GOVT.BUNDELKHAND MEDICAL COLLEGE...

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GOVT.BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.) PROJECT FEASIBILITY REPORT FOR COMMON BIOMEDICAL WASTE TREATMENT FACILITY Proposed By Govt. Bundelkhand Medical College Sagar At Village- Habsili , Tehsil- Sagar Dist-Sagar (MP )

Transcript of GOVT.BUNDELKHAND MEDICAL COLLEGE...

GOVT.BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

PROJECT FEASIBILITY REPORT

FOR

COMMON BIOMEDICAL WASTE

TREATMENT FACILITY

Proposed By

Govt. Bundelkhand Medical College Sagar

At

Village- Habsili , Tehsil- Sagar

Dist-Sagar (MP )

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

1. Identification of project and project proponent

Govt. Bundelkhand Medical College Sagar proposes Common Bio Medical Waste

Treatment Facility in the Dist. of Sagar. The Proposed project of addition of CBWTF as

a part of the Common Hazardous Waste Treatment, Storage and Disposal facilities

(TSDFs) of falls under Category B, schedule 7(da) as per the EIA notification 14th

Sep, 2006 and subsequent amendments dated 1st December, 2009 & 17th April,

2015. The setting up of CBWTF attracts the recent directions of National Green

Tribunal dated 28th November, 2013 making Environmental Clearance from

MoEF&CC mandatory.

2. Brief Description of Nature of The Project

A Common Bio-medical Waste Treatment Facility (CBWTF) is a set up where bio-

medical waste, generated from a number of healthcare units, is suitably treated to

reduce adverse effects that this waste may pose. The treated waste may finally be sent

for disposal in a secured landfill or for recycling purposes.

Expansion of Existing BMW Facility from land fill method to Rotary Kiln ,Auto clave,

Shredder Etc.

Proposed project of setting up of the Common Bio-medical Waste Treatment Facility

for treatment of 100 kg per hour rotary kiln based bio medical incineration

project, includes Incinerator, Autoclave, Shredder, Storage and Effluent Treatment

Facility. Following will be the capacity of the facility:

Sl. No.

Equipment Number

Installed Capacity

1 Rotary Kiln 01 100 kg per hr

2 Autoclave 01 0.25 m3

3 Shredder 01 50 kg per hour

4 Effluent Treatment Plant 01 6 KLD

3. Need for the project and its importance to the country and or region

Ministry of Environment, Forests & Climate Change (MoEF & CC), Govt. of India has

notified the Bio-Medical Waste Management Rules 2016. In accordance to the rule,

every occupier of a Health Care Establishment (HCE shall either set up requisite bio-

medical waste treatment facilities on site or ensure requisite treatment of the bio-

medical waste at an approved Common Biomedical Waste Treatment Facility. No

untreated bio-medical waste shall be kept stored beyond a period of 48 hours.

Keeping in view the difficulties faced by private Hospitals, Nursing Homes and Clinics

that cannot make their own arrangements due to high cost involved in Treatment

facilities, there was need for centralized system for treatment. Most of the tribal

villages have very poor transportation and communication infrastructure. Most of the

hospitals do not have adequate arrangement for disposal of the hospital waste.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

A Common Biomedical Waste Treatment Facility (CBWTF) is now proposed to be set

up by where bio-medical waste, generated from a number of healthcare units, will be

suitably treated to reduce adverse effects that this waste may pose. The Bio-medical

Waste (Management & Handling) Rules, provides an option to the Bio-medical waste

generators to get the biomedical waste treated and disposed at the secured landfills.

The objective for the proposed project is to Establish an Integrated Common Bio-

medical Waste Treatment facility including the Incinerator, autoclave, shredder and

effluent treatment unit.

Collection of Segregated Biomedical waste and its transportation, storage,

treatment and disposal in accordance to the Bio medical Waste Management

Rules 2016.

Compliances with statutory and environmental norms.

Develop concise waste management principles.

Introduce a continuing waste management education program for all staff to

increase awareness of Occupational Health & Safety issues and waste minimization principles.

Adopt policies and procedures to minimize the environmental impacts of

Waste treatment and disposal.

Reporting to regulatory authorities as needed.

4. Demand –Supply Gap

As per the guideline, one CBWTF facility will cover 150 km area and 10000 beds.

However as per the record available, Considering the number of nursing home and

hospitals with beds, the existing facility is not able to meet the requirement of the city.

There area around 2853 HCF’s in MP state. The estimated quantity of BMW generated

in MP is around 9409 kg/day.

Following are the data available for the State of MP

Total no. of healthcare facilities (HCFs) 2853

Total no. of beds ( approx) 71417

No of common biomedical waste treatment facilities (CBWTFs)/private agencies

Operational 15

Under construction Nil

No. of HCFs utilizing CBWTFs/private

agencies

2793

No. of HCFs having own treatment and

disposal facilities

60

No. of HCFs applied for authorization 2853

No. of HCFs granted authorization INP

Total no of onsite treatment equipment ( Excluding CBWTFs) installed by HCFs

Incinerator with APCD 02

Incinerator without APCD 0

Autocalve 163

Microwave 0

Hydroclave 0

Shredder 572

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Total no of equipment installed at

CBWTFs

15

Following are the data available for the district Sagar.

Location Detail of Health Care Facility

(HCF)

Total number

of Beds

Estimated waste

quantity in kg

Around

150 KM

Sagar,Damoh,

Tikamgarh,

Chhatarpur

53 Registered Members by B.M.C.

Sagar.

2150 592 per Day

Incineration in C.B.W.T.F. Jabalpur as per permission of M.P.P.C.B. Bhoapl.

5 Imports vs. Indigenous production

No imports for production have been proposed for the project.

6 Export possibility

The project is a common treatment facility for safe disposal of biomedical waste. No

export possibility is envisaged.

7 Domestic/export markets

Not envisaged.

8 Employment generation (direct and indirect) due to the project

During Construction phase the labors and workers will be hired from nearby villages.

Total 30 numbers of persons are proposed to hire for Plant operations and

transportation including staff, skilled and unskilled workers.

9 Project Description

Types of project: A Common Bio-medical Waste Treatment Facility (CBWTF) is

required for the treatment of the biomedical waste generated from a number of

healthcare units to reduce adverse effects that this waste may pose. Proposed project

of setting up for treatment of 100 kg per hour rotary kiln based bio medical

incineration project, which also includes Incinerator, Autoclave, Shredder,

Destroyer, Storage and Effluent Treatment Plant.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

1. Location of the Project

District/State Taluka Village Khasara No Area in acres

Sagar(MP)

Sagar

Habsili 166 1.5 (0.607 ha)

Railway line:

Ratona Railway station is the closest railway station which is approx. 1.09 km in South direction from site.

Roadways:

Road ways: The site is proposed in the dist of Sagar and well connected through road

network. The nearest SH-14 road is 1.14 km from the site.

Airways:

The closest air strip is the Dhana which is 21km at SE direction from the Site.

2. Details of alternate site: The proposed projects have no alternative site. As the site is

identified to cover good range of medical facilities in the major cities of the state

Parameters Criteria Observation

Lake of Pond ( Distance from NEbody)

Should not be within 200 mt

No lake of pond is located within 200 mt from the site

The nearest water body is Karawan Nadi at 1.53 km on W direction &

Local Village Dam at 1.75 km in NE direction.

River Should not be within 100 mt

The nearest water body is Local village Dam at 1.75 km in NE

direction.

Flood Plain Should not be within 100 mt of flood plain

Not in a flood plain

Highway State or national Should not be within 500

mt

No national highway with in 500

mt. The state highway - 14 Khurai- Sagar is 1.14 km from the site

Habitation – Notified Habituated area

Should not be within 500 mt

Nearest notified habitation is Habsili at 0.65 km in NW direction

Public Park Should not be within 500

mt`

No public park within 500 mt

Critical Habitat area in which one or more

endangered species alive

Not suitable There is no endangered spice in the site.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

3. Size or magnitude of operation:

The proposed facility is extended up to 1.5 acre (0.607 ha) land. The total cost of the

project is around Rs.2.05Cr (2,05,25,000). The following are the proposed equipment’s to be installed in the plant. Bio Medical waste quantity is required 1MT to 6 MT per

day for operation of the project.

Sl. No.

Equipment Number

Installed Capacity

1 Rotary Kiln 01 100 kg per hr

2 Autoclave 02 0.25 m3

3 Shredder 01 50 kg per hour

4 Effluent Treatment Plant 01 6 KLD

5 Project Description with Process Details:

List of Major Plant & Machineries

Rotary Kiln –Incinerator –Multiple Chamber

Air Pollution Control Device

Chimney

Steam Based Bio Medical Autoclave

Bio Medical Shredder

Hypochloride Washer

Centrifugal Liquid Filter

Effluent Treatment Plant

Transport NG Vehicle

Wheel Barrows

Plastic containers

Components of Integrated Bio-Medical Waste Management

An integrated waste management system for bio-medical waste must look into various

stages of the process. These key components can be broadly classified into the

following:

Waste Segregation: Waste segregation will reduce the load of bio-medical waste and

this also minimizes the environmental impacts associated with further processing.

Waste will have to be segregated into domestic refuse, hazardous waste and infectious

waste separately.

Further the infectious waste will have to be segregated into plastics, metals, and other

infectious waste generated. Segregation is done effectively if performed at source.

CPCB has issued clear guidelines for color coded segregation.

Waste Collection and Transport: Facility / unit have to ensure that there are no

environmental or human health impacts while collecting & transporting Bio-Medical

waste.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Treatment/ Storage/ Disposal: Treatment/ Storage and disposal of the waste have

various options available. Waste treatment can be effectively performed by two

operations running parallel to each other:

A Disinfecting Unit

A Disinfecting unit is one that will effectively kill all the microorganisms. Autoclaving,

Microwaving, Hydroclaving and Chemical disinfection processes are the most

prevalent technologies used for disinfection of pathogens from the bio-medical waste.

Autoclave used for the purpose of bio-medical waste management is expected to be

dedicated for the purpose and is expected to operate under standards specified by

CPCB. Medical Waste shall not be considered treated unless the time, temperature

and pressure indicated in the standards are reached (for eg. 1210 C, 15 psi for 1 hour

for normal autoclave).

Microwave and Hydroclave disinfection units are similar in application to that of an

autoclave. Microwave technology cannot be applied for cytotoxins, hazardous or

radioactive waste, contaminated animal carcasses, body parts and large metal items.

Microwave should completely and consistently kill the bacteria and other

microorganisms.

Chemical disinfection is a process of disinfection wherein chemical disinfectants like

chlorine and its derivatives or their disinfectants are used in a closed process to attain

complete killing of the pathogens.

A Destruction Unit

A Destruction unit is one that will completely destroy the waste into safe end

products. High temperature incinerators are used to achieve this. Incineration is a

process by which combustible materials are burnt, producing combustion gases and

non-combustible residue and ash. The combustible gases are vented into the air after

treatment through air pollution control devices. Ash and other non combustible

residue remain after the destruction/ incineration process is disposed off securely into

a landfill site.

Waste Storage

Waste Storage is an applicable option for effective storage of certain hazardous waste

like mercury and cytotoxins that do not have a cost-effective treatment technology as

yet. Waste Disposal is primary performed by deep burial of waste into secure landfills.

Waste disposal

Waste disposal is an option which remains to exist irrespective of the treatment

options, in case of disinfection waste material post-disinfection needs to be land filled

and in case of incineration the non combustible residue and ash needs to be disposed

off into a landfill and thus landfill remains to be an integral part of an integrated bio-

medical waste management facility.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Process Description

Govt. Bundelkhand Medical College proposes to establish an Integrated Common Bio-

medical Waste Treatment Facility includes Incinerator, Autoclave, Shredder and

Effluent Treatment Plant.

Treatment Technology

Incineration through rotary kiln

This is a high temperature thermal process employing combustion of the waste under

controlled condition for converting it into inert material and gases. Incinerators can be

oil fired or electrically powered or a combination of both. Broadly, three types of

incinerators are used for biomedical waste: multiple hearth type, rotary kiln and

controlled air types. All the types have primary and secondary combustion chambers

to ensure optimal combustion. These are refractory lined.

Rotary kiln: burning of bio medical waste at 800 c° to 950 °c de grading of organic

Secondary chamber: re burning of flue gas up to 1050 °c -1200°c de gradeing of in

organic

Gas dilution chamber: reduce the concentration and temperature of thermal treated

flue gas

Fly ash control device: high temperature bag filter to prevent fly ash from thermal

treated gas

Ventury : high pressure ejector venturi unit for liqid quenching treatment of thermal

treated exhaust gas

Flue gas treatment media tank : 6kl 5-7% NAOH water tank lined with isothalic FRP

with high pressure pumping unit

Mist eliminator: post quenching and filtering of exhaust gas and seprat mist from gas

(de misting)

Id fan : high capacity ID fan for sucking the high quantity of negative pressure

generating the whole unit

Gas ducting ; containing passage of gases

Chimney: discharge the treated gas from the machine to 30 mtr above from ground

level

Specification Of Rotary Kiln

1) Capacity 100 KH Per Hour

2) Type ` Cylindrical Horizontal ( Solid Waste Feeding)

3) Inclination 2.5°

4) Revolution (Rpm) 2 To 1rpm(Vfd)

5) Volume 12.4m³

6) Moc (Shell) Sa 516 Gr70-30 20mm Thk

7) Chamber Pressure 10-20mm Wc

8) Travel Speed 6.02mtr/ Hr

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

9) Refractory Thick 12 Inch

10) Grith Gear Moc En 19 Forged 8 Module Spur Gear Type

11) Drive Gear Box Elecon / Reputed Company Make

12) Gear Box Ratio 1:60 Ratio Foot Mounted 22nm

13) Drive Motor 20 Hp Simense Make 3 Ph Class S4 Duety

Induction Motor

14) Inner Diameter Of Kiln 1600mm

15) Inner Length Of Kiln 6200mm

16) Tyre Wheel 250wide 2 Set

17) Flue Gas Velocity 1.3mtr / Sec

18) Ash And Resudes Sepration Ash Seprator With Hot Ash Removel

Screw Convayor

19) Gas Leakage Privention Unit High Pressure Airsealing For Privent

Flue Gas Leakage

20) Back Pressure Privention From

Charging Door Compressed Door Mechanisum

21) Explosion Safety Explotion Davit Arrangement (Internal)

22) Waster Loading Mechanisum Bucket Elevator With Hoper

23) Waste Reciving From Kiln Side Hoper Unit With Saftey Door

24) Waste Feeding Mechanisum Hydralic Ram And Pusher

25) Hydralic Unit 10hp With Power Pack

26) Rotary Air Lock Valve 6 Inch Nb

27) Nature / Category Of Waste Incinerable Bio- Medical Waste With

Maximum 85% Moisture Content.

28) Source Of Energy Diesel

29) Fuel Burner’s Fully Automatic Burners (Oil Or Gas burner)

30) Heat Loss Fraction 0.05

31) Combustion Efficiency At Least 99 %.

32) Design Temperature 1400 0c

33) Preheating Time Maximum One Hour.

34) Temperature In Primary Chamber 800 + 50 0 C.

35) O2 Content In Primary Chamber 6 %.

Post Gas Combustion Chamber

1) Type `Cylindrical Statical

2) Inclination Vertical 90°

3) Volume 7.6m³

4) Moc (Shell) Sa 516 Gr70-30 12mm Thk

5) Chamber Pressure 10-20mm Wc

6) Refractory Thick 12 Inch

7) Inner Sizeof Chamber 1250mm

8) Inner Length Of Chamber 6200mm

9) Tyre Wheel 250wide 2 Set

10) Flue Gas Velocity 1.9 Mtr / Sec

11) Ash And Residues Separation Ash Separator With Hot Ash Removal Screw

Conveyor

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

12) Gas Leakage Prevention Unit High Pressure Airsealing For Privent Flue Gas

Leakage

13) Explosion Safety Explosion Davit Arrangement (Internal) Top

With Counter Weight Linked With Plc Control

14) Retention Time of Flue 2To2.2Second.

Gases In Chamber

Post Gas Combustion Chamber

1) Type ` Cylindrical L Type

2) Vessel Orientation 180° Horizontal-90° Vertical

3) Volume 8.3m³

4) MoC (Shell) SA 516 Gr70-30 8mm THK

5) Chamber Pressure 10-20mm WC

6) Refractory Thick 12 Inch

7) Inner Diameter 1200mm

8) Inner Length 6200mm

9) Fresh Air Source Forced Air Fan

10) Flue Gas Velocity 1.9 Mtr / Sec

11) Ash Separation 10microne High Temperature Bag Filter Unit

12) Bag Filter Cleaning Pulse Jet Compressed Air

13) Explosion Safety Explosion Davit Arrangement At Post Gas Burning

Chamber (Internal)

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Air Pollution Control System (APC)

The gases after being burnt at 1050oC shall be run into a ventury scrubber followed by

a flooded scrubber with water quenching arrangement. The scrubber shall be an

alkaline scrubber to neutralize the gases and ensure trapping of any pollutants

escaping into the environment. The purpose of water quenching is to reduce the

temperature of the gases which are at high temperature. The clean gases are let out

into the environment. The scrubbed water shall be collected into a sump, where the

water is neutralized, and then sent into a cooling tower from where the water is

recirculated into the scrubber after cleaning them of their particulates by way of

pressure sand filter and activated carbon filter. The system is thus a zero discharge

system in terms of water discharges and is pollution free.

The high pressure Venturi scrubbing system shall be retrofitted to the incinerator.

This Air Pollution Control device takes care of the flue gases exiting from the dilution

chamber which shall pass through the scrubbing system where water and 5% caustic

soda solution is sprayed on the flue gases by S.S. nozzles at a very high pressure. The

Venturi Scrubber shall be High Pressure Type manufactured from S.S. 316L sheet.

The system shall have Venturi nozzles made from S.S. 316L. The pressure drop in

system shall be 350 mm WC and scrubbing media circulation rate 3000 LPH. Outlet

temperature of the flue gases shall be around 85 to 95 0C. The complete accessories

like valves, fittings shall also be provided. Centrifugal type re-circulation pump of

suitable size. Casing and Impellor of the pump shall be manufactured from stainless

steel / HDPE. In addition to it a dosing pump unit shall be retrofitted to maintain the

PH value of the scrubbing media.

Droplet Separator : A sprat Tower Scrubber shall also be provided which is fitted

(Mist eliminator) with the Venturi Scrubber to separate the water droplets from the flue

gases. It shall be manufactured from mild steel internally FRP lined material and shall

have the de-mister pad which separates the water droplets. The flue gases existing

from the Venturi scrubbing system shall travel through the droplet separator where

they shall be again mix up with the water for more cooling. It shall be Cyclonic Static

type with tangential entry to remove carry over water / drops. Water droplets usually

are carried off by the gas stream exiting the scrubber known as a white plume. A mist

eliminator is a stationary piece of equipment that removes most of the entrained water

droplets from the gas and will reduce the moisture collected at the induced draft fan

and other downstream equipment. The temperature shall be maintained between 85-

90 0C at the exit.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Feeding of Waste

The feeding of the waste to the rotary kiln chamber is done automatically by

electrically motorized operated waste Charging elevator. The packed waste is loaded

in the hopper type waste ram pusher and pressing of the switch moves the waste into

the rotary kiln burning chamber this eases in charging the waste and thus safety of

operator. The bucket type elevator waste charging unit is so designed to load waste

from the waste collection room

Stack Height: Minimum stack height shall be 30 meters above the ground and shall

be attached with the necessary monitoring facilities as per requirement of monitoring

of „general parameters‟ as notified under the Environment (Protection) Act, 1986 and

in accordance with the Central Pollution Control Board Guidelines of Emission

Regulation Part-III.

1. Base Diameter 1300mm

2. Top Diameter 550mm

3. Type Conical Self Supported (Msrl),Mild Steel Internal Rubber Lined Chimney.

4. The internal hard rubber lined chimney is manufactured from Mild Steel pipes of 350

mm dia. and minimum thickness of 5 mm. With a conical bottom of 1300 mm dia.

and the height of chimney shall be 30 Meters. Caged ladder, Gas sampling Platform ,

Gas sampling nozzle, top platform, Aviation lamp assembly with cable , Lightning

arrester with jumpers ,Rain cowl , Bottom manhole , Chimney Drain , Base plate with

compression Ring and stiffness ,Chimney Base template for foundation casting

(R C C ) , Foundation bolts , Hardware’s, The RCC foundation for the chimney shall be

in your scope of work.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Autoclave

An autoclave is a specialized piece of equipment designed to deliver 1210 0C

temperature under 15 psi pressures to a chamber, with the goal of decontaminating or

sterilizing the contents of the chamber. Decontamination is the reduction of

contamination to a level where it is no longer a hazard to people or the environment.

The project proponent intends to establish an autoclave with above principle. To

ensure safety and quality control, all bio-hazardous materials and items contaminated

with potentially infectious agents should be decontaminated before use or disposal.

Such items include, but are not limited to: culture media, surgical instruments,

laboratory equipment, glassware, and biomedical waste including sharps.

Shredder

Shredding is a process by which waste are de-shaped or cut into smaller pieces so as

to make the waste unrecognizable. Shredder has non- corrosive sharp blades capable

for shredding of plastic waste, sharps, bottles, needles, tubings, and other general

waste. The low speed two shaft systems is effective for shredding hard and solid waste.

The dis-infected waste shall then be segregated into HDPE, PP, rubber, latex, glass

and metal. The segregated materials shall then be shredded completing the process of

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

dis-infection and ensuring non-recycling of the waste materials for medical/ food

grade purposes.

Waste Treatment and Disposal Scheme

Depending on the category/nature of the waste the following treatment and disposal method are employed according to Bio-Medical Waste Management Rules 2016.

Category Type of Waste Type of Bag or

Container to be

used

Treatment and Disposal

options

Yellow a) Human Anatomical Waste:

Human tissues, organs, body parts and fetus

below the viability period (as per the Medical

Termination of

Pregnancy Act 1971, amended from time to

time).

Yellow coloured non chlorinated

plastic bags

Incineration or Plasma Pyrolysis or deep burial*

(b)Animal Anatomical Waste :

Experimental animal carcasses, body parts,

organs, tissues, including the waste

generated from animals

used in experiments or testing in veterinary

hospitals or colleges or animal houses.

(c) Soiled Waste:

Items contaminated with blood, body fluids like

dressings, plaster casts,

cotton swabs and bags containing residual or

discarded blood and blood components

Incineration/ deep

burial*or Plasma Pyrolysis Or In absence of above

facilities, Autoclaving or

micro-waving/ hydroclaving followed by

shredding or mutilation or combination of

sterilization and shredding.

(d) Expired or

Discarded Medicines:

Pharmaceutical waste like antibiotics, cytotoxic

drugs including all items contaminated with

cytotoxic drugs along with glass or plastic

ampoules, vials

Yellow coloured

non-chlorinated

plastic bags or containers

Expired `cytotoxic drugs

and items contaminated

with cytotoxic drugs to be returned back to the

manufacturer or supplier for incineration at

temperature >1200 0C or to common bio-medical

waste treatment facility or

hazardous waste

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

treatment, storage and

disposal facility for incineration at

>12000C Or Encapsulation or Plasma

Pyrolysis at >12000C.

All other discarded medicines shall be either

sent back to manufacturer

or disposed by incineration..

(e) Chemical Waste:

Chemicals used in production of biological

and used or discarded disinfectants.

Yellow coloured

containers or non-chlorinated

plastic bags

Disposed of by

incineration or Plasma Pyrolysis or Encapsulation

in hazardous waste treatment, storage and

disposal facility.

(f) Chemical Liquid

Waste : Liquid waste generated

due to use of chemicals in production of

biological and used or discarded disinfectants,

Silver X-ray film

developing liquid, discarded Formalin,

infected secretions, aspirated body fluids,

liquid from laboratories and floor washings,

cleaning, house-keeping and disinfecting

activities etc

Separate

collection system leading

to effluent treatment

system

After resource recovery,

the chemical liquid waste shall be pre-treated before

mixing with other wastewater. The combined

discharge shall conform to the discharge norms given

in Schedule- III.

g) Discarded linen,

mattresses, beddings contaminated with blood

or body fluid.

Non-chlorinated

yellow plastic bags or suitable

packing material

Non- chlorinated chemical

disinfection followed by incineration or Plasma

Pyrolysis or for energy recovery.

In absence of above facilities, shredding or

mutilation or combination

of sterilization and shredding. Treated waste

to be sent for energy recovery or incineration or

Plazma Pyrolysis.

(h) Microbiology, Biotechnology and

other clinical

laboratory waste:

Autoclave safe plastic bags or

containers

Pre-treat to sterilize with non-chlorinated chemicals

on-site as per National

AIDS Control Organisation

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Blood bags, Laboratory

cultures, stocks or specimens of

microorganisms, live or attenuated vaccines,

human and animal cell cultures used in

research, industrial laboratories, production

of biological, residual

toxins, dishes and devices used for

cultures.

or World Health

Organisation guidelines thereafter for Incineration.

Red Contaminated Waste (Recyclable)

(a) Wastes generated from disposable items

such as tubing, bottles,

intravenous tubes and sets, catheters, urine

bags, syringes (without needles and fixed needle

syringes) and vaccutainers with their

needles cut) and gloves.

Red coloured non-chlorinated

plastic bags or containers

Autoclaving or micro-waving/ hydroclaving

followed by shredding or mutilation or combination

of sterilization and

shredding. Treated waste to be sent to registered or

authorized recyclers or for energy recovery or plastics

to diesel or fuel oil or for road making, whichever is

possible. Plastic waste

should not be sent to landfill sites.

White

(Translucent)

Waste sharps

including Metals: Needles, syringes with

fixed needles, needles from needle tip cutter or

burner, scalpels, blades, or any other

contaminated sharp

object that may cause puncture and cuts. This

includes both used, discarded and

contaminated metal sharps

Puncture proof,

Leak proof, tamper proof

containers

Autoclaving or Dry Heat

Sterilization followed by shredding or mutilation or

encapsulation in metal container or cement

concrete; combination of shredding cum

autoclaving; and sent for

final disposal to iron foundries (having consent

to operate from the State Pollution Control Boards

or Pollution Control Committees) or sanitary

landfill or designated

concrete waste sharp pit.

Blue (a) Glassware: Broken or discarded and

contaminated glass including medicine vials

and ampoules except those contaminated with

cytotoxic wastes.

Cardboard boxes with blue

colored marking

Disinfection (by soaking the washed glass waste

after cleaning with detergent and Sodium

Hypochlorite treatment) or through autoclaving or

microwaving or

hydroclaving and then sent for recycling.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

(b) Metallic Body

Implants

Cardboard boxes

with blue colored marking

Part -2

All non-chlorinated plastic bags shall be as per BIS standards prevailing Plastic Waste

Management Rules.

Chemical treatment using at least 10% Sodium Hypochlorite having 30% residual

chlorine for twenty minutes or any other equivalent chemical reagent that should

demonstrate Log104 reduction efficiency for microorganisms as given in Schedule- III.

Mutilation or shredding will be to an extent to prevent unauthorized reuse.

There will be no chemical pretreatment before incineration, except for microbiological,

lab and highly infectious waste.

Incineration ash (ash from incineration of any bio-medical waste) shall be disposed

through hazardous waste treatment, storage and disposal facility, if toxic or hazardous

constituents are present beyond the prescribed limits as given in the Hazardous Waste

(Management, Handlin and Transboundary Movement) Rules, 2008 or as revised from

time to time.

Dead Fetus below the viability period (as per the Medical Termination of Pregnancy Act

1971, amended from time to time) can be considered as human anatomical waste.

Such waste should be handed over to the operator of common bio-medical waste

treatment and disposal facility in yellow bag with a copy of the official Medical

Termination of Pregnancy certificate from the Obstetrician or the Medical

Superintendent of hospital or healthcare establishment.

Cytotoxic drug vials shall not be handed over to unauthorised person under any

circumstances. These shall be sent back to the manufactures for necessary disposal at

a single point. As a second option, these may be sent for incineration at common bio-

medical waste treatment and disposal facility or TSDFs or plasma pyrolysis at

temperature >12000C.

Residual or discarded chemical wastes, used or discarded disinfectants and chemical

sludge can be disposed at hazardous waste treatment, storage and disposal facility. In

such case, the waste should be sent to hazardous waste treatment, storage and

disposal facility through operator of common bio-medical waste treatment and

disposal facility only.

On-site pre-treatment of laboratory waste, microbiological waste, blood samples, and

blood bags should be disinfected or sterilized as per the Guidelines of World Health

Organisation or National AIDS Control Organisation and then given to the common

bio-medical waste treatment and disposal facility.

Installation of in-house incinerator is not allowed. However in case there is no

common biomedical facility nearby, the same may be installed by the occupier after

taking authorization from the State Pollution Control Board.

Syringes should be either mutilated or needles should be cut and or stored in tamper

proof, leak proof and puncture proof containers for sharps storage. Wherever the

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

occupier is not linked to a disposal facility it shall be the responsibility of the occupier

to sterilize and dispose in the manner prescribed.

Bio-medical waste generated in households during healthcare activities shall be

segregated as per these rules and handed over in separate bags or containers to

municipal waste collectors. Urban Local Bodies shall have tie up with the common

bio-medical waste treatment and disposal facility to pickup this waste from the

Material Recovery Facility (MRF) or from the house hold directly, for final disposal in

the manner as prescribed in this Schedule.

1. Standards for Incineration.-

Proposed incinerators shall meet the following operating and emission standards-

A. Operating Standards

1) Combustion efficiency (CE) shall be at least 99.00%.

2) The Combustion efficiency is computed as follows:

%C02

C.E. = ----------------------- X 100

%C02 + % CO

3) The temperature of the primary chamber shall be a minimum of 8000C and the

secondary chamber shall be minimum of 10500C + or - 500C.

4) The secondary chamber gas residence time shall be at least two seconds.

B. Emission Standards

S.No. Parameter

Standards

Limiting

concentration in mg Nm3 unless

Sampling Duration in minutes, unless stated

1 Particulate matter 50 30 or 1NM3 of sample

volume, whichever is more

2 Nitrogen Oxides NO

NO2 expressed asNO2

400 30 for online sampling or

grab sample

3 HCL 50 30 or 1NM3 of sample volume, whichever is more

4 Total Dioxins and

Furans

0.1ngTEQ/Nm3

(at 11%O2)

8 hours or 5NM3 of sample

volume, whichever is more

5 Hg and its

compounds

0.05 2 hours or 1NM3 of sample

volume, whichever is more 6 CO2 correction 12%

Note:

All standards for incineration mentioned above shall be compiled from the date of

commissioning of plant

1. Wastes to be incinerated shall not be chemically treated with any chlorinated

disinfectants.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

2. Ash from incineration of biomedical waste shall be disposed of at common hazardous

waste treatment and disposal facility. However, it may be disposed of in municipal

landfill, if the toxic metals in incineration ash are within the regulatory quantities as

defined under the Hazardous Waste (Management and Handling and Transboundary

Movement) Rules, 2008 as amended from time to time.

3. Only low Sulphur fuel like Light Diesel Oil or Low Sulphur Heavy Stock or Diesel,

Compressed Natural Gas, Liquefied Natural Gas or Liquefied Petroleum Gas shall be

used as fuel in the incinerator.

4. Monitoring of the stack gaseous emissions (under optimum capacity of the incinerator)

will be done once in three months through a laboratory approved under the

Environment (Protection) Act, 1986 and record of such analysis results shall be

maintained and submitted to the prescribed authority. In case of dioxins and furans,

monitoring will be done once in a year.

5. Continuous emission monitoring system for the parameters as stipulated by State

Pollution Control Board or Pollution Control Committees in authorization and transmit

the data real time to the servers at State Pollution Control Board or Pollution Control

Committees and Central Pollution Control Board will be installed

6. All monitored values shall be corrected to 11% Oxygen on dry basis.

7. Incinerators (combustion chambers) shall be operated with such temperature,

retention time and turbulence, as to achieve Total Organic Carbon content in the slag

and bottom ashes less than 3% or their loss on ignition shall be less than 5% of the

dry weight.

8. Combustion gas analyzer to measure CO2, CO and O2 will be installed.

Standards for Autoclaving of Bio-Medical Waste

The autoclave should be dedicated for the purposes of disinfecting and treating bio-

medical waste.

1. When operating a vacuum autoclave, medical waste shall be subjected to a minimum

of three pre-vacuum pulses to purge the autoclave of all air. The air removed during

the pre-vacuum, cycle should be decontaminated by means of HEPA and activated

carbon filtration, steam treatment, or any other method to prevent release of

pathogen. The waste shall be subjected to the following:

2. Temperature of not less than 121°C and pressure of 15 psi per an autoclave residence

time of not less than 45 minutes; or

3. Temperature of not less than 135°C and a pressure of 31 psi for an autoclave

residence time of not less than 30 minutes;

4. Medical waste shall not be considered as properly treated unless the time,

temperature and pressure indicators indicate that the required time, temperature and

pressure were reached during the autoclave process. If for any reasons, time

temperature or pressure indicator indicates that the required temperature, pressure or

residence time was not reached, the entire load of medical waste must be autoclaved

again until the proper temperature, pressure and residence time were achieved.

5. Recording of operational parameters: Each autoclave shall have graphic or computer

recording devices which will automatically and continuously monitor and record dates,

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

time of day, load identification number and operating parameters throughout the

entire length of the autoclave cycle.

6. Validation test for autoclave: The validation test shall use four biological indicator

strips, one shall be used as a control and left at room temperature, and three shall be

placed in the approximate center of three containers with the waste. Personal

protective equipment (gloves, face mask and coveralls) shall be used when opening

containers for the purpose of placing the biological indicators. At least one of the

containers with a biological indicator should be placed in the most difficult location for

steam to penetrate, generally the bottom center of the waste pile. The occupier or

operator shall conduct this test three consecutive times to define the minimum

operating conditions. The temperature, pressure and residence time at which all

biological indicator vials or strips for three consecutive tests show complete

inactivation of the spores shall define the minimum operating conditions for the

autoclave. After determining the minimum temperature, pressure and residence time,

the occupier or operator of a common biomedical waste treatment facility shall

conduct this test once in three months and records in this regard shall be maintained.

7. Routine Test: A chemical indicator strip or tape that changes colour when a certain

temperature is reached can be used to verify that a specific temperature has been

achieved. It may be necessary to use more than one strip over the waste package at

different locations to ensure that the inner content of the package has been adequately

autoclaved. Common bio medical waste treatment facility shall conduct this test

during autoclaving of each batch and records in this regard shall be maintained.

8. Spore testing: The autoclave should completely and consistently kill the approved

biological indicator at the maximum design capacity of each autoclave unit. Biological

indicator for autoclave shall be Geobacillus stearothermophilus spores using vials or

spore Strips; with at least 1X106 spores. Under no circumstances will an autoclave

have minimum operating parameters less than a residence time of 30 minutes, a

temperature less than 121o C or a pressure less than 15 psi. The occupier or operator

of a common bio medical waste treatment and disposal facility shall conduct this test

at least once in every week and records in this regard shall be maintained.

Standards for Efficacy of Chemical Disinfection

Microbial inactivation efficacy is equated to “Log10 kill” which is defined as the

difference between the logarithms of number of test microorganisms before and after

chemical treatment. Chemical disinfection methods shall demonstrate a 4 Log10

reduction or greater for Bacillus Subtilis (ATCC 19659) in chemical treatment systems.

Standards for Dry Heat Sterilization

Waste sharp can be treated by dry heat sterilization at a temperature not less than

1850 C, at least for a residence period of 150 minutes in each cycle, which sterilization

period of 90 minutes. There should be automatic recording system to monitor

operating parameters.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

i) Validation test for Sharp sterilization unit

Waste sharp sterilization unit should completely and consistently kill the biological

indicator Geobacillus Stearothermophillus or Bacillus Atropheausspoers using vials

with at least log10 6 spores per ml. The test shall be carried out once in three

months.

ii. Routine test

A chemical indicator strip or tape that changes colour when a certain temperature is

reached can be used to verify that a specific temperature has been achieved. It may be

necessary to use more than one strip over the waste to ensure that the inner content

of the sharps has been adequately disinfected. This test shall be performed once in

week and records in this regard shall be maintained.

Standards for Liquid Waste The effluent generated or treated from the premises of occupier or operator of a

common bio medical waste treatment and disposal facility, before discharge into the sewer should conform to the following limits-

Parameters permissible limits pH 6.5-9.0

Suspended solids 100 mg/l

Oil and grease 10 mg/l BOD 30 mg/l

COD 250 mg/l Bio-assay test 90% survival of fish after 96 hours in 100%

effluent. Sludge from Effluent Treatment Plant shall be given to common bio-medical waste

treatment facility for incineration or to hazardous waste treatment, storage and

disposal facility for disposal

Label for Bio-Medical Waste Containers or Bags

Biohazard symbol Cytotoxic hazard symbol

Management proposes that, ash, residue from high temperature incineration and

other material residues from the process shall be collected into containers and shall be

disposed into a secure landfill. The Process Flow Chart, plan and ETP flow diagram for

the proposed CBWTF is given below in Figure 5.1 , 5.2 1nd 5.3.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Figure 5.1(A): Flow diagram for Common Bio-medical Waste Management Facility.

Figure 5.1 (B) : Flow Chart showing Biomedical Waste Management Process

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Figure 5.1 (C) : Flow Chart showing Biomedical Waste Management Process

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Figure 5.1(D): Block diagram for Operation

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Collection and Transportation of Bio medical Waste

Biomedical Waste segregated in color coded containers as per Biomedical Waste

Management and Handling Rules shall be collected from various Health Care Facilities

located in the 150 Km radius (Covering 10000 beds) The collected waste shall be

transported in specially designed closed vehicle to the proposed CBWTF for treatment

and disposal. 6-7 closed vehicles for the Collection & transportation of bio-medical

waste to proposed facility.

10 Resource optimization/Recycling and reuse

The entire wastewater around 4 KLD shall be treatment in ETP will be used for floor

washing and gardening/green belt. The treated effluent recycled for the use in

scrubber will not be treated with hypochlorite solution. The plastic waste after

disinfection & shredding shall be given to registered recyclers.

11. Availability of water its source, Energy/Power requirement and source

Water requirement which is around 5 KL for the project will be met through bore

wells. Power requirement will be sourced from Madhya Pradesh Vidyut Vitaran

Company Ltd. D.G. set of 25 KVA will be installed as back up supply

12. Quantity of waste to be generated (liquid and solid) and scheme for their

Management / disposal

The Treated effluent shall meet the discharge standards laid down by MoEFCC/PCB

for disposal/reuse. The water recovered during treatment in ETP will be used for floor

washing and gardening/Green belt. The solid waste generation during wastewater

treatment & treatment of common Bio-medical waste will be disposed to Secured

landfill.

Details of Water Balance

Heads Water Consumption (KLD) Waste Water

Generation (KLD)

Unit Proposed Proposed

Incineration 1200 ltr 400 ltr

Floor washing 800 ltr 680 ltr

Vehicle washing 1000 ltr 900 ltr

Steam Generation 100 ltr Nil

Green Belt 500 ltr Nil

Others 1400 ltr 1300 ltr

Total 5000 ltr 3280 ltr

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Treatment Scheme

The waste water generated from bio waste contains suspended particles, blood stains,

bacteria and other pathogenic organism etc.

Principle of operation for E.T.P.

While scrubbing emission/flumes generated from high capacity E.T.P plant (100kg &

above) lot of water is used for removing various gases & particulate matter from the

bio medical waste E.T.P. This waste water is required to be treated before discharge

however by installing ETP plant waste water can be recovered after treatment from

various stages of ETP Plant. The waste water contains chemical used in the usage of

medicines etc.

The initial characteristic of waste water normally contains the following parameter.

PH - 4.5-6

T.S.S. - 400-600mg/Lts.

BOD - 300-400mg /lts.

O & G. - 20-30mg/Lts.

COD - 800-1000 mg/ Lts.

The treatment of effluent generated from hospital will be done in three steps. Mainly

know as Primary, Secondary and Tertiary treatment. The effluent generated from the

bio medical plant should conform to the following limits:

PH - 6.5-9.0

T.S.S. - 100 mg/Lts.

BOD - 30 mg /lts.

O & G. - 10 mg/Lts.

COD - 250 mg/ Lts.

Bio-assay test - 90% survival of fish after 96 hours in 100% effluent

These limits are applicable to those hospital which are either connected with sewers

without terminal sewage treatment plant or not connected to public sewers, for

discharge into public sewers with terminal facilities, the general standards as notified

under the Environment (Protection) Act, 1986 shall be applicable.

Primary Treatment:

This is the first steps of inlet waste water mainly consist of removal of coarse particles,

oil and Greece and mixing co-agents in the water for removal of suspended solids

through sedimentations After this treatment scheme the BOD, TSS, COD & O& G

levels come down to 25% of initial levels.

Secondary Treatment:

This is the second step of wastewater treatment. it mainly consist of extensive

aeration of the Primary treated water , bacterial growth , addition of oxygen and

chemical which help in bacterial growth and lastly settlement of the biological waste

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

as sludge. Normally it is found that the reduction levels in TSS, BOD, O & G and COD

after an efficient secondary treatment will be as under

Tertiary Treatment:

This is the final stage of treatment where the effluent after secondary treatment first

is mixed with Sodium Hypo Chloride and then effluent will be pass passed through

(DMF) dual media filter and (ACF) activated carbon filter where sand, anthracite and

activated carbon will be used as filtration media. Once the above limits achieved

thereafter the final outlet water will also confirms the Bio Assay test of 90% of fish

survival.

Description PH T.S.S.

mg.

Lts.BOD

mg.

Lts. O & G

mg.

Lts.COD

mg.

Lts.

Inlet water 4.5-6 400-600 300-400 20-30 5000-7000

Outlet

water

8-10 300-450 225-300 15-22.5 4500-5000

Description PH T.S.S.

mg.

Lts. BOD mg. Lts. O &

G mg.

Lts. COD mg. Lts.

Inlet water 6.5-9 128-150 96-128 <10 <250

Outlet

water

6.5-9 <100 <30 <10 <250

Description PHT.S.S.

mg.

Lts.BOD mg. Lts.O &

G mg.

Lts.COD mg. Lts.

Inlet water 8-10 300-450 225-300 15-22.5 3000

Outlet

water

6.5-9 128-150 96-128 <10 <250

Treatment of Effluent:

Effluent initially will be passed through Screen & grit chamber for the removal of

coarse particles before it enters into oil and grease trap. After this the effluent is being

stored in an underground tank where partial aeration is being done to keep the solids

into suspension for pumping ease.

The effluent then will be pumped from underground tank to flash mixer where Lime,

Alum and Polymer solution is being mixed. The capacity for the Reaction chamber/

Flash mixture cum flocculate is as per requirement.

After chemical mixing the effluent will be transferred to Primary lamella clarifiers by

gravity where settling of solids take place. The capacity of the lamella clarifiers will be

as per requirement having minimum retention time for 1hr. Clarified water will be

taken to aeration

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Details of Units of ETP

List of equipment’s

Holding, collection & equalization tanks (capacity of 4m³ fabricated from M.S sheets & structural materials, internally FRP (fiber reinforced plastic

to avoid corrosion and metal reactions)).

CFG (Centrifugal sediment arrester/Filter)capacity 2.5m³/hr

Fins heater (tubular fins heater arrangement for water boiling )

Aeration tank (6m³ capacity with compressed air sooting arrangement )

Air compressor (12.5kg/cm²)

Secondary Filtration unit

High pressure MGE FRP vessel.

High pressure ACF FRP vessel.

Sodium hypo chloride dosing unit.

Piping (High quality APVC piping and fittings).

Pumps (CNP SS304 Centrifugal Pump)

Resin column .8m3

13. Electric System

Total power required is 50 KVA for the proposed project.

6. Site analysis

i. Connectivity

Common Biomedical Waste Treatment Facility is located on State Highway No. 14

at Habsili which is 6.30 km from Sagar district. The nearest railway station is Ratona

which is 1.09 km from the site. The airport situated at Bhopal and it is 146 km from

the site.

ii. Land form, land use & land ownership:

The land is developed by Govt. Bundelkhand Medical College Sagar. It is Govt.

waste land and being diverted for industrial purposes.

Topography :-

The topography is almost plain with elevation of 516 mRL and Topo Sheet no.-

55 I/9.

S. No. Particulars Details

1 Co-ordinate 23°50'38.07"N- 78°40'23.59"E

23°50'39.43"N- 78°40'76.42"E

23°50'41.04"N- 78°40'75.69"E

23°50'36.56"N- 78°40'23.63"E

2 Height above mean sea

level

516 mRL

3 Nearest Town Sagar- 6.30 km

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

4 Nearest Railway Station Ratona- 1.09 Km

5 Nearest Airport Bhopal - 146 km

6 Nearest Highway/Road Khurai- Sagar SH- 14 km – 1.14 km - N

7 Hills/Valley None

8 Ecological Sensitive

Zone

None

9 Reserve Forest Barkhera R.F.- 3.50 km-N

Pagara R.F.- 3.80 km - NE Lalakpatan R.F.- 5.60 km -NW

10 Nearest Village Habsili – 0.65 km - NW

11 Nearest River/ Nalla Karawan Nadi-1.53 km - W

Molali Nala-2.70 km -N Local Village pond- 1.75 km -NE

12 Surrounding Features East- Open Mixed Jungle West- Open Mixed Jungle

North-Open Land South- Open Mixed Jungle

iii. Existing land use pattern: The land use of the area is Govt. Waste land and

being diverted for industrial use.

Topo sheet No.-55 I/9.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Google Image of the site

V. Existing infrastructure: The site is located 6.30 km away from the Sagar and

The facility will enjoy strong infrastructure present in the surrounding.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

iv. Climate data from secondary sources:

Meteorological data month of 15th March, 16 to 14th April, 2016

Date

Temperature OC Relative

Humidity %

Morning

km/hr 8.00hr

Evening

km/hr

17.00hr

Cloudiness

%

Max Avg Min Max Avg Min Wind

Dirt

Wind

Speed

Wind

Dirt

Wind

Speed Mor Eve

15 35 27 18 64 48 32 SE 7.4 WNW 14.8 10 -

16 34 27 19 66 45 30 E 5.6 NE 9.3 - -

17 37 28 19 51 40 29 SE 14.8 WNW 24.1 - -

18 35 28 22 51 38 30 C 0 WSW 18.5 10 -

19 33 24 16 61 40 27 ENE 14.8 WNW 14.8 - -

20 34 26 17 55 36 23 SE 11.1 WNW 22.2 - 10

21 35 26 16 71 37 21 S 9.3 W 27.8 - -

22 34 25 16 64 43 28 WSW 7.4 NW 14.8 - -

23 36 26 17 61 41 30 NNW 3.7 WSW 3.7 10 -

24 36 28 19 55 39 20 SE 9.3 WSW 18.5 20 -

25 36 29 22 60 32 12 C 0 C 0 - 30

26 36 28 19 37 24 9 WNW 14.8 W 18.5 - -

27 38 29 21 41 27 11 SSE 7.4 WNW 22.2 - -

28 38 29 19 41 24 11 N 5.6 W 18.5 10 -

29 38 30 22 32 19 10 NW 14.8 WSW 20.4 - -

30 38 29 20 30 20 9 NW 14.8 W 18.5 - 10

31 37 29 21 48 23 11 ENE 18.1 W 18.5 - -

1 36 28 19 39 19 9 WNW 9.3 W 22.8 - -

2 36 28 19 27 18 10 W 18.5 WSW 11.1 - -

3 37 29 21 39 22 12 WNW 18.5 NNW 14.8 - -

4 37 29 22 35 22 12 C 0 NW 5.6 - -

5 39 30 21 38 20 7 S 14.8 WSW 11.1 10

6 39 30 21 33 18 11 NNW 14.8 WSW 22.8 -

7 38 30 23 30 21 12 C 0 C 0 -

8 37 29 22 33 25 13 C 0 C 0 -

9 37 29 21 47 22 8 E 5.6 WNW 18.5 -

10 37 28 19 33 18 10 NE 9.3 WSW 9.3 -

11 37 28 19 35 19 10 NNE 7.4 SW 11.1 -

12 37 28 18 31 18 7 C 0 SSE 9.3 -

13 38 30 21 35 22 10 SE 7.4 SSW 5.6 - -

14 39 30 21 39 27 13 S 18.5 SW 9.3 - -

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Meteorological data month of 15th April, 16 to 14th May, 2016

Date

Temperature OC Relative

Humidity %

Morning km/hr

8.30hr

Evening km/hr

17.30hr

Cloudiness

%

Max Avg Min Max Avg Min Wind Dirt

Wind Speed

Wind Dirt

Wind Speed

Mor Eve.

15 39 30 22 42 25 13 SW 7.4 W 9.3 - -

16 40 32 25 31 21 12 WSW 5.6 NNW 18.5 - -

17 39 31 24 48 29 15 C 0 C 0 - -

18 39 31 23 44 32 14 C 0 C 0 40 40

19 35 29 23 56 36 25 WSW 9.3 ENE 11.1 - -

20 36 29 22 56 35 19 NE 5.6 SSE 13.0 - -

21 37 29 22 49 30 17 SSE 9.3 W 7.4 - -

22 38 30 23 62 33 13 C 0 C 0 40 -

23 38 29 20 72 40 14 C 0 C 0 - 40

24 38 30 21 48 23 11 NNE 9.3 N 5.6 - -

25 41 31 22 40 21 9 E 7.4 WSW 9.3 - 10

26 42 33 24 25 16 7 NW 14.8 W 16.7 - -

27 42 33 24 24 16 6 NW 5.6 NNW 14.8 40 -

28 41 33 26 32 19 9 NE 11.1 NNW 18.5 - -

29 41 33 26 28 18 8 SE 11.1 SSE 9.3 - -

30 42 34 27 30 20 8 W 11.1 NNW 22.2 30 40

1 42 34 27 28 14 8 WNW 22.2 W 22.2 - -

2 42 33 25 20 13 6 WNW 22.2 W 22.2 - -

3 39 33 27 25 17 9 WNW 22.2 W 24.1 - -

4 38 31 24 29 21 10 W 14.8 SW 14.8 - -

5 39 31 23 38 25 13 WSW 22.2 WSW 22.2 10 -

6 38 30 23 45 26 13 S 7.4 SW 44.4 - 10

7 40 32 24 47 25 10 S 5.6 NW 14.8 - 20

8 41 33 26 45 30 14 SSW 9.3 NW 14.8 - -

9 38 32 27 47 27 11 C 0 C 0 40 -

10 40 32 24 30 16 7 WSW 18.5 W 29.6 - -

11 39 31 24 31 17 9 NW 27.8 W 22.2 - -

12 38 32 25 41 23 13 WNW 14.8 WNW 29.6 - -

13 38 32 26 31 21 10 WNW 35.2 WSW 9.3 40 -

14 37 31 24 57 32 16 C 0 C 0 40 -

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

Meteorological data month of 15th May, 2016 to 14th June, 2016

Date

Temperature OC Relative

Humidity %

Morning km/hr

8.30hr

Evening km/hr

17.30hr

Cloudiness

%

Max Avg Min Max Avg Min Wind

Dirt

Wind

Speed

Wind

Dirt

Wind

Speed Mor Eve.

15 39 30 22 58 30 11 C 0 C 0 - -

16 38 32 26 30 23 12 WNW 16.7 W 9.3 10 -

17 39 32 25 47 28 15 NW 24.1 NNW 22.2 - 20

18 39 32 26 39 24 15 WNW 22.2 NNW 9.3 - -

19 42 33 26 37 20 10 E 14.8 N 5.6 - 40

20 41 34 23 47 23 10 NNW 11.1 W 11.1 - -

21 41 34 28 26 15 7 NW 14.8 WNW 25.9 40 40

22 42 33 24 26 15 7 W 14.8 NNW 18.5 - -

23 42 34 28 19 14 9 WNW 22.2 S 9.3 20 40

24 42 36 28 21 16 12 C 0 C 0 10 -

25 39 33 27 36 27 18 C 0 C 0 20 -

26 39 33 28 64 36 21 C 0 C 0 - -

27 40 33 26 50 28 10 C 0 C 0 - -

28 42 34 26 46 23 10 S 11.1 NNW 18.5 - -

29 44 37 29 32 20 9 WNW 27.8 WNW 22.2 40 -

30 44 38 31 32 19 9 WNW 25.9 W 22.2 - -

31 44 36 28 37 21 13 W 29.6 W 11.1 - -

1 43 35 27 53 25 13 WSW 11.1 NNE 14.8 30 -

2 43 36 28 37 21 13 C 0 NNW 18.5 60 -

3 43 35 27 43 20 9 WBW 7.4 NNW 22.2 - -

4 44 36 28 33 18 9 W 11.1 NNE 14.8 - -

5 44 37 29 27 20 10 NW 25.9 NNE 22.2 10 -

6 45 38 30 34 24 13 NNW 22.2 NWN

W 18.5 - -

7 44 39 33 26 21 13 WNW 29.6 WNW 11.1 - 40

8 44 37 31 38 23 13 W 25.9 N 14.8 - 40

9 44 37 31 37 25 18 WNW 40.7 W 5.6 - 10

10 43 37 30 41 29 19 NNW 11.1 WNW 5.6 - -

11 43 37 28 47 31 14 WNW 11.1 WNW 5.6 - -

12 37 30 22 94 56 27 WNW 11.1 WNW 25.9 - -

13 38 32 26 56 36 21 W 18.5 W 25.9 - -

14 38 32 27 54 36 22 NNE 3.7 W - -

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

7 Planning brief:

a. Planning concept:

Detail Planning Concept has been given in the project report

b. Population projection: The project is small in magnitude. No influx of population

is expected as staff/labor shall be deployed from the surrounding.

c. Land use planning (breakup along with green belt etc.)

Particulars Unit Area in sq

mt

Plant and Machineries Sqm 348

Office and administration Sqm 100

Waste storage area Sqm 67

Fuel storage area Sqm 66

Road Sqm 100

Green belt area Sqm 2000

Open Land Sqm 3389

Total 6070 Sq.mt

d. Amenities/facilities

Rest shelters, Toilets, drinking water facilities, first aid facilities, and regular

medical checkup facilities shall be provided to labors, staff and their families.

8. Proposed infrastructure

a. Industrial area (processing area)

The components of the CBWTF are:

Administration Building

Training & Seminars room

Staff Locker and wash room

Vehicle Washing bay

Effluent Treatment Plant

Incinerator and Incineration shed

Sterilization room

Store room

Workshop

Security office

Transformer

DG set

Sharp pit

Ash storage pit

Residential area (non processing area)

The employees will make their own arrangements for their housing & allied amenities in nearby area. There is no need for any additional facilities.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

b. Green belt

Total 33% area i.e. 2000 sq mt shall be dedicated for the green belt. Green belt will

be developed according to CPCB/PCB guidelines. Plants of the various species will

be developed in the plant and peripheral areas.

c. Social infrastructure

Schools, Colleges, Hospitals & Healthcare Centers, Shops & Bazaars, Community Centers, etc. are all available in nearby villages and towns.

d. Drinking water management (source & supply of water):

The Drinking water will be supplied through bore well with proper RO system.

e. Sewerage system: Solid waste generated during the biomedical waste treatment

process and wastewater treatment process is mainly ash and sludge which will be

generated depending upon the hydraulic load. Sludge will be disposed off in

secured landfill. The disinfected plastic waste shall send for recycling to registered

recycler.

f. Industrial waste management:

As above

g. Solid waste management:

As above

h. Power requirement & supply/source:

Power shall be evacuated through state electricity board. Back up supply through

DG set shall be ensured.

9 Rehabilitation and Resettlement (R & R) Plan:

No R&R plan is required as no displacement of people is proposed for the project.

10 Project Schedule and Cost estimates

The Total Cost for proposed project is Rs 205 lacs

a Likely date of start of construction and likely date of completion (time

schedule for the project to be given)

After obtaining environmental clearance and Water / Air consent the company

shall start the project. Proposed date shall be April 2017 (subject to clearances).

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

b. Estimated project cost along with analysis in terms of economic viability of

the project

Projected

Balance Sheet

(Figures

in lacs)

Moratorium

PARTICULARS Projected Projected Projected Projected Projected Projected

Projected Projected

Year Year Year Year Year Year Year Year

1 2 3 4 5 6 7 8

A LIABILITIES

Capital

1. Opening Capital 55.00 55.00 55.00 55.00 55.00 55.00 55.00 55.00

Unsecured Loans / Quasi

Capital

2. Reserves & Surplus

(Op.Bal.b/f.) 0.00 0.00 11.07 30.25 57.53 93.24 137.92 192.33

Add- Profit for the yr. 0.00 15.07 25.19 35.28 45.70 56.69 68.40 81.02

Less:- Drawings 0.00 -4.00 -6.00 -8.00 -10.00 -12.00 -14.00 -16.00

Capital 55.00 66.07 85.25 112.53 148.24 192.92 247.33 312.35

3. Term

Liabilities

Term Loan 165.00 159.25 140.50 119.16 94.88 67.24 35.79 0.00

Add-Capitalised Interest 10.73

4.Bank OD 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

5.Unsecured

Loan 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

6. Bank

Borrowings:

For Working

Capital 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

7. Current

Liabilities 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

8.Creditors for Expenses 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

9. Provision 0.00 9.04 9.95 10.94 12.04 13.24 14.57 16.02

Sub Total: 230.73 234.36 235.70 242.64 255.15 273.40 297.68 328.37

B ASSETS

1. Fixed

Assets

Gross Block 230.73 230.73 230.73 230.73 230.73 230.73 230.73 230.73

Less:

Depreciation 0.00 -30.90 -56.88 -79.05 -98.10 -114.54 -128.76 -141.06

Net Block 230.73 199.83 173.85 151.68 132.62 116.18 101.97 89.66

2. Cash & Bank Balances 0.00 -0.69 24.21 50.66 79.29 110.76 145.71 184.81

3. Other

Investment 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)

4. Current

Assets:

Inventories 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Trade

Debtors 0.00 24.22 26.64 29.30 32.23 35.46 39.00 42.90

Deposits 0.00 11.00 11.00 11.00 11.00 11.00 11.00 11.00

Other

Current Assets 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

5.

Miscellaneous

Expenditure 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

6. Non Current

Assets 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Sub Total: 230.73 234.36 235.70 242.64 255.15 273.40 297.68 328.37

0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.0

11 Analysis of proposal

i. Financial and social benefits with special emphasis on the benefit to the local

people including tribal population, if any, in the area.

The proposed CBWTF project of for treatment of bio-medical waste, generated from a number of healthcare units is to reduce adverse effects that this waste may pose. The

concept of CBWTF within a radius of 150 Km catering to 10000 beds has been introduced by the MoEFCC as a part of Biomedical Waste Management and Handling

Rules 2016 as amended thereafter to prevent proliferation of treatment equipment

area. It also reduces pressure on regulatory agencies for compliance monitoring. By operating the treatment equipment at CBWTF to its full capacity, the cost of treatment

per kilogram gets significantly reduced.

GOVT. BUNDELKHAND MEDICAL COLLEGE SAGAR (M.P.)