“Sri Balaji Action Medical Institute”environmentclearance.nic.in/writereaddata/EIA/19012019...Sri Balaji Action Medical Institute at Facility Centre no. 34, Paschim Puri, New Delhi

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

Sri Balaji Action Medical Institute at Facility Centre no. 34, Paschim Puri, New Delhi by M/s Lala Munni Lal Mange Ram Charitable Trust

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

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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.


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?


Materials during construction phase will be

transported by truck, trolley etc. Parking of trucks

will be provided in case of emergency.


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

during operation phase.

1.26 Long-term dismantling or

decommissioning or

restoration works?

No Not Applicable

1.27 Ongoing activity during

decommissioning which

could have an impact on the

environment?

No Not Applicable

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



13

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,


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.


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)


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,


5.1 Emissions from

combustion of fossil fuels

from stationary or mobile

sources.


DG sets of capacities 62.5 kVA shall be installed

acoustically enclosed with adequate stack height.


The only source of emission from combustion of fossil fuels

will be DG sets of 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



17

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


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.


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



18

5.8 Emissions from any other

sources.

No None

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


confirmation Yes/

No



with source of information data

6.1 From operation of equipment

e.g. engines, ventilation

plant, crushers.


Due to operation of machinery and equipment during

construction of proposed 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



19

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:


confirmation

Yes/

No



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



20

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



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.


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.



21

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)



22

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)



23

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



24

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



25

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)



26

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.



27

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.



28

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.



29

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.



30

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.



31

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



32

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,



33

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.



34

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



35

• 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.



36

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:


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?


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.



37

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.



38

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.



39

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.



40

ENCLOSURE 2. CONCEPTUAL PLAN



41

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



42

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



43

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



44

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.



45

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.



46

ENCLOSURE 3. ENVIRONMENT REPORT



47

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



48

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)



49

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



50

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



51

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 %



52

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



53

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-:



54

3.2.5.4 Layout Plan The layout plan is given below:

N



55

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:



56

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)



57

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)



58

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.



59

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:



60

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


At Mathews Public School 0.31 km (SW)

Doon Public School 0.74 km (SW)

K.R. Mangalam School 1.11 km (NW)



61

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 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.



62

• 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.



63

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



64

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.



65

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



66

➢ 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.



67

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



68

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



69

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.



70

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



71

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


560Ø MANHOLEWITH DOUBLE SEAL COVER

1000

560 mm Ø INTERNALDIA WITH GRATING

1000

560560

560

560 560

TO NEXT MANHOLE


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



72

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



73

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



74

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



83

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



85

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.



86

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



87

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:



88

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).



89

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


2

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