram Distr ict , Kerala.

9.

Plot/Survey/Khasra No. Sy. Nos. 442/19, 442/10-1, 442/10, 442/10-2, 440/11-1-2, 440/10-1-1, 441/2-1-1, 440/11-1-1, 440/23-1, 440/22-4, 440/23-2, 440/22-1, 440/12-1-2, 442/3, 442/18, 442/2, 442/4, 442/5, 442/1, 442/7-1, 442/8, 442/9, 442/6, 442/13-1, 442/14-1, 439/12, 439/16-1, 439/9-1, 439/13, 439/15, 439/11, 439/7-3-1, 439/6-1, 439/10, 439/14, 440/10-1-1, 440/11-1-1, 441/15-3, 441/5-2, 441/15-2, 441/5-1, 441/2-1-3, 440/7-1-1, 440/12-1-1, 440/9-1-1, 440/22, 440/8-2, 441/5, 441/1,

441/6-1, 441/1-1, 441/2-1-2, 440/9-1, 440/27, 440/25, 440/12-1-4, 440/12-1-3, 440/25-1, 440/22-3, 440/7-1-2

Vil lage Att ipra

Tehsil Thiruvananthapuram

Distric t Thiruvananthapuram

State Kerala

10. Nearest rai lway s tat ion/airpor t along wi th d istance in Kms

The nearest railway stat ion is Kochuveli at about 3 km. (SE) and Thiruvananthapuram Int . Airport is about 7 km. (SE) away from the project site.

11. Nearest Town, c ity, Distr ic t Headquarters along with distance in Kms

City – Project site is within the city l imit District Headquarter - Thiruvananthapuram Collectorate about 13 km. (NE)

12 Vil lage Panchayats, Zi l la Parishad, Munic ipal Corporation, Local body (complete postal addresses wi th telephone nos. to be given)

Village off ice address :

Att ipra Village office, Sreekariyam - Kazhakuttam Rd., Manvila Industrial Estate, Manvila Thiruvananthapuram, Kerala-695011. Ph. 0471-2596628. Municipal Corporat ion of Thiruvananthapuram, Vikas Bhavan P.O., Thiruvananthapuram, Kerala-695 033. Ph. 0471-2320821.

13 Name of the applicant M/s Aster DM Healthcare (Tr ivandrum) Pvt. Ltd.

14 Registered Address M/s Aster DM Healthcare (Tr ivandrum) Pvt. Ltd. Aster Medcity, Kutt isahib Road, Near Kothad Bridge, South Chittoor PO, Cheranalloor, Kochi, Ernakulam, Kerala- 682027

Address for correspondence : M/s Aster DM Healthcare (Tr ivandrum) Pvt. Ltd. Aster Medcity, Kutt isahib Road, Near Kothad Bridge, South Chittoor PO, Cheranalloor, Kochi, Ernakulam, Kerala- 682027

Name Dr. Harish Pillai

Designation (Owner/Partner /CEO) Chief Executive Officer (CEO)

Address M/s Aster DM Healthcare (Tr ivandrum) Pvt. Ltd. Aster Medcity, Kutt isahib Road, Near Kothad Bridge, South Chittoor PO, Cheranalloor, Kochi, Ernakulam, Kerala- 682027

Pin Code 682027

E-Mail [email protected]

Telephone No. 0484-6699999 Mobile No. 09656900741

Fax No. 0484-6699234

16 Details of Alternative Sites examined, Not Applicable

i f any. Location of these s ites should be shown on a topo sheet

17 Inter l inked Projects Not applicable

18 Whether separate appl ication of inter linked projects has been submitted?

NO

19 If yes, date of submission N.A.

20 If no, reason N.A.

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 Notif ication, 2011 ?

NO NO NO

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

NO

23 Forest land involved (hectares) NO

24 Whether there is any litigation pending against the project and/or land in which the project is propose to be set up? (a) Name of the Court (b) Case No. (c) Orders/directions of the Court, if any and its relevance with the proposed project.

NO

( 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.)

Sr. No.

Information/Checklist confirmation

Yes / No

Details thereof (with approximate quantit ies /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)

Yes There is a permanent change in land use, land cover or topography including increase in intensity of land use.

The project is located at Attipra Vil lage which is fall ing in Corporation limits of Thiruvanthapuram.

During operat ion phase on full occupancy of the campus, the maximum population expected is 5,800 persons (floating / f ixed populat ion) and hence there is increase in the intensity of land use.

(Source: populat ion is calculated based on NBC).

1.2 Clearance of exist ing land, vegetat ion and bui ldings?

Yes There are some of nat ive trees and different variet ies of shrubs, herbs, climbers exist ing at site which will cleared from the site.

1.3 Creation of new land uses? Yes The project is hospital complex project with supporting infrastructure facil it ies.

1.4 Pre-construction invest igations e.g. bore houses, soil test ing?

Yes Pre-construction Soil Investigation was carried out for the site. It is reported that , the water table is varies from 1.20 m. to 3.10 m. depth from ground level.

1.5 Construct ion works? Yes The project is hospital project with supporting infrastructure facil it ies.

1.6 Demolit ion works? No Demolition work is not required.

1.7 Temporary s ites used for construction works or housing of construction workers?

Yes

Temporary sheds constructed for housing of construction workers (about 200 persons).

1.8 Above ground buildings, structures or earthworks including linear structures, cut and f i l l or excavations

Yes The proposed project is a hospital complex with supporting infrastructure facil it ies. Excavation of earthwork for the foundation of structures will be carried out. The top soil which is ferti le will be kept at site for landscaping work. The excavated soil will be used for back fi l l ing work and for internal road construction purposes.

1.9 Underground works including mining or tunneling?

No No underground works including mining / tunneling required.

1.10 Reclamation works? No No reclamation work required.

1.11 Dredging? No No dredging work required.

1.12 Offshore structures? No No offshore structure required.

1.13 Production and manufactur ing processes?

No No production / manufacturing process involved.

1.14 Faci l i t ies for storage of goods or materia ls?

Yes Separate raw material store of cement and other construction materials will be made within the project premises. Bricks and steel will laid in open.

1.15 Faci l i t ies for treatment or disposal of solid waste or l iquid ef f luents?

Yes Operation phase : - Solid waste generation will be about 925 Kg/day and which will be collected separately as Bio-degradable and Non-biodegradable waste as per the MSW Rules, 2016. The non-biodegradable and recyclable waste would be sold to the vendors. The biodegradable waste would be sent to the bio-gas generation plant. Also, the dried sludge from STP would be sent to the bio-gas generation plant. Bio-medical waste:- From the proposed hospital , bio-medical waste (about 421 Kg/day) l ike

infectious beddings, cotton, swabs, used syringes, discarded medicines, etc. would be generated. The bio-medical waste would be segregated at source by providing appropriate colour coded bins / containers as per the colour coding provided in the Bio-Medical Waste (Management & Handling) Rules. The Bio-medical waste from the hospital buildings would be outsourced through a Kerala State Pollution Control Board authorized agency (M/s Indian Medical Associat ion Goes Eco Friendly, IMAGE). e-Waste : - Discarded computer parts, monitor, key boards etc. constitutes e-waste and this waste will be stored in an earmarked area. e-waste will be disposed as per e Waste (Management & Handling) Rules. Further, the spent oil from the D.G. sets (defined as hazardous waste) will be sold to C.P.C.B. approved recyclers. Also, domestic hazardous waste would be generated like discarded paint drums, pesticide cans, CFL bulbs, tube lights, expired medicines, broken mercury thermometers, used batteries, used needles and syringes and contaminated gauge etc. generated at the household level. Radio active waste management : - The use of unsealed radioisotopes regular ly gives rise to radioactive waste, which has to be disposed of in a responsible and safe manner. The waste may include residual amounts of the original radionuclide, disposable containers (vials, syringes etc.) partially decayed or surplus unsealed sources. � The radioactive waste should be segregated from the non-active waste. Lead line waste bins with polythene linings should be used for collecting solid radioactive waste and Vials for l iquid waste.

� When both lived nuclide and longer l ived one are used, separate waste collection bins and storage bags should be provided for the two

categories of radionuclide. � The disposal procedures are based on the following principles.

� Dilute and dispersion for low level radioactive waste: - low activity short l ived radioactive waste may be disposed off into the sewage system with adequate flushing with water.

� Delay and decay for short l ived radio isotopes – waste containing short lived isotopes such as from isotope generator may stored in a special made RCC pit and release as general waste.

All the radiat ion safety guidelines of Atomic Energy Regulatory Board (AERB) Bhabha Atomic Research Centre (BARC) with regard to the disposal of radio active waste would be followed. A radiat ion safety off ice will be employed to ensure the radiation safety guidelines. Effluent: - The domestic sewage about 326 KL/day will be generated which will be treated through proposed Sewage Treatment Plant to be installed within the project premises. Also, the hospital effluent & laundry liquid waste of 18 KL/day from ETP is generated from the laundry & laboratory area.

1.16 Faci l i t ies for long term housing of operat ional workers?

Yes The proposed project is a hospital project and operational workers will be hired locally. There is accommodation facil ity for nurses (about 240 nos.) and about 100 persons for attendants to patients.

1.17 New road, rai l or sea traff ic during construction or operat ion?

No Not applicable

1.18 New road, ra il , air waterborne or other transport inf rastructure including new or altered routes and stat ions, ports, airports etc?

No Not applicable

1.19 Closure or d iversion of exist ing transport routes or inf rastructure leading to changes in traf f ic movements?

No Not applicable

1.20 New or diver ted transmission l ines or p ipel ines?

No Not applicable

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

No Not applicable

1.22 Stream crossings? No Not applicable

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

Yes For meeting the water requirement, the well water will also be used in the project .

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

No Not applicable

1.25 Transport of personnel or materia ls for construction, operat ion or decommissioning?

Yes Transportation of personnel / material during the construction and operation phase is envisaged. In the construction phase, approx. 8-10 trucks / day are envisaged for transportation of materials.

1.26 Long-term dismantl ing or decommissioning or restorat ion works?

No Not applicable

1.27 Ongoing act iv i ty during decommissioning which could have an impact on the environment?

No Not applicable

1.28 Inf lux of people to an area in ei ther temporari ly or permanently?

Yes The proposed project is a hospital project and provide job facil it ies for about 1,500 persons which includes administrat ive, doctors, nurses, housing keeping staff, security etc. in the operation phase and about 200 nos. of labourers (skil led/unskilled) during construction phase. Further, on full occupancy of the project , the maximum population expected is 5,800 Persons (float ing / f ixed populat ion).

1.29 Introduction of al ien species? No Not applicable

1.30 Loss of native species or genetic diversity?

Yes Due to the development of the site, most of the existing trees will be cleared from the site. As part of the eco restoration, large number of saplings of nat ive species would be planted. Due to the eco restoration, the impact to f loral and faunal ecology will be short term.

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 quantit ies /rates, wherever possible) with source of information data

2.1 Land especia l ly undeveloped or agricultural land (ha)

No Plot area 2.630 ha. is a reserved area for hospital project .

2.2 Water (expected source & competing users) uni t : KLD

Yes Operation phase. The total daily domestic water consumption for the proposed project would be 407 KLD (which includes fresh water requirement of 311 KL) (taken @ 45 ltr . LPCD for staffs & 135 LPCD for accommodation populat io, 15 LPCD for visitors & 450 LPCD for the Inpatient). The sources of water during operation phase for the proposed project are: - 1. Roof Rain water (Non-flushing req.) (Rainy days-Concurrent use)

2. Stored rain water / well water / KWA supply (Non f lushing req.) (non-rainy days)

3. Treated waste water from STP/ETP (Flushing Req.) (Entire Year)

The details regarding the water consumption related items are provided at daily water balance chart and daily water consumption chart attached.

2.3 Minerals (MT) No Not Applicable

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

Yes Steel : 12,360 MT, Sand: 18,025 cu.m., Hollow Blocks & Cement Blocks: 34,207 cu.m., Cement : 1,05,154 Bags Source - Brought from local suppliers available in the area.

2.5 Forests and t imber (source – MT) Yes Wood used for frame of doors & windows however recyclable wood was used for doors.

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

Yes Total Power Req. : 2,400 kVA Power Source: Kerala State Electricity Board. Capacity of D.G. Sets proposed (1,500 kVA x 3 nos.) (Standby power back up arrangement) Fuel – Low Sulphur HSD

2.7 Any other natural resources (use appropriate standard uni ts)

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. N.


Yes / No

Details thereof (with approximate quantit ies/rates, wherever possible) with source of information data

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

No This is a hospital project and no storage of hazardous chemicals ( as per MSIHC Rules ) will be done, apart from diesel storage for D.G. Sets which will be operated only during emergency and suitable arrangement will be adopted for the same. It will be stored in HDPE drums and kept in covered rooms under lock and key.

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

No Suitable drainage and waste management measures will be adopted in both the construction and operat ion phase which will restrict stagnation of water or accumulation of water within the site & the surroundings. This will effectively restrict the reproduction and growth of disease vectors. Further, appropriate sanitation facil ity will be provided at site during construction phase & operat ion phase. Good house keeping and hygienic measures will be followed during construction and operation phase to avoid any cause which can lead to occurrence of disease.

3.3 Affect the welfare of people e.g. by changing l iv ing conditions?

Yes The proposed project is a hospital project and thereby the living index of the people around the project site will definitely improve. Also there will be various ancillary activit ies like institutions, convenient shops, medical shops, transport facilit ies etc. attached to the project which will benefit to the local people and change their l iving condit ion.

3.4 Vulnerable groups of people who could be af fected by the project e.g. hospita l pat ients, chi ldren, the elderly etc.,

No Not applicable. There is no storage of any material within the site which will affect the vulnerable groups of people.

3.5 Any other causes No Not applicable

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

S. No.


Yes / No


4.1 Spoil , overburden or mine wastes

No No such spoil over burden or mine waste will be generated. Excavated earth shall be used for landscaping, backfil ling and internal road construction at the project site.

4.2 Municipal waste (domestic and or commercial wastes)

Yes The total Municipal solid waste to be generated from the proposed project would be about 925 Kg/day on full occupancy during operation phase. Also, the Bio-medical waste of about 421 kg/day would be generated.

4.3 Hazardous wastes (as per Hazardous Waste Management Rules)

Yes The oil used in the D.G. sets (as a standby source of power) after certain of hours of operation, needs to be changed. This used oil from the D.G. Sets will be sold to the CPCB approved recyclers. The list of authorized recyclers are M/s Perfect Alloys, Chengannur, M/s Peejay Enterprises, Thiruvalla, M/s Excel Petrochemicals, Kochi & M/s Cee Jee Lubricants, Aluva are the approved recyclers for discarded batteries & used oil located in Kerala. Also, the bio-medical waste of about would be generated from the hospital complex. Also used oil will be stored in HDPE drums in isolated covered facility. e-Waste : - � Discarded computer parts, monitor, key boards etc. constitutes e-waste and this waste will be stored in an earmarked area.

� E-waste will be generated after 4-5 years latency period

� Separate earmarked space will be provided for e-waste storage.

� e-waste will be disposed as per E Waste (Management & Handling) Rules, 2016.

4.4 Other industr ia l process wastes No Not applicable

4.5 Surplus product No Not applicable

4.6 Sewage sludge or other s ludge f rom eff luent treatment

Yes The sludge from S.T.P. will be partially recycled for enhancing biological treatment and the excess sludge will be sent to the f ilter press and the de-canted sludge will be sent to the bio gas plant and the manure

produced will be used in green area during operation phase. The bio gas produced will be used for kitchen/canteen area.

4.7 Construction or demoli t ion wastes

Yes Construction waste will be used for back f i ll ing purposes.

4.8 Redundant machinery or equipment

No Not applicable

4.9 Contaminated soi ls or other materia ls

No Not applicable

4.10 Agricultural wastes No Not applicable

4.11 Other sol id wastes Yes Some horticulture waste will be generated and which will be sent to the bio-gas generat ion plant.

5. Release of pollutants or any hazardous, toxic or noxious substances to air

(Kg/hr)

S. No.


Yes / No

Details thereof (with approximate quantit ies / rates, wherever possible) with source of information data

5.1 Emissions f rom combustion of fossil fuels from stat ionary or mobile sources

Yes The operation of proposed project does not envisage any major air pollutant generating sources except D.G. Sets and vehicular movement during construction phase and operat ion phase. It is proposed to have a D.G. set of 1,500 kVA x 3 nos. during operat ion phase.

5.2 Emissions f rom production processes

No Not applicable. No production activity envisaged.

5.3 Emissions f rom materia ls handling including storage or transport

Yes This will be restricted to the construction phase and within the project site only.

5.4 Emissions f rom construction activi t ies including plant and equipment

Yes Dust will be generated during unloading of construction materials, dril l ing and grinding operat ions etc. This will restricted to the construction phase and within the project site only. The other source of emission is from D.G sets of 62.5 kVA of 1 no. which will be used during construction phase.

5.5 Dust or odours f rom handling of materia ls including construction materia ls, sewage and waste

Yes During construction phase dust generated during the handling of construction materials. Sprinklers for suppression of dust will be installed during construction phase to minimize the dust generation. Wind breakers ( i .e. barricades with GI sheets) or using shade nets will be used for dust control.

5.6 Emissions from incinerat ion of waste

No Not applicable, no incineration proposed.

5.7 Emissions f rom burning of waste in open air (e.g. s lash materia ls,

No Not applicable

construction debr is)

5.8 Emissions f rom any other sources

No Not applicable

6.0 Generat ion of Noise and Vibration, and Emissions of Light and Heat:

S. No.

Information / Checklist confirmation

Yes / No


6.1 From operation of equipment e.g. engines, venti lat ion plant, crushers

Yes During construction, the machinery used for construction will be of highest standards and reputed make and adhere to international standards. These standards itself take care of noise generated from these machines. The construction involved is low rise hospital complex buildings, no heavy machinery will required. Hence insignif icant impacts due to construction machinery are envisaged. The source of vibration from the project during construction of the building. Pile foundation work generate vibrat ion. The PPV levels from the pile driver will be maintained within 15 mm / sec. at 15 m. from the source of generat ion. Therefore, there will be no any damage due to the pile work to the nearby existing structures. Apart from this, the construction activity will be restricted to day t ime only. Noise will be created from operat ion of D.G. sets but all the D.G. sets shall be silent generators to restrict the noise within the permissible l imit .

6.2 From industr ial or s imilar processes

No Not applicable

6.3 From construction or demoli t ion Yes Due to the various construction activit ies, there will be short term noise impacts in the immediate vicinity of the project site. The construction act ivity will include the following noise generation act ivit ies: Operation of D.G. Sets, concret ing mixing and excavation. However, working personnel at the project site in these areas shall be provided with earplug or earmuffs.

6.4 From blast ing or pi l ing No No blasting / pil l ing will be adopted in the construction process.

6.5 From construction or operat ional traf f ic

Yes Some amount of noise will be generated from vehicular movement in the construction and operat ion

phase.

6.6 From l ight ing or cool ing systems No Some amount of noise generated from vehicular movement in the construction and operat ion phase.

6.7 From any other sources No Not applicable

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

S. No.


Yes / No


7.1 From handling, storage, use or spi l lage of hazardous materials

No Used Oil from the D.G. Sets will be stored in HDPE drums and will be kept at a separate place and sold to CPCB approved recyclers. Therefore there is no risk of contamination due to used oil. The storage of used oil will be in such a way that no spillage of hazardous materials.

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

No Sewage will be disposed off through Sewage Treatment Plant to be developed within the premises both during construction and operation phase. There is no chance of spillage or discharge of sewage and all the sewage will be chanalized properly through closed pipes to the STP. The sewage after treatment will be util ized for f lushing, horticulture, boiler & make-up water for cooling purposes.

7.3 By deposi tion of pol lutants emitted to air into the land or into water

No There is no emission except of D.G. sets. By use of low sulphur diesel, the emission from the D.G. sets will be within the norms.

7.4 From any other sources No Not applicable

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

No Not applicable

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

S. No.


Yes / No


8.1 From explosions, spil lages, f ires etc from storage, handl ing, use or production of hazardous substances

No This is basically hospital building project . The chances of explosions, spillages, f ire are minimal. During construction all the labours will be provided with suitable personal protective equipment

(PPE) as required under the health & safety norms. Training and awareness about the safety norms will be provided to all supervisors and labours involved in construction activity. An agreement will be signed with the contractor which will clearly deals with the safety aspects during construction. No major hazardous waste is being stored within the project site. No Industr ial or process act ivity is involved in this project hence chances of chemical hazards and accidents are minimal. However, suitable fire f ighting measures will be provided.

8.2 From any other causes No Not applicable

8.3 Could the project be affected by natural d isasters causing environmental damage (e.g. f loods, ear thquakes, landslides, c loudburst etc)?

No As per seismic classificat ion, the project site falls in Zone-III . No reported cloudburst in the area. Also, there is no hil ly area around the project site, there is no chance of landslide. Structural design aspects as per the seismic codes – IS 1893 (2002), IS 13920 (1993) and IS 456 (2000) as applicable would be incorporated in our project. Also, there is a small drain flowing in the west side of the property. HFL of the water body will be incorporated for the proposed development of the site.

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 act ivit ies in the locality

S. No.


Yes / No


9.1 Lead to development of support ing uti l i t ies, ancil lary development or development stimulated by the project which could have impact on the environment e.g.: • Support ing inf rastructure (roads,

Yes

Appropriate infrastructure l ike roads, power supply, waste management and waste water treatment will be developed within the site so that chances of occurrence of any adverse impacts are minimized. During construction skilled,

power supply, waste or waste water treatment, etc.)

• housing development • extractive industr ies • supply industr ies • other

Yes No No No

unskilled and professional work force including temporary and permanent employees shall be hired locally in order to generate the employment to the local people. While during the project operat ion stage for the purpose of day-to-day maintenance, workers will be employed. Moreover, more employment will be created as a result of posit ive induced development in the immediate vicinity of project site. Accommodation facility for nurses & attendant to the patients Not applicable Not applicable Not applicable

9.2 Lead to af ter-use of the s ite, which could have an impact on the environment

No Not applicable

9.3 Set a precedent for later developments

No Not applicable

9.4 Have cumulat ive effects due to proximity to other exist ing or planned projects with similar effects

No Not applicable

( II I) Environmental Sensitivity

Sr . No.

Areas

Name/ Identi ty

Aerial distance (within 15 km.) Proposed project location boundary

1 Areas protected under international conventions, nat ional or local legis lat ion for their ecological, landscape, cultural or other related value

Yes Trivandrum Zoo–about 7.5 km. (SE)

2 Areas which are important or sensit ive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests

Yes Water bodies :- Drain – west side of the property Parvathy Puthanaar – about 0.4 m. (w) Akkulam Lake– about 0.55 km. (SE) Lakshadweep Sea – about 0.8 km, (SW)

3 Areas used by protected, important or sensit ive species of

No None within the study area

f lora or fauna for breeding, nesting, foraging, resting, over wintering, migrat ion

4 In land, coastal , marine or underground waters

Yes Water bodies :- Drain – west side of the property Parvathy Puthanaar – about 0.4 m. (w) Akkulam Lake– about 0.55 km. (SE) Lakshadweep Sea – about 0.8 km, (SW)

5 State, National boundaries No None within the area

6 Routes or facil it ies used by the public for access to recreation or other tourist, pi lgr im areas

No Not applicable

7 Defense instal lat ions Yes Military Area at Pangode, Tr ivandrum - About 11 km. (SE) And Military area at Aakulam - about 2.5 km. SE (Source : Google Earth aerial distance)

8 Densely populated or bui l t-up area Yes

The project site is within the suburb of Thiruvananthapuram Corporat ion & hence densely populated.

9 Areas occupied by sensitive man-made land uses (hospitals, schools, places of worship, community faci l i t ies)

Yes Hospitals, schools, places of worship, community facil it ies Located within 15 km. around the site.

10 Areas containing important, high quali ty or scarce resources (ground water resources, surface resources, forestry, agriculture, f isheries, tour ism, minerals)


11 Areas already subjected to pol lut ion or environmental damage. ( those where existing legal environmental standards are exceeded)


12 Areas susceptible to natural hazard which could cause the project to present environmental problems (earthquakes, subsidence, landsl ides, erosion, f looding or extreme or adverse c l imatic condit ions )

No No reported incidence of earthquakes, subsidence, landslides, erosion, f looding or extreme or adverse climatic condit ion at site. The project area falls in Zone – I II , accordingly to the Indian Standards Seismic Zoning Map. Suitable NBC measures will be adopted while designing the structures.

( IV). Proposed Terms of Reference for EIA studies Ans. The proposed project is having total built-up area 84,641.46 sq. m. and which

is less than 1,50,000 sq.m. and therefore, as per EIA Notif icat ion, 2006, the project falls under 8 (a) and hence EIA Studies is not required for this project.

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APPENDIX II

( See paragraph 6 )

FORM-1 A

(Only for construction projects l isted under item 8 of the Schedule)

(Environmental Clearance for Hospital Complex Project by M/s ASTER DM HEALTHCARE (TRIVANDRUM) PVT. LTD.

at Sy. Nos. 442/19, 442/10-1, 442/10, 442/10-2, 440/11-1-2, 440/10-1-1, 441/2-1-1, 440/11-1-1, 440/23-1, 440/22-4, 440/23-2, 440/22-1, 440/12-1-2, 442/3, 442/18, 442/2, 442/4, 442/5, 442/1, 442/7-1, 442/8, 442/9, 442/6, 442/13-1, 442/14-1,

439/12, 439/16-1, 439/9-1, 439/13, 439/15, 439/11, 439/7-3-1, 439/6-1, 439/10, 439/14, 440/10-1-1, 440/11-1-1, 441/15-3, 441/5-2, 441/15-2, 441/5-1, 441/2-1-3,

440/7-1-1, 440/12-1-1, 440/9-1-1, 440/22, 440/8-2, 441/5, 441/1, 441/6-1, 441/1-1, 441/2-1-2, 440/9-1, 440/27, 440/25, 440/12-1-4, 440/12-1-3, 440/25-1, 440/22-3,

440/7-1-2, in Att ipra Village, Thiruvananthapuram Corporation, Thiruvananthapuram Taluk, Thiruvananthapuram Distr ict , Kerala.

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)

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

1.1. W ill the exist ing land use get s ignif icantly a ltered f rom 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 f rom the competent author ity be submitted). Attach Maps of ( i) si te location, ( i i) surrounding features of the proposed si te (with in 500 meters) and ( i i i ) the s ite ( indicating levels & contours) to appropr iate scales. If not available attach only conceptual plans.

Ans. The proposed project site is located at Attipra Village which is fall ing in Corporation limits of Thiruvananthapuram, Thiruvananthapuram Taluk District, Kerala.

The vicinity map and the satell ite map showing the location of the project site & it ’s surroundings is attached. The conceptual plan showing proposed buildings, location of STP, Solid waste processing area, landscape area, parking area, rain water storage tanks, location of well, building blocks, entry & exit to the site, internal traff ic circulat ion within the site and surrounding etc. is attached.

1.2. L ist out a ll the major project requirements in terms of the land area, bui l t up area, water consumption, power requirement, connect ivi ty, community faci l i t ies, parking needs etc.

Ans. The major project requirements for this construction projects are mentioned below:-

Objective of the project = Hospital complex project Facilit ies proposed = 600 Bedded Hospital Project with supporting

infrastructure facilit ies. Total Cost of the Project = About Rs. 440 Crores

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Total plot area = 2.630 ha. (26,300 sq.m.) Ground Coverage = 12,568.18 sq.m. (47.79%) Total Open area = 13,731.82 sq.m. (52.21%) Total built-up area = 84,641.46 sq.m. Max. Height of the building = 41 m. Max. no. of f loors = Ground + 12 f loors Total Domestic Water Req. = 407 KL/day Sewage Generation = 326 KL/day Sewage Disposal Facility = Sewage Treatment Plant & Recycling Treated Water Available from STP = 294 KL/day Effluent Generation from ETP= 18 KL / day Effluent disposal facil ity = Effluent Treatment Plant & Recycling Treated water available from ETP = 16 KL / day Source of Water = Roof Rain water (Non-flushing req.) (Rainy

days-Concurrent use), Stored rain water / wells / KWA supply (Non flushing req.) (non-rainy days) & Treated waste water from STP / ETP (Flushing Req.) (Entire Year)

The details of the daily water requirement balance chart ( rainy days & non – rainy days ) is provided. Also attached is the activity wise populat ion & daily water consumption details are attached. Total Power Requirement = 2,400 kVA Source of Power = Kerala State Electricity Board &

D.G. Sets (standby) Capacity of D.G. Sets = 1,500 kVA x 3 nos. Parking Proposed = 676 Cars + 768 Two wheelers Connectivity :- The access road to the project site are from about 10 m. wide at north side & 10 m. wide at east side which is connected to N.H. 47 Byepass Road which is located at within 700 m. from the site. The nearest railway station is Kochuveli at about 3 km. (SE) and Thiruvananthapuram Int. Airport is about 7 km. (SE) away from the project site.

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1.3. What are the l ikely impacts of the proposed act iv ity on the exist ing faci l it ies adjacent to the proposed site? (Such as open spaces, community faci l i t ies, detai ls of the exist ing land use, disturbance to the local ecology).

Ans. The proposed project site is located at Attipra Village which is fall ing in Corporation limits of Thiruvananthapuram, Thiruvananthapuram Taluk District, Kerala. There would be no negative impacts on the exist ing faci l it ies adjacent to the proposed site. The proposed project has provision for (i) Treatment of sewage / effluent and it ’s fully recycling thereby there is no discharge outside the project premises. (i i) The project has made provision for rain water storage tanks which will be used as concurrent source of water during rainy days and non-rainy days. ( i ii) By the Bio-gas generation plant/bio-bin system which will be proposed within the project premises, the bio-degradable solid waste disposal will be managed within the site thereby no disposal outside the site. (v) There are various native species of trees, shrubs, herbs etc. existing at site as part of f loral ecology. Most of the species will be cleared for development of the proposed site. As part of the eco restoration, large number of saplings of native species would be planted. Due to the eco restoration, the impact to floral and faunal ecology will be short term.

1.4. W il l there be any s ignif icant land disturbance resulting in erosion, subsidence &

instabi l i ty? (Details of soil type, slope analys is, vulnerabi l i ty to subsidence, seismicity etc may be given) .

Ans. There will be no signif icant land disturbance occur due to the proposed construction project. The project site falls within Zone-II I as per the seismological classif ication map of India. There is no history of subsidence of the project site or it ’s surroundings in the past. The slope is toward south west side.

1.5. W ill the proposal involve alterat ion of natural drainage systems? (Give detai ls

on a contour map showing the natural drainage near the proposed project s i te) Ans. The slope is toward south west side. The proposed development does not

affect the drainage pattern of the site and surroundings. The rain water from the site would be stored in the rain water harvesting tanks to be constructed within the site. The excess runoff from the site will be properly chanalized to the drain and will be discharged only after de-siltation & oil removal to the drain available west side of the property.

1.6. What are the quanti t ies of earthwork involved in the construction activ i ty-

cutt ing, f i l l ing, reclamation etc. (Give detai ls of the quantit ies of earthwork involved, transport of f i l l materials f rom outs ide the s ite etc.)

Ans. Excavation of earthwork for the foundation of structures will be carried out. The top soil which is ferti le will be kept at site for landscaping work. The excavated soil will be used for back f i l ling work and for internal road construction purposes.

1.7. Give detai ls regarding water supply, waste handling etc. during the construct ion period.

Ans. Construction phase – It is expected to have about 200 workers (average) during construction phase. The water requirement during construction period is from the well water. The domestic water requirement is expected to be 14 KL per day and for construction purposes would be about 24 KL per day. Further, by using of ready mix concrete (RMC) & curing agents, the water will be reduced substantially. The major part of the construction water requirement will be fully consumed. The sewage generation from labourers during construction period would be about 11 KL/day and this quantity of domestic waste would be disposed through a mobile STP to be

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provided at the labour colony. The treated sewage will be used for meeting the landscape requirement. The non bio-degradable waste, the empty cement bags, other packaging materials etc. would be disposed to the vendors. The bio-degradable solid waste from the labour colony will be disposed in bio-bin system from the labour colony.

1.8. W ill the low lying areas & wetlands get a ltered? (Provide detai ls of how low

lying and wetlands are gett ing modif ied f rom the proposed act ivi ty) Ans. Not applicable. 1.9. Whether construction debris & waste during construction cause health hazard?

(Give quanti t ies of var ious types of wastes generated during construct ion including the construction labour and the means of disposal)

Ans. The construction waste consists of earth, debris concrete, lumber, masonry and cardboards which are about 35%, 15%, 12% and 10% respectively. Construction waste would be disposed for backfill ing purposes. The bio-degradable food waste from the construction labourers will be disposed in a bio-bin system for microbial composting from the labour colony. The non-biodegradable waste will be stored and sold to the vendors. The packaging material l ike cement bags etc. would also be sold to the vendors.

2.0 WATER ENVIRONMENT 2.1. Give the total quanti ty of water requirement for the proposed project with the

breakup of requirements for var ious uses. How wi l l the water requirement met? State the sources & quanti t ies and furnish a water balance statement.

Ans. The details are provided below :- The water requirement during construction phase are for construction purposes and for the domestic water requirements of the construction workers. The construction water requirement is expected to be 24 KL/day and for domestic purposes is estimated to be 14 KL/day. The water requirement during the construction phase will be met from the wells & stored rain water. The expected total daily water requirement, water balance chart and source of water during the operat ion phase of the project calculated on the basis of full occupancy are mentioned below:- Total Domestic Water Req. = 407 KL / day (which includes 311 KLD of fresh water req.) Sewage Generation = 326 KL / day Sewage Disposal Facility = Sewage Treatment Plant & Recycling Treated Water Available = 294 KL / day Effluent Generation from ETP=18 KL / day Effluent disposal facil ity =Effluent Treatment Plant & Recycling Treated water available from ETP =16 KL / day Source of Water : - 1. Roof Rain water (Non-flushing req.) (Rainy days-Concurrent use) 2. Stored rain water / well water / KWA supply (Non flushing req.) (non-rainy days) 3. Treated waste water from STP/ETP (Flushing Req.) (Entire Year)

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The project has made provision for rain water storage tanks will be used for the concurrent use and of water and hence as source of water during rainy days & non-rainy days. The source of water from well water & stored rain water through tanks and hence the availability of water is ensured. The Water Balance Chart (rainy days & non-rainy days) is attached. The activity wise populat ion & daily water consumption details are attached. 2.2. What is the capacity (dependable f low or yie ld) of the proposed source of

water? Ans. During construction phase, the source is from the well water & recycled

water from STP/ETP & rain water storage tanks. With the estimated construction phase water requirement of about 38 KL/day (14 KDL + 24 KLD) extending for a period of about 36 months, this source is dependable. The source of water for the proposed project during operation phase will be water from the proposed Rain water collection tanks within the site of for meeting the water requirement for non-flushing ( during rainy days). Also, it proposed to construct STP for the treatment of domestic sewage & effluent from the hospital laundary through ETP. During non-rainy days, the source of water is from stored rain water, KWA water supply & for well water for meeting the non-flushing water requirement. The treated water from STP/ETP would meet the water requirement for flushing, horticulture, boiler & make-up water requirement for cooling towers attached with HVAC plant requirements. Therefore by these sources and by an integrated water management approach, a dependable source of water is ensured. Further details are provided in water balance chart which is provided.

2.3. What is the quali ty of water required, in case, the supply is not f rom a municipal source? (Provide physical, chemical, b io logical character ist ics with c lass of water qual i ty)

Ans. The source of water for the proposed project will be from Kerala Water Authority (KWA), stored rain water during rainy days & non-rainy days for non-f lushing purposes & treated sewage for meeting the f lushing, horticulture, boiler & make-up water requirement for cooling towers attached with HVAC plant requirements. It is proposed to have Sewage Treatment Plant (STP) for treatment of domestic sewage. Also, it is proposed to have WTP for f iltrat ion, disinfection well water before its use. The water quality of the well water near to the site is col lected and analyzed through an accredited laboratory. In this regard the well water quality report is provided.

2.4. How much of the water requirement can be met f rom the recycling of treated

wastewater? (Give the detai ls of quanti t ies, sources and usage) Ans. The proposed project has provision for treatment of sewage. The quantity

of treated water from STP which is f it for recycling to meet the flushing (116 KL), hort iculture (30 KL), boiler (10 KL) & excess for make-up water requirement for cooling towers attached with HVAC plant. The details of recycling and it ’s usage are provided in water balance chart.

2.5. Wil l there be diversion of water f rom other users? (Please assess the impacts of

the project on other exist ing uses and quanti t ies of consumption) Ans. Since there is minimal dependency on public supply, there is no diversion

of water from other users. The water supply for the proposed project is from stored rain water, well water and recycled water and hence there will be minimum impact to the surrounding.

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2.6. What is the incremental pol lut ion load f rom wastewater generated f rom the proposed act iv i ty? (Give detai ls of the quanti t ies and composition of wastewater generated f rom the proposed activi ty)

Ans. There would be no incremental pollution load from wastewater generated from the proposed act ivity because the whole waste water of this project would be treated through proposed S.T.P. within the project area and the treated water from S.T.P will be fully re-used and no discharge outside the project site. Therefore, no impact outside the site.

2.7. Give detai ls of the water requirements met f rom water harvest ing? Furnish

detai ls of the facil i t ies created. Ans. One of the source of water for the proposed project will be water from

stored rain water in tanks to be constructed within the site for meeting the water requirement for non-flushing activit ies. The capacity of the rain water storage tank requirement is = ground coverage of the building x 25 ltr . as per KMBR. The statutory requirement works out to be about 315 KL. However, provision is made for more than the statutory requirement to ensure the water available for the project.

2.8. What would be the impact of the land use changes occurring due to the

proposed project on the runof f character ist ics (quanti tat ive as well as qual i tat ive) of the area in the post construction phase on a long term basis? Would i t aggravate the problems of f looding or water logging in any way?

Ans. It is reported that, the water table is varies from 1.20 m. to 3.10 m. depth from ground level. The soil is medium dens sand in nature. Due to these factors, the percolation to the ground before the site development is very poor. Further, it is proposed to have a rain water storage tanks. The excess runoff from the site will be properly chanalized to the drain and will be discharged only after de-siltat ion & oil removal to the drain. Due to these measures, there would not be any incremental load and will not cause any flooding or water logging.

Also, there is a small drain flowing in the west side of the property. HFL of the water body will be incorporated for the proposed development of the site.

2.9. What are the impacts of the proposal on the ground water? (W ill there be

tapping of ground water ; give the detai ls of ground water table, recharging capacity, and approvals obtained f rom competent author ity, i f any)

Ans. It is reported that, the water table is varies from 1.20 m. to 3.10 m. depth from ground level. Therefore, rain water harvesting through pits will not be feasible at site. The source of water for the proposed project will be water from Rain water storage tanks for meeting the water requirement during rainy days-concurrent use and stored for non-rainy days and open well at site for meeting the water requirement for non-flushing act ivit ies and hence the availability of water is ensured and due to the reasons mentioned above, the dependency on ground water will be minimal.

2.10. What precautions/measures are taken to prevent the run-off f rom construct ion

activ i t ies pol lut ing land & aquifers? (Give details of quantit ies and the measures taken to avoid the adverse impacts)

Ans. The run-off during construction phase will be part ially channelized to the rain water storage tanks. The excess runoff from the site will be properly chanalized and will be discharged only after de-siltation & oil removal to the drain and therefore, the run-off will not contaminate the land and aquifer.

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2.11. How is the storm water f rom with in the s ite managed? (State the provis ions made to avoid f looding of the area, detai ls of the drainage facil i t ies provided along with a s ite layout indication contour levels)

Ans. The roof run-off from the site will be appropriately channelised to the storm water collection tanks to be constructed within the site and excess runoff from the site will be properly chanalized and will be discharged only after de-siltation & oil removal to the drain. The surface runoff will be properly channelized to the external drain after de-silt ing and oil removal.

Sand, gravel & other loose construction materials during rainy days to be kept in a covered or secured place so as to prevent the carrying of these through surface run-off. Proper & regular house keeping of the construction site specially during rainy days & these area to be free of all l itters l ike plastic bottles & carry bags, packaging materials, hand gloves, etc.

2.12. W il l the deployment of construction labourers part icular ly in the peak per iod

lead to unsani tary conditions around the project s i te (Justi fy with proper explanation)

Ans. The proposed project has provision of labor colony and the domestic sewage will be channelised to the mobile STP for treatment of sewage during the construction period to handle the sewage. Also, it is proposed to construct a bio-bin facility for disposal of food waste from labour colony. Also, it is proposed to have a dedicated staff for good house keeping of the construction site premises and the labor colony premises. These measures will ensure a good hygienic conditions around the labor colony.

2.13. What on-site facil i t ies are provided for the collect ion, treatment & safe

disposal of sewage? (Give detai ls of the quanti t ies of wastewater generation, treatment capacit ies with technology & faci l i t ies for recycl ing and disposal)

Ans. The project has provision of mobile STP for the treatment of sewage during construction phase and STP of about 391 KL capacity within the project premises to treat the sewage during operation phase. The technology for the treatment of the sewage is up to tertiary treatment technology. The total quantity of sewage generat ion will be about 326 KL/day and effluent from ETP will be of about 18 KLD. The treated water will be fully recycled for meeting the flushing, horticulture, boiler & make-up water requirement for cooling towers attached with HVAC plant requirements. As per the water balance chart , there will be no sewage / effluent discharge from the proposed project premises after development of the proposed project.

2.14. Give details of dual p lumbing system if treated waste used is used for f lushing

of toi lets or any other use. Ans. The treated waste water from the proposed Sewage Treatment Plant

during the operation phase of the project will be used for f lushing, horticulture, boiler & make-up water requirement for cooling towers attached with HVAC plant purposes and for which dual plumbing system is proposed.

3.0 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) Ans. There are some native tree species and different varieties of shrubs,

herbs, climbers existing at site. For the development of the proposed project, there will be clearance most of the exist ing trees & different varieties of shrubs, herbs, grass & climbers.

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3.2. W ill the construction involve extensive clearing or modif icat ion of vegetat ion? (Provide a detai led account of the trees & vegetat ion af fected by the project)

Ans. There are some native tree species and different varieties of shrubs, herbs, climbers existing at site. For the development of the proposed project, there will be clearance most of the exist ing trees & different varieties of shrubs, herbs, grass & climbers. As per the “Kerala Promotion of Tree Growth in Non-Forest Areas (Amendment) Act, 2007”, no permission is required for cutting of these trees.

3.3. What are the measures proposed to be taken to minimize the l ikely impacts on

important s i te features (Give detai ls of proposal for tree plantat ion, landscaping, creation of water bodies etc along with a layout plan to an appropriate scale)

Ans.It is proposed to have large number of tree plantation (native species) within the project area and the landscape area proposed.

4.0 FAUNA 4.1. Is there l ikely to be any displacement of fauna- both terrestr ial and aquatic or

creation of barr iers for their movement? Provide the details. Ans. There will be no displacement of fauna due to the construction of the

proposed project. 4.2. Any direct or indirect impacts on the avifauna of the area? Provide detai ls . Ans. There is no direct or indirect impact on the avifauna of the area due to this

project. The proposed project after the proposed eco restoration with lot of flowering trees and fruit bearing trees will enhance the presence of avifauna.

4.3. Prescribe measures such as corr idors, f ish ladders etc to mitigate adverse

impacts on fauna Ans. Not applicable. 5.0 AIR ENVIRONMENT 5.1. W ill the project increase atmospheric concentration of gases & result in heat

is lands? (Give detai ls of background air qual i ty levels with predicted values based on dispersion models taking into account the increased traff ic generat ion as a resul t of the proposed construct ions)

Ans. The proposed project is a hospital project and it will not increase atmospheric concentration of gases, the project has provision of D.G. Sets for standby arrangement of electricity and will run only during power failure. The stack attached to the proposed D.G. Sets will follow all the rules and regulat ions of State Pollution Control Board and Central Pollution Control Board.

The ambient air quality of the site carr ied out through an accredited laboratory and the ambient air quality report is attached.

5.2. What are the impacts on generat ion of dust, smoke, odorous fumes or other

hazardous gases? Give detai ls in re lat ion to all the meteorological parameters. Ans. During construction phase, there will be generation of dust & smoke due

to this project. The dust generat ion during construction phase will be controlled by enclosures at appropriate locations and also by sprinkling of water for suppression of dust. The gas/smoke generation expected is from D.G. sets only and the gases will be vented out through stack of appropriate height.

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5.3. W il l the proposal create shortage of parking space for vehic les? Furnish detai ls of the present level of transport inf rastructure and measures proposed for improvement including the traff ic management at the entry & exit to the project si te.

Ans. The proposed project would provide vehicle parking facil it ies within the project premises. The parking plan for this project would follows KMBR guidelines. The total number of parking proposed is 676 Cars + 768 two wheelers. The conceptual plan clearly shows the internal traff ic management with entry and exit to the proposed project site. The proposed site development will provide minimum drive way as per KMBR at all around the building blocks for easy & smooth vehicular movement. The access road to the project site are from about 10 m. wide at north side & 10 m. wide at east side which is connected to N.H. 47 Byepass Road which is located at within 700 m. from the site. The nearest railway station is Kochuveli at about 3 km. (SE) and Thiruvananthapuram Int. Airport is about 7 km. (SE) away from the project site.

5.4. Provide detai ls of the movement patterns with internal roads, bicycle tracks, pedestr ian pathways, footpaths etc., with areas under each category. Ans. The conceptual plan clearly shows the internal traffic management with

entry and exit to the proposed project site, all internal roads with width, pedestrian path ways etc. Further provision of ramps are proposed for the easy access to the building for physically challenged persons.

5.5. W ill there be s ignif icant increase in traff ic noise & vibrat ions? Give details of

the sources and the measures proposed for mitigat ion of the above. Ans. The proposed project is a hospital project and there would be some

increase in noise and vibrat ion due to the vehicular movement within the project site. The project has provision of large area for the parking for the vehicles and the parking arrangement which is planned, that there would be easy movement of vehicles within the project area and smooth movement is provided for the vehicles to reduce the traffic congestion.

5.6. What wil l be the impact of DG sets & other equipment on noise levels &

vibrat ion in & ambient air qual i ty around the project si te? Provide details . Ans. The D.G. sets which would be used for the project will be with sound proof

acoustic enclosures and hence there will be no impact to the surroundings. The D.G. sets would be attached with proper anti vibrat ion pads to reduce any vibration impact to the site surrounding.

The f lue gases from the D.G. sets will be vented out through stack of appropriate height as per C.P.C.B. norms to reduce the impacts on air quality around the project site.

The ambient noise level of the site is carried out through an NABL accredited laboratory and the ambient noise level report is attached.

6.0 AESTHETICS 6.1. W ill the proposed construct ions in any way resul t in the obstruct ion of a v iew,

scenic amenity or landscapes? Are these considerat ions taken into account by the proponents?

Ans. There is no any scenic beauty near the project site. 6.2. W ill there be any adverse impacts f rom new constructions on the exist ing

structures? What are the considerat ions taken into account? Ans. The project site is within the Corporation limit area of Thiruvananthapurm.

The surrounding area is residential / religious / off ices / institut ional

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developments with open land. There are access road in the north & east direction there is access road to the site. There will be no any adverse impacts due to the development of the proposed project.

6.3. Whether there are any local considerat ions of urban form & urban design

inf luencing the design cr i ter ia? They may be explic i t ly spelt out. Ans. The proposed project would be constructed in conformity with the Kerala

Municipality Building Rules (KMBR). As per seismic classif ication, the project site falls in Zone-II I . No reported cloudburst in the area. Also, there is no hilly area around the project site, there is no chance of landslide. Structural design aspects as per the seismic codes – IS 1893 (2002), IS 13920 (1993) and IS 456 (2000) as applicable would be incorporated in our project.

6.4. Are there any anthropological or archaeological si tes or artefacts nearby? State

i f any other s ignif icant features in the vic ini ty of the proposed site have been considered.

Ans. There is no report of existence of any anthropological or archaeological site nearby the project area. The proposed project is located in Corporation limits of Thiruvananthapuram. The vicinity map showing the site & surrounding area is provided.

7.0 SOCIO-ECONOMIC ASPECTS 7.1. W ill the proposal resul t in any changes to the demographic structure of local

populat ion? Provide the details . Ans. The proposed project is a hospital project . During operation phase, on full

occupancy of the project, the maximum populat ion expected is 5,800 persons and hence there will be inf lux of people (f ixed/floating) to the project area and surrounding.

7.2. Give detai ls of the exist ing social inf rastructure around the proposed project. Ans. The project site is within the corporat ion limit of Thiruvananthapuram.

There are several schools, colleges, religious places commercial and residential buildings, Govt. and private off ices, hospitals, which are located around the proposed project. The vicinity map showing the surrounding details of the proposed project is provided.

7.3. W il l the project cause adverse ef fects on local communit ies, disturbance to

sacred s ites or other cul tural values? What are the safeguards proposed? Ans. The project would not cause any adverse effects on local communit ies,

disturbance to sacred sites or other cultural values. The proposed project is a hospital project and thereby the living index of the people around the project site will definitely improve. Also there will be various ancillary activit ies l ike convenient shops, transport facilit ies etc. attached to the project which will benefit the local people and change their l iving condit ion.

8.0 BUILDING MATERIALS 8.1. May involve the use of building materials with high-embodied energy. Are the

construction mater ials produced with energy ef f ic ient processes? (Give detai ls of energy conservation measures in the select ion of bui lding materials and their energy ef f ic iency)

Ans.The proposed hospital project and the building will be of centrally air condit ioned buildings (except some portion), the selection of building materials plays a major role in the energy consumption. The proposed

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project will make all attempts to use to avoid building materials with high embodied energy. Cement blocks & hollow blocks will be replaced with country made red bricks. Further, the river sand will be replaced by manufactured sand from stone crushers. The glass used will be low emissivity and having U value as per ECBC norms.

8.2. Transport and handling of materials during construct ion may resul t in pol lut ion,

noise & public nuisance. What measures are taken to minimize the impacts? Ans. All vehicles which bring construction material to the site would possess

Pollution Under Control Certificates (PUC). All vehicles would be of close body to avoid spread of dust from the loose materials, and vehicles which bring sand, stone dust, etc. would ensure that the above mentioned material are properly wetted during transportation to avoid dust generation. Pucca Road to be made in the construction site for the vehicle movement so that the dust generat ion due to the vehicular movement within the project site can be minimized. Stacking of construction material shall be confined to the project site only. All the D.G. Sets would have attached with Acoustic Enclosure for the sound pollution control and all sound generating construction activity to be minimized. Further barricading of the site with GI sheets of 10 ft height in the side abutting the public road during construction phase.

8.3. Are recycled mater ials used in roads and structures? State the extent of savings

achieved? Ans. The plast ic ( non-biodegradable solid waste ) will be used along with coal

tar during the construction of internal roads. This will increase the life of roads.

8.4. Give detai ls of the methods of collect ion, segregation & disposal of the garbage

generated dur ing the operation phases of the project. Ans. The details are given below :- SOLID WASTE

� It is expected that the total municipal solid waste would be generated of about 925 kg/day.

� The Solid Waste Management Rules, 2016 will be followed in the Solid Waste Disposal Mechanism at the site during operation phase.

� Collect ion & segregation within the site (bio-degradable waste (green bins), non-biodegradable waste (blue bins) and domestic hazardous waste (yellow bins).

� The recyclable waste like packaging material, paper etc. would be sold through vendors and the area earmarked for the storage of the same.

� The Bio-degradable waste would be disposed through the bio-gas generation units / bio bin system to be installed within the site.

� The bio-gas generated will be ut il ized in the kitchen/canteen area and the manure generated will be util ized for green area development within the premises.

� The domestic hazardous waste which includes discarded painted drums, pesticide cans, CFL bulbs, tube lights, expired medicines, broken mercury thermometers, used batteries, used needles and syringes and contaminated gauge etc. generated at the household level will be collected in yellow bins and to be handed over to authorized waste pickers or waste collectors.

e-Waste : - � Discarded computer parts, monitor, key boards etc. constitutes e-waste

and this waste will be stored in an earmarked area. � E-waste will be generated after 4-5 years latency period � Separate earmarked space will be provided for e-waste storage.

12

� E-waste will be disposed as per E Waste (Management & Handling) Rules. HAZARDOUS WASTE

� As per Hazardous Waste (Management & Handling Rules), 2016, the hazardous waste i.e., the used oil from D.G. sets, discarded oil f ilters and discarded batter ies and stored separately and will be disposed to CPCB / SPCB authorized vendors only.

� M/s Pefect Alloys, Chengannur, M/s Peejay Enterprises, Thiruvalla, M/s Excel Petrochemicals, Kochi and M/s Cee Jee Lubricants, Aluva are the approved recyclers for discarded batteries & used oil located in Kerala.

BIO-MEDICAL WASTE:- � From the proposed hospital, bio-medical waste (about 421 Kg/day) l ike

infectious beddings, cotton, swabs, used syringes, discarded medicines, etc. would be generated.

� The bio-medical waste would be segregated at source by providing appropriate colour coded bins / containers as per the colour coding provided in the Bio-Medical Waste (Management & Handling) Rules.

� The Bio-medical waste from the proposed hospital would be outsourced through a Kerala State Pollution Control Board authorized agency (M/s Indian Medical Association Goes Eco Friendly, IMAGE).

RADIO ACTIVE WASTE MANAGEMENT :- The use of unsealed radioisotopes regular ly gives rise to radioactive waste, which has to be disposed of in a responsible and safe manner. The waste may include residual amounts of the original radionuclide, disposable containers (vials, syringes etc.) partially decayed or surplus unsealed sources. � The radioactive waste should be segregated from the non-active waste.

Lead line waste bins with polythene linings should be used for collect ing solid radioactive waste and Vials for l iquid waste.

� When both lived nuclide and longer l ived one are used, separate waste collect ion bins and storage bags should be provided for the two categories of radionuclide.

� The disposal procedures are based on the following principles. � Dilute and dispersion for low level radioactive waste: - low activity short

l ived radioactive waste may be disposed off into the sewage system with adequate f lushing with water.

� Delay and decay for short l ived radio isotopes – waste containing short l ived isotopes such as from isotope generator may stored in a special made RCC pit and release as general waste.

All the radiat ion safety guidelines of Atomic Energy Regulatory Board (AERB) Bhabha Atomic Research Centre (BARC) with regard to the disposal of radio act ive waste would be followed. A radiat ion safety office will be employed to ensure the radiat ion safety guidelines.

9.0 ENERGY CONSERVATION 9.1. Give detai ls of the power requirements, source of supply, backup source etc.

What is the energy consumption assumed per square foot of bui l t-up area? How have you tr ied to minimize energy consumption?

Ans. The total power requirement is estimated to be 2,400 kVA and will be from by Kerala State Electricity Board. The project will make provision of D.G. Sets (1500 kVA x 3 nos.) as standby arrangement of electricity. The proposed project will have provision of power saving and maximum natural l ight will be provided to minimize energy consumption. Other measures are:

� Water cooled chillers in place of air cooled chillers which are energy intensive & the treated water available from STP would be used as make-up water attached to the water cooled chillers.

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� Solar Energy operated Photovoltaic l ighting for partial external areas lighting.

� Savings in energy by the use of LED lamps. � Building Management System (BMS) through sensors for maximizing the

energy conservation. � Electrical f ixtures & HVAC unit would be of 5 star series as per Bureau of

Energy Efficiency (BEE) to achieve reduction in energy consumption. � Use of double glass, roof insulat ion & opaque wall. � Total energy saving is expected to be of about 22%.

9.2. What type of and capacity of power back-up to you plan to provide? Ans. The project proponent has made provision of D.G. Sets (1,500 kVA x

3 nos.) as standby arrangement of electricity. 9.3. What are the character ist ics of the glass you plan to use? Provide specif ications

of i ts character ist ics related to both short wave and long wave radiat ion? Ans. The glass used will be low emissivity and the other specifications of the

glass will comply with the norms as per ECBC.

9.4. What passive solar architectural features are being used in the bui lding? I l lustrate the appl icat ions made in the proposed project.

Ans. All the relevant features are incorporated like the orientation of the building, shading effect etc.

9.5. Does the layout of streets & buildings maximise the potentia l for solar energy

devices? Have you considered the use of street l ighting, emergency l ight ing and solar hot water systems for use in the bui lding complex? Substantiate with detai ls .

Ans. Due consideration has been taken for maximum use of the solar energy while preparation of layout plan. The project proponent shall made provision for solar panel system (hot water purpose) in building blocks and solar energy devices will be used for street l ighting, emergency lighting in the proposed project.

9.6. Is shading ef fectively used to reduce cooling/ heating loads? What pr inciples

have been used to maximize the shading of Walls on the East and the West and the Roof? How much energy saving has been ef fected?

Ans. All the relevant features are incorporated like the orientation of the building, shading effect etc.

9.7. Do the structures use energy-eff ic ient space condit ioning, l ight ing and

mechanical systems? Provide technical detai ls. Provide detai ls of the transformers and motor eff ic iencies, l ight ing intensity and air-condit ioning load assumptions? Are you using CFC and HCFC free chi l lers? Provide specif ications.

Ans. Suitable energy optimization will be adopted during the calculat ion of energy load of the proposed project. The space heating load will be minimized using passive solar structure and suitable buildings envelop material. Uses of incandescent lamp and halogen lamps have been avoided and energy eff icient LED lamps will be used for all common area. The diesel generator sets shall be automatically controlled to optimize their usage based on the actual load requirements at any time. Variable frequency drive systems would be adopted for the lifts etc. to maximize the energy saving.

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9.8. What are the l ikely effects of the bui ld ing activi ty in alter ing the micro-c limates? Provide a self assessment on the l ikely impacts of the proposed construction on creation of heat is land & inversion effects?

Ans. More open spaces are proposed within the site to creation of any heat islands. The roads and parking spaces would be with concrete slabs intermittent with grass on surrounding.

9.9. What are the thermal character istics of the bui ld ing envelope? (a) roof ; (b)

external walls; and (c) fenestration? Give details of the mater ia l used and the U-values or the R values of the individual components.

Ans. The building construction material namely bricks, concrete and steel are being used in the construction. U-factor, also known as Thermal Transmittance, is heat transmission in unit t ime through unit area of a material or construction and the boundary air f i lms, induced by unit temperature difference between the environments on each side.

The glass used will be low with low emissivity and the other specificat ions of the glass will comply with the norms as per ECBC.

9.10. What precautions & safety measures are proposed against f i re hazards?

Furnish detai ls of emergency plans. Ans. List of equipments proposed for Fire Fighting Measures:- A. The major equipments proposed for Fire Fighting Measures are Main

Hydrant Pump, Sprinkler Pump, Diesel Engine Pump, Jockey Pump. B. Capacity of Fire Water Storage Tanks & Number:-

It is proposed to have Fire Water Storage Tank appropriate capacity of overhead tank for f ire f ighting provided at the tower.

C. Fire Detecting Equipments: - The Fire Detecting Equipments would be as per BIS and NBC norms.

D. Other Fire Fighting Measures: - The other Fire Fighting Measures proposed includes, an Emergency

Control Room, Separate Fire exit during emergency, all rooms with Fire Detector / Smoke Detector, Fire Extinguishes at each entry and exit point on each floor, (5 Kg, 10 Kg and 9 Ltr. capacity), Public address system etc. The Fire Fighting Measures are backed by Electrical supply from D.G. sets in case of emergency.

The nearest f ire station is at Chacka Fire Station which is about 6.5 km. (SE) away from the project site.

9.11. If you are using glass as wall mater ia l provides detai ls and specif ications including emissivity and thermal character ist ics.

Ans. The glass will be used Low-e glass. Opaque assemblies shall be modeled as having the same heat capacity as the proposed design but with minimum U-factor.

The glass used will be low with low emissivity and the other specificat ions of the glass will comply with the norms as per ECBC.

9.12. What is the rate of air inf i l trat ion into the build ing? Provide detai ls of how you

are mitigating the ef fects of inf i l trat ion. Ans. Infiltration is the uncontrolled inward air leakage through cracks and

crevices in any building element and around windows and doors of a building caused by pressure differences across these elements due to factors such as wind, inside and outside temperature differences, and imbalance between supply and exhaust air systems. The proposed building is a centrally air condit ioned building except some port ion and hence minimal inf luence to this aspect.

15

9.13. To what extent the non-conventional energy technologies are ut i l ised in the overall energy consumption? Provide detai ls of the renewable energy technologies used.

Ans. The use of non-conventional source of energy in the proposed construction project are as follows: -

a. Solar Water Heater:- The proposed project would install solar panels for hot water requirements in the project and hence the dependency on electricity for hot water generation can be minimized. This would conserve lot of coal which produces the electricity through public supply and also load on D.G. sets also would be reduced and there by conserve diesel.

b. Solar Street Light: - It is also suggested to use solar cell powered street l ights within the

proposed project site for conservation of electricity. c. Use of LED Lamps: -

The project proponent would use LED Lamp which conserve less electricity.

d. Lighting: - The orientat ion of the building of the proposed project is designed with natural ventilat ion and natural l ight so that the use of l ights during day time can be minimized.

10.0 Environment Management Plan. Ans. The details of Environment Management Plan during construction phase & operat ion phase is attached.

ENVIRONMENT MANAGEMENT PLAN

CONSTRUCTION PROJECT (HOSPITAL PROJECT)

to be developed by M/s ASTER DM HEALTHCARE (TRIVANDRUM) PVT. LTD.

37

A

REPORT

ON

ENVIRONMENT MANAGEMENT

PLAN




38

INDEX

SR. NO.

CONTENTS

1. INTRODUCTION

2. AREAS FOR IDENTIFICATION OF ENVIRONMENTAL ASPECTS & IMPACTS

3. ENVIRONMENT MANAGEMENT PLAN (EMP)

A. IMPACTS & MITIGATION MEASURES DURING CONSTRUCTION PHASE

B. IMPACTS & MITIGATION MEASURES DURING OPERATION PHASE

C. ENVIRONMENT MANAGEMENT PLAN

(BUDGETARY ALLOCATION)

D. ENVIRONMENT MONITORING PLAN (BUDGETARY ALLOCATION)

DURING CONSTRUCTION PHASE & OPERATION PHASE

E. ENVIRONMENT MANAGEMENT / MONITORING CELL

F. RISK ASSESSMENT AND DISASTER MANAGEMENT PLAN (DMP)

G. CONCLUSION




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1. INTRODUCTION

M/s Aster DM Healthcare (Tr ivandrum) Pvt. Ltd. proposes to construct

a hospital complex project which is located at Attipra Vil lage,

Thiruvananthapuram Corporat ion, Thiruvananthapuram Taluk,

Thiruvananthapuram Distr ic t, Kerala. The proposed project is spread

over an area of 2.630 ha. (26,300 sq.m.). The total bui l t-up area wil l be

about 84,641.46 sq.m. The populat ion expected dur ing construction

phase of the project is about 200 persons per day which includes the

skil led, semi skil led & unski l led workers. Also, th is inc ludes engineers,

supervisors, technic ians & other managerial s taff .

The population calculat ion for the proposed project during the

operat ion phase of the project is made based on the specif ications

provided in National Bui lding Code (NBC). The maximum expected

populat ion in a day during operation phase of the hospital project is

worked out. The specif ications as per NBC and the expected populat ion

for the proposed bui ldings is given below:-

DESCRIPTION NOS.

In Patients = 600 beds 600 persons

Vis itors / bye-standers inpatients

( 2 Persons / Bed )

1200 Persons

Out Patients ( 2 Persons / Bed ) 1200 Persons

Visitor / bye-standers wi th OPD patient

( 1 Person / Out Patient )

1200 Persons

Accommodation facil i ty for Visi tor / bye-standers with

IPD patient

100 Persons

Total no. of staff expected in the campus

(wi thout accommodation) ( l ike doctors, nurses,

group-IV staf f etc.)

1260 Persons

Total no. of staff expected in the campus (with

accommodation for nurses)

240 person

Total 5,800 Persons (on full occupancy)




40

One of the main cr iter ia for quanti fying the environment impacts related

to the project dur ing the construction phase and operat ion phase for

the project is the maximum populat ion expected in a day. Based on

which the requirement of daily water consumption, waste water

generat ion, sol id waste generat ion etc. is calculated.

The Environment Management Plan (EMP) is a s ite specif ic plan

developed to ensure that the project is implemented in an

environmental ly sustainable manner and to understand the potent ial

environmental r isks ar is ing f rom the proposed project and take

appropr iate act ions to minimize those r isks. EMP also ensures that the

project implementat ion is carr ied out in accordance wi th the planned

design and by taking appropr iate mitigat ion measures to reduce

adverse environmental impacts during the project ’s l i fe cycle.

2. AREAS FOR IDENTIFICATION OF ENVIRONMENTAL ASPECTS AND IMPACTS

The environmental parameters l ikely to be affected by a construction

project are related to many factors, i.e. physical, social, economic etc.

The operations may disturb environment of the project area and i ts

surroundings in var ious ways, such as removal of mass / earth, change

of landscape, clear ing of f lora and displacement of fauna of the area,

surface drainage, and l ikely change in a ir qual i ty, water qual i ty and soil

quali ty. While for the purpose of development and economic up-l i f tment

of people, there is need for establ ishment of the project, but these

should be environment f r iendly. Then only a sustainable development

can be ensure. Therefore, it is essential to assess the impacts of

proposed project on dif ferent environmental parameters, before starting

the construction activi t ies as well as the operat ional act iv i t ies, so that

abatement measures could be planned in advance for the area.




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3. ENVIRONMENT MANAGEMENT PLAN (EMP)

The Environment Management Plan (EMP) for a development project

prescribes the mitigat ion measures to be adopted to null i fy or to

minimize various ant ic ipated environment impacts so as to ensure nil /

low impact due to the project to the surrounding environment. This wi l l

ensure sustainable and environment f r iendly development. The

Environment Management Plan for various facets of environment are

given below : -

A. IMPACTS & MITIGATION MEASURES DURING CONSTRUCTION PHASE

Impacts on Environment during Construct ion phase are :-

1. Air environment

2. Water environment

3. Noise environment

4. Land environment including munic ipal sol id waste

5. Biological environment

6. Socio Economic environment

7. Energy Conservat ion

The detailed descript ion of Impacts & mit igat ion measures envisaged during

Construction phase are given below:-

1. AIR ENVIRONMENT

Anticipated Impacts : -

a. Particulate matter & gaseous emissions f rom operation of DG sets

(62.5 kVA x 1 no.)

b. Dust generat ion due to vehicular movement within the s ite

c. Dust generation due to var ious construct ion act ivi t ies ( transportat ion

of raw mater ials, loading & unloading, dr il l ing, breaking & dismantl ing

works etc.)

Mitigation Measures :-

� Stack height of D.G. sets as per CPCB Standards.

� Promotion of use of c leaner fuel

� All DG set should comply emissions norms notif ied by MoEF / CPCB.

� Concerting / b i tumen carpeting of internal roads.




42

� Sprinkl ing & wett ing of roads

� Wetting of loose construction materials before loading & unloading.

� Tarpaul in cover for the loose construct ion mater ial dur ing transfer.

� Temporary & portable enclosures where the dr il l ing & dismantl ing

works are carried out.

� To avoid work dur ing high windy conditions.

� To erect the wind barr iers around the construction area to avoid the

inf luence of the winds in the construct ion act iv ity.

� Stor ing of a ll loose construction materials in covered condition.

2. WATER ENVIRONMENT


a. Impact on competing users ( if water is taken f rom the publ ic supply)

due to large consumption of water for cur ing, dust suppression,

construction, domestic use etc.

b. Impact on nearby drain to contamination f rom the proposed

construction.

b. The dai ly construction water requirement for construction purposes is

expected to be about 24 KL and the domestic water requirement (dai ly)

is expected to be about 14 KL.


� To avoid wastage of cur ing water, fol lowing procedures are

suggested:-

• Curing water should be sprayed on concrete structures: free f low of

water should not be al lowed for curing.

• Af ter l iberal cur ing on the f irs t day, al l concrete structures should

be painted with curing chemical to save water. This wi l l s top dai ly

water cur ing.

• Concrete structures should be covered wi th thick c loth / gunny bags

and then water should be sprayed on them. This would avoid water

rebound and wil l ensure sustained and complete cur ing.

• Ponds or tanks should be made using cement and sand mortar to

avoid water f lowing away f rom the f lat surface while curing.




43

� Monitor ing water use:- Use of water meter conforming to ISO

Standards would be insta l led at the inlet point of water uptake and at

al l discharge points to monitor the daily water consumption.

� Use of rain water for domestic purposes in the labour quarters/ labour

sheds (i f proposed within the s ite) & for construction purposes.

� Use of treated water f rom potable STP (to be instal led for the

treatment of domestic sewage) for labour quarters/ labour sheds for

f lushing purposes.

� Use of treated water f rom STP for spr inkl ing, wett ing & dust

suppression.

� Insta l l water ef f ic ient sani tary f ixtures in the rest rooms & toilets

attached to the labour quar ters/ labour sheds.

� To protect and not to disturb the nearby drain dur ing construction

phase.

3. NOISE ENVIRONMENT


a. Noise & v ibrat ion f rom DG sets due to inadequate acoustic enclosure.

b. Noise due to cutting & grinding of marble stone / t i les.


� Use of DG sets wi th appropriate acoustic enclosures

� Use of ant i v ibrat ion pads.

� Wind breakers / acoustic enclosures made of gunny bags f i l led with

sand or earth and stacked up to a height of about 7-8 f t. at the marble

cutt ing & gr inding area. This arrangement works as wind breaker & as

a noise barr ier.

4. LAND ENVIRONMENT INCLUDING MUNICIPAL SOLID WASTE


a. Improper disposal of excavated earth l ike d isposal to natural drainage,

f i l l ing of wet land / paddy land etc.

b. Loss of top soi l

c . Soi l erosion dur ing the rainy season

c. Disturbing the ground water table and thereby deplet ion of ground

water ( impact on hydrogeology) due to the excavation




44

d. Improper disposal of municipal sol id waste, construct ion debris may

lead to impact on land environment.


� The excavation of earth is for the foundation of structures. The top soi l

which is ferti le wi l l be kept at s i te for future landscaping work and the

excess excavated earth wi l l be used for back f i l l ing work, internal road

construction.

� Excavation wi l l be done only in summer season to prevent d isturbance

to the hydrogeology.

� In order to prevent the s lides f rom caving while excavation, sheet

pi l ing with suitable anchorages & shutter ing systems wil l be done.

� Prevention of water ingress to the structures ( if any) .

� Mit igat ion measures for handling of munic ipal sol id waste

(about 80 kg/day) f rom the site.

• Segregation of waste at source into biodegradable and non

biodegradable waste by providing colored bins.

• Disposal of biodegradable Munic ipal Solid Waste by providing bio-

bin system within the s ite.

• Disposal of non biodegradable recyclable waste to vendors.

• Disposal of inert waste by land f i l l ing / back f i l l ing.

5. BIOLOGICAL ENVIRONMENT


a. Loss of vegetation and loss of habitat of faunal species.

b. Vibrat ion due to movement / operat ion of heavy machinery

c. Cutt ing of trees, shrubs etc. for procuring f ire wood by construction

workers. (resource loss)


� The proposed project is a hospital complex project and s ite is devoid

of trees and there is not much of loss of vegetat ion and loss of

habitat. Fur ther, attempt wi l l be made to save any tree exist ing at s i te

by al ter ing the footpr int of the bui lding.

� The labourers would be provided with LPG or kerosene for cooking

purposes.




45

6. SOCIO ECONOMIC ENVIRONMENT


a. Unhygienic s ite sanitat ion facil i t ies may affect health to construction

workers (about 200 persons).

b. The project si te being in the Corporation l im its , wi l l have disturbance

to the traf f ic load in the exist ing approach roads to the si te.


The objective is to ensure health and safety of the workers with ef fective

provisions for the basic facil i t ies of sani tat ion, drinking water, safety of

equipments or machinery etc. Fol lowing are some of the recommendations :-

� Comply with the safety procedures, norms and guidel ines (as

appl icable) as outl ined in the National Bui lding Code of India, Bureau

of Indian Standards.

� Provide c lean drinking water to a l l workers.

� Provide adequate number of decentral ized latr ines and ur inals.

� Guarding all parts of dangerous machinery.

� Precautions for working on machinery.

� Mainta ining hoists and l if ts, l i f t ing machines, chains, ropes and other

l i f t ing tackles in good condition.

� Durable and reusable formwork systems to replace t imber formwork

and ensure that formwork where used is properly mainta ined.

� Ensuring that walk ing surfaces or boards at height are of sound

construction and are provided with safety ra ils or belts.

� Provide measures to prevent f ires. Fire f ight ing ext inguishers and

buckets of sand to be provided in the f ire prone area and elsewhere.

� Provide suff ic ient and suitable l ight for working dur ing night t ime.

Regarding the addi t ional traff ic during construction phase on the approach

road to the s ite, the following mitigat ion measures are proposed :-

� Procurement of mater ials in bulk & not in loose wil l reduce the traff ic

to the s ite.

� Movement of raw mater ial to the s ite only dur ing night hours.

� Dedicated parking space for vehic les coming to the s ite inc luding

those for the v is itors so as to avoid park ing on the roads.

� The vehic le carrying ready mix concrete should be avoided in the peak

traf f ic hours (morning 8 am to 11 am & evening 4 am to 8 am).




46

7. ENERGY CONSERVATION


a. Use of energy in-ef f icient bui ld ing mater ials may lead to higher

consumption of electrici ty in air condit ioned bui ldings.


� Use of building mater ia l for roof, wal ls & glass (R & U values) as per

BEE for less heat gain in air condit ioned bui ld ing.

B. ANTICIPATED IMPACTS & MITIGATION MEASURES DURING OPERATION PHASE Anticipated impacts on Environment during Operat ion phase are given

below:-

1 Air environment

2 Water environment

3 Noise environment

4 Land environment

5 Biological environment

6 Socio Economic environment

7 Energy Conservat ion

The detai led descript ion of Impacts & mit igat ion measures during Operation

phase are given below :-

1. AIR ENVIRONMENT


a. Par ticulate Matter & Gaseous emissions ( including worst condi t ion of

operat ing al l DG sets (1500 kVA x 3 nos.) dur ing power fai lure.


� Stack height as per CPCB Standards.

� Development of a green belt (vegetation buffer) around the project s i te.

� Promotion of use of c leaner fuel

� All DG set should comply emissions norms notif ied by MoEF / CPCB.




47

2. WATER ENVIRONMENT


a. Impact on competing users due to consumption of public supply /

ground water (resource loss) for domestic consumption in the project

s ite.

b. Impact on competing users due to consumption of public supply / ground

water as make-up water for HVAC in the campus (resource loss)

c. Improper discharge of untreated sewage may lead to impact on surface /

ground water qual i ty.

d. Improper storage & disposal of e-waste may lead to leaching of heavy

metals leading to contamination.

e. Improper storage & disposal may lead to leaching of hazardous waste /

bio-medical waste leading to contamination.

f . The dai ly water requirement for domestic purposes is expected to be

about 407 KL (which includes the f resh water req. of about 311 KLD).


� Monitor ing water use: Use of water meter conforming to ISO Standards

would be instal led at the inlet point of water uptake and at the

discharge point to moni tor the dai ly water consumption.

� Use of water saving devices / f ixtures: Low water consumption f ixtures

l ike low f low f lushing systems, sensor based f ixtures, water less

ur inals, tap aerators etc. to reduce the water usage.

� Insta l lat ion of dual plumbing for using the treated water f rom STP for

f lushing purposes.

� Use of stored rain water

� Sewage treatment p lant proposed (about 391 KLD).

� Treatment of sewage (about 326 KLD) and recycl ing of the treated

sewage and ensuring zero discharge.

� Use of treated water for STP as make-up water in HVAC system /

Boi ler requirement.

� Treatment unit with pr imary, secondary and terr i tory treatment

proposed.

� Use of ground water only based on the permissible yie ld f rom the large

open wells ( if required).




48

� Estimation of dai ly water consumption based on the HVAC losses,

reuse and recycled opt ions.

� Monitor ing water use: Use of water meter conforming to ISO Standards

would be instal led at the inlet point of water uptake and at the

discharge point to moni tor the dai ly water consumption in HVAC uni t .

� To protect and not to disturb the nearby drain during operation phase.

� Storage of e-waste as per Rules and in an isolated area.

� Disposal of e- waste only to the author ized agency

� MoU with the approved agency to be made.

� Development of a leachate proof intermediate hazardous storage facil i ty.

� From the proposed hospital, b io-medical waste (about 421 kg/day) l ike

infectious beddings, cotton, swabs, used syringes, discarded

medic ines, etc. would be generated.

� The bio-medical waste would be segregated at source by providing

appropr iate colour coded bins / containers as per the colour coding

provided in the Bio-Medical Waste (Management & Handling) Rules.

The bio-medical waste f rom the proposed hospita l would be

outsourced through a Kerala State Pollut ion Control Board authorized

agency (M/s Indian Medical Associat ion Goes Eco Friendly, IMAGE.




49




50

3. NOISE ENVIRONMENT


a. Noise due to the operat ion of D.G. sets during power fai lure

b. Noise due to the operat ion of cool ing towers / boi ler.


� D.G. set wi th acoustic enclosures.

� A noise barrier wi l l be made all around the cool ing tower / boi ler to

prevent the noise.

� Also, an environmental barrier by way of tree plantation can be

created around the project si te to prevent the noise.

4. LAND ENVIRONMENT


a. Improper disposal of munic ipal sol id waste (about 925 kg/day) may

lead to impact on land.

b. Improper discharge of untreated sewage/ef f luent may lead to impact

on land.

c. Improper storage & disposal of e-waste may lead to leaching of heavy

metals leading to contamination.

d. Improper storage & disposal of hazardous waste may lead to leaching

of waste leading to contamination.

e. Improper storage & disposal of bio-medical waste may lead to leaching

of waste leading to contamination.


� Segregation of waste at source into biodegradable and non


� Disposal of biodegradable Munic ipal Sol id Waste by bio-gas plant/bio-

bin system.

� Disposal of non biodegradable recyclable waste to vendors.

� Disposal of inert waste by land f i l l ing / back f i l l ing.

� Disposal of sewage/eff luent through the STP/ETP with in the s ite and

re-use the treated sewage / ef f luent with in the s ite.

� Storage of e-waste as per ru les and in an isolated area.

� Disposal of e-waste only to the author ized agency & MoU to be made

with the agency.




51

� Development of a leachate proof intermediate hazardous storage facil i ty.

� Disposal of the hazardous waste to the State Pol lut ion Control Board

approved agency & MoU to be made with the concerned agency.






agency (M/s Indian Medical Associat ion Goes Eco Friendly, IMAGE

5. BIOLOGICAL ENVIRONMENT


a. Improper disposal of MSW may attract scavenger avifauna which may

lead to dissertat ions of nat ive avifauna.


� An appropr iate landscape plan developed for the loss of vegetat ion.

� The native species of f lowering, f ruit bear ing & medic inal plants

proposed in the green area development plan.

� Segregation of waste at source into biodegradable and non


� Storage & segregation of biodegradable municipal sol id waste in

appropr iate places & disposal of biodegradable Munic ipal Solid Waste

by bio-gas generation plant/bio-bin system.






agency (M/s Indian Medical Associat ion Goes Eco Friendly, IMAGE

� Disposal of non biodegradable recyclable waste to vendors.

� Disposal of inert waste by land f i l l ing / back f i l l ing.

� Plantation of native species of trees / shrubs / herbs / grass for

enhancement of avifauna

� Conservat ion of the exist ing trees wherever possible.

� Plantation of f ruit bearing trees to enhance the avifauna




52

6. SOCIO ECONOMIC ENVIRONMENT

Introduction

To identi fy the socio – economic status and needs of nearby community to

the project s ite, a socio – Economic and community need assessment study

was carr ied out in Karikkakam division of Thiruvananathapuram Corporation.

The main purpose of the study was to know the present Socio – Economic

prof i le of the community and to assist the project proponent in del iver ing

their Corporate Social Responsibi l i ty (CSR), as per the guidel ines of

Company’s Act (Amendment) 2013.

The identif ied act iv i t ies under CSR are given below.

1. Promotion of education

2. Heal th care

3. Environmental susta inabi l i ty

Approach adopted

To conduct the study, pr imary and secondary data were used.

Primary Data: Stake holder interv iews, unstructured interv iew, f ie ld

observat ion, transect walk, and telephonic survey.

Secondary data: Yearly project document Citizen Charter , Year ly Survey

report of ICDS (Integrated Child development Scheme) and Development

Charter of the Corporat ion.

Identif ied Corporate Social Responsibility (CSR)

The Socio - Economic expert conducted need assessment study in

Karikkakam divis ion of Thiruvananthapuram Corporation, and identif ied

activi t ies under Corporate Social Responsib i l i ty (CSR) for the project

proponent. The identi f ied activi t ies under CSR are given below :-

1. Promotion of Education

A. There are 70 chi ldren studying in Govt. U P School, Kuzhivi la . The project

can support the school to improve its inf rastructure facil i t ies.

Particulars Basis of calculat ion

Total ( in Rs.)

Type of Expense

Smart c lass room Lump sum 1,00,000 Non recurr ing

Kitchen maintenance Lump sum 30,000 Non recurr ing

Child f r iendly paint ing Lump sum 1,00,000 Non recurr ing

Total 2,30,000




53

B. The project can start a scholarship and sponsorship programme for

chi ldren f rom economically backward famil ies. This in i t ia tion wil l help the

chi ldren to pursue higher education.

Particulars Basis of calculation Total

( in Rs.)

Type of

Expense

Scholarship for

professional courses

like MBBS, BDS, etc,

Rs. 50,000 x 2

students

1,00,000 Recurring

Sponsorship for

paramedical courses

Rs.20,000 x 5 students 1,00,000 Recurring

Total 2,00,000

C. The project wi l l support the Integrated Child Development Scheme (ICDS)

to develop the inf rastructure facil i t ies of 5 anganwadies. This act ivi ty wi l l

execute in associat ion wi th Local self Government.

Particulars Basis of

calculation

Total ( in

Rs.)

Type of

Expense

Building maintence Rs.25,000 x 4

anganwadies

1,00,000 Non Recurr ing

Child f r iendly paint ing Rs. 15,000 x 4

anganwasdies

60,000 Non Recurr ing

Learning and

recreational mater ials

Rs.10,000 x 4

angnawadies

40,0000 Non Recurr ing

Total 2,00,000

2. Health Care

A. The project can start a programme for nearby community to the project

s ite. By this programme the people wil l get treatment f rom this project wi th a

discounted rate.

Particulars Basis of calculat ion Total ( in Rs.) Type of Expense

Treatment in

discounted rate

Lump sum 5,00,000 Recurring

Total 5,00,000




54

B. The project can conduct medical camp in var ious communit ies to detect

cancer and other malic ious diseases. The deserving pat ients wil l get

treatment support.


calculation

Total

( in Rs.)

Type of

Expense

Medical camp Rs.30,000 x 6

medical camps

1,20,000 Recurr ing

Treatment support Rs.10,000 x 20

persons

2,00,000 Non recurr ing

Total 3,20,000

C. The project wil l help the k idney pat ients f rom economically backward

families to do dia lysis with f ree of coast. This programme wil l be benef ited to

many k idney pat ients. 10 surger ies can also be done wi th d iscounted rates

to the e l ig ible persons.


calculation

Total

( in Rs.)

Type of

Expense

Dialysis Rs. 1,000 x 100

dialys is

1,00,000 Recurr ing

Surgery Rs.20,000 x 10

surgeries

2,00,000 Recurr ing

Total 3,00,000

3. Environmental Sustainability

A. The project can support the Local Self Government to c lean and maintain

the Akulam Lake and other ponds for the preservation of drinking water

sources.


Calculation

Total ( in Rs.) Type of Expense

Clean lake

and ponds

Lump sum 5,00,000 Non recurr ing

Maintenance Lump sum 1,00,000 recurr ing

Total 6,00,000




55

B. To enhance the ground water table, the project can introduce well

recharge (ground water recharging by rain water harvesting) programme in

the region of water scarc ity. This activi ty wi l l be done in consultation &

associat ion with Corporation.


Calculation

Total ( in Rs.) Type of Expense

Well recharge Rs. 10,000 x 20

wells

2,00,000 Non recurr ing

Total 2,00,000

Summary of the above CSR Activit ies

Sl.

No

Areas of Intervention No. of

Intervention

Recurring

Expenses

(in Rs.)

Non Recurring

Expenses

( in Rs.)

01 Promotion of Education 2 2,00,000 4,30,000

02 Heal th Care 2 9,20,000 2,00,000

03 Environmental

sustainabi l ity

1 1,00,000 7,000,00

Total 6 12,20,000

Say 13,00,000

13,30,000

Say 14,00,000

7. ENERGY CONSERVATION


a. Adoption of energy in-ef f icient vehicles, HVAC system, appl iances,

l ights etc may lead to wastage of energy.

b. Non adoption of renewable sources of energy l ike solar energy may

lead to increase dependency on public supply may lead to

consumption of energy by competing users.

c. I t is expected to be about 2,400 kVA of power requirement for the

project.


� Use of Euro-II I Standard vehicles.

� HVAC system and appl iances with 5 Star rating as per BEE.




56

� Use of water cooled HVAC system in place of air cooled system which

is energy intensive.

� Use of solar energy for common area light ing in parks and in streets.

� Use of solar power p lant for common area l ight ing in the project si te.

� By the use of above measures, i t is expected to be about 22% energy

saving.

C. ENVIRONMENT MANAGEMENT PLAN (BUDGETARY ALLOCATION)

The detai ls regarding Environment Management Plan (Expected Budgetary

Al locat ion) during construct ion phase are given below :-

Approx. Recurr ing

Cost / Annum

Approx. Capi tal

Cost Sr. No.

Particulars

Rs. In Lacs

Basis for Cost Estimate

1. Medical cum First Aid

facil i ty 2.0 1.0

A First Aid medical faci l i ty wi th a tra ined

person with f i rs t aid k it.

2. Portable Toi lets type

mobile sanitat ion system & STP

0.5 2.0 Portable Toi lets l ike

“Sulabh Sauchalaya” & STP

3. Supply of dr inking

water for the labourers 3.0 2.0

Rain water f rom tank wi th f i l tration

dis infection, wel l water & KWA supply

4. Barr icading and Wind

breakers 0.75 2.0

Barr icading around the project s i te W ind

breakers at the marble cutt ing area

5. Sprinklers for

suppression of dust 1.0 3.0

Sprinklers, p ipel ine network, onl ine micro f i l ters and pressure

pumps

6. Solid waste f rom labour

shed & construct ion s ite

1.0 1.75 Segregation & microbial

bio-bin composting faci l i ty

TOTAL 8.25 11.75

The detai ls regarding Environment Management Plan (Expected Budgetary

Allocat ion) during operat ion phase are given below :-

Approx. Recurring

Cost/Annum

Approx. Capital

Cost Sr. No.

Particulars

Rs. In Lacs

Basis for Cost Estimate

1. Sewage Treatment 8.0 42.0 Capita l Cost of STP &




57

Plant recurr ing cost would include operat ional cost (energy & manpower)

2. Water Treatment p lant 2.0 6.0

Capita l Cost of WTP & recurr ing cost would include operat ional cost (energy & manpower)

3. Sol id W aste

Management Plan 12.0 25.0

Capita l cost of Coloured bins at appropriate locat ions & bio-gas plant & i ts recurr ing cost.

4. Bio-medical W aste Management Plan

10.0 10.0

Capita l cost of Coloured bins at appropriate locat ions & sent to the agency.

5. Noise Control for D.G. Sets through acoustic

enclosures 6.0 18.0

D.G. Sets wil l be new and wil l be f i t ted with acoustic enclosures & hence no separate capital cost & the recurr ing cost would inc lude minor repair works

6. Chimney for D.G. Sets

Emission 6.0 12.0

The capita l cost would include cost of providing adequate height of stack, ladder and platform and recurr ing cost would include cost of paint ing

7. Green Area

development including Grass Coverage

7.0 18.0 Green Area Development Plan

8. Rain Water Storage

tanks 14.0 28.0

Capita l cost on construction of rain water collect ion tanks

9. Solar energy operated

lights 4.0 20.0

Capita l cost on procurement & instal lat ion of solar street l ights

TOTAL 69.0 179.0




58

D. ENVIRONMENT MONITORING PLAN (BUDGETARY ALLOCATION)

DURING CONSTRUCTION PHASE & OPERATION PHASE

The environmental monitoring programmed is a vita l process in the

management Plan for any construct ion project. This helps in signal ing the

potent ial problems that would resul t f rom the proposed project and wil l a llow

for prompt implementation of effective corrective measures. The

environmental monitoring wil l be required during construction and

operat ional phases.

The following rout ine monitor ing programme as detai led below shall be

implemented at s i te. Besides to this monitoring, the compliances to al l

environmental c learance conditions and consents / approvals f rom KSPCB /

MoEF&CC / SEIAA wil l be monitored and reported periodically.

The detai ls regarding Environment Monitor ing Plan (expected Budgetary

Allocat ion) during construction phase are given below :-

Sr.

No. Particulars Parameters Frequency

Approx. Recurr ing cost / Annum (Rs.

In Lacs)

1. Ambient A ir PM1 0 & PM2 . 5 ,

SO2, NOx

Once in a

season 1.25

2.

Stored Rain

water in tanks /

well water

As per IS : 10500 Once in a

season 0.75

3. Noise Level 24 Hrs. Noise Level Once in a

season 0.50

TOTAL 2.50

The details regarding Environment Moni tor ing Plan (Budgetary Al locat ion)

during operation phase are g iven below :-

OPERATION PHASE

Sr.

No. Particulars Parameters Frequency

Approx. Recurring Cost

/ Annum (Rs. In Lacs)

1. Ambient Air PM1 0 & PM2 . 5 , Once in a 1.25




59

SO2 , NOx season

2. Stack Emission

of D.G. sets SPM, SO2 , NOx

Once in a

year 0.75

3.

Treated Water f rom

Sewage Treatment

Plants

pH, BOD, COD, Oil

& Grease, TSS,

bacter iological

parameters

Once in a

month 0.75

4. Stored Rain water /

Well water As per IS : 10500

Once in a

season 0.75

5. Noise Level 24 Hrs. Noise Level Once in a

season 0.50

TOTAL 4.0

E. ENVIRONMENT MANAGEMENT / MONITORING CELL

An environmental monitor ing cel l wil l be established for monitor ing of

important and crucia l environmental parameters which are of immense

importance to assess the status of environment dur ing construction phase &

operat ion phase.

The detai ls regarding Environment Monitor ing Cell dur ing Construction

Phase & operation phase are given below :-

Sr. No. Members Role

1. CEO Chairman

2. Project Manager (Uti l i ty) Member

3. Health & Safety Off icer Member

4. Representat ive of NABL accredited laboratory Member

5. Representat ive of NABET accredited Environmental

Consultant

Member

6. Representat ive of STP & Munic ipal waste disposal uni t suppliers

Member

7. Project Engineer Member & Convener

Frequency of Meeting – Once In three months




60

F. RISK ASSESSMENT AND DISASTER MANAGEMENT PLAN

1.1 Introduction

This chapter broadly looks at var ious aspects related to r isk & disaster

management and resource conservat ion.

1.2 Risk Assessment and Disaster Management Plan

1.2.1 Need and Plans

A construction of hospital bui lding project encompasses the l ives of a large

number of people. It also involves instal lat ion of various structures and

machineries that meet the comfort and needs of i ts populat ion but may also

pose serious threat to the occupants in case of accident. I t is thus considered

necessary to carry out a r isk assessment and prepare a disaster management

plan for the project.

The planning and construction of the bui ld ings follow al l the safety norms, it

may not be always possible to total ly elim inate the r isks of eventuali t ies and

fai lures of equipment or human errors. An essential part of major hazard contro l

has therefore wil l be concerned with mit igat ing the ef fects of such emergency

and restorat ion of normalcy at the earl iest.

The overal l objective of an Emergency Response Plan (ERP) is to make uses of

combined resources at the si te and outs ide serv ices to achieve the following:

1. To localize the emergency and if possible el im inate i t ;

2. To minimize the ef fects of the accident on people and proper ty;

3. Effectively rescue and medical treatment of casualties;

4. Safeguard to other people;

5. Evacuate people to safe areas;

6. Informing and col laborat ing with statutory authori t ies;

7. In i t ial ly contain and ul t imately br ing the incident under contro l;

8. Preserve relevant records and equipment for the subsequent enquiry into

the cause and c ircumstances of the emergency;

9. Investigating and taking steps to prevent reoccurrence

The ERP is therefore related to identi f icat ion of sources f rom which hazards

can arise and the maximum credib le loss scenario that can take place in the

concerned area. The response plan takes into account the maximum credib le

loss scenario - actions that can successfully mit igate the ef fects of losses/

emergency need to be well planned so that they would require less effort and




61

resources to control and terminate emergencies, should the same occur.

Main hazards identif ied for the project include hazards perta ining to f ires in

bui ldings and f ire in diesel storage areas, earthquake and LPG leakage an

ERP per tain ing to these condit ion is described in the fol lowing sections.

1.2.2 Response in Case of Earthquake

Response Procedures for Occupants

If indoors :

1. Take cover under a piece of heavy furniture or against an inside wall and

hold on.

2. Stay inside: The most dangerous thing to do during the shaking of an

earthquake is to try to leave the bui lding because objects can fall on you.

If outdoors :

Move into the open, away f rom buildings, streetl ights and ut i l i ty wires. Once

in the open, stay there unt i l the shaking stops.

If in a moving vehicle :

Stop quickly and stay in the vehic le. Move to a clear / safe area away f rom

bui ldings, trees, overpasses or ut i l i ty wires. Once the shaking has stopped,

proceed with caution. Avoid br idges or ramps that might have been damaged

by the quake.

After the quake

1. Af ter the quake be prepared for af tershocks.

2. Although smaller than the main shock, af tershocks cause addit ional

damage and may bring weakened structures down. Af tershocks can occur

in the f irst hours, days, weeks, or even months af ter the quake.

Help injured or trapped persons .

1. Give f irs t aid where appropriate. Do not move seriously injured persons

unless they are in immediate danger of further injury. Cal l for help.

2. Remember to help those who may require special assistance, l ike infants,

the elderly and people with d isabil i t ies.

3. Stay out of damaged bui ldings.

4. Use the telephone only for emergency cal ls .

Response Procedure for Emergency Team

1. Formulate an Emergency Response Team for earthquake response

2. Using the publ ic address system, inform occupiers about response

procedures discussed above.




62

3. Inform the necessary authori t ies for aid

4. Ensure no residents are stuck beneath any debris, in case of a structural

failure.

5. Ensure that a l l occupiers standing outs ide near the buildings are taken to

open areas.

6. Ensure that the f irs t aid ambulance and f ire tender vehicles are

summoned if necessary.

7. Inform the nearby hospitals i f there are any injur ies.

8. Check the uti l i t ies and storage tanks for any damage.

1.2.3 Status on natural disasters w.r.t . site and surroundings

There are no reported incidents of any landslide, earthquake, c loud burst in the

project v ic in ity in the last 100 years.

Structural design aspects as per the seismic codes – IS 1893 (2002), IS 13920

(1993) and IS 456 (2000) as applicable would be incorporated in our project.

1.2.4 Response for LPG Leakage

1. The af fected area should be evacuated and cordoned off immediately

2. In i t iate an Emergency Response Team for LPG leakage.

3. Shut down the main valves in the gas bank, if any in the Canteen.

4. Ensure that only concerned personnel are present in the affected area and

al l other personnel and vis i tors are moved to the nearest assembly points.

5. Rescue trapped personnel, also check if any personnel are unconscious in the

area and immediately move them outside and provide f irst aid. Ambulance

should be summoned to take injured personnel to the nearest other hospi tal.

6. Personnel in the nearby buildings to close al l doors and windows to

prevent entry of the leaked gas.

7. Source of leakage to be traced and isolated f rom al l the other areas. And

i f required use pedestal fans to br ing down the gas concentrat ion.

8. In case of f i re fol low the instruct ions mentioned below:

1.2.5 Response in case of Fire

1. Required response during in the event of a f ire should be described in

s ign boards located in the lobby.

2. On s ighting a f ire, i t should be immediately informed to the environment

manager / management giving the exact locat ion and type of f ire in detai l .

3. In i t iate the Emergency Response Team for f ires.




63

4. If the f ire is small , engage in ext inguishing the f ire using the nearest f ire

extinguisher.

5. Guide the Emergency Response Team staff to the emergency assembly point.

6. The Emergency Response Team should immediate ly inform the nearest

dispensary and security force. If required a f ire tender should be

summoned.

7. The response team should immediately move to the point of f ire and take

al l necessary steps to stop the f ire. If the f ire is not controllable and

spreads then the manager in charge should inform the distr ic t authori t ies

and cal l for external help.

8. The Emergency Response Team wil l provide immediate rel ief to the

injured person at the scene of incident. Any injured persons should be

evacuated on pr ior ity to the d ispensary or one of the nearest hospitals

based on their condit ion.

Instruct ions for Occupants

1. Get out of bui ldings quickly and as safely as possible.

2. Use the stairs to escape. When evacuating, stay low to the ground.

3. If possible, cover mouth with a cloth to avoid inhal ing smoke and gases.

4. Close doors in each room after escaping to delay the spread of the f ire, if in

a room with a closed door.

5. If smoke is pouring in around the bottom of the door or i f i t feels hot,

keep the door c losed.

6. Open a window to escape or for f resh air while await ing rescue.

7. If there is no smoke at the bottom or top and the door is not hot, then

open the door s lowly.

8. If there is too much smoke or f ire in the hal l , s lam the door shut.

9. Stay out of damaged bui ldings.

10. Check that al l wir ing and uti l i t ies are safe.

A state of the art f ire f ight ing system is proposed for the project to prevent

and control f i re outbreaks. The f ire f ight ing system wil l consist of portable

f ire ext inguishers, hose reel , wet r iser, yard hydrant, automatic sprinkler

system and manual f ire alarm system. The proposed build ing wil l also be

provided with automatic f ire detect ion and alarm system as per National

Bui lding Code guidel ines for Fire & Safety.




64

G. CONCLUSION

I t is predicted that socio-economic impact due to th is project wi l l posit ively

increase the chance of more employment opportunities for local inhabitants.

There are no Resett lement and Rehabil i tat ion issues involved in this project.

The project inf rastructures wil l be of use to people of the area. The revenue

of the State Govt. wi l l be def in itely increase due to the proposed activi ty. The

entire project area is devoid of any endemic / endangered f lora and fauna. As

part of the eco restoration with nat ive species to a maximum possible

extent. Also, rain water tanks are proposed for storage of rain water and

for its subsequent use so as to conserve fresh water consumption. The

municipal solid waste / bio-medical waste & e-waste will be handled and

disposed as per norms. Thus the proposed project is not l ikely to af fect the

environment or adjacent ecosystem adversely and wil l ensure a sustainable

development.

***********************

SATELLITE MAP OF THE SITE & SURROUNDINGS

VICINITY MAP OF THE SITE & SURROUNDINGS

Project Site

.

DAILY WATER CONSUMPTION BALANCE CHART( NON-RAINY DAYS )

Horticulture Water Requirement

30 KL

STP with Tertiary

Treatment

( 391 KL Capacity )

(i.e. 20% extra capacity)

Wastewater generation @

80% of Domestic water of

407 KL i.e.

326 KL

Treated Wastewater generation @ 90% of total wastewater

generated, i.e., 294 KL

116 KL

Fresh Water Req.

( Stored Rain water /

KWA / Wells)

(20 KL + 291 KL)

311 KL

30 KL

Domestic Water Requirement

( Non - Flushing ), 291 KL


( Flushing ), 116 KL

Re-use Line

Recurrent

Water Demand

Laundry Req.

10.0 KL

(Total Load = 18.0 KL)

(10.0 KL + 8.0 KL)

ETP with Teritiary Treatment

( 22 KL Capacity )


Make-up water for cooling

towers attached with HVAC plant

(16 KL + 138 KL)

154 KL

Wastewater

generation @ 80%

of Laundry

water req. i.e.

8.0 KL

Treated wastewater

generation @ 90% of

total water i.e. 16 KL

16 KL

Boiler Water Requirement

10 KL

10 KL

1

291 KL

Wastewater

generation @100%

of hospital lab.

water req. i.e.

10.0 KL

Lab. Req.

10.0 KL

138 KL

DAILY WATER CONSUMPTION BALANCE CHART( RAINY DAYS )

STP with Tertiary

Treatment

( 391 KL Capacity )


Wastewater generation @

80% of Domestic water of

407 KL i.e.

326 KL

Treated Wastewater generation @ 90% of total wastewater

generated, i.e., 294 KL

116 KL

Fresh Water Req.

(Stored Rain water –

Concurrent use)

(20 KL + 291 KL)

311 KL


( Non - Flushing ), 291 KL


( Flushing ), 116 KL

Re-use Line

Recurrent

Water Demand

Laundry Req.

10.0 KL

(Total Load = 18.0 KL)

(10.0 KL + 8.0 KL)

ETP with Teritiary Treatment

( 22 KL Capacity )


Make-up water for cooling

towers attached with HVAC plant

(16 KL + 168 KL)

184 KL

Wastewater

generation @ 80%

of Laundry

water req. i.e.

8.0 KL

Treated wastewater

generation @ 90% of

total water i.e. 16 KL

16 KL

Boiler Water Requirement

10 KL

10 KL

2

291 KL

Wastewater

generation @100%

of hospital lab.

water req. i.e.

10.0 KL

Lab. Req.

10.0 KL

168 KL

ACTIVITY WISE DAILY WATER CONSUMPTION CALCULATION DETAILS

13.50100 x 45 Ltr.

= 4.50

100 x 90 Ltr.

= 9.00

Accommodation facility for Visitor / bye-standers with IPD patient = 100 Persons5

Sr.

No.Description

Non-Flushing

Requirement

Flushing

RequirementTotal

In KL / Day

1In Patients ( No. of Beds ) = 600 Beds

( Including Laundry )

600 x 405 Ltr.

= 243.00

600 x 45 Ltr.

= 27.00270.00

2Visitors / bye-standers inpatients = 1200 Persons

( 2 Persons / Bed )

1200 x 5 Ltr.

= 6.00

1200 x 10 Ltr.

= 12.0018.00

3Out Patients = 1200 Persons

( 2 Persons / Bed )

1200 x 5 Ltr.

= 6.00

1200 x 10 Ltr.

= 12.0018.00

4Visitor / bye-standers with OPD patient = 1200 Persons

( 1 Person / Out Patient )

1200 x 5 Ltr.

= 6.00

1200 x 10 Ltr.

= 12.0018.00

6Total no. of staff expected in the campus (without accommodation) (like

doctors, nurses, group-IV staff etc.) = 1260 Persons1260 x 15 Ltr.

= 18.901260 x 30 Ltr.

= 37.8056.70

7Total no. of staff expected in the campus ( with accommodation for nurses)

= 240 person240 x 90 Ltr.

= 21.60

240 x 45 Ltr.

= 10.8032.40

Total = about 5,800 Persons (on full occupancy)310.5

say 311 KL

116.1

say 116 KL

426.6

say 427 KL

Date post:	16-Mar-2018
Category:	Documents
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APPENDIX I -...

Documents