Expansion of Maharaja Agrasen Hospital at Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

1.0 INTRODUCTION Maharaja Agrasen Hospital was established in 1991 under the auspices of Maharaja Agrasen Hospital Charitable Trust, Punjabi Bagh New Delhi. This Trust was founded in 1980 by some prominent handful of donors of the Society with the main objective to give free medical aid to every deserving human being irrespective of caste, creed and religion. It also aims to set up, manage and organize Hospitals, Dispensaries, Charitable Institutions and Medical Institutions and to provide training for Doctors, Nurses and Para-Medical staff for achieving objectives of the Trust. The cornerstones of “Maharaja Agrasen Hospitals are its unstinting focus on clinical excellence, affordable costs, technology and forward-looking research & academics. “Maharaja Agrasen Hospital is one of the first few charitable hospitals; those are run by the trust in the world to get JCI and also the first “Non- Medical Collage to get UNESCO Chair in Bioethics, Haifa”. The organization embraced rapid advancement in medical equipment worldwide. Maharaja Agrasen Hospital is providing round the clock services in the department of Imaging, Laboratory, Accidental & Emergency and Critical care ambulance. Hospital has all the modern-day medical facilities including OPD, emergency unit, well equipped radiology department, labour room, infertility center, dialysis unit, operation theaters, laboratory and blood bank. Hospital provides treatment and care for Cardio-vascular disease and coronary ailments including facilities for Angiography, Angioplasty and By-pass Surgery, Neuro- Surgery & Gastroenterology, Joint Replacement etc. Keeping in view the objectives of Trust, a significant quantum of charity is being done by the hospital. ❖ Hospital runs a free OPD offering specialist and Super specialist consultation to about approx. 800 patients daily. ❖ The Casualty of the hospital is extending free consultation to patient in addition to minor procedures and first aid medicines. ❖ 20% beds are reserved for poor patients (General Ward) where treatment including consultation medicines, surgical implants etc are periodical fully free. Diet is also provided free to these patients. ❖ Hospital runs 2 Mobile Dispensaries providing the medical care and medicines at the doorstep of patients in JJ Clusters to about 400 to 500 patients daily.

Maharaja Agrasen Hospital Charitable Trust 1 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

❖ Hospital provided treatment to more than 400 million people. (OPD, IPD & Mobile Dispensary) ❖ Free surgeries are done far cleft lip and cleft plastic patients under the Smile Train project scheme of USA. Hospital has done over 1200 free surgeries till date

The hospital is functioning on no profit / no loss basis wholly support by voluntary contribution / donation from the Trust members and as well as the general public. All the office bearers of the Trust are doing honorary work in the hospital and no remuneration is paid to any of them. Maharaja Agrasen Hospital at present comprise of 2 building blocks (old block and main block) and allied facilities. Now it is planned to expand the project by developing a new hospital building block, new multi-level car parking building block and add floors to the existing main hospital building block. Built-up area of the project after expansion will be 51460.93 sq m. 1.1 APPLICABLE LEGISLATIONS As per EIA Notification, 2006, projects listed in schedule 1 of the notification, requires prior environmental clearance from competent authority. Projects with built-up area in range of 20,000 sq m and 1,50,000 sq m falls under activity 8 (a) and category B as per the schedule 1 of EIA Notification, 2006 as amended. Maharaja Agrasen Hospital (MAH) was established in 19911 so the EIA Notification, 2006 was not applicable on the existing project. However, built-up area of the project after expansion will be 51460.93 sq m. Since the built-up area of project is in range of 20,000 sq m and 1,50,000 sq m thus the project will fall under activity 8 (a) and category B as per the schedule 1 of EIA Notification, 2006 as amended and it is required to obtain environmental clearance from SEIAA, Delhi for the project prior undertaking the expansion works. However, SEIAA Delhi is not formed till date after its dissolution so application is being submitted to MoEF&CC for appraisal. Other legislations applicable on the project are listed below. Consent to operate is obtained for the project and copy of CTO is attached as Annexure I. • Environment Protection Act, 1986 • EIA Notification, 2006 as amended • MSW Rules, 2016 • Construction & Demolition Waste Management Rules, 2016 • Plastic Waste Management Rules, 2016 • Hazardous & Other Waste Management Rules, 2016 • E-Waste Rules, 2016

1 Construction was completed by 1997. No construction works undertaken after 1997.

Maharaja Agrasen Hospital Charitable Trust 2 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

• Air Act, 1981 • Water Act, 1974 • Water Cess Act, 1977 • MCD Bye Laws • NBC Building Bye-Laws

1.2 SITE LOCATION AND SURROUNDINGS Project site is located at Punjabi Bagh West, Rohtak Road, Delhi and is surrounded by residential and commercial areas. Geographical co-ordinates of the project site are 28°40'26.04"N & 77°8' 3.37"E. Location map of the project site is given in Figure 1. Details of Geographical coordinates of the project site is given in Table 1 and Figure 2. Land is in possession of Maharaja Agrasen Hospital Charitable Trust and copy of ownership documents is attached as Annexure II. Proposed expansion will be undertaken within the existing premises. Land use of the site is designated for Public and Semi-Public development as per Delhi Master Plan, 2021 and also permission has been obtained from MCD for development of hospital. Master Plan of Delhi and Punjabi Bagh Zone G showing project site area is given in Figure 3. Google image showing location of project site & its surroundings within 500 m, 2 km, 5 KM and 10 km are attached as Annexure III (a, b, c & d) respectively. Surroundings of the project site are given in Table 2 below:

Maharaja Agrasen Hospital Charitable Trust 3 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

Figure 1: Location Map of Project Site

Figure 2: Map Showing Project Boundary

Maharaja Agrasen Hospital Charitable Trust 4 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

Table 1: Geographical Coordinates of the Project Site Boundary Reference Point in Image Latitude Longitude 1 28°40'24.91"N 77° 7'59.66"E 2 28°40'27.50"N 77° 7'59.70"E 3 28°40'24.74"N 77° 8'0.27"E 4 28°40'25.96"N 77° 8'0.65"E 5 28°40'26.84"N 77° 8'4.05"E 6 28°40'24.47"N 77° 8'3.52"E 7 28°40'24.88"N 77° 8'2.13"E

Figure 3: Land Use Map of Delhi Showing Project Site Area Table 2: Surroundings of Project Site Features Description Near-by Residential Area • Shivaji Park (abuts site, W and S) • Arihant Nagar (200 m, W) Nearest Industrial Area • Mayapuri industrial Area (4.1 km, S) • Shakurpur industrial Area (0.72 km, NE) • Wazirpur Industrial Area (3.4 km, NE) • Azardpur Industrial Area (5.2 km, NE) Nearest Educational institute • Gurunanak Public School (420 m, S) • Government School (450 m, S) • GNPS Nursery School (490 m, S) • S M Arya Public School (90 m, S) • Shyama Prasad Mukherjee College (500 m, W) • JC Jindal Public School (1.5 km, S) • Gurunanak Institute of Management (1.5 km, S) Nearest Hospital • MGS Super Speciality Hospital (abuts site, E) Nearby Water bodies • Nazafgarh drain (870 m, S) • Bhagwati Talab (1.1 km, SW)

Maharaja Agrasen Hospital Charitable Trust 5 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

1.3 CONNECTIVITY Project site is accessible and is well connected via network of rail & road. Site abuts NH-10 in North direction. Road No 12 is at 500 m from site in East direction and S. Manohar Singh Marg is at 400 m distance in West direction. Vashista Kumar Gulla Marg is at 380 m distance in South direction. Site is well connected with metro rail and nearest metro station is Shivaji Park at distance of 200 m in West direction and Punjabi Bagh metro station is at distance of 470 m, East direction. Shakur Basti railway station is at distance of 900 m in north direction. Indira Gandhi International Airport is at 20 km in South direction from project site. Connectivity map of the project site is given in Figure 4.

Figure 4: Connectivity Map of Project Site 1.4 AREA STATEMENT Project site is spread on area of 9081.364 sq m. At present hospital building comprises of two buildings, i.e. old building and main building with allied facilities. Built-up area of the existing hospital is 19889.2 sq m. Under expansion, it is proposed to expand the main hospital building by adding 3 floors and construct new hospital building and a multi-level car parking building. Built-up area after expansion will be 51460.93 sq m. Part of the old building will also be

Maharaja Agrasen Hospital Charitable Trust 6 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN demolished which has total built-up area of 611.752 sq m. The area to be demolished is not considered under the area statement. Summary of the built-up area is given in Table 3 below. Detailed area statement for the project is given in Table 4. Site plan for existing and proposed development under expansion is attached as Annexure IV. Table 3: Area Statement (Existing +Expansion) S. No Particulars Area-sq m Existing Expansion Total 1 Plot Area 9081.364 2 Permissible Ground Coverage 3632.55 (@40% of plot area) 3 Proposed Ground Coverage 2230.753 1394.475 3625.228 (@39.91% of plot area) 4 Permissible FAR/FSI 200 375 375 5 Permissible Floor Area 18162.728 15892.387 34055.115 6 Proposed FAR/FSI 177.3 178.6 355.9 7 Proposed Floor Area 16101.462 16222.675 32324.137 8 Non FAR Area-Floors 1448.904 8827.914 10276.818 9 Stilt 0 1444.137 1444.137 10 Basements-Non-FAR 2339.349 5076.4902 7415.8392 10 a Basement 1-Non-FAR 2339.34 1626.2082 3965.5482 10 b Basement 2-Non-FAR 0 1444.137 1444.137 10 c Basement 3-Non-FAR 0 1444.137 1416.47 10 d Basement 4-Non-FAR 0 562.008 562.008 11 Built-up Area 19889.72 31571.22 51460.93 12 Green Area (10% of plot area)2 450 915 1365 13 Maximum Height of the 28.6 40 40 Building *FAR = Floor Area Ratio

2 Existing green area is 850 sq m and for expansion 400 sq m will be diverted so existing green area to remain will be 450 sq m. Under expansion phase, 65 sq m of green area will be developed on ground and 850 sq m of green area will be developed on terrace. So total green area after expansion will be 1365 sq m (450+915)

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Table 4: Detailed Area Statement (Existing +Expansion) Buildings Floors Height-m Ground Stilt Basements FAR Non Built-up Area Coverage FAR at Floors Existing Building 1-old block G+3 15 344.707 0 0 1307.942 117.926 1425.868 Building 2-main block B+G+6 28.6 1867.85 0 2339.349 14793.52 1312.782 18445.651 Guard Room 0 2.40 18.196 0 0 0 18.196 18.196 Total Existing 2230.753 0 2339.349 16101.46 1448.904 19889.715 Expansion B+G+9 (3 Building 2-main block floors are expansion added) 40 0 0 0 5769.218 325.56 6094.778 Building 3-new block* 3B+S+11 40 694.039 882.129 2646.387 7558.017 2145.402 13231.935 Building 4-parking block 4B+S+14 40 562.008 562.008 2248.032 1511.16 6356.952 10678.152 Connecting bridge between new block and main block B+G+9 40 138.428 0 182.0712 1384.28 0 1566.3512 Total Expansion 1394.475 1444.137 5076.49 16222.68 8827.914 31571.2162 Total Existing + Expansion 3625.228 1444.137 7415.839 32324.14 10276.82 51460.9312

Maharaja Agrasen Hospital Charitable Trust 8 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

1.5 ESTIMATED POPULATION Estimated population at project site is 4230 including patients, out-patients, other staff and visitors. Details of population are given below in Table 5. Table 5 Estimated Population for project Category Existing Expansion Total Resident Population Inpatient 400 250 650 Floating Population Outpatients 800 320 1120 Doctors 250 80 330 Nurses 544 156 700 Ward boys and house 530 120 650 keeping Administration 337 13 350 Security Staff 148 32 180 Other 191 59 250 staff/technicians Total 3200 1030 4230

1.6 PROJECT COST Cost of expansion of the project is Approx. INR 16.5 Crores.

1.7 WATER REQUIREMENT During construction phase source of water will be treated water from existing STP and private water tankers suppliers. Water requirement during construction phase will be approx. 10-15 KLD. During operation phase, water supply is provided by Delhi Jal Board. Total water requirement for the project after expansion will be approx. 682 KLD (for existing phase- 415 KLD and for expansion phase- 267 KLD), out of which domestic water requirement is 421 KLD (for existing phase- 282 KLD and for expansion phase- 139 KLD). Fresh water requirement for the project is approx. 301 KLD and recycled water requirement for the project is approx. 381 KLD. Daily water requirement calculation is given below in Table 6 & 7. Water balance diagram for dry & monsoon season are given below in Figure 5 & 6. Permission for water connection from MCD is attached as Annexure V.

Maharaja Agrasen Hospital Charitable Trust 9 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

Table 6: Calculations for Daily Water Demand S. Expansion Expansion Fresh Water Recycled Existing Capacity Existing Water Total Water Standards- Capacity Water Requirement Water No. Category (Population/Area- Requirement- Requirement- LPCD (Population/Area- Requirement- KLD Requirement acres) KLD KLD Sq. m.) KLD KLD 1 In-patient 450 400 180 250 113 293 263 30 2 Out-patient/Visitors 15 800 12 320 5 17 5 12 3 Staff 45 2000 90 460 21 111 33 78 Domestic Water Req. (1+2+3) 282 -- 139 421 301 120 4 HVAC Cooling* 10 l/hr/Tr 440 Tr. 127 440 127 254 0 254 5 Landscape 1 l/sq m 450 Sq. m. 0.5 915 Sq. m. 1 1.5 0 1.5 6 DG Cooling 0.9 l/kVA/Hr 750 kVA 5.5 Nil 0 5 0 5.5 267 301 381 415 -- 682 Total Water Requirement (1+2+3+4+5+6) * HVAC Operational for 24 hours Table 7: Wastewater Calculations Category Total Quantity- Sewage-KLD Effluent-KLD KLD Wastewater Generated 390 345 45 Capacity of STP (Existing STP-250 KLD) 400 Capacity of ETP (Existing ET-35 KLD) 50 Recovered Water from STP & ETP (97% of 381 338 43 Waste Water) • Flushing 120 120 0 • Landscaping 1.5 1.5 0 • HVAC Cooling 254 211 43 • DG Cooling 5.5 5.5 0

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Wastewater Generation & Treatment It is expected that after expansion the project will generate approx. 390 KLD of wastewater out of which 345 KLD is sewage and 45 KLD is effluent. There are existing STP of 250 KLD and ETP of 35 KLD within the project site. Adequacy report for existing STP/ETP is attached as Annexure VI. Additional STP of 100 KLD will be constructed underground. Sewage/effluent will be treated in STP/ETP and treated water (381 KLD) will be used within the project site for HVAC cooling, DG cooling, landscaping and flushing. Details of sewage generation and reusage of treated water is given in Table 8. Water balance diagram for dry and monsoon season are given in Figure 5 & 6. Plan showing the sewerage layout is attached as Annexure VII. Permission is also obtained from MCD for sewerage connection which is attached as Annexure V.

Maharaja Agrasen Hospital Charitable Trust 11 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

301 KLD

680.5 KLDTotal Water Requirement 682 KLD

301 KLDFresh Water 381 KLD Requirement 301 KLD

301 KLDConsumpti on 301 KLD 254 KLD 0% KLDFlushi DG cooling ng 5.5 KLD Landscaping HVAC 120 KLD 1.5 KLD Cooling 254 KLD 100%

Sewage/Effluent 345 KLD +45 KLD

95% STP Treated Water 400 KLD ETP 381 KLD (338+43) 50 KLD

Figure 5: Water Balance Diagram during Dry Season

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Delhi Jal Board 301 KLDDelhi Jal Board

Total Water Requirement

Fresh Water Requirement Recycled Water 379.5 KLDRecycled Water

Consumption

Landscaping HVAC 90%9 Flushing DG cooling 120 5.5 KLD 0 KLD Cooling

100%

Sewage/Effluent 345 KLD +45 KLD

95% STP 379.5 KLD 400 KLD Treated Water ETP 381 KLD 50 KLD (338+43)

Sewer 1.5 KLD

Figure 6: Water Balance Diagram during Monsoon Season

Maharaja Agrasen Hospital Charitable Trust 13 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

1.8 RAIN WATER HARVESTING Storm water harvesting system has been provided within the project site as per CPCB guideline on Rainwater Harvesting & Artificial Ground water Recharge. Storm water from roof-top is collected via storm water drainage network and led into recharge pits provided within the site. Storm water drainage is designed in line of existing drainage pattern and considering the natural flow direction of water. Run off generation from the project site will not increase due to development of new building as it is proposed to be developed on paved surface existing in the project site. Available run-off from the roof-top is given below in Table 8. Rain water harvesting system is designed considering maximum peak hourly rainfall (70 mm/hr). Detailed calculations for design of rain water harvesting pits is given below in Table 9. Schematic diagram of the RWH pit is given in Figure 7. Storm water drainage map is attached as Annexure VIII. Adequacy report for the existing RWH system is attached as Annexure IX. Table 8: Available Runoff from Roof Top (Existing & Expansion) Available Available Total Avg. Annual Existing Expansion S. Run-off Run Run-off Run- Catchment Rainfall Catchment Catchment No. Coff. Existing- Expansion- off (m) Area-sq m Area-sq m off- cum cum cum 1 Roof-Top 0.9 0.712 2230.753 1429.5 1394.475 893.5 2323

Table 9: Calculations for Design of RWH Pits Peak Run-off Area of Catchment Run-off Hourly S. No. Catchment collected Total (sq m) Coff. Rainfall (cu m) (m/hr) 1 Roof-Top 3625.228 0.9 0.07 224 Taking Retention of 15 min, run-off load is 56 1 no. of RWH Pit of size (L-3.5 m B- 2 m, D- 2 m) for existing project 14 1 no. of RWH Pit of size (L-6 m B- 2 m, D- 2 m) for existing project 24 Volume of Existing Pits 38 Additional volume required 18 No of RWH Pit Proposed (L-4.5 m B- 2 m, D- 2 m) of 18 cum 1 no 3 nos. Total Pits after Expansion (2 +1)

Maharaja Agrasen Hospital Charitable Trust 14 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

Figure 7: Schematic Diagram of Rain Water Harvesting Pit

1.9 VEHICLE PARKING FACILITIES Adequate parking is provided to accommodate the vehicles during existing phase. To accommodate the increased vehicles due to expansion phase, a multi-level car parking is proposed to be developed. Calculations for parking are given in Table 10. Car parking plan for the project is attached as Annexure X. Car parking of 714 ECS will be provided at the site. Table 10: Parking Required and Provided for the Project Parking Required as per MCD Norms: 1 ECS/50 sq m of permissible FAR Area = 2 X 32324.137/100 = 647 ECS Parking Proposed S. Location Total area Area under Area required Total Parking No. parking per ECS provided (ECS) 1. Stilt 1446.85sq.m. 1374.83sq.m. 28sq.m. 49 2. Basement -1 806.86sq.m 562.196 16sq.m. 35 3. Basement-2 806.86sq.m 562.196 16sq.m. 35 4. Basement-3 806.86sq.m 562.196 16sq.m. 35 5. Basement-4 806.86sq.m 562.196 16sq.m. 35 6. Ground floor 806.86sq.m 562.196 16sq.m. 35

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7. first floor 806.86sq.m 562.196 16sq.m. 35 8. second floor 806.86sq.m 562.196 16sq.m. 35 9. third floor 806.86sq.m 562.196 16sq.m. 35 10. fourth floor 806.86sq.m 562.196 16sq.m. 35 11. fifth floor 806.86sq.m 562.196 16sq.m. 35 12. sixth floor 806.86sq.m 562.196 16sq.m. 35 13. seventh floor 806.86sq.m 562.196 16sq.m. 35 14. eight floor 806.86sq.m 562.196 16sq.m. 35 15. ninth floor 806.86sq.m 562.196 16sq.m. 35 16. tenth floor 806.86sq.m 562.196 16sq.m. 35 17. Eleven floor 806.86sq.m 562.196 16sq.m. 35 18. Twelve floor 806.86sq.m 562.196 16sq.m. 35 19. Thirteen floor 806.86sq.m 562.196 16sq.m. 35 20. Fourteen floor 806.86sq.m 562.196 16sq.m. 35 Total Parking 714 Cars

1.10 POWER REQUIREMENT Maximum power demand for the existing project is 1574 kVA and for expansion is 950 kVA. Total power requirement of the project is 2524 kVA. Source of the power is BSES. Permission is obtained from MCD for electrical connection and is attached as Annexure IV. Details of D.G Sets 2 nos. of DG sets of total capacity 1500 kVA (2 X 750 kVA) and 1 no. of DG set of total capacity 1010 kVA will also be provided after expansion are provided to provide uninterrupted power supply during power failure. DG sets are open to air & will be provided with acoustic enclosure. Photographs of existing DG sets is given in Figure 8.

Maharaja Agrasen Hospital Charitable Trust 16 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

Figure 8: Photographs Sowing Existing DG sets and the stacks

1.11 SOLID WASTE GENERATION AND MANAGEMENT Solid waste would be generated both during construction as well as during operation phase. Solid waste expected to be generated during construction phase will comprise of excavated materials, used bags, bricks, concrete, MS rods, tiles, wood etc. Table 11 details the solid waste management plan during construction phase Table 11: Solid Waste Management during Construction Phase S. No. Solid waste Solid waste Management 1. Waste materials like MS Material would be segregated. Recyclable material Rods, bricks, concrete, will be sold to authorize dealers. Rest will be used broken tiles, wood pieces, within project site for filling & leveling purpose. cement bags etc. Surplus will be sent for disposal through local bodies 2. Excavated Soil Top soil (60 cum) will be excavated from the area and will be used for landscaping. Remaining excavated soil (15169 cum) will be used for landscaping and filling. Surplus will be disposed through local bodies 3. Domestic Waste Will be handled over to local authority, responsible for waste management in the area.

During operation phase, waste will comprise of both municipal & bio-medical waste as it is a hospital project. Municipal waste will comprise of kitchen waste and general waste. Municipal waste expected to generate from the existing phase and expansion phase is estimated to be approx.1220 kg per day and 538 kg per day, respectively. Estimations for solid waste generation during operation phase are given in Table 12.

Maharaja Agrasen Hospital Charitable Trust 17 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

Table 12: Calculation of Municipal Solid Waste Generation Waste Waste Existing Expansion Waste Total S. generated generated Category Capacity Capacity Generation Waste No. Existing Expansion (Nos.)/Area (Nos.)/Area (Kg/day/capita) Generated (kg/day) (kg/day) 1. Inpatients 400 250 1.5 kg/person 600 375 975 2. Outpatients/visitors 800 320 0.15 kg/person 120 48 168 3. Staff 2000 460 0.25 kg/person 500 115 615 4. Landscape Waste 0.1 acres 0.2 acres 1 kg/acres 0.1 0.2 0.3 1220.1 538.2 1758.3 Total Hospital waste generation Say Say Say 1220 538 1758 (Source: For Waste Collection, Chapter 3, Table 3.6, Page no. 49, & Bio-Medical waste Chapter 7, page 148 of Central Public Health & Environment Engineering Organization, Ministry of Urban Development, (Government of India, May 2000)) ❖ Waste Segregation, Collection & Disposal for Municipal Solid Waste 1. Waste will be collected and segregated into wet waste and general waste in green and black bins respectively 2. The municipal waste and STP sludge is collected by the authorized vendor on daily basis 3. A room is provided for storage of the municipal waste 4. Copy of agreement for disposal of this waste is attached as Annexure XI. 5. E-waste generated is stored separately & sold back to suppliers or local vendors on regular basis.

Approx. 8000 kg of bio-medical waste from existing phase annually with expansion it is expected that approx. 5000 kg of bio-medical waste will be generated due to expansion of the project. Total biomedical waste to be generated after expansion will be approx. 13,000 kg/year (35 kg/day). Annual report is submitted for reporting bio-medical waste to DPCC and the copy is attached as Annexure XII.

❖ Waste Segregation, Collection & Disposal for Bio-Medical Waste Different color bins are provided in each section & floor for collection of different type of bio-medical waste. Four color bins/bags are provided for bio-medical waste and one is provided for general waste (as mentioned above) at each ward/floor/location. Detail of the bio-medical waste management and segregation is given in Table 13. Bio-medical waste and ETP sludge is disposed off through the authorized vendor and copy of the agreement is attached as Annexure XIII. Separate area is provided for storage of bio-medical waste. Trolleys are provided for movement of the bio-medical bins. Photographs showing display of the charts and bio- medical & General waste storage bins/areas is given in Figure 9 below.

Maharaja Agrasen Hospital Charitable Trust 18 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

Figure 9: Photographs of Waste Storage

Maharaja Agrasen Hospital Charitable Trust 19 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

Table 13: Municipal Solid & Bio-medical Waste Collection System Yellow Bag – Red Bag – Autoclave Blue Bag – Autoclave White Incineration Anatomical Waste Infected Plastic Waste Glass Bottles Puncture proof , • Body Tissues • I / V Sets & Tubings All glass bottles & tamper resistant • Organs • Catheters Vials (must be container • Body Parts • Syringes packed in card Soiled Waste • Vacutainers (without box and then put Needles • Blood & Body fluid needles) in Blue Bag for Scalpels stained – • Urine Bags further Disposal. Lancets Blades Dressings, • Blood Bags Broken ampoules Swabs, and • Tubings wich are Glass pieces Cotton etc. contaminated

• Soiled Plaster • Lab Cultures Casts • Mask & Caps Cytotoxix • Gloves contaminated item • Cytotoxic Drugs

• Vials

• Syringes • All contaminated Cytotoxic Waste

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1.12 GREEN AREA At present approx. 850 sq m of area is under green cover. Out of this 400 sq m of green area will be diverted for construction of the proposed hospital building and multi-level car parking. A few trees also are to removed for which permission will be obtained from forest department. To compensate the lost green area, green area will be developed on the terrace of the proposed building. 850 sq m of the terrace area will be developed as garden. Additional area of 65 sq m of green area will be developed on the ground. Thus, green area on the ground after expansion will be 515 sq m and on the terrace will be 850 sq m. Total green area is 1365 sq m which is 25% of the open area. Trees/shrubs species like Ashok, Palm, Plumeria alba, Hibiscus, Alstonia scholaris, Peepal, Ficus infectoria (Pilkhan) etc are planted at the site, similar species will be planted for the green area (on ground) in expansion phase. Species to be planted on terrace gardens will include shrubs and flowering plants majorly. Photographs of green area within the project site is given in Figure 9. Proper aftercare and monitoring of developed green belt is done for maintaining the green area. Landscape plan is attached as Annexure XIV.

Figure 10: Photographs of Green Area

1.13 MATERIALS USED FOR CONSTRUCTION Table 14 below lists the construction material Table 14: List of Construction Materials

S. No. Type of Construction 1. Walls: a Brick: (Fly-ash bricks-Fal G)

Maharaja Agrasen Hospital Charitable Trust 21 Expansion of Maharaja Agrasen Hospital At Punjabi Bagh West, Rohtak Road, New Delhi CONCEPTUAL PLAN

b Plastered both side - 114 mm c Plastrered both sides -228 mm d Autoclaved Aerated Concrete blocks-230 mm (AAC blocks) e Autoclaved Aerated Concrete blocks-150 mm (AAC blocks) f Tiles or slates on Boarding and felt with plaster ceiling 2. Roofs Flat: a Reinforced Concrete slab, 120 mm, secreed 120 mm= brick coba and thermal insulation layer underneath roof slab 3. Floors: a Concrete on stilt floor hardcore fill b Vitrified /Ceramic tile finish c Kota stone /Granite 4. Windows: Aluminum 5. Exposure all sides 6. Single glazing using e-glass

LIST OF MACHINERY USED DURING CONSTRUCTION • Dumper • Concrete mixer with hopper • Excavator • Concrete Batching Plant • Cranes • Road roller • Bulldozer • Tower Cranes • Hoist • Labor Lifts • Concrete pressure pumps • Mobile transit mixer

Maharaja Agrasen Hospital Charitable Trust 22