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A.
INTRODUCTION
The Philippine Environmental Impact Statement System was formally established by virtue
of Presidential Decree 1586. It requires the submission of Environmental Impact Statements
(EIS) for environmentally critical projects and Initial Environmental Examination (IEE) for
projects which are located in environmentally critically areas as provided in its Implementing
Rules and Regulations (IRR) and Presidential Proclamation No. 2146, series of 1981.
In 2003 DENR issued Department Administrative Order 30 (DAO 03-30) to further
strengthen the EIS System. DAO 03-30 Article II, Section 5.2.2 provides that EPRMP
Checklist is similar to EPRMP, but with reduced details of data and depth of assessment and
discussion. It may be customized for different types of projects under Category B. The EMB
shall coordinate with relevant government agencies and the private sector to customize and
update EPRMP Checklist to further streamline ECC processing, especially for projects with
minimum impacts.
The attached Environmental Performance Report and Management Plan (EPRMP)
Checklist for ECC application for Primary Hospital or Medical Facilities proposing to
expand their activity, is a continuous effort by the Environmental Management Bureau
through the Environmental Impact Assessment and Management Division to further assist
the Department of Health in the implementation of its Administrative Order No.70-A Series of
2002.
B. CONTENTS OF THIS GUIDE
This guide is produced to aid the proponent in preparing and submitting an EPRMP
Checklist to secure an Environmental Compliance Certificate (ECC) for their existing and
expansion projects.
This guide contains the following:
Part 1-
Part II
Part III
Part IV
I.
This section defines the scope and limitations to be covered and affected by this EPRMP
checklist. Such that projects with greater than the defined scope, the proponent shall be
required to submit an Environmental Performance Report and Management Plan or IEE
Report for Secondary or an Environmental Impact Statement Report for Tertiary Hospitals.
This Checklist is applicable only for Primary Hospitals or Medical Facilities proposing to
expand their activity in terms of service capability, area, personnel, equipment/instrument
and physical plant.
Primary or First Level Referral Hospitals includes:
a. Non-departmentalized hospital (clinical cares)
b. Clinical services include general medicine, pediatrics, obstetrics and
gynecology, surgery and anesthesia
c. Clinical Laboratory, radiology, and pharmacy
d. Nursing care with partial category of supervised care for 24 hours on longer
II.
This section guides the project proponent on how to fill-up and answer the various questions
and information stated in the checklist. This section also informs the project proponent on
permit requirements that need to be attached to the Checklist. Likewise, it directs the
proponent where to submit the EPRMP Checklist and apply for an ECC and also the
procedures and timeframe for processing.
A.
The EPRMP Checklist serves as tool designed to assist proponents' of selected projects in
complying with the EIS system. The EPRMP Checklist, consists of a series of questions that
deals with issues and concerns about the proposed project and its environment providing the
proponents with information on environmental impacts, both positive and negative, which will
be caused by the proposed project. In addition, it summarizes the proponents record of
compliance to environmental rules and regulations and requirements by the Bureau of
Health Facilities and Services of the Department of Health (DOH).
The Checklist has to be submitted by all government and private sector proponents applying
for an ECC covering the expansion of the mentioned projects. The information contained
herein will serve as basis for EMB to make a decision on the application for ECC.
The EPRMP Checklist is divided into six (5) major sections:
Section 2. General Information presents the project title, name and address
of the project proponent, proponent's contact person and the location of the
project;
B.
C.
Upon completion of the checklist, the project proponent shall submit one (1) set of
the Checklist at the EIAM Division of the EMB Regional Office where the project is
to be located.
2.
3.
The Screening Officer shall indicate under the Remarks/Applicable column, the
presence or absence of a particular information required.
4.
5.
6.
7.
If the Checklist has complied with all the DENR prescribed requirements, the
proponent shall submit 3 copies of the documents to EIAM Division of the concerned
EMB Regional Office.
The proponent shall pay the amount of P3,000.00 at the Cashier Section of
concerned EMB Regional Office upon submitting the required number of copies at
the Record Section of the same office.
8.
9.
The EIAM Division of EMB Regional Office, in the course of substantial review, may
conduct site visit or ocular inspection in coordination with the project proponent.
10. If the EMB finds that the Checklist has substantially addressed all the significant
impacts and relevant issues by way of mitigation and enhancement measures, it
shall recommend the issuance of the ECC. The EMB Regional Office may call for a
technical conference to explain to the project proponent the relevance of the ECC
and the various conditions stated therein for compliance by the project proponent.
III.
DEFINITION OF TERMS
EPRMP Checklist
Project Name
Project Location
Project Description
Name of Proponent
Contact Person
Address
Hospital Waste
General Waste
Pathological waste
Infectious waste
wastes
which
contain
pathogens
in
sufficient
concentration or quantity that could cause diseases. It is
hazardous e.g. culture and stocks of infectious agents
from laboratories, waste from surgery, waste originating
from infectious patients.
Waste materials which could cause the person handling
it, a cut or puncture of skin e.g. needles, broken glass,
saws, nail, blades, scalpels.
Sharps
Pharmaceutical waste
Chemical waste
Radioactive waste
IV.
OR No. :______________
Date: ________________
Action Taken:
Complete
Incomplete
Screening Officer:
Noted by:
_______________________
Signature over Printed Name
EIAM Division, EMB
Date : ___________
____________________________
Signature over Printed Name
EIAM Division/Section Chief
Date:__________________
SECTION 2.
GENERAL INFORMATION
2.1
Project Name
: _________________________________________
2.2
Project Location
: _________________________________________
_________________________________________
(complete address, barangay/ street/sitio/
municipality/city, province)
2.3
Project Type
: _________________________________________
Proponent Name
: _________________________________________
Contact Person
:__________________________________________
2.4
Office Address
:__________________________________________
:__________________________________________
:__________________________________________
E-mail address
:__________________________________________
Project Ownership
Type of Ownership :
[ ] Single Proprietorship
[ ] Partnership or Joint Venture
[ ] Corporation
[ ] Cooperatives
[ ] Others ____________________________________________
EXPANSION CATEGORY
Check all applicable changes
[
[
[
[
[
]
]
]
]
]
Service capability
Area
Personnel
Equipment/Instrument
Physical plant
3.2
3.3
Project Area
Attach Site Development Plan indicating the area of expansion if any.
Total Land Area (sq. meters or has.): __________________________
General Land Classification:
[ ] Public Land [ ] A & D
If public land, what classification:
[ ] Ancestral Land [ ] Reservation
] Others _________
3.4
Project Location
Attach Location Map showing the project site in relation to important landmarks and
access points.
3.5
Project Components
1. Service Capability (for expansion)
( ) Administrative Service
( ) Clinical Service
( ) Nursing Service
2. Personnel (List number of personnel required for expansion)
____Administrative Service
____Clinical Service
____Nursing Service
3. Equipments/Instruments (Specify additional equipments/instruments for
Administrative, Clinical and Nursing Service required for expansion)
1.
2.
3.
4.
4. Physical Plant (for expansion)
( ) Administrative Service
( ) Nursing Service
3.6
) Clinical Service
water supply?
( ) rainwater collected in storage tanks
#of tanks
Capacity
_________
_________
_________
________
] open canal
] open canal
[
[
] closed/underground drainage
] closed/underground drainage
What water body (e.g. river, creek or stream) will serve as the outfall of the sewerage
and drainage systems? ________________________________
Where is this located? _________________________________________
Sewage Disposal System
Sewage System:
[
Sewage Design:
[
[
[
[
[
[
Sewage Disposal :
[
[
[
Power Supply
Source of power supply for the expansion:
[
[
[
] General waste
] Pathological waste
] Infectious waste
] Pharmaceutical waste
] Sharps waste
] Chemical waste
] Radioactive waste
] Others, pls. specify
_________________
_________________
_________________
_________________
_________________
_________________
_________________
_________________
Collection system:
Will there be a hospital waste management system to be employed
prior to disposal?
[ ] Yes
[ ] No
If yes, state the process/procedure to be undertaken.
Disposal system
[
[
[
[
SECTION 4.
4.1
4.2
Complying
Yes
No
Remarks
] Clinical Service
] Nursing Service
] Ancillary Service
Complying
Yes
No
Remarks
Personnel*
[ ] Administrative Service
[
] Clinical Service
] Nursing Service
Equipment/Instrument*
[ ] Administrative Service
[
] Clinical Service
Physical Plant*
[ ] Administrative Service
[
] Clinical Service
] Nursing Service
Community Relations
Is there a system identifying and responding to community and stakeholder concerns?
[ ] Yes
[ ] No
Is there a system for informing the community and other stakeholders on
environmental matters relative to the companys operations?
[ ] Yes
[ ] No
4.4
Complaints Management
Has the company/proponent received any complaints from the surrounding
community?
[ ] Yes
[ ] No
If yes, please specify: __________________________
AREA/ACTIVITY
Consumption
of water
Whole facility
Consumption
of energy
Production area
Use of paper
Admin/Office
area
Generation of
carton
boxes/plastics
and
other
packaging
materials
Generation of
(Specify)
hazardous
wastes
Generation of
domestic
wastewater
Others
(Specify)
production line
IMPACT
OBJECTIVES/TARGET
TOOLS/
RESOUCES
RESPONSIBLE
GROUP/
PERSON
Consumption
of natural
resources
Consumption
of natural
resources
Atmospheric
pollution
Consumption
of natural
resources
Consumption
of natural
resources
Land
contamination
(Specify)
Whole facility
(Specify)
(Specify)
Approved by:
Prepared by:
LOCATION
FREQUENCY
OF
SAMPLING
METHODOLOGY
APPLICABLE
STANDARDS
RESPONSIBL
E PARTY
ESTIMATED
COST
AIR QUALITY
WATER
QUALITY
SOLID WASTE
TOXIC AND
HAZARDOUS
WASTE
__________________________________________
ACCOUNTABILITY STATEMENT
This is to certify that all the information and commitments in this EPRMP Checklist /
Report are accurate and complete. Should we learn of any information which would make
this EPRMP inaccurate, I/we shall bring said information to the attention of the appropriate
EMB Regional Office, DENR.
We hereby bind ourselves jointly and solidarily to any penalty that may by imposed
arising from any misrepresentation of failure to state material information in this EPRMP
Checklist.
In witness whereof, we hereby set our hands this ______ day of ________ at
_________________.
_________________________
Project Proponent
________________________
Title or designation
ACKNOWLEDGMENT
BEFORE
ME
this
(day)
______________of
______________2006
_____________at _______________________________________,personally appeared
_________________________ with Community Tax Certificate No. _______ issued on
_________________
at
____________________,
in
his/her
capacity
as
______________________(designation)_________________at
___________________
and acknowledged to me that this EPRMP is his voluntary act and deed, and voluntary act
and deed
of the entity he/she
represents.
This document which consists of
_______________pages, including the page of which this acknowledgment is an EPRMP
Checklist/ Report.
Witness my hand and seal on the place and date above written.
____________________
Notary Public
Doc. No.
Page No.
Book No.
Series of
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________________
________________
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