Of
Expansion of AMRI Hospital from 400 Beds to 500 Beds
FOR
M/S Advance Medicare Research Institute Limited
At: Aiginia, Bhubaneswar, Odisha.
MAY 2017
FORM - 1
Centre For Envotech and Management Consultancy Pvt. Ltd.
AN ISO: 9001: 2008 and BS OSHAS 18001: 2007 certified company, Empanelled with OCCL, Govt. Of Odisha, OSPCB as Category “A” Consultant Organization,
Accredited by NABET, Quality Council of India for EIA stud ies As Category “A” Consultant Organization.
Regd. Off: N5/305, IRC Village, Bhubaneswar, Odisha Tele: 0674 - 2360344, E-mail: cemc_consultancy @yahoo.co.in, [email protected]
Website: www.cemc.in CEMCCEMC
Page | 1
`APPENDIX I (See paragraph – 6)
FORM- 1
(I) Basic Information
Sl. No.
Item Details
1. Name of the project/s Expansion of AMRI Hospital from 400 Beds to 500 Beds of M/s. Advance Medicare Research Institute Limited. At: Aiginia, Bhubaneswar.
2. S. No. in the schedule 8 (a): Building & Construction Project
3.
Proposed capacity/area/length/tonnage to be handled/command area/lease area/number of wells to be drilled
Plot Area = 20,235.0 m2 Built Up Area = 37,485.0 m2
Existing Bed = 400 Expansion Bed = 100 Total Bed = 500
4. New/Expansion/Modernization Expansion 5. Existing Capacity/Area etc. Existing Bed = 400 6. Category of project i.e. ‘A’ or ‘B’ Category B
7. Does it attract the general condition? If yes, please specify.
No
8. Does it attract the specific condition? If yes, please specify.
No
9. Location Vill- Aiginia
10.
Plot/Survey/Khasra No. Plot No: 1 Khata No: 276
Village Aiginia Tehsil Bhubaneswar District Khurda State Odisha
11.
Nearest railway station/airport along with distance in kms.
Nearest Railway station: Bhubaneswar Railway station (Approx. 7.0 km) Nearest Airport: Bhubaneswar Airport (Approx. 4.5 km) (Source of information:- Google Image)
12.
Village Panchayats, Zilla Parishad, Municipal Corporation, Local body (complete postal addresses with telephone nos. to be given)
Bhubaneswar Municipal Corporation
Vivekananda Marg,
Bhubaneswar - 751014
13. Name of the applicant Advance Medicare Research Institute Limited
14. Registered Address Plot No. 38/1, Gariahat Road, Kolkata- 700031
15.
Address for correspondence: Plot No. 1, Beside Satyasai Enclave, Khandagiri, Bhubaneswar – 751 030
Name S K Mohanty Designation(Owner/Partner/CEO) Vice-President
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Address Plot No. 1, Beside Satyasai Enclave, Khandagiri, Bhubaneswar
Pin Code 751 030 E-mail [email protected] Telephone No. 0674-6666600 Fax No. 0674-6666777
16. Details of alternative sites examined, if any. Location of these sites should be shown on a topo sheet.
Nil
17. Interlinked Projects No
18. Whether separate application of interlinked project has been submitted?
Not applicable
19. If yes, date of submission NA 20. If no, reason NA
21.
Whether the proposal involves approval/clearance under: The forest (Conservation) Act, 1980? The Wildlife (Protection) Act, 1972? The C.R.Z Notification, 1991? If yes, details of the same and their status to be given.
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 proposed to be set up? Name of the Court Case No. Orders/directions of the Court, if any and its relevance with the proposed project.
No
25 Project cost 6.06 Crores
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(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.)
Sl. No
Information/Checklist confirmation
Yes/No
Details thereof (with approximate quantities /rates, wherever possible) with source of information data
1.1 Permanent or temporary change in land use, land cover or topography including increase in intensity of land use (with respect to local land use plan)
No This is an Expansion of Hospital beds from 400 to 500. The land use has been developed into Hospital area, Hence there is permanent change in Land use.
1.2 Clearance of existing Land, vegetation and building?
No The construction area of the project does not require any clearance of existing Land, Vegetation & Building as it is a barren land.
1.3 Creation of new land uses? No Land has been earmarked for development facilities as per Bhubaneswar Development Authority, So there will be no creation of new land use.
1.4 Pre-construction investigation e.g. borehole, soil testing?
No Pre-construction work is not required, only hospital beds are increased.
1.5 Construction works No Construction work is not required, only hospital beds are increased.
1.6 Demolition work No Demolition work is not required. 1.7 Temporary sites used for
construction works or housing of construction workers?
No This is an Expansion project of hospital beds. So no construction work is required.
1.8 Above ground buildings, structures or earthworks including linear structures, cut and fill or excavations
No Not required
1.9 Underground works including mining or tunneling?
No No underground works including mining/tunneling required.
1.10 Reclamation works? No There is no reclamation work in the project site.
1.11 Dredging? No No dredging work is required in the project development.
1.12 Offshore structures? No No offshore structure is required in the project development.
1.13 Production and manufacturing processes?
No No production or manufacturing will be done as the Expansion project will be used for Hospital purpose.
1.14 Facilities for storage of goods or materials?
Yes Separate store for raw material like cement and other construction materials
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will be made within the project premises. 1.15 Facilities for treatment or
disposal of solid waste or liquid effluents?
Yes Operational Phase: Solid waste generation will be about 499.0 kg/day and which will be collected separately as Bio-degradable and Non-biodegradable waste as per the MSW Rules, 2000. The non-biodegradable and recyclable waste would be sold to the recyclers. The biodegradable waste along with sludge from STP would be sent to the recyclers. Bio-Medical waste generation will be about 250 kg/day and which will be collected separately as per Bio-Medical waste management rules 1998. Liquid effluents: The waste water in operation phase will be treated up to tertiary level in a STP of 230 KLD capacities & 50 KLD ETP for Bio-medical waste and the treated sewage will be reused for landscaping, HVAC & Washing. The rest of the treated water will be discharged into the sewer. (Source of Calculation:- Manual on norms and standards for environment clearance of large construction project issued by Ministry of Environment & Forests, Govt. of India)
1.16 Facilities for long term housing of operational workers?
No The Expansion project is a residential construction project and operational day to day workers will be hired locally and therefore no accommodation facility proposed for operational workers.
1.17 New road, rail or sea traffic during construction or operation?
No Not Applicable
1.18 New road, rail, air waterborne or other transport infrastructure including new or altered routes and stations, ports, airports etc?
No There is no new road, air waterborne or other transport infrastructure will be developed.
1.19 Closure or diversion of existing transport routes or infrastructure leading to changes to traffic movements?
No No such closure or diversion of existing transport will be required.
1.20 New or diverted transmission lines or pipelines?
No No new or diversion of transmission lines or pipeline will be done.
1.21 Impoundment, damming, culverting, realignment or other changes to the hydrology of watercourses or aquifers?
No No impoundment, damming, culverting, realignment or other changes to the hydrology of surface water courses will be required.
1.22 Stream crossing? No There are no streams crossing within the
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project site. 1.23 Abstraction or transfers of water
from ground or surface waters? Yes Water requirement for existing project is
232 KLD & for expansion project 45 KLD more water will be required. So total water requirement for existing & expansion project is 277.0 KLD.
1.24 Changes in water bodies or the land surface affecting drainage or run-off?
No
There will be no changes in water bodies on the land and drainage or run-off.
1.25 Transport of personnel or materials for construction, operation or decommissioning?
Yes Transportation of personnel/material during the operation phase is envisaged.
1.26 Long-term dismantling or decommissioning or restoration works?
No Not applicable since there is no dismantling involved in this project.
1.27 Ongoing activity during decommissioning which could have an impact on the environment?
No Not applicable
1.28 Influx of people to an area in either temporarily or permanently?
No Not required, only hospital beds are increased.
1.29 Introduction of alien species? No Mostly local species will be planted in green belt development.
1.30 Loss of native species or genetic diversity?
No There will be no significant impact on the native species or genetic diversity.
1.31 Any other actions? No Not applicable 2. Use of Natural resources for construction or operation of the Project (such
as land, water, materials or energy, especially any resources which are non-renewable or in short supply):
Sr. No.
Information/checklist confirmation
Yes/No
Details thereof (with approximate quantities /rates, wherever possible) with source of information data
2.1 Land especially undeveloped or agricultural land (ha)
No The Hospital project is as per the designated landuse under Bhubaneswar Development Authority
2.2 Water (expected source & competing users) unit: KLD
Yes Water requirement for existing project is 232 KLD & for expansion project 45 KLD more water will be required. So total water requirement for existing & expansion project is 277.0 KLD
2.3 Minerals (MT) No Not applicable 2.4
Construction material – stone, aggregates, sand / soil (expected source – MT)
No
Construction work is not required, only hospital beds are increased.
2.5 Forests and timber (source – MT) No Wood for Doors shutter/ furniture,
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windows will be used as per the requirement.
2.6 Energy including electricity and fuels (source, competing users) Unit: fuel (MT), energy (MW)
Yes The daily power requirement for the Existing Hospital complex is approximately 2392.3 KW (maximum). The power will be entirely supplied by CESU through 11 KV grid. Also, in case of power failure, power back up will be given by three nos. of 1250 KVA capacity diesel generator sets.
2.7 Any other natural resources (use appropriate standard units)
No Not applicable
3. Use, storage, transport, handling or production of substances or materials
which could be harmful to human health or the environment or raise concerns about actual or perceived risks to human health.
Sr. No.
Information/Checklist confirmation
Yes/No
Details thereof (with approximate quantities/rates, wherever possible) with source of information data
3.1 Use of substances or materials, which are hazardous (as per MSIHC rules) to human health or the environment (flora, fauna, and water supplies)
Yes Used oil from D.G sets and E-Waste are generated and collected & stored. Proper disposal of used oil & E-waste shall be followed. Detailed Management measures are given in Environment Management Plan.
3.2 Changes in occurrence of disease or affect disease vectors (e.g. insect or water borne diseases)
No Appropriate mitigation / management measures will be adopted in both the construction and operation phases 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 facility will be provided at site during construction phase & operation phase. Good housekeeping 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 living conditions?
No There would be increased in employment opportunities after the expansion of hospital. No adverse changes in living conditions are anticipated as land is earmarked for
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development of Hospital. 3.4 Vulnerable groups of people who
could be affected by the project e.g. hospital patients, children, 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 operation or
decommissioning (MT/Month)
Sr. No.
Information/Checklist confirmation
Yes/No
Details thereof (with approximate quantities/rates, wherever possible) with source of information data
4.1 Spoil, overburden or mine wastes No Not Applicable 4.2 Municipal waste (domestic and or
commercial wastes) Yes During operation phase domestic waste
generation in the form of biodegradable and non biodegradable waste. The total amount of solid waste generated will be approximately 499 kg/day & Bio-medical waste generated will be approximately 250 kg/day. This contains the domestic solid waste generated from the individual household buildings.
4.3 Hazardous wastes (as per Hazardous Waste Management Rules)
Yes Used oil from D.G. Sets are carefully stored in HDPE drums in isolated covered facility and same shall be followed for Existing as well as Expansion project. The used oil will be sold to vendors authorized by State Pollution Control Board for the treatment of the same. Suitable care will be taken so that spills / leaks of used oil from storage could be avoided.
4.4 Other industrial process wastes No Not applicable. 4.5 Surplus product No Not applicable. 4.6 Sewage sludge or other sludge
from effluent treatment Yes The sewage sludge generated from
operation phase will be used as manure in the green belt. Around 10 kg/day STP sludge has been generated in Existing Phase.
4.7 Construction or demolition wastes Yes Construction waste will be used for roads and as fill material for leveling and road, and low lying area within the project site. The recyclable wastes (metal, wood,
etc.) will be sold to the vendors. The inert waste (brick, masonry,
concrete, etc.) will be used for road making and land filling within the site itself.
4.8 Redundant machinery or No There will not be any redundant
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equipment machinery or equipment used at site. 4.9 Contaminated soils or other
materials No Proper care will be taken to avoid
contaminated soil and if oil spilled soil will be found; the same will be scrapped off and stored at earmarked places and sent to disposal sites.
4.10 Agricultural wastes No There will be no agriculture waste.
5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr)
Sr. No.
Information/Checklist confirmation
Yes/No
Details thereof (with approximate quantities/rates, wherever possible) with source of information data
5.1 Emissions from combustion of fossil fuels from stationary or mobile sources
Yes CPCB approved DG sets will be used and low sulfur containing diesel oil will be used so that emissions will be within prescribed standards.
5.2 Emissions from production processes
No There is no production process in the project.
5.3 Emissions from materials handling including storage or transport.
Yes The fugitive emission expected from construction phase will be dust arising from material handling and vehicular emission from transport vehicles. These include the emissions due to idling of the vehicles during loading and unloading activities. Construction waste will be reutilized within the site itself to reduce the emissions during transportation. Further, idling of the vehicles will be reduced to the extent possible. The haul road will be made moist to avoid the air borne dust & PUC certified vehicles will be used.
5.4 Emissions from construction activities including plant and equipment
No No Batching Plant will be installed at the project site hence no emissions will be generated from the machineries. RMC will be used.
5.5 Dust or odours from handling of materials including construction materials, sewage and waste
Yes During loading & unloading of construction material, dust will be generated. Water will be sprinkled and tarpaulin cover will be provided over stored raw material to reduce dust emission. Treated water will be used within the Hospital.
5.6 Emissions from incineration of waste
No Not applicable.
5.7 Emissions from burning of waste No No burning of waste in open air will be
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in open air (e.g. slash materials, construction debris)
carried out.
5.8 Emissions from any other sources No Not applicable.
6. Generation of noise and vibration and emissions of light and heat:
Sr. No.
Information/Checklist confirmation
Yes/No
Details thereof (with approximate quantities/rates, wherever possible) with source of information data
6.1 From operation of equipment e.g. engines, ventilation plant, crushers
Yes Operation phase: During operation phase the main source of noise will be vehicular traffic and DG sets. However CPCB approved silent type DG set will be used.
6.2 From industrial or similar processes
No Not applicable
6.3 From construction or demolition
Yes Due to construction machinery/vehicle movement noise will be generated.
6.4 From blasting or piling No Not applicable. 6.5 From construction or operational
traffic
Yes No Significant disturbance due to traffic noise during construction and operation as all these operations will be carried out in non peak hours.
6.6 From lighting or cooling systems No Not applicable. 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:
Sr. No.
Information/Checklist confirmation
Yes/No
Details thereof (with approximate quantities/rates, wherever possible) with source of information data
7.1 From handling, storage, use or spillage of hazardous materials
Yes Hazardous waste like used paints and colors containers and waste oil from DG Set will be disposed of as per Hazardous waste management and handling 2010.
7.2 From discharge of sewage or other effluents to water or the land (expected mode and place of discharge)
No Sewage will be disposed off through Existing Sewage Treatment Plant to be developed within the premises during operation phase. There is no chance of spillage or discharge of sewage and all the sewage will be channelized properly through closed pipes to the STP. The sewage after treatment will be utilized for flushing, horticulture purposes.
7.3 By deposition of pollutants No There is no emission except of D.G. sets.
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emitted to air into the land or into water
By use of low sulphur diesel, the emission from the D.G. sets will be within norms. However to mitigate this measures like water sprinkling, provision of covered sheds for construction materials, plantation etc. will be taken.
7.4 From any other sources No There will not be any other sources, which will contaminate land & water resources.
7.5 Is there a risk of long term build up of pollutants in the environment from these sources?
No There will not be any build-up of pollutants in the environment from this project.
8. Risk of accidents during construction or operation of the project, which
could affect human health or the environment:
Sr. No.
Information/Checklist confirmation
Yes/No
Details thereof (with approximate quantities/rates, wherever possible) with source of information data
8.1 From explosions, spillages, fires etc from storage, handling, use or production of hazardous substances
No This is Hospital building project and the chances of explosions, spillages, fire are minimal. 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 Industrial or process activity is involved in this project hence chances of chemical hazards and accidents are minimal.
8.2 From any other causes No The major risks involved in the project would be working at different construction heights and mishaps due to human errors, bad construction practices and associated electric hazards. All Safe construction practices & precautionary measures will be adopted and use of PPE will be mandatory. However, to meet out the minor incidences and accidents first aid measures at site will be provided. All safety measures will be in place prior to commencement of operations so as to avoid any risk of human life.
8.3 Could the project be affected by natural disasters causing environmental damage (e.g. floods, earthquakes, landslides,
No Floods: For effective functioning, pre-
monsoon and post-monsoon checks of the drainage structures will be
Page | 11
cloudburst etc)? undertaken. The project has planned storm water
layout in regards to the peak intensity of the rainfall so far received as recorded by IMD.
Earthquakes: The project site comes under seismic zone-III. The area is not subject to floods, earthquakes, landslides etc. as per Disaster Management Authority.
9. Factors which should be considered (such as consequential development)
which could lead to environmental effects or the potential for cumulative impacts with other existing or planned activities in the locality:
Sr. No.
Information/Checklist confirmation
Yes/No
Details thereof (with approximate quantities/rates, wherever possible) with source of information data
9.1 Lead to development of supporting. facilities, ancillary development or development stimulated by the project which could have impact on the environment e.g.: Supporting infrastructure
(roads, power supply, waste or waste water treatment, etc.)
Housing development Extractive industries
Yes
Yes
No
Appropriate infrastructure like 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, 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 operation stage for the purpose of day-to-day maintenance, workers will be employed. Moreover, more employment will be created as a result of positive induced development in the immediate vicinity of project site. Hospital project would provide day to day working jobs directly and indirectly and the surroundings to the project site will have lot of residential development activities during construction and operation phase. Not applicable
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Supply industries Other
No No
Not applicable Not applicable
9.2 Lead to after-use of the site, which could have an impact on the environment
No Not applicable.
9.3 Set a precedent for later developments
No Not applicable.
9.4 Have cumulative effects due to proximity to other existing or planned projects with similar effects
No Not applicable.
(III) ENVIRONMENTAL SENSITIVITY
Sl. No.
Areas Name/ Identity
Aerial distance (within 15 km.) Proposed project location boundary
1 Areas protected under international conventions, national or local legislation for their ecological, landscape, cultural or other related value
No Not applicable, There is no such areas existing within 15 km buffer zone. Further the project side is located within the BDA Master plan area.
2 Areas which are important or sensitive for ecological reasons - Wetlands, watercourses or other water bodies, coastal zone, biospheres, mountains, forests
No Not applicable
3 Areas used by protected, important or sensitive species of flora or fauna for breeding, nesting, foraging, resting, over wintering, migration
Chandaka Forest & Elephant Reserve
Approx. 14 Km from the project site
4 Inland, coastal, marine or underground waters
No Not applicable
5 State /National boundaries No Not present 6 Routes or facilities used by the
public for access to recreation or other tourist, pilgrim areas
National Highway-5
Approx. 2.0 Km from the project site
7 Defence installations No Not applicable 8 Densely populated or built-up
area Bhubaneswar Approx. 5.0 Km from the
project site 9 Areas occupied by sensitive
man-made land uses (hospitals, schools, places of worship, community facilities)
No No. The 15th km buffer zone of
the project side encompasses
more than 50% of it is area
from BBSR urban complex
which is likely to contain
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various urban landuse
activities like Hospital, schools,
community facilities. However
it can be noted that the
proposed project also comes
under urban activities category
as it is a Hospital project.
10 Areas containing important, high quality or scarce resources (ground water resources, surface resources, forestry, agriculture, fisheries, tourism, minerals)
No Not applicable
11 Areas already subjected to pollution or environmental damage. (Those where existing legal environmental standards are exceeded)
No Not Applicable
12 Areas susceptible to natural hazard which could cause the project to present environmental problems (earthquakes, subsidence, landslides, erosion, flooding or extreme or adverse climatic conditions)
No Area is not susceptible to any natural hazard or adverse climatic condition as per Disaster Management Authority of Bhubaneswar.
DECLARATION
"I hereby given undertaking that the data and information grven in the apprication andencrosures are true to the best of my knowredge and berief and I am aware that if anypart oF the data and information submitted is found to be farse or misreading at anystage, the project will be rejected and clearance give, if any to the project will berevoked at our risk and cost.
Date: ) . ( ,o9,2.O1,
Place: Bhubaneswar A*.JSignature ot th ant
*nn$"ffifpi,1Es4*'( Project ProPone"Vfffi 2"g9ffi 1g'vt
Bhubaneswar - 751030Note:
1. "The projects involving clearance under coastal Regulation zone Notification,1991 shall submit with the application a C.R.Z map duly demarcated by one ofthe authorized agencies, showing the project activities, w.r.t. C.R.Z (at thestage of roR) and the recommendations of the state coastal zone ManagementAuthority (at the stage of Ec). simurtaneous action shar arso be taken to obtainthe requisite clearance under the provisions of the c.R.z Notification, 1gg1 forthe activities to be located in the CRZ.,,
2. "The projects to be located within the 10 km of the National parks. sanctuaries,Biosphere Reserves, Migratory Corridors of Wild Animats, the project proponentsharr submit the map dury authenticated by chief wirdrife warden showing thesefeatures vis-e-vis the project location and the recommendations or comments ofthe Chief Wildlife Warden thereon ( at the stage of EC).,,
3' "Alr correspondence with the Ministry of Environment & Forest incrudingsubmission of application for TORr Environmental Ctearance, subsequent
'! clarifications, as may be required from time to time, participation in the EACMeeting on beharf of the project proponent sha,' be made by the authorizedsignatory only. The authorized signatory should also submit a document insupport of his claim of being an authorized signatory for the specific project.,,
Page I 14
Of
Expansion of AMRI Hospital from 400 Beds to 500 Beds
FOR
M/S Advance Medicare Research Institute Limited
At: Aiginia, Bhubaneswar, Odisha.
MAY 2017
FORM - 1A
Centre For Envotech and Management Consultancy Pvt. Ltd.
AN ISO: 9001: 2008 and BS OSHAS 18001: 2007 certified company, Empanelled with OCCL, Govt. Of Odisha, OSPCB as Category “A” Consultant Organization,
Accredited by NABET, Quality Council of India for EIA stud ies As Category “A” Consultant Organization.
Regd. Off: N5/305, IRC Village, Bhubaneswar, Odisha Tele: 0674 - 2360344, E-mail: cemc_consultancy @yahoo.co.in, [email protected]
Website: www.cemc.in CEMCCEMC
1
FORM-1A
[Only for Construction projects listed under item 8 of the schedule]
CHECKLIST OF ENVIRONMENTAL IMPACTS
(Project proponents are required to provide full information and wherever necessary attach explanatory notes with the Form and submit along with proposed environmental management plan & monitoring programme).
1. LAND ENVIRONMENT (Attach panoramic view of the project site and the vicinity)
1.1 Will the existing land use get significantly altered from the project that is not consistent with the surroundings? (Proposed land use must conform to the approved Master Plan/ Development Plan of the area. Change of land use if any and the statutory approval from the competent authority to be submitted). Attach Maps of (i) site location, (ii) surrounding features of the proposed site (within 500 meters) and (iii) the site (indicating levels & contours to appropriate scales. If not available attach only conceptual plans.
Ans: The site is coming under developmental Plan of Bhubaneswar Development Authority.
The development of green belt and other landscaping will enhance the visual
aesthetics of the area. Bhubaneswar Development Authority, Bhubaneswar has
approved the building plan vide letter no. 24518/BP/BDA, Bhubaneswar, Dt.
12.11.2012. The copy of BDA approval letter is enclosed as Annexure-I.
Expansion of AMRI Hospital from 400 Beds to 500 Beds over Plot No- 1 & Khata No.
276 of Village: Aiginia, Bhubaneswar.
Area statement: Area details Area in sqm Plot Area 20235.00 Lower Basement 8735.00 Upper Basement 3400.14 Total Parking Area provided 12135.14 Ground Coverage (33.07 %) 6693.00 Road Area (25.0 %) 5040.00 Landscape Area (20.0 %) 4047.00 Total Built up Area 37485.0
2
(i) Site Location Map of the Project Site
3
ii) Levels & contours of the Existing project site
4
1.2 List out all the major project requirements in terms of the land area, built up area, water consumption, power requirement, connectively facilitises, parking needs etc.
Ans: Location Plot: Plot No- 1 & Khata No. 276 of Village: Aiginia, Bhubaneswar. Surrounding Features and Connectivity
The project site is situated near Aiginia in Bhubaneswar block of Khurda district in the
state of Odisha. The project site is located at latitude 20o 15’ 36.61” N and longitude
85o 46’ 38.46” E and the area comes under Survey of India toposheet No-73H/15. The
site is well connected by all weather black topped metal road. National Highway NH-5
connecting Howrah - Chennai is 1.3 km from the project site. The nearest railway
station is Bhubaneswar Railway station at a distance of approx 7.0 Km in East
direction. The nearest airport is Biju Patnaik Airport at a distance of approx. 4.5 Km in
South East direction from project site.
Power Requirement:
The daily power requirement for the existing complex is preliminarily assessed as
2392.32 KW source from CESU of Odisha State Electricity Board. In order to meet
emergency power requirements during the grid failure, there is provision of 3 nos. of
DG sets having 1250 KVA capacities for power back up in the Hospital Project.
Water Requirement: i) Water Requirement during Existing Project
The AMRI Hospital has 400 beds & they wants to expand it to 500 beds without
addition of staff & doctors. The existing water use is 232 KLD which will be increased to
277 KLD by a quantity of 45 KLD for the extra nos. of beds.
ii) Water Requirement during Operation (Existing + Expansion)
Fresh Water consumption for the 500 Beds @ 450 lpcd = 225.0 m3/day, Fresh Water
Consumption for Domestic use is 52.0 m3/day, for HVAC Cooling System 100 m3/day,
for Washing and Landscaping the required water will be 15.0 m3/day and 12.0 m3/day
respectively.
Parking needs:
Adequate parking (357 ECS) provision will be kept for vehicles parking in the existing
project. Besides this, minimum of internal road of 6 m width within the existing project
will facilitate smooth traffic movement.
Parking Proposed:
Total Parking Area provided = 12135.14 m2
As per Odisha Bye-laws:
Parking Area Required for Residential = 30 % of Hospital Built up Area
= 30 x 37485.0/100
= 11245.5 m2
So, Total Parking Area required = 11245.5 m2
So, Total Parking Area provided = 12135.14 m2
5
Parking as per NBC norms Parking Area Provided Lower Basement Parking 8735.0 sqm Upper Basement Parking 3400.14 sqm Total Parking -- -- 12135.14 sqm Equivalent Car Space Provided Area(sqm) Area/ECS Lower Basement 8735.0 35 259.8 ECS Upper Basement 3400.1 35 97.1 ECS Total Parking Provided 356.9 ECS ≈ 357 ECS
1.3 What are the likely impacts of the proposed activity on the existing facilities
adjacent to the proposed site? (Such as open spaces, community facilities, details of the existing land use, disturbance to the local ecology).
Ans: The project is situated in the Bhubaneswar City. The impact due to the existing project
increase in the traffic loads, increase in the noise levels during construction activities,
and dust emission emanating from various construction activities. Due care will be
taken during construction as well as operational phase to minimize the impact on
surroundings such as piling activities, shielding of construction site, wetting of roads,
stockpiles, etc. The likely beneficial and adverse impacts on the existing facilities
surrounding the project site have been described below.
A. IMPACT ON OPEN SPACES
While developing the proposed construction, adequate preventive measures will be
adopted to control the fugitive emission, waste water discharge and construction
waste disposal procedures, so that the open space around the project site do not
get affected. During the operational phase also adequate preventive measures will
be taken for controlling the above issues. During earth work excavation, preventive
measures will be adopted in terms of vertical shaping to avoid landslides and soil
erosion.
B. IMPACT ON COMMUNITY FACILITIES
In this building construction project the peripheral i.e. road, electrification, water
supply will be provided, which will provide benefits to the surrounding people.
Therefore due to the development, the community facilities in the adjacent areas
surrounding the project site will be considerably improved.
C. LOCAL ECOLOGY
The project being a well planned activity will result in organized open spaces and
green areas. About 4047.00 sqm (20.0 % of plot area) of the area is earmarked for
landscaping. The biodiversity in the area will increase due to the green areas. The
project will have an overall positive impact on the existing land use and will not
cause any disturbance to the local ecology.
Thus, it is likely that site specific impacts have been at micro level and insignificant.
1.4 Will there be any significant land disturbance resulting in erosion, subsidence
& instability? (Details of soil type, slope analysis, vulnerability to subsidence,
6
seismicity etc. may be given). Ans: There shall be no land disturbance resulting in erosion, subsidence and instability as it
is a flat land. The site falls under the zone III as per the seismic zone map of India and
indicating Moderate damage risk zone. The project will be earthquake resistant taking
into account the latest provisions of Indian Standards Codes.
1.5 Will the proposal invoice alternation of natural drainage system? (Give details
on a contour map showing the natural drainage near the proposed project site)
Ans: No, there is no change in the overall natural drainage system. However, the internal
run off drainage is channelized to the well connected network of storm water drains.
1.6 What are the quantities of earthwork involved in the construction activity-
cutting, filling, reclamation etc. (Give details of the quantities of earthwork involved, transport of fill materials from outside the site etc.)
Ans: Low-lying areas in the site will require fill materials excavated from foundations or
transported from outside of site. All the topsoil excavated during construction activities
shall be stored for use in horticulture/landscape development within the project site.
The lower strata earth is either used for filling the plinths, road substructure and
leveling low lying areas.
1.7 Give details regarding water supply, waste handling etc, during construction
period. Ans: Construction work is not required, only hospital beds are increased. 1.8 Will the low lying areas & wetlands get altered? (Provide details of how low
lying and wetlands are getting modified from the proposed activity.) Ans: There are no low lying areas and wetlands in near vicinity of the project site. 1.9 Whether construction debris & waste during construction cause health
hazard? (Give quantities of various types of wastes generated during construction including the construction labor and the means of disposal).
Ans: Construction work is not required, only hospital beds are increased. 2. WATER ENVIRONMENT 2.1 Give the total quantity of water requirement for the proposed project with the
breakup of requirements for various uses. How will the water requirement met? State the sources & quantities and furnish a water balance statement.
Ans: i) Water Requirement during Operation stage (Existing)
The AMRI Hospital has 400 beds & they wants to expand it to 500 beds without
addition of staff & doctors. The existing water use is 232 KLD which will be increased to
277 KLD by a quantity of 45 KLD for the extra nos. of beds.
ii) Water requirement during Operation stage (Existing + Expansion)
Fresh Water consumption for the 500 Beds @ 450 lpcd = 225.0 m3/day, Fresh Water
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Consumption for Domestic use is 52.0 m3/day, for HVAC Cooling System 100 m3/day,
for Washing and Landscaping the required water will be 15.0 m3/day and 12.0 m3/day
respectively.
Fresh Water requirement (Existing + Expansion) Sl. No.
Description Total Population
Per Capita Consumption
(ltr/day)
Total Water Requirement
(KLD) 1. Existing- 400 beds 400 nos 450 180.0 2. Expansion- 100 beds 100 nos 450 45.0 3. Domestic Use 52.0
TOTAL 277.0 Source of Water: Municipal Water
Water Balance (Non-Monsoon)
Sl. No. Description Quantity in m3/day Waste water
generated m3/day
Fresh makeup Reuse
1 Fresh Water to ETP & STP 277.0 - 222.0 2 Landscaping - 12.0 - 3 HVAC (Cooling System) - 100.0 - 4 Washing - 15.0 5 Loss in STP - 8.9 - 6 Discharge to Drain - 86.1 -
Total 277.0 222.0 222.0
Water Balance (Monsoon)
Sl. No. Description Quantity in m3/day Waste water
generated m3/day
Fresh makeup Reuse
1 Fresh Water to ETP & STP 277.0 - 222.0 2 HVAC (Cooling System) - 100.0 - 3 Washing - 15.0 4 Loss in STP - 8.9 - 5 Discharge to Drain - 98.1 -
Total 277.0 222.0 222.0
8
Detail Water Balance
9
2.2 What is the capacity (dependable flow or yield) of the proposed source of water?
Ans. During Operation phase 45 KLD water will be sourced from Municipal water for which
additional permission will be taken.
2.3 What is the quality of water required in case, the supply is not from a
municipal source? (Provide physical, chemical, biological characteristics with class of water quality).
Ans: Required water will be extracted from ground water sources where possibility of
bacterial contamination is less. Analysis report reviews that water is potable however
as prevention raw water treatment facilities consist of sand filtration and chlorination
will be provided to treat the ground water.
2.4 How much of the water requirement can be met from the recycling of treated
wastewater? (Give the details of quantities, sources and usage). Ans: About 212.7 m3/day of water can be made from the recycling of treated waste water.
Sl. No. Description Quantity in m3/day Waste water
generated m3/day
Fresh makeup Reuse
1 Fresh Water to ETP & STP 277.0 - 222.0 2 Landscaping - 12.0 - 3 HVAC (Cooling System) - 100.0 - 4 Washing - 15.0 5 Loss in STP - 8.9 - 6 Discharge to Drain - 86.1 -
Total 277.0 222.0 222.0
2.5 Will there be diversion of water from the users? (Please assess the impacts of
the project on other existing uses and quantities of consumption). Ans: There will not be any substantial effect on water demand of this region.
2.6 What is the incremental pollution load from wastewater generated from the
proposed activity? (Give details of the quantities and composition of wastewater generated from the proposed activity).
Ans: Approximately, 221.6 m3/day of wastewater will be generated during the operational
phase from hospital and domestic uses. This wastewater generated will be treated in
well designed sewage treatment plant & Effluent Treatment Plant. Composition of waste
water is listed below:
PARAMETER INLET VALUE OUTLET VALUE pH 6.5-8.0 7.0-8.0 BOD5 300 mg/l < 10 mg/l COD 800 mg/l < 50 mg/l Suspended Solids 250-400 mg/l < 20 mg/l Oil & Grease 20-30 mg/l < 5 mg/l NH4-N 30 mg/l < 5 mg/l N-Total 40 mg/l < 10 mg/l
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Fecal Coliform < 100 MPN/100 ml
2.7 Give details of the water requirements met from water harvesting? Furnish
details of the facilities created. Ans: The storm water disposal system for the premises shall be self-sufficient to avoid any
collection/stagnation and flooding of water. The amount of storm water run-off depends
upon many factors such as intensity and duration of precipitation, characteristics of the
tributary area and the time required for such flow to reach the drains. The drains shall
be located near the carriage way along either side of the roads. Taking the advantage
of road slope, the rainfall run off from roads shall flow towards the drains. Storm water
from various plots/shall be connected to adjacent drain by a pipe through catch basins.
There are 23 nos. of Rain Water Recharging pits are being proposed for artificial rain
water recharge within the project premises.
Calculations for Storm Water load:
Rational formula for calculating run-off = CIA
Q= Runoff in m3
A= Area in sqm
C= Co-efficient of run-off based on Manual on norms and standards for environment
clearance of large construction projects, Ministry of Environment and Forests,
Government of India.
I = Intensity of rainfall in mm based on IMD Data
Yearly rainfall : 1493 mm/yr
Monsoon Months : June – September
Maximum hourly rainfall = 85 mm/hr
Calculations for storm water load for recharging
Total Run-off: Roof Top
Intensity of rainfall = 85 mm/hr
Drainage area in sqm = 5832.0 m2
Coefficient of run-off = 0.80
Therefore, runoff = 0.80 x 0.085 x 5832.0 = 396.57 m3/hr
Total Run-off: Paved Surface
Intensity of rainfall = 85 mm/hr
Drainage area in sqm = 7802.0 m2
Coefficient of run-off = 0.70
Therefore, runoff = 0.70 x 0.085 x 7802.0 = 464.22 m3/hr
Total Run-off: Unpaved Surface
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Intensity of rainfall = 85 mm/hr
Drainage area in sqm = 4100.0 m2
Coefficient of run-off = 0.15
Therefore, runoff = 0.15 x 0.085 x 4100.0 = 52.28 m3/hr
Total Runoff Load = (396.57 + 464.22 + 52.28) m3/hr
= 913.07 m3/hr
Typical Rain Water Recharge Pit Details:
Rain Water Recharging pits are being proposed for artificial rain water recharge within
the project premises. Total runoff load from the project site will be 913.07 m3/hr
Total Runoff available for percolation = 913.07 m3/hr.
Consider retention period of percolation pit in minutes (T) = 5
Total run-off load can be stored in given time = 182.6 m3
Rain Water recharge Pit Length x Breath = 2.0 m x 2.0 m, Height = 2.0 m.
Volume of each Recharge pit = 2.0 x 2.0 x 2.0 = 8.0 cum
Volume of each Recharge pit = 8.0 cum
So, No. of pits required = 182.6/8.0 = 22.8 say 23 nos.
Rain Water Recharge pits = 23 nos.
2.8 What would be the impact of the land use change occurring due to the
proposed project on the runoff characteristics (quantitative as well as qualitative) of the area in the post construction phase on a long term basis? Would it aggravate the problems of flooding of water logging in any way?
Ans: Not Applicable, only hospital beds are increased
2.9 What are the impacts of the proposal on the ground water? (Will there be
tapping of ground water; give the details of ground water table, regarding capacity, and approvals obtained from competent authority, if any)
Ans: Municipal water will be sourced during Operation phase, To reduce the freshwater
demand treated wastewater will be used for landscaping, HVAC and Washing.
2.10 What precautions/measures are taken to prevent the run-off from
construction stage of the project? Ans: There are effective measures adapted to reduce the storm water run-off from the
construction site
Ensuring vehicles stick to the access track.
Cleaning all mud and dirt deposited on roads from construction-related activities.
Constructing a fence around the site to trap sediment whilst allowing water to flow
through.
Diverting up-slope water with turf and not mixing mortar in locations that will
drain into storm water system.
Preventing wastewater from brick cutting activities and stockpiles entering the
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storm water system.
Construction material will be stored at the earmarked places and will be covered
with a temporary shed ensuring that no leach ate or spoilage of land occurs.
Curing water will be sprayed and, after liberal curing, all concrete structures will
be painted & covered with gunny bags, then the water will be sprayed. This will
help to save water.
2.11 How is the storm water from within the site managed? ( State the provisions
made to avoid flooding of the area, details of the drainage facilities provided along with a site layout indication contour levels)
Ans: The storm water from roof top, paved surfaces and landscaped surfaces will be properly
channelized to the rain water harvesting sumps through efficient storm water network.
The storm water drain has been designed to cater the flow during peak intensity of rain
(85 mm/hr). The water recharge structure has also been designed for peak intensity
and for maximum capture of surface run off. The rain water harvested will be used for
ground water recharge. The storm water drains will be cleaned in the pre-monsoon
phase so that the possibility of the groundwater pollution & water logging can be
minimized / avoided.
2.12 Will the deployment of construction labourers particularly in the peak period
lead to unsanitary conditions around the project site (Justify with proper explanation)
Ans: Not Applicable
2.13 What on-site facilities are provided for the collection, treatment & safe
disposal of sewage? (Give details of the quantities of wastewater generation, treatment capacities with technology & facilities for recycling and disposal).
Ans: It is expected that the project will generate approx. 221.6 KLD of waste water. Out of
which 212.7 KLD of recoverable water from STP & ETP which will be used within the
project. STP is designed to treat 230 KLD wastewater & ETP is designed to treat 50 KLD
waste water. Treatment plant is completely aerobic treatment based on FAB
Technology.
2.14 Give details of dual plumbing system it treated waste used for flushing of
toilet or any other use. Ans: There will be separate pipelines for the supply of the fresh water and treated water
from STP. Treated water will be used for the landscaping purposes, while the fresh
water will be used for other domestic consumption.
3. VEGETATION 3.1 Is there any threat of the project to the bio diversity? (Give a description of
the local ecosystem with its unique features, if any) Ans: The project is not expected to pose any threat to the biodiversity of the locality.
Moreover, plantation along the periphery of the project site will posses positive impact
13
on biodiversity.
3.2 Will the construction involve extensive clearing or modification of vegetation?
(Provide a detailed account of the trees & vegetation affected by the project). Ans: It is proposed to develop peripheral greenbelt of native plant species to enhance the
aesthetic value of the region and also provide an excellent habitat for various faunal
groups.
3.3 What are the measures proposed to be taken to minimize the likely impacts on
important site features (Give details of proposal for tree plantation, landscaping, creation or water bodies etc along with a layout plan to an appropriate scale).
Ans: Total green area measures about 20.0 % of the plot area which will be area under tree
plantation within the hospital and along the roads. Evergreen tall and ornamental trees
and ornamental shrubs planted inside the premises.
4. FAUNA 4.1 Is there likely to be any displacement of fauna-both terrestrial and aquatic or
creation of barriers for their movement? Prove the details. Ans: No. The existing land use around the site is urban and does not provide a habitat for
wild species. The avenue plantation will provide an excellent habitat for the native
fauna.
4.2 Any direct or indirect impacts on the avifauna of the area? Provide details. Ans: The project will not have any direct or indirect impacts on the avifauna of the area.
4.3 Prescribe measures such as corridors, fish ladders etc to mitigate adverse on
fauna Ans: Not applicable 5. AIR ENVIRONMENT 5.1 Will the project increase atmospheric concentration of gases & result in heat
island? (Give details of background air quality levels with predicted values based on dispersion models taking into account the increase traffic generation as a result of the proposed constructions)
Ans: There will be no emission of dust, fumes or gas During the operational stage, However,
as there will be building blocks, there might remain a possibility of slight increase in
heat island effect, which can be mitigated in the following means:
Impact:
Urban Heat island effect due to increase in the paved areas (Roof & Non Roof)
Emissions due to traffic load.
Emission due to DG set (1250 kVA- 3 nos.)
Mitigation Measures:
Heat Island Effects: Roof
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The roof will be covered with solar panels which will reduce the exposed roof area.
The other exposed roof will be covered with white china mosaic tiles to reduce the
heat gains inside the building.
Heat Island Effects: Non Roof
Stilt parking has been envisaged to reduce the onsite hard paved areas to the best
possible extent.
About 4047.0 sqm (20.0 %) of the area will be under landscape, which will mitigate
heat island effect.
Fugitive dust emission: Sources: Vehicular movement Road construction Paved and unpaved area emission Mitigation: Screening the construction site with the help of tarpaulin to contain the emissions
within the site. Water spraying on the haul roads. Storage of construction material and waste at earmarked places and well covered.
5.2 What are the impacts on generation of dust, smoke, odorous fumes or other
hazardous gases? Give details in relation to all the meteorological parameters. Ans The impacts of dust and gaseous pollutants due to different construction activities will
be localized and will not affect the surrounding environment. All necessary measures
will be taken.
Water spraying at dust generation sources.
All transportation vehicles will be suitably covered to prevent dust dispersion from
the trucks, and overloading of the vehicles will be avoided and must be PUC certified
vehicle.
CPCB D.G. set will be installed to maintain the emission within the norms etc.
The D.G. set will be provided with adequate safe stack height as per the norms of
CPCB, above the roof of the D.G. house to regulate the emission within the
permissible norms.
Low sulphur content fuel will be used which will help to contain the emission within
the permissible range.
5.3 Will the proposal create shortage of parking space for vehicles? Furnish
details of the present level of transport infrastructure & measures proposed for improvement including traffic management at the entry & exit to the project site.
Ans: There will be no shortage of parking space for vehicles. Details given in Chapter-X of EMP.
5.4 Provide details of the movement patterns with internal roads, bicycles tracks,
and pedestrian pathways, footpaths etc., with areas under each category. Ans: The movement pattern inside the project area will be guided traffic ways. There will not
15
be any separate bicycle tracks or pedestrian pathways on the periphery (driveway).
The details given in Traffic Circulation plan of EMP.
5.5 Will there be significant increase in traffic noise & vibration? Give details of
the sources and the measures proposed for mitigation of the above. Ans: There will be no significant increase in noise and vibration. The noise and vibrations
levels will be well within the norms. Speed of the vehicles will be limited to 15-20 km/h
to minimize noise and vibration.
The following measures will be adopted to reduce the noise:
1. Trees with heavy foliage will be planted at the periphery so as to restrict the noise
levels within the permissible norms.
2. Both entry and exit are manned with trained and efficient security.
3. Road markings, Stop lines, parking lanes are painted to guide the internal road
user.
Recommended Plants by CPCB for developing green belt
All tolerant plants are not necessarily good for green belts e.g. Xerophytes with sunken
stomata can withstand pollution by avoidance but are poor absorbers of pollutants due
to low gaseous exchange capacity. Therefore selection of plants is very important in
green belt development for effective removal of suspended particulate matter and for
absorption of gases.
TYPE Botanical Name Common Name
SCHEDULES OF TREES T1 Caesalpinia pulcherrima Krushnachuda
T2 Peltophorum ferrugineum Radhachuda
T3 Mesua feria Nageswar
T4 Azadirachta indica Neem
T5 Millingtonia hortensis Akash neem
T6 Calophyllum inophyllum Polango
T7 Saraca indica Ashok
T8 Pongamia glabra Karang
T9 Michelia champaca Golden champa
T10 Mimusops elengi Bakul
T11 Morus australis Tuta
T12 Thespesia populnea Umbrella tree
T13 Aegle marmelos Bela
SCHEDULES OF PALMS P1 Hyophorbe lagenricaulis Bottale Palm
SCHEDULES OF FRUIT TREE F1 Mangifera indica Mango
F2 Phyllanthus emblica Amla
F3 Caryota urens Cheekoo
F4 Psidium guava Guava
16
SCHEDULES OF LARGE SHRUB S1 Thevetia peruviana Kamia
S2 Ervatamia divaricata Tagar
S3 Hibiscus chinensis Mandar
S4 Nerium oleander Karabik
S5 Murraya exotica Kamini
S6 Cassia fistula Sunari
S7 Spathodea campanulata Mysore green
S8 Cestrum nocturnum Hena
5.6 What will be the impact of DG sets & other equipment noise levels & vibration in and ambient air quality around the project site? Prove details.
Ans: Impacts on Air Quality due to DG sets:
Impacts :
Emission from the stacks attached to stand DG sets during grid power failure.
Impacts on ambient air Quality.
Generation of Noise during Operation of DG sets.
Mitigation Measures
On Ambient Air Quality
Back up DG sets will comply the applicable emission norms.
Adequate stack height for DG sets will be provided as per norms.
Back up DG sets will be used only during power failure.
Regular monitoring of emission from DG sets and ambient air quality will be
carried out as per norms.
On Noise Control
DG sets will be installed away from habitation, so that reduce the impact on
ambient noise and habitation.
DG room will be provided with acoustic lining / treatment to insure 25 dB (A)
insertion loss as per the regulations.
Adequate exhaust mufflers will be provided as per norms to limit the noise.
6. AESTHETICS 6.1 Will the proposed constructions in any way result in the obstruction of a view,
scenic amenity or landscapes? Are these considerations taken into account by the proponents?
Ans: The maximum height of the building block of the existing project will be 27.80 m.
Adequate open spaces according to the municipal building rule will be provided.
Sufficient inter building open spaces will also be kept so that natural scenic view and
natural air movement do not get disturbed.
6.2 Will there be any adverse impacts from new construction on the existing
structures? What are the considerations taken into account? Ans: No. The new construction will confine within the project site only. Sufficient external
17
open spaces will be provided on all sides of the project site. Moreover, proper precautionary measures will be adopted during the excavating work. All the construction materials will be stored within the project site itself. Separate area will be designated for stacking of construction materials. The stacking area will be fully covered to prevent spreading of dust. No construction materials or waste will be dumped outside the project boundary or along the abutting roads. Thus, there remains no chance of traffic closure or diversion due to the proposed construction.
6.3 Whether there are any local considerations or urban form & urban design
influencing the design criteria? They may be explicitly spelt out. Ans: The entire project will be developed by abiding the local rules and regulations set by,
the regulatory authority. The urban form and urban design of the existing project will
be influenced by the local consideration and simultaneously most contemporary from
aesthetic and user point of view.
6.4. Are there any anthropological or archaeological sites or artifacts nearby?
State if any other significant features in the vicinity of the proposed site have been considered.
Ans: No anthropological or archaeological sites or artifacts are located nearby the project
site.
7. SOCIO-ECONOMICS ASPECTS 7.1 Will the proposal result in any changes to the demographic structure of local
population? Provide the details. Ans: No change in the local demographic structure is envisaged for the project, as all the
persons related to the project will float.
7.2 Give details of the existing social infrastructure around the proposed project. Ans: As already stated that the land use of the project surroundings is mixed in nature. The
existing social infrastructure of the area is well developed. Areas occupied by sensitive
man-made land uses like hospitals, schools, places of worship, community facilities
found within a distance of 4- 5 km from the project site.
7.3 Will the project cause adverse effects on local communities, disturbance to
sacred sites or other cultural values? What are the safeguards proposed? Ans: The project will not cause any adverse impact on local community during the
operational stage. No sacred site is located surrounding the project site. During the
operational phase also, the generated waste water and Bio-Medical waste & solid waste
from the complex will be properly managed so that the local community as well as the
existing physical infrastructure does not feel any stress. The safeguards are mentioned
in the Environmental Management Plan. However Construction phase will generate jobs
that relate to unskilled, semi skilled as well as skilled labour category & boost the local
economy.
8. BUILDING MATERIALS
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8.1 May involve the use of building materials with high-embodied energy. Are the construction materials produced with energy efficient processes? (Give details of energy conservation measures in the selection of building materials and their energy efficiency)
Ans: Not Applicable
8.2 Transport and handling of materials during construction may result in
pollution, noise & public nuisance. What measures are taken to minimize the impacts?
Ans: Top soil excavated during construction activities have been stored for use in
horticulture/landscape development within the project site to the possible extent
Covering of the construction site from all four sides to a substantial height to
prevent dust emissions and other pollutants into surrounding area.
Covering loads to limit materials or litter blowing off and reducing smells.
Ready mix concrete will be used for concreting. This avoids cement and aggregate
handling fugitive emissions and noises.
Noise machines will be preferred after 10.00 am. Loading and unloading will be done
with low height.
Light pollution will be restricted using cut-off shield fixtures on site.
Water spraying to prevent dust pollution from different sources of construction.
Speed restriction of all the vehicles approaching the site and within the site.
All transportation vehicles will be suitably covered with tarpaulin & overloading of
the vehicles will be avoided and must be pollution checked vehicle.
8.3 Are recycled materials used in roads and structure? State the extent of
savings achieved? Ans; The excavated soil will be used for backfilling as well as for creating landscaped areas.
8.4 Give details of the methods of collection, segregation and disposal of the
garbage generated during the operation phases of the project. Ans: From the domestic uses solid waste in form of food waste from kitchen and
miscellaneous waste will be generated @ 0.45 kg/capita/day, which will be about 384
kg/day. Bio-medical waste generation from Existing 400 beds is 200 Kg/d, Bio-medical
waste generation from 100 beds (Expansion) is 50 Kg/d.
The generators of biomedical wastes are doctors, nurses, technician, pharmacists,
receptionists, secretaries, cooks, storekeepers, housekeeping staff, maintenance staff,
administrators, officers, gardeners, security staff, food outlets etc.
The generated solid waste from the Residential complex will be segregated as
biodegradable and non-biodegradable. This will be collected in separate coloured
beans. Proper waste management practices will be adopted during the collection,
storing and disposal of the generated solid waste.
9. ENERGY CONSERVATION
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9.1 Give details of the power requirements, source of supply, backup source etc. What is the energy consumption assumed per square foot of built-up area? How have you tried to minimize energy consumption?
Ans; During the operational phase of the project, power requirement will be around 2392.2
KW. The power will be entirely supplied by 11 KV source of CESU of GRIDCO, Odisha.
In case of power cut, 100 % power backup generators will be provided for common
uses.
To minimize energy consumption following Energy efficient features will be adopted,
Provision of CFL lighting features
Roof top thermal insulation
Maximum utilization of natural light
Provision of Solar street lighting and Solar Water Heating
Use of energy efficient appliances
9.2 What type of and capacity of power back-up to you plan to provide? Ans: Backup power units will be provided by three nos. of DG sets of capacity of 1250 KVA
each. The DG set will be operated only during power failure.
9.3 What are the characteristics of the glass you plan to use? Provide
specifications of its characteristics related to both short and long wave radiation?
Ans: The project, being Housing Project, will involve uses of clear & tinted glass having U-
value of 5 to 5.5 W/m2-°C.
9.4 What passive solar architectural features are being used in the building?
Illustrate the application made in the proposed project. Ans: Passive solar design refers to use of the sun’s energy for the heating and cooling of
living spaces. The position of windows in proposed building such that, there will be
maximum utilization of natural sun light. The following passive features will be
adopted,
The width to height ratio between the apartments is achieved as per BDA rules.
All window openings are provided with chajjas and wall projections as specified
by design standards.
The full heights openings have been designed for better lighting in the
apartment units.
Use of large fenestration in buildings reduces the use of mechanical light
energy during time thereby reducing the energy consumption.
9.5 Does the layout of streets & buildings maximize the potential for solar energy
devices? Have you considered the use of street lighting, emergency lighting and solar hot water systems for use in the building complex? Substantiate with details.
Ans: Layout of buildings has been done as per the sun path analysis so that the design cuts
off direct radiations of critical hours which are specific to the orientation. Solar energy
20
will be harnessed to meet various energy requirements of the project such as:
Solar street lighting.
Solar Water heating.
9.6 Is shading effectively used to reduce cooling/heating loads? What principles
have been used to maximize the shading of walls on the East and the West and the Roof? How energy saving has been effected?
Ans: Yes. The shading devices of the building blocks will be designed in such a way that it
cuts the glare but allow maximum amount of diffused sunlight. Also, the roofs of the
building blocks will have adequate thermal insulation. Green area and open areas will
be so spaced that a reduction in temperature is achieved.
9.7 Do the structures use energy efficient space conditioning lighting and
mechanical systems? Provide technical details. Provide details of the transformers and motor efficiencies, lighting intensity and air conditioning load assumption? Are you using CFC & HCFC free chillers? Provide specifications.
Ans: Yes, The walls and rooms will be insulated such that air conditioning load is reduced.
Well designed building structures will allow natural light to enter. Measures prescribed
in Energy Conservation Building Code 2007 will be adopted to reduce the heat influx by
walls, roofs and openings.
9.8 What are the likely affects of the building activity in altering the micro
climates? Provide a self assessment on the likely impacts of the proposed construction creation of heat island & inversion effects?
Ans. During the operational stage, the proposed complex will not generate any emission of
dust, fumes or gas so that atmospheric concentration of gases increase. However, as
there will be building blocks, there might remain a possibility of slight increase in heat
island effect.
Heat emissions from the proposed construction may be from the following sources:
Heat absorbed from the paved and concrete structures
Heat generated from equipment/appliances
Heat increase due to population increase in the proposed Residential flats
project.
However, the heat generated will not be significant and will be dissipated in the green
and open areas provided within the project area. Ambient air quality in and around the
project site has been monitored. The traffic movement also will be controlled within the
complex.
9.9 What are the thermal characteristics of the building envelope? (a) roof, (b)
external walls; and (c) fenestration? Give details of the material used and the U-Values or the R-Values of the individual components.
Ans The U and R values of different components to be used in the project are given in the
table below.
21
S. No. Component U-value (W/m2-°C)
(a) Roof 3.3
(b) External wall 2.4
(c) Fenestration 5.6
9.10 What precautions and safety measures are proposed against fire hazards? Furnish details of emergency plans.
Ans: The details of the fire fighting installations recommended by Fire Prevention Officer,
Bhubaneswar, are given below:
1. Hose Reel
2. Down Comer
3. Manual operated electric fire alarm system
4. Terrace Tank
5. Extinguisher and
6. Terrace pump.
Fire fighting measures shall be adopted as per the guidelines of NBC. Fire hydrant
system will be provided within the buildings, fire escape staircases and refuge areas
will be provided and the building structures will be planned as per NBC.
DISASTER MANAGEMENT PLAN
Details of the Risk Assessment and Disaster Management Plan given in the EMP Report
9.11 If you are using glass as a material provides details and specifications including emissive and thermal characteristics.
Ans: The project being Residential flats So glass will be used as wall material.
9.12 What is the rate of air infiltration into the building? Provide details of how you
are mitigating the effects of infiltration. Ans: To minimize air leakage, the exterior facade of the existing building will be fixed and
sealed in nature. Operable window area within the building will be comparatively low,
which will be opened during humid conditions for ventilation. Thus, scope of air
infiltration into the building is minimum in this project.
9.13 To what extent in the non-conventional energy technologies are utilized in the
overall energy consumption? Provide details of the renewable energy technologies.
Ans: Solar energy will be variedly used as: Solar street lights. Solar Water System. Solar Lighting. CFLs will be used in buildings to minimize the energy consumption. Green area is provided along with tree plantation which will result in natural air
cooling and will reduce the load on conventional energy sources. 10. ENVIRONMENTAL MANAGEMENT PLAN Ans: Details of the Environmental Management Plan given in the EMP Report.
Of
Expansion of AMRI Hospital from 400 Beds to 500 Beds
FOR
M/S Advance Medicare Research Institute Limited
At: Aiginia, Bhubaneswar, Odisha.
MAY 2017
ENVIRONMENTAL MANAGEMENT PLAN
Centre For Envotech and Management Consultancy Pvt. Ltd.
AN ISO: 9001: 2008 and BS OSHAS 18001: 2007 certified company, Empanelled with OCCL, Govt. Of Odisha, OSPCB as Category “A” Consultant Organization,
Accredited by NABET, Quality Council of India for EIA stud ies As Category “A” Consultant Organization.
Regd. Off: N5/305, IRC Village, Bhubaneswar, Odisha Tele: 0674 - 2360344, E-mail: cemc_consultancy @yahoo.co.in, [email protected]
Website: www.cemc.in CEMCCEMC
CONTENTS
CHAPTER CONTENTS PAGE NO. CHAPTER-I EXECUTIVE SUMMARY C1 1-5
1.0 Introduction C1 - 1 1.1 Background of Promoter C1 - 1 1.2 Site and Surrounding C1 - 2 1.3 Area Details of the Project C1 - 2 1.4 Requirement for the Project C1 - 2 1.5 Environmental Management Plan C1 - 2
CHAPTER-II PROJECT DESCRIPTION C2 1-12 2.0 Introduction C2 - 1 2.1 Background of Promoter C2 - 1 2.2 Justification of the Project C2 - 2 2.3 Site and Surroundings C2 - 2
2.3.1 Connectivity(Road/Rail/Airport) C2 - 2 2.3.2 Nearby habitations and facilities(Villages/Educational
Institution/Hospitals) C2 - 2
2.4 Site Selection C2 - 3 2.4.1 Land use Pattern C2 - 3 2.4.2 Soil Characteristics C2 - 3 2.4.3 Ground Water Level C2 - 4 2.4.4 Environmental Consideration C2 - 4 2.4.5 Infrastructure Availability C2 - 4 2.4.6 Waste Disposal Facility C2 - 5 2.4.7 Drainage Pattern C2 - 5 2.5 Micro meteorology C2 - 5
2.5.1 Climate C2 - 5 2.5.2 Temperature C2 - 5 2.5.3 Rainfall C2 - 6 2.5.4 Relative Humidity C2 - 7
CHAPTER-III SITE AND LAND MANAGEMENT C3 1-4 3.0 Description of Proposed Development C3 - 1 3.1 Area Details C3 - 1 3.2 Land Management C3 - 1 3.3 Socio-economic aspects of the project site C3 - 2
CHAPTER-IV WATER MANAGEMENT C4 1-19 4.0 Water Environment C4 - 1
4.0.1 Water Requirement during Operation Stage (Existing) C4 - 1 4.0.2 Water Requirement During Operation Stage (Existing+Expansion) C4 - 1 4.0.3 Detail Water Balance C4 - 3 4.0.4 Waste Water Generation and treatment C4 - 4 4.1 Sewage treatment Plant C4 - 4
4.1.1 Equipment Specification C4 - 11 4.1.5 Final Water Quality C4 - 13 4.2 Water Pollution Monitoring C4 - 14
4.2.1 Ground Water Quality Monitoring C4 - 14
4.3 Rainwater Recharging and Storm Water Management C4 - 16 4.3.1 Design specification of the rain water harvesting plan C4 - 16 4.3.2 Maximum Rainfall Intensity Calculation (For recharge pit) C4 - 17 4.3.3 Calculations for Storm Water Load for Recharging C4 - 17 4.3.4 Typical Rain Water Recharge Pit Details C4 - 18 4.3.5 Maximum Rainfall Intensity Calculation For Recharging C4 - 19 4.3.6 Calculations for Storm Water Load for Recharging C4 - 19
CHAPTER-V AIR & NOISE MANAGEMENT C5 1-8 5.0 Air Environment C5 - 1
5.0.1 Air Pollution Monitoring C5 - 1 5.0.2 Ambient Air Quality of the site C5 - 1 5.0.3 Air Quality Scenario of Study Area C5 - 2
5.0.3.1 Air Quality Scenario in Respect of PM10 & PM2.5 C5 - 2 5.0.3.2 Air Quality Scenario in Respect of SO2 C5 - 3 5.0.3.3 Air Quality Scenario in Respect of NOX C5 - 4 5.0.4 Air Quality Modeling Study C5 - 5 5.1 Noise Environment C5 - 8
5.1.1 Noise Quality Monitoring and Abatement C5 - 8 5.1.2 Noise level of the project site C5 - 8
CHAPTER-VI GREENBELT AND LANDSCAPING C6 1-4 6.0 Green belt Development C6 - 1
6.0.1 Guidelines & Techniques for Green belt Development C6 - 1 6.0.2 Development of green belt C6 - 2 6.0.3 Selection of Plant Species for Green Belt Development C6 - 3 6.0.4 Preparation for Seedlings C6 - 4
6.0.4.1 To Undertake Plantation on Site C6 - 4 6.0.4.2 Pit and Soil Preparation C6 - 4 6.0.4.3 Post Care Facilities C6 - 4
CHAPTER-VII BUILDING MATERIALS C7 1-1 CHAPTER-VIII SOLID WASTE MANAGEMENT C8 1-27
8.0 Solid Waste Disposal System (Construction/operation) C8 - 1 8.0.1 Solid waste Generation C8 - 2 8.1 Hazardous Waste Management C8 - 3
8.1.1 Biomedical-Waste management in hospital C8 - 4 8.2 E-Waste Management C8 - 27 8.3 Handling of Solid waste C8 - 27
CHAPTER-IX POWER REQUIREMENT & ENERGY CONSERVATION C9 1-4 9.0 Power Requirement C9 - 1
9.0.1 Power back-up Requirement C9 - 1 9.1 Energy Saving Measures C9 - 1
9.1.1 Passive Measures C9 - 1 9.1.1.1 Thermal Envelope C9 - 3 9.1.1.2 Insulation C9 - 3 9.1.1.3 Orientation C9 - 4 9.1.1.4 Glazing C9 - 4 9.1.2 Active Measures C9 - 4
9.1.2.1 Lighting C9 - 4
9.1.2.2 Use of Energy Efficient Appliances C9 - 4 CHAPTER-X PARKING PROVISIONS AND TRAFFIC
MANAGEMENT PLAN C10 1-5
10.0 Objective of Traffic Circulation Plan C10 - 1 10.1 Road Network C10 - 1 10.2 Existing Traffic Scenario and additional Impact C10 - 2
10.2.1 Construction Phase C10 - 2 10.2.2 Operation Phase C10 - 2 10.2.3 Parking Details C10 - 4 10.2.4 Traffic calming C10 - 5
CHAPTER-XI RISK ASSESSMENT AND DISASTER MANAGEMENT PLAN
C11 1-11
11.0 Objective, scope and contents of On-site Emergency Planning C11 - 1 11.0.1 Emergency C11 - 1 11.1 Health and safety measures for the Labourers C11 - 2 11.2 Emergency Action plans C11 - 2
11.2.1 Emergency Action plan for Cylinder Fire C11 - 2 11.2.2 Emergency Action plan for Electric Fire C11 - 3 11.2.3 Emergency Action plan for Oil Fire C11 - 3 11.2.4 Emergency Action plan for Medical Aid C11 - 3 11.2.5 Hazards arising due to Bulk oxygen systems (Oxygen Storage Plant) C11 - 4 11.3 Natural Hazards C11 - 10
11.3.1 Emergency Action plan for Earthquakes C11 - 10 11.3.2 Emergency Action plan for Bomb Threat C11 - 11
CHAPTER-XII ENVIRONMENTAL MANAGEMENT PLAN C12 1-10 12.0 Environmental management plan C12 - 1
12.0.1 Air Quality Management C12 - 2 12.0.2 Water Quality Management C12 - 3 12.0.3 Noise Quality Management C12 - 4 12.0.4 Waste Management C12 - 5 12.0.5 Health and Safety Management C12 - 7 12.0.6 Landuse/Landcover & Socio-Economy Management C12 - 8 12.0.7 Soil Conservation & Ecology Biodiversity Management C12 - 9 12.0.8 Estimated cost for Environmental Management C12 - 10
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C1-1
CHAPTER-I EXECUTIVE SUMMARY
1.0 INTRODUCTION
The globalization process of India has given a boost in the rise of economic upliftment of the society especially in the urban areas of the country. The up roaring employment opportunity in the urban center has attracted the people from rural area to settle in the urban area. Bhubaneswar, the capital, known as the Temple City of Odisha is first emerging as one of the populous, Silicon/Software metropolis. The mass influx of population to Bhubaneswar has created a greater problem in every walk of urban life.
Health Care is a very essential need for the general population & keeping it in view M/s Advance Medicare Research & Institute Limited (AMRI) has established a hospital will 313 beds in 2011.
To further widen their services the group is planned to expand the Hospital to from 400 to 500 beds. So that it can cater to a larger population.
1.1 BACK GROUND OF PROMOTER
AMRI Hospital, Bhubaneswar is the largest super-specialty hospital in the city, the latest inclusion under the renowned brand - AMRI Hospitals Limited, the largest and fastest growing hospital chain in Eastern India. AMRI Hospitals Ltd. a body of healthcare professionals providing integrated healthcare solutions along various verticals- hospital architectural planning and building, managing hospitals, public health, quality accreditations. Representing images of hope and happiness, this multi-specialty hospital with 400 beds is located by the side of Jaydev Vatika, a green belt on the Khandagiri by- pass road next to Satyasai Enclave.
AMRI Hospitals, Bhubaneswar provides Tertiary level clinical care, backed by a multidisciplinary team of medical fraternity with the finest state-of-art-technologies available in Eastern India. The team of doctors, medical & paramedical staff at the hospital is one of the most unified and committed. The charges are competitive and affordable when compared with hospitals with equivalent technology. The new management initiative ensures co-ordination, transparency and a human face in its administration. The emphasis is on providing services at true value for money and total patient satisfaction, with a motto of Get Well Sooner. The Hospital's internationally acclaimed consultants are attached on full time basis and hence a highest standard of clinical service is always maintained.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C1-2
1.2 SITE AND SURROUNDING
The project site is situated near Aiginia in Bhubaneswar block of Khurda district in the state of Odisha. The project site is located at latitude 20o 15’ 36.61” N and longitude 85o 46’ 38.46” E and the area comes under Survey of India toposheet No-73H/15. The site is well connected by all weather black topped metal road. National Highway NH-5 connecting Howrah - Chennai is 1.3 km from the project site. The nearest railway station is Bhubaneswar Railway station at a distance of approx 7.0 Km in East direction. The nearest airport is Biju Patnaik Airport at a distance of approx. 4.5 Km in South East direction from project site.
1.3 AREA DETAILS OF THE PROJECT
Table No. C1 -1: Area Detail
Area details Area in sqm Plot Area 20235.00 Lower Basement 8735.00 Upper Basement 3400.14 Total Parking Area provided 12135.14 Ground Coverage (33.07 %) 6693.00 Road Area (25.0 %) 5040.00 Landscape Area (20.0 %) 4047.00 Total Built up Area 37485.0
1.4 REQUIREMENT FOR THE PROJECT:
Area requirement: For this project – 20235.0 sqm of land is required, which has already been acquired.
Power requirement: The daily power requirement for the existing complex is preliminarily assessed as 2392.2 KW source from CESU of Odisha State Electricity Board. In order to meet emergency power requirements during the grid failure, there is provision of 3 nos. of DG sets having 1250 KVA capacities for power back up in the existing Project.
Water requirement: The existing water use is 232 KLD which will be increased to 277 KLD by a quantity of 45 KLD for the extra nos. of beds.
1.5 ENVIRONMENTAL MANAGEMENT PLAN
I. Air quality management
Air Quality Management during Operation Phase
• Vehicles not having PUC certificates will be discouraged to enter the site.
• DG sets will be kept inside separate sheds and will be provided with
adequate stack height as per CPCB Norms.
• Water will be sprinkled to suppress dust, while cleaning and sweeping the
roads and pavements.
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• Open burning of litter and garbage will not be allowed
II. Water resource management
During the operational phase, the domestic effluent will be treated in STP & bio-medical waste treated in ETP. The treated effluent will be used for HVAC, landscaping & Washing purpose.
The rain water collected from building roofs will be led to suitably to ground water recharging pits. Storm water from various blocks shall be connected to adjacent drain for final disposal.
III. Noise management
Noise Management during Operation stage:
Adequate greenbelt will be developed along the peripheral boundary walls, which will act as acoustic screen or vegetative barrier against the propagation of noise.
DG sets will be provided with acoustic enclosure to control noise level as per CPCB prescribed norms.
IV. Solid waste management
The solid waste will be segregated at source and will be stored in separate coloured bins. Proper waste management practices will be adopted during the collection, storing and disposal of the generated solid waste. The waste will be send to Govt. approved agency for final disposal.
V. Land management
Existing
VI. Landscape and Green Belt Development:
An adequate greenbelt (20 % of the plot area) or plantation around the project has been developed. This will minimize the effects of air pollution, noise pollution and soil erosion inside the area. Thus, the landscaping and plantation programmed within the project site has improve the aesthetic quality of the project site as well as of the surrounding environment.
VII. Energy Conservation measures
Energy efficient features will be adopted, i.e. LED lighting features, Solar Street lighting, Solar water Heating and Maximum utilization of natural light.
The building shall be comply to the Energy Conservation Building Code (ECBC) with proper windows to reduce heat gain but increasing light availability. The walls and roofs will be also designed suitably to reduce heat gain.
Environmental Management Plan AMRI Hospitals Ltd.
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VIII. Fire Fighting measures:
Fire fighting system will be installed as per recommendation of the Fire fighting Officer, Odisha, Bhubaneswar and as per the guideline of NBC (part-4). The fire fighting system comprises of Hose Reel, Down Comer, Manual operated electric fire alarm system, Terrace Tank, Extinguisher and Terrace pump. Safe evacuation rout for building residents should be cleared marked to ensure safety of residents during any emergency.
Table No. C1 - 2: Existing cost for Environmental Management
Sl. No Details Capital Cost in Lakhs (Non-recurring)
Recurring Cost per annum (in lakhs)
1 Air Pollution Control 20 2.0 2 Waste Water Management 30 3.0 3 Water Treatment Plant 15 1.5 4 Solid Waste Management 15 1.5 5 Environmental Monitoring 10 1.0 6 Greenbelt Development 30 3.0 Total 120 12.0
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C2-1
CHAPTER-II PROJECT DESCRIPTION
2.0 INTRODUCTION
The globalization process of India has given a boost in the rise of economic upliftment of the society especially in the urban areas of the country. The up roaring employment opportunity in the urban center has attracted the people from rural area to settle in the urban area. Bhubaneswar, the capital, known as the Temple City of Odisha is first emerging as one of the populous, Silicon/Software metropolis. The mass influx of population to Bhubaneswar has created a greater problem in every walk of urban life.
Health Care is a very essential need for the general population & keeping it in view M/s Advance Medicare Research Institute Limited (AMRI) has established a hospital will 313 beds in 2011 & it will further expand to 400.
To further widen their services the group is planned to expand the Hospital to from 400 to 500 beds. So that it can cater to a larger population.
2.1 BACKGROUND OF PROMOTOR
AMRI Hospital, Bhubaneswar is the largest super-specialty hospital in the city, the latest inclusion under the renowned brand - AMRI Hospitals Limited, the largest and fastest growing hospital chain in Eastern India. AMRI Hospitals Ltd. a body of healthcare professionals providing integrated healthcare solutions along various verticals- hospital architectural planning and building, managing hospitals, public health, quality accreditations. Representing images of hope and happiness, this multi-specialty hospital with 400 beds is located by the side of Jaydev Vatika, a green belt on the Khandagiri by- pass road next to Satyasai Enclave.
AMRI Hospitals, Bhubaneswar provides Tertiary level clinical care, backed by a multidisciplinary team of medical fraternity with the finest state-of-art-technologies available in Eastern India. The team of doctors, medical & paramedical staff at the hospital is one of the most unified and committed. The charges are competitive and affordable when compared with hospitals with equivalent technology. The new management initiative ensures co-ordination, transparency and a human face in its administration. The emphasis is on providing services at true value for money and total patient satisfaction, with a motto of Get Well Sooner. The Hospital's internationally acclaimed consultants are attached on full time basis and hence a highest standard of clinical service is always maintained.
2.2 JUSTIFICATION OF THE PROJECT
AMRI Hospitals was co-founded by the Emami and Shrachi groups in 1996, two of Kolkata’s developing groups, in a partnership with the Govt. of West Bengal to expand health coverage options for consumers. The AMRI hospital is a center for training students from the Institute of Radiology and medical imaging and it is ISO 9001:2000 certified. In AMRI hospital the facility is fully equipped to dispense
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services in neurosciences, oncology, orthopedics, trauma care, cardiology and cardiac surgery. AMRI hospitals are the first in Eastern India to provide comprehensive cancer treatment through well qualified, reputed and experienced team of Cancer specialists, technicians and nurses. Moreover AMRI has now come up with a hi-tech department like ophthalmology with the best equipments and highly trained and dedicated personnel. Services are also provided in Neurosciences, Oncology, Orthopaedics, Trauma care, Cardiology and cardiac surgery areas.
2.3 SITE AND SURROUNDINGS
The project site is situated near Aiginia in Bhubaneswar block of Khurda district in the state of Odisha. The project site is located at latitude 20o 15’ 36.61” N and longitude 85o 46’ 38.46” E and the area comes under Survey of India toposheet No-73H/15. The site is well connected by all weather black topped metal road. National Highway NH-5 connecting Howrah - Chennai is 1.3 km from the project site. The nearest railway station is Bhubaneswar Railway station at a distance of approx 7.0 Km in East direction. The nearest airport is Biju Patnaik Airport at a distance of approx. 4.5 Km in South East direction from project site.
2.3.1 Connectivity
2.3.1.1Road Connectivity: The project site is well connected with road network which take towards National Highway-5 (Howrah-Chennai road).
2.3.1.2Rail Connectivity: The nearest Railway station is Bhubaneswar Railway Station which is 7.0 Km from the project site.
2.3.1.3Airport: The nearest Airport is Biju Patnaik Airport, Bhubaneswar which is 4.5 Km from the project site.
2.3.2 Nearby Habitation and Facilities:
2.3.2.1Nearby villages: Villages nearer to the site are Ghatikia, Aiginia, Jagamara, Tamando and Dumduma etc.
Table No. C2-1: Educational Institutions nearer to the site
Name Distance Direction Vivekananda Institute of Science 1.0 Km E Institute of Science Education 3.2 Km NE DAV School 2.4 Km NW Kendriya Vidyalaya No. 5 2.5 Km NW IBCS Campus 2.5 Km N
Table No. C2-2: Hospital nearer to the site
Name Distance Direction SUM Hospital 2.6 Km N Gandhi Hospital 1.4 Km S Apex Hospital 2.6 Km NE AIIMS Hospital 3.4 Km S
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2.4 SITE SELECTION
The project is expansion from 400 beds to 500 beds without any construction activities. The hospital has received Environment Clearance from State Environment Impact Assessment Authority, Odisha and Consent to Establish & Consent to Operate from Odisha State Pollution Control Board
2.4.1 Infrastructure Availability:
The feature which should influence site selection for the development of a project is the infrastructure and utilities available to the site. The project site having good communication network with accessible road facility, railway station, there is also easy availability of construction materials, water resource and power supply for the project.
2.4.2 Waste Disposal facility:
There is availability of enough space and road network for storage, handling and transportation of solid waste. As the site is coming under Bhubaneswar Municipal Corporation development area all the solid waste generated will be handed over to a BMC approved vendor & Bio-medical waste generated will be hand over to Sani Clean. Treated waste water will be dispose to the roadside nala after maintaining the waste disposal standard.
2.4.3 Drainage Pattern:
The storm water & treated water for ETP (Effluent Treatment Plant) and STP (Sewage Treated Plant) will be discharge to BMC Drain.
2.5 MICRO-METEOROLOGY:
2.5.1 Climate
Bhubaneswar experiences three main seasons (i.e. summer, winter and monsoon). The Summer season with hot climate commences during March to June month, July to October month represents the Monsoon season, Whereas The Winter season last for four months (from November to February). Out of the three seasons Bhubaneswar enjoys a tropical climate with high humidity during summer due to the proximity to the sea. May is the hottest and January is the coldest month of the year.
2.5.2 Temperature
The month wise average maximum and minimum temperatures for the period 2002 to 2012, recorded at IMD station Bhubaneswar, have been furnished in Table No. C2-3 and visualized in Fig. No.C2-2.
Table No. C2 - 3: Average Monthly Max. & Min. Temperature
Months Temperature (°C)
Maximum Minimum January 29 15 February 32 19 March 35 23
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April 37 25 May 38 26 June 35 26 July 32 26 August 32 25 September 32 25 October 32 23 November 31 19 December 29 15 Average 33 22
Fig. No.C2 - 2: Monthly Avg. Max. & Min. Temperature (°C)
For the period of 2002-12, the mean of minimum temperature ranges from 15°C in December to 26°C in May and the mean maximum temperature ranges from 29°C in December to 38°C in May.
2.5.3 Rainfall
The yearly total rainfall (mm) from 2004-13 recorded at IMD Station Bhubaneswar is summarized in Table No C2-4. The monthly average rainfall variation and annual total rainfall is presented in Fig. No.C2-3. The figures shows that June to September are the months of heaviest rainfall while October to May is very low rainfall. As observed from the table, the annual rainfall varies from the lowest value of 1071.4 mm in 2011 to a maximum of 1730.4 mm in 2013. The annual average being 1401.07 mm.
Table No C2-4: Annual Rainfall Observed at Bhubaneswar
Year Rainfall (mm) 2004 1095.5
Environmental Management Plan AMRI Hospitals Ltd.
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2005 1264.4 2006 1647.1 2007 1488.2 2008 1557.2 2009 1516.1 2010 1423.7 2011 1071.4 2012 1216.7 2013 1730.4
Average 1401.07
Fig. No.C2 - 3: Monthly Average Rainfall (mm) IMD Station, Bhubaneswar
2.5.4 Relative Humidity
The average monthly relative humidity data for Bhubaneswar have been studied and given in Table No C2-5 and shown in Fig. No. C2-4.
Table No. C2-5: Monthly Average Relative Humidity (%)
Months RH at 0830 hrs (%) RH at 1730 hrs (%) January 71 49 February 72 50 March 72 52 April 70 59 May 70 61 June 76 70 July 85 82 August 85 82 September 83 82 October 78 73 November 69 61
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Months RH at 0830 hrs (%) RH at 1730 hrs (%) December 66 51 Average 75 64
Fig. No.C2-4: Monthly Relative Humidity (%)
As observed from the above table, the relative humidity is higher in the morning hours averaging 75 % compared to night hours scoring 64 % of average. During June to October it is observed higher and lower during other months it remains low.
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Fig No.C2-5: Topomap showing 10 kms Buffer zone of project site
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Fig No.C2-6: Vicinity map showing 10 kms Buffer zone of project site
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Fig No.C2-7: Drainage map of project site
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Fig No.C2-8: Shaded Relief map of project site
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CHAPTER-III SITE AND LAND MANAGEMENT
3.0 DESCRIPTION OF PROPOSED DEVELOPMENT
The project is to provide medical & health care services to poor people. Therefore the building should be self sufficient and equipped with every possible amenities to fulfill the needs. Looking at the importance of the development the focus is on its sanitation, facilities & proper drainage systems etc. The building is made keeping comfort of its patients, staffs & doctors in mind. Therefore importance has given upon the flexibility of spaces as well as the built form of the building. While designing the project, the built form was made keeping the future & its necessity in mind. The Building is most sound and advances of its type in architecture and amenities (like Parking, STP, and Gardening etc.). Side by side, the building has been conceived as a most contemporary and futuristic in character. Most advanced building materials were utilized in construction, adequate parking space and landscaping planning were also taken into consideration. In a nutshell, it can be said the development has enhanced the regional aesthetics.
3.1 AREA DETAILS
The existing Plot area is 20235.0 sqm and existing Built up area is 37485.0 sqm. There is no change in plot area & built up area. The detailed Area statement is provided below in Table No. C3-1.
Table No. C3-1: Area Details
Area details Area in sqm Plot Area 20235.00 Lower Basement 8735.00 Upper Basement 3400.14 Total Parking Area provided 12135.14 Ground Coverage (33.07 %) 6693.00 Road Area (25.0 %) 5040.00 Landscape Area (20.0 %) 4047.00 Total Built up Area 37485.0
3.2 LAND MANAGEMENT
During the operational phase of the proposed complex, contamination of soil quality might occur due to improper disposal of generated waste. To avoid those incidents and for land management within the proposed Hospital complex adequate measures like plantation, paving of road networks, drainage with proper sloping etc will be undertaken during the operational phase of the proposed complex.
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3.3 SOCIO-ECONOMIC ASPECT OF THE 10 KM BUFFER ZONE
Table No. C3-2: Socio-Economic
Name
Ru
ral/
U
rban
Tota
l P
opu
lati
on
Tota
l Li
tera
tes
Tota
l W
orki
ng
Pop
ula
tion
%
Cu
ltiv
ator
s
Nu
mb
er o
f H
ouse
hold
Sex
rat
io
Wor
k P
arti
cip
atio
n R
ate
Andharua Rural 2372 1800 874 17.39 500 1017.01 36.85
Dasapur Rural 2277 1105 834 25.18 448 983.45 36.63
Malipada Rural 1658 1350 480 8.13 325 971.46 28.95
Nuagan Rural 989 691 393 15.27 201 909.27 39.74
Paikarapur Rural 1805 1382 507 18.54 349 992.27 28.09
Gothapatna Rural 1641 1316 438 5.25 251 684.80 26.69
Ghangapatna Rural 1640 1254 678 15.93 355 936.25 41.34
Kantabad Rural 2461 1816 836 19.02 488 994.33 33.97
Giringaput Rural 1260 1004 476 25.21 271 906.20 37.78
Jamujhari Rural 1235 969 434 15.90 245 837.80 35.14
Chatabar Rural 1963 1463 606 16.83 387 972.86 30.87
Kantabad Rural 893 594 339 7.67 238 980.04 37.96
Kaimatiapatna Rural 689 516 206 15.05 119 1026.47 29.90
Harapur Rural 365 238 139 38.85 72 941.49 38.08
Narada Rural 2252 1625 851 16.10 526 948.10 37.79
Tamando Rural 1808 1427 555 3.78 359 921.36 30.70
Bijipur Rural 1834 1438 639 13.77 377 972.04 34.84
Deuliapatna Rural 1543 1206 787 25.79 313 919.15 51.00
Mendhasal Rural 3867 2819 1225 13.80 769 971.95 31.68
Madanpur Rural 1257 1015 484 10.12 241 982.65 38.50
Chatabar Rural 1963 1463 606 16.83 387 972.86 30.87
Arisal Rural 221 159 65 4.62 52 955.75 29.41
Janla Rural 1008 836 316 18.67 183 909.09 31.35
Alakar Rural 562 357 196 17.86 85 1613.95 34.88
Ogalapada Rural 3341 2423 1102 9.26 720 919.01 32.98
Gopalpur Rural 154 113 66 0.00 44 750.00 42.86
Ogarsuan Rural 607 496 200 35.50 120 996.71 32.95
Uttarmundamuhan Rural 1938 1607 747 27.84 375 957.58 38.54
Chhelda Rural 191 164 69 0.00 49 819.05 36.13
Gobindapur Rural 524 450 159 19.50 99 933.58 30.34
Mahura Rural 703 602 222 35.59 148 969.19 31.58
Kasipur Rural 827 649 257 15.18 154 941.31 31.08
Patrapada Rural 141 67 71 1.41 27 905.41 50.35
Suanga Rural 660 479 221 11.31 128 952.66 33.48
Jadupur Rural 71 46 22 0.00 15 1151.52 30.99
Santarapur Rural 352 205 114 0.00 73 1058.48 32.39
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C3-3
Kapileswar Rural 558 417 177 10.17 121 904.44 31.72
Padhansahi Rural 1367 1116 499 15.43 270 911.89 36.50
Barakuda Rural 1139 879 397 24.18 220 998.25 34.86
Radhacharanapur Rural 532 430 167 58.08 85 1086.27 31.39
Table No. C3-3: Socio-economic aspect of Urban & Rural Area
Urban Area Rural Area Total Population 648032 88163 Total Literate 87.5 76.48 Total Working 216033 32147 Percentage Cultivators 0.7 17.71 No. of Household 144279 18927 Sex Ratio 796 955 Work Participation 33.3 36.36
Socio-economic condition: The population of the surrounding area is predominantly urban due to high urbanization rate in and around Bhubaneswar. Literacy rate is also high around (87.5 %) and that is also due to urbanization. Same is the case of working population as working population of urban area is higher than rural area due to migration to urban area for better employment. The building project is generating more income for nearby people due to better employment opportunities enhance their economic status.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C3-4
Fig No.C3-1: MASTER PLAN
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C4-1
CHAPTER-IV WATER MANAGEMENT
4.0 WATER ENVIRONMENT
Water is the most important component for any society and is an important sustainable development indicator. In India, there is a growing demand on the existing water resources which mainly includes the river water sources, precipitation and ground water sources. The increase in usage and water demand is due to rapid increase in population, urbanization and industrialization. There is also huge quantity of Water required in the process of building construction and during the Operation phase.
However, domestic effluent generated from toilets of workers camp will be discharged to soak pit via septic tank. During the operational phase, the effluent will be treated in ETP & STP. Treated effluent will be used for HVAC, Landscaping, Washing & other miscellaneous uses. Efforts should be made to use minimal water resources because conserving water also indirectly saves energy. Hence to have the maximum savings, optimal and economical use of water through water conservation should be given priority in this project.
4.0.1 Water Requirement during Operation Stage (Existing)
The AMRI Hospital has 400 beds & they wants to expand it to 500 beds without addition of staff & doctors. The existing water use is 232 KLD which will be increased to 277 KLD by a quantity of 45 KLD for the extra nos. of beds.
4.0.2 Water Requirement during Operation Stage (Existing + Expansion)
Fresh Water consumption for the 500 Beds @ 450 lpcd = 225.0 m3/day, Fresh Water
Consumption for Domestic use is 52.0 m3/day, for HVAC Cooling System 100
m3/day, for Washing and Landscaping the required water will be 15.0 m3/day and
12.0 m3/day respectively.
Table No. C4-1: Fresh Water requirement (Existing + Expansion)
Sl. No.
Description Total Population
Per Capita Consumption
(ltr/day)
Total Water Requirement
(KLD) 1. Existing- 400 beds 400 nos 450 180.0 2. Expansion- 100 beds 100 nos 450 45.0 3. Domestic Use 52.0
TOTAL 277.0
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C4-2
Hence the water requirement for existing project is 232 KLD & for expansion project 45 KLD more water will be required. So total water requirement for existing & expansion project is 277.0 KLD. The water balance for existing & expansion project is shown in below.
Table No. C4-2: Wastewater Calculations Details Water (KLD)
Water requirement for Hospital purpose 225.0 Wastewater generated from Hospital use (@ 80 % of water requirement)
180.0
Water requirement for domestic purpose 52.0 Wastewater generated from domestic use (@ 80 % of domestic water requirement)
41.6
Waste water for ETP (20 % of Hospital Waste Water) 36.0 ETP Capacity 50 KLD Total Waste Water in STP 180 + 41.6 = 221.6 STP Capacity 230 KLD STP Loss (4 % of wastewater generation) 8.9 Recycled water form STP @ 96 % of wastewater generated
212.7
Table No. C4-3: Water Balance (Non-Monsoon)
Sl. No. Description Quantity in m3/day Waste water
generated m3/day
Fresh makeup Reuse
1 Fresh Water to ETP & STP 277.0 - 222.0 2 Landscaping - 12.0 - 3 HVAC (Cooling System) - 100.0 - 4 Washing - 15.0 5 Loss in STP - 8.9 - 6 Discharge to Drain - 86.1 -
Total 277.0 222.0 222.0
Table No. C4-4: Water Balance (Monsoon)
Sl. No. Description Quantity in m3/day Waste water
generated m3/day
Fresh makeup Reuse
1 Fresh Water to ETP & STP 277.0 - 222.0 2 HVAC (Cooling System) - 100.0 - 3 Washing - 15.0 4 Loss in STP - 8.9 - 5 Discharge to Drain - 98.1 -
Total 277.0 222.0 222.0
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CEMC Pvt. Ltd. C4-3
4.0.3 Detail Water Balance
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C4-4
4.0.4 Waste water generation and Treatment
Hospital generates wastewater amounting about 80% of total water consumed. The
major source of wastewater includes the grey water from kitchens, bathrooms and
black water from toilets and Waste generated from the laboratory and washing,
cleaning, housekeeping and disinfecting activities. It is expected that the project will
generate 221.6 KLD of wastewater which will be in STP. The wastewater will be
treated in the STP of capacity of 230 KLD and the capacity of Effluent Treatment
Plant is 20% of the total waste water generation i.e. all contaminated water
amounting to 36.0 KLD will be in ETP.
Table No. C4-5: Waste water generation
Sl. No. Source
Waste Water (m3/day) Total Hospital
domestic
1 Existing - 400 Beds 144.0 41.6 185.6 2 Expansion - 100 Beds 36.0 - 32.0
Total 180.0 41.6 221.6
20 % in ETP 36.0 - -
4.1 EFFLUENT TREATMENT PLANT AND SEWAGE TREATMENT PLANT
4.1.1 Effluent Treatment Plant:
The effluent is collected from Operation Theater, Lab & Laundry in Collection Tank. The effluent from the collection Tank is pumped to the Flocation tank, where Poly, Coagulant and Flocculant are added to remove the color present in the effluent and leads to clarifier. The effluent from the Clarifier tank is allowed to Settle, Where the Sludge gets settled at the bottom of the Clarifier tank and the clear water is led in to the STP collection sump.
Process Flow Diagram:
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C4-5
4.1.2 Sewage Treatment Plant:
Sewage treatment is the process of removing contaminants from domestic or household sewage. It includes physical, chemical, and biological processes to remove physical, chemical and biological contaminants. Its objective is to produce an environmentally safe fluid waste stream (or treated effluent) and a solid waste (or treated sludge) suitable for disposal or reuse (usually as farm fertilizer). The objective of sewage treatment is to produce a disposable effluent without causing harm to the surrounding environment, and prevent pollution. The sewage treatment plant is based on Fluidized Aerobic Bioreactor Technology. The biological treatment system will consist of an FAB tank with Air Blower. The treatment scheme will consist of Screening, Equalization, Biological Treatment, Clarification, Sludge Recirculation, Filtration and Disinfection. The treated water will be low in BOD, COD, TSS, O&G etc.
Biomedical waste can be a hazard to the hospital staff and community. This has forced the introduction of Bio Medical Waste (Management and Handling) Rules 1998 (1) in which the responsibility of the management of the bio-medical waste rests on the "generators" of the waste that is the hospitals. So far, solid infectious and hazardous waste has received greater attention than the liquid waste in the form of effluent. Our surveillance study (2) revealed that besides deviations in the physico-chemical parameters such as pH, suspended solids, biological oxygen demand (BOD) and chemical oxygen demand (COD), hospital effluent has a high load (0.58 to 40%) of multiple drug resistant (MDR) bacteria. Hence, the effluent discharged in municipal sewage can be a grave hazard to the community.
Categorization and classification of waste is important for the purpose of safe waste disposal. At hospital the waste generated has been broadly classified into the following categories.
Table No. C4 - 6: Category, Classification, Treatment of hospital waste: WASTE CATEGORY
WASTE CLASSIFICATION
TYPE OF WASTE TREATMENT / DISPOSAL OF WASTE
Category 1 Pathological waste Human anatomical waste, consists of human tissues, organs, body parts, human fetus, blood and body fluids
Incineration / deep burial
Category 2 Animal waste Animal waste consists of animal tissues, organs, body parts, carcasses, bleeding parts, fluids, blood and experimental animals used in research, waste generated by veterinary hospitals and collages, discharge from hospitals, animals houses
Incineration / deep burial
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CEMC Pvt. Ltd. C4-6
Category 3 Microbiology and biotechnology waste
Consists of waste from laboratory cultures, stocks or specimen of live microorganisms or attenuated vaccines, human and animal cell cultures used in research and industrial laboratory, wastes from production of biological, toxins and devices used for transfer of cultures
Autoclaving/ microwaving/ Incineration.
Category 4 Sharps Waste material which could cause the person handling it, a cut or puncture of skin, wastes like needles, scalpels, blades, glass, etc this includes both used and unused sharps.
Chemical disinfectant/ autoclaving/ microwaving/ shredding
Category 5 Pharmaceuticals This includes pharmaceuticals products drugs, cytotoxic drugs and chemicals that have been returned from wards, have been spilled are, out dated or contaminated
Incineration / drugs disposal in secured landfills
Category 6 Infected waste Solid waste items contaminated with blood or body fluids including cotton, dressing, soiled plaster casts, linen, bedding and other material contaminated with blood.
Incineration/ autoclaving/ microwaving
Category 7 Infected plastic waste
Solid waste generated from disposable items other than the waste sharps such as tubing’s, catheters, intravenous sets etc
Chemical disinfectant/ autoclaving/ microwaving/ shredding
Category 8 Liquid waste Waste generated from the laboratory and washing, cleaning, housekeeping and disinfecting activities.
Chemical disinfectant/ discharge into drains
Category 9 Incineration waste Ash from incineration from any biomedical waste
Dispose in municipal landfills.
Category 10 Chemical waste Chemical used in production of biological, chemical used in disinfecting, as insecticides etc
Chemical treatment and discharge into drains for liquids and secured landfills for solids.
Ref: Biomedical Waste Management Rules 1998
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C4-7
Category 8 is liquid waste, which is taken care by ETP & STP both. The process detail is described in detail below.
A whole lots of waste is being generated in a hospital which consists of general waste and hospital or bio-medical waste. Both types of waste are usually generated from the same source, that is from various units of the hospitals like wards, operation theatres, OPD’s / clinic etc. for e.g. the wards generate infectious and non-infectious waste and so does every other unit of the hospital. When they are generated, collected and disposed of together there is mixing of waste which contaminates the whole waste stream and then actually the whole waste becomes infectious. This causes a whole lot of problems at the site of disposal. If minimization and segregation is done the problem could be reduced to one fifth. Who generates waste in hospital facility.
Process characteristics
The process design involves Physicochemical and Biological process.
Physico-Chemical Process
Screening, Equalization, Tube settler, FAB, Clarification, Filtration, and Chlorination.
Biological Process
Converting organic pollutant into harmless by-products with the help of Aerobic Micro organisms in the FAB media.
Concept for S.T.P.
Good quality of treated water.
Under any circumstances stringent pollution control norms are met.
No threat for disposal.
As far as possible it keeps the environment clean & free from contamination.
In future, it may be a requisite for the institution while trying to get ISO14001 Certification/ other appreciation.
Minimal electricity consumption, less chemical consumption with low operation & maintenance cost and less space.
Save the mother earth for future generations and fulfill social obligations.
Process Description
The treatment consists of Aerobic Treatment in FAB Tank with the help of Air blower, and then Clarifier and Tertiary Treatment in Multi grade filter and Activated carbon Filter with chlorination.
In this process the sewage will be treated in three stages
Environmental Management Plan AMRI Hospitals Ltd.
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• Primary treatment
• Secondary treatment
• Tertiary treatment
Primary treatment:
In the primary treatment the raw sewage will pass through the bar screen chamber. In this section suspended matters, sand, grit and floating material etc will be removed from the sewage. Waste water from Operation Theatre, laboratories will be taken separately to ETP (a fabricated MS tank) where acid, alkali is added for pH adjustment and Sodium Hypochloride solution is added for pathogens. This treated water from ETP joints the equalization tank and treatment process continues. Then the sewage is sent to a collection tank cum equalization tank by gravity.
The sewage will be pumped from equalization tank to Tube settler and then to FAB Tank for Aerobic Treatment.
Secondary treatment:
In the secondary treatment the sewage in FAB tank is treated by aerobic process followed by clarifier. In FAB tank organic load will be degraded with the help of aeration by the bacterial population colonized on the poly propylene packing discs.
Mixed liquor suspended solids (MLSS) will be maintained in FAB tank in definite proportion by the FAB Media. Oxygen is injected in FAB tank by air from the air blower.
Then effluent will go to the clarifier tank for settling of sludge. The clear overflow from clarifier will go to the filter feed tank. The excess sludge from the clarifier shall be withdrawn to sludge holding tank then to sludge drying beds for sludge dewatering. The dried sludge can be used as good manure for landscaping.
Tertiary Treatment
In the tertiary treatment the clear water from filter feed tank will be filtered by pumping through the MGF (Multi Grade filter) and ACF (Activated Carbon Filter) for further polishing i.e. for removing colour and smell from the treated water.
The treated sewage is then added with chlorine to kill the pathogens / E-Coli coliforms, so that it becomes fit for disposal in the lake / water ways. Chlorine being a very strong oxidising agent, a small dose of 3 – 4 mg /l is enough to achieve desired levels of disinfection.
Small residual chlorine (of the order of 0.2 – 0.25 mg/l) also ensures that there is no re-growth of E-coli, till the final disposal point. The treated sewage, now substantially free from organic contamination, free from coliform bacteria can be safely disposed off in the river, or in other water bodies. Finally this treated effluent will be passed through UV treatment process. This water can also be re-used for gardening/toilet flushing or for other secondary applications.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C4-9
Chemicals treatment using at least 1% hypo-chloride solution or any other equivalent chemical reagent must be ensured that chemical treatment ensures disinfection. (Ref: According to Biomedical Waste Management Rules 1998, Hospital waste comes under Category 8 i.e. Liquid Waste and detail classification of solid waste is given in Table No. C4-5)
Biomedical waste can be a hazard to the hospital staff and community. This has forced the introduction of Bio Medical Waste (Management and Handling) Rules 1998 in which the responsibility of the management of the bio-medical waste rests on the "generators" of the waste that is the hospitals. So far, solid infectious and hazardous waste has received greater attention than the liquid waste in the form of effluent. Our surveillance study (2) revealed that besides deviations in the physico-chemical parameters such as pH, suspended solids, biological oxygen demand (BOD) and chemical oxygen demand (COD), hospital effluent has a high load (0.58 to 40%) of multiple drug resistant (MDR) bacteria. The study included viable bacterial counts, coliform counts, staphylococcal, enterococcal, Pseudomonas and Multiple Drug Resistant (MDR) gram negative bacterial counts in the different stages of ETP. In order to study the distribution of bacteria as free floating in liquid and adherent to suspended particles, enumeration of the bacteria in the filtrate and the sediment was also carried out. The effluent input showed 55 % of the 8.6 x 10(6)/ml bacteria as coliforms and E. coli which was a typical of fecal flora. The prevalence of MDR coliforms was 0.26 %. The substantial reduction (> 3 log) was seen for the effluent coming from the clarifier. The bulk of the bacteria in the hospital effluent remain firmly adhered to solid particles; aeration and clarification removes bulk of the bacteria by physical processes like flocculation. The treated liquid effluent still contains sizeable loads of MDR bacteria and inactivation by procedure such as chlorination is required. The bacteria get concentrated in sludge and a greater concentration of chlorine is required for decontamination.
The chlorination results in complete inactivation of the MDR bacteria and thus makes the effluent water safe.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C4-10
Process Block Diagram
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CEMC Pvt. Ltd. C4-11
4.1.3 Final Water Quality
However, after treatment of lab effluent in the Mixing, Flocculation & Settling Unit
we will achieve 30 % reduction in terms of BOD, 50 % reduction in terms of COD,
80 % reduction in terms of TSS & 90 % reduction in terms of Detergents. So,
after treatment of lab effluent in the MFS unit the COD, BOD, TSS & others
parameters will be far below the inlet parameters domestic effluent.
Table No. C4-7: Final Water Quality PARAMETER INLET VALUE OUTLET VALUE pH 6.5-8.0 7.0-8.0 BOD5 300 mg/l < 10 mg/l COD 800 mg/l < 50 mg/l Suspended Solids 250-400 mg/l < 20 mg/l Oil & Grease 20-30 mg/l < 5 mg/l NH4-N 30 mg/l < 5 mg/l N-Total 40 mg/l < 10 mg/l Fecal Coliform < 100 MPN/100 ml
4.2 WATER POLLUTION MONITORING:
Regular monitoring of water pollution within the campus may to be undertaken as
per the guidelines of OSPCB. The water samples are to be collected from all the
drinking water sources. The ground water quality monitoring report will be
communicated to OSPCB and the society of the complex.
Sanitary and Plumbing features:
The material used for plumbing fixture is non-absorptive and acid resistant. Water
spout in the sink has been considered at a level which is adequate to avoid
contaminating utensils and contents of carafes etc.
Floor mounted Water closets with integrated Porcelain Cistern with water
conserving dual flush arrangement have been considered. Porcelain under
counter / over counter wash basin will be used with suitable bottle trap. All
sanitary fittings including Health Faucet will be Chromium plated as per
standards.
The Water distribution system shall be designed & pipe size shall be selected such
that under conditions of peak demand, the capacity at the fixture supply pipe
outlets shall not be less than shown in the IS code. The minimum flow rate & flow
pressure provided to fixture 7 an appliance not listed in IS Code, shall be in
accordance with the manufacturer’s installation instructions. The project include
/use chemical resistant pipe for well waste , soil and vent piping serving lavatory
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CEMC Pvt. Ltd. C4-12
fixtures. All valves shall be of approved type and compatible with the type of
piping material installed in the system.
4.2.1 Ground Water Quality Monitoring
The most important source of water in the region is groundwater. Groundwater is
available in plenty in the region from the bore wells in the study area. Ground
water from dug wells, tube wells and hand pumps cater to the drinking water
needs of the villages in the region. The quality of ground water was assessed by
taking samples and analyzed as per CPCB norms. The water samples were
collected and analyzed for physical, chemical and microbiological characteristics
as per CPCB guidelines and approved methods.
4.3 RAINWATER RECHARGING AND STORM WATER MANAGEMENT
The storm water disposal system for the premises shall be self-sufficient to avoid
any collection/stagnation and flooding of water during excess rainfall. The amount
of storm water run-off depends upon many factors such as intensity and duration
of precipitation, characteristics of the tributary area and the time required for
such flow to reach the drains. The drains shall be located near the carriage way
along either side of the roads. Taking the advantage of road camber, the rainfall
run off from roads shall flow towards the drains. Storm water from various blocks
and roof shall be connected to adjacent drain by a pipe through catch basins.
Proposed storm water system consists of pipe drain, catch basins and recharging
pits at regular intervals for rain water recharging. Therefore, it has been
calculated to provide 23 rainwater harvesting pits at selected locations, which will
catch the maximum run-off from the area.
1) Since the existing topography is congenial to surface disposal, a network of
storm water pipe drains is planned adjacent to roads. All building roof water
will be bought down through rain water pipes.
2) Proposed storm water system consists of pipe drain, catch basins and
seepage pits at regular intervals for rain water harvesting and ground water
recharging.
3) Peak hourly rainfall 85 mm/hr shall be considered for designing the storm
water drainage system.
4.3.1 Design specifications of the rain water harvesting plan are as follows:
Rain water harvesting has been catered to and designed as per the guideline of
CGWA. Peak hourly rainfall has been considered as 85 mm/hr. The recharge pit of
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2.0 m length, 2.0 m breath and 2.0 m height is constructed for recharging the
water. At the bottom of the recharge well, a filter media is provided to avoid
choking of the recharge bore. Design specifications of the rain water harvesting
plan are as follows:
Catchments/roofs would be accessible for regular cleaning.
The roof will have smooth, hard and dense surface which is less likely to be
damaged allowing release of material into the water. Roof painting has been
avoided since most paints contain toxic substances and may peel off.
All gutter ends will be fitted with a wire mesh screen ad a first flush device
would be installed. Most of the debris carried by the water from the rooftop
like leaves, plastic bags and paper pieces will get arrested by the mesh at the
terrace outlet and to prevent contamination by ensuring that the runoff from
the first 10-20 minutes of rainfall is flushed off.
No sewage or wastewater would be admitted into the system.
No wastewater from area likely to have oil, grease or other pollutants has
been connected to the system.
4.3.2 Maximum Rainfall Intensity Calculation (For Recharge Pit)
Rational formula for calculating run-off = CIA
Q = Runoff in m3
A = Area in sqm
C = Co-efficient of run-off based on Manual on norms and standards for environment clearance of large construction projects, Ministry of Environment and Forests, Government of India.
I = Intensity of rainfall in mm based on IMD Data
Yearly rainfall : 1493 mm/yr
Monsoon Months : June – September
Maximum hourly rainfall = 85 mm/hr
4.3.3 Calculations for storm water load for recharging
Total Run-off: Roof Top
Intensity of rainfall = 85 mm/hr
Drainage area in sqm = 5832.0 m2
Coefficient of run-off = 0.80
Therefore, runoff = 0.80 x 0.085 x 5832.0 = 396.57 m3/hr
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Total Run-off: Paved Surface
Intensity of rainfall = 85 mm/hr
Drainage area in sqm = 7802.0 m2
Coefficient of run-off = 0.70
Therefore, runoff = 0.70 x 0.085 x 7802.0 = 464.22 m3/hr
Total Run-off: Unpaved Surface
Intensity of rainfall = 85 mm/hr
Drainage area in sqm = 4100.0 m2
Coefficient of run-off = 0.15
Therefore, runoff = 0.15 x 0.085 x 4100.0 = 52.28 m3/hr
Total Runoff Load = (396.57 + 464.22 + 52.28) m3/hr
= 913.07 m3/hr
4.3.4 Typical Rain Water Recharge Pit Details:
Rain Water Recharging pits are being proposed for artificial rain water recharge
within the project premises. Total runoff load from the project site will be 913.07
m3/hr
Total Runoff available for percolation = 913.07 m3/hr.
Consider retention period of percolation pit in minutes (T) = 5
Total run-off load can be stored in given time = 182.6 m3
Rain Water recharge Pit Length x Breath = 2.0 m x 2.0 m, Height = 2.0 m.
Volume of each Recharge pit = 2.0 x 2.0 x 2.0 = 8.0 cum
Volume of each Recharge pit = 8.0 cum
So, No. of pits required = 182.6/8.0 = 22.8 say 23 nos.
Rain Water Recharge pits = 23 nos.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C5-1
CHAPTER-V AIR & NOISE MANAGEMENT
5.0 AIR ENVIRONMENT
Ambient Air Quality indicates of overall state of environment of a particular area. Ambient air quality (AAQ) is an important criterion of a sound environment and its degradation causes various long-term impacts on the human health & wealth. Adjacent areas of the site are almost residential. A secondary source of emissions may include exhaust from diesel engines of earth moving equipment, as well as from open burning of solid waste on-site. Adequate mitigate measures will be adopted to reduce and control air emissions from Operation phase.
5.0.1 Air Pollution Monitoring
The study was for one month with frequency of twice a week at each site. 24-hour average samples were collected from each station for Respirable particulate Matter (RPM or PM10), Fine particulate matter (PM2.5), Sulphur dioxide (SO2) and Oxides of nitrogen (NO2). These samples were analyzed in laboratory by adopting the methods specified in National Ambient Air Quality Standards. The baseline information has been generated by M/s CEMC Pvt. Ltd., Bhubaneswar.
5.0.2 Ambient Air Quality of the site
The results of the monitored data indicate that the ambient air quality of the region in general is in conformity with respect to residential norms of National Ambient Air Quality standards of Central Pollution Control Board (CPCB), with present level of activities. Analysis results with respect to PM2.5, PM10, SO2 and NO2 are presented in Table No. C5-1.
Table No. C5 - 1: Ambient Air Quality of the study area during Mar 2017
Mar 2017
Project Site (μg/m3)
Khandagiri (μg/m3)
Date PM10 PM2.5 SO2 NOx PM10 PM2.5 SO2 NOx 01.03.2017 42.8 23.2 13.5 19.2 62.2 33.2 11.3 20.5 06.03.2017 43.2 21.8 12.6 19.5 62.7 32.6 10.9 20.8 10.03.2017 43.5 23.8 13.4 19.8 63.4 32.5 11.5 21.4 14.03.2017 41.9 23.4 12.7 20.2 62.8 31.4 11.7 22.3 17.03.2017 42.6 23.7 13.1 20.4 63.1 32.6 11.9 21.7 20.03.2017 43.2 24.2 12.3 20.8 64.2 34.1 12.1 22.3 24.03.2017 41.7 24.6 12.8 21.3 63.7 34.6 12.3 23.4 27.03.2017 42.9 24.9 12.5 21.6 63.5 35.1 12.7 23.2 Average 42.7 23.7 12.9 20.4 63.2 33.3 11.8 22.0
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5.0.3 Air Quality Scenario of Study Area
5.0.3.1 Air Quality Scenario In Respect of PM10 & PM2.5
Particulate Matter or dust in general terms is the particulate matter in suspension in ambient air. The PM10 almost entirely consists of coarse particulates and fine particles out of which coarse particles are quickly eliminated in respiratory system and, hence are not very harmful. But particulate matter (PM10) in the size range of 0.5 to 10 microns can cause health effects.
PM10 & PM2.5 levels in the Area
PM10 & PM2.5 levels were in the range of 41.7 - 64.2 µg/m3 and 21.8 - 35.1 µg/m3 respectively.
Fig. No.C5-1: Graphical Represent of PM10 Value
Fig. No.C5-2: Graphical Represent of PM2.5 Value
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C5-3
Scenario with respect to PM10 & PM2.5
The 24 hourly average values of PM10 were compared with the national ambient air quality standards and it was found that almost all sampling stations recorded values lower than the applicable limit of 100µg/m3 for Residential areas. The PM2.5 was also found to be within the standard limit of 60µg/m3 for Residential areas.
5.0.3.2 Air Quality Scenario In Respect of SO2
General Effect of Sulphur Dioxide
Sulphur dioxide gas is an inorganic gaseous pollutant. Sulphur dioxide emissions are expected to be emitted wherever combustion of any fuel containing elemental sulphur takes place.
The sulphur in the fuel will combine with oxygen to form sulphur dioxide. Sulphur trioxide and sulphuric acid mist are the other important pollutants in the sulphur group. SO2 (sulphur dioxide) in the air is caused due to the rise in combustion of fossil fuels.
SO2 Levels in the Project Area:
SO2 levels were in the range of 11.3 – 13.5 µg/m3.
Fig. No.C5-3: Graphical Represent of SO2 Value
Scenario with respect to SO2
The 24 hourly average values of SO2 were compared with the national ambient air quality standards and it was found that most of the sampling stations recorded values lower than the applicable limit of 80µg/m3 for Residential areas.
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5.0.3.3 Air Quality Scenario In Respect of NOX
General Effect of Oxides of Nitrogen
Like Sulphur dioxide, oxides of nitrogen are also an inorganic gaseous pollutant. Oxides of nitrogen are expected to be emitted wherever combustion at high temperature takes place. Nitrous oxide and nitric acid mist are the other important pollutants in the inorganic nitrogen group. It causes eye, nose, and throat irritation. May cause impaired lung function and increased respiratory infections in young children. NO2 acts mainly as an irritant affecting the mucosa of the eyes, nose, throat, and respiratory tract.
NOx Levels in the Project area
NOx levels were in the range of 19.2 – 23.4 µg/m3.
Fig. No.C5-4: Graphical Represent of NOX Value
Scenario with respect to NOx
The 24 hourly average values of NOx were compared with the national ambient air quality standard and it was found that all the sampling stations recorded values lower than limit of 80µg/m3 for industrial areas.
5.0.4 Air Quality Modeling Study
Prediction of Impacts
Vehicular emissions and DG sets emission will be major sources of air pollution from building projects. During the operation phase, cars, scooter/motorcycle will be owned by the population of such project. Ground Level Concentration of pollutants (as added by the project) will depend upon the following:
Emission of pollutants from additional traffic on the roads due to the project.
Meteorological conditions.
Emission sources from D.G. Sets.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C5-5
In this project, 3 DG sets of 1250 KVA capacity has been proposed for back up of electricity supply during power failure. This will cause emission of PM10, SO2, NOx and CO in the Ambient Air Quality. In the proposed project D.G. sets will be used only during power failure and low sulphur diesel will be used as fuel to minimize SO2 emission. Therefore, incremental load in the ambient air environment will be found to be very low as given in the report. An adequate stack height of 48 m is attached with D.G. sets will be provided as per the stipulated guidelines of Central Pollution Control Board (CPCB)/ National Building Code Manual to facilitate proper dispersion of pollutants and to minimize the impact on Ambient Air Quality under the influence of local meteorology.
Meteorology - Hourly Meteorological data of wind speed & direction, temperature, cloud amount and rainfall were monitored at site for 1 month for the dispersion model. Wind rose (Fig. No.C5-5) was prepared in sixteen directions as per standards.
Fig. No.C5-5: Windrose Diagram
Wind Direction: South
5.1 NOISE ENVIRONMENT
5.1.1 Noise Level of the Project site
Table No. C5 - 2: Noise Level
Sampling Location Noise level (dB) Lday Lnight
Project site 46.5 38.2 Khandagiri 50.6 39.2 Limits* 55 45
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C6-1
CHAPTER-VI GREENBELT AND LANDSCAPING
6.0 GREEN BELT DETAIL:
Green belt has been developing all around the plant. Nearly 8 types of plant species are selected for Green belt development. The selection being based on the broad-leafed nature of the trees and its ability to attract birds.
The philosophy behind the green belt development is to improve the ecology and environment of the surrounding of the plant by extensive afforestation.
PLANT DETAILS
Total of 8500 sheddy, flowery and decorative plants are planted
Greenbelt is a set of rows of trees planted in such a fashion, to create effective barrier between the plant and surroundings. The greenbelt helps to capture the fugitive emissions, attenuate the noise levels in the plant and simultaneously improving aesthetics of the project site. The greenbelt around the factory compound wall and in the reserve site will be developed in keeping view of the following objectives.
1. Planting of trees in each row will be in staggered pattern. 2. The short trees will be planted in the first two rows and the tall trees in the
outer rows around the purview of the project site. 3. Since the trunks of the trees are generally devoid of foliage, it will be useful to
have shrubs in front of the tress so as to give coverage to this portion. 4. Sufficient spacing will be maintained between the trees to facilitate effective
height of the greenbelt. 5. Plants of native origin, fast growing type with canopy and large leaf index
shall be preferred.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C7-1
CHAPTER-VII BUILDING MATERIALS
This is an Expansion of Hospital beds from 400 to 500. So no
construction work is required.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C8-1
CHAPTER-VIII SOLID WASTE MANAGEMENT
8.0 SOLID WASTE DISPOSAL SYSTEM
During Operation:
From the domestic uses solid waste in form of food waste from kitchen and
miscellaneous waste will be generated @ 0.4 kg/capita/day, which will be about
384 kg/day. The generated solid waste from the residential complex will be
collected into a garbage bin located at a suitable location inside the complex. Bio-
medical waste generation from Existing 400 beds is 200 Kg/d, Bio-medical waste
generation from 100 beds (Expansion) is 50 Kg/d. Solid waste from sweeping will
also be stored into the garbage bin. The solid waste will be segregated at source
and will be stored in separate coloured bins (different biodegradable & non-
biodegradable bins). Proper waste management practices will be adopted during
the collection, storing and disposal of the generated solid waste.
Around STP & ETP sludge of 10 kg/day will be generated. As sewage & effluent
sludge contains many elements essential to plant life, such as nitrogen,
phosphorous, potassium, and in addition, at least traces of minor nutrients which
are considered more or less indispensable for plant growth, such as boron,
calcium, copper, iron, magnesium, manganese, sulfur, and zinc. The sludge
humus, besides furnishing plant food, benefits the soil by increasing the water
holding capacity, thus making possible the working of heavy soils into satisfactory
seed beds. Sludge will be used as manure in landscaping.
8.0.1 Solid waste Generation:
Table No. C8 - 1: Solid & Biomedical waste Generation
Sl. No. Category Counts (heads) Waste generated (kg/day)
1. Domestic 0.45 kg/day/person 384 kg/day 2. STP & ETP sludge 10 kg/day Total Solid Waste Generated 394 kg/day
1. Bio-Medical- Existing 0.5 kg/day/bed 200 kg/day 2. Bio-Medical- Expansion 0.5 kg/day/bed 50 kg/day
Total Bio-Medical Waste Generated 250 kg/day
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C8-2
Table No. C8 - 2: Solid waste Generation during operation phase
S. No. Types of Solid waste and other waste Description
1. Food Waste (garbage)* Wastes from the kitchen including preparation, cooking and serving of food.
2. Rubbish*
Combustible (Primary Organic): Paper, cardboard, cartons, wood, boxes, plastics, rags, cloths, beddings, leather, rubber, grass, leaves, yard trimming. Non-combustibles (Primary Inorganic): Metals, tin cans, metals foils, dirt, stones, bricks, ceramics, crockery, glass bottles, other metal refuses.
3. Street Waste* Street sweeping, dirt, leaves, catch basin dirt, animal dropping, contents of litter receptacles dead animals.
4. Horticultural waste* Tree trimming, leaves, waste from parks and gardens etc.
5. General domestic waste from office and administration Paper, General Domestic Waste etc.
7. STP Sludge Sludge generation after treatment of sewage in STP.
*Source: Manual on Municipal Solid Waste Management, published by Central Public Health and Environmental Engineering Organization (CPHEEO), Ministry of Urban Development, Government of India.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C8-3
8.1 HAZARDOUS WASTE MANAGEMENT:
Construction and decommissioning activities may pose the potential for release of
petroleum based products, such as lubricants, excess paints, paint brushes,
hydraulic fluids and fuels during their storage, transfer or use in equipment.
These materials may also be encountered during decommissioning activities in
building components. Proper precaution and care will be taken during handling
and storage. Waste will be disposed as per Hazardous Waste management and
Handling Rules 1989 and Amendments thereof.
8.1.1 Biomedical-Waste management in hospital
The waste management in hospital is to be followed in tune with the gazette and notification on the Bio medical waste management rules 1998, at hospital, it comprises of the following.
8.1.2 Classification
Categorization and classification of waste is important for the purpose of safe waste disposal. At hospital the waste generated has been broadly classified into the following categories:
Table No. C8 - 3: Category, Classification, Treatment / Disposal of hospital waste:
WASTE CATEGORY
WASTE CLASSIFICATION
TYPE OF WASTE TREATMENT / DISPOSAL OF WASTE
Category 1 Pathological waste Human anatomical waste, consists of human tissues, organs, body parts, human fetus, blood and body fluids
Incineration /deep burial
Category 2 Animal waste Animal waste consists of animal tissues, organs, body parts, carcasses, bleeding parts, fluids, blood and experimental animals used in research, waste generated by veterinary hospitals and collages, discharge from hospitals, animals houses
Incineration /deep burial
Category 3 Microbiology and biotechnology waste
Consists of waste from laboratory cultures, stocks or specimen of live microorganisms or attenuated vaccines, human and animal cell
Autoclaving/ microwaving/ Incineration.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C8-4
cultures used in research and industrial laboratory, wastes from production of biological, toxins and devices used for transfer of cultures
Category 4 Sharps Waste material which could cause the person handling it, a cut or puncture of skin, wastes like needles, scalpels, blades, glass, etc this includes both used and unused sharps.
Chemical disinfectant / autoclaving/ microwaving/ shredding
Category 5 Pharmaceuticals This includes pharmaceuticals products drugs, cytotoxic drugs and chemicals that have been returned from wards, have been spilled are, out dated or contaminated
Incineration / drugs disposal in secured landfills
Category 6 Infected waste Solid waste items contaminated with blood or body fluids including cotton, dressing, soiled plaster casts, linen, bedding and other material contaminated with blood.
Incineration/ autoclaving /microwaving
Category 7 Infected plastic waste
Solid waste generated from disposable items other than the waste sharps such as tubing’s, catheters, intravenous sets etc
Chemical disinfectant / autoclaving /microwaving/shredding
Category 8 Liquid waste Waste generated from the laboratory and washing, cleaning, housekeeping and disinfecting activities.
Chemical disinfectant /discharge into drains
Category 9 Incineration waste Ash from incineration from any biomedical waste
Dispose in municipal landfills.
Category 10 Chemical waste Chemical used in production of biological, chemical used in disinfecting, as insecticides etc
Chemical treatment and discharge into drains for liquids and secured landfills for solids.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C8-5
8.1.3 Sources of waste in the hospital:
Waste generated from clinical units, the bulks of which is mostly infectious waste.
The principal source of clinical waste is:
Hospitals
Health centres
Blood transfusion centres
Dental centres and surgeries
Public health laboratories
Veterinary surgeries
Research establishment
The sources of waste generated from various units of the hospitals which
are both infectious and general waste. The units are:
Wards including medical, surgical, casualty, dialysis operation theatres,
nursing stations
Utility rooms
OPDs
Clinics
Procedure rooms
Dietary dept
Housekeeping dept
X ray departments
Laboratories
Maintenance dept
Sanitary dept
Various dept
Medical records dept
Offices such as administration, accounts, H.R
Garden
Hostels on the hospitals premises
Other units within the hospital
8.1.4 Generation of hospital premises
A whole lots of waste is being generated in a hospital which consists of general
waste and hospital or bio-medical waste. Both types of waste are usually
generated from the same source, that is from various units of the hospitals like
wards, operation theatres, OPD’s / clinic etc. for e.g. the wards generate
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C8-6
infectious and non-infectious waste and so does every other unit of the hospital.
When they are generated, collected and disposed of together there is mixing of
waste which contaminates the whole waste stream and then actually the whole
waste becomes infectious. This causes a whole lot of problems at the site of
disposal. If minimization and segregation is done the problem could be reduced to
one fifth. Who generates waste in hospital facility.
Every single employee in any health care facility that is hospitals, nursing homes,
pathological laboratories, clinic, dispensaries, pharmacies vet nary clinic, dental
clinic, research centers etc.
The generators of biomedical wastes are doctors, nurses, technician, pharmacists,
receptionists, secretaries, cooks, storekeepers, housekeeping staff, maintenance
staff, administrators, officers, gardeners, security staff, food outlets etc.
Around 3 million tons of medicals waste is generated in India every year, and this
amount is expected to grow at 8 % annually, the generation rate in a hospital is
approximately 0.5 and 1.5 kg per bed per day. Various studies figures, changes
could be made accordingly.
Table No. C8 - 4: The following table outlines the category involved, source and type of waste material generated and emphasizes that segregation should be done at source.
S. NO
CATEGORY INVOLVED
SOURCE/DEPARTMENT/WARDS/OFFICE
TYPE OF WASTE MATERIAL GENERATED
SEGREGATION
1. Doctors wards/departments all adults and
paediatric wards operation theatre OPD, clinic OPD procedure room Oncology Dialysis
All types of infectious waste such as: Dressing pads,
cottons, gauze bandage
Drains, catheters, gloves, all types tubes plastic and rubber, syringes
Needles used for injection and biopsy, blades, other sharps like broken ampoules, glass
Body fluids, such as blood serum, blood products, CSF and other fluid
Debridement waste from wounds
Human body parts, body tissues
Chemical solutions
Segregation is done at source
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C8-7
Doctors office
Oncology waste chemotherapy drugs left over, ampoules etc
Broken mercury thermometers, blood pressure and other mercury content equipment
Blood soaked disposable materials such as sheets, towels, drape gowns, masks, goggles etc.
All types of non-infectious waste such as paper face and hand tissues, cardboard material, used pens, pencils.
2. Nurse Wards (all ward including)
Labour and delivery Casualty Procedure Room Minor OT Dialysis Nursing stations Utility rooms Nurse hostels
All infectious waste such as : Dressing pads
cottons and gauze, bandages, cotton, dry and moist, mac swabs
Body fluids like blood wound drainages, sputum
Chemical and disinfectants
Oncology like chemotherapy waste
Broken mercury thermometers & blood pressure and other mercury equipment
Sharps such as injections, biopsy needles, razor blades, scalpel blades, broken glass with sharp edges
Plastics and rubber items, syringes such as IV, tubing, catheters, drains, gloves etc
Debridement tissues from wounds
Placenta, dead foetus from L/R & del room
Disposable blood soaked linen and sheets.
Segregation is done at source
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3. Nurse (cont) Clean utility room Non infected waste such as Paper items Tissues face and
hand Empty IV bottles,
vials Sharps like broken
ampoules, broken glass and instrument with sharp edges
Empty medicine boxes.
Segregation is done at source
4. Technician Laboratory Microbiology Haematology Path lab ECG Genetic lab OPD areas
Infectious materials such as Cotton dry and soiled
with blood, mac swabs
Needles, broken glass pieces with sharp edges like test tubes, slides etc
Slides, Petri dishes, test tubes, pipettes, spatulas
Plastic such as syringes
Infectious specimen containers
Body parts / tissues from path labs
Soiled linen with blood other liquid infected specimen, etc.
Non infected waste materials such as Paper, labels, empty,
containers, bottles, face and hand tissues
Segregation is done at source
5. X-ray doctors and technician
X-ray room CT scan MRI Ultrasound
Infectious material such as Cotton dry and soiled
with blood and other fluid
Needles ampoules and other sharp containers
Plastics, syringes Non-infectious waste such as Papers, face and
hand tissues ,empty containers
Segregation is done at source
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6. Pharmacists Pharmacy Pharmacy store
Medicines such as expired left over and unlabelled tablets, ampoules and vials
Solutions such as chemicals, mixtures and liquid medicines
Sharps such as broken ampoules, bottles etc
Paper, empty, tissues, boxes, cartons.
Plastic containers bottles and sheets etc.
Segregation is done at source
7. House keeping Sanitary
officers Ward
boys Safaikara
mChari’s Peons Housekeeping (contd)
Wards/depts. Dirty utility rooms. clinics/OPDs office common area
The house keeping staff may not be generating some of the material mentioned, but they can some in contact with it during their work process Infectious materials such as Cotton dry and blood
soiled which is found on floors & among the dirty linen which ward boys segregate before sending to laundry.
Dressing and gauze bandages which may be found among the linen as mentioned above.
Disposable plastics and other sheets which may be soiled with blood or other fluid & chemicals.
Disposable gloves and cleaning gloves.
Handling of infected waste in the wards and other areas, like collecting and transporting, handing over etc.
Sharps, collecting, transporting and which may be stuck onto bed linen and found on floors of wards and nursing
Segregation is done at source
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stations. Infected linen which
is non-disposable and contaminated with blood and other infected material keeping in mind the disinfecting procedure, flow of infected water drainage,
Handling of chemicals their use waste and spillage etc.
Non infected material such as : Paper, tissues Plastics, cardboards,
foils, different type of non-infected container.
Non infected dusters, mops, brooms etc
8. Dietary staff Dietician Cooks helpers
kitchen all eating stalls and
cafeteria’s wards pantries
Mostly non infected waste are dealt with in the kitchen and food serving areas such as : vegetable & fruit
peals, discarded vegetables and fruits,
left-over food from patient’s trays ,waste food while cooking
silver foil wrappings plastic wrappers and
gloves used for serving
paper and tissues etc
Segregation is done at source
9. Store officers Store
keepers Helpers
stores general stores stationary others
Mostly non infected materials such as : paper, tissues,
wrappers empty cardboard,
boxes empty bottles, tines,
other containers plastics, rubber and
foil material, wrappers etc.
Segregation is done at source
10. Maintenance staff plumbers electricia
ns carpenter
s engineers
Maintenance dept Wards Common areas Offices Junk yards
The staff may not be generating some of the mentioned material but they can come in contact with it during the work process Infected materials found blocking drains, pipelines
Segregation is done at source
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CEMC Pvt. Ltd. C8-11
and sewers such as: Needles, syringes,
dressing pads, bandage, cotton etc
Chemical solutions which can pollute the environmental ground or air.
Non infected waste such as : Waste electrical
wires, nails, other parts of electrical equipment.
Pieces of left over wood
Condemned furniture Paper, packing
material cardboard boxes, plastic and rubber material.
All types of metals 11. Administratio
n and other offices
Offices Non infected waste materials such as: Paper, face and hand
tissues. Files, cardboard
containers Plastics, foils
Segregation is done at source
8.1.5 Segregation of waste
Segregation is considered the most important aspect of bio medical waste
management and handling rules, 1998. It refers to the basic separation of
different categories of waste done at source of generation of bio–medical waste
for e.g. all patient areas, diagnostic, services areas, operation theatres labor
rooms, treatment rooms etc. The one bin system should be replaced to a three or
four bin system, thereby reducing the risks of infection and injury as well as cost
of treatment and disposal, segregation alone can ensure effective bio medical
waste management. The waste should be segregation, imposing segregated
practices within hospitals to separated biological and chemical hazardous waste;
this will result in a clean solid waste stream, which can be recycled easily, if
proper segregation is achieved through training, clear standards, and tough
enforcement, then resources can be tuned to the management of the small
portion of the waste stream needing special treatment. Segregation of the waste
shall be done at the point of generation itself.
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8.1.5.1 Procedure:
Segregation shall be carried out at the point of generation itself to keep
general wastes away from becoming infected.
For this different colour coded bins shall be placed at all the areas of
generation of waste.
The bins should be labelled (according to the waste) and lined with plastic
bags (non–chlorinated / puncture proof) with colours matching that of the
bins as per recommendations.
Table No. C8 - 5: Schedule II of biomedical waste handling rules 1998 defines the colour coding for the waste generated as follows: S.NO
COLOR CODING TYPE OF CONTAINER
WASTE CATEGORY
TREATMENT OPTIONS AS PER SCHEDULES -I
1 Yellow Plastic bag Category 1,2 and category 3,6
Incineration/ Deep burial
2 Red Disinfected container /plastic bag
Category 3,6,7
Autoclaving / microwaving/ Chemical Treatment
3 Blue/White translucent
Plastic bag /puncture proof container
Category 4,7 Autoclaving / microwaving/ chemical treatment and destruction / shredding
4 Black Plastic bag Category 5,9,10 solid
Disposal in secured land fill
Notes:
Colour coding of waste categories with multiple treatment options as defined
in schedule-I shall be selected depending on treatment option chosen, which
shall be as specified in schedule–I
Waste collection bags for waste types needing incineration shall not be made
of chlorinated plastics.
Categories 8 and 10 (liquid) do not require containers /bags
Categories 3 if disinfected locally need not be put in containers/bags
Procedure –Segregation In-Patient Department
The in–patients departments generate all types of waste, which has to be
segregated at the point of generation itself for an effective waste
management practice in the hospital. Therefore bins for both infectious and
non-infectious waste are placed in all the wards.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C8-13
The bedside of each patient shall have a bin meant for carrying only non
infectious waste like fruit peels, papers etc. unless the patient is classified as
infectious
The toilet of each patient room will have a black bag bin with lid & pedal
except in gyne/obs room toilet which have both black & yellow bag bin with lid
& pedal.
Bins for the infectious and non-infectious wastes shall be kept in a specific
location (for example the nursing station) so that it is easy to carry the waste
from the bed side / patient room to the bin.
Dressing trolley will have buckets line with yellow, white and blue bag
infectious waste is discarded. Once the dressing is complete these bin are
emptied in to the bin placed in nursing station.
The colour bin and nurse station are emptied in to the on wheels and wheeled
to the central garbage storage areas for disposal.
Procedure –Segregation in Intensive care unit
Patients of intensive care units (ICU) are in a critical state and require support
of vital functions until the disease process is arrested. Such patients are likely
to have poor resistance to infection and are often unable to do things on their
own and have full time nursing attendants.
To prevent the spreading of infection further it shall be ensured that the waste
generated in the ICU is collected in the colour coded bags located after every
three bags, also the bins for infectious and non infectious waste shall be
located in the loading area of the ICU
The IV tubing ‘s and catheters and used syringes shall be placed in colour
coded bins placed between every 3 beds from where they can be discarded in
the respective colour coded bins in the duty rooms.
After the procedure all the sharps and glass ampoules shall also be placed in
separate puncture proof containers. The hub of the syringes should be
destroyed by syringes cutters.
All these bins shall be cleaned after every shift or the moment these bins
becomes 75% full. The number of bins should be distinct and their numbers
and size should be proportional to the destiny of the wards and the medical
procedures in the ward.
Procedure –Segregation In operation theatres
The waste management strategy for the O.T shall be designed in such away
so as not to impede an operation but to ensure that the waste reaches the
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main bin after being decontaminated and disposables property disinfected and
destroyed.
As in all other areas waste disposal program shall be initiated after meeting
with the staff management strategies based on meeting shall be formulated
so that the O.T staff can work smoothly without felling any extra burden. Bins
for infectious waste shall be lined with follow bags and these bins will contain
contaminated swabs, soiled bandages and amputated body parts.
The bags with waste shall be sealed and stored outside the O.T prevent
liberation of bacteria during handling.
Used instrument and sharps shall be
Washed under running tap water
Placed in a tray, sealed in bags and sent for autoclaving.
A designated colour code bin with bag is provided for TV sets, tubing’s
catheters gloves and syringes in the O.T. As lots of medical kits are opened
prior to the operation there is a lots of general waste generated. Hence a bin
with black bag for general waste is kept in the O.T in which all the packaging
material shall be collected. In the changing room contaminated laundry shall
be sealed in waterproof bags and sent to the laundry for cleaning.
Procedure –Segregation In Out –Patient Department
The OPD may also include a casualty /emergency ward. Each room in the
OPD should have three bins. The bins are for the infectious waste which
includes soiled bandages. The other bins is for general waste arid the third
bin the disposable items and used gloves which can be mutilated and
disinfected at regular intervals by nursing –aid attendant.
The used needles and syringes should be placed separately and destroyed by
the needle cutter /destroyer, which is to be provided in each ward and
department.
The casualty should have bins for infectious waste general waste and plastic
waste the number of bins for the infectious waste will depend on the number
of beds in the room.
Preferably each bed should have bins. Bins for plastic waste and general
waste should also be installed in each emergency. The plastic waste should
be mutilated and chemical disinfected. There should be a tray foe needles and
other sharps. A needles cutter should also be installed. While treating patient
in the emergency the hospital staff should always wear protective clothing
and gloves as the patient could be a carrier of any infectious disease
Segregation of the waste into different categories
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Provide specific collection and disinfection systems for each type of waste
generated.
There should be distinct containers for different types of waste.
The design f container should depend on the type of waste and dis infection
method.
The number of bins should be proportional to the waste generated in the
casualty.
8.1.6 Transportation of Waste
All waste containers shall be tied when they are ¾ th full preferably every shift
and when they are ¾ th full in between shifts.
8.1.6.1 Procedure –On Site Transportation of Waste Segregated wastes have to be transported with in facility from the point of
generation to the final waste disposal site. All bags should be fastened small
trolleys can be used or the bin themselves be carried, care must be taken to
avoid spills. Non-infectious waste should not be transported with infectious
waste.
8.1.6.2 Guidelines–For Site Transportation of Waste When waste is collected from a particular area, it will be wheeled through a
specific corridor to the specific lift earmarked to carry waste to the central
garbage storage area where it is weighed and transferred to the loading track
for disposal.
This will be done twice during the day once at 7.00 am and second time at
3.00pm and if required in between the time mentioned.
A large plastic bag will be used to the line the wheel able to prevent any
liquid leaks from the waste bags from soiling the bin.
This plastic bag is to replaced each shift.
The wheel able bin will be cleaned and disinfected with sodium hypochlorite
solution once in 24 hrs. This will keep the bin sterile and odorless
While transferring waste to storage bins to the central garbage storage area,
housekeeping staff will wear protective clothing e.g mask, heavy duty gloves
and rubber boots goggles and gown
8.1.7 Storage of Waste
The waste bags need to be stored prior to disposal. The following points are to be
considered
Biomedical waste storage areas should be separately from general waste
storage areas.
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Clear signs indicating “for biomedical waste only” should be indicated
The areas should be locked and a care taker should be able operate the
storage area around the clock if necessary
The storage area should be away from public access and routes and should
be easily accessible to internet and off site transport
It should be well lit and ventilated and kept secure from animals, rodents and
insects.
Washing facilities should be available at the storage area and equipment for
dealing with spillages should also be available there .There should be a
special drain to discharge the washing which should go to the foul sewer.
There should be sufficient storage capacity to store at least 2 days waste.
The storage area should be labelled as well as the waste bags .The room
should also be marked with a caution sign (bio hazard sign)
The deal procedure to store bio medical waste is that it should be
immediately treated and disposed of .However untreated biomedical waste
can be stored for not more than 48 hours
If for some reason there is a need to store the waste beyond the stipulated
period, then permission from the local statutory body must be taken and it must
be ensured that is does not adversely affect the health and the environment.
Definition
Transportation and storage refers to the safe removal of waste from the areas of
generation and collection and taken to the storage area until it is removed for
disposal.
Purpose
To safely remove waste to the storage area earmarked for the same
To store all hospital waste in one area of the hospital before final disposal
To prevent spread of infection to patients, attendants, and hospital
employees who generate waste by stagnating waste in various departments
Scope
All waste generators
Responsibility
HOD waste management .medical and nursing staff, paramedical staff,
housekeeping staff.
Equipment
Protective gear hat is mask, gloves, gowns, aprons, shoe covers, hand rub.
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Procedure
Before removing waste for transporting to the storage area:
Check if the waste is properly segregated
Label the colour coded plastic bags which contain the waste
Tie the bags before placing them on the transport trolley
Check for any leakage of the bags and take care of the leakage area as
per SOP prepared for the time.
While transporting the waste
Ensure that the trolley has the bio hazardous sign on it
That the trolley is covered and waste is not exposed
Wheel the trolley through the shortest route possible to the dumbwaiter
Suite or the lift earmarked for transporting hospital waste, avoid the
patient and attendants lift.
If any leakage occurs while transporting the waste, then follow the SOP
steps prepared for spillage.
Place the plastic in the storage room earmarked for the same.
Wash the transporting trolley and try it, and keep it for the next use
Wash hands and change clothing
Maintain record of what type of waste has been transported for disposal
8.1.8 Handling of Waste a. Procedure Handling Of Infectious Waste
Infectious waste has to kept separately in bins with lid and lined with the
designated color coded bins polythene bags wherever needed. The following
special precautions are to be adopted with respect to infectious wastes
Proper labelling of waste containers minimizes confusion in handling and
disposal of waste.
Under no circumstances should the infectious waste be mixed with the
non infectious waste
The bag lining the bin should be only ¾ th full to ensure that the waste
does not spill out.
Before carrying the bag containing infectious waste it has to be sealed
/tied and levelled, the person handling the waste will wear protective
clothing.
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CEMC Pvt. Ltd. C8-18
The bags containing infectious waste should be collected and stored in
the centralized infectious waste bin until is sent for disposal
The container carrying infected waste should be always cleaned and dis
infected with sodium hypochlorite solution
b. Procedure Handling Of Disposal Items
All disposable items are segregated / collected in the designated colour
coded bins/ bags
Disposable items include single use products i.e syringes, IV bottles,
catheters, rubbers, gloves and sharps
As such items are often recycled and have the risk of being reused
illegally, it is imperative that chemical disinfection be followed to minimize
the risk of infected / contaminated disposal items prior to segregated /
collected. The following on site disinfection procedure should be followed
prior to their collection & segregation
The disposable of HIV, hepatitis B & C, ESBL +ve, VRE +ve patients are
dipped for a minimum duration of 1 ½ to 2 hour in the chemical
disinfectant solution of 1% NAOCL (sodium hypochlorite) .Bins that are
used for chemical disinfectant are a set of twin bins, one inside the other,
with the inner one being perforated and easily extracted
This helps ensure, that the bleach solution in the outsides bin permeates
the inner bin containing the disposable items and minimize contact when
the contents are being removed
Disposable items like the gloves, syringes, IV bottles, catheters, ICD’s etc
have to be shredded cut or mutilated this ensure that they are not reused
under any circumstances. The fingers of the used gloves should be cut,
and the same should be done for other disposable items
Extreme care should be taken while handling the needles and syringes
,since most injuries occur between the point of use and disposal, Blood
bags/ sharps should be handled with proper protection
Once the disposable items have been snipped they have to be dipped in an
effective chemical disinfectant foe a sufficient time
8.1.9 Precaution to be adopted for Disposal of Disposables
The following precaution safeguards are to be adopted:
All disposable items are segregated /collected in the designated colour
coded bins/bags
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CEMC Pvt. Ltd. C8-19
Only disposable items of HIV, hepatitis B & C ESBL +ve, VRE +ve patient
are dipped for a minimum duration of 1 ½ or 2 hours in the chemical
disinfectant solution 1% NAOCL after mutilation prior to disposable
Syringes &sharps should be handled with extreme care, no recapping
should be done
The concentration of the chemical solution in use has to be 10gms of
bleach in 1 litre water
handling The disposable items must be dipped in the sodium hypochlorite
solution for at least half an hour to ensure proper disinfection
The solution has to be changed after each shift
Ensure that the syringes hub is cut from its plunger before disposing in he
designated bin /bags
8.1.10 Procedure Disposal of Sharps
Handling of sharps is extremely difficult sharps are responsible for a majority of
injuries sharps need separately attention from other disposable in a waste
management scheme.
As defined by central pollution control board (CPCB) guidelines sharps consists
of needles syringes scalpels blades glass etc that are capable of causing
puncture &cuts
8.1.11 Types of Sharps
The most commonly used sharps include single use hypodermic needles
syringes pasture pipettes scalpel blades blood vials tubes needles with
attached tubing and culture dishes, blades, broken ampoules, broken glass etc
Other types are broken or un broken glass ware that was in contact with
infectious agents, such as used slides and cover slips. The major percentage of
the sharps include needles and syringes
The prime area of sharp generation is in the operation theatre which contribute
to a major portion of the sharps generated in th hospitals the OT’s generate a
whole lot of blade, lancets, scalpels along with the needles. The other areas of
the hospital are the wards, OPD’s and laboratory which mainly generate
needles and syringes.
Danger associated with sharps
The main danger of sharps is their inherent ability to cause puncture wounds
and lacerations.
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Once sharps mix with municipal waste, rag pickers collect and resell them,
endangering not only themselves, but also all those who trade in them and buy
them.
Body fluid carrying diseases have an increased possibility of being transmitted
through injuries caused by these sharps to all those handling them, including
hospital employees.
Procedure Sharp Collection and Disposal
It is important that sharps, be handled with special care to avoid needle
stick injuries
While handling sharps from the rest of the waste at the point of generation
and place in the designated colour
Clipping, bending, or breaking of needles to make them non usable must
not be practiced as this may cause accidental inoculation
Used needles and syringes generated should be destroyed by a needles
destroyer
Syringes and sharps must be dipped in a bleach disinfectant solution as
indicated above before final disposal /shredding
When 75% full the container should be closed, labelled and transported to
the central garbage storage area
Precautions Handling Sharps
As most injuries are caused by sharps, their proper handling need not be
over emphasized.
All the employees working inside the hospital must be vaccinated against
hepatitis B
All the worker should put on gloves while dealing with infectious waste
especially sharps
Sharps should not be left casually on countertops, food trays, on beds as
grievous injuries can result.
Needles should not be recapped.
All waste held in the storage bins will be wheeled up to the garbage truck
itself .This will be done by the hospitals housekeeping staff.
Waste plastic bags, whether red, blue, yellow or black not be opened in
the collecting truck, but will be stored and transported out of the hospital
premises directly.
These contractors’ garbage handlers will wear heavy duty gloves, mask,
and rubber boots while transferring waste from the hospital bins to the
truck.
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Transfer of waste to the truck will be overseen by security.
Security staff will maintain a log book which will document, the date, and
weight of the waste collected by the contractor.
Waste will be disposed of every 48 hrs.
8.1.12 Worker safety
For worker safety the following are required:
Proper handling and management of infectious and non-infectious waste
through generation, segregation, collection, transportation, treatment and
disposal of waste.
Knowledge about the hazards of hospital waste.
Knowledge self-protection from injury ,infectious diseases ,about safe
handling of waste and about the personnel protective dress code
How to handle injuries, spills, accidents etc.
Workers should be instructed about reporting and recording matters related
to waste management where ever required
Glass and cardboard from the kitchen are to be stored for a month and sold
recycling.
8.1.13 Laboratory waste
Laboratory deals with all the pathological, biochemical, microbiological, and
histopathlogical diagnostic tests. These tests are performed on various body
fluids and tissues using certain reagents .These tests generate both infectious
and hazardous waste due to the presence of chemicals and pathogens making
it a source for infection. Thus special care has to be taken while dealing with
laboratory waste.
The waste generated in the laboratory should be segregated into different
classes according to the waste classification
The infectious waste can be further sub categorized as
- Sharps
- Media and culture plate’s reagents and swabs.
Laboratory waste-handling
The following guidelines have been issued by the department of laboratory
medicine
All personnel in the laboratory should wear mask and gloves during testing
procedures and disposal.
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Wear mask and gloves while processing infectious material / fungal /AFB
cultures.
Reagents must not be sucked into a pipette with mouth.
Cover the spill of blood or body fluid with absorbent material like cotton with
gloved hands .Wipe the floor and discard this section in yellow bags. Pour
plenty of freshly prepared 1% NAOCL solution on the spill area .Leave it 30-
40mins and clean with a mop or absorbent material and discard this in black
bag. Follow with cleaning with a mop.
Waste disposal practices & precautions – microbiology
Dispose of used SHARPS–i.e. needles/scalpel blades in 1% sodium hypo-
chlorite after the needles are cut in the needle cutter.
DO NOT BEND! RECAP THE NEEDLES.
The syringes (tuberculin and other syringes) should be disposed of in a
container with 1% sodium hypo-chlorite (freshly prepared every morning ) –
the waste are to be placed into the BLUE BAG which shall be picked up by the
sanitary personnel
All specimen container received in the laboratory (like pus , pleural
,peritoneal, drain, fluid, sputum, bronchial lavage, gastric lavage, stool,
semen) blood culture bottles with blood after culture should be sent for
autoclaving in the autoclave located in the laboratory washing section and
then the containers should be washed sterilized in the hot air oven !
Autoclave and reissued for reuse.
All used and discarded culture plates, bottles /tubes with cooked neat broth
and blood should be autoclaved.
The BACTEC blood culture bottles should be discarded after autoclaving with
glass containers.
All tubes & pestle & mortar used for grinding infectious material should be
immersed in 3 % Lysol for at least one hour before discarded for cleaning.
All slides used for microscopy of various samples (urine, semen, pus, BAL,
sputum, CSF) should be discarded in 3 % Lysol for disinfection. They are then
collected in a separate bag for glass wastes.
All swab sticks pus swab, HVS, stool, lawn culture for sensitivity testing after
use should be discarded in 3% Lysol and then should be disposed in the blue
bag
All glassware, insulin syringes used for AFB culture work – to be discarded in
Media used for AFB culture by BACTEC to be autoclaved, then discarded in
running tap water after opening the sealing.
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All paper, wrappers, peels to be disposed in black bag. (as general waste )
All used ATB strips to be disinfected in 3% Lysol and discarded in blue bag
Procedure for Preparing Sodium Hypo-Chlorite for Disinfection
The hospital gets a concentration with 10% concentration solution sodium
hypo-chlorite in solution form
For 1 Litre Solution: take 100ml of the concentration solution and add 900ml
water to it get 1% solution (total quality will be 1 litre)
For 5 Litre Solution : take 500ml of concentration + 4500ml water to prepare
5 litre of 1% solution
Use 1% sodium hypochlorite to disinfect plastic catheters, sharps, tubing
before disposal.
Change the solution at every shift and prepare a fresh solution each time.
Waste Disposal Practices & Precaution – Biochemistry & Hematology
All personnel in the laboratory should wear gloves during testing procedures
and disposal
No mouth pip petting should be done
In case of a spill or leak of blood or infectious material, pour freshly prepared
1% sodium hypochlorite on it and leave for 15 min. Use a stack of old
newspapers to clean the area and discard the papers in yellow bin.
The containers with specimens are to be sent for autoclaving and discarded
into the blue bag (if the containers are plastic ) otherwise if it is glass then in
the separate bag for glass wastes
Tissues received in formalin are to be finally discarded in yellow bag and sent
for incineration.
Empty plastic bags, paper, peels etc. are disposed of in black bag
Waste Disposal Practices & Precaution – Blood bank
Guidelines:
All personnel in the blood bank should wear gloves during sample collection,
testing procedure and disposal.
No mouth pipetting should be done.
In case of a spill/leak of blood infectious material, 1% sodium hypochlorite is
poured over the surface and allowed to act for 15 min. Thereafter, it is
cleaned using a stack of old newspaper and then wiped.
Dispose of all SHARPS i.e. needles, scalpel blades after destroying (in a
needle cutter/burner) into freshly prepared 1% sodium hypo-chlorite.
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The syringes I.V line sets, catheters etc. are disinfected in a bin containing
1% sodium hypo – chlorite and then disposed.
All paper, peels wrappers are disposed off in a bin with black bag.
All tubes with blood samples are disposed off in a 1% solution o sodium
hypochlorite and the sent for washing for reuse.
Bag standards: - all bags used for biomedical waste collection are
biodegradable.
HIV &Hepatitis Blood Samples: - all bags used for biomedical waste collection
are biodegradable.
Waste Treatment
Treatment of the biomedical waste shall be done by the following methods
Incineration
Autoclaving
Microwaving.
M/s Sani Clean has taken the responsibility of collecting & treatment of Bio-
Medical Waste generated at AMRI Hospital.
8.2 E-WASTE MANAGEMENT:
E-waste is one of the fastest growing waste streams around the world today,
fuelled by the exponential growth of electronic equipments, especially personal
computers and their rapid rate obsolescence. Electronic wastes like Television,
Monitor, Key Board, Printer, Desktop, Laptop, Telephone, Mobile etc may be
generated during the Operation Phase. These wastes contain both precious
metals and toxic substances, which if handled properly can result in resource
recovery. Various types of above mentioned electrical and electronic wastes
generated in the building should be collected separately for transportation to the
authorized recyclers approved by the state/Central pollution control boards.
8.3 HANDLING OF SOLID WASTE:
For better housekeeping, Solid waste handling and disposal, The House keeping group conduct close monitoring of housekeeping action to ensure that solid wastes are properly collected, stored and disposed. The Solid Waste generated from the residential Complex will be collected and separated out as biodegradables and non-biodegradable. Biodegradable waste will be stored in green bins whereas non-biodegradable waste separated as Recyclable and Non-recyclable waste, which will be stored in designated bins. Finally the wastes from designated bins send to approved agency for final disposal.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C9-1
CHAPTER-IX POWER REQUIREMENT & ENERGY CONSERVATION
9.0 POWER REQUIREMENT
The total consolidated electrical load estimate for Existing project is about
2392.2 KW. The power will be entirely supplied by 11 KV source of CESU of
Odisha State Electricity Board. Also, in case of power cut, 100 % power backup
generator will be provided for common uses only. For this purpose diesel
generator having 1250 KVA (3 nos.) capacities will be provided.
9.0.1 Power Back-up Requirement
In order to meet emergency power requirements during the grid failure, there is
provision of 3 nos. of DG sets of 1250 KVA capacities for power back up in the
Proposed Housing Project. The proposed DG sets will be equipped with state of
the art insulation, acoustic enclosure to minimize noise generation and adequate
stack height for proper dispersion.
9.1 ENERGY SAVING MEASURES
Energy saving measures constitutes a principal component of this project and is built into the design concept as well as selection of various equipment.
Buildings:
The blocks will be in rectangular outline and the longer sides face East to minimize heat gain through the walls.
Every block will be interconnected by corridors which help in better utilization of natural daylight.
Electrical equipments and system
The LED lamps envisaged would save around 20 % energy is vis a vis conventional lamps.
Electronic ballasts are envisaged for fluorescent light fittings. Automatic timer controls would be provided for external lighting. Automatic power factor correction capacitor panels at various loads centers
will help in maintenance of PF at desired levels. On load auto tap changer transformer to regulate the voltage. Drives (VFD) is installed in heavy motors to reduce the power consumption.
Renewable and Alternate Energy Sources
The renewable and alternative energy sources are needed to minimize pollution of the environment and in essence be eco-friendly. Towards this end,
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Solar photovoltaic systems are recommended for outdoor lighting and indoor emergency lighting.
For energy conservation, efficient lighting fixtures would be used in the project.
Photocell activated timer switching systems would be installed to operate the outdoor lighting.
Power factor – Improved capacitors would be used for motors and other major power driven equipment.
In general roof treatment will employ tiles to reduce the heat gain in the upper floors.
Solar panel to maintain the hot water temperature when the boiler is not running.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C10-1
CHAPTER-X PARKING PROVISION AND TRAFFIC MANAGEMENT PLAN
Traffic over crowding is a serious problem in most Indian cities. The frequency of
traffic collisions in India is the highest in the world. A National Crime Records Bureau
(NCRB) report revealed that every year, more than 135,000 traffic collision-related
deaths occur in India. Traffic collision-related deaths increased from 13 per hour in
2008 to 14 per hour in 2009. More than 40 per cent of these casualties are
associated with motorcycles and trucks. The most accident-prone time on Indian
roads is during the peak hour at afternoon and evening. For smooth flow of traffic
and to avoid accidents during movement of vehicles, the road system has been
designed in accordance with the BDA, NBC codes/regulations. Parking space has
been provided at suitable locations proximity to activity stations. The requirement of
parking area is provided as per BDA guidelines. A total area of 12135.14 m2 is
earmarked for parking vehicles, two wheelers and four wheelers.
10.0 OBJECTIVE OF TRAFFIC CIRCULATION PLAN:
To provide a safe route for people to enter and leave.
To identify any risks to the general public and local traffic from construction
vehicles and to put control measures in place to protect all members of the
public, drivers & site workers, from any injury involving traffic travelling to and
from the site.
To provide measures to control the speed of vehicular movement.
To prevent parking within the local estates.
Existing Emergency access routes will be maintained to permit emergency
vehicles to attend the premises at all times.
To outline procedures for dealing with emergencies and safe evacuation.
To consider the safety of all road users including pedestrians and cyclists and
particular attention to the safety of children, the elderly, cyclists and the
disabled.
10.1 ROAD NETWORK:
a. Local Streets:
The project site is well connected with National Highway-5 having road width 200 ft,
which is connecting to Howrah-Chennai. The National Highway-5 is approximately
0.1 Km from the project site.
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b. Carriage way:
The different Blocks will be connected with well designed road networks with
adequate road width for regular movement of vehicles and movement of fire fighting
vehicle during emergencies inside the complex. All internal roads having width 6
mtr, where as keeping in view to the safe evacuation and traffic circulation the
proponent develop separate entry and separate exit.
10.2 EXISTING TRAFFIC SCENARIO AND ADDITIONAL IMPACT:
10.2.1Construction Phase:
For transportation of construction materials expected traffic volumes will be average
6 tippers per day. During the construction phase as the local road network will be
used to construct the designated route. To reduce the traffic density the designated
road will be used with proper traffic calming. All construction vehicles employed for
the execution of the works will be expected to travel to and from site along the
designated route below 30 Kmph speed.
10.2.2 Operation Phase:
During the operation period there will be increase in traffic density due to the
movement of Doctors Vehicles and Patients.
Traffic density of NH-5:- NH-5 is a major National Highway in India that runs
along’s east coast through the state Odisha, Andhra Pradesh and Tamil Nadu.
The northern terminal is at Jharpokharia in Odisha and the southern terminal is
at Chennai in Tamil Nadu. NH-5 is a part of the Golden Quadrilateral project
undertaken by National Highways Development Project. NH-5 runs for a distance
of 1,533 km. in Odisha NH-5 runs for a distance 488 km.
Traffic density of Hospital: - During the operation period there will be
increase in traffic density due to the movement of Doctors Vehicles and staffs
and the local population. There are various departments like Utilities Building,
Canteen etc. to be constructed and total hospital beds will be 500 and 232
nurses.
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10.2.3Parking details:
Parking Proposed:
Total Parking Area provided = 12135.14 m2
As per Odisha Bye-laws:
Parking Area Required for Hospital = 30 % of Hospital Built up Area
= 30 x 37485.0/100
= 11245.5 m2
So, Total Parking Area required = 11245.5 m2
So, Total Parking Area provided = 12135.14 m2
Table No. C10 - 1: Parking as per NBC norms
Parking Area Provided Lower Basement Parking 8735.0 sqm Upper Basement Parking 3400.14 sqm Total Parking -- -- 12135.14 sqm Equivalent Car Space Provided Area(sqm) Area/ECS Lower Basement 8735.0 35 259.8 ECS Upper Basement 3400.1 35 97.1 ECS Total Parking Provided 356.9 ECS ≈ 357 ECS
10.2.4Traffic calming:
Traffic calming improves the transportation systems and helpful in smooth
movement of vehicles inside the complex as well as minimize the traffic
congestion and accidents. So for better movement and transportation traffic
calming is essential. To minimize the traffic congestion and accidents inside the
complex, security out post will be provided. Speed breakers will be provided for
speed control inside the complex. This is also helpful in reducing the noise and air
pollution and makes the system pedestrian and bicyclist friendly.
Environmental Management Plan AMRI Hospitals Ltd.
CEMC Pvt. Ltd. C11-1
CHAPTER-XI RISK ASSESSMENT AND DISASTER MANAGEMENT PLAN
11.0 OBJECTIVE, SCOPE AND CONTENTS OF ON-SITE EMERGENCY
PLANNING
Objectives of Emergency planning are to maximize the resource utilization and made combined efforts towards emergency operations, which includes:
To localize the emergency and if possible eliminate it. To minimize the effect of accidents on people and property. To take remedial measures immediately and control it with minimum damage. To keep the required emergency equipment in stock at right places and
ensure that they are in working condition. To keep the concerned personnel fully trained in the use of emergency
equipment. To give immediate warning to the surrounding localities in case of an
emergency situation arising. To mobilize transport and medical treatment of the injured. To arrange for rescue, treatment of casualties and communicate to relatives. To safe guard the people. To render necessary help to concerned.
11.0.1Emergency:
A major emergency in any situation is one, which has the potential to cause serious injury or loss of life, which may cause extensive damage to the structure in the vicinity, environment and human resources available. This could result in serious disruption to normal operation both inside and outside the premises. Depending on the magnitude of the emergency, services of the outside agencies may also be required for supplementing the internal effort to effectively handle the emergency and to contain the damage.
Emergency Medical facilities:
Arrange of medicines will be maintained in the Emergency Medical Centre. Breathing apparatus and other emergency medical equipment will be provided and maintained.
11.1 HEALTH AND SAFETY MEASURES FOR THE LABOURERS
Building and structures: No walls, galleries, stair-ways, floor, platform, staging or structure whether of permanent or temporary character will be constructed in such manner as to cause risk or bodily injury.
Child Labourers: No child labourers will be allowed to work during Construction and Operational phase.
Service platforms: whenever practicable and demanded service platforms and gangways will be provided for overhead shafting, and when required by him this will be securely fence with guard rails and toe boards.
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Belts, etc: All belt will be regularly examined to ensure that the joints are safe and the belts are proper tension.
Helmets: Helmets will be provided to the workers for safe guarding themselves against any head injuries.
Machinery: No machineries are equipments will be situated, Operated or maintained in such a manner as to cause risk of bodily injury.
Methods of work: No process of work will be carried out in such a manner as to cause risk of bodily injury.
Medical Check-up: Medical examination for every labourer will be done by certified surgeon at least once in 3 months.
First aid: On-site first aid facility will be made available always for any emergency treatment.
11.2 EMERGENCY ACTION PLANS
11.2.1Emergency Action plan for Cylinder Fire:
When filled container containing LPG is involved in fire, internal pressure if not relieved, will build up above 70 kg/sqcm and ultimately rupture the container. Rupture weak by direct flame impingement. Ruptured containers can be propelled at distance by jet action.
If container’s pressure is not raised upto 70 Kg/sqcm leakage from screwed valve joint can occur due to different expansion of steel and brass.
Ignition of the escaping gas would aggravate the fire but release of fire reduces the possibility of rupture.
No attempt should be made to extinguish the burning gas but the container under fire and other containers in vicinity should be kept cool by water spray.
If the gas leakage does not ignite, the container should be approached from top and removed to the place of safety away from, the source of ignition.
11.2.2Emergency action plan for Electric Fire:
Disconnect the electric supply of the affected areas.
Attempt to extinguish fire with the help of CO2, DCP
If the fire is not extinguished, extinguish by spraying water with fog nozzle after ensuring complete isolation of electric circuit.
11.2.3Emergency Action Plan for Oil Fire:
Attempt to extinguish fire with the help of DCP.
If the fire is not controlled, use water foam to blanket the fire and further action is to be taken.
11.2.4Emergency action plan for Medical Aid:
Emergency action plan for Electric Shock Casualties:
Electric shock results is irreversible damage to brain cell begins followed by deterioration of the organs.
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Rescue and first aid:
Do first aid quickly and without fuss and panic.
Switch off the supply if this can be done at once.
If not possible use a dry stick, dry cloth or other non-conductor to separate the victim from electrical contact.
The rescuer must avoid receiving shock himself by wearing gloves or using a jacket to pull the victim. Always keep in mind that delay in rescue and resuscitation may be fatal.
The details of the fire fighting installations recommended by Fire Prevention Officer, Bhubaneswar, are given below.
1. Hose Reel. 2. Down Comer 3. Automatic sprinkler system in basement 4. Manual operated electric fire alarm system 5. Terrace Tank 6. Terrace pump 7. Air Hydrant 8. Underground static water storage tank 9. Pump for fire fighting 10. Automatic fire detection system 11. Wet Riser
11.2.5Hazards arising due to Bulk oxygen systems (Oxygen Storage Plant):
A bulk oxygen system is an assembly of equipment, such as oxygen storage containers, pressure regulators, safety devices, vaporizers, manifolds, and interconnecting piping, which has storage capacity of more than 13,000 cubic feet of oxygen, Normal Temperature and Pressure (NTP), connected in service or ready for service, or more than 25,000 cubic feet of oxygen (NTP) including unconnected reserves on hand at the site. The bulk oxygen system terminates at the point where oxygen at service pressure first enters the supply line. The oxygen containers may be stationary or movable, and the oxygen may be stored as gas or liquid.
Product Name: Oxygen, refrigerated liquid
Trade Name: Liquid Oxygen, Medipure™ Liquid Oxygen
Chemical Name: Oxygen
Synonyms: Oxygen (cryogenic liquid)
Formula: O2
Chemical Family: Cryogenic liquid
Odor: None
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Hazards Identifications
EMERGENCY OVERVIEW:
Extremely cold, oxidizing liquid and gas under pressure.
Vigorously accelerates combustion.
Combustibles in contact with liquid oxygen may explode on ignition or impact.
Can cause severe frostbite.
May cause dizziness and drowsiness.
Self-contained breathing apparatus and protective clothing may be required by rescue workers.
Effects of a single (acute) overexposure:
Inhalation–Breathing 80% or more oxygen at atmospheric pressure for more than a few hours may cause nasal stuffiness, cough, sore throat, chest pain, and breathing difficulty. At higher pressures, adverse effects from breathing pure oxygen are more likely and may occur sooner. Breathing pure oxygen under pressure may damage the lungs and affect the Central Nervous System (CNS), producing dizziness, poor coordination, a tingling sensation, visual and hearing disturbances, muscular twitching, unconsciousness, and convulsions. Persons who breathe oxygen under pressure may adapt more slowly to darkness and may suffer reduced peripheral vision.
Skin Contact–No harm expected from vapor. Cold gas or liquid may cause severe frostbite.
Swallowing–An unlikely route of exposure, but severe frostbite of the lips and mouth may result from contact with the liquid.
Eye Contact–No harm expected from vapor. Cold gas or liquid may cause severe frostbite.
Effects of Repeated (Chronic) Overexposure: No harm expected.
Other effects of overexposure: See section 11, Toxicological Information.
First aid measures:
Inhalation: Immediately remove to fresh air. If not breathing, give artificial respiration. Keep victim warm and at rest. Call a physician. Advise the physician that the victim has been exposed to a high concentration of oxygen.
Skin contact: For exposure to liquid, immediately warm frostbite area with warm water not to exceed 105°F (41°C). In case of massive exposure, remove clothing while showering with warm water. Call a physician.
Swallowing: An unlikely route of exposure. This product is a gas at normal temperature and pressure.
Eye contact: Immediately flush eyes thoroughly with warm water for at least 15 minutes. Hold the eyelids open and away from the eyeballs to ensure that all surfaces are flushed thoroughly. See a physician, preferably an ophthalmologist, immediately.
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Carcinogenicity: Oxygen is not listed by NTP, OSHA, or IARC.
Notes to physician: Supportive treatment should include immediate sedation, anti-convulsive therapy if needed, and rest. See section “Toxicological Information.”
Fire fighting measures:
Extinguishing media: Vigorously accelerates combustion. Use media appropriate for surrounding fire. Water (e.g., safety shower) is the preferred extinguishing media for clothing fires.
Special fire fighting procedures:
Extremely cold, oxidizing liquid and gas under pressure. Evacuate all personnel from danger area. Immediately spray containers with water from maximum distance until cool, taking care not to direct spray onto vents on top of container. Do not discharge sprays into liquid oxygen. Liquid oxygen will freeze water rapidly. When containers have cooled, move them away from fire area if without risk. Self-contained breathing apparatus may be required by rescue workers. On-site fire brigades must comply with OSHA 29 CFR 1910.156.
Unusual Fire and Explosion Hazards:
Oxidizing agent; vigorously accelerates combustion. Contact with flammable materials may cause fire or explosion. Do not walk on or roll equipment over spill; any impact could cause an explosion. Smoking, flames, and electric sparks are potential explosion hazards in oxygen-enriched atmospheres. Heat of fire can build pressure in a closed container and cause it to rupture. No part of a container should be subjected to a temperature higher than 125°F (52°C). Liquid oxygen containers are equipped with pressure relief devices. Venting vapors may obscure visibility. Liquid causes severe frostbite, a burn-like injury. (See section 3.) Air will condense on surfaces such as vaporizers and piping exposed to liquid or cold gas. Nitrogen, which has a lower boiling point than oxygen, will evaporate first, leaving an oxygen-enriched condensate.
Keep all areas of possible condensation free of oil, grease, and other combustible materials to prevent possible ignition or explosion.
Accidental Release Measures:
Steps to be taken if material is released or spilled:
Extremely cold, oxidizing liquid and gas under pressure. Immediately evacuate all personnel from danger area. Avoid contact with spilled liquid and allow it to evaporate. Extremely cold oxidizing liquid and gas. Liquid causes severe frostbite, a burn-like injury. (See section 3.) Do not walk on or roll equipment over spill; any impact could cause an explosion. Contact with flammable materials may cause fire or explosion. Smoking, flames, and electric sparks are potential explosion hazards in enriched oxygen atmospheres. Shut off leak if without risk. Ventilate area or move leaking container to ventilated area. Remove all flammable materials from vicinity. Oxygen must never be permitted to strike an oily surface, greasy clothes, or other combustible material.
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Emergency Disposal Measures:
Keep personnel away. Liquid oxygen should be dumped into an outdoor pit filled with clean gravel free of grease and oil, where it will safely evaporate. Prevent waste from contaminating the surrounding environment. Discard any product, residue, disposable container, or liner in an environmentally acceptable manner, in full compliance with federal, state, and local regulations. If necessary, call your local supplier for assistance.
Handling and Storage:
Precautions to Be Taken In Storage:
Store and use with adequate ventilation, away from oil, grease, and other hydrocarbons. Store only where temperature will not exceed 125°F (52°C). Do not store in a confined space. Cryogenic containers are equipped with a pressure relief device and a pressure controlling valve. Under normal conditions, these containers will periodically vent product. Separate oxygen containers from flammables by at least 20 ft (6.1 m) or use a barricade of noncombustible material. This barricade should be at least 5 ft (1.53 m) and have a fire resistance rating of at least ½ hour. Use adequate pressure relief devices in systems and piping to prevent pressure buildup; entrapped liquid can generate extremely high pressures when vaporized by warming.
Precautions to be taken in handling:
Never allow any unprotected part of your body to touch uninsulated pipes or vessels containing cryogenic fluids. Flesh will stick to the extremely cold metal and will tear when you try to pull free. Use a suitable hand truck to move containers. Cryogenic containers must be handled and stored in an upright position. Do not drop or tip containers, or roll them on their sides. If valve is hard to open, discontinue use and contact your supplier.
Exposure controls/personal protection:
Ventilation/Engineering controls:
Local exhaust – Use a local exhaust system, if necessary, to prevent increased oxygen concentration.
Respiratory protection:
None required under normal use. However, an air-supplied respirator must be used while working in confined spaces with this product. The respiratory protection used must conform to OSHA rules as specified in 29 CFR 1910.134. Select per OSHA 29 CFR 1910.134 and ANSI Z88.2.
Skin protection:
Wear loose-fitting, cryogenic gloves. Gloves must be free of oil and grease.
Eye protection:
Safety glasses and a full face shield are recommended. Select in accordance with OSHA 29 CFR 1910.133.
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Other protective equipment:
Metatarsal shoes for container handling. Protective clothing where needed. Cuff less trousers should be worn outside the shoes. Select in accordance with OSHA 29 CFR 1910.132 and 1910.133. Regardless of protective equipment, never touch live electrical parts.
Toxicological information:
At atmospheric concentration and pressure, oxygen poses no toxicity hazards. At high concentrations, newborn premature infants may suffer delayed retinal damage (retrolental fibroplasia) that can progress to retinal detachment and blindness. Retinal damage may also occur in adults exposed to 100% oxygen for extended periods (24 to 48 hours) or at pressures exceeding atmospheric pressure, particularly in individuals whose retinal circulation has been previously compromised. All individuals exposed for long periods to oxygen at high pressure and all who exhibit overt oxygen toxicity should have ophthalmologic examinations.
At two or more atmospheres, toxicity to the CNS occurs. Symptoms include nausea, vomiting, dizziness or vertigo, muscle twitching, vision changes, and loss of consciousness and generalized seizures. At three atmospheres, CNS toxicity occurs in less than two hours; at six atmospheres, in only a few minutes. Patients with chronic obstructive pulmonary disease retain carbon dioxide abnormally. If oxygen is administered, raising their blood-oxygen concentration, their breathing becomes depressed and retained carbon dioxide rises to a dangerous level.
Animal studies suggest that the administration of certain drugs, including phenothiazine drugs and chloroquine, increases the susceptibility to toxicity from oxygen at high concentrations or pressures. Animal studies also indicate that vitamin E deficiency may increase susceptibility to oxygen toxicity. Airway obstruction during high oxygen tension may cause alveolar collapse following absorption of the oxygen. Similarly, occlusion of the Eustachian tubes may cause retraction of the eardrum and obstruction of the paranasal sinuses may produce vacuum-type headache.
Ecological Information:
The atmosphere contains approximately 21% oxygen. No adverse ecological effects expected. Oxygen does not contain any Class I or Class II ozone-depleting chemicals. Oxygen is not listed as a marine pollutant by DOT.
Disposal considerations:
Waste Disposal Method:
Do not attempt to dispose of residual or unused quantities. Contact your supplier. For emergency disposal, discharge slowly to the atmosphere in a well-ventilated area or outdoors. Also see section 6 for disposal following spills.
Other Information:
Be sure to read and understand all labels and instructions supplied with all containers of this product. Medical grades of oxygen are subject to strict federal
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regulation and are for use only under the control of a licensed physician or clinician familiar with the product and its hazards.
Special precautions:
Extremely cold, oxidizing liquid and gas under pressure. All gauges, valves, regulators, piping, and equipment to be used in oxygen service must be cleaned for oxygen service in accordance with CGA pamphlet G-4.1. Keep containers and their valves free of oil and grease. Use piping and equipment adequately designed to withstand the pressures to be encountered. Avoid materials incompatible with cryogenic use; some metals such as carbon steel may fracture easily at low temperature. To prevent cryogenic liquid or cold gas from being trapped in piping between valves, equip the piping with pressure relief devices; entrapped liquid can generate extremely high pressures when vaporized by warming. Use only transfer lines designed for cryogenic liquids. Praxair recommends piping all vents to the exterior of the building.
Never use oxygen as a substitute for compressed air. Never use an oxygen jet for cleaning of any sort, especially for cleaning clothing. Oxygen-saturated clothing may burst into flame at the slightest spark and be quickly consumed in an engulfing fire.
Do not get liquid in eyes, on skin, or on clothing. Persons exposed to liquid high concentrations of oxygen gas should stay in a well-ventilated or open area for 30 minutes before entering a confined space or going near any source of ignition.
Never work on a pressurized system. If a leak occurs, close the cylinder valve. Blow the system down in a safe and environmentally sound manner in compliance with all federal, state, and local laws; then repair the leak.
Never place a compressed gas cylinder where it may become part of an electrical circuit.
Other Hazardous Conditions of Handling, Storage, and Use:
Store and use with adequate ventilation. Close valve after each use; keep closed even when empty. Immediately remove clothing exposed to oxygen and air it out to reduce the likelihood of an engulfing fire. Prevent ignition sources such as static electricity generated in clothing while walking. Protect container against physical damage. Isolate it from combustible gas installations and combustible materials by an adequate distance or by gas-tight, fire resistant barriers. Protect against overheating. Use of this product in manufacturing may generate toxic fumes and gases or create additional toxicity hazards. Consult an industrial hygienist or other appropriately trained person to evaluate end-use operations or processes for hazards and to establish measures to protect employees.
Mixtures: When you mix two or more gases or liquefied gases, you can create additional, unexpected hazards. Obtain and evaluate the safety information for each component before you produce the mixture. Consult an industrial hygienist or other trained person when you evaluate the end product. Remember, gases and liquids have properties that can cause serious injury or death.
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Table No. C11 - 1: hazard rating systems of oxygen storage facility
NFPA (National Fire Protection Association) RATINGS:
HMIS (Health Management Information system Management) RATINGS:
Health = 3 Health = 3
Flammability = 0 Flammability = 0
Instability = 0 Physical hazard = 2
11.3 NATURAL HAZARDS:
11.3.1Emergency Action Plan for earthquakes:
The site falls under the zone III as per the seismic zone map of India and indicating Moderate damage risk zone. When first tremors are sensed during an earthquake, all people should evacuate buildings and assemble at safe place/open place away from structures, walls and falling objects.
Emergency services should be contacted for assistance.
After the status is restored, people should inspect all the facilities for rescue, first aid and damage control activities, damage assessment, cleanup, restoration and recovery.
11.3.2Emergency Action Plan for Bomb Threat
When bomb threat call is received the following measures are to be taken.
Information the message to the highest local police authority and seek their assistance for patrolling and security need.
Request the Local Fire Bridge to position at least on fire tender at the location immediately.
Keep the concerned department at the regional level informed with the development at regular intervals.
Alert the local Govt. / private hospitals and seek their help for providing ambulances if necessary.
In the Location premises:
Keep the Fire hydrant System/all fire fighting and personal protective Equipment in readiness.
Have through inspection of the location for any suspected dangerous object.
Organize security cell for round the clock observation of the premises.
If the Suspected object is found:
In case of finding of suspected article , do not disturb its position, but the area around it should be cordoned off to a distance of 100 meters and more depending upon the gravity of situation.
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Call the Police immediately, who on reaching the site will decide suitable action for defusing and disposal of the suspected object.
Evolution of thick bellowing smoke is an indication of impending explosion and in such a case, with draw or evacuates all people from the spot, which has been identified.
As a general measure, regulate the movement of the strangers inside the premises and restrict their entry with permits.
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CHAPTER-XII ENVIRONMENTAL MANAGEMENT PLAN
12.0 ENVIRONMENTAL MANAGEMENT PLAN
Objective of the EMP
The project management team with practical and achievable plans to ensure that the project’s environmental requirements are complied with.
An integrated plan for monitoring, assessing and controlling potential impacts.
Complies of policies to the satisfaction of state and national authorities.
The detailed EMP will be reviewed and periodically updated, if necessary, to reflect knowledge gained during the course of the project operations Changes to the detailed EMP will be implemented in consultation with the relevant authorities where necessary.
Role and Responsibilities:
EMD (Environmental Management Division) should take necessary measures to look after the environmental management aspects of the proposed complex. They will closely monitor the pollution aspects of the complex and identify the problems and accordingly, suggested certain measures to mitigate pollution. Environmental training and awareness programme has also been conducted under the supervision of EMD. The managers/supervisors of EMD would be given authority to look after their day-to-day activities funds to look after their day-to-day duties.
The supervisors will monitor the entire complex regularly and intimate the society about the current status of the environment and safety measures adopted. Society members will review the reports of the Supervisors for remedial measures.
Communication and Consultation:
During operation phase of the project consultation with relevant regulatory authority, agencies and consultants will be maintained. Effort will be made to full fill their valuable suggestions.
Auditing and Review:
There will be frequent inspection on vulnerable areas and individuals will be done during operation period. The EMD will keep all inspection and audit reports of environmental performance, which will be made available to the relevant regulatory authorities as required.
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12.0.1 Air Quality Management.
Table No. C12 - 1: Air Quality Management during Operation Phase Environmental Value The quality of air environment should
be such that those are conducive to be suitable for the life, health and well being of humans.
Potential adverse and beneficial Impacts
Dust emission during road sweeping. Emission from Vehicles and DG sets.
Environmental Protection strategy Regular sweeping of access roads will be carried out.
Vehicle not having PUC Certificates will be discouraged to enter the site.
Water will be sprinkled to suppress dust, while cleaning and sweeping the roads and pavements.
Open burning of litter and garbage will not be allowed.
DG set will be provided with adequate stack height.
Combustion efficiency of the DG sets shall be checked every year so that release of black smoke will be minimum.
Sufficient tree plantation will be done along the periphery of the project site as well as in available vacant space inside the campus.
All the bio-medical effluents will be treated in a 50 KLD ETP & 260 KLD STP inside the premises.
Proper care & measure will be taken for the Oxygen Plant to avoid accidents & hazards.
Performance Indicators No excessive dust emissions during windy/dry periods and anthropogenic activities.
No. of Air quality related complaints from neighboring and residence people.
Monitoring Reporting and Corrective action
During operation the project area will be regularly monitored to access the air quality as per the standards formulated by OSPCB.
Monitoring report will be recorded and submitted to OSPCB.
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12.0.2 Water Quality Management
Table No. C12 - 2: Water Resource Management during Operation Phase Environmental Value Security of Water users and enhance
portability of water. Suitability of use of water for different
purposes. Potential adverse and beneficial Impacts
Contamination of water resources. Over use of water resources.
Environmental Protection strategy
Rainwater harvesting for optimum utilization of rainwater and also to recharge the ground water level to be adopted.
Well design storm water network to collect the rain water from the site area and diverted to proposed rainwater harvesting/ recharging pits for recharging the ground water (Total 23 nos. of recharge pits will be proposed).
Use of efficient plumbing fixtures, sensors, auto valves, etc. will be adopted to reduce the water consumption and increase water efficiency.
Installation of water-saving equipment in lavatories, such as low flow toilets.
The occupants of the complex will be encouraged for optimum use of potable water.
Regular cleaning & maintenance of all overhead & underground water reservoirs will be done.
To avoid contamination of the groundwater quality of the locality, the pipeline for collection of sewage and sullage of the residential complex will be properly laid and the joints of two consecutive pipes will be properly sealed to avoid the leakage of wastewater of sewage.
Ground water quality will be periodically monitored and records will be reviewed and analyzed on regular basis.
Performance Indicators No excessive water utilization during Operation periods.
No. of water quality related complaints
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from neighbouring residence. Complaints regarding bad order from
discharge water. Monitoring Reporting and Corrective action
Monitoring of Water quality, will be done regularly.
Drainage network should be cleaned to avoid chocking.
Regular monitoring of pipelines and plumbing features to avoid leakage and contamination.
Regular inspection and maintenance of STP carried out, inlet and outlet water quality will be monitored, recorded and necessary corrective measures taken.
12.0.3 Noise Quality Management
Table No. C12 - 3: Noise Quality Management during Operation Phase Environmental Value The Qualities of the aquatic
environment that are conducive to: The wellbeing of the community or
apart of community, including its social and economic amenity.
The well being of an individual’s opportunity to have sleep, relaxation and conversation without unreasonable from intrusive noise.
Potential adverse and beneficial Impacts
High noise intensity may cause hearing impairment, sleeping disorder and health effects.
Environmental Protection strategy Adequate trees will be planted along the peripheral boundary walls, which will act as acoustic screen or vegetative barrier against the propagation of noise.
DG sets will be provided with acoustic enclosure to control noise level as per norms.
Vehicles not having proper silencer will not be allowed to the project site.
Noise producing instrument/appliances, loud speaker etc should not be allowed beyond prescribed limits.
Performance Indicators No Noise related complaints received from residents and landholders during construction.
No. of complaints regarding noise level
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during vehicular movements and DG sets operation.
Monitoring Reporting and Corrective action
Proper maintenance of DG sets. Regular monitoring will be carried out to
access the noise quality as per the instruction of OSPCB.
All incidents that deviate from normal operating conditions will be reported internally and at such times immediate corrective action initiated.
12.0.4 Waste Management
Table No. C12 - 4: Waste Management during Operation Phase Environmental Value Enhance or Protect:
The life, health and well being of the people.
The diversity of ecological processes and associated ecosystem.
Potential adverse and beneficial Impacts
Land and water contamination. Disagreeable odour and unhygienic
condition. Environmental Protection strategy Solid wastes generated from different
sources need to be properly collected and disposed off to maintain hygienic condition within the complex.
No indiscriminate disposal of garbage will be allowed within the complex. A proper waste collection system is to be implemented.
The Solid Waste generated from the residential Complex will be collected and separated out as biodegradables and non-biodegradable. Which will be stored in designated bins. Finally the wastes from designated bins send to approved agency for final disposal.
On-site and Off-site transportation of waste should be conducted so as to prevent or minimize spills, releases, and exposures to employees and the public.
Garbage collection procedure is to be conducted during the early morning hours in a day.
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Accumulations of garbage in the storage bin have to be avoided for more than 24 hours.
To avoid the dumping of garbage along the roads, common area, few number of solid waste storage bins have to be placed in strategic location.
Sludge from STP after dried will be used as manure in landscaping.
All the bio-medical effluents will be treated in a 160 KLD ETP inside the premises.
Proper care & measure will be taken for the Oxygen Plant to avoid accidents & hazards.
Performance Indicators No Waste related complaints received from residents and landholders during operation period.
Evidence from waste handling, storage and disposal facilities.
No. of complaints regarding faul odour from solid waste and sludge.
Monitoring Reporting and Corrective action
Housekeeping checks to ensure waste is being stored correctly and no litter occurring.
All incidents that deviate from normal operating conditions will be reported and immediate corrective action initiated.
Table No. C12 - 5: Hazardous Waste Management Environmental Value Enhance or Protect:
The life, health and well being of the people.
The diversity of ecological processes and associated ecosystem.
Control of releases and accidents. All the bio-medical effluents will be
treated in a 50 KLD ETP & 230 KLD STP inside the premises.
Proper care & measure will be taken for the Oxygen Plant to avoid accidents & hazards.
Potential adverse and beneficial Impacts
Land, water and soil contamination. Disagreeable odour and unhygienic
condition.
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Environmental Protection strategy Diesel and other fuels will be stored in separate enclosures.
Where ever possible, hazardous materials to be substituted by non-hazardous materials, e.g. cleaning solvent can be replaced with film- free biodegradable cleaners. Usage of non chlorinated strippers instead of strippers containing methylene chloride and substitution of water based paint for oil based ones.
Preventing uncontrolled releases of hazardous materials to the environment or uncontrolled reactions that might result in fire or explosion.
Vehicle maintenance area to be designated to prevent contamination of ground water by accidental spillage of oil.
All hazardous waste will be disposed as per Hazardous Waste management and Handling Rules 1989 and Amendments thereof.
Performance Indicators Evidence from hazardous waste handling, storage and management facilities.
No. of complaints regarding Disagreeable odour and air, water, soil contamination.
Monitoring Reporting and Corrective action
Implementing management controls (procedures, inspections, communications, training, and drills) to address risks and hazards.
12.0.5 Health and Safety Management.
Table No. C12 - 6: Health and Safety during Operation Phase Environmental Value For safe guard of:
The life, health and well being of the people.
To made accident free zone. Potential adverse and beneficial Impacts
Effect on health and life of people. All the bio-medical effluents will be
treated in a 50 KLD ETP & 230 KLD STP inside the premises.
Proper care & measure will be taken for
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the Oxygen Plant to avoid accidents & hazards.
Performance Indicators Evidence from accidents during Operation period.
No. of complaints regarding traffic problem and fire fighting System.
Environmental Protection strategy Fire fighting system comprising of : Hose Reel Extinguisher Manual operated electric fire alarm
system Underground Static tank Terrace Tank Terrace pump Maintenance of the systems should be
carried out regularly to ensure proper functioning during emergencies.
Safe evacuation rout for building residents should be cleared marked to ensure safety of residents during any emergency.
Alarming/Siron system will be adopted to aware people during emergency.
12.0.6 Landuse/Landcover & Socio-Economy Management
Table No. C12 - 7: Socio-Economy during Operation Phase Environmental Value To ensure development in harmony with
society/local stake holders. Potential adverse and beneficial Impacts
Engagement of local people in construction work.
Up-gradation in general, specialized and super specialized health care facilities and opportunities.
Up-gradation of income of local people by enhancement of economic/business opportunities and Enhancement in living standards.
Intrusion of external residents in place of indigenous people.
Performance Indicators Periodic stakeholder survey/FGD. Environmental Protection strategy Social intervention programs (health
camps/disease awareness camps) for socially under privileged groups in the vicinity.
Communicable and infectious disease
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surveillance programs. Promotion of traditional
arts/crafts/culture of local indigenous stake holders.
12.0.7 Soil Conservation & Ecology Biodiversity Management
Table No. C12 - 8: Soil Conservation during Operation Phase Environmental Value To ensure protection /conservation of
soil (top soil in particular) within the site through proper measures.
Potential adverse and beneficial Impacts
Wind erosion, rain and sheet erosion plays major role on loss of top soil.
Soil protect existing vegetation improve tree & plant growth.
Reusing organic “wastes” like sludge to restore soil function.
Performance Indicators Compliances in every 6monthly report. Environmental Protection strategy Topsoil should be stripped up and stored
at the far edge of the right-of-way. Fence the stored top soil areas prior to
any disturbance to the surrounding. If grading the right-of-way is necessary
for construction, topsoil should be stripped from the entire area to be graded in order to avoid mixing.
Use of conserved top soil in developing plantation during operation phase
Table No. C12 - 9: Ecology & Biodiversity (Plantation) during Operation Phase Environmental Value To ensure development of green belt
within the project site. Potential adverse and beneficial Impacts
Role in controlling air, dust & noise pollution.
Improving water holding capacity of the soil.
Providing shed and fruits Performance Indicators Compliances in every 6 monthly
report. Environmental Protection strategy Restoration of the natural biodiversity
of the locality. Local plant species will be planted
involving trees, shrubs and climbers. Plant species with thick & rough bark,
profuse branching with ever green
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canopy of broad & rough leaves and deep root system will be selected.
12.0.8 Estimated cost for Environmental Management:
Table No. C12 - 10: Existing cost for Environmental Management
Sl. No
Details Capital Cost in Lakhs (Non-recurring)
Recurring Cost per annum (in lakhs)
1 Air Pollution Control 20 2.0 2 Waste Water Management 30 3.0 3 Water Treatment Plant 15 1.5 4 Solid Waste Management 15 1.5 5 Environmental Monitoring 10 1.0 6 Greenbelt Development 30 3.0 Total 120 12.0
Of
Expansion of AMRI Hospital from 400 Beds to 500 Beds
FOR
M/S Advance Medicare Research Institute Limited
At: Aiginia, Bhubaneswar, Odisha.
MAY 2017
QUESTIONNAIRE
CEMCCEMC
Centre For Envotech and Management Consultancy Pvt. Ltd.
AN ISO: 9001: 2008 and BS OSHAS 18001: 2007 certified company, Empanelled with OCCL, Govt. Of Odisha, OSPCB as Category “A” Consultant Organization,
Accredited by NABET, Quality Council of India for EIA stud ies As Category “A” Consultant Organization.
Regd. Off: N5/305, IRC Village, Bhubaneswar, Odisha Tele: 0674 - 2360344,
E-mail: cemc_consultancy @yahoo.co.in, [email protected] Website: www.cemc.in
1
QUESTIONNAIRE FOR THE ENVIRONMENTAL IMPACT
ASSESSMENT OF NEW CONSTRUCTION PROJECTS
I. BACKGROUND INFORMATION OF THE PROPOSED PROJECT
State clearly the objective of the project :
Expansion of Hospitals Beds from 400 to 500
Location of the project (attach map to a suitable scale) :
Location map of the project site is showed in the vicinity Map.
Town/Village: Aiginia District: Khurda State: Odisha
Latitude: 200 15’ 36.61” N Longitude: 850 46’ 38.46” E
Names & distances from the nearest :
State/National Highway: National Highway-5
Railway Station: Bhubaneswar Railway Station (Approx.7.0 Km)
Airport: Biju Patnaik International Airport (Approx. 4.5 Km)
Name of the agency proposing the new construction project
M/s: Advance Medicare Research Institute Limited (AMRI)
Name of the Chief Executive and Postal address:
Mr. S K Mohanty
Vice President
Plot No. 1, Beside Satyasai Enclave, Khandagiri, Bhubaneswar
Contact particulars (Tel/Fax/e-mail): Tel: 0674-6666600
Fax: 0674-6666777
E-mail: [email protected]
Type of project: Housing project/Industrial Estate or others:
Hospital Project
Estimated cost of the project :
6.06 Crore
2
Location map of the project site
3
II. SITUATION WITHIN 10 KM RADIUS FROM PROJECT SITE
General topography: The area is broadly divided into 3 zones, such as run-off zone, infiltration zone and discharge zone. These zones have different hydromorphic units. Hydromorphological maps prepared based on the satellite imagery as well as secondary information. The various land use/land cover classes identified within the 10 Km buffer zone are:
Settlement
It is defined as an area of human habitation developed due to non-agricultural use and that which has a cover of buildings, transport and communication, utilities in association with water, vegetation and vacant lands. In the buffer zone the major part of the settlement is occupied by the urban area.
The rural settlements are mostly associated with vegetation cover and smaller in size.
Urban areas
These are areas of human settlement covered by modern buildings, well developed transport and communication system in association with vegetation and water bodies.
Agricultural Land
It is defined as the land primarily used for farming and for production of food, fiber, and other commercial and horticultural crops.
Plantation
These are the areas associated with degraded forest land where plantation has been made to regenerate the forest or areas where orchards/horticulture has been developed. These areas are characterized by regular shape.
Land with/ without Scrub
These lands occupy (relatively) higher topography like uplands or high grounds with/without any scrub cover. These lands are more prone to degradation or erosion.
Water Bodies
It is a natural course of flowing water on the land along definite channels. It may be perennial or non-perennial.
Waste Land
These lands are generally uplands without any vegetation or agriculture.
4
Contour map of the project site
5
Specify general features of land
Tree cover-prominent species
Fauna-wildlife/domesticated
Avifauna
Land feature (within 10 km radius):
Land use refers to “man’s activity and the various uses which are carried on
land.” Land cover refers to “natural vegetation, water bodies, rock/soil, artificial
cover and others resulting due to land transformation.” The Land use/Land cover
map of the study area has been prepared based on the satellite imagery as well
as secondary information along with limited field survey.
Soil Characteristics:
The soil zone in earth is in fact the life layer known as biological factory. It controls the quantity, quality and circulation of surface as well as ground water to a great extent. The main sources of ground water is rain water and melt water (snow / ice) which infiltrates downward through the pore spaces of soil and is being collected in aquifers of varying sizes and locations. The quantity and quality of ground water is also controlled by various characteristics of soil like its texture, composition, erosion characteristics, depth etc. In this regard the soils in the world are classified on the basis of six categories or levels of hierarchy (as developed by U.S. Soil Conservation Service and used worldwide), which is called “Comprehensive Soil Classification System or Soil Taxonomy”. On the basis of this soil taxonomy, the various soil types found within the buffer zone are described below.
Aeric Tropaquepts associated with Vertic Tropaquepts
Deep, poorly drained, fine loamy soils on nearly level river island with loamy surface slight erosion moderate flooding and slight salinity associated with very deep moderately well drained fine cracking soils with clayey surface and slight erosion.
Rhodic Plaeustalfs associated with Rhodustalfs
Very deep, well drained, fine loamy soils on gently sloping upland with sandy surface and moderate erosion associated with deep, well drained, fine loamy soils with sandy surface and moderate erosion.
Typic Ustropepts associated with Typic Ustorthent
Moderately shallow, well drained, gravelly loamy soils on very gently sloping
upland with loamy surface and moderate erosion associated with moderately
shallow, well drained, coarse loamy soils with sandy surface and severe erosion.
6
Tree cover within 10 km radius:
Tree species selected for Greenbelt as per CPCB are:
TYPE Botanical Name Common Name
SCHEDULES OF TREES
T1 Caesalpinia pulcherrima Krushnachuda
T2 Peltophorum ferrugineum Radhachuda
T3 Mesua feria Nageswar
T4 Azadirachta indica Neem
T5 Millingtonia hortensis Akash malli
T6 Calophyllum inophyllum Polanga
T7 Saraca indica Ashok
T8 Pongamia glabra Karanja
T9 Michelia champaca Champa
T10 Mimusops elengi Baula
T11 Morus australis Tuta
T12 Thespesia populnea Indian Tulip Tree
SCHEDULES OF PALMS
P1 Caryota urens Salap
P2 Hyophorbe lagenricaulis Bottale Palm
SCHEDULES OF FRUIT TREE
F1 Mangifera indica Amba
F2 Phyllanthus emblica Anla
F3 Psidium guava Pijuli
F4 Aegle marmelos Bela
SCHEDULES OF LARGE SHRUB
S1 Thevetia peruviana Kaniara
S2 Ervatamia divaricata Tagar
S3 Hibiscus chinensis Mandar
S4 Nerium oleander Karabir
S5 Murraya exotica Kamini
S6 Cassia fistula Sunari
S7 Cestrum nocturnum Hena
Fauna-Wildlife/Avifauna within 10 km radius:
LOCAL NAMES ENGLISH NAMES LATIN NAMES ANIMALS
Gunduchimusa 3 stripped palm squirrel Funambulus palmarum Badudi Shortnosedfruitbat Cynopterus sphinx Mankad (Hanu) Monkey Presbytis entellus
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Musa Rat Rattus rattus Neula (Kuji) Small Indian mangoose Herpestes auropunctatus Thekua Hare Lepus nigricollis
REPTILES & AMPHIBIANS Dhamana Rat snake Ptyas musosus Pani dhanda Checkeered keel back Natrix piscator
BIRDS Baya Baya weaver bird Ploceus phillipinus Bulbul or Gobrachadhei
Bulbul Red vented Pyononotus cafer
Para Pigeon Columba livia Kau Crow house Corvus splendens Koili Cuckoo Indian Cuculus micropterus Kapota Dove spotted Streptopelia chinensis Kajalpati Drongo Black or King crow Dicrurus adsimilis Baga Egret Cattle Babulcus ibis Bani Myna indian Acridotheres tristis
FISHES Chenga - Ophiocaphalus gachus Gadisa - Ophiocaphalus punctatus Kantia - Myotus cavasius Kerandi - Barbus ambassis Mahurali - Amblypharyngodon mola Seula - Ophiocephalus striatus
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Flood prone areas:
The area does not come under flood prone area.
Geological features including seismic zone:
Geological formation plays a vital role in planning and implementation of artificial
recharge structures. The project site is underlain by alluvial formations of
quaternary period. The study area within the buffer zone of the project site is
underlain by upper Gondwana formation followed by laterites and alluvium. The
upper Gondwana formation is exposed in and around Bhubaneswar city and
comprises mainly of sandstone-shale sequence. The sandstones are fine to
coarse grained and at times pebbly, gritty to conglomaratic in nature. They are
white to gray and pink in color. The sandstones are feldspathic and ferruginous
in nature. The sandstones in general are friable and jointed but at places also
massive and compact. The upper part of the sandstones is lateritised. The
thickness of laterites varies from 5M to 20M.
Existing landuse (area & percentages) map (to include agricultural &
non-agricultural uses, commercial, industrial dense/open forests, fallow
land, human settlements, water bodies, transport systems etc.)
The Land use/Land cover map of the study area is prepared based on the
satellite imagery as well as secondary information along with limited field survey.
The various land use/land cover classes identified as settlement, urban area,
agricultural land, Waste land, open/shrub Forest etc. Most of the land of the 10
Kms buffer zone coming under agricultural land, settlement and urban area.
Howrah-Chennai (NH-5) Road is passing through this area. Hence lot of demand
has been generated for the area.
Predominant activities
Residential, institutional, commercial etc :
Hospital
Special features :
(Such as tourist spots, monuments/archaeological sites, hospitals, schools, institutions, religious places, heritage areas and places of other interests)
9
Educational Institutions nearer to the site
Name Distance Direction Vivekananda Institute of Science 1.0 Km E Institute of Science Education 3.2 Km NE DAV School 2.4 Km NW Kendriya Vidyalaya No. 5 2.5 Km NW IBCS Campus 2.5 Km N
Hospital nearer to the site
Name Distance Direction SUM Hospital 2.6 Km N Gandhi Hospital 1.4 Km S Apex Hospital 2.6 Km NE AIIMS Hospital 3.4 Km S Tourist spots- Not found
Specific environmental problems, if any
(Such as water and air pollution, land spoliation by natural & manmade factors, endemic diseases, traffic congestion spots in the vicinity of project site, loss of tree cover, open spaces etc.):
No specific environmental problem in the vicinity of existing as well as proposed project site.
Ground level concentrations (major parameters)
SPM/RSPM, SO2, NOx, HC, Noise
The ambient air quality monitoring was conducted during Mar 2017. Based on the local meteorological condition monitoring locations are fixed.
Ambient Air Quality of the study area during Mar 2017
Mar 2017
Project Site (μg/m3)
Khandagiri (μg/m3)
Date PM10 PM2.5 SO2 NOx PM10 PM2.5 SO2 NOx 01.03.2017 42.8 23.2 13.5 19.2 62.2 33.2 11.3 20.5 06.03.2017 43.2 21.8 12.6 19.5 62.7 32.6 10.9 20.8 10.03.2017 43.5 23.8 13.4 19.8 63.4 32.5 11.5 21.4 14.03.2017 41.9 23.4 12.7 20.2 62.8 31.4 11.7 22.3 17.03.2017 42.6 23.7 13.1 20.4 63.1 32.6 11.9 21.7 20.03.2017 43.2 24.2 12.3 20.8 64.2 34.1 12.1 22.3 24.03.2017 41.7 24.6 12.8 21.3 63.7 34.6 12.3 23.4 27.03.2017 42.9 24.9 12.5 21.6 63.5 35.1 12.7 23.2 Average 42.7 23.7 12.9 20.4 63.2 33.3 11.8 22.0
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Noise Level of the Project site
Sampling Location Noise level (dB) Lday Lnight
Project site 46.5 38.2 Khandagiri 50.6 39.2 Limits* 55 45
General meteorological data (wind direction, speed, rainfall, temperature) Details if any of heat islands, inversions, venture effect
Impacts on the conceptualization of the proposal:
Wind direction : South
Annual rainfall is about 1401.07 mm.
Mean maximum temperature 37.40C and mean minimum temperature 15.30C
Human Resources
I. Population of study area (10 km radius), II. Decadal growth rate, settlement pattern and growth,
III. Socio-economic conditions IV. Health: Endemic diseases, Mortality, Epidemics.
Environmental assessment and suitability of the proposed development
(Specifically identifying the limits)
Key Socio-Economic features of 10 Km Buffer zone:
Name
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Andharua Rural 2372 1800 874 17.39 500 1017.01 36.85 Dasapur Rural 2277 1105 834 25.18 448 983.45 36.63 Malipada Rural 1658 1350 480 8.13 325 971.46 28.95 Nuagan Rural 989 691 393 15.27 201 909.27 39.74 Paikarapur Rural 1805 1382 507 18.54 349 992.27 28.09 Gothapatna Rural 1641 1316 438 5.25 251 684.80 26.69 Ghangapatna Rural 1640 1254 678 15.93 355 936.25 41.34 Kantabad Rural 2461 1816 836 19.02 488 994.33 33.97
11
Giringaput Rural 1260 1004 476 25.21 271 906.20 37.78 Jamujhari Rural 1235 969 434 15.90 245 837.80 35.14 Chatabar Rural 1963 1463 606 16.83 387 972.86 30.87 Kantabad Rural 893 594 339 7.67 238 980.04 37.96 Kaimatiapatna Rural 689 516 206 15.05 119 1026.47 29.90 Harapur Rural 365 238 139 38.85 72 941.49 38.08 Narada Rural 2252 1625 851 16.10 526 948.10 37.79 Tamando Rural 1808 1427 555 3.78 359 921.36 30.70 Bijipur Rural 1834 1438 639 13.77 377 972.04 34.84 Deuliapatna Rural 1543 1206 787 25.79 313 919.15 51.00 Mendhasal Rural 3867 2819 1225 13.80 769 971.95 31.68 Madanpur Rural 1257 1015 484 10.12 241 982.65 38.50 Chatabar Rural 1963 1463 606 16.83 387 972.86 30.87 Arisal Rural 221 159 65 4.62 52 955.75 29.41 Janla Rural 1008 836 316 18.67 183 909.09 31.35 Alakar Rural 562 357 196 17.86 85 1613.95 34.88 Ogalapada Rural 3341 2423 1102 9.26 720 919.01 32.98 Gopalpur Rural 154 113 66 0.00 44 750.00 42.86 Ogarsuan Rural 607 496 200 35.50 120 996.71 32.95 Uttarmundamuhan Rural 1938 1607 747 27.84 375 957.58 38.54 Chhelda Rural 191 164 69 0.00 49 819.05 36.13 Gobindapur Rural 524 450 159 19.50 99 933.58 30.34 Mahura Rural 703 602 222 35.59 148 969.19 31.58 Kasipur Rural 827 649 257 15.18 154 941.31 31.08 Patrapada Rural 141 67 71 1.41 27 905.41 50.35 Suanga Rural 660 479 221 11.31 128 952.66 33.48 Jadupur Rural 71 46 22 0.00 15 1151.52 30.99 Santarapur Rural 352 205 114 0.00 73 1058.48 32.39 Kapileswar Rural 558 417 177 10.17 121 904.44 31.72 Padhansahi Rural 1367 1116 499 15.43 270 911.89 36.50 Barakuda Rural 1139 879 397 24.18 220 998.25 34.86 Radhacharanapur Rural 532 430 167 58.08 85 1086.27 31.39
III. PROMINENT FEATURES WITHIN ABOUT 100 METRES RADIUS FROM THE SITE BOUNDARY (LOCAL AND IMMEDIATE VICINITY)
General description
(Contours at 1m intervals)
Natural resources
A. Water
Ground water table, rate of recharge present restrictions on drawl, available yield, quality of water (physical, chemical, biological)
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Depth of Water Level = 2.15-10.45 mbgl (Pre-monsoon)
Surface water location, source and yield, present use (for agriculture, human consumption, industry, etc.)
No surface water bodies located within nearby 100 m radius.
B. Ambient air quality levels (standard parameters including noise)
National Ambient Air Quality Standards (μg/m3) as per MoEF Declaration under Schedule-VII, Rule- 3(3B).
Sl. No.
Pollutant Time Weighted Average
Concentration in Ambient Air Industrial, residential, Rural and Other Area
Ecologically Sensitive
Area
Methods of Measurement
1 Sulphur Dioxide (SO2), µg/m3
Annual * 24 hours
**
50 80
20 80
- Improved West and Gaeke
- Ultraviolet fluorescence
2 Nitrogen Dioxide (NO2), µg/m3
Annual * 24 hours
**
40 80
30 80
- Modified Jacob & Hochheiser (Na-Arsenite)
3 Particulate Matter (size < 10µm or PM10) µg/m3
Annual *
24 hours **
60
100
60
100
- Gravimetric - TOEM - Beta attenuation
4 Particulate Matter (size < 2.5µm) or PM2.5 µg/m3
Annual *
24 hours **
40
60
40
60
- Gravimetric - TOEM - Beta attenuation
5 Ozone (O3) µg/m3
8 hours **
1 hour **
100 180
100 180
- UV photometric - Chemilminescence - Chemical Method
6 Lead (Pb) µg/m3
Annual * 24 hours
**
0.50 1.0
0.50 1.0
- AAS/ICP method after sampling on EPM 2000 or equivalent filter paper
- ED-XRF using Teflon filter
7 Carbon Monoxide (CO) µg/m3
8 hours **
1 hour **
02 04
02 04
- Non dispersive Infra Red
- (NDIR) spectroscopy
8 Ammonia (NH3) µg/m3
Annual * 24 hours
**
100 400
100 400
- Chemiluminescence - Indophenol blue
method 9 Benzene (C6H6)
µg/m3 Annual * 05 05 - Gas
chromatography based continuous analyzer
- Adsorption followed by GC analysis
10 Benzo(a)Pyrene Annual * 01 01 Solvent extraction
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(BaP) – particulate phase only, µg/m3
followed by HPLC/GC analysis
11 Arsenic (As), µg/m3
Annual * 06 06 AAS/ICP method after sampling on EMP 2000 or equivalent filter paper
12 Nickel (Ni), µg/m3
Annual * 20 20 AAS/ICP method after sampling on EMP 2000 or equivalent filter paper
* Site taken twice a week 24 hourly at uniform intervals. ** 24 hourly or 08 hourly or 01 hourly mentioned values, as applicable, shall be
complied with 98 % of the time in a year, 2 % of the time; they may exceed the limits but not on two consecutive days of monitoring.
AMBIENT NOISE STANDARDS
Area Code Area Category Limit in dB(A) Leq Day time Night time A Industrial Area 75 70 B Commercial Area 65 55 C Residential Area 55 45 D Silence Zone 50 40
Source: CPCB Note 1: Daytime is reckoned in between 6 a.m. and 9 p.m.
Note 2: Night time is reckoned in between 9 p.m. and 6 a.m.
Note 3: Silence zone is defined as areas up to 100 metres around such premises as hospitals, educational institutions, and courts. The silence zones are declared by a competent authority.
Note 4: Mixed categories of areas should be declared as ‘one of the four above mentioned categories by the competent authority and the corresponding standards shall apply.
C. Minerals: type, location, quantum (estimated)
Not applicable
D. Energy: consumption pattern for hydrocarbons, gas, electricity and any other non-conventional energy source
Not applicable
Details of new construction Plot coverage, height, FSI (permissible/proposed) Building materials for construction (may cover the quantities, source, processes involved, special attributes such as life cycle costs, efforts towards greening the supply chain:
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Plot area- 20235.00 sqm.
Maximum height of building- 27.80 m.
Details of public utilities required for the project during:
(May be indicated separately for construction & operation phases
I. Water supply:
a. Source of water supply and quantities to be drawn.
Ground water/Municipal Supply Water: 277 KLD (Existing + Expansion))
b. Type of treatment, if any.
Yes, Filtration
c. Continuous/Intermittent supply
Continuous
d. Storage capacity in Kiloliters
Fire Tank = 200 KL
Raw Water Tank = 350 KL
II. Sewage, Collection, Treatment & Disposal
a. Mode of collection of domestic effluent
o Surface drains
o Underground
o System and capacity
Surface drains & pipeline
b. Mode of treatment
Septic tank and filters (capacity)
- Biological treatment capacity & other details
STP (Details enclosed in EMP Report)
c. Mode of disposal
- Soak pits / Disposal to local sewer / water bodies (specify) Use for cultivation
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It will be reused and excess water will be discharge to nearby drainage system.
E. Solid Wastes:
- Estimated quantity of each types of solid waste:
- Mode of collection and disposal:
- Recycling to be instituted, if any:
Domestic waste : 394 kg/day
Biomedical Waste : 250 kg/day
Collected from the garbage bin, waste will be given to assigned agency for final disposal.
F. Power System:
- Sources of power and supply capacity
- Distribution System
- Alternate supply for essential services
- DG Set: Type of fuel used and capacity
Source : CESU
11 KV of CESU
3 nos. of DG sets of 1250 KVA
Impact of the new development on the surrounding areas
1. Traffic management at peak hours
There will be some increase in road traffic during construction phase due to transport of construction materials to the project site. During operation phase also there will be little increase in road traffic, however it will not posses any significant impact on existing traffic.
2. Buffer zone planned, if so, details
The 10 km buffer zone of the project side encompasses various urban landuse activities like hospital, schools, community facilities.
3. Activities likely to come up in the surrounding areas from the project during construction & operation phases
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Adequate sewage treatment plant, greenbelt, solid waste management plan will be adopted adequately which will be precedent for later developments.
State briefly impacts predicted on the quality and quantity of natural resources from the proposed new development:
- Air quality
- Vegetation
- Animal/Aquatic life
- Surface/ Ground Water
Air quality: Since the GLC of pollutants lie within permissible limits of NAAQ standards as per CPCB, so there is no adverse impact on surrounding area due to the project.
Vegetation/Animal –Aquatic life: no adverse effect.
Ground water: it comes under safe category as per ground water assessment.
State briefly impacts predicted on the quality and quantity of manmade features from the proposed new development:
- Transport Linkages:
a. Road
There will be some increase in road traffic during construction
phase due to transport of construction materials to the project
site. During operation phase also there will be little increase in
road traffic.
b. Rail
Nearest Railway station Bhubaneswar railway station at a distance
of about 4.5 km.
c. Water
Treated Effluent that is within prescribed standard will be reused
for different purposes and rest will be disposed off to the drain.
d. Air
During construction phase, fugitive dust emission will take place.
However adequate mitigation measures will be taken to suppress
it.
e. Others
- Heritage areas/ecologically sensitive areas
17
There are no ecologically sensitive areas present nearer to the
site.
Landscaping /Tree Plantation
20 % of the total plot area
Any other relevant information of environmental significance-such as disabled-friendly design, fly ash utilization, Greening of supply chain, heat islands/inversions/venturi effects, Timber-free construction, Green rating, energy efficiency for lighting & ventilation, Intelligent building, life cycle costs, measurable design impacts on human health, indoor environment related to occupational health etc.
There will be use of Fly ash bricks.
Solar Street light, Solar Water heating will be provided.
Conservation of energy can be done by Passive and Active
Measures.
Energy efficient electrical appliances will be used.