E4608 v2 Albania Health System Improvement Project (P144688) Reconstruction of Pediatric Hospital EMP CHECKLIST JUNE 2014 CONTENTS A) GENERAL PROJECT AND SITE INFORMATION B) SAFEGUARDS INFORMATION C) MITIGATION MEASURES D) MONITORING PLAN A) GENERAL PROJECT AND SITE INFORMATION INSTITUTIONAL & ADMINISTRATIVE Country Albania Project title Albania Health System Improvement Project Reconstruction of Pediatric Hospital in T.U.H.C Scope of project and activity the works will be carried out within an existing building and will not go beyond the existing footprint. The works will include minor and major rehabilitation, within the Pediatric Hospital. Institutional WB Project Management Local Counterpart and/or Recipient arrangements (Project Team Leader) (Name and contacts) Lorena Kostallari Ministry of Health Ministry of Health T.U.H.C Implementation Safeguard Supervision Local Counterpart Local Inspectorate Contractor Supervision Supervision arrangements Esma Kreso Ministry of Health PIU (Name and contacts) SITE DESCRIPTION Name of site Pediatric Hospital Describe site location Attachment 1: [ ] Y [x ] N Tirana University Hospital Center "Mother Tereza" is situated in the north-east of Tirana and occupies an area of 165.000m2. In relation to connections and cadastral areas, UHC is bordered by the road "Bardhyl" in the West, by road of "Dibra" in the north, by the road of"The Monastery Congress" in the south, and the school "Eqerem Cabej" from east as well as various residential buildings. This complex is characterized by 1-6 storey construction and is composed of 12 hospital buildings. Who owns the land? UHC is state property. 8130 Cadastral Zone Description of The hospital building is already existing structure and has been built in 1980. The geographic, physical, building has been used as a hospital since then. The project floors need to be biological, geological, renovated in order to increase quality of service. hydrographic and Pediatric Hospital is bounded by: Telemedicine, Faculty of Nursing, Legal socio-economic context Medicine and the "Congress of Monastir" road. Locations and distance The hospital has a connection to the water supply and sewage collection of the city for material sourcing, of Tirana. The construction works will not entail supply of materials which are especially aggregates, obtained from quarries or are mined, and will be purchased. water, stones? Deposition of solid waste will be done in places defined and approved by the Municipality of Tirana, when the permission for the reconstruction of the object will be given. LEGISLATION Identify national & local legislation & According to the new legislation of Urban Planning, part of the documentation for permits that apply to construction licenses and permission is environmental assessment and project activity environmental impact of the project by licensed experts. All necessary permits will be obtained by the Client prior to start of works. PUBLIC CONSULTATION Identify when / where The Checklist EMP together with the notice for works has been placed on the the public consultation bulletin board of the Hospital and will be re-posted prior to start of works, and process took place notification to all immediate neighbors will be made, prior to any works on the Hospital. INSTITUTIONAL CAPACITY BUILDING Will there be any [ ] N or [ ]Y if Yes, Attachment 2 includes the capacity building program capacity building? B) SAFEGUARDS INFORMATION ENVIRONMENTAL /SOCIAL SCREENING Activity Status Triggered Actions A. Building rehabilitation [] Yes [ ] No See Section A below B. Minor new construction [ ] Yes [] No See Section A below Will the site C. Individual wastewater treatment system [ ] Yes [] No See Section B below activity D. Historic building(s) and districts [ ] Yes [] No See Section C below include/involve any of the E. Acquisition of land1 [ ] Yes [] No See Section D below following?? F. Hazardous or toxic materials2 [] Yes [] No See Section E below G. Impacts on forests and/or protected areas [ ] Yes [] No See Section F below H. Handling / management of medical waste [ ] Yes [] No See Section G below I. Traffic and Pedestrian Safety [ ] Yes [ ] No See Section H below 1 Land acquisitions includes displacement of people, change of livelihood encroachment on private property this is to land that is purchased/transferred and affects people who are living and/or squatters and/or operate a business (kiosks) on land that is being acquired. 2 Toxic / hazardous material includes but is not limited to asbestos, toxic paints, noxious solvents, removal of lead paint, etc. C) MITIGATION MEASURES ACTIVITY PARAMETER MITIGATION MEASURES CHECKLIST 0. General Conditions Notification and (a) The local construction and environment inspectorates and communities have been notified of upcoming Worker Safety activities (b) The public has been notified of the works through appropriate notification in the media and/or at publicly accessible sites (including the site of the works) (c) All legally required permits have been acquired for construction and/or rehabilitation (d) All work will be carried out in a safe and disciplined manner designed to minimize impacts on neighboring residents and environment. (e) Workers’ PPE will comply with international good practice (always hardhats, as needed masks and safety glasses, harnesses and safety boots) (f) Appropriate signposting of the sites will inform workers of key rules and regulations to follow. (g) Employers engagement (h) Correct procedures for design and security (i) Regular elimination of wastes A. General Air Quality (a) During interior demolition (pneumatic drilling/wall destruction) process dust shall be suppressed by Rehabilitation and /or ongoing water spraying and or installing dust screen enclosures at site. Construction Activities (b) Keep demolition debris in controlled area and spray with water mist to reduce debris dust. (c) The surrounding environment shall be kept free of garbage and solid waste (clay) to minimize dust. (d) There will be no open burning of construction / waste material at the site (e) There will be no excessive idling of construction vehicles at sites (a) Construction noise will be limited to restricted times agreed to in the permit (b) Use of adequate methods and equipment for construction in inhabitant area. Acoustic (c) During operations the engine covers of generators, air compressors and other powered mechanical environment equipment should be closed, and equipment placed as far away from residential areas as possible Water Quality (a) The site will establish appropriate erosion and sediment control measures such as e.g. hay bales and / or silt fences to prevent sediment from moving off site and causing excessive turbidity in nearby water runoffs. Waste management (a) Waste collection and disposal pathways and sites will be identified for all major waste types expected construction activities. (b) Solid waste will be collected and disposed properly in accordance with Environmental Legislation of RA (c) The records of waste disposal will be maintained as proof for proper management as designed. (d) Whenever feasible the contractor will reuse and recycle appropriate and viable materials (except asbestos) B. Wastewater treatment Water Quality (a) The approach to handling sanitary wastes and wastewater from building sites (installation or reconstruction) must system be approved by the local authorities (b) Before being discharged into receiving waters, effluents from individual wastewater systems must be treated in order to meet the minimal quality criteria set out by national guidelines on effluent quality and wastewater treatment. (c) Site vehicles and machinery will be washed only in designated areas where runoff will not pollute natural surface water bodies. C. Historic building(s) Cultural Heritage (a) If the building is a designated historic structure, very close to such a structure, or located in a designated historic district, notification shall be made and approvals/permits be obtained from local authorities and all construction activities planned and carried out in line with local and national legislation. (b) It shall be ensured that provisions are put in place so that artifacts or other possible “chance finds” encountered in excavation or construction are noted and registered, responsible officials contacted, and works activities delayed or modified to account for such finds. ACTIVITY PARAMETER MITIGATION MEASURES CHECKLIST D. Acquisition of land Land Acquisition (a) If expropriation of land was not expected but is required, or if loss of access to income of legal or illegal users Plan/Framework of land was not expected but may occur, that the Bank’s Task Team Leader sh all be immediately consulted. (b) The approved Land Acquisition Plan/Framework (if required by the project) will be implemented E. Toxic Materials Asbestos management ct (a) If asbestos is located on the project site, it shall be marked clearly as hazardous material (b) When possible the asbestos will be appropriately contained and sealed to minimize exposure (c) The asbestos prior to removal (if removal is necessary) will be treated with a wetting agent to minimize asbestos dust (d) Asbestos will be handled and disposed by skilled & experienced professionals (e) If asbestos material is be stored temporarily, the wastes should be securely enclosed inside closed containments and marked appropriately. Security measures will be taken against unauthorized removal from the site. (f) The removed asbestos will not be reused Toxic / hazardous waste (a) Temporarily storage on site of all hazardous or toxic substances will be in safe containers labeled with details management of composition, properties and handling information (b) The containers of hazardous substances shall be placed in an leak-proof container to prevent spillage and leaching (c) The wastes shall be transported by specially licensed carriers and disposed in a licensed facility. (d) Paints with toxic ingredients or solvents or lead-based paints will not be used F. Affected forests, Protection (a) All recognized natural habitats, and protected areas in the immediate vicinity of the activity will not be wetlands and/or damaged or exploited, all staff will be strictly prohibited from hunting, foraging, logging or other damaging protected areas activities. (b) Adjacent wetlands and streams shall be protected from construction site run-off with appropriate erosion and sediment control feature to include by not limited to hay bales and silt fences (c) There will be no unlicensed borrow pits, quarries or waste dumps in adjacent areas, especially not in protected areas. G. Disposal of medical Infrastructure for medical (a) In compliance with national regulations the contractor will insure that newly constructed and/or rehabilitated waste waste management health care facilities include sufficient infrastructure for medical waste handling and disposal; this includes and not limited to:  Special facilities for segregated healthcare waste (including soiled instruments “sharps”, and human tissue or fluids) from other waste disposal; and  Appropriate storage facilities for medical waste are in place; and  If the activity includes facility-based treatment, appropriate disposal options are in place and operational H Traffic and Pedestrian Direct or indirect hazards (b) In compliance with national regulations the contractor will insure that the construction site is properly secured Safety to public traffic and and construction related traffic regulated. This includes but is not limited to pedestrians by  Signposting, warning signs, barriers and traffic diversions: site will be clearly visible and the public construction warned of all potential hazards  Traffic management system and staff training, especially for site access and near-site heavy traffic. activities Provision of safe passages and crossings for pedestrians where construction traffic interferes.  Adjustment of working hours to local traffic patterns, e.g. avoiding major transport activities during rush hours or times of livestock movement  Active traffic management by trained and visible staff at the site, if required for safe and convenient passage for the public.  Ensuring safe and continuous access to office facilities, shops and residences during renovation activities, if the buildings stay open for the public. I. Site Investigation Protection of natural (a) Minimizing staff presence and vehicle traffic, Works Execution environment and (b) Sticking to existing roads and tracks as much as possible, biodiversity (c) Taking out all waste after completion of the assignment (d) Executing safety routing for staff and by-passers, securing work areas and restricting access during hazardous activities (e.g. during use of explosives for seismic investigations) D) ENVIRONMENTAL MONITORING PLAN When Why What Where How Cost Who Phase (Define the (Is the parameter (Is the parameter (Is the parameter (Is the parameter (if not included (Is responsible frequency / or being to be monitored?) to be monitored?) to be monitored?) in project budget) for monitoring?) continuous?) monitored?) site access management check if design and safety of general availability of waste During activity project planning public, timely marginal, within disposal facilities job site At start of contract Contractor, PIU preparation foresee diligent detection of waste budget notification and procedures disposal bottlenecks access agreement with employees (a) Construction (a) At authorized/ a) Supervision (a) At time of licensed tips Consultant disposal (a) Ensure correct debris (including disposal of waste and contaminated soils) (b) At authorized/ (b) Supervision (b) At time of hazardous materials (b) Solid waste licensed preferably Consultant disposal sanitary landfills (b) Ensure prevention marginal, within of soil, water and budget; During activity nature pollution visual / analytical if in through improper Contractor, PIU implementation wastewater handling job site doubt waste disposal daily / continuous treatment of natural visual environment public and workplace health and safety safety of personnel and passers-by ensuring protection of natural environment avoidance of negative impacts of natural environment complete waste visual and by after completion of close to potential avoiding scarred During activity removal and orderly consultation with works until final marginal, within impacted residents landscape, ensuring Contractor, PIU disposal local land users and compliance is budget supervision protection of land owners achieved vegetation, soil conservation and biodiversity protection