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PART-I

1. Background of Doctor and Company (Company Profile) and promoters Background


2. Area of expertise in healthcare development and multispeciality services
3. Aim of the project
4. Future Plans
5. Profiles of key personnel in the organization
6. Strengths and achievements of the company like potential market for software products project
developed by the company and in-house expertise in the area of specialization
7. Financial arrangements and feasibility of the proposed setup
8. Marketing strategy, Marketing Arrangements, Marketing tie-up, if any
9. Export performance for last three years in cases of existing firms & last years Balance Sheet
(Only in case of the existing company, Not applicable to new unit)
10. Brochures of the software products / company or Annual Report for the previous year
11. Space Requirement / Built up Land
12. Manpower: Type of people working
 Project Manager
 Project Leader
 Senior Programmer
 Junior Programmer/Operators
13. Wage Bill
14. Conclusion
PART II

All Figures should be filled in Indian Rupees

PROJECT COST AND MEANS OF FINANCE RS. IN LAKHS

PROJECT COST:

PREMISES :

OFFICE EQUIPMENT :

HARDWARE :

SOFTWARE :

WORKING CAPITAL REQUIREMENTS :

TOTAL :

MEANS OF FINANCING RS. IN LAKHS

EQUITY :

- PROMOTERS :

- INDIAN PUBLIC :

WORKING CAPITAL LOAN :


TERM LOAN FROM BANK :

TOTAL :
All Figures should be filled in Indian Rupees

BALANCE SHEET RS. IN


LAKHS

1ST YEAR 2ND YEAR 3RD YEAR 4TH YEAR 5TH YEAR

A. SOURCES OF FUNDS

EQUITY SHARE CAPITAL

RESERVES & SURPLUS

- PROFIT & LOSS

TOTAL SHAREHOLDERS FUNDS

OTHERS (SPECIFY ITEM WISE)

TOTAL

B. USE OF FUNDS:

GROSS FIXED ASSETS

ADDITIONS

LESS: DEPRECIATION

NET FIXED ASSETS

OTHERS (SPECIFY ITEM WISE)


CASH & BANK BALANCES

NET CURRENT ASSETS

TOTAL

PROFIT AND LOSS STATEMENT RS. IN LAKHS


ST ND RD TH TH
1 YEAR 2 YEAR 3 YEAR 4 YEAR 5 YEAR TOTAL

REVENUE:

EXPORTS

- ONSITE SERVICES
- OFFSHORE

TOTAL

OPERATIONAL
EXPENDITURE (SPECIFY
ITEMWISE)

OP. PROFIT

DEPRECIATION

PROFIT

DIVIDEND

TRANSFER TO RESERVES

All Figures should be filled in Indian Rupees

CASH FLOW STATEMENT RS. IN LAKHS


1ST YEAR 2ND YEAR 3RD YEAR 4TH YEAR 5TH TOTAL
YEAR

INFLOW

EQUITY

LOANS

OTHERS (SPECIFY
ITEMWISE)

PROFIT

DEPRECIATION

TOTAL INFOW

OUTFLOW

FIXED ASSETS (SPECIFY


DETAILS)

OTHERS (SPECIFY
ITEMWISE)

DIVIDEND

TOTAL OUTFLOW

CASH & BANK BALANCES

OPENING BALANCE
NET INFLOW

CLOSING BALANCE

All Figures should be filled in Indian Rupees

IMPORTANT RATIOS RS. IN LAKHS

1ST YEAR 2ND YEAR 3RD YEAR 4TH YEAR 5TH YEAR TOTAL

DEBT/EQUITY

OP. PROFIT/INCOME

PAT/INCOME

RETURN ON TOTAL
ASSETS

RONW

DIVIDEND PAYOUT
RATIO

DEBT SERVICE
CONVERAGE

(PAT BEFORE INTEREST/


INTEREST)

EPS (RS.)
COMPOUNDED ANNUAL
GROWTH RATE

BREAK EVEN POINT CALCULATIONS RS. IN LAKHS


ST ND RD
1 YEAR 2 YEAR 3 YEAR 4TH YEAR 5TH YEAR TOTAL

GROSS REVENUE

VARIABLE EXPENSES
(SPECIFY ITEMWISE)

CONTRIBUTIONS

FIXED EXPENSES

(SPECIFY ITEMWISE)

PAT

BREAK-EVEN POINT

CASH BREAK-EVEN POINT

CONTENTS

SI. NO. DESCRIPTION PAGE NO.


I Basic Information 1
II Activity 3
III Environmental Sensitivity 14
1. PROJECT HIGHLIGHTS

NAME OF THE PROJECT : VARDAN MULTISPECIALITY HOSPITAL

NATURE OF HOSPITAL : Multispeciality

NUMBER OF BEDS : 222 ( In First Phase-120 Beds )

PROMOTERS : Vardan Seva Sansthan

Land PLOT SIZE :6330 Sq.Yds.(Land has been Purchased)

F.A.R. ALLOWED : 2.5

TOTAL BUILT AREA (Approx.)

1st Phase : 45,800 Sq. Ft.

BUILDING COST (Approx.)

1st Phase : Rs. 420 Lacs

TOTAL PROJECT COST (1st Phase) Rs. In Lacs


Building Cost : 420.00
Hospital Services : 80.00
Hospital Furniture & Fabrication : 50.00
Medical Equipment & Instruments : 300.00
Preliminary & Pre-Operative : 30.00
Contingencies : 40.00
Margin Money : 10.00

TOTAL : 930.00

MEANS OF FINANCING : Donations &Contributions

IMPLEMENTATION PERIOD

1st Phase of 120 beds : 2 ½ years


2. HEALTH CARE – “An Overview”

2.1 THE BACKGROUND:

Today, the city of Ghaziabad, with a population of over 25 lacs has become one of the most
crowded cities in India. There is an exponential increase in environmental pollution and
occupational health hazards due to rapid industrialisation. The food stuffs are largely
adulterated, drinking water supply becoming scare and unsafe for consumption and lastly
industries and automobiles have increased the atmospheric air pollution to an alarmingly
unsafe levels. This has led to a steep fall in health standards of the people. There is a need
for an early accurate diagnosis and proper treatment of diseases, especially after the growing
awareness of sound health in the mind of the public.

2.2 HEALTH CARE SCENE – A COMPARISON:

Comparison between various developed and developing countries in respect of Hospital Bed
to population Ratio, Infant Mortality, Expectancy of Life and Birth Rates etc., bring out the
inadequacy of the health care in INDIA. Better and quality health care is to be made available
to one and all by the Government and Private agencies.

The ability of Government owned hospitals to render quality medical services to all has
decreased because of the population growth. The bed to population ratio in India is 1: 1238
compared to 1:92 in Japan, 1:82 in USSR, 1:150 in USA and 1:350 in Sri Lanka.

Joseph Bhore committee appointed by the Government of India to go into the various
aspects of medical care in India and to suggest remedies, has recommended agencies in the
Government and Private Sector to increase the bed to population ratio to at least 567:1000

2.3 NATIONAL HEALTH POLICY & PRIVATE HEALTH CARE:

National Health Policy of India was aiming to attain the goal of “Health For All” by 2000 AD,
which it could not. As the concentration of the Government is on providing primary health
care and preventive treatment, the curative care rests mostly with the private sector with all
practitioners, consultants, Nursing Homes, and Hospitals.
The delivery of advanced health care to the growing population has become the
responsibility of the Private Sector, religious institutions / philanthropists.
VARDAN MULTI SPECIALITY HOSPITAL

3. THE PROPOSED PROJECT


3.1 Brief Profile: -

NAME VARDAN MULTI SPECIALTY HOSPITAL

LOCATION OF THE PROJECT VILLAGE: - GARHI DHARGAL, DELHI MEERUT ROAD,

GHAZIABAD

(OPP. GULDHAR)

PROMOTERS VARDAN SEWA SANSTHAN

REGISTERED OFFICE 46, NEHRU APTT.,NEHRU NAGAR-III, GHAZIABAD

ADMINISTRATIVE OFFICE SECTOR-8, RAJ NAGAR, GHAZIABAD, UP, INDIA

PIN: - 201002
TEL: 0120 – 2822440, 2827440, 4130213
EMAIL: - VARDAN1994@YAHOO.CO.IN

WEB: - WWW.VARDAN.ORG

LINE OF ACTIVITY MULTI – SPECIALTY HOSPITAL

CAPACITY – 222 BEDS

SECTOR PRIVATE

CONSTITUTION REGISTERED CHARITABLE SOCIETY


INDUSTRY SERVICE

***3.2 Covered Area: -

As per U.P. Government new directions regarding permissible FAR is 2.5 for Hospitals of 100
beds and above. In such cases, the ground coverage allowed is 30 % of the plot area.

Two basements are also allowed which are not included in the total FAR.

In 1st phase, the VSS proposes to construct only following areas.

SN Block Floor Area Total Area


in Sq. Ft In Sq. Ft

1 Hospital Block Basements 6183

Tower -1 Lower Ground Floor 7,500


Upper Ground Floor 8949
First Floor 6301
Second Floor 6301
Third Floor 5355
Fourth Floor 4903

Total constructed area in 1st Pahse 45863

This will accommodate approx. 120 beds to start with and the administrative block / services.
Top floor is to be temporarily used as nursing hostel.

This will accommodate another 120 beds


VARDAN MULTI SPECIALITY HOSPITAL

3.3 Departments/ Facilities: -

Following disciplines / facilities should be accommodated in the OPD

1. Medicine: - a.General Medicine


b. Chest & TB
c. Endocrinology
2. Surgery: - a. General Surgery

b. Laparoscopic Surgery
3. Obstetric & Gynecology
4. Orthopaedics
5. Paediatrics
6. ENT
7. Dermatology
8. Urology
9. Dental
10. Gastroenterology
11. Homeopathy
12. Ayurvedic
13. Blood Collection Room

Note: - Some special clinics - such as – Diabetic Clinic, Blood Pressure Clinic, Thyroid Clinic,
Well baby clinic will be run in same rooms at designated time and day.

3.4 Support Services: -

Following Support Services shall be provided: -

1. Operation Theatre Block with 2 ORs


2. Emergency Block – with 5 beds and one Minor OT
3. Blood Bank
4. Radiology (Conventional X-Ray & Mobile X-ray, CT will be planned later on)
5. Ultrasound
6. Pathology Lab
7. Physiotherapy (Both OT & PT). It should be a well equipped area as the VSS will
also run two courses for students. One is in Physiotherapy and the other is in
Nursing.
8. CSSD (Central Sterile & Supply Department)
9. Central Medical Gases
10. Pharmacy a. Shop
b. Bulk Store
11. General Stores
12. Kitchen / Canteen
13. Mortuary
14. Biomedical Waste Management
15. Generators
VARDAN MULTI SPECIALITY HOSPITAL

This will comprise of hospital kitchen for preparation and distribution of general, special and
therapeutic diets to the patients and commercial catering for ambulatory patients, their
relatives and staff, sterile supply services (C.S.S.D.) for recycling and replenishment of re-
usable sterile supplies to various areas of patient care; medical records services for
management of hospital informatics including filing and retrieval of outpatient records and
statistical evaluation of hospital performance; medical and general store for inventory
management of hospital supplies and their distribution to the areas of patient care.

Note: - Laundry is not planned at this stage.

3.5 Hospital Services: -

The hospital will have the following three major services:

a. EMERGENCY SERVICES
b. OUTPATIENT SERVICES
c. INPATIENT SERVICES

3.6.a In the EMERGENCY SERVICES (EMR), which will be operating round the clock, there
will be qualified medical and paramedical staff to attend to any emergency, including trauma
cases, which is increasing in the region everyday. There will be well equipped emergency
operation theatre, with the facilities for general / special surgical procedures. Round the clock
X-ray and Laboratory services are attached to the emergency services.

3.6.b In the OUTPATIENT SERVICES (OPD), specialist consultation facility will be available
through out the week or on specified days both in the morning and evening. The patient
services will be ably supported by diagnostic services and laboratory services.

3.6.c In the INPATIENT SERVICES (IPD), facilities will be made available for all Surgical and
Medical cases, except in the case of infectious / communicable diseases. The super
speciality cases like Cardio -Thoracic Surgery, Micro Neuro-Surgery, Renal Transplant
Surgery, etc. will be referred to big hospitals in the city / region. Special equipment will be
made available for Paediatric and Neonatology inpatients and also for ICU/CCU.

3.7 Diagnostic Facilities: -


3.7.a RADIOLOGY DEPARTMENT: X-Ray imaging plays an important role among various
imaging modalities. We propose to have a well equipped X-ray Department to cater to the
needs of Traumatology and other hospital departments. There will be a high powered X-ray
system with an image intensifier TV facility to do all the special investigations. This will help
to reduce the patient radiation dosage while screening and also carryout various procedures.
There will be another Portable X-ray Machine to take care of needs of the critically ill patients
in ICU/ICU/OT etc. A mobile C-arm image intensifier is also planned for this department.

3.7.b SONOGRAPHY: Ultrasound has become a powerful non-invasive diagnostic modality


today. We propose to use a multipurpose ultrasound machine for all medical / surgical and
Obs./Gynae work of the hospital.

3.7.c LABORATORY SERVICES: Clinical laboratory plays an important role in the


diagnosis, prognosis and treatment of diseases. At our hospital, laboratory services will
function under the head a Pathologist. Biochemistry department will have the latest multi-
channel auto-analyser and electrolyte analyser. In the haematology department there will be
VARDAN MULTI SPECIALITY HOSPITAL

electronic cell counters, blood coagulometers etc. Pathology and Microbiology will be
equipped as per the modern needs of hospitals.

3.7.d Video Endoscopy will be provided as an outpatient procedure in the field of


Gastroenterology.

3.8 The Engineering Services: -

Engineering services of the hospital will comprise of a sub-station for maintenance of electric
supply to the hospital; public health services for water supply, sanitation and fire protection
and fire fighting systems, space heating, ventilation and air-conditioning for environmental
management of essential areas in the hospital including intensive care, critical and operative
care areas, selected intermediate care areas and laboratories. Solar heater with water boiler
for hot water supply during winters along with Rain Water harvesting system will be part of
the project. Sewage Treatment is to be done before flushing it to municipal system.

Communication services comprising of integrated network of EPABX, public address and


nurse call system; medical gases and vacuum services to provide un-interrupted supply of
Oxygen & Nitrous oxide, and central vacuum to intensive, critical and operative area

Diesel Generators and Invertors / UPS will be provided to supply uninterrupted power to all
areas especially to critical floor.

3.9 Administrative Services: -

This will consist of accommodation for the Chief Executive, Medical & Nursing administrators;
Personnel, financial & materials management, computerised hospital information and
ancillary accommodation for transport, security, fire, housekeeping and building maintenance
staff.
VARDAN MULTI SPECIALITY HOSPITAL

4. LIST OF MAJOR EQUIPMENT:

4.1 SERVICE EQUIPMENT: -

Ambulance
Central Air-conditioning Plant
Central Oxygen / Vacuum, N2O Piping
Sterilizers / Autoclaves
Electrical Transformer, Generator & Electrical Fittings
Electronic Telephone Exchange
Fire fighting Equipment
Lifts
Kitchen, Mortuary equipment

4.2 MEDICAL EQUIPMENT: -

X-ray Machines (Conventional & Mobile) & Dark Room Accessories


Mobile Image Intensifier (C-Arm Machine)
ECG Machines, Defibrillators, Nebulisers etc.
Ultrasound Machine
Patient Monitoring Equipment
Ventilators
Infusion Pumps/Syringe Pumps
Blood Chemistry Auto Analyser
Electronic Cell Counter (Haematology Counters)
Electrolyte Analyser
Miscellaneous Lab Equipment
Theatre Equipment for 2 Theatres (OT Lights, Tables etc.)
Anaesthesia Machines
Operation Microscope
Video Endoscopes
Hospital Beds & Furniture
Physiotherapy Equipment

Nursery Equipments (Phototherapy, Radiant warmers etc)


Dental Chair, Dental X-ray alongwith other accessories.
ENT Work Station, and Audiometers
Physiotherapy Equipments (Ultrasound Therapy, Short wave therapy, TENS, ICT, etc
Surgical Instruments & Other Miscellaneous Items.

4.3 Office equipment including Computers: -

5. BUILDING PROGRAM

5.1 The building programme of Vardan Multispeciality Hospital will comprise a modern and
aesthetically planned synthesis of functions and services described above.

The building program will offer a balanced combination of low and medium rise building
character having a simple internal circulation with various functional zones meeting around
the central core.

It will also offer optimum relationship between and within the departments for economy of
physical stress to the patients and hospital staff.

The mass of the hospital building will be broken down into smaller modules of human scale
to relate it to the regional character. Special emphasis will be given to create a congenital
internal environment by providing ample natural lighting and ventilation, aesthetic interior,
symbolic signage and landscaped internal courtyards.

The external development will include a hierarchical road network with ample parking
facilities and a separate access to main hospital, emergency and services.

The hospital will have a total built-up area of 1.40 Lac Sq. Ft. in a 1.25 acres plot with a floor
area ratio of 2.5 and ground coverage of 30%. This area utilisation will meet the requirements
of the local by-laws and also provide ample space for future expansion.
VARDAN MULTI SPECIALITY HOSPITAL

6.Approx.COST OF SOME MEDICAL EQUIPMENTS

SN Location Medical Equipment Qty. Approx. Total Cost


Unit Cost Rs.
Rs.

1A OPD B.P. Instrument 10 500 5000

Stethoscope 10 150 1500

Weighing Machine, Adult 7 500 5000

Weighing Machine, Child 1 350 350

X-Ray View Box, Single 8 1200 9,600

ENT Work Station, Complete, 1 2,25,000 2,25,000


Servo Scientific

Audiometer 1 3,00,000 3,00,000

Tympanometer 1 Included
above

Foetal Doppler, BPL 9613 1 12,000 12,000

Dental Chair 1 2,50,000 2,50,000

Ultrasonic Scaler 1 Included 0

Light Cure Unit 1 Included 0

Dental Instruments 1 Included 0


set

Dental X-Ray 1 Included 0

1B Endoscopy Room Upper GI Video Endoscopes 1 Included 0


below

Lower GI Video Endoscope, 1 40,00,000 40,00,000


Fuzinon

1C Neurology EEG Machine + Sleep 1 3,00,000 3,00,000


Analysis RMS

EMG Machine / BERA – RMS 1 3,00,000 3,00,000


2 Emergency ECG Machine, BPL 108 1 24,000 24,000

Defibrillator, BPL 2509 1 1,20,000 1,20,000

Nebuliser, BPL Pulmomist 1 3,500 3,500

Syringe Pump, BPL - Baxter 1 50,000 50,000

Patient Monitor, Multipara, 2 1,75,000 3,50,000


BPL Ultima

Crash Cart 1 40,000 40,000

Pulse Oximeter, Hand held, 1 47,000 47,000


BPL – CLEO

Suction Electric, Supreme 1 8,000 8,000

3 Minor OT Operation Table 1 60,000 60,000

Operation Light 1 20,000 20,000

Anaesthesia Machine, Basic, 1 1,00,000 1,00,000


Medisys – Indian

Suction, Electric, Supreme 1 8,000 8,000

Surgical Instruments 1 1,00,000 1,00,000


set

4 Wards, Patients Nebulisers, BPL Pulmomist 2 3,500 7,000


Accommodation

ECG Machine, BPL 6108 1 32,000 32000


VARDAN MULTI SPECIALITY HOSPITAL

5 ICU/ICCU Crash Cart 1 40,000 40,000

Defibrillator, BPL 2509 1 1,20,000 1,20,000

Syringe Pump, BPL- Baxter 2 50,000 1,00,000

Monitors, Multipara, BPL Ultima 5 1,75,000 7,75,000

Ventilator, Drager – Sabina 1 7,00,000 7,00,000

Ventilator for Transport, Medisys, 1 1,50,000 1,50,000

Nebuliser, BPL Pulmomist 1 3,500 3,500

ECG Machine, BPL 8408 1 95,000 95,000

Suction Electric, Supreme 1 8,000 8,000

6 Nursery (NICU) Monitors, Multipara, BPL Ultima 2 1,75,000 3,50,000

Syringe Pump, BPL – Baxter 2 50,000 1,00,000

Phototherapy Unit, Overhead, BPL - 2 20,000 40,000


Medicaid

Phototherapy Unit, Under Couch, 2 25,000 50,000


BPL – medicaid

Radiant Warmer, BPL – Medicaid 2 40,000 80,000

Weighing Scale, Electric 1 20,000 20,000

Neonatal Resuscitator 1 86,000 86.000


(Open Care System), BPL medicaid

CPAP (Ventilator), BPL Nidek 1 60,000 65,000

Ventilator, Neonatal, Drager 1 11,00,000 11,00,000


Babylog

7 Operation Theatres Operation Table, General 1 1 75,000

Operation Table with Ortho 1 1,30,000 1,30,000


Attachments, electric

Delivery Table 1 35,000 35,000

Operation Light 2 70,000 1,40,000

Surgical Cautery (ESU), Jahangir 2 70,000 1,40,000


Video Laproscope, Maxer 1 18,00,000 18,00,000

Anaesthesia Machine with 1 3,00,000 3,00,000


Ventilator, Medisys India

Anaesthesia Machine Basic, 1 1,00,000 1,00,000


Medisys

Operation Microscope, Towa 1 5,50,000 5,50,000

Surgical Instruments 2 2,00,000 4,00,000


sets

Cardiotocograph (CTG) 1 1,50,000 1,50,000

Foetal Doppler, BPL 9613 1 12,000 12,000

Suction Electric, Supreme 1 8,000 8,000

Cystoscopes & Resectoscope, 1 4,25,000 4,25,000


Maxer

URS, Eagle 1 2,25,000 2,25,000


VARDAN MULTI SPECIALITY HOSPITAL

8 Radiology (X-Ray) X-Ray Machine, Digital, 1 25,00,000 25,00,000


300 mA, Allenger

X-Ray Machine Mobile, Siemens 1 2,75,000 2,75,000

C-Arm IITV, Allenger 1 10,00,000 10,00,000

Dark Room Accessories, local 1 75,000 75,000


set

9 Laboratory Biochemistry Analyser, Semi 1 1,55,000 1,55,000


(Pathology) automatic, Transasia

Electrolyte Analyser, Rosche 1 1,40,000 1,40,000

Haematology Analyser (Cell 1 3,50,000 3,50,000


Counter) Transasia Sysmex KX-
21

Microscope, Labomed 2 25,000 50,000

Misc Laboratory Equipment, 1 1,00,000 1,00,000


Embee set

10 Blood Bank Blood Storage Refrigerator 2 50,000 1,00,000

Other Misc. equipment as per list 1 3,00,000 3,00,000


for basic Blood bank set

11 Non Invasive ECG Machine – 12 leads, BPL 1 95,000 95,000


Diagnostics 8408

Ultrasound Machine, Hitachi 3 1 18,00,000 18,00,000


probes

12 Physiotherapy Short wave Diathermy Unit, IMI 1 38,000 / 38,000


5,72,000

Ultrasound Therapy Unit, IMI 1 16,000 / 16,000


1,42,000

Interferential Therapy Unit, IMI 1 35,000 35,000

TENS, IMI 1 4500 4,500

Traction System, IMI 1 68,000 68,000


Exercise Equipment 1 1,00,000 1,00,000
set

13 Sterilisation Autoclave, Horizontal, Yorco 1 2,00,000 2,00,000


Department
(CSSD)

Autoclave, Vertical 1 75,000 75,000


VARDAN MULTI SPECIALITY HOSPITAL

7. PROJECT COST & MEANS OF FINANCING – 1st


Phase (SUMMARY)

7.1 PROJECT COST:

S.N. Description Rs in Lacs Total

1. BUILDING & Engineering Services


45800 Sq. Ft. 420.00 420.00
2. HOSPITAL SERVICES
2.1 Medical Gases & Vacuum: including Oxygen &
Nitrous Oxide Manifold, Central Vacuum &
Alarms
systems, piping and Outlet points 10.00
2.2 Hospital Kitchen (Mechanised): including cookers,
fryers, burners, appliances, refrigerators,
deep freezers, racks, tables & Trolleys 10.00
2.3 Computers 8.00
2.4 Waste Disposal Systems 3.00
2.5 Solar Heating Systems + Boiler 10.00
2.6 Ambulance x 1 5.00
2.7 Hospital Mortuary: including body storage & trolleys 4.00
2.8 Lifts x 2 (Both Stretcher Lifts) 30.00 80.00
3. HOSPITAL FURNITURE & FABRICATION
3.1 Medical Furniture: including beds, lockers, stools,
tables & trolleys including interiors 30.00
3.2 Hospital Fabrications: including counters, cabinets,
shelves & desks 5.00
3.3 Coloured TVs / Refrigerators & other accessories 15.00 50.00
4. MEDICAL EQUIPMENT & INSTRUMENTS: 300.00 300.00
5. PRELIMINARY & PRE-OPERATIVE:
5.1 Expenses during Implementation Period:
including salaries, training & travel expenses 10.00
5.2 Advertisement & stationary expenses 10.00
5.3 Consultancy Fee 10.00 30.00
6. PROVISION FOR CONTINGENCIES:
6.1 On all items @ 5 % of total cost of site development,
building works, engineering & hospital furniture &
fabrications, administrative services,
medical equipment & preliminary and
pre-operative expenses. 40.00 40.00

7. MARGIN MONEY FOR WORKING CAPITAL: 10.00 10.00

=============
GRAND TOTAL 930.00
=============

7.2 Means of Financing Donations & Contributions

***FORM- I

S. No. Item Details


1. Name of the project/s 100 Bedded Hospital
2. S. No. in the schedule 8 (a)
(Building & Construction Project)
3. Proposed capacity/area/length/tonnage to be Plot Area = 6,318.72 m2
handled/command area/lease area/number of Proposed FAR = 12,578.89 m2
wells to be drilled Built Up Area = 22,437.87m2
4. New/Expansion/Modernization New
5. Existing Capacity/Area etc. NA
6. Category of Project i.e. ‘A’ or ‘B’ Category B
7. Does it attract the general condition? If yes, No
please specify.
8. Does it attract the specific condition? If yes, No
please specify.
9. Location Plot/Survey/Khasra No.
Village KL-Block
Tehsil Sarita Vihar
District South East Delhi
State Delhi
10. Nearest railway station/airport along with Okhla Railway Station, (4.0 km, NW)
distance in kms Tuglakabad Railway station (3.7 km,
SW)
Jasola Metro Station (1.4 km, WNW)
Indira Gandhi International Airport
(20.0 km, W)
(Source of information:- Google Earth)
11. Nearest Town, city, District Headquarters Nearest City: New Delhi (12.0 km,
along with distance in kms. NNW)
12. Village Panchayats, Zilla Parishad, South Delhi Municipal Corporation
Municipal Corporation, Local body
(complete postal addresses with telephone
nos. to be given)
13. Name of applicant Directorate of Health Services

14. Registered Address Directorate of Health Services


Swasthaya Sewa Nideshalaya Bhawan
F-17, Karkardooma, Shahdara, Delhi-
110032 (Hospital Cell)

Directorate of Health Services 1


100 Bedded Hospital
At KL-Block, Sarita Vihar, Delhi FORM 1

15. Address for correspondence :


Name Dr. Arun Banerjee
Designation (Owner/Partner/CEO) Chief Medical Officer
Address Directorate of Health Services
Swasthaya Sewa Nideshalaya Bhawan
F-17, Karkardooma, Shahdara, Delhi-
(Hospital Cell)
Pin Code 110032
Telephone No. 011-22382268
Fax No. 011-22306396
E-mail cmohcdhs.delhi@nic.in
16. Details of Alternative Sites examined, if any. No
Location of these sites should be shown on a
toposheet.
17. Interlinked Projects No
18. Whether separate application of interlinked No
project has been submitted?
19. If yes, date of submission Not Applicable
20. If no, reason Not Applicable
21. Whether the proposal involves approval/ No
clearance under: if yes, details of the same
and their status to be given.
(a)The forest (Conservation) act, 1980?
(b) The wildlife (Protection) act, 1972?
(C) The C.R.Z Notification, 1991?
22. Whether there is any Government 1. NBC Guidelines
Order/Policy relevant/relating to the site? 2. Building Bye laws by Delhi
Development Authority

23. Forest land involved (hectares) No


24. Whether there is any litigation pending No
against the project and /or land in which the
project is propose to be set up?
(a) Name of the Court
(b) Case No.
(c) Orders/directions of the Court, if any and
its relevance with the proposed project.

***

Directorate of Health Services 2


100 Bedded Hospital
At KL-Block, Sarita Vihar, Delhi FORM 1

(II) Activity

1. Construction, operation or decommissioning of the Project involving actions,


which will cause physical changes in the locality (topography, land use, changes
in water bodies, etc.)

Details thereof (with approximate


S. No. Information/Checklist confirmation Yes/No quantities /rates, wherever possible)
with source of information data
1.1 Permanent or temporary change in land No Planned project is hospital project. Delhi
use, land cover or topography including development authority has allotted land
increase in intensity of land use (with on lease to DDA for development of
respect to local land use plan) hospital
1.2 Clearance of existing land, vegetation No Construction of project does not require
and buildings? any clearance of existing Land,
Vegetation & Building.
1.3 Creation of new land uses? No Project site is currently an open land and
Delhi development authority has allotted
land on lease to DDA for development of
hospital
1.4 Pre-construction investigations e.g. bore Yes Soil testing has been done during detailed
houses, soil testing? engineering study.
1.5 Construction works? Yes All construction activities will be
confined within the project premises;
there will be no physical changes outside
the project boundary.
1.6 Demolition works? No Demolition is not required.
1.7 Temporary sites used for construction No All the construction activity including
works or housing of construction stocking of raw materials will be confined
workers? within the project site only. No temporary
labor hutments are proposed. Local labors
from nearby area will be hired. Sanitation
facilities will be developed at site.
1.8 Above ground buildings, structures or Yes Excavation will be carried out for
earthworks including linear structures, foundation of buildings and basements.
cut and fill or excavations Total excavated quantity of earth material
will be approx. 33289.45 m3. Excavated
soil will be used in backfilling and other
area development activities and surplus
shall be disposed off to designated site.
1.9 Underground works including mining or No No underground works including mining/
tunneling? tunneling is required except excavation of
earth for foundation & basements.

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100 Bedded Hospital
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1.10 Reclamation works? No No reclamation work required.


1.11 Dredging? No No dredging required.
1.12 Offshore structures? No No offshore structures required.
1.13 Production and manufacturing No No production/manufacturing process is
processes? involved. Planned project is hospital
project & do not involve production &
manufacturing
1.14 Facilities for storage of goods or Yes Raw material will be stored at site in a
materials? covered area. Cement will be separately
stored under cover in bales. Sand will be
stacked neatly under tarpaulin cover.
Bricks and steel will be laid in open.
1.15 Facilities for treatment or disposal of Yes Solid Waste:
solid waste or liquid effluents? Solid waste generated from the project
will be in the form of:

Construction Waste:
Left over cement and mortars, cement
concrete blocks, aggregate, sand and
other inorganic material will be recycled
and reused as granular subbase (GSB)
layer of pavement. Earth rendered
surplus from the excavation will be
utilized in the embankment works or
disposed to designated sites.

Municipal Solid Waste


The solid waste generated from project
will be municipal & bio-medical waste.
Municipal waste of approx. 519 kg/day
and bio-medical waste of approx. 130.0
kg/day will be generated. Solid wastes
generated will be collected & segregated
at site in different color bins. Municipal
waste will be handed over to local
agency of Municipal Corporation Delhi
for disposal & Bio-medical waste will be
handed over to authorized vendor.

E-Waste:
E-waste from project site will consist of
discarded computers and equipment. E-
waste generated shall be managed as per
E-waste (Management & Handling)

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100 Bedded Hospital
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Rules, 2011. This waste will be collected


& stored in a room. It will be sold
periodically to authorized vendor.

Liquid effluents:
During construction phase, sewage will
be treated in septic tanks & soak pits.
Approx 90 KLD of sewage will be
generated & it will be treated in STP of
110 KLD. Approx. 12 KLD of lab
effluent will be generated & that will be
treated in ETP of 15 KLD. Treated water
from STP will be used for flushing,
horticulture & HVAC cooling. Treated
water from ETP will be used for HVAC
cooling.
1.16 Facilities for long term housing of No No such facility is proposed in the
operational workers? project.
1.17 New road, rail or sea traffic during Yes Traffic of approx 15-20 trucks per week
construction or operation? will be generated during construction
phase & traffic of max. 252 ECS is
expected to be generated during operation
phase.
1.18 New road, rail, air waterborne or other No Project site lies in the Sarita Vihar which
transport infrastructure including new or is a well developed housing colony in
altered routes and stations, ports, airports South Delhi area. Infrastructures like
etc? roads, metro, drinking water facility,
sewers are well developed in area. Project
site connects to NH-2 through local
roads. Thus no new transport
infrastructure is required to be built.
1.19 Closure or diversion of existing No All project activities will be confined to
transport routes or infrastructure leading project site. No diversion or closure of
to changes in traffic movements? existing traffic routes shall be done.
Movement of vehicles shall be planned
during non-peak hours.
1.20 New or diverted transmission lines or No There will not be any new/diverted
pipelines? transmission lines or pipelines around the
proposed project.
1.21 Impoundment, damming, culverting, No No impoundment, damming, culverting,
realignment or other changes to the realignment or other changes to the
hydrology of watercourses or aquifers? hydrology of surface watercourses is
proposed.
1.22 Stream crossings? No There are no streams running across the

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100 Bedded Hospital
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site.
1.23 Abstraction or transfers of water form Yes During construction phase, 50 ML of
ground or surface waters? water will be required which will be
taken from Okhla STP and through DJB
tankers. During operation phase, water
supply will be provided by Delhi Jal
Board. About 118 KLD of fresh water
will be required during operation phase of
the project.
1.24 Changes in water bodies or the land Yes Runoff will increase due to increased
surface affecting drainage or run-off? paved surface. However, increased runoff
will be managed by well-designed
rainwater harvesting system & storm
water management plan.
1.25 Transport of personnel or materials for Yes During the construction phase, about 15-
construction, operation or 20 trucks are estimated per week.
decommissioning? Adequate parking space within the
project site for loading and unloading of
materials will be provided.
Parking space for 253 ECS is proposed to
be provided for accommodating vehicles
expected during operation phase of the
project.
1.26 Long-term dismantling or No No Long term dismantling or
decommissioning or restoration works? decommissioning or restoration works
will be involved.
1.27 Ongoing activity during No None
decommissioning which could have an
impact on the environment?
1.28 Influx of people to an area in either No It is a hospital project & no influx of
temporarily or permanently? people in the area is involved.
1.29 Introduction of alien species? No The landscaping will be carried out with
mainly local/native species with a few
ornamental varieties of flora that are well
suited to the local conditions. No alien
species will be introduced.
1.30 Loss of native species or genetic No There will be no significant impact on the
diversity? native species or genetic diversity.
1.31 Any other actions? No Not Applicable.

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100 Bedded Hospital
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2. Use of Natural resources for construction or operation of the Project (such as land,
water, materials or energy, especially any resources which are non-renewable or in short
supply):

Details thereof (with approximate


S.
Information/checklist confirmation Yes/No quantities/rates, wherever possible)
No.
with source of information data
2.1 Land especially undeveloped or No Delhi Development Authority has allotted
agricultural land (ha) land to Directorate of Health Services on
lease for development of hospital
2.2 Water (expected source & competing Yes During construction phase, 50 ML of
users) unit: KLD water will be required which will be
taken from Okhla CSTP and through DJB
tankers. During operation phase, water
supply will be provided by Delhi Jal
Board. About 118 KLD of fresh water
will be required during operation phase of
the project. Total water requirement
during operation phase is 218.0 KLD.
2.3 Minerals (MT) Yes Minerals such as sand and aggregates will
be required during the construction phase.
2.4 Construction material – stone, aggregates, Yes All materials for construction will be
and / soil (expected source – MT) arranged through select suppliers.
2.5 Forests and timber (source – MT) Yes Minimal use of timber will be made.
Most of the joinery work will be done in
Aluminium and steel.
2.6 Energy including electricity and fuels Yes The total demand load is estimated at
(source, competing users) Unit: fuel (MT), 2306.3 kVA. Power will be supplied by
energy (MW) BSES. There is provision of DG sets of
total 3030 kVA (3 X 1010 kVA) for
uninterrupted power supply to the
hospital during power failure. DG sets
will be equipped with acoustic enclosure
and adequate stack height for proper
dispersion to control noise & air
pollution.
2.7 Any other natural resources (use No Not Applicable
appropriate standard units)

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3. Use, storage, transport, handling or production of substances or materials, which


could be harmful to human health or the environment or raise concerns about actual or
perceived risks to human health.

Details thereof (with approximate


S. No. Information/Checklist confirmation Yes/No quantities/rates, wherever possible)
with source of information data
3.1 Use of substances or materials, which are Yes Diesel for DG sets will be stored in
hazardous (as per MSIHC rules) to drums in earmarked locations. It shall
human health or the environment (flora, also be handled as per The Manufacture,
fauna, and water supplies) Storage and Import of Hazardous
Chemical Rules, 1989 and Material
Safety Data Sheet.
3.2 Changes in occurrence of disease or No Suitable drainage and waste management
affect disease vectors (e.g. insect or measures (with frequent spray of
water borne diseases) insecticides etc.) will be adopted in both
the construction and operational phase
such that there will be no stagnation of
water or accumulation of waste. This will
effectively restrict the reproduction and
growth of disease vectors.
3.3 Affect the welfare of people e.g. by Yes Project development will lead to better
changing living conditions? quality of life as it will improve health
care facility in the area. It will reduce
burden on other government hospital.
Also employment opportunity for skilled,
semi-skilled & unskilled people will be
generated.
3.4 Vulnerable groups of people who could No Impacts of this type are not expected.
be affected by the project e.g. hospital
patients, children, the elderly etc.
3.5 Any other causes No Not Applicable

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100 Bedded Hospital
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4. Production of solid wastes during construction or operation or decommissioning


(MT/month)

Details thereof (with approximate


S. No. Information/Checklist confirmation Yes/No quantities/rates, wherever possible)
with source of information data
4.1 Spoil, overburden or mine wastes No No such spoil, overburden or mine wastes
will be generated.
4.2 Municipal waste (domestic and or Yes Solid waste will comprise of municipal &
commercial wastes) bio-medical waste. Municipal waste
estimated to be generated is 519 kg/day &
bio-medical waste is estimated to be 130
kg/day.
4.3 Hazardous wastes (as per Hazardous Yes Hazardous wastes along with other
Waste Management Rules) wastes in the project will be used oil
from DG sets, which is classified as per
The Hazardous Waste Category 5.1 as
per The Hazardous Wastes (Management
& Handling) Rules, 1989 and
amendments till date.
Used oil from DG sets will be stored in
HDPE drums in isolated covered facility.
This used oil will be sold to authorized
recyclers. Suitable care will be taken so
that spills/leaks of used oil from storage
are avoided.
4.4 Other industrial process wastes No Not applicable
4.5 Surplus product No Not applicable
4.6 Sewage sludge or other sludge from Yes Sludge generated from the STP plant will
effluent treatment be dried and later will be used as manure
for green belt development.
Sludge from ETP will be sent for disposal
to landfill site.
4.7 Construction or demolition wastes Yes Construction waste will consist of excess
earth and construction debris along with
cement bags, steel in bits and pieces,
insulating and packaging materials etc.
Recyclable waste construction materials
will be sold to recyclers. Unusable and
excess construction debris will be
disposed at designated places in tune with
the local norms.
4.8 Redundant machinery or equipment No Redundant machinery will not be
generated.

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100 Bedded Hospital
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4.9 Contaminated soils or other materials No Contaminated soils or other materials will
not be generated.
4.10 Agricultural wastes Yes Landscape wastes of 0.49 kg/day will be
generated.
4.11 Other solid wastes No Not Applicable

5. Release of pollutants or any hazardous, toxic or noxious substances to air (Kg/hr).

Details thereof (with approximate


S. No. Information/Checklist confirmation Yes/No quantities/rates, wherever possible)
with source of information data
5.1 Emissions from combustion of fossil Yes Project does not involve air emission
fuels from stationary or mobile sources from any other source except operation of
DG sets during power failure and
vehicular traffic.
5.2 Emissions from production processes No No production processes involved.
Hence, there will be no such emissions.
5.3 Emissions from materials handling Yes
including storage or transport

5.4 Emissions from construction activities Yes This will be restricted to the construction
including plant and equipment phase and the construction site only.
5.5 Dust or odors from handling of materials Yes Dust is anticipated during loading and
including construction materials, sewage unloading of construction material and
and waste excavation of upper earth surface. These
will however be temporary in nature,
which will be controlled by providing
water sprinklers. Tarpaulin cover will be
provided on stored loose materials to
reduce the dust emission.
5.6 Emissions from incineration of waste No No incineration of wastes will be carried
out at project site.
5.7 Emissions from burning of waste in open No Open burning of biomass/other material
air (e.g. slash materials, construction will be prohibited on site.
debris)
5.8 Emissions from any other sources No Not Applicable

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

Details thereof (with approximate


S. No. Information/Checklist confirmation Yes/No quantities/ rates, wherever possible)
with source of information data
6.1 From operation of equipment e.g. Yes Source of noise in the operational phase
engines, ventilation plant, crushers will be from backup DG sets (which will
be in operation only during power failure)
and pumps & motors. All the machinery
will be of highest standard of reputed
make and will comply with standard i.e.
The DG set room will be provided with
acoustic enclosure to have minimum 25
dB(A) insertion loss or for meeting the
ambient noise standard whichever is on
higher side as per E (P) Act, GSR 371 (E)
and its amendments. Therefore, no
significant impact due to operation of
machinery is anticipated.
6.2 From industrial or similar processes No No industrial processes is involved in
proposed project
6.3 From construction or demolition Yes Due to various construction activities,
there will be short-term noise impacts in
the immediate vicinity of the project site.
The construction activities will include the
following noise generating activities:
Concreting, mixing & operation of
DG sets.
Construction plant and heavy vehicle
movement.
6.4 From blasting or piling No No blasting or mechanized piling will be
done.
6.5 From construction or operational Yes Some noise will be generated from
traffic vehicular movement in the construction
and operational phase but that will be
mitigated with green belt.
6.6 From lighting or cooling systems No No significant noise impact will result
from lighting or cooling systems.
6.7 From any other sources No Not Applicable

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100 Bedded Hospital
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7. Risks of contamination of land or water from releases of pollutants into the ground or
into sewers, surface waters, groundwater, coastal waters or the sea:

Details thereof (with approximate


S. No. Information/Checklist confirmation Yes/No quantities/rates, wherever possible)
with source of information data
7.1 From handling, storage, use or spillage of No No Hazardous material shall be used. E-
hazardous materials Waste like battery, green CFL, Rejected
computers, laptops, electrical equipment
etc. shall be generated. This waste will
be stored at site and will be sold to
authorized vendors for disposal.
7.2 From discharge of sewage or other No It is a zero discharge project and no
effluents to water or the land (expected waste water or sewage will be
mode and place of Discharge) discharged outside the project site.
Sewage of 90 KLD will be generated &
lab effluent of 12 KLD will be generated
that will be treated in STP of 110 KLD
and ETP of 15 KLD. Treated water from
STP, i.e. 88 KLD will be used for
flushing, HVAC cooling & landscaping.
Treated water from ETP will be used for
HVAC cooling.
7.3 By deposition of pollutants emitted to air No DG Sets will be provided with stacks of
into the land or into water adequate height. Hence dispersion will
be achieved and avoid deposition of
pollutants in significant concentrations at
any single location.
7.4 From any other sources No Not Applicable
7.5 Is there a risk of long term build up of No Not Applicable
pollutants in the environment from these
sources?

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100 Bedded Hospital
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8. Risk of accidents during construction or operation of the Project, which could


affect human health or the environment

Details thereof (with approximate


S. No. Information/Checklist confirmation Yes/No quantities/rates, wherever possible)
with source of information data

8.1 From explosions, spillages, fires, etc. Yes To deal with any fire related accident,
from storage, handling, use or production fire fighting facility of single handed
of hazardous substances hydrant valve, long hose reel, and
portable fire extinguisher will be
provided at site.
8.2 From any other causes No Not Applicable

8.3 Could the project be affected by natural Yes The project falls under seismic active
disasters causing environmental damage Zone IV indicating high damage risk
(e.g. floods, earthquakes, landslides, zone. The buildings will be designed as
cloudburst etc.) earthquake resistant and comply with the
required IS specifications.

9. Factors which should be considered (such as consequential development) which


could lead to environmental effects or the potential for cumulative impacts
with other existing or planned activities in the locality

Details thereof (with approximate


S. No. Information/Checklist confirmation Yes/No quantities/rates, wherever possible)
with source of information data
9.1 Lead to development of supporting. Delhi development Authority has
utilities, ancillary development or allotted project site to DHS for
development stimulated by the project development of hospital.
which could have impact on the
environment e.g.:
• Supporting infrastructure (roads, power
supply, waste or waste water treatment,
etc.)
• Housing development No No

• Extractive industries No No

• Supply industries No No

• Other Yes Hospital


9.2 Lead to after-use of the site, which could No Not Anticipated
have an impact on the environment
9.3 Set a precedent for later developments Yes The project will improve health care

CONTENTS
SI.NO. DESCRIPTION PAGE NO.
1. Land Environment 1
2. Water Environment 6
3. Vegetation 14
4. Fauna 16
5. Air Environment 16
6. Aesthetics 19
7. Socio-Economic Aspects 20
8. Building Materials 22
9. Energy Conservation 24
10. Environment Management Plan 30

Directorate of Health Services


100 Bedded Hospital
At KL-Block, Sarita Vihar, Delhi FORM 1A

FORM IA
CHECK LIST OF ENVIRONMENTAL IMPACTS
(Project proponents are required to provide full information and wherever necessary attach
explanatory notes with the Form and submit along with proposed environmental management
plan & monitoring program)

SECTION 1- LAND ENVIRONMENT

(Attach panoramic view of the project site and the vicinity)

1.1 Will the existing land use get significantly altered from the project that is consistent with the
surroundings? (Proposed land use must conform to the approved Master Plan/Development Plan
of the area. Change of land use, if any and the statutory approval from the competent authority
are submitted). Attach Maps of (i) site location, (ii) surrounding features of the proposed site
(within 500 meters) and (iii) the site (indicating levels & contours) to appropriate scales. If not
available attach only conceptual plans.
Proposed project “100 bedded hospital is planned to be developed by Directorate of Health Service,
Govt. of Delhi for the health care & welfare of society. Proposed project site is located at KL-Block,
Sarita Vihar, Delhi. Geographical co-ordinates of the project site are 28°32.254'N & 77°17.869'E. Delhi
development Authority has allotted the land to Directorate of Health Services to construct hospital.
The work shall be executed through PWD, Delhi. Land documents for the project site are attached as
Annexure I. Google image showing location of project site & its surroundings within 500 m, 2 km and
10 km are attached as Annexure II (a, b &c) respectively. Site plan for the project site is attached as
Annexure III. Conceptual plans for the project are attached as:
Dual Plumbing Layout- Annexure IV
Storm Water Drainage Layout & Diagram of Rain water Harvesting pit- Annexure VI a & b
Car Parking & Traffic Circulation Plan- Annexure VII a, b & c
Site layout showing electrical substation & DG set location- Annexure IX
Green Belt Development Plan- Annexure X
Elevation & Section Plan- Annexure XI a & b
Fire Fighting & Evacuation Plan- Annexure XII a, b, c & d
Floor plans and terrace plans- Annexure XIII a-h

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100 Bedded Hospital
At KL-Block, Sarita Vihar, Delhi FORM 1A

1.2 List out all the major project requirements in terms of the land area, built up area, water
consumption, power requirement, connectivity, community facilities, parking needs etc.
 LAND REQUIREMENT
Total plot area for development of proposed project is 6318.72 sq m. Statement of area detailing the
propose development is given below in Table 1 below.
Table 1: Area Statement
S. Particulars Area (m2)
No.
1. Total Plot Area 6318.72
2. Permissible ground Coverage (30% of plot area) 1895.4
3. Proposed Ground Coverage (29.6% of plot area) 1869.21
4. Permissible FAR (200% of plot area) 12637.44
5. Proposed FAR (199.07% of plot area) 12578.89
6. Non-FAR Area at Floors 1622.96
7. Services 62.87
8. Stilt 247.09
9. Basement 7926.06
Basement 1 3963.03
Basement 2 3963.03
10. Built-up Area 22437.87
11. Open Parking Area 253.00
12. Landscape Area (31.13%) 1966.82
13. Height of the building 29.865 m
*FAR = Floor Area Ratio

 WATER REQUIREMENT
During construction phase water supply will be taken from Okhla CSTP and through DJB tankers.
During operation phase, water will be taken from Delhi Jal Board. Total water requirement is
approx. 218 KLD, out of which domestic water requirement is 79.0 KLD. Fresh water requirement
for the project is approx. 118.0 KLD.
 POWER REQUIREMENT
Maximum power demand for the project is calculated to be 1845 KW (2306.3 kVA). 2 transformers of
capacity 1500 kVA are proposed to be provided. Power supply will be taken from BSES.

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100 Bedded Hospital
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Power Back Up
DG sets of total capacity 3030 kVA (3 X 1010 kVA) will be provided to provide uninterrupted power
supply during power failure
 CONNECTIVITY
Project site is accessible and is well connected via network of rail & road. Local roads connect project
site to NH-2 which is at 1.3 km in west direction from project site. Nearest Railway Station are Okhla
Railway station and Tuglakabad Railway station at distance of 4.0 km, in NW direction & 3.7 km in
SW direction from project site respectively. Site is well connected by Metro Rail. Jasola metro station
is at 1.4 km in WNW direction. Indira Gandhi International Airport is at 20 km in West direction from
project site.
 PARKING FACILITIES
Car parking of 253 ECS will be provided as per DDA norms in basements, stilt & ground. Parking
space of 135 sq m is provided in stilt area for two-wheelers.

1.3 What are the likely impacts of the proposed activity on the existing facilities adjacent to
the proposed site? (Such as open spaces, community facilities, details of the existing land use and
disturbance to the local ecology).
To improve health care facilities in the area, Directorate of Health Services (DHS) has planned to
develop proposed “100 bedded hospital”. This will significantly improve health services in the area &
will reduce the burden on the other near-by government hospitals. This will improve the living standard
of people. People of the area have to spend lesser time & money for travelling to hospital & waiting in
queue. Land has been allotted by DDA to DHS for development of the hospital. Currently project site is
an open land with few weeds growing at the project site and development of project does not involve
clearance of vegetation. There is no negative impact anticipated due to development of project on
existing land use, community facility & ecology.

1.4 Will there be any significant land disturbance resulting in erosion, subsidence &
instability? (Detail of soil type slope analysis, vulnerability to subsidence, seismicity etc may be
given).
Project site is a flat land with elevation of site varying from average elevation of 212-214 above msl.
Due to plain topography site is not susceptible to erosion. Unpaved open space will be planted with

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100 Bedded Hospital
At KL-Block, Sarita Vihar, Delhi FORM 1A

trees, shrubs, herbs or grasses to prevent soil erosion. Soil quality analysis of the project site is carried
out & soil quality report for the project is attached as Annexure XIV. As per the seismic zone map
prepared by BIS in 2000, Delhi falls in Zone IV area thus project site is highly vulnerable to
earthquake. Earthquake hazard vulnerability of the site is taken in consideration & building is designed
accordingly as per NBC, 2005.

1.5 Will the proposal involve alteration of natural drainage system? (Give details on a contour
map showing the natural drainage near the project site).
The project does not intersect any natural drainage route. No perennial or non-perennial drainage
system is found to exist within the project area or being obstructed by the project. Surroundings
comprise an urbanized stretch. Well planned storm water drainage has been designed to take care of
internal storm water drainage. Thus, no impact on the natural drainage system is anticipated. Site layout
showing proposed storm water drainage system is attached as Annexure VI (a).

1.6 What are the quantities of earthwork involved in the construction activity-cutting, filling,
reclamation etc. (Give details of the quantities of earthwork involved, transport of fill materials
from outside the site etc?)
Excavation will be carried out for foundation & basements. Quantity of soil to be excavated is estimated
to be approx. 33289.45 cu. m. Excavated top soil will be used for landscaping purpose. Part of
remaining soil will be used for filling and leveling of site and the balance shall be disposed to low lying
areas designated by PWD.

1.7 Give details regarding water supply, waste handling etc. during the construction period.
Water requirement during construction phase will be met from Okhla STP and through DJB tankers.
Water required for construction purpose of the project is 50 ML. Waste water generated during the
construction phase will be approx. 7 KLD (assuming 150 workers) and waste water will be treated &
disposed off in septic tanks followed by soak pits. Waste handling during the construction phase will be
done by the site contractor whose responsibility lies with collection and storage of construction and
demolition waste generated on the site. Construction debris will be stored in covered yards.
Construction debris will be segregated into re-usable & discarded waste. Re-usable waste will be used
within the project site to the extent possible. Discarded waste will be sent to the designated site of

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100 Bedded Hospital
At KL-Block, Sarita Vihar, Delhi FORM 1A

Municipal Corporation, Delhi on payment basis. Solid waste management plan during construction
phase is given in Table 2 below:
Table 2: Solid Waste Management during Construction Phase
S. No. Solid waste Solid waste Management
1. Waste materials like MS Material would be segregated. Recyclable material will be
Rods, bricks, concrete, sold to authorize dealers. Rest will be used within project
broken tiles, wood pieces, site for filling & leveling purpose. Remaining will be sent
cement bags etc. for disposal through government authorized vendors.
Cement bags will be used for covering of loose materials.
2. Excavated Soil Top soil will be stored in covered areas and will be later
used for landscaping purpose. Remaining soil will be used
for back filling & leveling of site. Un-used soil will be
disposed off to designated sites of PWD.
3. Domestic waste Will be handed over to local authority, responsible for
waste management in the area. The PWD has made
provision for maintenance for 5 yrs. By the construction
Agency.

1.8 Will the low lying areas & wetlands get altered? (Provide details of how low lying and
wetlands are getting modified from the proposed activity).
No. The site area is a flat land and the surroundings are characterized by an urbanized stretch. Project
site is neither a low lying area nor wetland.

1.9 Whether construction debris & waste during construction cause health hazard? (Give
quantities of various types of wastes generated during construction including the construction
labor and the means of disposal).
Waste expected to be generated & its management plan during construction phase is given in Table 2
above. No health hazard is expected to be caused by construction debris & waste as it will be managed
properly. Additionally health & safety of construction worker will be taken care of by taking following
measures:
1. Providing personal protective equipment like ear plugs, face masks, helmets, safety
jackets & gloves

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100 Bedded Hospital
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2. Appointment of safety officers at site


3. Regular inspection & maintenance of the construction machinery
4. Construction activities will be restricted to day time
5. Provision of adequate lightning during night time
6. Cautionary notices to be displayed at required places
7. Regular clearing off site to remove the debris
8. Availability of medical officer & first-aid facility at construction site
9. Tie-up with near-by hospital to attend emergency case, if any

SECTION 2- WATER ENVIRONMENT


2.1 Give the total quantity of water requirement for the project with the breakup of requirements for
various uses. How will the water requirement be met? State the sources & quantities and furnish a water
balance statement.
During construction phase water supply will be taken from Okhla CSTP and partly through DJB
tankers. During operation phase, water will be taken from Delhi Jal Board. Total water requirement is
approx. 218 KLD, out of which domestic water requirement is 79.0 KLD. Fresh water requirement for
the project is approx. 118.0 KLD. Daily water requirement calculation is given below in Table 3 (a) &
(b). Water balance diagram is shown below in Figure 1 & 2.
Table 3 (a): Calculations for Daily Water Demand
S. Water Fresh Recycled
Per capita Req.
No. Category Capacity Requirement Water water
(LPCD)
(KLD) Demand Demand
A Domestic
1 110
In-patient (100+10) 340 37.4 26.4 11.0
2 Out-patient/Visitors 2000 15 30.0 12.0 18.0
3 Staff 135 45 6.1 2.7 3.4
4 Guest 40 135 5.4 3.6 1.8
78.9 44.7 34.18
Total Domestic water Req. (1+2+3+4) Say 79.0 Say 45.0 Say 34.0

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100 Bedded Hospital
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B Pathology -- -- 15.0 15.0 --


C CSSD -- -- 5.0 5.0 --
D Mortuary -- -- 15.0 15.0 --
E Landscape 0.49 Acres 25 KLD/Acres 12.0 -- 12.0
F HVAC Cooling* 550 Tr 7 l/Tr/hr 92.0 38.0 54.0
Total Water Requirement (A+B+C+D+E+F) 218.0 118.0 100.0
*HVAC Operational for 24 hours
Table 3 (b): Waste Water Calculations
Category Quantity (KLD)
Sewage Generated (100% flushing, CSSD & 90.0
Mortuary + 80% other domestic water
requirement)
Effluent from pathology laboratory 12.0
Capacity of STP 110
Capacity of ETP 15
Recovered Water from STP (98% of Waste 88.0
Water)
Flushing 34.0
Landscaping 12.0
HVAC Cooling 42.0

Recovered Water from ETP (@98%) ~12.0


HVAC Cooling 12.0

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5.3 Will the proposal create shortage of parking space for vehicles? Furnish details of the
present level of transport infrastructure and measures proposed for improvement including the
traffic management at the entry and exit to the project site.
Adequate provision will be made for car/vehicle parking at the project site. As per building
development bye-laws of Delhi Development Authority (DDA), parking requirement for hospitals is 2
ECS/100 sq. m. of floor area. FAR proposed for project is 12578.89 sq m. thus parking required is 252
ECS. Parking provided is given below in Table 8.
Table 8: Parking Provided
S. No. Parking Total Area Parking Area Area per No. of ECS
(sq. m.) for four ECS (sq. m.)
wheelers (sq.
m.)
1. Basement 1 3963.03 2848.0 32 89
2. Basement 2 3963.03 2528.0 32 149
(stack parking) (2240+288)
3. Stilt 247.09 112.0 28 4
4. Open Parking 253.00 253.0 23 11
Total parking provided 253 ECS
Car parking of 253 ECS will be provided. Addition to this parking space of 135 sq. m. will be provided
in stilt for two wheelers parking. Car Parking & Traffic circulation Plan is attached as Annexure VII a,
b & c.

5.4 Provide details of the movement patterns with internal roads, bicycle tracks, pedestrian
pathways, footpaths etc, with areas under each category.
Internal roads of adequate width, footpaths/pedestrian pathways have been well planned for the project.

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100 Bedded Hospital
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5.5 Will there be significant increase in traffic noise & vibrations? Give details of the sources
and the measures proposed for mitigation of the above.
Construction activities & increase traffic movement at project site will contribute to noise level in the
area but no significant rise in noise level & vibrations is anticipated. Project site is surrounded by
residential area and is along NH-2. Following measures are proposed to minimize the noise generation
& its impact on the environment.
Construction activity will be restricted to day hours
Usage of machinery and equipment complying to the noise standards
Regular servicing and maintenance of vehicles
Prohibiting honking at project site
Provision of speed breakers at project site to restrict the speed of vehicles
Provision of pedestrian path to encourage walking
Development of green belt around project site wherever possible which will act as noise buffer.

5.6 What will be the impact of D.G. sets and other equipment on noise levels and vibration in
ambient air quality around the project site? Provide details.
D.G. sets will be operational during power failure during both construction & operation phase.
Operation of D.G. sets leads to generation of noise & emission of gases like SO2 & NOx. If not
managed this may lead to noise & air pollution. DG sets to be used will be enclosed in acoustic
enclosures and will be provided with stack of height as per CPCB norms so that exhaust gases can be
discharged at appropriate height minimizing impact on GLC of various gases in air. Also low sulphur
diesel will be used as fuel to minimize the SO2 generation. Green belt will be provided during operation
phase which will help in reducing the noise and dust levels at project site.

6. AESTHETICS
6.1 Will the proposed construction in any way result in the obstruction of a view, scenic
amenity or landscapes? Are these considerations taken into account by the proponents?
Site lies in an urbanized settlement and is well planned. Thus, no obstruction of view or scenic beauty
or landscape is anticipated. Furthermore, the construction will be planned in such a way that the
organized open spaces and landscaped areas will render the area aesthetically appealing.

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100 Bedded Hospital
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6.2 Will there be any adverse impacts from new constructions on the existing structures?
What are the considerations taken into account?
No impacts anticipated.

6.3. Whether there are any local considerations of urban form & urban design influencing the
design criteria? They may be explicitly spelt out.
Project will follow norms as per Delhi Development Authority. All norms on Ground Coverage, FAR,
Height, Setbacks, Fire Safety Requirements, Structural Design and other parameters will be strictly
adhered to.

6.4 Are there any anthropological or archaeological sites or artifacts nearby? State if any
other significant features in the vicinity of the site have been considered?
No site of anthropological or archaeological importance exists within 2 km area of project site.
Adilabad fort is at distance of 4.8 km in SW direction, Ghiyasudin Tuglaq Tomb is at 4.5 km in SW
direction and Qutub Minar is at 11.3 km in west direction from project site. Project development will
not obstruct the view of these sites.

7. SOCIO-ECONOMIC ASPECTS

7.1 Will the proposal result in any changes to the demographic structure of local population?
Provide the details.
No such changes anticipated as proposed project is a hospital project.
Construction phase: Local people will preferable be employed for construction works. Approx.150
worker will be employed during construction phase. Construction phase is temporary & thus will not
involve change in demographic structure of local population
Operation phase: Project involves development of hospital thus there will be no migration or
emigration of people is involved due to project development.

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100 Bedded Hospital
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7.2 Give details of the existing social infrastructure around the project.

Delhi Development Authority has given land on lease to DHS for development of hospital. Surrounding
area is well developed and also social infrastructure like roads, hospitals, markets etc are present in
near-by area. Details on existing social infrastructure are given in Table 9.

Table 9: Surroundings of the Project Site


Near-by Residential Area Madanpur Khadar Village (300 m, SE)
Village Saidabad (1.2 km, SW)
Jasola (400m, N)
Shaheen Bagh (700 m, NE)
Nearest City New Delhi (12.0 km, NNW)
Nearest Industrial Area Okhla Industrial Area (1.6 km, W)
Nearest School Meer public School (1.7 km, S)
Nearest College Asia Pacific Institute of Management (500 m, NW)
Rai University (2.0 km, SW)
Nearest Hospital Delhi ENT Hospital (500 m, NW)
Apollo Hospital (1.4 km, NW)
Near-by Common Facilities Okhla STP (1.2 km, NNE)
Near-by Recreational facilities Jasola District park (1.0 km, NE)
Kalindikunj Park (1.4 km, NE)
Sarita Vihar District Plan (1.2 km, SW)

7.3 Will the project cause adverse effects on local communities, disturbance to sacred sites or
other cultural values? What are the safeguards proposed?
No adverse impacts are anticipated due to project development on local community or sacred sites as
project is surrounded by an urbanized stretch and all project activities are confined to project site only.
No place of cultural and archaeological importance is present within 2 km of the project site. Measures
will be taken to control air, water, soil & noise pollution to minimize negative impact of project
development on the environment & society. Environment management plan has been drafted detailing
safeguards proposed for environmental management and is given in Section 10 of this report. Project is

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for the betterment of society. This is a government hospital which will improve health care facility in
the area. Development of project will lead to improvement in health condition of people. More people
especially poor people will have an access to medical facility. This will reduce the burden on existing
government hospital and will save time & travelling cost of near-by residents.

8. BUILDING MATERIALS

8.1 May involve the use of building materials with high embodied energy. Are the
construction materials produced with energy efficient processes? (Give details of energy
conservation measures in the selection of building materials and their energy efficiency)
Materials with low & medium embodied energy will also be used for construction purpose. Materials
like fly ash bricks, AAC Blocks & cement, sun dried pavers, concrete, tiles, FRP doors, gypsum etc.
will be used for construction purpose.

8.2 Transport and handling of materials during construction may results in pollution, noise
and public nuisance. What measures are taken to minimize the impacts?
Mitigation Measures for Air Pollution during Construction Stage:
• Construction materials & vehicles carrying construction material will be suitably covered with
tarpaulin cover etc during transportation.
• Water sprinkling will be done on unpaved roads where dust generation is anticipated.
• Raw material storage and handling yard will be enclosed from all sides.
• To minimize the occupational health hazard, proper personal protective gears i.e. mask will be
provided to the workers working in the dust prone areas.
Mitigation Measures for Noise Pollution during Construction Stage:
• Administrative as well as engineering control of noise will be implemented.
• Isolation of noise generation sources and temporal differentiation of noise generating activities will
ensure minimum noise at receiver‟s end.
• To prevent any occupational hazard, earmuff / earplug will be given to the workers working around
construction plant & machinery emitting high noise levels.
• Construction activity will be restricted to day time. Careful planning of machinery operation and
scheduling of operations will be done to minimise such impact

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8.3 Are recycled materials used in roads and structures? State the extent of savings achieved?
Yes. Fly ash bricks and cement will be used for building roads & structure.

8.4 Give detail of the methods of collection, segregation & disposal of the garbage generated
during the operation phases of the project.
During operation phase, waste will comprise of both municipal & bio-medical waste as it is a hospital
project. Municipal waste will comprises of domestic & landscape waste Municipal waste expected to
generate from the project is estimated to be approx. 519 kg per day (@1.5 kg for patients, 0.5 kg per
capita per day for the guests, 0.15 kg per capita per day for the visitor, 0.25 kg per capita per day for the
students & staff members, whereas 1 kg/acres/day is considered for landscape wastes). Approx. 130
kg/day of bio-medical waste generation is expected.
Waste Segregation, Collection & Disposal
1. Different color bins will be provided in each section & floor for collection of different type
of waste. Three color bins will be provided in wards (green, red & blue) for collection of
food waste, medical waste like bandages, medicine covers, soiled waste etc and sharps
separately. Visual message for usage of different bins for different purpose indicating its
significance will be placed for awareness in all the sections. In pathology lab, Operation
Theater, mortuary, pathology lab, medicine room, plaster room different color bins will be
provided for collection of different waste as given below in Table 10.
Table 10: Bio-medical Waste Collection System
Color Code Waste Category Treatment
Yellow Human anatomical waste, animal waste, Incineration
Micro biology waste & bio-technology Deep Burial
waste, soiled waste
Red Microbiology & Biotechnology waste, Autoclave
soiled waste, solid waste (other than Microwaving
sharp) Chemical treatment
Blue/White Waste Sharp Autoclave
Microwaving
Chemical treatment
Black Discarded medicines & Cytotoxic waste, Chemically treated
Chemical waste Disposal in secured landfill
Returning back to vendors

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100 Bedded Hospital
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2. Waste will be collected at common place regularly from the localized collection points.
Food waste, landscape waste & other municipal waste will be handed over to Municipal
Corporation, Delhi. STP sludge will be used as manure for landscape area.
3. Recyclable waste like plastics, paper, thermocol, glass etc will be collected & sold to
authorized vendors.
4. Bio-Medical waste along with ETP sludge will be collected in Bio-medical waste storage
room & will be handed over to authorized vendors for treatment & safe disposal.
5. Trolleys with bins will be provided for transportation of bio-medical waste from generation
points to storage points to protect waste handler from direct exposure.
6. E-waste generated will be stored separately & will be sold to authorized vendors
periodically

9. ENERGY CONSERVATION
9.1 Give details of the power requirements, source and supply, backup source etc. What is the
energy consumption assumed per square foot of built-up area? How have you tried to minimize
energy consumption?
Maximum power demand for the project is calculated to be 1845 KW (2306.3 kVA). Two Nos.
transformers of capacity 1500 kVA are proposed to be provided. Power supply will be taken from
BSES. Electrical system is designed as per following standards:
National Building Code of India – 2005
National fire Codes 2000
Relevant Bureau of Indian Standard
Indian Electricity Supply Rules & Act
Power Back-up
DG sets of total capacity 3030 kVA (3 X 1010 kVA) will be provided to provide uninterrupted power
supply during power failure. DG sets are open to air & will be provided with acoustic enclosure.
Effective measures have been incorporated to minimize the energy consumption in following
manners:

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100 Bedded Hospital
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1. Provision of AAC block for filler walls and partition walls: It provides insulation thus prevents
heat exchange from building & reduce heating & cooling loads. It is a light weight material thus
easy to transport saves fuel & thus reduces emission.
2. E-glass to be used for curtain & window glazing for minimizing radiation.
3. False ceiling for reducing A.C loading & Calcium silicate tiles will be used for false ceiling
which has excellent insulation properties with thermal conductivity of 0.043/W/M0K
4. FRP (fiber reinforced plastic) doors have been used for wet areas thus minimum usage of wood.
FRP is low embodied energy product, light weighted, low maintenance requiring & longer life.
5. Low VOC content paint used for wall finishes & door finishes.
6. Thermal insulation layering under deck to the roof terrace.
7. Use of ACP cladding for external finish will improve thermal insulation.
8. Solar heating system for Hot water.
9. Provision of Solar lights for lighting on streets & common areas.
10. Use of PPR & CPVC pipes for water supply
11. Venetian blinds for protection from direct Sun.
12. Energy efficient florescent lamp, T-5 lamps, CFL will be used for internal lightning within the
project site
13. 50 % external light can be switched „off‟ after 11 pm, when the movement is drastically reduced.
Table 11: Energy Saving Calculations
Description Energy Saving
(kVA)
Energy Saved by using CFL for Lightning in common/open areas 0.8
Energy Saved by using Solar lights for Lightning in common/open areas 1.6
Energy Saved by using CFL for internal lightning 10.1
Energy Saved by using Solar Water Heaters 37.1
Energy Saved 49.1
Total Energy consumed 2306.3
Percentage of Energy Saved (%) 2.1%
Percentage energy saved due to building design & material 10%
Total Percentage energy saved 12.1%

9.2 What type and capacity of power backup do you plan to provide?
DG sets of total capacity 3030 kVA (3 X 1010 kVA) will be provided to provide uninterrupted power
supply during power failure. DG sets are open to air & will be provided with acoustic enclosure.

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100 Bedded Hospital
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9.3 What are the characteristics of the glass you plan to use? Provide specifications of its
characteristics related to both short wave and long wave radiation?
Glass is not proposed to be used as wall material. However some glass will be used for curtain glazing
in Front elevation as well as for window glazing is e-glass and its U-value is 3 to 3.3 W/sq.m and solar
factor 0.29. R value of the e-glass is 27% and 9% external and internal respectively.

9.4 What passive solar architectural features are being used in the building? Illustrate the
applications made in the project.
Layout of buildings has been done as per the sun path analysis so that the design cuts off direct
radiations of critical hours which are specific to the orientation. Passive solar design refers to use of the
sun‟s energy for the heating and cooling of living spaces. E-glass will be provided for curtain &
window glazing to minimize the radiation. Building is designed in a way that sunlight is used for
insolation during day time by providing adequate fenestration.

9.5 Does the layout of street & building maximize the potential for solar energy devices? Have
you considered the use of street lighting, emergency lighting and solar hot water systems for use
in the building complex? Substantiate with details.
Yes, Glass is used for curtain & window glazing which will allow solar light to enter the building. Solar
lights are provided for street & lights. Solar water heating systems will be provided.

9.6 Is the shading effectively used to reduce cooling/heating lands? What principles have been
used to maximize the shading of walls on the East and the West and the Roof? How much energy
saving has been effected?
Building material like AAC blocks, calcium silicate false ceiling, e-glass for curtain & window glazing,
venetian blinds, thermal insulation layering under deck to the roof terrace etc will be provided for
insulation in the building. This will minimize the cooling load. Energy savings of approx 12.1 % will
be achieved by using energy efficient lightning & building material.

9.7 Do the structures use energy-efficient space conditioning, lightening and mechanical
systems? Provide technical details. Provide details of the transformers and motor efficiencies,

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lightening intensity and air conditioning load assumption? Are you using CFC and
HCFC free chillers? Provide specifications.
Yes, to increase energy efficiency, CFL lamps and T-5 lamps are proposed to be used for
internal lightning purpose. Solar heaters will be used for hot water to reduce load
requirement. Solar street lights & CFL will be used to minimize energy consumption for open
area. Chillers are provided only for intense care unit, diagnostic centre, CSSD and other
required places. In rest of the building ventilation is mechanical through fans & exhaust
fans. Chillers used will be CFC & HCFC free. Notices will be displayed everywhere for
saving energy.

9.8 What are the likely effects of the building activity in altering the micro-climates?
Provide
a self assessment on likely impacts of the proposed construction on creation of heat
island & inversion effects?
Heat emissions from the project may be from the following
sources: Heat absorbed from the paved and concrete
structures
Heat increase due to increased vehicle use
However, the heat generated will not be significant and will be dissipated in the greens and
open areas provided within the project area.

9.9 What are the thermal characteristics of the building envelope? (a) Roof (b)
external walls
and (c) fenestration? Give details of the material used and the U value or the R values
of the individual components.
Roofs: Intensity of solar radiation is more on horizontal surfaces, i.e. roofs of the
buildings. Conductance of heat from the roof is very high and this may result in high
discomfort in the naturally ventilated space below. Reinforced Concrete slab 125 mm thick,
screed 120 mm( brick coba and thermal insulation layer underneath roof slab) will be
provided to cut down air-conditioning load of the immediate lower floor

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