“Sri Balaji Action Medical...
Transcript of “Sri Balaji Action Medical...
Application for Environmental Clearance
Of
“Sri Balaji Action Medical Institute”
At
Facility Centre No. 34,
Paschim Puri, New Delhi.
Being Developed By: -
Lala Munni Lal Mange Ram Charitable Trust
Prepared by:
Environmental Consultant
M/s Perfact Enviro Solutions Pvt. Ltd.
(NABET Registered vide list of accredited consultants organizations/ Rev 72 / 17thDecember, 2018 at S. No-117)
502-507, NN Mall, Sector-3, Rohini, New-Delhi-85
Phone: 011-49281360
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TABLE OF CONTENTS
ENCLOSURE 1. FORM-I & IA ......................................................................................................................... 4
ENCLOSURE 2. CONCEPTUAL PLAN ........................................................................................................ 40
2.1 INTRODUCTION .............................................................................................................................................. 41
2.2 ACTIVITIES/ AMENITIES ................................................................................................................................ 41
2.3 SITE LOCATION ............................................................................................................................................. 41
2.4 TYPE OF PROJECT .......................................................................................................................................... 41
2.5 PROJECT DETAILS ......................................................................................................................................... 42
2.6 POPULATION DETAILS ................................................................................................................................... 44
2.7 WATER MANAGEMENT ................................................................................................................................. 44
2.8 RAIN WATER HARVESTING DETAILS ............................................................................................................. 44
2.9 POWER REQUIREMENT& BACK-UP ................................................................................................................ 44
2.10 SOLID & HAZARDOUS WASTE MANAGEMENT .............................................................................................. 45
2.11 PARKING MANAGEMENT ............................................................................................................................... 45
2.12 GREEN AREA DEVELOPMENT ........................................................................................................................ 45
ENCLOSURE 3. ENVIRONMENT REPORT ................................................................................................. 46
3.1 INTRODUCTION OF THE PROJECT / BACKGROUND INFORMATION ............................................. 48
3.2 PROJECT DESCRIPTION........................................................................................................................... 48
3.2.1 ACTIVITIES: ................................................................................................................................................... 48
3.2.2 DESCRIPTION & DETAILS OF PROJECT: .......................................................................................................... 49
3.2.3 POPULATION DETAILS: .................................................................................................................................. 51
3.2.4 LAND USE AND OWNERSHIP OF THE SITE LAND ............................................................................................. 51
3.2.5 LOCATION OF THE PROJECT WITH CONNECTIVITY .......................................................................................... 52
3.2.5.1 GEOGRAPHICAL INFORMATION OF SITE .................................................................................................... 52
3.2.5.2 MAP ON GOOGLE & CONNECTIVITY ......................................................................................................... 52
3.2.5.3 TOPOGRAPHICAL MAP .............................................................................................................................. 53
3.2.5.4 LAYOUT PLAN ........................................................................................................................................... 54
3.2.5.5 SITE PHOTOGRAPHS .................................................................................................................................. 55
3.3 RESOURCES ................................................................................................................................................... 55
3.3.1 WATER RESOURCE MANAGEMENT ............................................................................................................... 55
3.3.1.1 PRESENT QUALITY .................................................................................................................................... 55
3.3.1.2 WATER REQUIREMENT .............................................................................................................................. 55
3.3.1.3 SOURCE OF WATER ................................................................................................................................... 58
3.3.1.4 DISPOSAL .................................................................................................................................................. 58
3.3.2 ENERGY RESOURCE MANAGEMENT .............................................................................................................. 58
3.3.2.1 DURING CONSTRUCTION ........................................................................................................................... 58
3.3.2.2 DURING OPERATION ................................................................................................................................. 58
3.3.2.3 CONSERVATION ........................................................................................................................................ 58
3.3.2.4 AIR QUALITY AT SITE ............................................................................................................................... 58
3.3.2.5 NOISE QUALITY AT SITE ........................................................................................................................... 58
3.4 SITE ANALYSIS ......................................................................................................................................... 59
3.4.1 ENVIRONMENTALLY IMPORTANT AREAS WITH DISTANCE FROM PROJECT LOCATION .................................... 59
3.4.2 ANNUAL WIND ROSE DIAGRAM .................................................................................................................... 59
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3.4.3 SOCIAL INFRASTRUCTURE AVAILABLE .......................................................................................................... 60
3.5 ENVIRONMENT MANAGEMENT PLAN ................................................................................................ 61
3.5.1 ENVIRONMENT MANAGEMENT DURING CONSTRUCTION ............................................................ 62
3.5.1.1 AIR ENVIRONMENT ............................................................................................................................. 62
3.5.1.2 WATER MANAGEMENT ...................................................................................................................... 62
3.5.1.3 NOISE ENVIRONMENT ........................................................................................................................ 63
3.5.1.4 SOLID WASTE MANAGEMENT .......................................................................................................... 63
3.5.2 ENVIRONMENT MANAGEMENT DURING OPERATION .................................................................... 63
3.5.2.1 AIR ENVIRONMENT ............................................................................................................................. 63
3.5.2.2 WATER MANAGEMENT ...................................................................................................................... 64
3.5.2.2.1 WASTEWATER TREATMENT ......................................................................................................... 64
3.5.2.2.2 SCHEME OF EFFLUENT TREATMENT PLANT............................................................................. 67
3.5.2.2.3 RAIN WATER HARVESTING ................................................................................................................... 68
3.5.2.2.3.1 RAIN WATER HARVESTING CALCULATION: ...................................................................................... 69
3.5.2.3 NOISE ENVIRONMENT: - ..................................................................................................................... 71
3.5.2.3.1 NOISE POLLUTION CONTROL SYSTEM .................................................................................................. 71
3.5.2.3.2 ACOUSTIC ENCLOSURE / TREATMENT ................................................................................................... 72
3.5.2.3.3 ENERGY CONSERVATION MEASURES .................................................................................................... 72
3.5.2.4 PARKING MANAGEMENT: ................................................................................................................. 72
3.5.2.5 WASTE MANAGEMENT .............................................................................................................................. 73
3.5.2.5.1 MUNICIPAL SOLID WASTE .................................................................................................................... 73
3.5.2.5.2 HAZARDOUS WASTE MANAGEMENT ...................................................................................................... 74
3.5.2.6 PLANTATION ......................................................................................................................................... 75
3.6 ANTICIPATED IMPACTS & MITIGATION MEASURES: ...................................................................... 76
3.6.1 DURING CONSTRUCTION PHASE: .................................................................................................................... 76
3.6.2 DURING OPERATION PHASE: .......................................................................................................................... 77
3.7 ENVIRONMENTAL MONITORING PLAN: ............................................................................................. 78
ENCLOSURE 4. RISK ASSESSMENT ............................................................................................................ 80
4.1 RISK ASSESSMENT ................................................................................................................................... 81
4.2 DISASTER MANAGEMENT PLAN .......................................................................................................... 81
4.3 SAFETY MEASURES: ................................................................................................................................ 82
ENCLOSURE 5 – DISCLOSURE OF CONSULTANT .................................................................................... 89
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ENCLOSURE 1. FORM-I & IA
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APPENDIX I
(See paragraph – 8.9)
FORM 1
I. Basic Information
II.
S.No. Item Details
1. Name of the project/s “Sri Balaji Action Medical Institute”
2. S. No. in the schedule 8(a)
3. Proposed capacity/ area/length/
tonnage to be handled/ command
area/ lease area/ number of wells to
be drilled
Total Plot area: 23400 m2 (2.34 ha.)
Total Built up area: 83454.810 m2
4. New/ Expansion/ Modernization New
Since, the hospital complex was constructed before EIA
Notification, 2006. Environmental Clearance was not
applicable for the earlier part.
Now to increase the capacity of handling of patients and
increase in beds, a new tower is proposed hence built
up area is increased.
Hence, we are applying for Expansion of Hospital
Complex.
5. Existing Capacity/ Area etc. Existing Plot area: 23400 m2
Existing Built-up area: 23272.17 m2
6. Category of Project i.e. ‘A’ or ‘B’ 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 Facility Centre 34
Plot/ Survey/ Khasra No. -
Village Paschim Puri
Tehsil West Delhi
District West Delhi
State Delhi
10. Nearest railway station/ airport
along with distance in kms.
Railway Station: Shakurbasti Railway Station 1.00
km NE
Airport: Indira Gandhi International Airport 11.88
km SSE
11. Nearest Town, city, District
Headquarters along with distance in
kms.
Project is in Delhi Itself.
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12. Village Panchayats, Zilla Parishad,
Municipal Corporation, Local body
(complete postal addresses with
telephone nos. to be given)
Municipal Corporation of Delhi
13. Name of the applicant Raj Kumar Gupta
14. Registered Address Lala Munni Lal Mange Ram Charitable Trust,
15/17, East Punjabi Bagh, New Delhi-110026
15. Address for correspondence:
Name Lala Munni Lal Mange Ram Charitable Trust
Designation (Owner/Partner/CEO) Trustee
Address Lala Munni Lal Mange Ram Charitable Trust,
15/17, East Punjabi Bagh, New Delhi
Pin Code 110026
E-mail [email protected]
Telephone No. 011-45666666; 9811052607
Fax no. -
16. Details of Alternative Sites
examined, if any. Location of these
sites should be shown on a Topo
sheet.
Since, it is an expansion of existing complex. Hence no
alternative has been examined. Expansion will be done
within the same complex.
17. Interlinked Projects No
18. Whether separate application of
interlinked project has been
submitted?
Not Applicable
19. If yes, date of submission Not Applicable
20. If no, reason Not applicable
21. Whether the proposal involves
approval/clearance under: if yes,
details of the same and their status
to be given.
(a) The Forest (Conservation) Act,
1980?
(b) The Wildlife (Protection) Act,
1972?
(c) The C.R.Z. Notification, 1991?
Not Applicable
Not Applicable
Not Applicable
22. Whether there is any Government
Order/ Policy relevant/ relating to
the site?
Not Applicable
23. Forest land involved (hectares) No forest land is involved.
24. Whether there is any litigation
pending against the project and/ or
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land in which the project is propose
to be set up?
(a) Name of the Court
(b) Case No.
(c) Orders/ directions of the
Court, if any and its
relevance with the proposed
project.
Not Applicable
III. Activity
1. Construction, operation or decommissioning of the Project involving actions, which will
cause physical changes in the locality (topography, land use, changes in water bodies, etc.)
S. No Information/Checklist
confirmation
Yes/
No
Details thereof (with approximate quantities
/rates, wherever possible) with source of
information data
1.1 Permanent or temporary
change in land use, land cover
or topography including
increase in intensity of land
use (with respect to local
land use plan)
No The hospital is an operational building hence the
existing land use of the project land is an existing
hospital complex. The expansion will be done within
the same complex. Hence there will be no further
change in land use.
1.2 Clearance of existing land,
vegetation and buildings?
No The hospital is an operational complex with a green
area of 5287.61 m2 which will be maintained after
expansion as well. Hence no clearance of existing
land, vegetation will be done.
1.3 Creation of new land uses? No The complex is operational and the existing land use
conforms to the master plan of the area. Hence no
creation of new land use.
1.4 Pre-construction
investigations e.g. bore
houses, soil testing?
Yes Pre-construction Geo-technical investigation has
been done.
1.5 Construction works? Yes Construction will be done as per Building bye laws
1.6 Demolition works? Yes Small portion of the hospital area (portions in Block-
I, Block-II, Block-IIA, and Block-III from Ground &
4th floor) i.e. total of 1209.39 m2 shall be demolished.
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1.7 Temporary sites used for
construction works or housing
of construction workers?
No Workers during construction phase shall be hired
from nearby areas and hence no housing provisions
will be provided. Only temporary shelters will be
provided.
1.8 Above ground buildings,
structures or earthworks
including linear structures, cut
and fill or excavations
Yes Existing Building- Maximum Construction above
ground level is G+4 and there is 1 level of basement.
Proposed Building (under Expansion)- Maximum
construction above ground level will be up to G+9 &
Excavation for foundation and 3 levels of basement.
1.9 Underground works including
mining or tunnelling?
No Not applicable
1.10 Reclamation works? No Not applicable
1.11 Dredging? No Not applicable
1.12 Offshore structures? No Not applicable
1.13 Production and manufacturing
processes?
No No production or manufacturing will be done as the
proposed land will be used for Hospital and for
development of hospital related infrastructures.
1.14 Facilities for storage of goods
or materials?
Yes During Construction Phase:
Separate raw material yard will be made within
the project site.
Cement will be separately stored under cover in
bales.
Sand will be stacked nearby under tarpaulin
cover.
Bricks and steel will be laid in open.
During Operation Phase:
As the project is a Hospital Complex, hence, the
material will be chemicals, medicines, other
biomedical materials, radioactive material etc. which
will be stored in respective labs or storage rooms.
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1.15 Facilities for treatment or
disposal of solid waste or
liquid effluents?
Yes During Construction phase:
Total 150 labours shall work during the construction
phase and hence the solid waste generation shall be
8.395 tons/annum which shall be disposed off at
municipal solid waste site.
Construction debris like Concrete will be reused for
backfilling & waterproofing for terrace, toilets etc.
Tiles will be used in creating pathways in the
landscape area, & rest will be sent to the construction
& demolition facility.
Total 6 KLD waste water shall be generated which
will be discharged to septic tank which shall be
cleaned regularly.
During operation phase:
Waste Existing
(tons/annum)
After
Expansion
(tons/annum)
Biodegradable 68.3 213.5
Non-
Biodegradable
22.8 42.7
Recyclable 22.8 42.7
Total 113.9 213.5
Biomedical 18..3 68.4
For the liquid effluent, STP of capacity 600 KLD
(common for both the complexes i.e. Action Cancer
Hospital and Sri Balaji Action Medical Institute;
since they are located adjacent to each other|) has
already been installed.
For Laboratory wastewater, ETP of 3 KLD shall be
installed within the complex.
Details of STP & ETP are given in Environment
Report.
1.16 Facilities for long term
housing of operational
workers?
No During Construction phase:
Total no. of 150 labours during construction phase
will be hired from nearby areas and hence no need of
housing. Only temporary shelters shall be provided.
During Operation Phase:
As the proposed project is Hospital hence staff will
only be needed in the hospital. Other staff like
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maintenance staff will be from the nearby areas.
Separate housing will not be provided.
Details Existing After
Expansion
Staff &
Employees
780 1500
1.17 New road, rail or sea traffic
during construction or
operation?
No No new road, rail or sea traffic is proposed. Existing
transportation facilities will be used during
construction or operation phase.
1.18 New road, rail, air waterborne
or other transport
infrastructure including new
or altered routes and stations,
ports, airports etc?
No No new road, rail, or sea traffic is proposed.
Existing transport facilities near site are given as:
Railway Station:
Shakurbasti Railway Station, 1.00 km (NE)
Airport:
Indira Gandhi International Airport, 11.88 km
(SSE)
Highway:
NH-10, 0.30 km (N)
1.19 Closure or diversion of
existing transport routes or
infrastructure leading to
changes in traffic movements?
No No such closure or diversion of existing transport is
required.
1.20 New or diverted transmission
lines or pipelines? No
No new or diversion of transmission lines or
pipelines would be done.
1.21 Impoundment, damming,
culverting, realignment or
other changes to the
hydrology of watercourses or
aquifers?
No No impoundment, damming, culverting, realignment
or other changes to the hydrology of surface
watercourse is required.
1.22 Stream crossings? No No stream crosses the project site.
1.23 Abstraction or transfers of
water from ground or surface
waters?
No No abstraction of ground water is required.
However, there is one bore well present nearby the
site but there shall be no extraction of ground water.
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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 During Construction phase:
Materials during construction phase will be
transported by truck, trolley etc. Parking of trucks
will be provided in case of emergency.
During Operation Phase:
Ambulances, Cars, two – wheeler etc. will be used
during operation phase.
1.26 Long-term dismantling or
decommissioning or
restoration works?
No Not Applicable
1.27 Ongoing activity during
decommissioning which
could have an impact on the
environment?
No Not Applicable
1.28 Influx of people to an area in
either temporarily or
permanently?
Yes During Construction phase
Temporary influx of people in the form of labours
will be there. Approx. 150 no. of local labours shall
be employed.
During operation phase
Influx of people will be as follows:
Type Existing After
Expansion
Patients 250 500
Patients (OPD) 150 200
Working Staff &
employee
780 1500
Visitors 400 700
Total Population 1580 2900
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1.29 Introduction of alien species? No As on date, there is no history of alien species at the
proposed site.
1.30 Loss of native species or
genetic diversity?
No There will be no loss in native species or genetic
diversity at site.
1.31 Any other actions? No Not Applicable
2. Use of Natural resources for construction or operation of the Project (such as land, water,
materials or energy, especially any resources which are non-renewable or in short supply):
S.No. Information/checklist
confirmation
Yes/
No
Details thereof (with approximate quantities /rates,
wherever possible) with source of information data
2.1 Land especially
undeveloped or
agricultural land (ha)
No The land is already a developed land with a hospital
complex which will be further developed and expanded.
2.2 Water (expected source
& competing users)
unit: KLD
Yes Source & Quantity During Construction phase:
Water during construction phase will be taken from tanker
water supplier which supply treated water from STP of
nearby area/STP.
Source & Quantity During Operation Phase:
Particulars Existing
(in KLD)
Proposed
(in KLD)
Total after
Expansion
(in KLD)
Source Delhi Jal Board and Tanker supply
Total Water
Requirement
266 184 450
Fresh Water
Requirement
133 62 195
Waste Water
Discharge
148 134 282
Laboratory
Waste Water
Discharge
01 0 01
Treated
Water Reuse
133 122 255
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STP
Capacity
600 KLD
(common
for both
Action
Cancer
Hospital
and Sri
Balaji
Action
Medical
Institute)
- 600 KLD
(common for
both Action
Cancer
Hospital and
Sri Balaji
Action
Medical
Institute)
ETP
Capacity
- 03 03
Detailed Water Management & Water Balance are given
in Environment Report.
2.3 Minerals (MT) No Not Applicable
2.4 Construction material –
stone, aggregates, sand /
soil (expected source –
MT)
Yes Building materials will be sourced from indigenous
supply. The major materials required for construction of
the project will be steel, tiles, glass, cement, agate, bricks,
flooring tiles/stones, sanitary and hardware items,
electrical fittings etc.
2.5 Forests and timber
(source – MT) Yes
Wood for Doors shutters/ furniture, windows will be used
as per the requirement.
2.6 Energy including
electricity and fuels
(source, competing
users) Unit: fuel (MT),
energy (MW)
Yes Source of power supply - BSES
Power requirement: 1639 KW
DG Sets: 3×750 kVA (2-working and 1-standby)
Fuel: Low Sulphur Diesel
2.7 Any other natural
resources (use
appropriate standard
units)
No Not Applicable
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3. Use, storage, transport, handling or production of substances or materials, which could be
harmful to human health or the environment or raise concerns about actual or perceived
risks to human health.
S.No. Information/Checklist
confirmation
Yes/
No
Details there of (with approximate quantities/rates,
wherever possible) with source of information data
3.1 Use of substances or materials,
which are hazardous (as per
MSIHC rules) to human health
or the environment (flora,
fauna, and water supplies)
Yes As the proposed project involves Hospital, chemicals
shall be used.
Radioactive material shall be stored in the oncology
department.
Proper management of chemical waste and radioactive
waste will be done.
3.2 Changes in occurrence of
disease or affect disease vectors
(e.g. insect or water borne
diseases)
No Since the project involves hospital, there would be
generation of bio-medical wastes which could lead to
infections.
Suitable drainage and waste management measures
including bio-medical waste will be adopted during
operational phase. There will be no stagnation of water
or accumulation of water outside or within the
complex.
3.3 Affect the welfare of people
e.g. by changing living
conditions?
No During Construction phase:
Employment opportunities will be provided due to the
project which shall lead to better quality of life & also
set a standard for future developments in the area.
Moreover, this project shall provide employment to
about 150 no. of local labours during construction
phase.
During Operation Phase:
There would be increase in employment opportunities
after the development of hospital & hospital related
infrastructures as nurses, doctors & staff and other
consultants will be required.
Type Existing Proposed Total
after
expansion
Working
Staff &
employee
780 720 1500
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The hospital will have a positive impact as it will be
used for treatment of patients. No adverse changes in
living conditions are anticipated as land is earmarked /
planned for Hospital use.
3.4 Vulnerable groups of people
who could be affected by the
project e.g. hospital patients,
children, the elderly etc.,
No No, vulnerable group of people are seen near the
project site.
3.5 Any other causes Yes There is generation of Bio-medical waste, which is
being given to the approved CBWTF for treatment &
disposal.
The same shall be followed for expansion part also.
4. Production of solid wastes during construction or operation or decommissioning
(MT/month)
S.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 construction
Domestic waste– 8.395 tons/annum shall be generated from 150 no.
of labours.
During operation
Type Existing
(tons/annum)
Proposed
(tons/annum)
Total after
expansion
(tons/annum)
Biodegradable
waste
68.3 59.8 128.1
Non-
Biodegradable
waste
22.8 19.9 42.7
Plastic Waste 22.8 19.9 42.7
Total Solid
Waste
113.9 99.6 213.5
Biomedical
Waste
18.3 50.1 68.4
Detailed Solid Waste Description is given in Environment Report.
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4.3 Hazardous wastes (as
per Hazardous Waste
Management Rules)
Yes Production of hazardous wastes in form of radioactive wastes and
chemical waste shall be there.
4.4 Other industrial process
wastes
No Not applicable
4.5 Surplus product No Not applicable
4.6 Sewage sludge or other
sludge from effluent
treatment
Yes About 3.20 tons/annum dried sludge is being generated from existing
STP of capacity 600 KLD (common for both Action Cancer Hospital
& Sri Balaji Action Medical Institute) this sludge is being passed
through filter press where it is being dewatered/ dried & form a cake
and then it is used as manure in green areas and excess is being given
to farmers/ nurseries.
The same measures shall be followed for dried sludge generation of
quantity 7.35 tons/annum in expansion.
4.7 Construction or
demolition wastes
Yes Due to construction activity, construction and demolition waste shall
be generated. For the development of foundation and basement,
32673.52 m3 soil shall be excavated.
4.8 Redundant machinery
or equipment
No Not applicable
4.9 Contaminated soils or
other materials No
Not applicable
4.10 Agricultural wastes No
Not applicable
4.11 Other solid wastes Yes None
5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr)
S.
No
Information/Checklist
confirmation
Yes/
No
Details thereof (with approximate quantities/rates,
wherever possible) with source of information data
5.1 Emissions from
combustion of fossil fuels
from stationary or mobile
sources.
Yes During Construction phase:
DG sets of capacities 62.5 kVA shall be installed
acoustically enclosed with adequate stack height.
During Operation Phase:
The only source of emission from combustion of fossil fuels
will be DG sets of 750 KVA x 3 (2 working and one
standby) Hence, to avoid the emissions, stack height of 6 m
above roof level for the DG set shall be provided. The DG
set shall meet all the norms prescribed by CPCB.
5.2 Emissions from
production processes
No Not Applicable
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5.3 Emissions from materials
handling including
storage or transport Yes
Dust shall be generated during construction from the
movement of transport vehicles and other construction
activities. The effect will be restricted to construction phase
only.
Water sprinklers shall be used for dust suppression.
Material will be stored under tarpaulin cover.
5.4 Emissions from
construction activities
including plant and
equipment
Yes RMC shall be used. Dust & emissions shall be generated
during construction activities which shall be reduced by
sprinkling of water in a specific time interval & timely
maintenance schedule for machinery. Also, the machines
shall be kept shut down during idle period.
5.5 Dust or odours from
handling of materials
including construction
materials, sewage and
waste
Yes During Construction phase:
During loading and unloading of construction material dust
is likely to be generated during construction phase. Water
shall be sprinkled and tarpaulin cover shall be provided over
stored raw material to reduce dust emission.
Mobile toilets during construction phase shall be provided
and waste water shall be disposed off in septic tank
followed by soak pits.
During Operation Phase:
Total waste water of 282 KLD after expansion shall be
treated in STP of 600 KLD and lab waste of 1 KLD shall be
treated in ETP of 3 KLD.
Biomedical waste of 68.4 tons/annum shall be segregated
and disposed off in colour coded bins in accordance with
the guidelines of Biomedical Waste (Management &
Handling) Rules, 2016 and shall be handed over to the M/s
SMS Water Grace BMW Pvt Ltd. Agreement for the same
has been made and enclosed as Enclosure – 8.
Biodegradable Waste/Organic waste of amount 128.1
tons/annum shall be treated in Organic Waste Convertor
and 42.7 tons/annum of non-biodegradable and 42.7
tons/annum recyclable waste shall be given to approved
recycler.
5.6 Emissions from
incineration of waste.
No Not applicable
5.7 Emissions from burning
of waste in open air (e.g.
slash materials,
construction debris).
No Not applicable
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5.8 Emissions from any other
sources.
No None
6. Generation of Noise and Vibration, and Emissions of Light and Heat:
S.No. Information/Checklist
confirmation Yes/
No
Details thereof (with approximate quantities/rates,
wherever possible) with source of information data
with source of information data
6.1 From operation of equipment
e.g. engines, ventilation
plant, crushers.
Yes During Construction phase:
Due to operation of machinery and equipment during
construction of proposed expansion
During construction, the equipment such as mixer
machines, bulldozers, cranes, compactors will be used
which is of highest standard and adhered to international
standards. These standards itself will take care of noise
pollution control/ vibration control and air emission
control. Hence an insignificant impact due to
construction machinery will be envisaged.
Apart from this, the construction activities will be
restricted to daytime only.
During Operation phase:
Source of noise in the operational phase will be DG sets
of capacities 3×750 kVA (2-working and 1-standby) (for
power backup only).
6.2 From industrial or similar
processes
No Not applicable
6.3 From construction or
demolition
Yes Due to the various activities, there will be short-term
noise impacts in the immediate vicinity of the project site.
This shall be restricted to day time only.
It has been estimated that during the construction period
the average noise level will be 70-75 dB (A) during peak
construction hours.
Barricading of site shall be done in order to reduce noise
impacts outside the project boundary.
6.4 From blasting or piling No Not Applicable
6.5 From construction or
operational traffic
Yes Some amount of noise will be generated from vehicular
movement in construction and operational phase.
Plantation around the boundary wall has been done and
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shall be maintained after expansion also to reduce noise
from traffic.
6.6 From lighting or cooling
systems
No Not Applicable
6.7 From any other sources No None
7. Risks of contamination of land or water from releases of pollutants into the ground or
into sewers, surface waters, groundwater, coastal waters or the sea:
S.No. 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
As the proposed project involves Hospital, chemicals are
used which may be hazardous in nature. The chemicals are
being stored properly within in threshold limit.
The same shall be followed for further expansion also.
7.2 From discharge of sewage
or other effluents to water
or the land (expected mode
and place of discharge)
Yes There will be generation of 282 KLD of waste water after
expansion which will be treated in STP of 600 KLD
(already installed and common for both Action Cancer
Hospital and Sri Balaji Action Medical Institute) based on
MBBR) and lab waste of 1 KLD shall be treated in ETP of
3 KLD. Treated water of 255 KLD from STP shall be
reused for flushing, gardening and DG and HVAC cooling.
0.8 KLD of Excess treated water from lab shall be
discharged to sewer line. No waste water will be directly
discharged outside the complex.
7.3 By deposition of pollutants
emitted to air into the land
or into water
Yes The only source of air emission will be DG sets & vehicular
emissions. The DG sets adhering to CPCB standards will
be installed with adequate stack height. The emission from
DG sets will be dispersed in the air & will not create any
contamination to land or water.
7.4 From any other sources Yes Risk of occurrence of disease from biomedical waste can
be observed.
Biomedical waste generation from existing hospital is 18.3
tons/annum. While after expansion, 68.4 tons/annum shall
be generated from the Hospital complex. The Biomedical
wastes shall be disposed as per Bio medical waste
(management & handling) rules, 2016.
Radioactive waste will be generated from the Oncology
department which shall be disposed off in accordance with
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the Atomic Energy (Safe disposal of radioactive waste)
rules of 1987 promulgated by the Indian Central
Government Atomic Energy Act 1962.
7.5 Is there a risk of long-term
build-up of pollutants in
the environment from these
sources?
No None
8. Risk of accidents during construction or operation of the Project, which could affect human
health or the environment.
S.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 During Construction Phase:
All appropriate measures shall be taken to avoid accidents.
During Operational Phase:
Proper Disaster management and firefighting system will
be installed in the complex.
8.2 From any other causes Yes During Construction Phase
The possible sources of accidents would be mis
happenings due to other sources from the complex can be
electrical shocks, mechanical damages etc.
During Operation Phase:
The possible sources of accidents from the other sources
in the complex would be radiation leaks, mechanical
accidents, chemical/biomedical hazards etc.
8.3 Could the project be
affected by natural disasters
causing environmental
damage (e.g. floods,
earthquakes, landslides,
cloudburst etc)?
Yes The area under study falls in Zone-IV, according to the
Indian Standard Seismic Zoning Map. There may be
possibilities that the project may get affected due to
earthquake, flooding, etc. type of natural disasters.
Suitable seismic coefficients in horizontal and vertical
directions respectively, will be adopted while designing
the structure to provide sufficient strength to the structures
to withstand the earthquakes. However, the area is not
prone to flood and landslide etc.
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9. Factors which should be considered (such as consequential development) which could lead to
environmental effects or the potential for cumulative impacts with other existing or planned
activities in the locality.
S. No. Information/Checklist
confirmation
Yes/No Details there of (with approximate
quantities/rates, wherever possible) with source
of information data
9.1 Lead to development of
supporting facilities, ancillary
development or development
stimulated by the project
which could have impact on
the environment e.g.:
• Supporting infrastructure
(roads, power supply, waste
or waste water treatment,
etc.)
• Housing development
• Extractive industries
• Supply industries
• Other
No
No
No
No
No
No
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Not Applicable
Not Applicable
9.2 Lead to after-use of the site,
which could have an impact
on the environment
No
Proper care shall be taken to avoid any adverse
impact on the environment
9.3 Set a precedent for later
developments
Yes It will attract people to develop organized and
environment friendly complexes.
9.4 Have cumulative effects due
to proximity to other existing
or planned projects with
similar effects
No No impact
IV. Environmental Sensitivity
S.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,
Red Fort (Delhi fort or Lal Qila,
Naubat Khana, Diwan-i-am,
Mumtaz Mahal' Rang Mahal,
Baithak, Maseu Burj, diwan-i-
Khas' Moti Masjid, sawan
12.82 km (SEE)
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landscape, cultural or other
related value
Bhadon, Shah Burj, Hammam
with all surrounding including
the gardens, paths, terraces and
water courses).
2 Areas which are important
or sensitive for ecological
reasons - Wetlands,
watercourses or other
water bodies, coastal zone,
biospheres, mountains,
forests
Water sources or other water
bodies
Bhagwati Lake
Najafgarh Drain
Nangloi Drain
Western Yamuna Canal
Sardar Patel Lake
Bhalswa Lake
Yamuna River
Forests
Pusa Hill Forest
Central Ridge Reserve Forest
Kamla Nehru Ridge
1.05 km (SE)
1.29 km (SE)
3.11 km (SW)
5.22 km (NE)
5.62 km (NW)
8.96 km (NE)
11.79 km (NE)
7.29 km (SE)
8.70 km (SE)
9.46 km (E)
3 Areas used by protected,
important or sensitive
species of flora or fauna for
breeding, nesting,
foraging, resting, over
wintering, migration
Yamuna Biodiversity Park 12.17 km (NE)
4 Inland, coastal, marine or
underground waters
Nil Nil
5 State, National boundaries Delhi- Uttar Pradesh State
Boundary
15.37 km (NE)
6 Routes or facilities used
by the public for access to
recreation or other tourist,
pilgrim areas
Roads
NH-10
Outer Ring Road
NH-1
Railway Station
Shakurbasti Railway Station
Patel Nagar Railway Station
Sarai Rohilla Railway Station
Airport
IGI Airport
0.30 km (N)
1.57 km (W)
7.43 km (NE)
1.00 km (NE)
4.71 km (SE)
7.43 km (E)
11.88 km (SSE)
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7 Defence installations None None
8 Densely populated or
built-up area
Paschim Vihar Area is situated in Paschim
Vihar
9 Areas occupied by
sensitive man-made land
uses (hospitals, schools,
places of worship,
community facilities)
Hospital
Balaji Action Cancer Hospital
B.K Memorial Hospital
Schools
At Mathews Public School
Doon Public School
K.R. Mangalam School
Places of worship
Shri Ganesh Mandir
Gopal Temple
Arya Samaj Mandir
Community Facilities
Post Office- BG-6
Sundar Vihar Post Office
0.08 km (E)
0.25 km (SE)
0.31 km (SW)
0.74 km (SW)
1.11 km (NW)
0.20 km (NW)
0.59 km (SW)
0.82 km (SW)
1.15 km (S)
2.28 km (SW)
10 Areas containing
important, high quality or
scarce resources
(Ground water resources,
surface resources, forestry,
agriculture, fisheries,
tourism, minerals)
Ancient Mosque (Babur’s
Period) together with adjacent
area comprised in part of Survey
plot No. 177
Red Fort (Delhi fort or Lal Qila,
Naubat Khana, Diwan-i-am,
Mumtaz Mahal' Rang Mahal,
Baithak,Maseu Burj, diwan-i-
Khas' Moti Masjid, sawan
Bhadon ,Shah Burj, Hammam
with all surrounding including
the gardens, paths, terraces and
water courses).
Salimgarh Fort, comprising the
main gate on North, Ancient
structure near the main gate and
the entire fortification wall
9.45 km SW
12.82 km (SEE)
13.00 km E
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Fortification Wall Asad Burj,
Water gate, Delhi Gate, Lahori
Gate, Jahangiri Gate, Chhattra
Bazar, Baoli
Wazir Pur-ki-Gumbad, Munirka
312
Tin Burji Wala Gumbad,
Mommad Pur Village
The list of other nearby ASI
monuments has been attached
separately as Enclosure 12.
13.11 km SE
13.72 km SE
14.05 km SE
11 Areas already subjected to
pollution or
environmental damage.
(Those where existing
legal environmental
standards are exceeded)
Naraina Industrial Area
Wazirpur Industrial Area
Anand Parbat Industrial Area
4.09 km (SE)
5.24 km (NE)
5.91 km (SE)
12 Areas susceptible to
natural hazard which could
cause the project to present
environmental problems
(Earthquakes, subsidence,
landslides, erosion,
flooding or extreme or
adverse climatic
conditions)
Zone-IV Area falls in seismic zone IV
according to seismic zone
map of India. No flooding in
the area according to
previous record
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APPENDIX II
(See paragraph 8.9)
FORM-1 A (only for construction projects listed under item 8 of the Schedule)
CHECK LIST OF ENVIRONMENTAL IMPACTS
(Project proponents are required to provide full information and wherever necessary attach
explanatory notes with the Form and submit along with proposed environmental
management plan & monitoring programme)
1. LAND ENVIRONMENT
(Attach panoramic view of the project site and the vicinity)
1.1 Will the existing land use get
significantly altered from the project
that is not consistent with the
surroundings? (Proposed land use must
conform to the approved Master Plan /
Development Plan of the area. Change
of land use if any and the statutory
approval from the competent authority
be submitted).
Attach Maps of
(i) Site location
(ii) Surrounding features of the
proposed site (within 500 meters)
(iii) The site (indicating levels &
contours) to appropriate scales. If not
available attach only conceptual plans.
The Proposed project site is located at Facility Centre
No. 34, Paschim Puri, New Delhi-110063 and land has
been allotted by Delhi Development Authority vide
deed no. 13525 dated 15.01.1996 to Lala Munni Lal
Mange Ram Charitable Trust for development of
Hospital and hospital related infrastructures.
Since the complex was constructed before EIA
Notification,2006, Environmental Clearance was not
applicable.
Now to increase the capacity of handling of patients
and increase in beds, a new tower is proposed hence
built up area is increased
Since the existing complex is operational, hence, no
land use has been altered.
Yes, the proposed development conforms to the master
plan of the area.
The site location is enclosed in Environment Report.
Location Map enclosed in Environment Report.
Layout plan is enclosed in Environment Report.
1.2 List out all the major project
requirements in terms of the
Land area,
Built up area
Water consumption
Power requirement
Connectivity
Plot Area- 23400 m2
Built-Up Area-83454.810 m2
450 KLD
1639 KW
NH-10- 0.30 km (N)
Shakurbasti Railway Station- 1.00 km (NE)
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Parking needs etc. Parking Required: - 872 ECS
Parking Provided: - 886 ECS
1.3 What are the likely impacts of the
proposed activity on the existing
facilities adjacent to the proposed site?
(Such as open spaces, community
facilities, details of the existing land
use, and disturbance to the local
ecology).
The proposed construction will be done over existing
vacant land within the complex. During construction of
hospital building proper care will be taken to minimize
the dust effects.
Further Construction phase as well as operation Phase
of the project, will generate direct and indirect
employment opportunities for a large section of
society. The employment will have positive impact
thereby increasing the quality of life.
1.4 Will there be any significant land
disturbance resulting in erosion,
subsidence & instability?
(Details of soil type, slope analysis,
vulnerability to subsidence, seismicity
etc may be given).
Soil Type: Silt Loam
Slope Analysis: The project area possesses fairly plain
terrain.
Erosion / Subsidence: Proper greening & paving of
area will not cause any soil erosion problem and
subsidence.
Seismicity: Seismic Zone-IV, for which appropriate
safety measures have been taken.
1.5 Will the proposal involve alteration of
natural drainage systems?
(Give details on a contour map showing
the natural drainage near the proposed
project site)
At the proposed site, sewer line and storm water
drainage connections are available. Thus, the proposed
expansion of Hospital will not cause any alteration of
natural drainage system.
1.6 What are the quantities of earthwork
involved in the construction activity
cutting, filling, reclamation etc.
(Give details of the quantities of
earthwork involved, transport of fill
materials from outside the site etc.)
During construction phase-
About approx. 34700 m3 will be extracted in order to
provide foundation and 3 levels of basement.
This excavated soil/ rock /debris will be properly
stacked within the site under tarpaulin cover and will
be reused for backfilling purpose. The top soil will be
preserved separately and will be used for landscaping
purpose only and the excess excavated soil will be
disposed off to approved Municipal Filling Ground.
C& D waste shall be disposed as per C&D Rules.
Hence, no immediate adverse impacts on the land
environment are envisaged.
1.7 Give details regarding water supply,
waste handling etc during the
construction period.
Water Supply:
During construction stage, water will be sourced
through STP treated water or tanker supply.
Waste Generation / Handling:
Excavated Soil will be reused for backfilling and the
fertile top soil will be reused for horticultural purpose.
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For construction labour, proper sanitary facilities &
wash areas have been constructed and good hygienic
conditions are maintained.
1.8 Will the low-lying areas & wetlands get
altered?
(Provide details of how low lying and
wetlands are getting modified from the
proposed activity).
No low lying and wetland area exist in and around the
project site.
1.9 Whether construction debris & waste
during construction cause health
hazard? (Give quantities of various
types of wastes generated during
construction including the construction
labour and the means of disposal)
Construction debris like Concrete will be reused in
backfilling & for levelling of land/ back filling. Tiles
will be used in creating pathways in the landscape area
etc. Recyclable waste like aluminium, steel, wood
pieces, cement bags, plastic containers, cartons, glass
etc. will be sold to authorized recyclers.
Mobile toilets & drinking water for construction labour
will be provided.
The sewage and waste water generated during
construction phase will be channelized to sewer line of
the area.
2. WATER ENVIRONMENT
2.1 Give the total quantity of water
requirement for the proposed project
with the breakup of requirements for
various uses.
How will the water requirement have
met?
State the sources & quantities and
furnish a water balance statement.
The total quantity of water requirement will be 450
KLD. The break-up details are given in Environment
Report.
Water requirement will be met by Delhi Jal Board
(DJB) & tanker supply.
Water Balance Diagram is given in Environment
Report.
2.2 What is the capacity (dependable flow
or yield) of the proposed source of
water?
Delhi Jal Board (DJB) which is a dependable source of
water & tanker supply are the proposed sources of
supply and same shall be followed after expansion.
2.3 What is the quality of water required, in
case, the supply is not from a municipal
source? (Provide physical, chemical,
biological characteristics with class of
water quality)
The quality of water complying with IS 10500 is
required. In case, if municipal water is not available,
ground water will be taken after permission from
CGWB.
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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)
255 KLD treated water will be reused in flushing,
gardening, DG & HVAC Cooling purposes. Hence
56.6% of total water requirement will be met from
recycled water.
1 KLD waste water shall be generated from laboratory
which will be treated in ETP of capacity 3 KLD. 0.8
KLD of treated water shall be discharged to sewer line.
2.5 Will there be diversion of water from
other users?
(Please assess the impacts of the project
on other existing uses and quantities of
consumption)
There will not be any substantial effect on water
demand of this region as the development will be done
as per the development plan.
2.6 What is the incremental pollution load
from wastewater generated from the
proposed activity?
(Give details of the quantities and
composition of wastewater generated
from the proposed activity)
There is no incremental pollution load from the complex
as no waste water shall be discharged outside the
complex
2.7 Give details of the water requirements
met from water harvesting? Furnish
details of the facilities created.
Total 3 no. of RWH pits have already been installed
within the site for ground water recharge and the same
shall be used after expansion also.
2.8 What would be the impact of the land
use changes occurring due to the
proposed project on the runoff
characteristics (quantitative as well as
qualitative) of the area in the post
construction phase on a long-term
basis?
Would it aggravate the problems of
flooding or water logging in any way?
Total 3 no. of RWH pits have already been installed
within the site for ground water recharge.
No, it will not aggravate the problem of flooding or
water logging in any way, rather will reduce the same.
2.9 What are the impacts of the proposal on
the ground water?
(Will there be tapping of ground water;
give the details of ground water table,
recharging capacity, and approvals
obtained from competent authority, if
any).
Ground water extraction is not proposed in the complex.
However, rain water harvesting pits will be provided for
ground water recharge. Ground water extraction, if
required will be done with prior permission from
CGWA.
Thus, there will be no adverse impact on the ground
water.
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2.10 What precautions/measures are taken
to prevent the run-off from
construction activities polluting land &
aquifers?
(Give details of quantities and the
measures taken to avoid the adverse
impacts)
During the construction phase of the proposed
expansion, runoff from the construction site shall not be
allowed into the roadside. It will be collected in a tank
& after pre-treatment it will be reused for sprinkling,
etc.
2.11 How is the storm water from within the
site managed?
(State the provisions made to avoid
flooding of the area, details of the
drainage facilities provided along with
a site layout indication contour levels).
During construction phase
Adequate measures shall be taken to channelize storm
water and the same shall be collected in a tank & after
pre-treatment it will be reused for sprinkling etc.
During operation phase
Storm water, will be channelized to 3 no. of rainwater
harvesting pits installed within the complex.
2.12 Will the deployment of construction
labourers particularly in the peak
period lead to unsanitary conditions
around the project site (Justify with
proper explanation)
6 KLD of waste water will be discharged from labours
employed during construction. Mobile toilets will be
provided for labourers during construction period. The
waste water shall be disposed off to septic tank which
will be cleaned regularly.
2.13 What on-site facilities are provided for
the collection, treatment & safe
disposal of sewage?
(Give details of the quantities of
wastewater generation, treatment
capacities with technology & facilities
for recycling and disposal)
During Construction Phase-
6 KLD Waste water will be discharged during
construction phase from labours. It shall be discharged
into septic tanks which will be cleaned regularly.
During Operation Phase-
In the existing complex, 148 KLD of waste water is
being discharged which is being treated in STP of 600
KLD. After Expansion, total waste water generation
will be 282 KLD which will be treated in STP of 600
KLD (already installed) and from laboratory, waste
water will be treated in ETP of capacity 3 KLD and then
treated water will be discharged to sewer line.
Details of STP & ETP are given in Environment Report.
2.14 Give details of dual plumbing system if
treated waste used is used for flushing
of toilets or any other use.
Dual Plumbing line for using treated water will be
provided in the complex.
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3. VEGETATION
3.1 Is there any threat of the project to the
biodiversity?
(Give a description of the local
ecosystem with its unique features, if
any)
Core Zone: Since the project is already operational,
no threat is envisaged to the biodiversity. Few species
of trees such as bottle palm (Hyophorbe
lagenicaulis), scholar tree (Alstonia scholaris), etc
were observed.
Buffer Zone: The dominant species present are
Babool (Acacia nilotica), Kair (Capparis decidua),
Neem (Azadirachta indica), Gulmohar (Delonix
regia), Dhar (Butea monosperma), Carrot grass
(Parthenium sp.), Amaltas (Cassia tora), Dhatura
(Datura sp.), Arandi (Ricinus communis), Ber
(Zyziphus sp.), Bougainvellia, Peepal (Ficus
religiosa), Sheesham (Dalbergia sissoo), bottle palm
(Hyophorbe lagenicaulis), etc.
3.2 Will the construction involve extensive
clearing or modification of vegetation?
(Provide a detailed account of the trees
& vegetation affected by the project)
It is an expansion of existing and already operational
Hospital Complex.
There will not be any cutting of tress but few shrubs
will be cleared off.
3.3 What are the measures proposed to be
taken to minimize the likely impacts on
important site features?
(Give details of proposal for tree
plantation, landscaping, creation of
water bodies etc along with a layout plan
to an appropriate scale)
The green area of of 5287.61.m2 has already been
maintained to provide a clean, healthy and beautiful
green environment.
4. FAUNA
4.1 Is there likely to be any displacement of
fauna- both terrestrial and aquatic or
creation of barriers for their movement?
Provide the details.
Since the site is already operational, no faunal species
have been observed on the site.
4.2 Any direct or indirect impacts on the
avifauna of the area? Provide details.
During construction, proper measures will be taken so
that there will be minimum impact on avifauna.
During operation: Common native variety of trees and
ornamental flowering species are planted which
attract avifauna & hence it has a direct positive impact
on the local avifauna.
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4.3 Prescribe measures such as corridors,
fish ladders etc to mitigate adverse
impacts on fauna
Not Applicable
5. AIR ENVIRONMENT
5.1 Will the project increase atmospheric
concentration of gases & result in heat
islands?
(Give details of background air quality
levels with predicted values based on
dispersion models taking into account the
increased traffic generation as a result of
the proposed constructions)
The present air quality of the area has been measured.
Ambient air quality report is enclosed as Annexure-8.
The traffic will increase due to proposed expansion of
Hospital. Increased traffic generation of vehicles due
to Hospital will not cause increase in atmospheric
concentration of gases and will not result in the heat
island formation.
Tree plantation in the complex shall minimize the
impact of air pollution.
D.G. sets will be provided with sufficiently high stack
for better dispersion of the flue gases
5.2 What are the impacts on generation of
dust, smoke, odorous fumes or other
hazardous gases? Give details in relation
to all the meteorological parameters.
During construction phase sprinkling will be done so
no dust and odour will be generated at site. The only
source of dust generation at the site during the
operation phase is the traffic movement. However,
regular cleaning of dust from roads shall be taken care
of.
Smoke will be generated from the operation of DG
sets. Proper emission standards will be maintained as
per CPCB guidelines.
5.3 Will the proposal create shortage of
parking space for vehicles? Furnish
details of the present level of transport
infrastructure and measures proposed for
improvement including the traffic
management at the entry & exit to the
project site.
The optimum parking provision is proposed at
Basements, Ground Floor, First Floor, Multi-level Car
Parking Complex and Surface. Hence there will be no
shortage of parking space for vehicles. Total parking
provision of complex is 886 ECS.
5.4 Provide details of the movement patterns
with internal roads, bicycle tracks,
pedestrian pathways, footpaths etc., with
areas under each category.
In the proposed Hospital project, separate drive way
will be provided for private vehicles and Emergency
Ambulances.
5.5 Will there be significant increase in
traffic noise & vibrations? Give details of
To reduce/ avoid traffic following steps will be taken:
1. One-way traffic movement
2. No honking zones
Sri Balaji Action Medical Institute at Facility Centre no. 34, Paschim Puri, New Delhi by M/s Lala Munni Lal Mange Ram Charitable Trust
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the sources and the measures proposed
for mitigation of the above.
3. No vehicle movement in specified areas.
Shelter belt within the complex will further mitigate
the traffic noise.
The foundation will be made very hard and paved with
rubber flooring to minimize the vibration, also all
other measures to reduce vibration will be adopted
during designing of new buildings.
5.6 What will be the impact of DG sets &
other equipment on noise levels &
vibration in & ambient air quality around
the project site? Provide details.
There would be slight impact of D.G. Sets on noise
levels, vibration and in ambient air quality around the
project site.
1. All the D.G. Sets are kept acoustically enclosed.
2. Stack height as per C.P.C.B. norms to reduce the
impacts on air quality around the project site has been
provided and the same shall be maintained after
expansion as well.
3. The noise from D.G. Sets will meet the desired
standard as per C.P.C.B guidelines. Low Sulphur fuel
is being used to run these D.G. Sets and the same shall
be followed after expansion also.
4. Vibration pads in DG sets to minimize the vibration
effect.
6. AESTHETICS
6.1 Will the proposed constructions in any way
result in the obstruction of a view, scenic
amenity or landscapes?
Are these considerations taken into
account by the proponents?
No, the proposed construction in any way will not
result in the obstruction of working of existing part
rather new construction will enhance the facilities for
the treatment of patients.
Yes, all the considerations have been taken into
account
6.2 Will there be any adverse impacts from
new constructions on the existing
structures? What are the considerations
taken into account?
The construction of proposed buildings will be done as
per approved building plan. Hence no adverse impact
is anticipated.
6.3 Whether there are any local considerations
of urban form & urban design influencing
the design criteria? They may be explicitly
spelt out.
Are there any anthropological or
archaeological sites or artefacts nearby?
None
Yes, there is archaeological site situated at a distance
from project site.
Red Fort (Delhi fort or Lal Qila, Naubat Khana,
Diwan-i-am, Mumtaz Mahal' Rang Mahal,
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State if any other significant features in the
vicinity of the proposed site have been
considered.
Baithak,Maseu Burj, diwan-i-Khas' Moti Masjid,
sawan Bhadon ,Shah Burj, Hammam with all
surrounding including the gardens, paths, terraces and
water courses)- 12.82 km (SEE)
None.
7. SOCIO-ECONOMIC ASPECTS
7.1 Will the proposal result in any changes to
the demographic structure of local
population? Provide the details.
As it is a hospital, during the operation of the
project, patients come for treatment and go back
hence there will be no change in the demographic
structure of local population.
7.2 Give details of the existing social
infrastructure around the proposed project.
Social infrastructures exist near the site:
Hospital
Balaji Action Cancer Hospital- 0.08 km (E)
B.K Memorial Hospital- 0.25 km (SE)
Schools
At Mathews Public School - 0.31 km (SW)
Doon Public School-0.74 km (SW)
K.R. Mangalam School - 1.11 km (NW)
Places of worship
Shri Ganesh Mandir- 0.20 km (NW)
Gopal Temple- 0.59 km (SW)
Arya Samaj Mandir- 0.82 km (SW)
Community Facilities
Post Office- BG-6- 1.15 km (S)
Sundar Vihar Post Office- .28 km (SW)
7.3 Will the project cause adverse effects on
local communities, disturbance to sacred
sites or other cultural values? What are the
safeguards proposed?
It is a hospital which itself is a silence zone hence
no disturbance to sacred sites or other cultural
values is anticipated.
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8. BUILDING MATERIALS
8.1 May involve the use of
building materials with
high-embodied energy.
Is the construction
materials produced with
energy efficient
processes?
(Give details of energy
conservation measures in
the selection of building
materials and their energy
efficiency
Choices of materials and construction methods can significantly
change the amount of energy embodied in the structure of a building,
as embodied energy content varies enormously between products and
materials. Building
Material
Energy Efficient
Building material
used along with
other building
material
Energy Embodied
Foundation Concrete,
Pillar,
Beam,
Concrete
Block, Bricks
and Stone
• Use of lightweight
concrete
(aluminium
powder added to
lime produces a
lightweight
cementation
material).
• Ready-mix
concrete or high-
volume fly ash
concrete or
pozzolana material
Blended Portland
cement (BPC)
concrete for
construction will
be used.
• Low
• Low
Wall Bricks &
ACC blocks
Stone
Cladding,
Plaster,
Bricks
• Clay fly ash burnt
bricks
• Fly ash sand lime
bricks
• Precast stone
blocks (waste
stone pieces with
lean cement
concrete,
obliterates
plaster)
• Autoclave
Cellular Concrete
(ACC-a
lightweight,
precast building
material) will be
used.
• Plaster
• Low
• High
• Low
• High
• High
Roof RCC Slab,
Mud Phuska
and Clay
Tile.
• Using roofing
sheets, using
recycled
aluminium.
• Low
Finishing Plaster,
Paints, • Rice husk board
• Jute stalk board
panels
• Low
• Low
• High
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• Cement bonded
composite
paneling
• Products utilizing
industrial waste,
agricultural waste,
such as fibrous
gypsum plaster
boards.
• paint/epoxy resin
paint for external
surfaces.
• Low
• high
Flooring Stone,
Marble • Tiles will be used
• Particle boards
will be used
• Low
• High
Windows and
doors
Wood • Aluminium will
be used
• Medium density
fiber board –
doors and
windows
• Glass
• High
• High
• High
Footpath Concrete, Fly ash block and
construction debris. • Low
Boundary
Wall
Bricks,
Cement,
Sand, POP
Fly ash blocks • Low
Details of Energy Conservation measures given in Environment
Report.
8.2 Transport and handling of
materials during
construction may result in
pollution, noise & public
nuisance.
What measures are taken
to minimize the impacts?
Yes, transportation and handling of material results in pollution, noise
however it is being minimized by covering material by the tarpaulin
and ensuring PUC certificate of vehicles and good condition silencers.
8.3 Are recycled materials
used in roads and
structures?
State the extent of savings
achieved?
The debris of construction material will be also used in backfilling,
roads etc. The rest of the waste shall be sent to C & D facility.
Recyclable waste like aluminium, steel, wood pieces, cement bags,
plastic containers, cartons, glass etc. will be sold to authorized
recyclers.
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8.4 Give details of the
methods of collection,
segregation & disposal of
the garbage generated
during the operation
phases of the project.
The organic waste shall be treated in OWC within the complex,
recyclable waste shall be given to approved recycler and biomedical
waste will be given to M/s SMS Water Grace MBW Pvt Ltd.
Details given in the Environment Report.
9. ENERGY CONSERVATION
9.1 Give details of the power
requirements, source of supply,
backup source etc.
What is the energy consumption
assumed per square foot of built-
up area?
How have you tried to minimize
energy consumption?
Power Requirement: 1639 KW
Source of Power: BSES
Back-up Source:
DG Sets: 3×750 kVA (2-working and 1-standby)
Fuel: Low sulphur Diesel
DG have been bought acoustically enclosed and placed in
acoustically enclosed room
Appropriate energy conservation measures & management
plan have been adopted in order to minimize the
consumptions of non-renewable fuel. Details are given in
Environment Report.
9.2 What type of and capacity of
power back-up do you plan to
provide?
DG Sets: 3×750 kVA (2-working and 1-standby)
Fuel: Low sulphur Diesel
All have been installed to provide power backup during
power failures.
9.3 What are the characteristics of the
glass you plan to use?
Provide specifications of its
characteristics related to both
short wave and long wave
radiation?
Double reflective glass for external facade will be used.
S.
No
BUILDING
MATERIAL
PROPOSED
WITH U & R
VALUES
‘R’ Values
(in Sq m.
Deg C/
Watts)
‘U’
Values
(in
Watts/
Sq m.
Deg C)
1. Glass
(Double
reflective glass)
0.30 3.3
9.4 What passive solar architectural
features will be used in the
building?
Illustrate the applications made in
the proposed project.
Building design and envelope has been optimized through
selection of appropriate wall and roof construction and
through adoption of solar measures.
Yes, the layout of building has been designed to maximize
the potential for use of solar lighting per day devices.
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9.5 Does the layout of streets &
buildings maximize the potential
for solar energy devices?
Have you considered the use of
street lighting, emergency
lighting and solar hot water
systems for use in the building?
Substantiate with details.
Yes, the layout of building has been designed to maximize
the potential for use of solar lighting.
Yes, solar power-based street lights, common area lights and
solar water heaters have been used.
The same shall be followed for expansion also.
9.6 Is shading effectively used to
reduce cooling/heating loads?
What principles have been used
to maximize the shading of Walls
on the East and the West and the
Roof? How much energy saving
has been affected?
Architectural measures have been adopted to provide
shading devices for windows and roof which would
effectively reduce heating up of building envelope. Louvers
and sunshades will be used around windows in order to
protect from direct sunlight.
9.7 Do the structures use energy-
efficient space conditioning,
lighting and mechanical systems?
Provide technical details.
Provide details of the
transformers and motor
efficiencies, lighting intensity and
air-conditioning load
assumptions?
Are you using CFC and HCFC
free chillers? Provide
specifications
Suitable energy optimization will be adopted during the
calculation of energy load of the proposed project. The space
heating load will be minimized by using solar structure and
suitable buildings envelop material.
The details of the transformers and motor efficiencies,
lighting intensity and air-conditioning load assumptions will
be given in the Environment Report.
Uses of incandescent lamp and halogen lamps will be
avoided and energy efficient compact fluorescent lamps &
LED will be used for all common area.
9.8 What are the likely effects of the
building activity in altering the
micro-climates?
Provide a self-assessment on the
likely impacts of the proposed
construction on creation of heat
island & inversion effects?
No significant effect is envisaged on the surrounding
environment of project. Increased traffic generation and use
of D.G. Sets in the project will not cause significant increase
in atmospheric concentration of gases and will not result in
heat island formation.
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9.9 What are the thermal
characteristics of the building
envelope? (a) roof; (b) external
walls; and (c) fenestration?
Give details of the material used
and the U-values or the R values
of the individual components.
Brickwork, plaster, stone work, double insulated glass for
external façade
S. No BUILDING
MATERIAL
PROPOSED
WITH U & R
VALUES
‘R’ Values
(in Sq m.
Deg C/
Watts)
‘U’ Values
(in Watts/
Sq m. Deg
C)
1. Wall
Brick & ACC
Blocks wall (230
mm thick), both
side thick sand
cement plaster
(12-18mm) with
insulation.
2.27 0.44
2. Roof
200 mm RCC
slab with mud
phuska & clay
tiles with 75 mm
insulation.
3.83 0.26
3. Glass
(Double
insulated glass)
0.30 3.3
9.10 What precautions & safety
measures are proposed against
fire hazards? Furnish details of
emergency plans.
Fire storage tank with fire pumps like Hydrant pump, Jockey
Pump, Pressure vessel & Diesel Engine Driven Pump have
already been installed in the plant room.
Fire Hydrant System:
The hydrant ring main from fire pumps header are running
all around the buildings with yard hydrants at suitable
intervals. Wet risers are tapped from ring main and run along
the shaft. Fire hose cabinet is provided on all floors with
accessories.
Sprinkler System:
It is provided on all floor areas except electrical rooms,
server rooms.
Overhead water storage tank at roof is connected to sprinkler
system.
Fire Extinguishers:
Portable type class A, B & C fire extinguishers will be
provided at all fire sensitive places.
The same shall be followed for expansion of the proposed
part of the hospital complex.
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9.11 If you are using glass as wall
material provides details and
specifications including emissive
and thermal characteristics.
All fenestration with U-factors, SHGC, or visible light
transmittance determined, certified, and labelled in
accordance ISO 15099 shall be adopted.
9.12 What is the rate of air infiltration
into the building?
Provide details of how you are
mitigating the effects of
infiltration.
The air inflow and outflow shall be maintained as per norms.
All the window and door will be airtight quality; hence we
don’t foresee any air infiltration. Proper inflow and outflow
of air shall be maintained and proper dilution shall be
provided by using air exhaust to maintain air quality.
9.13 To what extent the non-
conventional energy technologies
are utilized in the overall energy
consumption?
Provide details of the renewable
energy technologies used.
Solar energy will be used. It is proposed to install solar
Heater system.
The details of the renewable technologies used will be given
in the Environment Report.
10. ENVIRONMENT MANAGEMENT PLAN
10.1 The Environment Management Plan
would consist of all mitigation
measures for each item wise activity
to be undertaken during the
construction, operation and the entire
life cycle to minimize adverse
environmental impacts as a result of
the activities of the project. It would
also delineate the environmental
monitoring plan for compliance of
various environmental regulations. It
will state the steps to be taken in case
of emergency such as accidents at the
site including fire.
Detailed Management Plan along with Monitoring
Plan has been given in Environment Report.
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ENCLOSURE 2. CONCEPTUAL PLAN
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2.1 Introduction The proposed project is Expansion of Balaji Action Medical Institute is located at Facility Centre-
34, Paschim Puri, New Delhi. The land has been allotted by Delhi Development Authority vide
deed no. 13525 dated 15.01.1996 to Lala Munni Lal Mange Ram Charitable Trust for development
of Hospital and hospital related infrastructures. Since, the hospital complex was constructed before
2006, Environmental Clearance was not applicable. Now to increase the capacity of handling of
patients and increase in beds, a new tower is proposed hence built up area is increased. Hence, we
are applying for Expansion of the Hospital Complex. The project will be developed by Lala Munni
Lal Mange Ram Charitable Trust.
The total plot area of the project is 23400 m2 and built up area is 83454.810 m2. From the existing
complex, 1209.39 m2 will get demolished and 601872.64 m2 will be proposed which will result in
Total Built-Up Area of 83454.810 m2. 8799.630 m2 will be utilized as Ground Coverage. Total
FAR proposed of the project after expansion will be 49859.790 m2 and total Non-FAR area will be
33595.020 m2. Total Basement Area after expansion will be 16788.210 m2. The total cost of the
project will be Rs. 150 Crores.
Now due to some change in planning the area details has been revised thus we are hereby applying
for expansion. As, the built-up area after change in planning will be 83454.810 m2 which is less
than 1,50,000 m2, hence it falls in Item 8(a), Category’B’ of Schedule of the EIA notification, 2006
and its amendments.
2.2 Activities/ Amenities The proposed project will include the following activities after expansion-:
• IPD (In-Patient Department)
• ICU (Intensive Care Unit)
• OPD (Out-Patient Department)
• Day Care
• Emergency (Casualty)
• Laboratories
• Operation theatres (OT),
• Intensive care units (ICU)
• Medical & para medical support services.
• Multi-level Car Parking (MLCP)
2.3 Site Location
The project site is located at Facility Centre No. 34, Paschim Puri, New Delhi, Delhi-110063. The
location of the site is given in Environment Report.
2.4 Type of Project The project “Expansion of Sri Balaji Action Medical Institute” is proposed to be developed at a plot
area of 23400 m2 and the built-up area of the project will be 83454.810 m2. Since, the hospital
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complex was constructed before 2006, no Environmental Clearance was taken for the existing part.
Now, due to change in planning, there has been change in area details, Hence, we are applying for
Expansion of the Hospital Complex. As, the built-up area after change in planning will be
83454.810 m2 which is less than 1,50,000 m2, hence it falls under Item 8(a), Category’B’ of
Schedule of the EIA notification, 2006 and its amendments.
2.5 Project Details
The total plot area of the project site is 23400 m2 with built-up area of 83454.810 m2. 8799.630 m2
will be utilized as Ground Coverage. Total FAR proposed of the project after expansion will be
49859.790 m2 and total Non-FAR area will be 33595.020 m2. The total no. of basement will be 4
with total basement area of 16788.210 m2. The maximum height of the building will be 39.5 m
Project details are given in Table 1.
Table 1: Project details
PARTICULARS Unit Existing To be
demolished Balance Proposed
Total after
Expansion
Cost of the Project Rs. 150 Cr.
Plot Area m2 23400 - 23400
GROUND COVERAGE
Ground coverage
Permissible (40% of
plot area)
m2
9360.00 - 9360.00
Ground Coverage
Achieved
(for Hospital)
m2
5514.260 212.50 5301.71 3947.92
8799.63
FAR AREA
Permissible FAR (@
250% of plot area)
m2
58500
58500.00
Achieved FAR m2
19806.35 996.840 18809.510 31050.28 49859.79
NON- FAR AREA
Non- FAR Area m2 4462.66 29132.36 33595.02
BASEMENT AREA
Basement -I m2 4059.06 - - 4560.77 8619.83
Basement -2 m2 - - - 4106.63 4106.63
Basement - 3 m2 - - - 4061.75 4061.75
Total m2 4059.06 - - 12729.15 16788.21
MLCP Area m2 - - - 5822.7 5822.70
Built-up Area (FAR
+ Non-FAR+
Basement area)
m2 23272.17
60182.64 83454.81
Total Green Area m2 5287.61 - 5287.61 - 5287.61
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Total Open & Road
Area
m2 9312.76
9312.76
No of Towers No. 2 1 3
Number of
basements
No. 1 3 4
Maximum No. of
Floors
No. 1B+G+4
3B+G+9
MLCP No. -
5 5
Max. height of
building (up to
terrace level)
m 19.1
39.5
SERVICE DETAILS
Particulars Unit Existing Proposed Total After
Expansion
Total No. of Beds No. 250 250 500
Activities - IPD, OPD, Day
Care, Emergency
(casualty),
Laboratories,
Operation theatres
(OT), Intensive
care units (ICU),
Medical & para
medical support
services
Multi-level
Car Parking
(MLCP)
IPD, OPD, Day Care,
Emergency(casualty),
Laboratories,
Operation theatres
(OT), Intensive care
units (ICU), Medical
& para medical
support services &
Multi-level Car
Parking (MLCP)
Total Population No. 1580 1320 2900
Total Power load KW 1239 KW 400 KW 1639 KW
No. of DG sets kVA 3x750 kVA
(2-working and 1-
standby)
- 3x750 kVA
(2-working and 1-
standby)
No. of Rain water
Harvesting pits
No. 3 -
3
Total Parking
Required
ECS 870 2
872
Parking Provision ECS
886 0
886
Total Water
Requirement
KLD
266
184
450
Total Fresh Water
Requirement
KLD
133
62
195
Total Waste
Water Discharge
KLD
148
134
282
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STP Capacity KLD
600 -
600
ETP Capacity KLD
0 03
03
Treated Water
Reuse
KLD
133
122
255
Total Solid Waste
Generation
tons/annum
113.9
99.6
213.5
Total Biomedical
Waste Generation
tons/annum
18.3
50.1
68.4
2.6 Population Details
During Construction Phase- 150 Nos. local labour will be employed for the construction of the
Hospital.
During Operation Phase- The total population of the project has been estimated to be 2900 persons.
The population details are given in Table 2.
Table 2: Estimation of Population
Type Population
Total No. of Patients 500
Out patients (OPD) 200
Staff & Employee 1500
Visitors 700
Total Population of Hospital 2900
2.7 Water Management
Water Requirement
During construction phase- Approx. 12 KLD of water will be required which will be arranged on
temporary basis through the tankers.
During operation phase- Water requirement shall be 450 KLD which will be met through Delhi Jal
Board (DJB) and tanker supply.
2.8 Rain water Harvesting Details
Total 3 nos. of Rainwater Harvesting Collection tanks have already been installed in the complex
to recharge the ground with water runoff.
2.9 Power Requirement& Back-up
During Construction Phase- DG sets of 62.5 kVA will be used for construction works.
During operation Phase- The total power requirement of the complex will be 1639 KW which will
be met by BSES.
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In case of power failure, power backup is being provided through DG sets of 3x750 kVA (2-
working and 1-standby). The DG sets are located in a separate acoustically enclosed DG set room
in the complex and the same shall be followed after expansion.
2.10 Solid & Hazardous Waste Management
During Construction Phase- Excavated soil of amount 32673.52 m3 will be generated due to
excavation of foundation and 3 levels of basement. Total 8.395 tons/annum of solid waste will be
generated from labours.
During Operation Phase- Total 213.5 tons/annum of solid waste will be generated from the
Hospital. Out of which, 128.1 tons/annum of Biodegradable waste shall be treated in Organic Waste
Convertor and converted to manure. 42.7 tons/annum of non-biodegradable waste and 42.7
tons/annum of plastic waste generated with in the complex shall be given to approved vendor.
Biomedical waste of 68.4 tons/annum shall be delivered to approved vendor.
0.192 kL/annum of used oil will be generated. E-waste generation will be 0.024 kL/annum which
is given to Authorised recycler
Details of Solid Waste Management including biomedical waste management is given in
Environment Report.
2.11 Parking Management
During Construction phase- Proper Parking provision for trucks, other construction vehicles shall
be made. Proper spaces for loading & unloading will be defined.
During Operation Phase- Total Parking requirement will be 872 ECS. Total Parking Provision
will be 886 ECS. Details given Environment Report.
2.12 Green Area Development
The Development of Hospital plantation area including big foliage trees and beautiful vegetation,
herbs, shrubs that will be maintained at site. Green Area of 5287.61 m2. m2 has already been done
and the same shall be maintained after expansion as well. However, few of shrubs and plantations
shall be cut down.
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ENCLOSURE 3. ENVIRONMENT REPORT
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ENVIRONMENT REPORT
Of
“Sri Balaji Action Medical Institute”
At
Facility Centre No. 34
Paschim Vihar, New Delhi.
Being Developed By: -
Lala Munni Lal Mange Ram Charitable Trust
Prepared by:
Environmental Consultant
M/s Perfact Enviro Solutions Pvt. Ltd.
(NABET Registered wide list of accredited consultants organizations/ Rev 72 / 17thDecember, 2018 at S. No-117)
502-507, NN Mall, Sector-3, Rohini, New-Delhi-85
Phone: 011-49281360
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3.1 INTRODUCTION OF THE PROJECT / BACKGROUND
INFORMATION
The proposed project is Expansion of Balaji Action Medical Institute is located at Facility Centre-
34, Paschim Puri, New Delhi. The land has been allotted by Delhi Development Authority vide deed
no. 13525 dated 15.01.1996 to Lala Munni Lal Mange Ram Charitable Trust for development of
Hospital and hospital related infrastructures. Since, the hospital complex was constructed before
2006, Environmental Clearance was not applicable. Now to increase the capacity of handling of
patients and increase in beds, a new tower is proposed hence built up area is increased.
Hence, we are applying for Expansion of the Hospital Complex. The project will be developed by
Lala Munni Lal Mange Ram Charitable Trust.
The total plot area of the project is 23400 m2 and built up area is 83454.810 m2. From the existing
complex, 1209.39 m2 will get demolished and 601872.64 m2 will be proposed which will result in
Total Built-Up Area of 83454.810 m2. 8799.630 m2 will be utilized as Ground Coverage. Total
FAR proposed of the project after expansion will be 49859.790 m2 and total Non-FAR area will be
33595.020 m2. Total Basement Area after expansion will be 16788.210 m2.
Now due to some change in planning the area details has been revised thus we are hereby applying
for expansion. As, the built-up area after change in planning will be 83454.810 m2 which is less
than 1,50,000 sqm, hence it falls under Category ‘B’ Schedule 8(a) of the EIA notification, 2006
and its amendments.
3.2 PROJECT DESCRIPTION
3.2.1 Activities:
The proposed project will include the following activities after expansion-:
• IPD (In-Patient Department)
• ICU (Intensive Care Unit)
• OPD (Out-Patient Department)
• Day Care
• Emergency (Casualty)
• Laboratories
• Operation theatres (OT),
• Intensive care units (ICU)
• Medical & para medical support services.
• Multi-level Car Parking (MLCP)
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3.2.2 Description & Details of Project: Project details are given in Table 3.
Table 3: Project Details
PARTICULARS Unit Existing To be
demolished Balance Proposed
Total after
Expansion
Cost of the Project Rs. 150 Cr.
Plot Area m2 23400 - 23400
GROUND COVERAGE
Ground coverage
Permissible (40% of
plot area)
m2
9360.00 - 9360.00
Ground Coverage
Achieved
(for Hospital)
m2
5514.260 212.50 5301.71 3947.92
8799.63
FAR AREA
Permissible FAR (@
250% of plot area)
m2
58500
58500.00
Achieved FAR m2
19806.35 996.840 18809.510 31050.28 49859.79
NON- FAR AREA
Non- FAR Area m2 4462.66 29132.36 33595.02
BASEMENT AREA
Basement -I m2 4059.06 - - 4560.77 8619.83
Basement -2 m2 - - - 4106.63 4106.63
Basement - 3 m2 - - - 4061.75 4061.75
Total m2 4059.06 - - 12729.15 16788.21
MLCP Area m2 - - - 5822.7 5822.70
Built-up Area (FAR
+ Non-FAR+
Basement area)
m2 23272.17
60182.64 83454.81
Total Green Area m2 5287.61 - 5287.61 - 5287.61
Total Open & Road
Area
m2 9312.76
9312.76
No of Towers No. 2 1 3
Number of
basements
No. 1 3 4
Maximum No. of
Floors
No. 1B+G+4
3B+G+9
MLCP No. -
5 5
Max. height of
building (up to
terrace level)
m 19.1
39.5
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SERVICE DETAILS
Particulars Unit Existing Proposed Total After
Expansion
Total No. of Beds No. 250 250 500
Activities - IPD, OPD, Day
Care, Emergency
(casualty),
Laboratories,
Operation theatres
(OT), Intensive
care units (ICU),
Medical & para
medical support
services
Multi-level
Car Parking
(MLCP)
IPD, OPD, Day Care,
Emergency(casualty),
Laboratories,
Operation theatres
(OT), Intensive care
units (ICU), Medical
& para medical
support services &
Multi-level Car
Parking (MLCP)
Total Population No. 1580 1320 2900
Total Power load KW 1239 KW 400 KW 1639 KW
No. of DG sets kVA 3x750 kVA
(2-working and 1-
standby)
- 3x750 kVA
(2-working and 1-
standby)
No. of Rain water
Harvesting pits
No. 3 -
3
Total Parking
Required
ECS 870 2
872
Parking Provision ECS
886 0
886
Total Water
Requirement
KLD
266
184
450
Total Fresh Water
Requirement
KLD
133
62
195
Total Waste
Water Discharge
KLD
148
134
282
STP Capacity KLD
600 -
600
ETP Capacity KLD
0 03
03
Treated Water
Reuse
KLD
133
122
255
Total Solid Waste
Generation
tons/annum
113.9
99.6
213.5
Total Biomedical
Waste Generation
tons/annum
18.3
50.1
68.4
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3.2.3 Population Details:
During Construction Phase- 150 Nos. local labour will be employed for the expansion proposed
addition of Hospital Complex.
During Operation Phase- The total population of the project has been estimated to be 2900 persons.
The population details are given in Table 4.
Table 4: Estimation of Population after expansion
Type Existing Proposed Total
Total No. of Beds 250 250 500
POPULATION
Total No. of Patients 250 250 500
OPD Patients 150 50 200
Staff & Employee 780 720 1500
Visitors 400 300 700
Total Population of
Hospital
1580 1320 2900
3.2.4 Land Use and Ownership of the site land The proposed project is expansion of already operational hospital complex.
Table 5. Land use Area Details
Land use Area (m2) Percentage (%)
Ground coverage 8799.63 37.60
Green Area 5287.61 22.60
Road & Open Area 9312.76 39.80
Total Plot area 23400.00 m2 100 %
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Figure 1 Land Use
3.2.5 Location of the project with connectivity
3.2.5.1 Geographical Information of Site
Latitude Longitude Elevation
28°40'25.42"N 77° 6'37.93"E 211 m
3.2.5.2 Map on Google & Connectivity Location Map with site connectivity is given below:
37.60 %
22.60 %
39.80 %
LAND-USE
Ground coverage
Green Area
Road & Open Area
N
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The connectivity to the site is given in Table 5:
Table 6: Connectivity to the Site
S.No. Accessibility Description Distance & Direction
1. Highway/
Road
NH-10 0.30 km (N)
2. Railway
Station
Shakurbasti Railway Station 1.00 km (NE)
3. Airport Indira Gandhi International
Airport
11.88 km (SSE)
3.2.5.3 Topographical Map The topographical Map is given below-:
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3.2.5.4 Layout Plan The layout plan is given below:
N
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3.2.5.5 Site Photographs The site photographs of the project are given below:
3.3 Resources
3.3.1 Water Resource Management
3.3.1.1 Present Quality
The present quality of the water environment has been accessed and given in Enclosure- 11.
3.3.1.2 Water Requirement The total water requirement breakup for the existing complex is given in Table 7:
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Table 7: Water Management (Existing)
Particulars Population Factor Water requirement Waste discharge
Inpatient (IPD + ICU) 250 450 113
OPD Patient 150 45 7
Staff and employee 780 45 35
Visitors 400 15 6
Sub total 1580 160
Domestic 112 90
Flushing 48 48
Lab 1.5 1
Gardening 5287.6 50 0
DG & HVAC cooling 54 10
Total Water
requirement 266 148
Figure 2 Water Balance (Existing Complex)
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Table 8: Water Management (After Expansion)
Particulars Population Factor
Water
requirement
(in KLD)
Domestic
(in KLD)
Flushing
(in KLD)
Waste
Discharge
(in KLD)
Inpatient 500 450 225 150 75
OPD PATIENT 200 15 3 2 1
Staff and
employee 1500 45 68 38 30
Visitors 700 15 11 4 7
Sub total 2900 306 193 113
Waste discharge 154 113 267
Lab 1.5 1.00
Gardening 5287.6 11 0
DG & HVAC
cooling 131 15
Total Water
requirement 450 282
Figure 3 Water Balance (After Expansion)
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3.3.1.3 Source of Water The water is being resource through Delhi Jal Board and tanker supply.
3.3.1.4 Disposal In the existing operational complex, 148 KLD waste water is being generated. The waste water is
treated in STP of 600 KLD capacity (common for both Action Cancer Hospital and Sri Balaji
Action Medical Institute). Treated water of 133 KLD is being reused for purposes like Gardening,
Flushing and DG & HVAC cooling within the complex.
1 KLD wastewater generated from laboratory is being discharged to sewer line.
After Expansion, Waste water of 282 KLD will be generated from Hospital Complex. 282 KLD
waste water will be treated in STP of 600 KLD capacity (common for both Action Cancer Hospital
and Sri Balaji Action Medical Institute. Treated water of 255 KLD shall be reused for Flushing,
Gardening and DG & HVAC Cooling.
1 KLD Waste water generated from laboratory shall be treated in the ETP of 3 KLD capacity and
the treated water of 0.8 KLD from ETP will be discharged in sewer.
3.3.2 Energy Resource Management
3.3.2.1 During Construction DG sets of 62.5 kVA shall be used for Power supply during the construction phase.
3.3.2.2 During Operation During operation phase: The total power requirement of the complex after expansion will be 1639
kW which will be met by BSES. In case of power failure, power backup has been provided through
D.G sets of 3x750 kVA (2-working and 1-standby). The DG sets are located in acoustically
enclosed rooms with proper stack height of 45.5m above roof level.
3.3.2.3 Conservation
• LED’s will be used in the hospital. Solar energy will be utilised in the hospital.
• We shall provide LED in common areas like corridors, lifts, lobbies.
• Power factor shall be maintained 0.95 of higher to reduce electrical power distribution
in installation.
• Adhering to light power densities (LPD) as per ECBC norms.
• Transformer will be having efficiencies as per ECBC norms.
SOLAR MEASURES
• Solar heater system shall be installed.
Approx. 1% energy shall be saved by adopting such measures.
3.3.2.4 Air Quality at Site
The present quality of the air has been accessed and given in Enclosure-8.
3.3.2.5 Noise Quality at Site
The present Noise quality has been accessed and given in Enclosure-8.
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3.4 SITE ANALYSIS
3.4.1 Environmentally Important areas with distance from
project location The eco sensitive zones with distance from the project location are given in Table 7:
The following is the eco-sensitive zone with distance from the project location-:
Table 8: Eco sensitive sites around the project site
Areas used by protected,
important or sensitive
species of flora or fauna for
breeding, nesting, foraging,
resting, over wintering,
migration
Yamuna Biodiversity Park 12.17 km (NE)
There following listed are ecologically important zones with distance from the project location-:
Table 9: Ecologically important zones around the project site
Areas protected under
international conventions,
national or local legislation
for their ecological,
landscape, cultural or other
related value
Red Fort (Delhi fort or Lal Qila, Naubat
Khana, Diwan-i-am, Mumtaz Mahal'
Rang Mahal, Baithak,Maseu Burj, diwan-
i-Khas' Moti Masjid, sawan Bhadon ,Shah
Burj, Hammam with all surrounding
including the gardens, paths, terraces and
water courses).
12.82 km (SEE)
Areas which are important or
sensitive for ecological
reasons - Wetlands,
watercourses or other water
bodies, coastal zone,
biospheres, mountains,
forests
Water sources or other water bodies
Bhagwati Lake
Najafgarh Drain
Nangloi Drain
Western Yamuna Canal
Sardar Patel Lake
Bhalswa Lake
Yamuna River
Forests
Pusa Hill Forest
Central Ridge Reserve Forest
Kamla Nehru Ridge
1.05 km SE
1.29 km SE
3.11 km SW
5.22 km NE
5.62 km NW
8.96 km NE
11.79 km NE
7.29 km SE
8.70 km SE
9.46 km E
3.4.2 Annual Wind rose Diagram
The Wind Rose Diagram of Annual Average (2002-2016) is given below:
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Figure 4 Windrose Diagram of Annual Average (2002-2016) (Source- IMD, Palam)
(Pre-dominant wind direction- East to West)
3.4.3 Social Infrastructure available The social infrastructure available near site is given in Table 10:
Table 10: Ecologically important zones around the project site
HOSPITALS
Details Distance and Direction from Project Site
Balaji Action Cancer Hospital 0.08 km (E)
B.K Memorial Hospital 0.25 km (SE)
SCHOOLS
Details Distance and Direction from Project Site
At Mathews Public School 0.31 km (SW)
Doon Public School 0.74 km (SW)
K.R. Mangalam School 1.11 km (NW)
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PLACES OF WORSHIP
Details Distance and Direction from Project Site
Shri Ganesh Mandir 0.20 km (NW)
Gopal Temple 0.59 km (SW)
Arya Samaj Mandir 0.82 km (SW)
COMMUNITY FACILITIES
Details Distance and Direction from Project Site
Post Office- BG-6 1.15 km (S)
Sundar Vihar Post Office 2.28 km (SW)
3.5 ENVIRONMENT MANAGEMENT PLAN
The Environment Management Plan (EMP) is a site-specific plan developed to ensure that the
project is implemented in an environmentally sustainable manner where all stakeholders including
the project proponents, contractors and subcontractors, including consultants, understand the
potential environmental risks arising from the proposed project and take appropriate actions to
properly manage that risk. Adequate environmental management measures need to be incorporated
during the entire planning, construction and operating stages of the project to minimize any adverse
environmental impact and assure sustainable development of the area.
The EMP presented below shall be followed and regular monitoring of relevant parameters as stated
in post project-monitoring schedule shall be carried out. The EMP is to be proactive in nature and
will be upgraded if new facilities or modification of existing facilities, with environmental concerns,
come up at a later stage.
EMP includes four elements:
• Commitment and Policy: Proposed project will strive to provide and implement the
Environmental Management Plan that incorporates all issues related to air, land and water.
• Planning: This includes identification of environmental impacts, legal requirements and
setting environmental objectives.
• Implementation: This comprises of resources available to the developers, accountability of
contractors, training of operational staff associated with environmental control facilities and
documentation of measures to be taken.
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• Measurement and Evaluation: This includes monitoring, corrective actions, and record
keeping.
3.5.1 ENVIRONMENT MANAGEMENT DURING
CONSTRUCTION
3.5.1.1 AIR ENVIRONMENT
Air quality around the project will be slightly impacted during the construction stage. Various
construction activities especially related to lose material are likely to cause generation of dust that
adversely impacts the air quality of the surrounding area of the project site. To minimize such
impact, following measures will be taken -:
➢ All the loose material either stacked or transported will be provided with suitable covering
such as tarpaulin, etc. and kept in and specific place.
➢ Water sprinkling will be done at the location where dust generation is anticipated.
➢ To minimize the occupational health hazard, proper mask will be provided to the workers
who are engaged in dust generation activity.
➢ Wheel washing arrangement of construction vehicle will be provided at site.
➢ Building under construction will be covered with the green cloth and net screen will be
provided on every floor throughout the construction.
➢ Wind breaking walls of 6-7m height will be constructed around the expansion areas to avoid
spreading of dust.
3.5.1.2 WATER MANAGEMENT During the construction of the proposed project, the services required like water supply and sewage
facilities will be arranged on a temporary basis and the same shall be maintained without any
adverse impact on the environment. The water required for curing and other construction purpose
will be arranged on temporary basis from treated water from nearby STP. Following measures shall
be followed at the site:
• During the construction period, runoff from the construction site will not be allowed to stand
(water logging) or enter into the roadside or nearby drain.
• Adequate measures will be taken to collect such run off and will be disposed off at the
designated construction waste disposal location.
• The vehicles carrying construction material and construction debris will be cleaned before
it is permitted to ply on the road.
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3.5.1.3 NOISE ENVIRONMENT During the construction stage, expected noise level is in the range of 70 dB (A), which decreases
with increase in distance. Hence all the construction activities shall be carried out during the
daytime.
Due to the construction activity, there will be some noise generation due to the movement of
vehicles carrying construction materials and as this will only be a temporary phenomenon, it will
be managed by properly regulating the movement of vehicular traffic so that the ambient air quality
with respect to noise is adversely affected.
To prevent any occupational hazard, ear muff / ear plug shall be given to the workers working
around or operating the plant and machinery emitting high noise levels. Operation of such plant or
machinery will be strictly prohibited during night hours. Careful planning of machinery operation
and scheduling of operations will be done to minimize such impact.
3.5.1.4 SOLID WASTE MANAGEMENT
• During the construction, excavation of 32673.52 m3 soil will be done for foundation and 4
levels of basement. Small portion of the hospital area (portions in Block-I, Block-II, Block-
IIA, and Block-III from Ground & 4th floor) i.e. total of 1209.39 m2 shall be demolished.
Hence, there shall be demolition waste. The soil will be stacked and disposed off in
authorized recycler for recycling the waste which shall not cause any disturbance to the
surrounding environment.
• Appropriate 8.395 tons/annum of Municipal solid waste shall be generated from temporary
labours which shall be disposed off at Municipal waste site.
• Used oil whenever generated from the DG sets shall be kept in a secured place and in leak
proof container and shall be sent to approved recycler.
3.5.2 ENVIRONMENT MANAGEMENT DURING
OPERATION
3.5.2.1 AIR ENVIRONMENT DG sets of 3×750 KVA 3x750 kVA (2-working and 1-standby) have already been installed for
emergency use during power failure and the same shall be used after expansion also. Proper stack
height of D.G Sets with proper stack height of 6m above roof level has been maintained. DG sets
are kept in acoustically enclosed room.
Table 11: DG sets & stack Height
As per the specifications from D.G. Set manufacturer following emissions shall be maintained, as
given in Table 11:
D. G. Set. Capacity No Stack Height
750 KVA 3 6 meters above roof level
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Table 12: DG Set emission standards
D.G Sets No. PM
mg/Nm3
NOx
mg/Nm3
HC
mg/Nm3
CO
mg/Nm3
750 kVA 3 0.3 9.2 1.3 3.5
3.5.2.2 WATER MANAGEMENT The waste water generation from domestic and flushing purposes of the complex of amount 282
KLD will be treated in the STP of 600 KLD based on MBBR technology in order to make the water
suitable to be reused in flushing, gardening and DG & HVAC Cooling.
The wastewater generation of 1 KLD from laboratory will be treated in the ETP of 3 KLD.
3.5.2.2.1 WASTEWATER TREATMENT
The Sewage Treatment Plant of 600 KLD based on MBBR technology has some distinct advantages
over conventional activated sludge processes. The scheme is proven, under a variety of operating
conditions, and is highly flexible in operation.
Table 13: Details of Waste Water Management
Particulars Existing
(in KLD)
Proposed
(in KLD)
Total After Expansion
(in KLD)
Total Waste water
Discharge
148 134 282
STP Capacity 600 (common for both
Action Cancer
Hospital & Sri Balaji
Action Medical
Institute)
- 600 (common for both
Action Cancer Hospital
& Sri Balaji Action
Medical Institute)
ETP Capacity 0 3 3
Treated Water Reuse 133 122 255
The characteristics of Raw sewage and the characteristics required for the treated water will be as
given in Table 14 and 15 respectively.
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Table 14: RAW SEWAGE CHARACTERISTICS
The Sewage Treatment Plant (STP) will give treated water, which can be reused for Flushing,
Gardening & DG & HVAC Cooling purposes.
Table 15: TREATED SEWAGE CHARACTERISTICS
pH - 6.5-9.0
BOD mg / l <20
COD mg / l <50
TSS mg / l <50
Oil & Grease mg / l NIL
TREATMENT PROCESS:
It is proposed to treat the complete wastewater in a scientific manner through a properly planned
treatment plant. The objective is to stabilize the decomposable organic matters present in sewage
so as to get an effluent and sludge having characteristics which are within safe limits. To have an
efficient treatment system, this aeration system is proposed consisting of MBBR Technology. The
sewerage treatment plant can be constructed in such a way that it becomes viable by providing
Treated water for reuse and sludge that can be used as for manure for further use.
Different Components of the Plant
In the proposed treatment scheme, the following component unit shall be provided:
➢ Screen chamber
➢ Bar screen /Grit chamber within effluent collection sump.
➢ Submersible type raw effluent re-lift pumps
➢ Equalization tank
➢ MBBR tank/ Aeration tank
➢ Tube settler
➢ Clarified Water, Filtered Water & Soft Water Storage Tanks
➢ Filter feed pump
➢ Tertiary Treatment Units (Filtration, U.V treatment)
Flow M3 / day 282 KLD
pH - 7.5 – 8.0
BOD mg / l 200 – 350
COD mg / l 400 – 500
TSS mg / l 100
Oil & Grease mg / l 10
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➢ Treated Water Supply Pumps
➢ Sludge return pump
➢ Sludge holding tank
➢ Centrifuge for solid waste management
➢ Sludge loading pumps
➢ Sludge drying beds, Centrifuge/Filter Press
PROCESS DESCRIPTION
a) Raw sewage from main sewer line shall be collected through gravity pipes into the screen
chamber. This manually cleaned screen should be provided to remove floating and big size
particles which may otherwise choke the pumps and pipe lines.
b) After screening, the waste water shall be allowed to pass through a grit chamber to remove the
grit material. The screens and grit chambers shall be accessible so that they may be manually
cleaned from time to time.
c) The screened waste water from the Grit chamber shall then pass into the equalization tank to
homogenize the waste water quality and also even out flow fluctuations and feed waste water
of uniform quality at constant rate to subsequent treatment units.
Air mixing should be provided to mix the contents of the equalization tank. A coarse bubble
aeration grid should be provided to mix the contents of the equalization tank and also to avoid
septic conditions in the tank. From the equalization tank the wastewater will be pumped into an
MBBR Tank.
d) The MBBR process uses small plastic carrier elements to provide growth sites for bacteria
attachment in a suspended growth medium. The carrier elements shall allow a higher biomass
concentration to be maintained in the reactor. This shall increase the biological treatment
capacity for the given reactor volume.
e) The carrier elements shall be continuously kept in suspension by the aeration system. The
agitation pattern in the reactor shall be designed to provide an upward movement of the carriers
across the surface of the retention screen which creates a scrubbing effect to prevent clogging.
Combination of fine & coarse bubbles may be provided to provide oxygen as per detailing.
f) From the MBBR tank mixed liquor shall flow by gravity into the Tube settler. The solids will
settle in the tank. The sludge that settles down shall be transferred to sludge holding tank via
sludge loading pumps, with provision of sludge return to the bioreactor if necessary.
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g) From the tube settler, treated wastewater will be fed by means of filter/softener feed pump sets
to pass through dual media filters, activated carbon filters and softeners and stored in the filtered
water and soft water storage tanks. The activated carbon filters shall ensure removal of all
coloration and odours present in the treated effluent.
h) The filtered, clean and odourless water from filtered water tank is then fed through a variable
frequency drive hydro-pneumatic system to the external treated effluent rings as per the master
plan, from where connections are taken to the garden hydrant system and to each unit for
flushing water as per detailing.
i) Excess sludge from the tube settler will be taken periodically into sludge holding tank. In this
tank sludge will be aerated for self-stabilization. Air will be shut off periodically and
superannuate water will be transferred to the aeration tank creating stabilized sludge. The final
sludge shall be de-watered through a centrifuge mechanism. Sludge loading arrangements shall
also be provided for direct disposal of sludge to sludge tankers / trolleys.
Hydraulic Flow Diagram of STP based on MBBR Technology
Figure 5 Hydraulic Flow Diagram of STP (MBBR Technology
3.5.2.2.2 SCHEME OF EFFLUENT TREATMENT PLANT
Approx. 1 KLD effluent will be generated from the laboratory which will be treated in the ETP of
3 KLD.
The raw sewage characteristics from the laboratory will be as given in Table & characteristics of
treated water from ETP will be as given in Table
Details of ETP are given as follows:
INCOMIN
G
SEWAGEBAR
SCREEN BAFFLE
WALL
OIL &
GREASE EQUALIZATION
TANK
MBBR-1 MBBR-2 TUBE
SETTLER
CLEAR
WATER
TANK MGF ACF
TREATED
WATER
TANK
TREATED
WATER
USED
UV
FILTER
PRESS
SLUDGE
HOLDING
TANK FINAL
DISPOSAL
TO
EQUALIZATION
TANK
MBBR STP TECHNOLOGY
LEGENDS
Mark Descriptions
Air Line
Sludge Line
Effluent line
Air Blowers
Air Diffusers
Butter Fly Valv
Non Return
Valv
Pump
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The wastewater firstly passes through the oil and grease tank to remove excess oil from the
wastewater. The waste water after removal of oil and grease will collected in equalization tank to
holding the wastewater for some pre-determined time in a continuously mixed basin to produce a
uniform wastewater. The wastewater then subjected to Flocculation tank. In a flocculation tank, the
water is stirred or otherwise moved around so that the particles move around, bump into other
particles. Chemicals (most commonly "alum"/ polyelectrolyte) are often added to the water going
into a flocculation tank to help aid particle formation. The next step in the process is to separate the
solid sludge with the wastewater hence the wastewater will be transfer to Tube settlers which
capture the settleable fine floc that escapes the clarification zone beneath the tube settlers and allows
the larger floc to travel to the tank bottom in a more settleable form. The tube settler’s channel
collects solids into a compact mass which promotes the solids to slide down the tube channel to
sludge drying beds and the water content will be goes into the carbon filter to remove contaminants
and impurities, utilizing chemical adsorption. Finally, the water will be supplies to the Multistage
Evaporator to evaporate the wastewater.
Schematic diagram of ETP is given below:
3.5.2.2.3 Rain Water Harvesting
The main source of ground water recharging in the study area is rainwater, which infiltrates into the
ground through various lithological units present in the study area. 3 nos. of RWH pits are already
installed in the hospital and the same shall be used after expansion as well to recharge the ground
water. The runoff from the rooftop and storm water shall go to the recharge pits.
Scheme for Ground Water Recharging
The rainwater is diverted from the rooftop using rain water pipes to the surface / underground
drainage network. The entire campus is sub divided for recharging structures. The rainwater is
diverted into the desilting tank to remove inorganic impurities and the outflow of the desilting tank
is taken into the recharge well.
To
Multistage
Evaporator
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Desilting Tank
The desilting tanks are used to remove silt and other floating impurities from rainwater. Desilting
tank is like an ordinary container having provision for the inflow, outflow and overflow. Apart from
removing silt it holds the excess amount of water till it is soaked up by the recharge structure. The
bottom of tank will have unpaved surface (layers of coarse sand) to allow standing water to
percolate into the soil. The rainwater collected in these desilting chambers shall be utilized for
horticulture.
Recharge well
The recharge well consists of percolation pits with boreholes in the middle of the pit. UPVC pipe
perforated will be lowered in the middle of the boreholes and the pit will be filled with gravel and
pebbles in three layers consisting of boulders, gravel and coarse sand. The mouth of the UPVC pipe
shall be protected to avoid silt getting into it. The depth of the bore will depend on the soil
condition/water strata. The schematic diagram is enclosed.
It should be therefore concluded that there is no significant impact on surface water quality &
hydrology of the area. The proposed rainwater-harvesting scheme will stabilize the groundwater
table in the area.
3.5.2.2.3.1 Rain Water Harvesting Calculation: Rain Water Harvesting Calculation:
Soil Quality : Silt Loam
Annual Rain fall : 723 mm
Peak Hourly Rain fall : 60 mm/hr
Size of Rainwater Harvesting Pits : 232.44 m3
Size of 1 Rainwater Harvesting Pit: 77.48 m3
No. of Rainwater Harvesting Pits -: 03
Diameter- 5 m
Height- 3.94 m
PARAMETERS / DATA / CALCULATIONS
I Areas
1 Total Site Area : 23400 m2
2 Roof Areas : 8799.63 m2
3 Road/Paved Areas : 9312.76 m2
4 Green Area : 5287.61 m2
5 Size of Pits : Dia- 5 m and Depth-3.94 m
6 No. of Pits : 3 no.
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Table 16: Rain Water Harvesting Calculation
S. No.
Description of
Area
Area
Considered
(m2)
Harvesting
Factor /
Collection
Efficiency per
area
Retention
time capacity
of recharge
tank in 15
min (60 mm)
Total Volume
of Water
Available for
Rain Water
Harvesting
(m3/15 min)
1
Water Available
from Terraces of
Apartment
buildings/Plots
and other roof-top
surfaces 8799.63 0.9 15 118.79
2
Paved Surfaces,
Roads & other
Built-up Areas 9312.76 0.7 15 97.78
3
Lawns, Gardens
& all other Open
Areas 5287.61 0.2 15 15.86
GRAND
TOTAL 23400 m2 232.44 m3
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Figure 6 Rain Water Harvesting Pit Diagram
3.5.2.3 NOISE ENVIRONMENT: -
The main sources of the noise pollution will be D.G sets. DG sets of 3×750 kVA (2-working and 1-
standby) have been installed in acoustically enclosed room. The DG sets meet the norms prescribed
by CPCB.
Planting of the trees at the boundary of the Hospital has been maintained which helps in reducing
the level of the noise within the Complex.
3.5.2.3.1 Noise Pollution Control System
DG sets of 3×750 kVA (2-working and 1-standby) have been installed in a separate room which
has been acoustically enclosed.
SITE PLAN (LANDSCAPE)
NEW DELHI.
MANGE RAM CHARITABLE TRUSTAT FACILITY CENTRE NO. 34, PASCHIMPURI,
HOSPITAL FOR LALA MUNNI LAL,
S/SP-04
DRG. TITLE :-
SUBMISSION DRAWING
SITE PLAN (LANDSCAPE)
PLAN OF HARVESTING WELL
TO NEXT MANHOLE
OVERFLOW PIPE
@300mm C/CP.V.C FOOT REST
560Ø MANHOLEWITH DOUBLE SEAL COVERFOOT RESTS
@300mm C./C.
560 mm Ø INTERNALDIA WITH GRATING
VERTICAL PVC/MS SCREEN
BA
FF
LE
WA
LL
GREASE TRAPSIZE:-2500x1000
450 Ø INLET PIPE
INLET PIPE
VENT PIPE
DRAINAGE MANHOLE 1000X900 mm
SLOT OPENING 10 mm
100 mm DIA
LIQUID DEPTH
@300mm C/CP.V.C FOOT REST
560Ø MANHOLEWITH DOUBLE SEAL COVER
1000
560 mm Ø INTERNALDIA WITH GRATING
1000
560560
560
560 560
TO NEXT MANHOLE
@300mm C/CP.V.C FOOT REST
CEMENT CONCRETE1:5:10
OVERFLOW PIPE
GRAVEL 3.0-10.0mm
BOULDERS 15-20mm
GRAVEL 3.0-10.0mm
300 MM TH.
300 MM TH.
300 MM TH.
SECTION-XX
SUB SOIL WATER LVL.
GRAVEL 3.0-10.0mm300 MM THICK
HOLDED IN WIRE MESH
560Ø MANHOLE
WITH DOUBLE SEAL COVER
400 MM TH. COURSE SAND 1.5-2.0mm
PE
R S
ITE
CATCH BASIN 900X800 mm
3000 Ø INLET
BA
FF
LE
WA
LL
CATCH BASIN
IN ADDITION TO PIPE I.L.
CHAMBERS SHALL HAVE
G.L. ±0.0
FOOT RESTS@300mm C./C.
COVER
23
99
60
0
40
04
00
2
450 mm Ø INTERNAL
DIA WITH GRATING
DE
PT
H A
S
40
3600
150 MM SLITTING MARGIN
12
00
12
00
1380
1840
VA
RIE
S1
20
0
2400
920
STORM INLET PIPE
920
1380
PIPE UP TO 1M BELOWSUB-SOIL WATER LEVEL
DIA P.V.C SCREEN160mmØ NOMINAL
P.V.C PLAIN PIPE
160mmØ DIA
GREASE TRAPSIZE:-2500x1000
LIQUID DEPTH
EXISTING BUILDINGUNDER ADDITIONS AND ALTERATIONS
PROPOSED NEW BUILDING
PROPOSED ATRIUM
PROPOSED MULTILEVEL CAR PARKING BLOCK
EXISTING AREA TO BE DEMOLISHED
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3.5.2.3.2 Acoustic Enclosure / Treatment
There are two methods to reduce noise from DG Sets.
1. Acoustic Enclosures [when DG Set is kept outdoor]
2. Acoustic Treatment [when DG Set is kept indoor]
3.5.2.3.3 Energy Conservation Measures The hospital complex will go uses an integrated approach to design so as to create resource-efficient
and environment-friendly buildings through:
• Use of energy efficient & eco-friendly equipment.
• Use of renewable source of energy.
• Efficient use of water.
• Use of non-toxic and recycled materials.
• Recycling treated water from Sewage Treatment Plant [STP] for toilet flushing, cooling towers
and landscaping.
• Water efficient plumbing fixtures will be used.
• High performance double reflective glass in windows will be used.
• Using insulation and high reflective material on roof top.
• Using bricks made of fly ash, waste industrial material, which acts as insulating material for
external walls.
3.5.2.4 PARKING MANAGEMENT: Parking Required:
Existing Proposed Total After Expansion
870 ECS 2 ECS 872 ECS
Parking Provided:
Parking provided are
• Total Parking Provision: 886 ECS
Existing Proposed Total After Expansion
886 ECS 886 ECS 886 ECS
Particulars Parking Area
(m2)
Parking Provision
(in ECS)
Basement -1 3533.72 168
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Basement -2 3702.25
176
Basement -3 3230.82
158
Ground Floor 2128.96
112
First Floor 2128.96
122
Surface Parking 211.2
8
Multi-Level Parking -
142
Total Parking Provision 20758.61 886 ECS
3.5.2.5 Waste Management
3.5.2.5.1 Municipal Solid Waste
The Total population of Hospital are 2900 persons for which 213.5 tons/annum solid waste will be
generated.
The solid waste categories and disposal method is shown is given below:
Table 17: Municipal Waste Management
Type of
Waste
Colours
of Bins
Category Disposal Method Total Waste (tons/annum)
Existing After
Expansion
Existing Proposed Total After
Expansion
Organics Green Bio
Degradable
Given to
authorised
vendor
The waste
shall be
treated in
organic
waste
converter
and
converted
to manure
68.3 59.8 128.1
Recyclable
Items
Blue Recyclable Recycler Recycler 22.8 19.9 42.7
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Plastic
waste
Blue Recyclable Recycler Recycler 22.8 19.9 42.7
Total 113.9
tons/annum
99.6
tons/annum
213.5
tons/annum
3.5.2.5.2 Hazardous waste management
Hazardous waste is a waste with properties that make it dangerous or potentially harmful to human
health or the environment. The universe of hazardous wastes is large and diverse. Hazardous wastes
can be liquids, solids, contained gases, or sledges. They can be the by-products of manufacturing
processes or simply discarded commercial products, like cleaning fluids or pesticides. All
hazardous wastes are required to be treated and disposed off in the prescribed manner. The main
objective is to promote safe management and use of hazardous substances including hazardous
chemicals and hazardous wastes, in order to avoid damage to health and environment.
Table 18. Hazardous Waste Management
3.5.2.5.3 Bio Medical Waste Management
Table 18: Biomedical Waste Management
Type of
Waste Disposal Method Total Waste
Used Oil
Schedule 5.1
Waste shall be collected in leak proof
containers at isolated place and will be
given to approved vendor of CPCB as
per Hazardous and other Wastes
(Management and Transboundary
Movement) Rules, 2016
0.192 kL/annum
E-waste
It will be collected and given to
approved recycler of e-waste as
approved by State Pollution Control
Board.
0.024 kL/annum
Type of
Waste
No. of
Beds Disposal Method
Total quantity of Biomedical waste
generated
(tons/annum)
Existing Proposed Total After
Expansion
BIO-
MEDICAL
WASTE
500
Hospital will be
handover duly
segregated and
disinfected waste to
state Approved
Biomedical Waste
18.3 50.1 68.4
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3.5.2.6 PLANTATION
Green belt planning has been done with ecological perspectives for the project taking into
consideration and availability of space and other aspects. This will help in increasing the aesthetic
effect of the environment.
Since tree trunks are devoid of foliage, scrub should form there to give coverage to the trunks. The
trees maintain the regional ecological balance and conform to soil and hydrological conditions.
Indigenous species would be preferred.
Green belt/greenery has been developed along most of the periphery of the project area as well as
along roads. Area under plantation 5287.610 m2 with trees and plants, which will remain the same
after expansion. The trees planted are of adequate height. Any trees that do not survive are replaced.
The plantation/greenery programme has been completed, simultaneously along with the project.
Plantation:
Green Belt Area : 5287.610 m2
Total No of trees Required = Plot area/80 = 23400/80
= 292 nos.
No. of trees already existing = 626 nos.
Table 9: Species planted
S.No. Botanical Name Common Name Number
1 Ficus Benjamina Weeping fig 432
2 Caryota urens Fishtail Palm 41
3 Cycas revoluta Sago Palm 8
4 Plumeria alba Champa 63
5 Phoenix sylvestris Phoenix 6
6 Ficus Lyrata Compacta Fiddle leaf fig 21
7 Roystonea regia Royal Palm 34
8 Cassia Siamea Kasood 19
9 Tecoma gaudichaudi Gaudi Chaudi 1
10 Mimusops elengi Moulsarri 1
11 TOTAL 626
Service Provider for
final disposal i.e M/s
SMS Water Grace
BMW Pvt Ltd
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3.6 ANTICIPATED IMPACTS & MITIGATION MEASURES:
3.6.1 During construction phase: The anticipated impacts and mitigation measures have been given below:
Table 19: Impacts and mitigative measures during construction
S. No. Description Impacts Mitigation Measures
1. Air & Noise
Environment
Dust will be generated due
to Site clearance and
emissions may be generated
due to vehicles, DG sets and
machinery/equipment etc.
Loading and unloading of
construction materials like,
cement, sand, stones, bricks,
etc. will result in dust
generation.
Procurement and transport
of construction materials
such as sand, cement etc.
will also result in dust
generation
Water sprinkling shall be
done to reduce the dust
during construction of
buildings.
D.G. set of 1x 62.5 kVA
shall be provided with
adequate stack height to
avoid emissions.
Trees have been planted
along the construction
site to reduce dust &
emissions.
2. Water
Environment
Soil runoff from the site leading
to off – site contamination
(Particularly during rainy
season).
Improper disposal of
construction debris leading to
off-site contamination of water
resources.
Disposal of domestic waste
water from temporary labour
rest rooms.
Spillage of oil and grease from
the vehicle and waste water
stream generated from on-site
activities.
During construction phase,
water will be provided from
the tanker water supplier/
treated STP water from
nearby area.
The rain water from the
construction site shall be
collected, treated & reused
for sprinkling.
Approx. 6 KLD of sewage
from labours shall be
discharged into septic tank
which will be cleaned
regularly.
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3. Solid Waste The waste from labour rest
rooms/sheds would be mainly
household domestic waste
The solid waste generated
during construction phase will
be used oil from DG sets.
Approx. 8.395 tons/annum
municipal solid waste shall be
generated from 150 labours
which shall be disposed off in
MSW site.
Used oil whenever generated
from the DG sets shall be kept
in an isolated area and in leak
proof container and sent to
approved recycler.
3.6.2 During operation phase: Table 10: Impacts and mitigation during operation phase
S. No. Description Impacts Mitigation Measures
1. Air & Noise
Environment
Running of DG sets of
capacities 3x750 kVA as
stand by during power
failure will result into air
emissions.
DG sets shall be provided with stack
height of 45.5 m above ground level
as per CPCB norms.
2. Water
Environment
During the operation phase
the total water requirement
of 530 KLD shall be met by
DJB and private authorised
vendors.
In the proposed project,
water will be used for
domestic use, flushing, DG
& HVAC Cooling,
laboratory & gardening etc.
282 KLD wastewater shall
be treated in STP of 600
KLD capacity (Common
for both adjacent
complexes) and laboratory
waste water of 1 KLD shall
be treated in ETP of
Capacity 3 KLD.
Fresh water requirement shall be
reduced by using 195 KLD treated
water.
Treated water of 0.8 KLD from ETP
shall be discharged to sewer.
Rain water shall be recharged into
the ground water by 3 rain water
harvesting pits.
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3. Solid Waste Bio-degradable and
recyclable waste from
hospital activities.
Used oil from DG sets and
E- waste.
E- waste & battery waste
generation.
Biomedical waste
generation
Bio-degradable waste of 128.1
tons/annum shall be treated in
organic waste converter and
converted to manure.
Used oil of 0.192 kL/annum is being
generated from the DG sets which
has been kept in an isolated area and
in leak proof container and is given
to authorised recycler. The same
shall be followed for expansion.
The 0.024 tons/annum generated E-
waste shall be given to Authorized
vendor.
Battery waste shall be treated as per
the Batteries (Handling &
Management) Rules, 2001.
18.3 tons/annum biomedical waste
generated in the existing complex is
being given to M/s SMS Water
Grace Pvt. Ltd. After Expansion,
Total Biomedical Waste of quantity
68.4 tons/annum shall be sent to M/s
SMS Water Grace Pvt. Ltd which is
an authorised vendor for biomedical
wastes.
3.7 ENVIRONMENTAL MONITORING PLAN: Table 11: Environmental management plan
Monitoring During Construction During Operation
Air & stack:
• Ambient air quality at appropriate
location for PM10, PM2.5, SO2.NOX
• Stack emission for point sources PM,
SO2, NOX, HC & CO.
• Six monthly
• Six monthly
• Annually
• Six monthly
Water:
• Water Quality Monitoring for relevant
parameters of IS - 10500
• Six monthly
• Six monthly
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Wastewater:
• Waste Water Quality (Treated &
Untreated) for pH, TSS, Oil & Grease.
• Waste water quality pH, TSS, oil &
Grease. BOD, COD, TKN &
Phosphate.
--
--
• Daily till
stabilization of STP.
• Weekly till one
month then monthly
Noise:
• Day & night level Noise Monitoring
• Six monthly
• Annually
Soil:
• Soil Monitoring, Qualitative and
Quantitative testing/analysis to check
the soil fertility, porosity, texture,
water holding capacity etc.
• Six monthly
• Annually
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ENCLOSURE 4. RISK ASSESSMENT
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4.1 RISK ASSESSMENT
Hazard identification is the process used to identify all possible situations in the hospital where
people (patient, staff, visitors etc.) may be exposed to injury, infections or disease.
The risk hazards may be of two types:
1. Natural disasters
Earthquake
Cyclone / Storm
Flood / Draught
2. Technological disasters
Gas leakages, Rupture of Gas cylinders / Pressurized Vessels / Pipe lines
Chemical, Biological, Radiological, Nuclear & Explosion Emergencies
Failure of Machines / Production
Human Error / Nuisance / Maniac
Terrorist Act
Fire Emergencies
The objectives of risk assessment are:
• To achieve a level of preparedness to safeguard the public and mitigate the impact of the
disaster.
• To prompt an effective disaster management strategy without causing panic among the
patients, visitors and the public.
4.2 DISASTER MANAGEMENT PLAN
Hospital Disaster Management provides the opportunity to plan, prepare and when needed
enables a rational response in case of disasters/ mass casualty incidents (MCI). Disasters and
mass casualties can cause great confusion and inefficiency in the hospitals. They can
overwhelm the hospitals resources, staffs, space and or supplies. Lack of any tangible plan to
fall back upon in times of disaster leads to a situation where there are many sources of
command, many leaders, and no concerted effort to solve the problem.
A disaster planning shall be done in a way that the quality of care to the serious/ critical patients
is not compromised. The plan should aim at the survival and recuperation of as many patients
as possible.
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An internal risk management authority is formed which may undertake periodic evaluation of
safety precautions to be followed by each department for hazard recognition with the following
steps:
1. Both Clinical and Non-clinical audits will be undertaken on a periodical basis to
identify the measures taken to prevent/reduce the impact of the potential hazards.
2. All the staff of the hospital will be encouraged to routinely assess all activities to
identify potential hazards.
3. Departmental Heads and Managers will identify hazards within their specific area of
control. The same should be notified to the appropriate hospital authorities for
immediate corrective actions.
To make the proceedings easier, the hospital administrators will embark upon disaster planning
using a phase plan. The hospital emergency planning is divided into three phases:
1) Pre-disaster phase
(a) Planning: Risk assessment and planning for preparedness will be done, the hospital
plans will be formulated and then discussed in a suitable forum for approval.
(b) The disaster manual: The hospital disaster plan shall be written down in a document
form and copies of the same should be available in all the areas of the hospital.
(c) Staff education and training: Regular staff training by suitable drills shall be undertaken
in this phase.
2) Disaster Phase
(a) Phase of activation: Alter and notification of emergency.
(b) Activation of the chain of command in the hospital.
(c) Operational phase: This is the phase in which the actual tackling of mass casualties will
be performed according to the disaster/emergency plan.
(d) Phase of deactivation: When the administration/ command of the hospital will be
satisfied that the influx of mass casualty victims is not continuing to overwhelm the
hospital facilities.
3) Post Disaster Phase
This is an important phase of disaster planning where the activities of the disaster/
emergency phase will be discussed and the inadequacies will be noted for future improvements.
4.3 SAFETY MEASURES:
Fire Safety
All the arrangements shall be made as per National Building Code Part-IV: 2005
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FIRE safety is so important to all hospital administrators, employees and designers that the
leadership in the hospital field should make every effort to keep abreast of current
developments in the fire safety field.
The basic principles of fire safety shall be kept in mind during the design, construction,
operation and maintenance of each hospital facility. Planning for fire safety can be divided into
five steps:
• Minimizing the chance of fire,
• Early discovery,
• Restricting fire spread,
• Extinguishing the fire, and
• Evacuating the building.
Fire Prevention:
To prevent the incidence of fire, appropriate measure to control fire hazards in the building and
maintenance of the building facilities has been practiced. The preventive measures taken for
fire safety are as follows:
➢ The hospital has been declared ‘No Smoking’ zone.
➢ Fire Detection & Alarm Systems are to be installed in different parts of the hospital, in-
case of the fire, on detecting fire the devices are activated and hooter is alarmed in the
security office.
➢ Fire Extinguisher: As per IS- 2190 Fire extinguishers, in appropriate sizes and types,
are to be provided throughout the hospital in every floor of the hospital. The
maintenance, Testing & inspection of Extinguishers as per schedule to be carried out
by a qualified person. The theft of or tampering with an extinguisher should be reported
immediately to the Maintenance concerned In-charge.
➢ Emergency Exits shall be provided at places and no obstructions may be placed in front
of or upon any exit door.
Class of Fire Description Suitable Type of Appliances
A Fire in ordinary combustibles
(wood, fibres, rubber plastics,
paper and the like)
Gas Expelled Water Type
B Fires in flammable liquids, paints,
grease, solvents.
Fire extinguishers of CO2, Foam
type, Dry powder type and
buckets.
C Fire in gaseous substances under
pressure including liquefied gases
Fire extinguishers of carbon
dioxide and dry powder type
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Electrical Safety:
The following measures are required to be undertaken to ensure Electrical safety:
1. Routine Inspection of the power outlets throughout the hospital by the electrician.
2. Trip Switches are to be installed in different parts of the hospital to prevent short circuits.
3. Periodic inspection of wires to ensures that they are in appropriate conditions.
4. Before any electrical appliance is brought into Hospital, a safety inspection is necessary.
5. Electrical equipment not required during night is to be switched off.
6. Areas around electrical switchboards must be kept clear for a distance of at least 1 meter.
7. ABC type fire extinguisher is to be installed adjacent to electrical switchboards.
Bomb Threat:
Bomb threats are delivered in a variety of ways with the majority of threats being called in to
the target. In the event of a bomb threat, all personnel will follow the following procedures:
i. The staff member receiving the call should make reasonable efforts to gain as much
information as possible. Keep the caller on the line as long as possible. Ask who is
calling, and have the caller repeat the message. Write down every word spoken by the
person making the call.
ii. If the caller does not indicate the location of the bomb or the time of the possible
detonation, the person receiving the call should ask the caller to provide this information.
iii. Pay close attention to any strange or peculiar background noises such as motors running,
background music, or other noises that might give some clue concerning the origin of the
call.
iv. Immediately call the local Police Department regarding the threat & the caller.
v. Evacuation notification procedures will be activated to evacuate the buildings.
vi. The staff should direct and assist patients to exit the buildings consistent with fire
evacuation procedures
vii. The police and assigned staff (security Personal) will conduct an extensive search of the
building and remove the bomb with the help of Bomb Disposal Squad.
Electrical /
Electronics
Installations
IT & Server Rooms, Electrical
Panels
And equipment.
Dry Chemical Powder, CO2 and
FM -200 or Clean agent type
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viii. The Director or authorized representative will approve re-entry into the building after the
search is completed and after consultation with the police for bomb removal
confirmation.
MOCK DRILL
a) Evacuation drills shall be conducted at established intervals not exceeding 12 months, at
the start of each new season, and with new staff. Drills shall be recorded in the operational
log.
b) When the evacuation plan involves use of emergency services, they should be involved in
the preparation of the plan and should be accorded every opportunity to undertake training
or drills at least once per year for continuously operating installations and prior to each
opening for seasonal operations.
HOSPITAL SAFETY COMMITTEE:
The Hospital Safety Committee is a multidisciplinary committee consisting of five members.
It meets at least six times in a year to evaluate the various safety aspects of the hospital. The
Committee undertakes detail analysis of the ongoing monitoring activities and gives its
feedback on the same. The Committee submits its report to the Chief Medical Superintendent
of the hospital.
The Hospital Safety Committee evaluates the ongoing monitoring activities on various aspects
of the following problems:
• Injuries to patients/ visitors
• Property damage.
• Occupational illnesses and injuries to staff
• Hazardous materials and waste spills, exposures, and other related incidents
• Security incidents involving patients, staff, students and visitors at Hospital.
• Fire-safety management problems, deficiencies, and failures.
• Medical equipment-management problems, failures, and user errors
• Utility systems management problems, failures, or user errors.
• Staff Unavailability (such as Weather Emergencies, natural disasters)
• Mass Casualty Patient Influx (such as Infectious Disease Outbreaks).
Role of the Hospital Safety Committee:
a. Provide guidance and direction in all phases of the Safety Management Program.
b. Pro-active safety risk assessments of the clinical and clinical support areas of hospital.
c. Facilitates the Environmental Monitoring Rounds.
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d. Advising management of unsafe conditions or of non-compliance with regulations and
standards.
e. Conducts on-going safety education classes.
f. Responsible for proposing/revising safety policies.
GENERAL OUTLINE OF EMERGENCY PLANNING
➢ On site Emergency Plan
Role of Security I/C and Shift I’s/C
Emergency Control room with Emergency telephone numbers
Fire Wardens for each complex
Medical Aid / Hospital Available, Distance
Rehearsal / Training / SOP
➢ Off - site Emergency Plan
Local Fire Brigade at Distance
Disaster Management / Specialized Teams
Dog Squad / Explosion Detective Teams
Hospital, Number of Doctors and Staff, Distance Availability round o’ clock Resources
Available
District / Police Authorities
Rehearsal / Training / SOP
ROLES, DUTIES & RESPONSIBILITIES AT THE TIME OF EMERGENCY
The emergency services provided are integrated with other departments of the hospital.
Administrative Incharges, O.T- They will arrange operation theatres & adequate staff and
supervise the smooth movement of patients in & out of OTs. They will act as an overall
coordinator between medical & paramedical staff & ensure the functionality of the OT & take
care of the condition of their patients.
Duty Administrator- Coordinates with store incharges & ensure the availability of all the
desirable items. Allot the priorities to the casualties. Interact with CSO & police to maintain
calm in the hospital & instruct the staff to control any unwanted crowd. Keep the interaction
for mortuary & ice requirement.
Nursing Superintendent- Makes immediate arrangements for nursing staff in OTs, Casualty
& wherever needed and supervise the cwill be delivered by them. Check for availability of
medicine.
HOD, Department of Anesthesia- Arranges adequate no. of anesthesist. Organize OT teams
by name comprising of anesthetist, OT technicians, Nursing staff, bearers, safai karamchari
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and allot their duties. Instruct & ensure that any bullets, arms, missile recovered from the
patient & hand over ultimately to the police after due signatures from the operating surgeon.
Keep chief coordinator informed on hourly basis.
Pharmacy & Central store- take immediate actions to replenish all the items used in various
wards/ areas. Regularly contact the local suppliers for emergency supply if needed. They keep
a sufficient inventory of vital & essential items as a part of preparedness.
HOD, Imaging Services/ laboratories- check for availability of material like chemicals, films,
etc. look after the maintenance of the equipments & machines like X-ray machine. Prepare CT/
MRI and immediate investigation as per the needs.
HOD Blood transfusion- ensures adequate availability of all elements of blood. Liase with
OT & casuality for blood demand. Arrange staff for blood grouping & cross matching in
Causality/ OT.
Chief Engineer- ensures availability of all maintenance staff (electrician, plumber, masson,
pump operator, carpenter, etc.) throught the emergency period. Ensures uninterrupted supply
of water, power & gases.
Chief security officer- controls sudden rush or traffic. Keep a watch that no unwanted
elements are present in the treating area. Instructs his staff to assist casuality staff in unloading
& transporting patients. Direct the visitors to control room. Coordinate with police & help them
in carrying out their duties.
EXTERNAL AGENCIES ENGAGED
External agencies engaged for risk assessment as well as risk management are:
• Government agencies (for eg. Hospitals, Fire, Police, civil administration, Bomb
disposal squad)
• Non-Government Organizations,
• Private Hospitals,
• International relief agencies etc.
CHAIN OF COMMAND
A chain of command to be followed at the time of Emergency is as follows:
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SAFETY INSPECTION AND RECORDS:
The Safety Management Officer or Committee may require periodic assessment of the
following inventory:
a. Environmental (lighting, dusts, gases, sprays, noises).
b. Hazardous materials (flammable and caustic).
c. Equipment (biomedical equipment etc.).
d. Power equipment (boilers, motors, etc.).
e. Electrical equipment (switches, breakers, fuses, outlets, connections).
f. Hand tools.
g. Personal protective equipment (safety glasses, ventilators, radiation safety aprons etc).
h. Personal service/first aid supplies (Medical Check Up).
i. Fire protection equipment (alarms and extinguishers).
j. Walkways/roadways (sidewalks, roadways).
k. Transportation equipment (Ambulances, lifts).
l. Containers (hazardous waste bags).
m. Structural openings (windows, doors, stairways).
n. Buildings/structures (floors, roofs, planter walls, fences).
o. Miscellaneous (any items not covered above).
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Enclosure 5 – Disclosure of Consultant
“Action Cancer Hospital” at A-4, Paschim Vihar, Near Paschim Vihar East Metro Station, New Delhi being developed by Manav Sevarth Trust
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