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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,

Rajasthan

CONCEPTUAL PLAN
1.1 PURPOSE OF THE REPORT
The project is Development of Proposed Medical Hospital, Academic Block & Residential Block for
300 bedded medical Hospital, at Village- Sirohi, District – Sirohi, Rajasthan and will be developed
by Medical Education Department, Government of Rajasthan.
Total plot area is 124512.83 Sq. m and proposed Built- up area is 94629.8 Sq. m. The Development
of proposed medical Hospital will include:
• Hospital Block
• Academic Block
• hostel
• Dining Block
• Animal Hold room
• Indoor Sports block
• Residence
• Play ground
• Shops & sport complex, etc
In order to obtain the Environmental Clearance from the MoEF, Conceptual plan for Environmental
Impact Assessment (EIA) Studies and Environment Management Plan (EMP) are essential as per the
EIA Notification and its subsequent amendments.

As per the new EIA notification dated on 14th September, 2006 the proposed project is categorized
under Project-8 (a) construction Projects.
Sirohi Medical Hospital, Rajasthan has proposed to undertake Environmental Impact Assessment
(EIA) studies for assessing the impact of the proposed construction Project on various environmental
parameters in the study area and prepare an Environment Management Plan for negating the adverse
impacts of the project.

1.2 SITE LOCATION AND SURROUNDINGS


The project site is located at District. Sirohi , Rajasthan which is easily approachable through NH- 62
which is at a distance of 0.15 Km towards W and nearest railway station is Pindwara Railway Station
at a distance of 24.27 Km from project site in SE direction. Nearest airport is JK Airport Rajsamand
Airport, at a distance of 108.14 Km from the project site in E direction.
The Co-ordinates of the project site are as follows:
Latitude: 24°57'32.89"N
Longitude: 72°53'11.39"E

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Figure-1: Google Image Showing project site and site surroundings

PROJECT SITES SURROUNDING INFRASTRUCTURE

Nearest Road-
a) NH – 62 - 0.15km, Beawar-Pindwara Road towards West direction
b) NH – 14 to Ambheshwar Madev Temple, 0.64km towards South direction

Nearest Railway station - Pindwara Railway Station - 24.27 Km towards SE direction

Nearest Airport - JK Airport Rajsamand Airport -108.14 Km towards E direction

Nearest Village –
a) Vera Vilpur Village – 2.00 km towards NE direction
b) Palri Village - 6.75 km towards NE direction
Nearest School -
a) ST. JKD International School – 8.72 km towards SE direction
b) Adarsh Vidhya mandir School – 8.92 km towards SE direction

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Nearest Hospital -
a) Govt Medical College & Hospital - 8.37 km towards SE direction
b) Mahila Govt. Hospital – 8.43 km towards SE direction
Nearest Temple –
a) Gahjanan Mata Temple - 6.70 km towards SE direction
b) Matar Mataji Temple – 6.65 km towards E direction
1.3 SALIENT FEATURES & AREA DETAILS
Table 1: Area Statement
S.NO. BUILDINGS Achieved Gross Achieved B.A.U.
B.U.A. (Sq.Mtr.)
(Sq.Mtr.)
1. Hospital Block 37643.98 31655.99
2. Academic Block 18699.25 16713.34
3. Student Hostel 1 7608.45 5939.33
4. Student Hostel 2 7608.45 5939.33
5. Intern Hostel 1 1676.31 969.08
6. Intern Hostel 2 1676.31 969.08
7. Nurse Hostel 2303.91 1576.26
8. Resident Hostel 4025.28 2876.26
9. Dining Block 1907.10 1752.09
10. Principal Residence 338.94 260.5
11. Teaching Residence 1 2751.17 1814.41
12. Teaching Residence 2 2751.17 1814.41
13. Non-Teaching Residence 2779.71 1812.54
14. 4th Class Residence 657.07 455.69
15. Shops & Sports Complex 900.58 725.42
16. Animal Hold 70.48 64.00
17. Central Workshop 124.6 120.00
18. Laundry 202.95 174.43
19. Manifold & Oxygen Plant 328.85 300.34
20. Electrical Sub Station (E.S.S.) 98.76 98.76
21. Over Head Tank (O.H.T.) 38.48 38.48
22. Fire & Underground Tank (U.G.T.) 240 240
23. Sewage Treatment Plants (S.T.P.) 171 171
24. Rainwater Harvesting Pit (R.W.H.) 7 27
Total 94629.8 76507.87

Table 2: Salient Features

S.No. Particulars Details


1. Activity Academic Block, Hostels, Mess, Residence,
Indoor Sports Block, ESS and other

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

services, Play Ground, Tennis Court,


Animal Hold Room
2. Population 3601
3. Total Water Requirement 528 KLD
4. Fresh Water Requirement 253 KLD
5. Waste water Generation (Sewerage) 365 KLD

6. STP capacity 375 KLD


7. ETP capacity 10 KLD
8. Solid Waste Generation (Kg/day) 1383 kg/day
9. Maximum nos. of Floors G+5
10. Rain Water Harvesting Pits 29
11. Power Requirement & Source 1100 KVA (Jaipur Vidyut Vitran Nigam Ltd
12. No. of DG sets (Number & capacity) 1x380 KVA for college & 2x250 KVA for
hospital silent type
13. STP capacity 375 KLD

2.4 POPULATION DENSITY

Table 3 : Population Details

Sr.No Unit Type Population

1 Hospital Block 300

2 Academic Block 1235

3 Student Hostel 1 280


4 Students Hostel 2 280
5 Intern Hostel 1 76
6 Intern Hostel 2 76

7 Nurse Hostel 48
Resident hostel
8 248
Dining Block
9 544

10 Principal Residence 6

11 Teaching Residence 1 120

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Teaching Residence 2
12 120
13 Non-Teaching Residence 90
14 4th Class Residence 48
15 Shops & Sports Complex 8
16 Animal Hold 3
Central Workshop 10
Laundry 4
Manifold & Oxygen plant 5
visitors 100
Total 3601

1.5 WATER REQUIREMENT


The water will be supplied through Rajasthan government water supply/ Ground water. Total water
requirement for the project will be approximately 528 KLD, out of which 253 KLD is fresh water
requirement for domestic and laboratory and 275 KLD is treated water requirement which will be
used for flushing and horticulture. The daily water requirement calculation of proposed project is
given below in Table- 4.

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Table 4: Calculations for water Demand

Domestic Total waste


Total Water Flushing water
Rate of Water Water water
Sr. No Unit Type Population Demand demand
Demand Demand generated
Litres Litres
Litres litres
1 Hospital Block 300 450 135000 90000 45000 121500

2 Academic Block 1235 45 55575 30875 24700 50017.5

3 Student Hostel 1 280 135 37800 25200 12600 34020

4 Students Hostel 2 280 135 37800 25200 12600 34020

5 Intern Hostel 1 76 135 10260 6840 3420 9234


Note-In dining block
consider 10lit per
person: food
6 Intern Hostel 2 76 135 10260 6840 3420 9234 preparation/drinking
/vessel washing/floor
cleaning/toilets, etc.

7 Nurse Hostel 48 135 6480 4320 2160 5832

8 Resident hostel 248 135 33480 22320 11160 30132

9 Dining Block 544 10 5440 5440 4896

10 Principal Residence 6 135 810 540 270 729

11 Teaching Residence 1 120 135 16200 10800 5400 14580

12 Teaching Residence 2 120 135 16200 10800 5400 14580


Non-Teaching
13 90 135 12150 8100 4050 10935
Residence
14 4th Class Residence 48 135 6480 4320 2160 5832

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
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Shops & Sports


15 8 135 1080 720 360 972
Complex
16 Animal Hold 3 45 135 75 60 121.5

17 Central Workshop 10 135 1350 900 450 1215

18 Laundry 4 135 540 360 180 486


Manifold & Oxygen
19 5 45 225 125 100 202.5
plant
20 visitors 100 15 1500 1500 1350
Horticulture
21 3.5 L/sqm 129500 129500
(18676.92sq.mt.)
22 Lab 10000 10000 9000

Total 3601 528265 383275 144990 358888.5


528.265 KLD 383.275KLD 144.990KLD 358.888KLD
359 KLD + 6
528 KLD 383 KLD 145 KLD KLD=365

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Total water Requirement


(528 KLD)

Fresh water Requirement Recycled/Treated Water


(253 KLD) (275 KLD)

Lab Domestic water Flushing Horticulture


(10 KLD) Requirement (145 KLD) (130 KLD)
(243 KLD)

Wastewater generated
Wastewater
(350 KLD)
generated
(9 KLD)

Total Wastewater Generated


ETP (356 KLD)
(10 KLD) (350 KLD + 6 KLD back wash )

STP
(375 KLD)

Recycled Treated water


For floor washing and 329 KLD Backwash-6KLD
miscellaneous purpose (321 KLD+ 8KLD)
(54 KLD)

Figure 2: Water Balance Diagram

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Total 359 KLD of wastewater will be generated from the proposed project & 6KLD backwash
water, which will be treated in Sewage treatment plant (MBBR) of 375 KLD STP & ETP 10 KLD.

1.6 SEWAGE TREATMENT TECHNOLOGY


Sewage generated from the project will be treated in sewage treatment plant proposed of 375
KLD capacities at the project site within the premises based on MBBR technology.
Treatment Technology
The sewage will be first passed through a Bar Screen Chamber where any extraneous matter would
get trapped. The influent would overflow by gravity to the Oil & Grease Chamber which is provided
for safety so that the oil may not inhibit the biological growth in the MBBR reactors.
The sewage would then collected in an Equalization Tank where the variations in flow and
characteristics are dampened, which otherwise can lead to operational problems and moreover it
allows a constant flow rate downstream. Here the sewage is kept in mixed condition by means of
coarse air bubble diffusion.
The Bio Reactor is based on the Fluidized Random Aerobic Reactor which combines the advantage
of an Activated Sludge Plant with the Random distribution systems such as Biofilter with capacities
that could be as low as 1/10th of ASP and fractional power consumption, such a reactor is ideal for
the efficient removal of BOD and organics from the wastewater.
The tanks are packed with RIGID PP-UV-sterilized Gas Fluted Media with liquid random
distribution wherein air diffusers are placed to uniformly release air across the tanks.
Working Principle
The Moving Bed Biofilm Reactor (MBBR) process is a state-of-the-art fixed-film (or attached
growth) biological process used for wastewater treatment both municipally and industrially for BOD
removal, nitrification and denitrification. This process provides the smallest footprint biological
system, which is tolerant of both load swings and temporary load deprivation.
Moving bed biofilm reactor (MBBR) is a biological technology used for wastewater treatment
process suitable for municipal and industrial application. Another common name is moving bed film
reactor. It was invented in the 1980s. MBBR offer an economical solution for wastewater treatment.
STP MBBR technology is the use of a moving bed biofilm reactor in sewage treatment plants. MBBR
wastewater treatment system enables efficient results of the disposal using low energy. The
technology is used to separate organic substances, nitrification and denitrification. MBBR design is
made of an activated sludge aeration system. The sludge is collected on the plastic carriers which
have a large internal surface area. The surface area in the carriers optimizes the contact of water, air,
and the bacteria.
MBBR activated sludge is the application of MBBR media to an overloaded treatment plant when
upgrading.
MBBR is applicable to the different quality of wastewater treatment. The application is determined
by the desired results and regulations controlling discharge. The system can be of more than one
stage depending on specific needs. The stages are made of individual tanks separated by screens to
ensure that bacteria remain in their specific tank.

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

MBBR Media Used in Wastewater Treatment


Aeration tank: The tank is similar to an activated sludge tank. The aeration is used to keep in motion
the activated sludge and carriers. The MBBR system separates the excess bacteria and sludge which
are directed to the final separator.
Special plastic carriers: They provide a surface for biofilm growth. Carrier materials are made of
materials with a density close to that of water (1g/cm3) an example is high-density polyethylene
(HDPE) with a density of 0.9g/cm3. These carriers are moved in the tank through the aeration system.
This ensures good contact between the wastewater and the biomass on the carriers.
Benefits of MBBR Technology

• Saving of space due to its compactness


• Easy to maintain
• Good for a high volume of load
• Extension and expanding are easy. This made possible by increasing the filling degree of carriers.
• Lower discharge costs
• MBBR is not affected by toxic shock
• Independent process performance because there is no return line for sludge; the MBBR eliminates
the return activated sludge (RAS)
• It has high effectiveness of sludge retention time (SRT) which enhances the nitrification process
• Production of sludge is lower
• It does not need recycling of the sludge-like activated sludge system
• MBBR media is installed to retrofit existing activated sludge tanks in order to increase its capacity

Design of MBBR Systems


It uses a combination of activated sludge process i.e. suspended growth and biofilter i.e. attached
growth. It uses the entire tank volume for biomass growth by implementing the carriers for attached
growth of biofilm. Movement of carriers is enabled by air bubbles through agitation.
The reactor can be in any shape and support different load depending on carrier filling. MBBR design
of reactor depended on the actual wastewater characteristics and locality. The plants come either
with vertical or horizontal mounted rectangular mesh sieves. The reactor can also be fitted with
cylindrical bar sieves. MBBR carriers are cylinders having a cross inside and fins outside to increase
the surface area. The standard used is below 70% of carriers in an area of not more than 465m2 per
m3. MBBR is used together with a septic tank or a pre-coagulation step for pre-treatment. MBBR
technology can be designed with additional non-mechanical or mechanical system to enhance
phosphorus and fecal coliform reduction.

Application of MBBR
Biological Oxygen Demand (BOD) removal – It requires only one wastewater tank with the MBBR
and clarification.
Nitrification – It uses two tanks one for BOD removal and the other for nitrification.
Denitrification – It uses four aeration tanks in this order before emptying in the clarification with pre
denitrification, BOD reduction, nitrification and post denitrification.
MBBR technology is applicable in industries, marine and for municipal wastewater treatment.

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Operation and Maintenance of MBBR


MBBR which is in constant use does not require backwashing or return sludge flows. Wastewater
treatment tank operation is at low cost because of the coarse-bubble aeration in the aeration zone.
The agitation constantly moves the carriers over the service eliminating clogging.
Maintenance of the MBBR system is mainly done in the form of screening, sludge handling, influent
equalization and it also involve maintaining the integrated control system and clarifier system. The
MBBR requires skilled personnel for the routine monitoring of pump and blower operation. MBBR
technology has a self-maintenance mechanism for the level of biofilm.
Sanitary System: It is proposed to provide drainage through UPVC SWR pipes, which will be
discharging independently into a network of pipes leading to vertical stacks. Every trap of 100mm
dia. Shall be discharging into a horizontal pipe of 150mm dia to avoid chocking of the pipes.
Sewage Characteristics

The anticipated wastewater (sewage) characteristics before and after treatment are given in Table-5.

Table 5: Wastewater Characteristics

Inlet Effluent Parameter Inlet Effluent Value


BOD 5 250 to 300 mg/lit

Suspended solids 250 to 400 mg/lit


COD 450 to 600 mg/lit
Ph 6.5 to 8.5
Oil & grease 50 to 100 mg/lit
Treated / Recycled Waste Water Parameter Recycled Waste Water Value
BOD5 < 10mg/lit
Inlet Effluent Parameter Inlet Effluent Value
Total Suspended solids < 10mg/lit
COD <30 mg/lit
pH 6.5 to 8.5
Oil & Grease < 5 mg/lit
Residual Chlorine 1 mg/lit
Turbidity < 2 mg/lit
Coliform Nil

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Figure-3 Flow Chart of Sewage Treatment Plant

1.7 RAIN WATER HARVESTING


The storm water disposal system for the premises shall be self-sufficient to avoid any
collection/stagnation and flooding of water. The amount of storm water run-off depends upon many
factors such as intensity and duration of precipitation, characteristics of the tributary area and the
time required for such flow to reach the drains. The drains shall be located near the carriage way
along either side of the roads. Taking the advantage of road camber, the rainfall run off from roads
shall flow towards the drains. Storm water from various plots/shall be connected to adjacent drain by
a pipe through catch basins. Therefore, it has been calculated to provide 29 nos. rainwater harvesting
pits at selected locations, which will catch the maximum run-off from the area.
1) Since the existing topography is congenial to surface disposal, a network of storm water pipe
drains is planned adjacent to roads. All building roof water will be brought down through rain water
pipes.
2) Proposed storm water system consists of pipe drain, catch basins and seepage pits at regular
intervals for rain water harvesting and ground water recharging.
3) For parking, the rainwater from ramps will be collected in the storm water storage tank. This
water will be pumped out to the nearest external storm water drain.
4) Peak Hourly rainfall of 45 mm/hr shall be considered for designing the storm water drainage
system. Rain water harvesting has been catered to and designed as per the guideline of CGWA. At
the bottom of the recharge well, a filter media is provided to avoid choking of the recharge pit.
Design specifications of the rain water harvesting plan are as follows:
• Catchments/roofs would be accessible for regular cleaning.

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
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• The roof will have smooth, hard and dense surface which is less likely to be damaged allowing release
of material into the water. Roof painting has been avoided since most paints contain toxic substances
and may peel off.
• All gutter ends will be fitted with a wire mesh screen and a first flush device would be installed. Most
of the debris carried by the water from the rooftop like leaves, plastic bags and paper pieces will get
arrested by the mesh at the terrace outlet and to prevent contamination by ensuring that the runoff
from the first 10-20 minutes of rainfall is flushed off.
• No sewage or wastewater would be admitted into the system.
• No wastewater from areas likely to have oil, grease, or other pollutants has been connected to the
system.

Table 6: Rainwater harvesting Calculation


Sr.No. Type of Surface Catchment’s Runoff Hourly Discharge
Area (m2) Coeff. rainfall (Runoff)
[A] [C] [I] Q=CIA
M3/hr
1 Rooftop Area 940.87 0.9 0.045 38.10
2 Green Area 18676.92 0.2 0.045 168.1
3 Open Area 98203 0.2 0.045 883.82
1090.03

Total Run -off = 1090.03


Taking retention time 0.25 hours
(for low water holding capacity the volume comes to) = 1090.03 m3 x 0.25 hr
= 275.50 m3/hr

Volume of recharge pit = ∏ r2 h


Radius [ r] = 1.0-meter inner dimension
Effective height of pit [h] = 3 meter
Pit volume = 3.14 x (1.0 x 1.0) x 3 = 9.42m2

Number of recharge pit required = 275.50/9.42 = 32.01 or say 29 pits

Total 29 nos. of Rain Water Harvesting pits are being proposed for artificial rain water recharge within
the project premises.

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Figure 4: Typical Section of Rain Water Harvesting Pit

1.8. VEHICLE PARKING FACILITIES

Adequate provision will be made for car/vehicle parking at the proposed project site. There shall
also be adequate parking provisions for visitors so as not to disturb the traffic and allow smooth
movement at the site. Required and proposed parking details are given below:
Required Parking (Special use) =
18269.47/115 = 158.8 E.C.U. Say = 159 E.C.U.
75% of ECU for scooters parking = cars No. = 159 x 75% = 119.2 say = 120
25% of ECU for Scooters parking = 159 x 25%= 39.7 E.C.U. say =40
Scooter Nos. = 40 x 3 = 120 say 120
Required parking (Residential use) =
6157.55/115 = 53.54 E.C.U. say 54 E.C.U.
Add visitors Parking = Cars Nos. =55 x 755 = 41.2 say = 42
Total E.C.U. = 54 + 1 = 55 E.C.U.

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

75% of ECU for car parking = Cars Nos. = 55 x 75 5 = 41.2 Say = 42


25% of ECU for Scooters parking = 55 x 25% = 13.7 E.C.U. say =14
Scooters nos. = 14 x 3 = 42
Required Parking Cars Scooters
Normal 353 383
Visitor’s 3 3
Handicapped 30
Total required 386 386
Achieved Parking = 349 cars in open & 37 on Stilt & 280 Scooters in Open & 106 in Slit
1.9. POWER REQUIREMENT
The power supply shall be supplied by Jaipur Vidyut Vitran Nigam Ltd. The required connected
load for the project will be approx. 1100 KVA

Details of D.G Sets:

Total 02 Nos. of DG Sets having capacity 1X380 KVA for college & 2X250 KVA for hospital silent
type is proposed. The DG sets will be air cooled and equipped with acoustic enclosure to minimize
noise generation and adequate stack height for proper dispersion.

2.0. SOLID WASTE GENERATION


Solid waste would be generated both during the construction as well as during the operation phase.
The solid waste expected to be generated during the construction phase will comprise of excavated
materials, used bags, AAC Blocks, concrete, MS rods, tiles, wood etc. The following steps are
proposed to be followed for the management of solid waste:
• Construction yards are proposed for storage of construction materials.
• The excavated material such as soil and stones will be stacked for reuse during later stages
of construction
• Excavated top soil will be stored in temporary constructed soil bank and will be reused for
landscaping of the development of proposed medical college.
• Remaining soil shall be utilized for refilling / road work / rising of site level at locations/
selling to outside agency for construction of roads etc.
During the operation phase, the solid waste generated from the project will be approx. 2520
kg/day. Detailed calculation is shown in Table: 7.

Table 7: Solid waste generation

waste Generated
Sr.No Description Population Rate (kg/cap/day) (Kg/day)
1 Academic Block 1235 0.3 370.5

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
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2 Student Hostel 1 280 0.5 140


3 Students Hostel 2 280 0.5 140
4 Intern Hostel 1 76 0.5 38
5 Intern Hostel 2 76 0.5 38
6 Nurse Hostel 48 0.5 24
7 Resident hostel 248 0.5 124
8 Dining Block 544 0.5 272
9 Principal Residence 6 0.5 3
10 Teaching Residence 1 120 0.5 60
11 Teaching Residence 2 120 0.5 60
Non-Teaching
12 90
0.5 45
Residence
13 4th Class Residence 48 0.5 24
Shops & Sports
14 8
Complex 0.5 4
15 Animal Hold 3 0.3 0.9
16 Central Workshop 10 0.5 5
17 Laundry 4 0
Manifold & Oxygen
18 5
plant 0.5 2.5
Horticulture (37000
19
sq.mt.) 9.14 acres 0.2 kg/acres/day 1.83

359 KLD
(waste 7.51% of waste
21 Sludge from STP
water water
from STP 28.72
17waste
22 Sludge from ETP water 7.51% of waste water
from ETP 1.28
Total 1382.73
Say 1383 kg/day

(Source: For Waste Collection, Chapter 3, Table 3.6, Page no. 49, Central Public Health & Environment
Engineering Organization, Ministry of Urban Development, (Government of India, May 2000))

Solid Waste will be segregated in biodegradable and non-biodegradable garbage and will be stored
in solid waste disposal room from where Biodegradable garbage will be handed over to Municipal
Corporation and non-biodegradable garbage will be handed over authorized recycler. Dried
sludge from STP will be used as manure. The solid waste generations during construction and
operation phase are given in Table 8 and 9 respectively

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

During Construction Phase

Table 8: Solid waste during Construction Phase

Criteria for Solid Waste Generation Solid Waste Generation Kg/day


No. of Total
Non- biodegradable Bio- degradable Non- biodegradable Bio- degradable
Workers (Kg/person Total
/day)
100 0.25 30% 70% 7.5 17.5 25

The solid waste generation due to workers dwelling on the site will be segregated and will be
disposed suitably.

During Operation Phase


TABLE NO. 9 SOLID WASTES DURING OPERATION PHASE
Amount (in
Sr. No. Solid Waste
Kg/ Day)
1 Residential Block & Academic block 1383
2 Biodegradable Waste (70%) 968
3 Non-biodegradable Waste (30%) 415

TABLE NO. 10: SOLID WASTE GENERATION OF PROPOSED HOSPITAL

Sr.No. Description No.of Organic waste Inorganic Total Total Total


of module persons in waste in organic Inorganic solid
kg/capita/day kg/capita/day waste in waste in waste in
kg/day kg/day kg/day

1. Hospital 300 0.45 0.68 135 204 339


(300 Beds)
@75% of
1.5kg/bed

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

TABLE NO. 11: BIO MEDICAL WASTE GENERATION

Sr.No. Description of Module No.of Beds Bio medical waste Total Bio
in kg/bed/day medical waste
generation
kg/day

1. Hospital (300 Beds) @25% 300 0.375 112.5


of 1.5kg/bed

3.0. LANDSCAPING AND GREENBELT DEVELOPMENT


Total green area measures 37000 Sq.mtr. i.e. 30 % of the plot area which will be area under tree
plantation along the periphery of the project, in the lawns and along the roads. Evergreen tall and
ornamental trees and ornamental shrubs have been proposed to be planted inside the premises. Lawns
will also be developed by the management.

Plot Area 124512.83Sq.mt

Green Area Proposed 37000 Sq.mt. (30 % plot area)

As per MoEF Guidelines One tree per 80 m2 of total area out of which
minimum 50% to be in the Category of evergreen
trees.

Tree Required 463 trees

Bio Medical Waste Generation


Following arrangements will be made at the site in accordance to Bio Medical Wastes (Management
and Handling) Rules, 1988 and amended Rules, 2016.
The following are the key consideration in planning and designation of the biomedical waste
management system:

Identification of Bio-medicals waste:

Biomedical waste is generated primarily from the operation theaters, ICU and laboratories, wards
and other departments.

Bio-medical waste management systems:

The Bio-medical waste management system process will cover the following aspects.

Table 10: process of BMW Management System

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Waste identification, segregation collection Identification of the Bio-medical waste,


segregate the BMW from general waste at
the point of its generation.
Waste transportation Safely transportation of the Bio-medical waste
for treatment in closed/covered trolleys.
Waste treatment/Decontamination disposal Treatment/Decontamination of the Bio-
medical waste and disposal of the de-
contaminated waste.

Waste identification:

Areas identified from where Bio-medical waste generated are identified as: Operation
theatres/Labour rooms
• Pathological labs and other laboratories
• ICU
• OPD
• Wards
• Causality/emergency
• Diagnostic areas
• Other treatment areas and in the hospital

Waste segregation and collection:


Segregation and collection of wastes is the first and the most important pre- requisite in the
process of waste management in order to minimize quantities of hazardous waste and
preventing cross contamination with non-hazardous waste. Different colored collection bags
and containers will be provided for collection of bio-medical waste as follows:

Table 11: Categories of Bio-Medical Waste

Option Treatment & Disposal Waste Category


Cat. No.1 Incineration /deep burial Human Anatomical Waste
(human tissues, organs,
body parts)
Cat. No.2 Incineration /deep burial Animal Waste Animal tissues,
organs, Body parts
carcasses, bleeding parts,
fluid, blood and
experimental animals used
in research, waste
generated by veterinary

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

hospitals / colleges,
discharge from hospitals,
animal houses)
Cat. No.3 Local autoclaving/ micro waving/ Microbiology &
incineration Biotechnology waste
(wastes from laboratory
cultures, stocks or
specimens of micro-
organisms live or
attenuated vaccines,
human and animal cell
culture used in research
and infectious agents from
research and industrial
laboratories, wastes from
production of biological,
toxins, dishes and devices
used for transfer of
cultures)
Cat. No.4 Disinfections (chemical treatment Waste Sharps (needles,
/autoclaving/micro waving and syringes, scalpels blades,
mutilation shredding glass etc. that may cause
puncture and cuts. This
includes both used &
unused sharps)
Cat. No.5 Incineration / destruction & drugs Discarded Medicines and
disposal in secured landfills Cytotoxic drugs(wastes
comprising of outdated,
contaminated and
discarded medicines)
Cat. No.6 Incineration, autoclaving/micro Solid Waste (Items
waving contaminated with blood
and body fluids including
cotton, dressings, soiled
plaster casts, line
beddings, other material
contaminated with blood)
Cat. No.7 Disinfections by chemical treatment Solid Waste (waste generated
autoclaving/micro waving& from disposable items
mutilation shredding. other than the waste sharps
such as tubing, catheters,
intravenous sets etc.)
Cat. No.8 Disinfections by chemical treatment Liquid Waste (waste generated
and discharge into drain from laboratory &
washing, cleaning , house-
keeping and disinfecting
activities)

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Cat. No.9 Disposal in municipal landfill Incineration Ash (ash from


incineration of any bio-
medical waste)
Cat. No.10 Chemical treatment & discharge into Chemical Waste (chemicals
drain for liquid & secured landfill used in production of
for solids biological, chemicals,
used in disinfect ion, as
insecticides, etc.)

Table 12: Color Coding & type of container for disposal of Bio-medical

Color Coding Type of Containers Waste Category Treatment Options as per


Schedule 1
Incineration/deep burial
Yellow Plastic bag 1,2,3,6
Autoclaving/Micro waving/
Red Disinfection 3,6,7
Chemical Treatment
Container/Plastic
Bag
Autoclaving/Micro waving/
Blue/White Plastic Bag/puncture 4,7
chemical treatment and
proof container destruction/shredding
Translucent

Black Plastic Bag 5,9,10 (Solid) Disposal in Secured landfill

Figure 5: Label for Bio-Medical Waste Containers /Bags

SEGREGATION, PACKING, TRANSPORTATION AND STORAGE

a. Bio-medical waste shall not be mixed with other wastes.

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

b. Bio-medical waste shall be segregated into containers/bags at the point of generation in accordance
with Schedule II prior to its storage, transportation, treatment and disposal. The containers shall be
labelled according to Schedule III.
c. If a container is transported from the premises where bio-medical waste is generated to any waste
treatment facility outside the premises, the container shall, apart from the label prescribed in Schedule
III, also carry information prescribed in Schedule IV.
d. Notwithstanding anything contained in the Motor Vehicle Act, 1988, or rules there under, untreated
biomedical waste shall be transported only in such vehicles as may be authorized for the purpose by
the competent authority as specified by the government.
e. No untreated bio-medical waste shall be kept/stored beyond a period of 48 hours: Provided that if for
any reason it becomes necessary to store the waste beyond such period, the authorized person must
take permission of the prescribed authority and take measures to ensure that the waste does not
adversely affect human health and the environment.

4.0 ENVIRONMENTAL MANAGEMENT SYSTEM AND MPONITORING PLAN


For the effective and consistent functioning of the Medical College, an Environmental
Management System (EMS) would be established at the site. The EMS would include the following:
• An Environmental Management Cell
• Environmental Monitoring.
• Personnel Training.
• Regular Environmental audits and Correction measures.
• Documentation – standards operation procedures Environmental Management Plan and other
records.
4.1 ENVIRONMENTAL MANAGEMENT CELL
Apart from having an Environmental Management Plan, it is also to have a permanent organizational
set up charged with the task of ensuring its effective implementation of mitigation measures and to
conduct environmental monitoring.

Hierarchical Structure of Environmental Management Cell:

Normal activities of the EMP cell would be supervised by a dedicated person who will report to the
site manager/coordinator of the medical college. The hierarchical structure of suggested
Environmental Management Cell is given in following Figure-9.

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Rep from Corporate


Corporate Environment Site Manager planning Group
Division

Site Environmental
Coordinate

Waste water Treatment Greenbelt Development


Plant Operator Incharge

Figure 6: Environmental Management Cell Structure

Budgetary allocation for environmental management during Construction phase

Sr. No. Description Budgetary Allocation (in Lakhs)


Capital Cost Recurring Cost
1 Drinking Water & sanitation 5 3
(Temporary Toilet) Facilities
2 Storm Water Management 5 5
3 Solid Waste/Debris management 3 6
4 Environmental Monitoring 0 1
5 Dust Suppression Measures 5 5
6 Occupational Health and Safety 5 5
Total 23 25

Budgetary allocation for environmental management during Operation phase

Sr. No. Description Budgetary Allocation (in Lakhs)


Capital Cost Recurring Cost
1 Sewage treatment plant and 15 5
Recycling System
2 Rain Water Harvesting System 10 7
3 Solid Waste management 5 3
4 Environmental Monitoring 0 1
5 Green Belt Development 15 7

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Total 45 23

5.0 ENVIRONMENTAL MONITORING


The purpose of environmental monitoring is to evaluate the effectiveness of implementation of
Environmental Management Plan (EMP) by periodic monitoring. The important environmental
parameters within the impact area are selected so that any adverse effects are detected and time action
can be taken. The project proponent will monitor ambient air Quality, Ground Water Quality and
Quantity, and Soil Quality in accordance with an approved monitoring schedule.
5.1 SOIL QUALITY MONITORING
The soil sample was collected at one location in the project study area from a depth of 10-15 cm
from the ground. The parameters were analyzed with respect to agricultural importance and
plantation purposes. The soil analysis report is attached as Annexure and a report on soil
investigations is attached as Annexure.

5.2 SOCIO - ECONOMIC ENVIRONMENT


The existing status of demography and socio-economic factors is established for the zone.
covered in 5-km aerial distance around the project site based on the literature review and
secondary sources such as the Dehradun District Census Statistics.

5.3. WATER QUALITY MONITORING


For assessing the water quality in the study area, the ground water samples were collected and
analyzed. Methods specified in "Standard Methods for Examination of Water and
Wastewater" published by American Public Health Association (APHA) was adopted. The
Water analysis report attached as Annexure.

5.4 AMBIENT AIR QUALITY MONITORING (AAQM)


Samples were collected for RSPM 2.5, RSPM 10, NOx, and SO2 for 24 hours. The frequency
allows comparison of the baseline concentrations with those specified by CPCB through their
Notification of 16 November 2009. The samples were collected and analyzed as per IS-
5182 guidelines. The Ambient Air Quality report attached as Annexure.

5.5 NOISE LEVEL MONITORING


Noise Level Monitoring was conducted at about 3 locations of project area. Readings were
taken over 24-hour period at each location depending on the level of activity. The equivalent
continuous noise levels (Leq) were monitored using an integrating sound level meter
manufactured by Hi-Tech Instruments Limited. The noise report is attached as Annexure.

6.0 DISASTER MANAGEMENT PLAN


Emergency prevention through good design, operation, maintenance and inspection are essential
to reduce the probability of occurrence and consequential effect of eventualities. However, it is
not possible to totally eliminate such eventualities and random failures of equipment or human

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

errors, omissions and unsafe acts cannot be ruled out. An essential part of major hazard control
has therefore, to be concerned with mitigating the effects of such emergency and restoration of
normalcy at the earliest.
Emergency Response Plan or Disaster Management Plan to address natural disaster like
earthquake and operational disaster due to LPG storage and outbreak of fire have been discussed
in the following sections
The overall objective of an Emergency Response Plan (ERP) is to make use of the combined
resources at the site and outside services to achieve the following:

1. To localize the emergency and if possible eliminate it;


2. To minimize the effects of the accident on people and property;
3. Rescue and medical treatment of casualties;
4. Safeguard other people;
5. Evacuate people to safe areas;
6. Informing and collaborating with statutory authorities;
7. Initially contain and ultimately bring the incident under control;
8. Preserve relevant records and equipment for the subsequent enquiry into the cause and
circumstances of the emergency;
9. Investigating and taking steps to prevent reoccurrence
Main hazards identified for the project include hazards pertaining to fires in buildings and fire in
fuel storage areas for the DG, LPG leakage and earthquake an ERP pertaining to these are
described in the following section.

Response in case of Earthquake


• If Indoors
- Take cover under a piece of heavy furniture or against an inside wall and hold on.
- Stay inside: The most dangerous thing to do during the shaking of an earthquake is to try to leave
the building because objects can fall on you.

• If Outdoors
- Move into the open, away from buildings, trees, streetlights, and utility wires.
Once in the open, stay there until the shaking stops.
• If in a Moving Vehicle
-Stop quickly and stay in the vehicle. Move to a clear area away from buildings, trees, overpasses, or
utility wires. Once the shaking has stopped, proceed with caution. Avoid ramps that might have been
damaged by the quake.

• After the Quake


- After the quake be prepared for aftershocks
-Although smaller than the main shock, aftershocks cause additional damage and may bring
weakened structures down. Aftershocks can occur in the first hours, days, weeks, or even months
after the quake.

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

• Help Injured or Trapped Persons


- Give first aid where appropriate. Do not move seriously injured persons unless they are in
immediate danger of further injury. Call for help.
- Remember to help those who may require special assistance –the elderly, people with
disabilities and children.
- Stay out of damaged buildings.
- Use the telephone only for emergency calls.
• RESPONSE PROCEDURE FOR EMERGENCY TEAM
- Formulate an Emergency Response Team for earthquake response
- Inform the necessary authorities for aid
- Ensure no people are stuck beneath any debris, in case of a structural failure.
- Ensure that all the persons standing outside near the buildings are taken to open areas.
- Ensure that the first aid ambulance and fire tender vehicles are summoned if necessary.
- Inform the nearby hospitals if there are any injuries.
- Check the utilities and storage tanks for any damage.

Structural design for Earthquake Loading

The structure is to be designed for the minimum static seismic base shear set out by IS
1893 (Part 1): 2002 using the parameters shown in the table below. These forces are treated as ultimate
forces.

Design Earthquake 10% chance of being exceeded within a 50 year return


period
Seismic Zone Zone IV
Seismic Zone Factor, ‘Z’ 0.36
Soil Profile, Type-II Medium.
Occupancy of building Residential.
Seismic Importance Factor ‘I’ 1.0
Response Reduction Factor R = 5.0
Refer to Table 7, IS 1893
Fundamental Period of Vibration T= (0.075*H0.75)
H – Height of Building from foundation LVL.
Seismic Building Weight To include all components of Self Weight,
Superimposed Dead Load, any other permanent
weight and 25% of Live Load.

Response spectrum method was used as per IS: 1893 (Part-1) 2002 with the following data: ZI (Sa)
Design horizontal seismic coefficient (Ah) = 2Rg

RESPONSE UNDER SEISMIC CONDITIONS:

Seismic analysis of structure is carried out by response spectrum method for the design of beam
elements (Columns and Beams), whereas static design method is applied for the design of plate
elements (Shear walls). However, minimum base shear and mass participation is achieved in both
the approaches as per the provision of IS: 1893.

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

6.1 RESPONSE IN CASE OF LPG LEAKAGE

- The affected area should be evacuated and cordoned off immediately


- Initiate the Emergency Response Team for LPG leakage
- Shut down the main valves in the gas bank, if any in the kitchens
- Ensure that only concerned personnel are present in the affected area and all other personnel and
visitors are moved to the nearest assembly points.
- Rescue trapped personnel, also check if any personnel are unconscious in the area and immediately
move them outside and provide first aid. Ambulance should be summoned to take injured personnel
to the nearest hospital.
- Personnel in the nearby buildings to close all doors and windows to prevent entry of
the leaked gas.
- Source of leakage to be traced and isolated from all the other areas. And if required use pedestal fans
to bring down the gas concentration.
- In case of a fire follow the instructions in case of fire.

6.2 RESPONSE IN CASE OF FIRE

- Required response during in the event of a fire should be described in signs located in the lobby.
- On sighting a fire, it should be immediately informed to the authority of the complex giving the exact
location and type of fire in detail.
- Initiate the Emergency Response Team for fires.
- If the fire is small, engage in extinguishing the fire using the nearest fire extinguisher.
- Guide the Emergency Response Team staff to the emergency assembly point.
- The Emergency Response Team should immediately inform the nearest dispensary and security
force. If required a fire tender should be summoned.
- The Emergency Response team should immediately move to the point of fire and take all necessary
steps to stop the fire. If the fire is not controllable and spreads then the complex authority should
inform the concerned authorities and call for external help.
- The Emergency Response Team will provide immediate relief to the injured persons at the scene of
incident. Injured persons should be evacuated on priority to the dispensary / first aid centre or
one of the nearest hospitals based on their condition.

• INSTRUCTIONS FOR THE RESIDENTS

- Get out of buildings as quickly and as safely as possible


- Use the stairs to escape. When evacuating stay low to the ground.
- If possible, cover mouth with a cloth to avoid inhaling smoke and gases.

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

- Close doors in each room after escaping to delay the spread of the fire.
- If in a room with a closed door.
- If smoke is pouring in around the bottom of the door or if it feels hot, keep the door closed.
- Open a window to escape or for fresh air while awaiting rescue.
- If there is no smoke at the bottom or top and the door is not hot, then open the door slowly.
- If there is too much smoke or fire in the hall, slam the door shut.
- Stay out of damaged buildings.
- Check that all wiring and utilities are safe.

• GENERAL RECOMMENDATIONS

- Very high quality electric wiring and fittings as well as paneling with fire retardant materials to the
extent possible must be used to reduce chances of electric sparks and spread of fire.
- No Smoking sign must be prominently displayed near DG set area.
- Smoke and fire detectors must be installed at requisite places for early detection of fire.
- Fire extinguishers of appropriate capacity and type should be installed in ready to use condition at
appropriate places and these are properly maintained as per NBC guidelines. It should always
be ensured that fire water tanks are full with water and fire hydrant system is provided and maintained
as per NBC guidelines. Escape stairs should not have any obstruction and appropriate signs for escape
routes are prominently displayed for the convenience of the persons residing and working at the
Complex.

6.3 STRUCTURAL DESIGN REQUIREMENTS FOR DURABILITY AND FIRE

Concrete cover requirements is governed by Indian Code. The values in the following table are
appropriate for a fire rating of 2 hours.
The following classification also applies in the design of structural elements:

Exposure Classification

Members in contact with the ground Very Severe

Members in interior environments Mild

Members in above-ground exterior environments Moderate

In general, adopting the minimum concrete strengths and reinforcement covers will ensure the
durability and fire resistance of concrete elements. Values shown on the drawings shall not be less
than the following

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Proposed Construction of 300 bedded Hospital ,Academic Block & Residential Block at Sirohi ,
Rajasthan

Element/Location Minimum Minimum Minimum fck


Cover Thickness (used in the design)
(mm) (mm)

Cast In Place Concrete


1. Concrete cast against and 75 200 25
permanently exposed to earth
2. Concrete exposed to weather and not
in contact with ground (moderate)

a.) RC slabs 20 125 25


b.) RC walls 25 200 25
c.) RC beams 30 230 25
d.) RC columns 40 230 25

7.0 CONCLUSION

• The project proponent, Sirohi Medical Hospital seem to be safety conscious and alert about
the impacts of the proposed project and are environment friendly.
• Groundwater will be recharged by rainwater harvesting system
• Sewage Treatment Plant & Strom Water Drainage will be provided
• During Constructional Phase about 100 local workers will get direct employment
• Transport, Communication Facilities, Lifestyle and Social Status will be improved
• In short, we can say that this project has no negative impact on environment.

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