Annexure-I

Format for verification of HW generating industries

S. Particulars Details
no.
1. Name of industry M/s Haldia Petrochemicals Ltd.
2. Complete postal address P.O. and P.S.: Durgachak, Dist.: Purba Medinipur, Pin:721602
3. Co-ordinates
Latitude:
Longitude:
4. Website www.haldiapetrochemicals.com
5. Tel & FAX no. (03224)274400, (03224)274861
6. Contact person name, Ashok Kumar Ghosh
designation, mobile no. & Head Plant &Executive Vice President
9434027167
e-mail id ashok.ghosh@hpl.co.in
7. Month & year of
16th September, 1985
establishment
8. Status of consent under Consent to operate.pdf attached
Water Act, 1974 & Air
Act, 1981
(please attach copy)
9. Status of authorization Form 2 pdf. attached
under HOWM Rules,
2016 (please attach copy)
10. Status of Environment
Clearance (EC)
(please attach copy)
11. Process description in
brief for each Product.
Also attach Process Flow
Diagram indicating raw
materials and sources of
hazardous waste
generation alongwith
mass balance and
material balance
12. Production details
S. Produc Production during Consented
no. ts Financial Year, capacity,
MT/month/day/annum MT/month

13. HW generation details as

per CC&A S. Name Category Quantity, Mode of treatment &
no. of HW MT disposal/recycling/
utilization
14. Quantity of HW reported
as per annual returns in
Form-4 of HOWMR, 2016
(mention Financial Year)
(a) To CHWTSDF S. HW Details of HW sent to
no. generati authorized CHWTSDF
on
(category Name & Quantity
wise) address

(b) To recycler
S. HW Details of HW sent to
no. generat authorized recycler
ion
(categor Name & Quantity
y wise) address

(c) To co- processor

S. HW Details of HW sent to
no. generat authorized co-processor
ion Name & Quantity
(categor address
y wise)

(d) To pre-processor
S. HW Details of HW sent to
no. generat authorized pre-processor
ion Name & Quantity
(categor address
y wise)

(e) To Utilizer
S. HW Details of HW sent to
no. generat authorized utilizer
ion Name & Quantity
(categor address
y wise)
(f) To waste collection
centers S. HW Details of HW sent to
no. generat authorized waste
ion collection center
(categor Name & Quantity
y wise) address

(g) Captive utilization S. HW Quantity of HW

no. generation utilized
(category
wise)

(h) Disposed at captive SLF

S. HW Quantity of HW
no. generation disposed in captive
(category SLF
wise)

(i) Disposed at captive

Incinerator S. HW Quantity of HW
no. generation disposed through
(category captive incinerator
wise)

(j) In storage at the year-

end. (mention period) S. HW generation Quantity Stored
no. (category wise) in MT

15. Details of Captive

Recycling/ Utilization
facility
(please specify process
and facilities details )
16. Whether availability &
maintenance of Form-3
as per HOWMR, 2016
17. Whether manifest
documents are
maintained for Financial
 Year. Include comments
on category and quantity
matching with CC&A,
Form-4
18. HW generation details
other than mentioned in
CC&A
19. HW management details
(recycling/utilisation/dis
posal, etc.) other than
mentioned in CC&A and
reflected in manifest.
20. Details of HW storage Sl. Name & Actual Previou Actual HW managed Date and
No Categor HW s Stock quantity (i.e sent to quantity of
. y of HW generate (in (in recycler/utili transfer of
d in Tonne) Tonne) ser/co- HW to
Tonne stored found processor, authorised
(as per in stored etc.) (in Recycler/
Annual Storage on the Tonne) Co-
Returns) shed (at day of processor/
the end inspectio TSDF/etc.
of n as per
previou Manifest
s document
financi
al year)
1
2
3
21. Details on ETP & APCD
and their status on
compliance, as
applicable.
In case of discharging
effluent to CETP, provide
comments on the
compliance of CETP inlet
norms.
22. Whether OCEMS is
installed at the discharge
point of ETP/in stack and
connected with CPCB and
SPCB (Y/N)
If yes, please details of
parameters
23. Whether HW quantity
reported to SPCB for the
year is matching with
copies of manifest
available. (Y/N) if no,
remarks
24. Whether category of HW
reported to SPCB for the
year is matching with
copies of manifest
 available. (Y/N) if no,
remarks
25. Whether annual return
has been submitted to
SPCB within due date
(i.e. by 30th June of FY)
(Y/N)
if no, remarks.
26. Whether packaging and
labelling as per HOWM
Rules
27. Whether display board
provided outside the
factory gate. (Y/N)

if yes, Please provide the

details covered in the
display board alongwith
copy of the display board.
28. Specific observations/
remarks
29. Date of inspection
30. Name & designation of
inspecting official(s)
(Signature) (Signature)
31. Remarks/Observation of
Principal Investigator
(Signature)

Format for verification of HW recycler/utilizer/ co-processor/

pre-processor

S. Particulars Details
No.
1. Name of HW
recycler/utilizer/co
-processor/pre-
processor/ waste
collection centre
2. Complete postal
address
3. Co-ordinates
Latitude:
Longitude:
4. Website
5. Tel & Fax No.
6. Contact person
name, designation,
mobile no. & e-mail
7. Month & year of
establishment
8. Status of consent
under Water Act,
1974 & Air Act,
1981
9. Status of
authorization/pass
book issued under
HOWM Rules, 2016
10. Status of
Environment
Clearance (EC)
(please attach copy)
11. Whether recycler/
utilizer is
importing/
exporting HW or
other waste? If yes,
provide details on
permission granted
by MOEF&CC, type
and quantity waste
imported/exported
against the
permitted quantity.
12. Details of facility
(Provide process S. Name of unit operations, Designed
no. processes capacity
description in brief
for each Product
alongwith process
Flow Diagram
indicating raw
materials and
sources of
hazardous waste
generation
alongwith mass
balance and
material balance)
13. Details on source
of procurement of S. Type Quantity Name and Activity for
HW for no. of HW Procured (in MT) address of which HW is
recycling/utilizatio with industry/co procured
n. If HW is catego Impo Indigeno untry (from (recycling/
imported, ry rt us where the utilization /pre-
HW is processing/co-
MoEF&CC
procured) processing/
permission & waste collection
quantity permitted )

14. Details on HW for

which
 authorization S. Name and Product Types of residue
granted as per no. category/ recovered/ generation from
CC&A schedule manufactur the process and its
of HW ed mode of treatment
(used as &
raw disposal/recycling/
material) reuse etc.

15. Details on HW
reported as per S. Quantity of HW Quantity in HW Product
annual return in no. procured stock at recycled/uti /Waste
Form-4 of HOWMR, (indigenous/import the lized/ pre- dispatche
2016 ), MT beginning processed/ d, MT
of year co- (exclude
processed), export
Also provide details
MT details, if
(i.e list of the any)
industries and its Import Indigeno
end use) on the us
product/ waste (in
case of waste
collection facility)
dispatched S. Residue Mode of management Quanti Quantit
no. generation of residue (i.e ty y in
from the recycling/ export storage
process, MT utilisation/disposal, ed, MT at the
etc.) year
end, MT

16. Whether
availability &
maintenance of
Form-3 as per
HOWMR, 2016
17. Whether manifest
documents are
maintained for
Financial Year.
Include comments
on category and
quantity matching
with CC&A, Form-
4, passbook issued
by SPCB
18. Whether packaging
and labelling as per
HOWM Rules
19. HW procurement,
recycling and
management
details other than
mentioned in CC&A
20. Whether annual
return has been
submitted to SPCB
within due date (i.e
by 30th June of FY)
(Y/N)
if no, remarks
21. Details of HW and

to recycler/utiliser/co-
of

residue
Name & Category of

Date and quantity of

previous
Actual HW generated

in
Storage shed (at the

Tonne) found stored

HW managed (i.e sent

Annual

Previous Stock (in

received/sent as per
processor, etc.) (in
Actual quantity (in
residue storage

Manifest document
day
stored

financial year)
per

inspection
of

the
in Tonne

Returns)

Tonne))
Tonne)
Sl. No.

HW/
end
HW

(as

on
1

2
22. Whether HW
quantity reported to
SPCB for the year is
matching with
copies of manifest
available. (Y/N) if
no, remarks
23. Whether category of
HW reported to
SPCB for the year is
matching with
copies of manifest
available. (Y/N) if
no, remarks
24. Whether HW
generation and
disposal details has
been displayed
outside the factory
gate. (Y/N)
If yes, Please
provide the details
covered in the
display board
alongwith copy of
the display board.
25. Details on ETP &
APCD and their
status on
compliance, as
applicable.
26. Whether OCEMS is
installed at the
discharge point of
ETP/in stack and
connected with CPCB
and SPCB (Y/N)
If yes, please details
of parameters
27. Status on
compliance to
CPCB’s
SOPs/Guidelines
28. Specific
observations/
remarks
29. Date of inspection
30. Name &
designation of (Signature) (Signature)
inspecting official(s)
31. Remarks/Observati
on of Principal (Signature)
Investigator

Format for verification of Common HWTSDF

S. Particulars Details
no
.
1. Name of Common
HWTSDF
2. Complete postal
address
3. Co-ordinates
Latitude:
Longitude:
4. Website
5. Tel & Fax No.
6. Contact person name,
designation, mobile no
and email.
7. Month & year of
establishment
8. Status of consent under
Water Act, 1974 & Air
Act, 1981
9. Status of authorization
issued under HOWM
Rules, 2016
10. Status of Environment
Clearance (EC)
(please attach copy)
11. HW quantity as per
CC&A (landfillable and
incinerable, as
applicable)
12. Facility available
{integrated facility (i.e
both landfill and
incineration) or only
Secured landfill facility
or standalone
incinerator or pre-
processing }
13. Facilities available in
respect of treatment,
storage & disposal (total
no. of cells, number of
cells
(operational/closed/ca
pped) with capacity,
incinerator details,
storage and
stabilization sheds
details, pre-processing
details etc.)
14. Total number of
member units
15. Total quantity of HW Type of HW Quantity (MT)
received and disposed waste Open Recei Treat Cl Cumul Cumul
during Financial Year ing ved ed & osi ative ative
stock dispo ng HW HW
(……..) as per annual sed st receiv dispos
return in Form-4 of oc ed ed
HOWMR, 2016 k since since
commi commi
ssioni ssioni
ng ng
Direct
landfillable
HW requires
solidification/st
abilization
before landfill
Incinerable
Domestic
Hazardous
Waste
Fluorescent and
mercury
containing
lamps
16. Details on pre-
processing facility, if
any
(please specify details
on opening stock,
received, treated,
closing stock and
quantity sent to co-
processors including
name of cement plants)
17. Whether availability &
maintenance of Form-3
as per HOWMR, 2016
18. Whether manifest
documents are
maintained for
Financial Year (….).
Include comments on
category and quantity
matching with CC&A,
Form-4
19. Whether packaging and
labelling as per HOWM
Rules
20. HW receipt &
treatment, disposal
other than mentioned
in CC&A
21. Comments on random
cross checks on
pathways/disposal of
various types of HW
recorded in register, lab
and manifest
22. Whether HW quantity
reported to SPCB for the
year is matching with
copies of manifest
available. (Y/N) if no,
remarks
23. Whether type of HW
reported to SPCB for the
year is matching with
copies of manifest
available. (Y/N) if no,
remarks
24. Whether annual return
has been submitted to
SPCB within due date
(i.e 30th June of FY)
(Y/N) if no, remarks
 25. Whether HW generation
and disposal details has
been displayed outside
the factory gate. (Y/N) if
yes, Please provide the
details covered in the
display board alongwith
copy of the display
board.
26. Whether stack of
incinerator attached with
OCEMS and connected
with CPCB and SPCB
(Y/N)
If yes, please details of
parameters
27. Specific observations/
remarks
28. Date of inspection
29. Name & designation of
inspecting official(s)
(Signature) (Signature)
30. Remarks/Observation
of Principal Investigator
(Signature)

Format for verification of Captive TSDF

S. Particulars Details
no.
1. Name of Captive TSDF

2. Complete postal address

3. Co-ordinates
Latitude:
Longitude:
4. Website
5. Tel & Fax No.
6. Contact person name,
designation, mobile no. and
e-mail
7. Month & year of
establishment
8. Status of consent under
Water Act, 1974 & Air Act,
1981
9. Status of authorization
issued under HOWM Rules,
2016
10. HW generation and
management details as per
CC&A
11. Status of Environment
Clearance (EC)
(please attach copy)
12. Facility available
{only landfill
facility/standalone
incinerator/ integrated
facility (having both landfill
and incineration)}
13. Facilities available in respect
of treatment, storage &
disposal (total no. of cells,
number of cells
(operational/closed/capped),
incinerator details, storage
and stabilization sheds etc.)
14. Total quantity of HW received Nam Type of Quantity (MT)
and disposed during FY (….) e HW Ope Generat Treate Cumulat Cumul
as per annual return in and ning ed d & ive HW ative
Cate stoc during dispos received HW
Form-4 of HOWMR, 2016 gory k 20…- ed since dispose
of 20.. commis d since
HW sioning commi
ssionin
g
Direct
landfill
able
HW
require
s
solidifi
cation/
stabiliz
ation
before
landfill
Inciner
able
15. Whether availability &
maintenance of Form-3 as
per HOWMR, 2016
16. HW generation & treatment/
disposal other than
mentioned in CC&A
17. Comments on random cross
checks on
pathways/disposal of
various types of HW recorded
in register, lab and Form 3
18. Whether annual returns has
been submitted to SPCB
within due date (i.e 30th
June) (Y/N) if no, remarks
19. Whether packaging and
labelling as per HOWM Rules
20. Whether HW generation and
disposal details has been
displayed outside the factory
gate. (Y/N) if yes, Please
provide the details covered in
the display board alongwith
copy of the display board.
21. Whether stack of incinerator
attached with OCEMS and
connected with CPCB and SPCB
(Y/N)
If yes, please details of
parameters
22. Specific observations/
remarks
23. Date of inspection
24. Name & designation of
inspecting official(s)
(Signature) (Signature)
25. Remarks/Observation of
Principal Investigator
(Signature)