Decision recommended by BMW Committee No.2 w.r.t Agenda No.1 1to 166 cases of HCEs having bed strength 10-49 & Agenda No.2 25 Cases bed strength 50 to 99 in the meeting held on 02.04.2013

Minutes of the Meeting of BMW Committee No. 2 Held on 02.04.2013

The following officials attended the meeting:

  1. Sh. Sandeep Mishra, Member Secretary, DPCC ---In Chair
  2. Sh. B. Kumar, Additional Director, DPCC--- Member
  3. Dr. T. K. Joshi, COEH, MAMC --- Member
  4. Dr. Ashok Jaiswal, MS, Aruna Asaf Ali Hospital--- Member
  5. Ms. Ajeeta D.Agrawal, SEE, DPCC--- Member
  6. Sh. Sanjay Vatts, EE, DPCC --- Member
  7. Sh. Ramesh Chandra, EE, DPCC--- Member

The meeting of the BMW Committee No. 2 constituted for deciding Authorization under BMW Rules, was held on 02.04.2013 and some general issues were discussed in detail and it was decided that following 6 points shall be placed separately before the Chairman, DPCC for approval.

  1. Existing Health Care Establishments do not need to apply for Consent to Establish under Air (Prevention and Control of Pollution) Act 1981and Water (Prevention and Control of Pollution) Act 1974 w.e.f 2nd April onwards. However projects requiring Environmental Clearance will need to apply for Consent to Establish also.
  2. All operational Health Care Establishments having bed strength greater than 10 beds will need to apply for Consent to Operate w.e.f 2nd April onwards. A Public Notice may be issued in this regard.
  3. In case of Health Care Establishments applying for Authorization under Bio-Medical Waste(Management & Handling) Rules, 1998 and having DG sets, Authorization may be issued with a condition that the HCE will submit NMR of DG set within 6 months in case of failure to submit the same with in stipulated time. Authorization issued will be automatically revoked.
  4. Closure directions will be issuedto HCE,s on the basis of Noise Monitoring Report after giving two months time after revocation of authorization for submission of NMR.
  5. List of all the HCE in which cases closure direction are under force will be displayed on the website of DPCC. After their revocation, their names shall be removed.
  6. Copy of closure directions to HCEs shall also be forwarded to DHS hence forth.

The other decisions recommended by the BMW Committee No-2, agenda wise are atannexure I & II & are summarized as follows:

  1. Decisionsrecommendedw.r.t.AgendaNo.1,Atotalof 166CasesoftheHealthCareEstablishments having Bed strength between 10 to 49 were placed before the said committee and are summarized as follows :-
  • 1 Case, To be dealt at the level of Addl. Director. (S.No. 30)
  • 6 Cases, Delete from list (S.No. 7,26,63,112,135,166)
  • 1 Case,Exempted from applying for Authorization under BMW Rules. (S.No. 72)
  • 1 Case, File Closed and delete from the list. Issue Show Cause Notice for Closure to M/s City hospital (S.No. 68).
  • 1 Case,File of M/s Sanjivini Hospital to be closed and delete from the list. Issue Notice for seeking application for Authorization to M/s Arpan Hospital (S.No. 34)
  • 1 Case,File putup administratively after Personal Hearing (S.No.81)
  • 12 Cases,Inspection (S.No. 15,18,20, 28, 32,44,61, 70,82,83, 85,113)
  • 5 Cases, Inspection to be expedite (S.No. 54,55,56,76,86)
  • 1 Case, Inspectionto be expedited and issue letter seeking Noise Monitoring Report (S.No. 35)
  • 4 Cases, Issue a common DO letter for such type of cases seeking compliance from DISCOM (S.No. 12,74,78, 88)
  • 17Cases,IssueAuthorizationunderBMWRules(S.No.6,43,71,80,89, 111,136,138,139,140,141, 142,145, 146, 147,148,153)
  • 15 Cases, Issue Authorization under BMW Rules and CTE (S.No. 25,39,50,59,60,64,69,106,107,154,155,156,159,160,161 )
  • 8 Cases, Issue Authorization under BMW Rules with a condition that the HCE will submit NMR of DG set within 6 months failing the Authorization issued will deemed to have been revoked (S.No. 11,27, 109 ,143,149,150,151,152, )
  • 6 Case, Issue CTE & Authorization under BMW Rules with a condition that the HCE will submit NMR of DG set within 6 months failing the Authorization issued will deemed to have been revoked (S.No. 134, 158,162,163,164,165)
  • 3 Cases, Issue Authorization under BMW Rules under BMW rules with a condition that the HCE will submit NMR of DG set within 6 months(if it is having a DG Set) failing the Authorization issued will deemed to have been revoked (S.No. 1,114,137)
  • 1 Case, Issue Authorization under BMW Rules with a condition that the HCE will submit an affidavit w.r.t non existence of DG set, within 6 months, failing the Authorization issued will deemed to have been revoked (S.No. 9)
  • 1 Case,Issue Authorization under BMW Rules. Case will be shifted to Committee-3 (S.No.5)
  • 9 Cases, Issue Closure direction u/s 5 of EPA (S.No. 8, 14, 33,42,47,49,53,58,67)
  • 2 Cases, Issue CTE (S.No. 101, 120)
  • 1 Case, IssueLetter seeking Authorization before restarting the unit (S.No.79)
  • 1 Case, Issue letter seeking clarification of affidavit (S.No. 157)
  • 1 Case, Issue Letter seeking DHS certificate (S.No. 31)
  • 1 Case, Issue letter seeking latest Noise Monitoring Report(S.No. 127)
  • 2 Cases, Issue letter seeking Noise Monitoring Report (S.No. 125,133)
  • 4 Cases, Issue letter seeking Valid Agreement with CBWTF operator (S.No. 4,16,65,66)
  • 2 Cases, Issue Letter to Commissioner (MCD) (S.No. 3,41)
  • 1 Case, Issue Letter to DHS (S.No.48)
  • 1 Case, Issue Letter to inform DPCC before restarting the unit (S.No. 84)
  • 17 Cases, Issue Reminder letter (S.No. 2,36,92,93,95,96,98,99,100,102,103,104,105,122,123,126,131)
  • 1 Case, Issue Revocation of direction u/s 5 of EPA and Issue Authorization under BMW Rules (S.No.75)
  • 1 Case, Issue Revocation of direction u/s 5 of EPA and Issue Authorization under BMW Rules with a condition that the HCE will submit NMR of DG set within 6 months failing the Authorization issued will deemed to have been revoked (S.No. 144)
  • 13 Cases, Issue Show Cause Notice for Closure (S.No. 17,21,22,23,29,37,38,40,45,46,57,110,129)
  • 3 Cases, Issue Show Cause Notice for refusal of Authorization (S.No. 52,62,91)
  • 1 Case, Issue Show Cause Notice at D- 305, Abul Fazal Enclave, Part-I, Jamia Nagar, Okhla. Delhi-25 (S.No. 94)
  • 1 Case,Issue Show Cause Notice for closure and copy to DHS (S.No. 51)
  • 1 Case, Issue Show Cause Notice for refusal of Authorization. Case will be shifted to Committee No.3 (S.No. 87)
  • 1 Case, Issue Temporary revocation of directions u/s 5 of EPA for 60 days to submit fresh NMR of DG set (S.No. 13)
  • 12 Cases, No action at present (S.No. 10,19 ,77,90,97,115,119, 121, 124, 128,130,132)
  • 4 Cases, Put up in next meeting (S.No. 108,116,117,118)
  • 1 Case, Issue Letter seeking valid agreement with CBWTF operator and copy to DHS (S.No.73)
  • 1 Case, Decision taken on file for revocation of Direction u/s 5 of EPA is ratified. Letter seeking Fresh application of Authorization under BMW rules (S. No. 24)
  1. Decisionsrecommendedw.r.t.AgendaNo.2,Atotalof 25CasesoftheHealthCareEstablishments for having Bed strength between 50 to 99 were placed before the said committee and are summarized as follows :-
  • 1 Case, Authorization to be granted. CTO to be granted after satisfactory performance of STP/ETP (S.No. 2)
  • 1 Case,Call for Personal Hearing (S.No.7)
  • 2 Cases,Inspection (S.No. 14,20)
  • 1 Case, Issue Authorization under BMW rules and CTO (S.No. 15)
  • 1 Case,Issue Authorization under BMW rules and issue letter regarding installation of ETP (S.No. 23)
  • 1 Case, Issue Authorization under BMW rules and issue reminder letter regarding adequacy report of STP & details w.r.t Rain water Harvesting, Solar Water Heating System(S.No. 1)
  • 1 Case, Issue Authorization under BMW rules (S.No. 24)
  • 1 Case, Issue CTO with a condition that the HCE will submit NMR of DG set within 6 months(if it is having a DG Set) failing the CTO issued will deemed to have been revoked (S.No. 8)
  • 1 Case, Issue CTO (S.No. 3)
  • 1 Case, Issue letter for designing of STP along with Fresh Adequacy and submission of photos of Solar Water Heating System (S.No. 10)
  • 1 Case, Issue letter seeking application of Authorization under BMW rules and CTO (S.No 4)
  • 1 Case, Issue letter seeking application of Authorization under BMW rules, CTE and CTO (S.No. 18)
  • 1 Case, Issue Reminder letter (S.No. 21)
  • 3 Cases, Issue Show Cause Notice for closure (S.No. 13,19,25)
  • 1 Case, Issue Show Cause Notice for revocation of Consent & refusal of Authorization (S.No. 9)
  • 7 Cases, Put in next meeting (S.No. 5,6,11,12,16,17,22)

The meeting ended with a vote of thanks to the Chair.

(Sh. Sandeep Mishra)(Sh. B. Kumar)(Dr. T. K. Joshi)

(Member Secretary, DPCC) (Additional Director, DPCC)(COEH, MAMC)

(Dr. Ashok Jaiswal) (Ms. Ajeeta D. Agrawal) (Sh. Sanjay Vatts)

(MS, Aruna Asaf Ali Hospital) (Env.Engineer, DPCC) (Env. Engineer, DPCC)

(Sh. Ramesh Chandra)

(Env. Engineer, DPCC)

S. No / Name of HCU / Address of HCU / Distt. / No. of Beds / CTE Status / CTO Status / Authorization Status / ETP/STP Status / D.G.Set Status / NMR / Valid Agreement With Operator / Status / Remarks / Decisions/ Recommendations of Committee on 29.08.12 / A.T.R. w.r.t. Decision taken in last meeting / Decision/ Recommended of Committee on 02.04.13
1 / Taneja Hospital / F-15, Preet Vihar, Delhi-92 / E-145 / 48 / Not Applied / NA / 07.03.2012 / NA / NI / NI / Y / Unit applied for fresh authorization on 07.03.12 for 48 beds. Letter seeking CTE and NMR were issued to the unit on 09.05.2012.
No reply received.
letter seeking CTE and NMR were issued to the unit on 09.05.2012.
No reply received. / Show Cause Notice u/s 5 of EPA / SCN was issued on 27.09.2012.No reply received . / Issue Authorization under BMW Rules under BMW rules with a condition that the HCE will submit NMR of DG set within 6 months(if it is having a DG Set) failing the Authorization issued will deemed to have been revoked.
2 / Lotus Hospital & Maternity Centre / D.R. Tyagi Complex, Sant Nagar, Bus Stop, Burari, Delhi-84 / N-136 / 15 / Applied on 10.01.2013 / NA / 29.12.2011 / NA / 3 KVA / No / Y / Unit has applied for fresh authorization on 29.12.11. Letter seeking CTE and NMR were issued to the unit on 09.05.2012.
No reply received. / Show Cause Notice u/s 5 of EPA / SCN was issued on 25.09.2012.
Reply received on 14.01.2013 stating that they have applied for CTE on 10.01.2013 and requested for one month time for providing acoustic enclosure with D.G Set. / Issue reminder letter
3 / Kamla Nehru Maternity Home / Vivekanand Puri, MCD, Delhi-07 / N-089 / 12 / NA / NA / Not Applied / NA / NA / NA / N / Earlier authorization expired on 21.08.10.
Letter for renewal of authorization was issued on 09.05.2012.
Reply not received. / Show Cause Notice u/s 5 of EPA / SCN was issued on 20.09.2012.
Reply not received. / Issue Letter to Commissioner (MCD).
4 / Bansal Hospital & Research Centre (pvt) Ltd. / 3590-91,Sita Ram Bazaar,Delhi-6 / N-015 / 15 / NA / NA / Applied on 14.12.2012 / NA / 10KVA / Y / N / Earlier authorization expired on 11.01.11.
letter regarding submission of application for renewal of authorization were issued to the unit on 09.05.2012.
No reply received. / Show Cause Notice u/s 5 of EPA / SCN was issued on 05.10.2012.
HCE has applied for Authorization on 14.12.2012. / Issue Letter seeking Valid Agreement with CBWTF operator.
5 / Sharda Medical Centre / 2, Krishna Market, Jhilmill Colony, Delhi-95 / E-128 / 9 beds / NA / NA / 15.06.2012 / NA / 7.5KVA / Y / Y / Earlier authorization expired on 04.02.12.
HCE has applied for authorization on 15.06.2012 alongwith an affidavit stating that having number of beds 9. earlier HCE having 10 beds. / Letter seeking for DHS certificate / Letter was issued 26.09.2012.
DHS certificate received on 03.10.2012 that hospital having 9 beds. / Issue Authorization under BMW Rules. Case will be shifted to Committee-3
6 / Amit Nursing Home / A-3, Manak Vihar Extention, Tihar New Delhi-18 / W-034 / 15 / NA / NA / 16.05.2012 / NA / 62.5KVA 15KVA / Y(62.5KVA) / Y / Earlier authorization expired on 21.01.2012.
Letter seeking application for renewal was issued on 09.05.2012. Application for Authorization received on 16.05.2012.
NMR for DG Set of 62.5 KVA received on 13.07.2012 and is meeting limits, in the NMR it is mentioned that unit is having two D.G.Sets of 62.5KVA and 15 KVA. No NMR of 15 KVA submitted. / Letter seeking Noise Monitoring Report for D.G. Set. / Letter for NMR was issued on 20.09.2012.
NMR received on 12.10.2012. / Issue Authorization under BMW Rules.
7 / JMSS Hospital / B-32, Arjun Park, Najafgarh, Delhi-43 / SW-170 / 20 / NA / NA / Not Applied / NA / No Information / ---- / ---- / Earlier authorization expired on 14.10.11.
Letter seeking application for renewal return undelivered. / Inspection & letter to be delivered / Inspection of the hospital was conducted on 19.02.2013.
Hopsital was closed and no operational activity found there. / Delete from list.
8 / Durga Hospital Pvt. Ltd. / 711, Mukherjee Nagar Delhi / NW-107 / 15 / NA / NA / Not Applied / NA / NI / NI / NI / Earlier authorization expired on 02.06.11.
Letter seeking application for renewal was issued on 09.05.2012. No reply received.
Letter seeking application for renewal was issued on 09.05.2012. No reply received. / Show Cause Notice u/s 5 of EPA / SCN was issued on 20.09.2012.
Reply not received. / Issue Closure direction u/s 5 of EPA.
9 / Shubh Nursing Home / 57-A, Hastal Village, New Delhi-59 / W-254 / 16 / CTE granted / NA / 09.06.2010 / NA / No Information / N / Y / unit has applied for renewal of authorization on 09.06.10. and NMR not received.
letter regarding submission of NMR were issued on 09.05.2012.
No reply received. / Show Cause Notice u/s 5 of EPA / SCN was issued on 20.09.2012.
Reply received on 28.09.2012 stating that they have not installed DG Set. / Issue Authorization under BMW Rules with a condition that the HCE will submit an affidvet w.r.t non existance of DG set, within 6 months, failing the Authorization issued will deemed to have been revoked.
10 / Saras Hospital & Trauma Centre / Plot No-4.5,6 & 7, Faridabad by pass Road, 1st 60 fit Road, Molarband Extn. New Delhi- 44. / S-425 / 45 / Granted with Condition of submission of NMR / NA / Granted with Condition of submission of NMR / NA / 62.5 KVA / Y / Y / The HCU applied fresh for Application Authorization and CTE on 28.03.12. NMR Not received. As decided in last meeting the inspection of hospital was conducted on 06.12.2012 and following were observed: 1) M/s Saras Hospital & Trauma Centre is operating presently at 4 to 7, Ist 60 feet road Molarabad Extn. Badarpur New Delhi. 2) As reported the said hospital was shifted from 2900, 60 feet road-III Molarabad Extn. badarpur Delhi-44 and informed to DPCC vide letter 4.10.2012 regarding closure/ no activity by the hospital at the premises 2900, 60 feet, road-III. 3) As reported they have requested to DPCC to conduct the Noise report of DG set (62.5 kva) of present site but due to typographical mistake of DPCC lab, previous address mentioned in the NMR. 4) Bio-Medical waste management found satisfactory. NMR of 62.5 KVA DG set was received on 31.01.2013. / Inspection / Inspection of the hospital was conducted on 06.12.2012 and it was observed that the Hospital is operating presently at 4 to 7, Ist 60 feet road Molarabad Extn. Badarpur New Delhi. As reported the said hospital was shifted from 2900, 60 feet road-III Molarabad Extn. badarpur Delhi-44 and informed to DPCC vide letter 4.10.2012 regarding closure/ no activity by the hospital at the premises . Bio-Medical waste management found satisfactory.Now they have submitted NMR of 62.5 KVA DG set. / No action at present.
11 / Dashmesh Charitable Hosptial / C-141, Shiv Nagar Extention Jail Road, New Delhi-58 / SW-101 / 15 / NA / NA / 09.02.2012 / NA / 60KVA / N / Y / unit has applied for renewal of authorization on 09.02.12. and NMR not received.
letter seeking NMR for D.G. Set was issued on 09.05.2012 . No reply received. / Show Cause Notice u/s 5 of EPA / SCN was issued on 03.10.2012.
No reply received. / Issue Authorization under BMW Rules with a condition that the HCE will submit NMR of DG set within 6 months failing the Authorization issued will deemed to have been revoked.
12 / M.P Heart Centre / W-33 Greater Kailash-I, New Delhi-48 / S-128 / 11 / NA / NA / NA / 25KVA & 7.5KVA / N / No Information / HCE has submitted application for renewal of authorization on 23.03.2007. After expire of 3 years of earlier application letters were issued to HCE for seeking submission of fresh application for renewal of authorization with NMR but no reply received. SCN U/s 5 of EPA was issued on 24.10.2011. No reply received. As decided by BMW Committee No. 2 held on 13.12.2011, Directions U/s 5 of EPA were issued to unit on 27.01.2012.
Inspection was carried out on 17.08.2012. and following deficiencies were found. i) Hospital found operational inspite of closure direction & electric & water connection exists. ii) Bins for BMW have not proper labelled/ colour coated./signs. iii).No proper isolated storage site for BMW exist. iv) Segregation was not being done as per Schdule II. v) No separate bins for sharps waste found exist.vi) Posters for BMW Management awarenes were not displayed in the hospital premises. vii) Stack height with D.G. set. 25KVA found Inadequate & no aucostic enclosure & adequate stack height provided with DG Set of 7.5 KVA. viii) No proper record of BMW being maintained. ix) No needle distroyer / syengre cutter observed at hospital. x) No authoclave exists. xi) General waste mixed with BMW. / Compliance from discom & DJB / Compliance received from DJB. No Compliance received from BSES & HCE / Issue a common DO letter for such type of cases seeking compliance from DISCOM.
13 / Gopal Nursing Home & Eye Hospital / B-1, Jyoti Nagar(West),Loni Road Delhi-94 / NE-043 / 30 / Applied on 28.09.2012 / NA / Authorization refused on 07.09.2012. Applied for renewal of Authorization on 28.09.2012 for 30 beds. / NA / 63KVA / N / Y / HCE was inspected & various deficiencies were observed . As per approval on file SCN U/s 5 of EPA & refusal of authorization issued on 22.06.2012 & 09.07.2012. Reply dated 06.07.2012 & 17.07.2012 considered by competent authority & it was decided to inspect the unit & accordling inspection was carried out on 08.08.2012 & it was observed that HCE has not much improved/ractified the deficiencies observed during earlier inspection & also not applied for fresh authorization for 30 beds and CTE, hence competent authority has decided to issue direction U/s 5 of EPA for closure of HCE & disconnection of water & electric supply and also refusal of authorization. Direction U/s 5 of EPA & refusal of authorization are being issued.. / Decision taken on file for ratified w.r.t Issue Directions u/s 5 of EPA for closure of the unit and disconnection of electricity and water supply of the unit
& Authorization Refused / Directions u/s 5 of EPA Issued.
& Authorization Refused on 07.09.2012. Reply received on 11.10.2012 & applied for Authorization , CTE for 30 bads.
No Compliance received from BSES&DJB. Hance as per approval letter for compliance report of closure directions through SDM/DJB/BSES was issued on 22.11.2012.
Reply received from HCE alongwith copy of letter from SDM, wherein it was mentiomed that the Gopal Nursing Home & Eye Hospital is functioning with OPD only & electricity connection has already disconnected by the BSES and water supply has already been stopped by the DJB. hospital has requested to revoke the directions u/s 5 of EPA. / Issue Temporary revocation of directions u/s 5 of EPA for 60 days to submit fresh NMR of DG set .
As decided by the Competent Authority inspection of the hospital was carried out on 22.03.2013 and it was observed that
during inspection only OPD found operational. As reported, IPD has been non operational since 22.09.2012 (copy of IPD register provided).
. BSES has disconnected the electricity connection of the Nursing Home vide letter dated 18.12.2012, however a domestic electric connection found exist.
. DJB has disconnected the water connection of the Nursing Home vide letter dated 11.10.2012.
. Bins for BMW have proper label/ color coded/ signs.
. Proper isolated storage site for BMW was found existing.
. Trolley for shifting of Bio Medical Waste to storage site was available.
. Separate bin for sharps was found existing.
. Nursing home has maintained a register for record of BMW however quantity shows “Nil” as no IPD operational since long time. As reported no BMW generated in OPD.
14 / Dr.Pundeer Metro Hospital (Metro Plus Hospital) / RZ-16, Old Roshan Pura, Najafgarh, New Delhi-43( 85, old Roshanpura, Najafgarh, New Delhi-43) / SW-130 / 15 / NA / NA / Not Applied / NA / Nil / NA / Y / ,Inspected on 29-04-11. Deficiences were observed.Show cause notice u/s 5 was issued, No reply.Show cause notice u/s 5 of EPA since not applied for authorization , Noise Monitoring Report for DG Set not submitted and deficiencies observed.