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MEDICA SUPER SPECIALTY

HOSPITAL

127 MUKUNDAPUR, E M BYPASS KOLKATA 700099

HAZARD IDENTIFICATION &

RISK ANALYSIS REPORT

Conducted by:

SEARCH SERVICES PVT LTD

44.1 Rash Behari Avenue

Kolkata 700026

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Index

Subject Page Number

OVER VIEW 3

SCOPE OF HIRA, ACKNOWLEDGEMENT 4

FEATURES 5

LIST OF HAZARDOUS CHEMICALS 7

MAJOR OPERATING DEPARTMENTS FOR HIRA ANALYSIS 10

PROCEDURE FOR HIRA ASSESSMENT 11

HIRA ASSESSMENT 13

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Medica Superspecialty Hospital

Overview

Medica Superspecialty Hospital is one of the largest super specialty hospitals of eastern India which is committed to bring the best in healthcare. This hospital is a 100% subsidiary company of Medica Synergie Pvt. Ltd., which is the largest integrated healthcare providers in eastern India. Besides hospitals, Medica Synergie has a chain of pharmacy retail outlets under the banner of 'Medica Health Shoppe', and also a 'Projects & Consultancy' division which is into Public Health, Hospital accreditation and building hospitals for others Medica Super specialty Hospital will be a tertiary care hospital with 500 (proposed) beds and will provide state-of-the-art facilities in Cardiology and Cardiac surgery, Neurology and Neurosurgery, Orthopedics, Joints and Spine treatment, Liver and Gastroenterology, a large Dialysis facility, advanced Urology services and a host of other support services, all under the same roof. This hospital has been created keeping in mind that those needing treatment should find this unit as an end-point of their search for excellence in clinical services, ambience and staff behavior, and at prices so slated so as to be affordable to all. It is a sincere attempt to stop patients from having to travel to north or south India for treatment. Hospital Services encompassing every aspect of health with advanced technology, treatment and care. strive to build in transparency in our actions and develop strong doctor-patient communication. KARMA is another feather in the cap of Kolkata Police, which is keeping alive its “We Care, For You” promise to the citizens of the city! And Medica is proud to be associated with the noble venture.

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SCOPE OF THE HAZARD IDENTIFICATION &

RISK ANALYSIS

The scope covers the HAZARD IDENTIFICATION & RISK

ANALYSIS of Major Operating Departments of MEDICA

SUPERSPECIALTY HOSPITAL at 127, Mukundapur, E M Bypass, Kolkata

700099 .

ACKNOWLEDGEMENT

We sincerely thank to the following persons for their cooperation and

guidance while performing the HAZARD IDENTIFICATION & RISK

ANALYSIS From Jun 18 to Jul 11 ,2015 at MEDICA SUPER SPECIALTY

HOSPITAL AT MUKUNDAPUR, Kolkata 700099.

1) Mr Jai Paul - VP- Engineering & Maintenance

2) Mr Sandip Boral- Asst Engineer

3) Mr Sudip Dey- Deputy Manager QA

4) HODs of each Departments

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Features :

127, Mukundapur, E M Bypass, Kolkata 700099

Ph: 033 6652 0000

1. Name of the Contact Person: Mr Jai Paul (Mob : 84200 00170)

VP –Engineering & Maintenance

2 Number of stories: G+6

3.. Number of entries to premises 4 nos

4. Name of the building: MEDICA SUPER SPECIALTY HOSPITAL

5. Address : 127, Mukundapur, E M Bypass, Kolkata 700099 Ph: 033 6652 0000 6. Open space surrounding/around buildings with details of conditions and

widths

Considerable space is available surrounding the Hospital building

On the East: Road &Vision Hospital, on the West Metro Cash & Carry, On the North

:Residential Building, On the south: Mukundapur Road,

7. Number of staircases available and how many of them extended to terrace: Six

8. No of Lifts with Stretcher carrying facilities : Four

9. Purpose of building : Provision of Health Care

10. Electrical a. Source of power supplies: CESC , 11 KV

b.. Transformer type & capacity available: Dry Type 1500 kva Universal MAKE)

c.. Location of transformer in the premises :Near the boundary wall on Eastern side

d. Protection to transformers, if any: All measures as per OEM are in place

e. Types and systems of power distribution in the building: Through panels &

switchgear

f. Electrical wiring conditions: . The condition is good

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g. Meter boxes and main switches locations and their conditions: (Switch Room

& Substation) Condition- Good

h. Electrical panel available? Details : Yes

i. What is alternative source of power: DG(500 KVA, )-2nos.

j .Centralized A.C system : Two Nos 175 TR central AC & 1no. 350TR are running to

supply cool air to the Hospital. There are 53 Nos AHU at different floor.

k. UPS protection measure details -Found adequate

12. GENERAL

Proper PPE are being used to protect from Radiation of electro magnetic waves at X-ray/MRI Units & Contamination from Contagious disease. Necessary mock drills has been organized periodically to see that systems respond in time in case of disaster. This includes shifting of Dummy Patient from the top floor. Fire fighting training has been conducted regularly to spread the awareness amongst the staff. Periodical validation check is required with the fire safety installations, smoke detectors, Sprinklers etc. by the competent team. And record to be maintained There are some good initiates have been taken by MEDICA, like converting the all patient Call back systems are being converted to DC for the patient safety The signage’s are very good all over the Hospital.

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List of Hazardous Materials

S. no Name of Chemical

1 3M – hand rub, 500ml

2 3M-Rapid

3 Absolute Alcohol

4 Acetic acid Glacial

5 Acetone, 100ml

6 Acid

7 Aldasan - 2000

8 Ammonia

9 Bacillocid special 500ml

10 Barium Chloride 10%

11 Benzidine powder

12 Betadine lotion 100ml

13 Boric acid

14 BOXAR GLYCERIN

15 Butanol

16 CALAMINE CARBONATE

17 CALAMINE LOTION 112 ML X 20

18 CASTAR OIL

19 Chlorine

20 Chloroform

21 Chromic acid

22 Cidex – opa, 5 liters

23 Citrosteril, 5liters

24 Cupric Sulphate

25 Diethyl Ether

26 Drabkind solutions

27 E.0 gas catridges

28 Edta-di-Sodium salt

29 ENEMA PROCTOCLYSIS

30 Ethyl alcohol

31 EUSOL SOLUTION

35 Fouchet"s Reagent

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36 GENTION VIOLET PAINT

37 GLYCERIN

38 GLYCEROL

39 HSD

40 Hydrochloric Acid

41 Hydrogen Peroxide 100ml

42 Hydrogen peroxide 6%

43 ICHTHAMOL GLYCERIN

44 Iso propyl Alcohol (spirit) 100ml

45 Liquid Paraffin, 100ml

46 LPG

47 Lubricant 20/40

48 Lubricant 220 048

49 Lubricant 320 049

50 Lubricating Oil

51 MAGNESIUM SULPHATE

54 Methanol

55 Microsheild 555, 500ml

56 Microsheild 727, 500ml

57 Microsheild 747, 500ml

58 Microsheild loprep , 500ml

59 Microsheild PVP , 500ml

60 Nitrogen

61 Nitrous Oxide

62 Oxivir

63 Oxygen Liquid

64 Paraffin wax

65 Phenol

66 Picric acid

67 Potassium ferrocyanide

68 POTASSIUM PERMANGANATE

69 Pottassium Di-Chromate

70 Pottassium Hydroxide

71 Pottassium Permanganate

72 p-Tolune sulphuric acid

73 Sodium Chloride 500gms

74 Sodium Hydrochloride 500ml

75 Sodium Hydroxide

76 Sodium Hypochlorde 500gms

77 Sodium Hypochloride 500 ml 1%

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78 Sodium Hypocholorite

79 Sodium Metabisulphate

80 SOLVENT ETHER

81 Sterillium, 500ml

82 Sulphuric acid

83 Clean N Sep

84 NOBILE Taski

85 TERRANOVA Taski

86 All Klean

87 EMERAL

88 3M Steelpolish

89 Tincture bensoin, 100ml

90 Triethoxy silane

91 Turpentine

92 Virkon, 500ml

93 WHITE PETROLEUM JELLY

94 Xylene

95 Yorko Compressor Oil

96 Vircon

97 Semiquad

98 R2

99 TR 101

100 TR 102

101. Pest Control

Kathrin, Baytex 1000, Spat kitt, Flyco 20 EC Ratcon, Maxforce gel bail.

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MAJOR OPERTING DEPARTMENTS ARE BEING COVERED FOR HIRA

1. LAUNDRY

2. MAIN PATEIENT KITCHEN

3. BIOMEDICAL WASTE DISPOSAL

4. PATHELOGY LAB

5. RADIOLOGY

6. ENDOSCOPY

7. DIALYSIS

8. CRITICAL CARE UNIT

9. BIOMEDICAL EQUIPMENT

10. MAIENTENANCE ( Electrical Plants, Central AC Plants,

WTP.STP, Medical Gas Pipe Line)

11. OT

12. CSSD

13. PHARMACY

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PROCEDURE FOR HIRA ASSESSMENT

1. Identify the Department for HIRA Assessment

2. Note Down each of the activities in that Department along with the

Head of that Function

3. Risk Assessment to be done of each activities on the Basis of

SEVERITY & PROBABILITY

4. SEVERITY (SR = Severity Rating )

HIGH (H) - Fatal / Permanent Disability; Operational outage> 1 day; Loss > 100000

MEDIUM(M) - Medical Aid; Operational outage> 1 shift < 1 day; Loss > Rs. 10000 < Rs.

100000 LOW (L) - First Aid; Operational outage< 1 shift; Loss < less than Rs 1000

5. PROBABILITY (PR = Probability Rating) HIGH (H) - Will Happen - > 50% chances

MEDIUM(M) - May / Can Happen <50% but>10% chances has been observed

LOW (L) - Rare Chances / Never Happened - < 10% chances

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6. SCORING

RL = Risk Level, RRL = Residual risk level 1 = Trivial, 2 = Acceptable, 3 = Moderate, 4 = Substantial, 5 = Unacceptable

SEVERITY H 3 4 5

M 2 3 4

L 1 2 3

L M H PROBABILITY

7. Cut Off Scoring at start should be 3. Above that Operation Control Procedure

( OCPs or SOPs) are to be drawn

8. If the activity is cover under any Legal requirement or Local Requirement then

OCP/SOP has to be drawn irrespective of Scoring

9. For Each activities existing Controls are to be mentioned

10. Risk Control analysis to be done in the following manner

1st Check the activity can be eliminated . if not

2nd Whether any Substitution can be adopted to reduce the risk, if not

3rd Whether any Engineering Control can be adopted to reduce the risk, if not

4th Whether any administrative control can be exercised , Like SOP, Manual,

Signage, Warning, if not

5th Lastly PPE to be used as a last line of defence