Welcome

Centralized Healthcare Waste Management Facility

22-Feb-13

SMS Infrastructure Ltd.

About SMSIL
SMS Infrastructure Limited (SMSIL) is a leading a infrastructure development company in India
with global benchmarks such as setting up of first Plasma Gasification Hazardous Waste
Treatment & Disposal Plants in the world.

SMSIL Today
• USD 220 Million annual turnover
• 1800 employees, and 2800 contracted labor force
• 50+ Government & PSU clients
• Presence in India, Singapore, Indonesia, Ethiopia, South Sudan
• Among the first 500 unlisted companies in India by turnover

Our Focus Areas:

Roads Irrigation Railways Tolls Roads O&M

Mining Electrical Environment & Urban Industrial

Clean Energy Development Infrastructure

Title of Presentation -1- 22-Feb-13

Environment & Clean Energy Division of SMSIL
SMS Envocare Limited , a subsidiary of SMSIL is a prominent environmental company in India
• USD 100 Million Asset Base
• Own & Operate two hazardous waste disposal plasma gasification cum energy recovery
plants in Pune & Nagpur of capacity 3 tonnes/hr
• Own & operate largest bio-medical waste treatment & disposal facility in Mumbai catering
to over 40000+ hospital beds

Our Key Projects –

• Common Hazardous Waste Treatment Storage & Disposal Facilities
Pune | Nagpur | Aurangabad

• Common Bio-medical Waste Treatment Facilities

New Delhi | Mumbai | Chandigarh | Nasik | Aurangabad | Raipur

• Common Effluent Treatment Plants

Nagpur | Aurangabad | Kolhapur

• Sewage Recycling Plants

Nagpur - 100 MLD Capacity

• Mini Hydel Projects

4.4 MW & 1.4 MW near Nagpur

Title of Presentation -2- 22-Feb-13

Need for Healthcare Waste Management in Indonesia
• Healthcare waste is an infectious waste, and can create epidemics
• Indonesian healthcare industry is growing by annual average rate of 5-6% which is having a
waste generation rate of 1.2 kg per bed per day
• Private hospitals are growing at twice the overall rate. These units are small in size and waste
management infrastructure cannot be affordable
• Decentralized waste incinerators in hospitals at Indonesia are causing severe air pollution in
crowded areas and pose potential risk to human life
• Mixing with municipal solid waste and dumping in the sea is prevalent causing severe
pollution.

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Categories of Healthcare Waste
CATEGORY 1

Human Anatomical Waste:

Human tissues, organs, body parts

Treatment/Disposal:
Incineration

CATEGORY 2

Animal Waste:
Human tissues, organs, body parts Animal tissues,
organs, body parts carcasses, bleeding parts, fluid,
blood and experimental animals used in research,
waste generated by veterinary hospitals, colleges,
discharge from hospitals, animal houses

Treatment/Disposal:
Incineration

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Categories of Healthcare Waste
CATEGORY 3

Microbiology & Biotechnology Waste:

Wastes from laboratory cultures, human and animal cell
culture, infectious agents from research and industrial
laboratories, wastes from production of biological etc

Treatment/Disposal:
Autoclaving / Microwaving / Incineration

CATEGORY 4

Waste Sharps:
Needles, syringes, scalpels, blade, glass, etc. that may
cause puncture and cuts. This includes both used and
unused sharps

Treatment/Disposal:
Disinfecting/ autoclaving/ microwaving and shredding -
Sharp Disposal Pits

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Categories of Healthcare Waste
CATEGORY 5

Discarded Medicine & Cytotoxic Drugs:

Waste comprising of outdated, contaminated and
discarded medicines

Treatment/Disposal:
Incineration / drug destruction & disposal in secured
landfill

CATEGORY 6

Soiled Waste:
Items contaminated with blood, and body fluids
including cotton, dressings, soiled plaster casts, lines,
bedding, other material contaminated with blood)

Treatment/Disposal:
Incineration / Autoclaving /Microwaving

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Categories of Healthcare Waste
CATEGORY 7

Solid Waste:
Waste generated from disposal items other than the
sharps such a tubings, catheters, intravenous sets etc.

Treatment/Disposal:
Disinfecting by chemical treatment@@/ autoclaving/
microwaving and shredding

CATEGORY 8

Liquid Waste:
Waste generated from laboratory and washing,
cleaning, housekeeping and disinfecting activities.

Treatment/Disposal:
Disinfecting by chemical treatment and discharge into
drains

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Categories of Healthcare Waste
CATEGORY 9

Incineration Ash:
Ash from incineration of any healthcare waste

Treatment/Disposal:
Disposal in municipal landfill

CATEGORY 10

Chemical Waste:
Chemicals used in production of biological, chemicals
used in disinfection, as insecticides, etc

Treatment/Disposal:
Incineration and solid disposal in secured landfill

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What is Centralized Healthcare Waste Management Facility

It is a community based approach

for

the management of Infectious Waste generated

by

the cluster of healthcare facilities in the region

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Proposed Centralized Facility Will Enable
 Registration of all the healthcare units as the member of the centralized facility

 Collection & Transportation of the Healthcare Waste From Healthcare Units

 Storage of the wastes as per their classification, characterization and compatibility.

 Treatment and disposal of wastes as per the regulation and best available technology

 Recycling of plastic material after disinfecting and shredding.

 Pollution control through disposal of Incineration ash in secured landfill and air pollution control
system. (In case of Plasma Technology there is no ash generation instead the vitrified solid
material can be used for road construction.)

 Cost optimization of the treatment and disposal by cemtralized management practices. Thereby
providing economical services to the hospitals.

 Greater public awareness through educational programs

 Saving of Natural Resources by recycling systems

Title of Presentation - 10 - 22-Feb-13

Infrastructure for the proposed Centralized Facility
Treatment & Disposal Units
1. Segregation room
2. Treatment equipment room
3. Incinerators / Plasma Gasification System
4. Autoclaves
5. Shredders

Logistics
1. Transportation Fleet
2. Computerize weigh-bridge
3. Parking shed
4. Vehicle cleaning facility
5. Work shop

Support Infrastructure
1. Administration & laboratory building
2. DG set & Power Room
3. Intermediate storage sheds
4. Treated waste storage shed
5. Site security building
6. Wash rooms

EHS infrastructure
1. Effluent treatment plant
2. Green belt
3. Fire & safety system

Title of Presentation - 11 - 22-Feb-13

Centralized Facility: Process Flow Diagram

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Process Flow: Source Segregation
 Waste will be segregated at source in the color coded bags as per norms by
providing the training & well printed bags by the HCU
 Sturdy, re-usable, color coded containers will be encouraged where possible
 To provide the training to staff of HCU’s.

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Process Flow: Collection & Transportation
• Circulation of collection schedule
• On-site collection of waste
• Specially designed collection vehicle with packed bodies and GPS tracking system
• Frequent collection will be provided for larger establishments if desired
• Every vehicle will be provided with one trained driver and one helper to ensure safe
collection of waste
• Vehicle drivers will be provided with mobile phones, PPE’S and TREM card to address
emergency situatiions

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Process Flow: On-site Transportation
• Transportation at the centralized facility will be done using trolleys.

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Process Flow: Incineration / Plasma Arc Gasification
Incineration
1. Type & Model Controlled air Oil Fired
Incinerator Model BMW-200
2. Type of Waste Common Bio Medical Waste
3. Burning Capacity 200 kgs/hr
4. Auxiliary Fuel Diesel
5. Type of Burner Operation Monoblock fully automatic burners
6. Temperature of Primary & Secondary Chamber 850°C+-50°C to1050°C+-50°C

Plasma Arc Gasification

1. Type & Model Plasma Arc Gasification technology
by Alter NRG Supplier
2. Type of Waste Common Bio Medical Waste
3. Burning Capacity As per design
4. Auxiliary Fuel Electricity
5. Type of Burner Operation Anode & Cathode
6. Temperature of Primary & Secondary Chamber 1300°C - 1500°C

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Process Flow: Incineration

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Process Flow: Incineration

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Process Flow: Autoclave
1. Type & Model Fully automatic horizontal in shape
with auto & manual lock system
having high pressure 55Psi/high
vacuum 712 mm WC type steam
sterilizer with saturated steam
temp, of 150°C
2. Type of Waste Common Bio Medical Waste
3. Capacity 300 kg
4. Operation PLC based

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Process Flow: Shredders
• The shaft is made of high strength steel alloys fitted with cutters having angular way.
• Cutters are made of High speed steel which is heat treated to avoid damage due to sharp,
shredded waste, syringes, scalpels, glass vials, I.V sets, rubber gloves, plastic materials,
etc
• Special Hoppers designed for shredder with Ramp assistance to push the material in cutting
chamber.
• Trolley is provided for handling shredded material.
• External paneling covers are fitted for operator’s safety.
• The shredder is supplied with control unit,

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Process Flow: Sharp pit Encapsulation
• The sharp management pit shall be developed in phase manner.
• This underground pit is constructed with RCC .
• It is covered from top, provided with the air ventilation pipe.
• The sharps are disposed in to this pit for longer period.
• Once the pit is full the new pit shall be constructed

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Process Flow: Effluent Treatment Plant
 The effluent treatment plant treats the liquid effluent from all sources like.
 Waste water from autoclave sterilization
 Liquid waste from shredders
 Waste water after disinfecting the transport vehicles
 Waste water from scrubber installed in the incinerator
 Floor washing etc.
 The ETP system shall be designed with zero-discharge process.
 It shall have physico-chemical treatment followed by PSF and ACF.

22 22-Feb-13
Record Keeping
• All the records of receipt, treatment and disposal of waste will be maintained as per the
prescribed guidelines,

• Log book will be maintained for incinerator, autoclave, shredder etc.

• All the records will be maintained in electronic media also.

• The master & daily operation data shall be maintained in software.

• Data log sheet shall be maintained at vehicle level.

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Marketing Plan
 Member Registration: Register the Healthcare Units (HCU) as Member of the centralized
facility

 Waste Tracking System: Supply bar coded biodegradable bags to track the necessary
information and keep it in records.

 Source Segregation: Bags shall have the details of the wastes which type of waste can be
put it in to enable source segregation.

 Training of HCU staff: Provide necessary training to the healthcare unit staff handling waste
at the healthcare Units.

 Effective Support mechanism: Undertake visits to HCU for explaining the procedure and
trouble shootings

 Payment Collection: Distribution of bills at door step and payment collection services

 Continual Improvement: Take feedback from doctors for quality on services for continual
improvements.

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Corporate Social Responsibility

Towards our
Towards our Towards broader
project’s local
employees society and Nation
region
• Employs local work • Wider medical • Child Adoption For
force around facilities to villages Education (CAFÉ)
project site • Tree plantation • Promoting 7
• Provides education, (over 3 lac trees schools (Meerabai
healthcare & planted, 1 lac trees Sancheti
capacity building are 6+ years now) Dharampeth Kanya
training to its • Water and Energy Shala having 650
workforce conservation rallies girls students)
through SAVE WE • M. K. H. Sancheti
School at Nagpur,
with over 800
students

www.SaveWE.com

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 Thank You

SMS International Infrastructure Limited

20, IT Park, Parsodi
Nagpur, Maharashtra - 440022
Tel: +91 712 6665000

"We Enrich Nature"

SMS Registered Office
SMS Divisional Offices
SMS Other Offices

26 22-Feb-13