| File Note: |
<p class="MsoListParagraphCxSpFirst" style="margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l1 level1 lfo2;"><!-- [if !supportLists]--><span style="font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="font-size: 12.0pt; color: black; mso-themecolor: text1;">It is submitted that the </span><span style="color: black; mso-themecolor: text1;">hospital cum institute</span><span style="font-size: 12.0pt; color: black; mso-themecolor: text1;"> was granted consent to operate under Water Act, 1974 and Air Act, 1981 vide no. </span><span style="color: black; mso-themecolor: text1;">CTOW/Renewal/BTI/2022/18248081 dated 10.05.2022, valid upto 31.03.2023 & CTOA/Renewal/BTI/2022/18240417 dated 10.05.2022, valid upto 31.03.2027 with certain conditions mentioned therein along-with the following specific conditions: -</span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l0 level1 lfo4;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The Hospital-Cum-institute will operate and maintain its ETP/STPs regularly and scientifically and shall maintain proper record of the effluent generated/treated and shall ensure to achieve the effluent standards prescribed for such discharge.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-bottom: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l0 level1 lfo4;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The Hospital-Cum-institute will obtain authorization under the Bio-Medical Waste Management Rules, 2016.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l1 level1 lfo2;"><!-- [if !supportLists]--><span style="font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital cum institute was granted authorization under the Bio-Medical Waste Rules, 2016 vide no. </span>BMW/Fresh/BTI/2022/18583959 dated 25.07.2022, which is valid upto 31.03.2023, with usual terms & conditions.</p>
<p class="MsoListParagraphCxSpMiddle" style="margin: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l1 level1 lfo2;"><!-- [if !supportLists]--><span style="font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">Now, the institute has applied for obtaining consents to operate under the Water Act, 1974 for the operation of hospital-cum institute of bed capacity 750 and for the discharge of trade effluent @ 75 KLD and domestic effluent @ 825 KLD (620 KLD for hospital and institute + 205 for residential and hostel) onto land for plantation area after treatment in ETP and STPs.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l1 level1 lfo2;"><!-- [if !supportLists]--><span style="font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">Earlier, the <a name="_Hlk87868560"></a>Institute has deposit Rs. 56,40,000/- vide R.No 62/5482 dated 25.02.2022 under Water Act, 1974 & Air Act, for the fixed assets of Rs. 557.48 crores as per the details submitted by the institute vide it CA certificate. The consent fee deposited by the institute is adequate upto 27.10.2027 under both the acts.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l1 level1 lfo2;"><!-- [if !supportLists]--><span style="font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">To verify the contents of the application the institute was visited by AEE of this office 02.12.2022 and it was observed as under:</span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l4 level1 lfo1;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital cum institute was in operation.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l4 level1 lfo1;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The ETP cum STP for hospital cum institute and STP for hostel were in operation & treated effluent is discharged onto land for plantation along with provisions to reuse it for flushing system</span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l4 level1 lfo1;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital has not provided colour coded bins in the final storage room.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l4 level1 lfo1;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">4.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">Lot of blood and liquid is found on the floor of the common final storage room, for which no drain system is provided.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l4 level1 lfo1;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">5.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">All plastic bottles have not been cut down.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l4 level1 lfo1;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">6.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The HCF has provided separate room for the storage of solid waste, however, BMW is found mixed.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l4 level1 lfo1;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">7.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">Wards such as emergency, operation theatre, surgery ward, gyne ward and physiocratary ward were visited to verify the compliance of the BMW Rules, 2016 and following has been observed -</span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l5 level1 lfo5;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">a)<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">No colour code is maintained as per the BMW Rules, 2016. (Photograph Attached)</span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l5 level1 lfo5;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">b)<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">No cutter for syringe is provided in any ward so syringes have been collected along with plastic caps.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l5 level1 lfo5;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">c)<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">For operation theatre, separate room for collection of BMW is provided, where lot of BMW is collected in Blue envelops instead of yellow envelops.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l5 level1 lfo5;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">d)<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">Similarly, in each ward bottles have not been cut down.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left: 54.0pt; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l5 level1 lfo5;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">e)<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">In some wards solid waste is found with BMW.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l4 level1 lfo1;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">8.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">No record is maintained by HCF for the generation and disposal of BMW.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l3 level1 lfo7;"><!-- [if !supportLists]--><span style="font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">From above it is clear that, the hospital & institute is not complying with the provisions of the BMW Rules, 2016 which are synchronized with the consents to operate of the Board under the provisions of Water Act, 1974 and Air Act, 1981. </span></p>
<p class="MsoListParagraphCxSpMiddle" style="margin-left: 0cm; mso-add-space: auto; text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l2 level1 lfo3;"><!-- [if !supportLists]--><span style="font-family: Wingdings; mso-fareast-font-family: Wingdings; mso-bidi-font-family: Wingdings; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">Ø<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">Keeping in view of above it is therefore recommended that-</span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l6 level1 lfo6;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">1.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The application for obtaining consent to operate under the provisions of Water Act, 1974 may be refused.</span></p>
<p class="MsoListParagraphCxSpMiddle" style="text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l6 level1 lfo6;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">2.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">Consent to operate under the provisions of Water Act, 1974 may be cancelled.</span></p>
<p class="MsoListParagraphCxSpLast" style="text-align: justify; text-indent: -18.0pt; line-height: normal; mso-list: l6 level1 lfo6;"><!-- [if !supportLists]--><span style="mso-bidi-font-family: Calibri; mso-bidi-theme-font: minor-latin; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">3.<span style="font: 7.0pt 'Times New Roman';"> </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">Authorization under the provision of Bio-Medical Waste Rules, 2016 may be revoked.</span></p> |
