J.D.C. Bytco Memorial Municipal Hospital, Nashik...

Report of Access Audit

J.D.C. Bytco Memorial Municipal

Hospital, Nashik Road, Maharashtra

:- Prepared by -:

Suresh Dhondge Programme Manager

08550951671

[email protected]

mailto:[email protected]

Introduction :

Accessible India Campaign (Sugmaya Bharat Abhiyan) launched by Department of Empowerment of Persons with

Disabilities, Ministry of Social Justice & Empowerment as a nationwide campaign for achieving accessibility for

persons with disabilities based on the principals of

Universal Design. This will help to understand the barriers in full participation and can get roadmap/guidelines to

implement for inclusive society.

The Leprosy Mission Trust India is doing access audit for accessibility for persons with disabilities of Nashik city.

Audit Team :

1) Mr. Suresh Dhondge- Access Auditor

2) Mr. Daniel Choudhary- Physiotherapist

3) Mrs. Dhanalaxmi Kubendran- Civil Engineer

4) Mr. Rupesh Mankar- Person with Disability

5) Mr. Ramesh Kamble- Team Member

6) Mr. Pradip Shinde- Team Member

7) Mr. Chandrakant Wadaskar- Team Member

8) Mr. Swapnil Talole- Team Member

Index

Content Page No.

Introduction 2

Audit Team 2

Standards of Accessibility 3

Objective 4

Principles of Audit 4

Introduction of Building 5

Access Audit Observations

and Recommendations

6 -19

Summary 20-24

Specifications 25-30

Rating 31

Vendor Details 32-35

Standards of Accessibility:

Ramp :- 1:12, Ramp width - minimum 1200 mm, Landing : 1500 mm Handrails: diameter - 40 -45 mm, should be at two levels 760 mm & 900 mm from the floor All Signage: - to be in bold and contrasting colors & minimum 300 x 300 mm size Washbasin: - 700 -800 mm height with 200 mm deep space Door Opening: - width minimum 900 mm Grab Bar: - Not more than 800 mm from the floor Desks & Benches: As per the age of students Public Dealing Counter: not more than 800 mm from floor with 200 mm deep space Stairs: Risers 150 mm and width 300 mm and color contrast Corridors: Minimum 1200 mm width Toilets: Dimensions 1750 mm x 2200 mm, with commode and Grab Bars Lifts: Braille and audible with door open space 900 mm

Objective: The objective of the Accessible India Campaign is to create

mass awareness for accessibility, which will enable persons with disabilities to live independently and participate fully

in all aspects of life. The building being audited shall be judged for the accessibility based on standard and the

identified barriers will be looked into the inherence accessibility. This will help barrier free environment for

People with disabilities, children, old age people, pregnant women, people with temporary disabilities and people with

less mobility.

Principles of the Audit The Access Audit has been undertaken to appraise defined

areas of the existing buildings/campus to access the extent of accessibility to services and facilities and propose the

extent of works required to improve the current facilities in accordance with the definitions of the Disability

Discrimination Act 1995. The Audit takes into account the needs of people with mobility impairments (Including wheel

chair users) and sensory impairments. The audit will be identify physical barriers to access against pre-determined

criteria. The audit should be treated as the starting point of an ongoing access plan, constantly updated by the

committee. This audit should only be seen as a snapshot of the position at the time of the report. Changes made

after the site inspection may improve or reduce levels of accessibility. As the DDA evolves, so will buildings, and

review of audits already completed should be considered on a periodic basis. The DDA is not compliance-based

legislation and relate to discrimination, not directly to the buildings and physical standards.

Introduction of Building :

J.D.C. Bytco Memorial Municipal Hospital, Nashik Road

Bytco Memorial Hospital is very old and well known

hospital at Nashik Road where many people are visiting on

daily basis. The flow of patients on daily basis is an average

2000 and visitors are different. The hospital is providing

good quality services to the patients

This hospital is very old and the process of new building is

in the process. The recommendation of the audit will be

helpful for new building of the hospital.

Access Audit Observation and Recommendations

External Environment:

Observations:

1. Common parking is available for all in the campus.

Recommendations:

There should be specific parking for people with disabilities

in the 500 mm distance from entrance with signage of

Reserved parking and directional signage. The size of the

bay should be minimum 3600 x 6000 mm and at least 2

bays are required

2. There is no tactile floor which is for People with

Visually Impairment in the premises of the Hospital.

Recommendations : Provide tactile guiding path at main entrance gate and whole premises. Tactile guiding path is

required to ensure visually impaired person familiarize with the road and path.

3. No Alighting point- Access audit team identified alighting point and discussed with the staff of the

Hospital. The alighting point identified in next to the entrance gate

4. There is no proper signage’s for PWDs to overall premises such as brail signage’s of location map,

general signage, building signage, & directional signage anywhere.

5. Approachability of the Hospital is very good. The

car/bus can go up to the main gate. Main entrance

width is 4060 mm

Internal Environment:

Observations:

Entrance Ramp :

1. Accessible and There is a ramp with height 250 mm,

width 2120 mm, length 3470 mm and no railings

Recommendation: There is an accessible entrance only

need to provide directional signage and railings.

Recommendations : Need to provide directional

signages.

2. Door is wide enough with width 2120 mm without any barrier

3. There is no building map and also no general signage’s

at the reception of the building, guiding the user to

various sections/departments.

Recommendations:

Building map should be provided for easy to understand to

the visitors and it will also help people with disabilities

4. There are counters like reception, Case paper, Medicine but not visible from entrance and wheel chair users need

to go inside to reach to the counter as ramp is fitted in another side. Reception counter height is 1040 mm and

deep space is 200 mm and other counters for case paper, medicine height is 880 mm with deep space 200 mm

5. Drinking water not accessible for wheel chair users

and not visible for general community. Tap height is

850 mm from the floor and approachability to the tap

is very poor.

6. Ramp is available to reach to first floor but length is

less but width is very good 2480 mm. It may built to

carry stretchers but wheel chairs user cannot use it.

So lift is required.

7. Proper waiting area is available in front of all the

consultation rooms but need to provide reserved space for wheel chair with accessible signage.

8. Toilets are not accessible for wheel chair users, No Commodes. At least one toilets should be accessible

like below given picture.

9. Lighting and air ventilation is very poor. 10. Steps sizes are width 1200 mm, length 280 mm,

height 160 mm, No Noses and railings are required

Recommendation : Color contrast is required and

also provide color contrasting strip.

11. The corridor width 2930 mm for both floors

Barriers in the corridor for both floors railing need to fix in the wall.

12. There is no emergency evacuation provision for

Hospital 13. All door opening widths- Doctors Room, Gynecology

Room, Office door opening width are below 900 mm minimum should 900 mm

Summary

Provide proper signage for the hospital

Provide reception and other counter with sign

language interpreter in the entrance foyer.

Implement as soon as possible to improve access.

Plan adaptation work to be implemented to suit

identified building users requiring adaptations to be

made.

Implementation as part of specific regular

maintenance/renewal.

Provide directional signage’s for activities Horizontal &

vertical circulations.

Provide handrails & grand bars in corridors, staircase

& landings as per the PWDs guidelines.

Needs to improve maintenance of emergency &

evacuation system.

Provide beveling to cater to level differences at each

doors & Remove

No hurdle / obstruction should be there in foyer &

corridors such as air cooler, window panels, potted

plants, electrical wires & pipes.

Handrails & grab bar should be as per the standards.

Provide accessible website proving information about

the building/service complies with web accessibility

standards.

Provide all information detailing the accessible

facilities in the building with photographs.

Provide all publications/brochures in alternate

accessible formats such as:

- Braille

- Large Print

- Audio

- Pictorial (wherever possible)

- Easy-to-read

- Plain language

- Available in Hindi& English

- Accessible Electronic formats that can be shared

over email or mobile.

Provide printed service related documents such as

forms, menu cards, etc. are in accessible formats.

Need to train the staff members in basic Indian sign

language. Sign language interpreters should available

on call.

Need to train the staff to assist persons with

disabilities, including persons with learning

disabilities.

Need to train the staff disability sensitization sessions

are part of the staff induction programme.

Common alternative formats can be used to assist people with visual impairments who are best able to

interpret information through hearing or touch, embossed letters with Braille (Audio/ Visual

information, Maps and models). Information from signs can be conveyed by the colour

of lettering and brightness differentials between the letter and background colours. Safety signs use

primarily red, yellow and green as information colours. For other signs it is preferable to use Blue and White

Colours. Basic principles for Colour Contrast:

� Text should contrast with sign background

� Sign should contrast with environment

� Light levels (measured in Lux)

� 70% contrast between wall and sign panel

� Avoid shades of colours

� Avoid using same colours as safety signs

� Non-reflective surface

Critical Surfaces: Walls should contrast from ceiling

and floor.

Sudden changes in level: Any sudden changes in levels

should be marked with a contrasting colour form the

level flooring to warn people with vision impairments.

Toilets: The sanitary ware in toilets should contrast

from the background as well as the grab bars.

Stairs: No sings should be well contrasted from the

risers and the treads so that people can easily

distinguish between the steps.

Handrails: Handrails on stairs, ramps and single steps

should contrast from the background wall.

Doors: Doors should contrast from the adjoining wall,

door frames should contrast from both the door and the

adjoining wall, and door hardware should contrast from

the door.

Switches and sockets: Switches, sockets and other

operable controls should contrast from the background.

Skirting: Skirting should,(nless it is intended to be used

as a handrail) ideally be of the same colour or harmonise

with the colour of the wall.

Free standing obstacles: Free standing obstacles such

as pillars, furniture and bins should contrast from their

background so that people with reduced vision are able

to identify these as hazards.

Signage: Text and symbols on the signage should

contrast from the frame and the entire sign frame should contrast from the background.

Measurement Specification

DOOR Door width—Min 900mm

Height of Door handle – 850mm-1100mm

Length of the handle—300mm

Space between the door and handle—45mm

Height of door lock ---1030mm

Thresholds of doorways (not exceed 20 mm).

Use contrast color at the boarders of the door to distinguish doors for people with visual impairments.

Handles, pulls and other opening devices. (Lever handles and push type mechanisms are recommended.)

Wash basin

Steps and stairs

Uniform risers: 150mm and tread: 300mm

Stair edges should have bright contrasting colours—50mm width

The maximum height of a flight between landings to be -1200mm

Landing should be 1200mm deep

Have continuous handrails on both sides including the wall—850mm-90mm

Tactile indicators 400mm away from the edge of top and bottom stairs to alert the users of potential hazard.

Handrails (Railings) Both sides;

Rounded ends;

Easily gripped at a suitable height;

(height: 75 cm - 85 cm)

(diameter of rails: 32 mm - 45 mm) Extend beyond top and bottom of stairs. The gap between the wall and the handrails

should be 40-50mm

The diameter of the handrails should be 32-45mm

It should be in round shape

32-45mm

32-45mm

Railings in wall at two levels

First level from ground

Height –730mm

Diameter- 32mm -45mm

Space between the wall and bar—45mm

Second level from ground

Height—900mm

Diameter—32mm- 45mm

Space between the wall and bar—45mm

The distance between the level 1 and 2 is 260mm

Toilet

Toilet seat height from ground level- 450mm-475mm

Grab rails

The rails should be 35mm diameter, contrast colour with walls

Vertical railing

Height from ground level to the bottom point of railing- 800 mm

Length – 600mm

Horizontal rail

Height from ground level—700mm

Length of the bar – should be equal to the width of the basin from wall

Urinals

At least one urinals should have grab bars, installed on each side and in the front of the urinal to support

Height of bars from ground level to bottom end —600mm

Length of the bar—600mm

The height of urinal to be place at – 480mm

Switch board

Height— 960mm from the ground level

Contrast colour to be fixed or painted to the boarders of the switch boards

Sign board

Sings should be in contrasting colour and

preferably be embossed in distinct relief to

allow person with visual impairment to obtain the information by touching them

The size of the character and symbols should

be based on the intended viewing distance and determined Height of the letters in the

sign for varying viewing distance should be determined

The height of sign board placed from ground level—

1500mm

Sofit Area below staircase (headroom) hazards for visual

impaired should be cordoned off.

Provide Evac chair at each floor in case any type of

emergency for the PWDs.

Evac chair

Rating of Recommendations Recommendations Priority Symbol

Provide Proper signage

Implement immediately to eliminate a serious barrier or

hazard to access and use of the internal premises of

building.

Implement as soon as

possible to improve access

Approachability to the

Hospital

Provide one unisex toilet in

building premises

Drinking water

Overall Accessibility of Hospital for wheel chair

users

RECOMMENDED VENDORS FOR ACCESSIBILITY PRODUCTS Tactile Paver Blocks –

Ability Creation A-89, Street 8, Jagat Puri, Krishna Nagar, Delhi-110051, Mob: 8447486858

Email: [email protected]

Vyara Tiles Pvt. Ltd. Head Office,

S -1, Shankheshwar Complex, +91-261-3017000 +91-261-2471595,

+91-261-2472444 +91-261-2478878 E-Mail [email protected]

Shree Jee Tiles Nitin Sharma (CEO)

VPO Siddipur lowa, Tehsil Bahadurghar, District Jhajhar Bahadurgarh - 124507, Haryana, India, Call Us:

08377805491, Mobile: +(91)-9729351013, +(91)-8053980488

http://www.shreejeetiles.in/tactile-tiles.html

Tactile Strips –

Ability Creation A-89, Street 8, Jagat Puri, Krishna Nagar, Delhi-110051, Mob: 8447486858

Email: [email protected]

Tarkett Flooring India Pvt Ltd

460 Krishna Temple Road, Off CMH Road, Indira nagar, Bangalore 560038

Phone: +91 80 4130 3793, E-mail: [email protected]

Grab Bars – Ability Creation A-89, Street 8, Jagat Puri, Krishna Nagar,

Delhi-110051, Mob: 8447486858 Email: [email protected]

Euronics Corporate Office: Euronics Industries Pvt. Ltd.

567, Udyog Vihar, Phase - 5,Gurgaon - 122016, Haryana Email: [email protected], Call: 08010930930 (All India)

Email: [email protected], Call: 8010900300, Toll Free: 1800 1027731, Sales/Operations: [email protected],

Pedder Johnson

Parvez Shaikh (Manager) 318, Swastik Chambers, Sion Trombay Road, Mumbai –

400071, Maharashtra, India Telephone: +(91)-(22)-25228857, +(91)-(22)-25228858

Mobile : 08376807872, +(91)-8879179696

Accessibility Lifts –

Mass Lift, P.

Padmanabhan (CEO) Hydraulic lift India

New No. 1, Old No. 19A, Sathyamoorthy Street, Devaraj Nagar, Near Sankara Narayana Temple,

Saligramam,Chennai - 600093, Tamil Nadu, India Call 08588837814, Mobile: +(91)-9884970377

+(91)-9176148407, Telephone: +(91)-(44)-23765988

Evacuation Chair –

Merquiri Medica Head Quarters:

Plot No. 8, 1st Floor, Jupiter Colony, Sikh Road, Secunderabad,

Telangana, India - 500 009, Email: [email protected]

Phone: 040-2772-2772, 073822-05500, 076809-95500

Braille Signage –

Braille Signs India FF 3 GARMENT COMPLEX RAJAJINAGAR INDUSTRIAL ESTATE,

BANGALORE , KARNATAKA 560010 ph: 9341804448, alt: 9986634448, Email:

[email protected]

Pull Bar Handle for unisex accessible toilets –

Ability Creation A-89, Street 8, Jagat Puri, Krishna Nagar,

Delhi-110051, Mob: 8447486858 Email: [email protected]

Doorwin Head Office, Preety Jha ( Manager Sales )

11/74 3rd Floor Subhash Nagar , New Delhi 110027 India. Phone : +91-11-25490368,Mob 09910444554

GEZE India Private Ltd.

MF2 & MF3, Guindy Industrial Estate, Ekkathuthangal, Chennai 600 097, Tamilnadu, India

Phone: +91 44 40616900, Fax: +91 44 40616901 Email: [email protected]

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