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Id: 21033337
Approve: false
Approve Note:
Clarification: false
Clarification Note:
Date Created: 2023-01-31 17:03:34.296
File Note: <p class="MsoListParagraphCxSpFirst" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l1 level1 lfo2; margin: 0cm -9.4pt 0cm 0cm;"><!-- [if !supportLists]--><span style="font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">&middot;<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital was granted authorization for 30 no. bed capacity under the provisions of Bio-Medical Waste Management Rules, 2016 vide no. BMW/Renewal/BTI/2022/18415326 dt. 12.04.2022, valid upto 31.03.2023 with certain conditions mentioned therein. </span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l1 level1 lfo2; margin: 0cm -9.4pt 0cm 0cm;"><!-- [if !supportLists]--><span style="font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">&middot;<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital was granted consents to operate under the Water Act, 1974 vide no. CTOW/Fresh/BTI/2018/7270964 dated 12.04.2018 valid upto 30.09.2022 and under Air Act, 1981 vide no. CTOA/Renewal/BTI/2022/18745333 dated 17.05.2022 valid upto 30.09.2022 for operation of a hospital having 30 bed capacity with usual conditions.</span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l1 level1 lfo2; margin: 0cm -9.4pt 0cm 0cm;"><!-- [if !supportLists]--><span style="font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">&middot;<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">Now, the hospital has applied for renewal of Consent to Operate under the Water Act, 1974 &amp; the Air Act, 1981 for 30 No. bed capacity. </span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l1 level1 lfo2; margin: 0cm -9.4pt 0cm 0cm;"><!-- [if !supportLists]--><span style="font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">&middot;<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital has deposited consent fees of Rs. 10,000/- through online vide no. 933302591 dated 27.01.2023 under the Water Act, 1974 and Rs. 10,000/- through online vide no. 648278260 dated 27.01.2023 under Air Act, 1981, against the bed capacity of 30 no. beds, which was adequate up to 30.09.2027.</span><span style="font-size: 13.0pt; line-height: 107%; color: black; mso-themecolor: text1;"> </span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l1 level1 lfo2; margin: 0cm -9.4pt 0cm 0cm;"><!-- [if !supportLists]--><span style="font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">&middot;<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital was visited by AEE of this office on 10.01.2023 and one no. effluent sample was collected from the outlet to main sewer line and as per analysis report, the concentration of various parameters is within the permissible limits as prescribed by the Board (copy attached). It is pertinent to mention here that the HCF has installed reactor vessel at lab and OT/CSSD section for the treatment of hospital liquid waste. </span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l1 level1 lfo2; margin: 0cm -9.4pt 0cm 0cm;"><!-- [if !supportLists]--><span style="font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">&middot;<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital was visited by the AEE of this office on 10.01.2023 and it was observed as under: </span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [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';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital in operation during visit. </span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [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';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The HCF is discharging its domestic and hospital waste water into MC sewer leading to city STP of capacity 52 MLD based on SBR technology. Moreover, as per the sample collection analysis report, the concentration of Bioassay is 90% survival of fish in 100% effluent after 96 hours against the prescribed general standards.</span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [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';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital is generating bio medical waste of categories Yellow, Blue, White (Translucent), Red of the Bio Medical Waste Management Rules, 2016.</span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [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';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital is segregating Bio-Medical Waste being generated by its category wise at the point of their generation as per colour coding, collected in polythene / puncture proof bags, which are placed in plastic containers.</span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [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';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital is cutting catheters/tubing to avoid its reuse.</span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [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';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital has provided shredders/ cutters for shredding of used needles and same were found in working condition.</span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [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';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">Non-Polychlorinated bags, were used at all Bio Medical waste generation points &amp; bar code stickers are pasted on these bags before lifting them off to the CBMWTF.</span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [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';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital has stored glass (broken / unbroken) in a cardboard box with blue colour marking on it.</span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [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;">9.<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital has provided Final storage room for storage of bio medical waste, which is safe, pucca and with lock &amp; key arrangement systems</span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [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;">10.<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital has maintained the record of Bio-Medical Waste Category wise in Annotated form, being lifted by the CBMWTF.</span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l0 level1 lfo1; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [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;">11.<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">The hospital is not mixing its BMW with the municipal solid waste.</span></p> <p class="MsoListParagraphCxSpMiddle" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l2 level1 lfo3; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [if !supportLists]--><span style="font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">&middot;<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">From above, it is clear that the hospital is complying with the provisions of Water Act, 1974 &amp; the Air Act, 1981 along with conditions of authorization granted to it under the provisions of Bio-Medical Waste Rules, 2016.</span></p> <p class="MsoListParagraphCxSpLast" style="mso-add-space: auto; text-align: justify; text-indent: -18.0pt; mso-list: l2 level1 lfo3; margin: 0cm -9.4pt 8.0pt 0cm;"><!-- [if !supportLists]--><span style="font-family: Symbol; mso-fareast-font-family: Symbol; mso-bidi-font-family: Symbol; color: black; mso-themecolor: text1;"><span style="mso-list: Ignore;">&middot;<span style="font: 7.0pt 'Times New Roman';">&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; </span></span></span><!--[endif]--><span style="color: black; mso-themecolor: text1;">It is therefore, recommended that consents to operate under the Water Act, 1974 &amp; the Air Act, 1981 may be granted to the HCF for the period upto 30.09.2027 with suitable conditions.</span></p>
Inspection: false
Inspection Note:
Officer: PPCB097
Reject: false
Reject Note:
Role: RO AEE Ravi Pal