IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϳϮ IMA Goes Eco-friendly [IMAGE] IMAGE (IMA Goes Eco-friendly) PURCHASE COMMITTEE REPORT IMAGE Purchase Committee met on 28.12.2023 at 3.30 pm at Hotel Udaya Samudra, Kovalam, Thiruvananthapuram Chairman: Dr. C.K. Chandrasekharan Convenor: Dr. Sharafudheen K.P. (Ex. Officio) Members: Dr. Babu A.V. Dr. Devadas K.V. Dr. Krishnakumar P.V. (Ex. Officio) Meeting attended by: Dr. C.K. Chandrasekharan Dr. Sharafudheen K.P. Dr. Devadas K.V. The IMAGE Purchase Committee Meeting was held on 28.12.2023 at 3.30 pm. 1. PURCHASE OF A NEW GLASS BOTTLES PROCESSING UNIT The IMAGE Secretary Dr. Sharafudheen K.P. briefed the urgent necessarily of the new blue category waste processing unit. On an average, our common biomedical waste treatment facility receives approximately 5.3 tonnes of glass bottle waste from healthcare establishments across the state, constituting around 10% of the total biomedical waste collected and treated. These glass bottles can undergo treatment through either autoclaving or chemical disinfection and washing methods. However, our current autoclave machines at the facility, designed for a capacity of around 20 tonnes per prescribed cycling timing, are facing challenges due to the higher volume of red-category waste being treated (approximately 24 tonnes) by adjusting cycling timings. Consequently, we have chosen the alternative method of chemical disinfection and washing for blue-category waste. To facilitate this process, a stainless-steel bottle washing machine with a 1- ton-per-hour capacity (operating at 800 kg per hour) was installed in 2019. While the machine performed well for five years, it encountered issues in the last six months, leading to a complete breakdown a month ago. It is presently under shutdown for major maintenance. Given the critical nature of our operations, particularly in managing bluecategory waste, it is imperative that we address this situation urgently. We are in immediate need of a new bottle washing machine. Additionally, efforts are underway to repair the existing machine, intending to utilize it as a standby during maintenance periods. While maintenance may address current issues, it cannot guarantee the system's efficient operation without any breakdown. Considering the longevity Celebrating Fraternal Fellowship 301 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϳϯ IMA Goes Eco-friendly [IMAGE] and potential future breakdowns, as well as the need for additional maintenance periods, it becomes necessary to introduce a new machine for improved operation and management. Taking this into account, we initiated a search for new machinery that boasts an updated system of operation. Our outreach extended to various vendors, from whom we gathered several quotes. The vendors contacted include: 1. Sri Velmani Industries 2. Newtech Engineering Pvt Ltd 3. Steadfast Ventures (single conveyor system) 4. Steadfast Ventures (double conveyor system) The committee diligently reviewed all four quotations, inclusive of the alternative single conveyor system proposed by Steadfast Ventures. A comprehensive analysis of the pros and cons was conducted, considering both technical and financial aspects. M/s. Sri Velmani Industries (Quoted price – Rs.16,65,000/-) Supplier of our existing bottle processing machine and quoted a price for the same machine without any alterations in design or material. Upon scrutinizing the specifications, the committee noted that the quoted price is higher compared to equivalent single conveyor models. The materials and body parts are not fully SS materials. A major drawback identified is the absence of efficient modifications, as per PCB guidelines, when contrasted with the existing system. Additionally, manual waste removal is highlighted as a significant limitation. M/s. Newtech Engineering Pvt Ltd (Quoted price - 14.90,000/- The machine comes with standard capacity at the lowest price when compared to the competent single conveyor models. However, the upgradation to automation is not fully considered into account while designing the system. The materials and body parts are not fully SS materials. It is necessary to upgrade the systems to follow-up with the latest rules and regulations this model cannot be considered. M/s. Steadfast Ventures - Single Conveyor model (Quoted price - Rs.19,29,300/) The machine comes with full SS material and the design also satisfied compared to the other quoted models. The capacity also higher than the other proposed models as we need a higher capacity than the existing model. But, this model has no automated sledge removal conveyor system, this model was not recommended. M/s. Steadfast Ventures - Double Conveyor Model Quoted Price: Rs.21,60,500/- Specifications: Container with stand, Loading Conveyor, Moving INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 302
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϳϰ IMA Goes Eco-friendly [IMAGE] Conveyor, Scrap Collector, Vibrator, Rolling Brush, Mesh Conveyor - 2 Nos. One for moving bottles into the tank and another to remove waste settled out of the tank, Main Washer Tank, Water Pump, Bubble Blowers, Fans - 3 Nos, Platform, Materials, Outlet, Scrap Materials Collector, Scrap Outlet Notes: Despite the higher quoted price, it is crucial to highlight that the proposed system offers an updated design that aligns with the rules and regulations set forth by the PCB. The imperative need for the automation of the biomedical waste process has been thoroughly considered in the design. The system's design not only ensures proper washing of bottles but also addresses the simultaneous removal of waste materials. This integrated approach is anticipated to significantly reduce dismantling time, minimize the need for periodic maintenance, and consequently result in the efficient management of bottle washing. In essence, the additional investment in the updated design is justified by the long-term benefits it brings to the overall efficiency and compliance of the biomedical waste management process. After reviewing all aspects, the Purchase Committee decided to recommend the Double Conveyor System model of the Blue Category Waste Processing Machine, as proposed by Steadfast Ventures, for purchase following a final negotiation with them. 2. REPAIR/ MAINTENANCE OF EXISTING GLASS PROCESSING UNIT A bottle processing machine with a 1-ton-per-hour capacity (operating at 800 kg per hour) was installed in 2019 in order to treat the blue category waste by chemical disinfection process. While the machine performed well for five years, it encountered issues in the last six months, leading to a complete breakdown a month ago. It is presently under shutdown for major maintenance. Given the critical nature of our operations, particularly in managing blue-category waste, it is imperative that we address this situation urgently. We are in immediate need of a new bottle washing machine. The corrosive nature of the water used in treating biomedical waste underscores the necessity of utilizing stainless steel for the machine's body parts to ensure durability for at least five years without much interruption. The existing Bottle Processing Unit was purchased for a total cost of Rs. 8,07,500/- The Service estimate given by the manufacturer for the same is: Rs. 5,60,700/- The Actual Damages of the existing bottle processing unit are as follows: 1. Damage in SS wire mesh conveyor and chain. 2. Wear and tear in conveyor chain travelling support rails. 3. Service required in brush washing assembly. 4. Extra cover for chain drive [ preventing the fall of bottles and small pieces] Celebrating Fraternal Fellowship 303 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϳϱ IMA Goes Eco-friendly [IMAGE] 5. Freshwater nozzles need to be changed. 6. cooling fans are not working. 7. Loading conveyor motor does not meet the minimum requirement of the machine. 8. The SS wire mesh conveyor is completely damaged and beyond repair. It needs to be changed with the new SS wire mesh. After exploring various vendors for the repair and maintenance of the machine and ultimately received quotations from two vendors: 1. M/s. Sri Velmani Industries 2. M/s. Steadfast Ventures Sri Velmani Industries (the manufacturer of the same machine) provided a quotation of Rs. 5,60,700/- for the repair works. After negotiations with both parties, M/s. Steadfast Ventures eventually agreed to undertake the repairs for Rs. 3,75,000/- as part of a composite offer. This offer is contingent on the acceptance of their proposal for the new machine, quoted at Rs. 21,60,500/- The Purchase Committee recommends the purchase of the new machine and has authorized Dr. Sharafudheen K.P., Secretary of IMAGE, to further negotiate with the vendor for both the acquisition of the new machine and the repair of the existing machine. 3. ETP AUGMENTATION The current capacity of the Effluent Treatment Plant (ETP) at the plant stands at 450 KLD, equivalent to 4.5 lakh litres. The installation of this system is imperative for treating and reusing water utilized in plant operations, rainwater harvesting, and other associated processes. The ETP receives effluent from two primary sources: one from the incinerators and another from the PL washing section. Recent assessments have revealed elevated levels of Biological Oxygen Demand (BOD) and Chemical Oxygen Demand (COD) in the system, potentially compromising compliance with guidelines set by both the Pollution Control Board (PCB) and the Central Pollution Control Board (CPCB). Notably, contaminated plastics, including blood bags, tubes, lab sample containers, and urine bags, undergo separation after autoclaving. These materials are then subjected to cutting, washing, and cleaning in the PL Wash Section for subsequent recycling, utilizing equipment provided to scrap dealers in the plant. Throughout this process, a considerable amount of effluent, containing blood, urine, and other lab samples, is generated. Post-screening, the wash water is directed to a distinct drainage system and collected in a dedicated collection tank for preliminary treatment before being released into the primary ETP treatment stream. This proposal aims to address the deficiencies in the existing system and suggests an enhanced and INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 304
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϳϲ IMA Goes Eco-friendly [IMAGE] fail-safe approach to pre-treating the highly organic effluent generated from the PL Wash Section. The proposal involves providing the necessary equipment to supply, install, and commission a new pretreatment unit. This unit is intended to improve the performance of the current ETP, specifically targeting the BOD and COD levels at the IMAGE Plant. The proposed enhancements aim to ensure effective treatment and compliance with regulatory guidelines. PRESENT SYSTEM The contaminated and treated plastic waste undergoes additional processing in the PL wash area, facilitated by workers from M/s. Aryaja Industries. This phase involves the utilization of various equipment and water washing. The resulting effluent from this process undergoes screening and is then collected in the Collection Tank, serving as a precursor to the batch reactor designed for further pretreatment. It is important to note that the effluent in this section contains heightened levels of organic constituents, including blood and various types of lab samples. The Collection Tank, with a storage capacity of approximately 30,000 Litres, is a key component in managing this stage of the process. Subsequently, the collected effluent is pumped to the prefabricated batch reactor for treatment. As of now, the system operates with a pumping rate of 1 M3/Hr, capable of handling a maximum BOD of 750 mg/l and a maximum COD of 2000 mg/l. However, recent parameter checks indicate that the BOD level of the inlet water is approximately 1500 mg/l, and the COD is 3500 mg/l, surpassing the system's current capacity. This discrepancy underscores the urgent need for an upgrade or expansion of the treatment capacity to ensure effective and compliant processing of the effluent generated in the PL wash area. OBSERVED ISSUES IN EXISITING SYSTEM 1. Increased Wash Water Volume: The existing system is grappling with the higher volume of wash water from the PL Wash section. The initial design was based on observed quantities at the time of installation. However, there has been a twofold increase in the waste volume in the PL Wash area. This surge is attributed to a rise in both the number of washing equipment used and the overall wash water generated due to the increased waste volume. Currently, approximately 60,000 litres of effluent are generated in this section, occasionally causing overflow in the collection tank. The system's capacity is inadequate for the heightened demand, signalling the need for modifications or upgrades to accommodate the increased quantity of wash water. 2. Shock Load Incompatibility: To mitigate the backlog, the washing team operates in continuous shifts to expedite the washing process. However, during these periods, surplus incoming water is continuously Celebrating Fraternal Fellowship 305 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϳϳ IMA Goes Eco-friendly [IMAGE] pumped into the batch reactor. This rush of water is then directed to the Primary Clarifier for the next level of treatment without sufficient treatment time. This situation arises due to the limited capacity of the batch reactor, preventing proper treatment time for the increased quantity of incoming water. 3. Improper Chemical Treatment: The current system faces a challenge as both the Flash Mixer and Flocculator are integrated within the batch reactor system. However, this arrangement proves insufficient to handle the load effectively. Consequently, there is compromised mixing of chemicals, leading to the premature release of effluent. This insufficient configuration also hinders the necessary time for sludge separation and coagulation processes, contributing to operational inefficiencies. Addressing this issue requires a reconsideration of the system design to enhance chemical treatment efficacy. To address these operational challenges and identify suitable treatment methods, we engaged with several vendors. Out of the 13 vendors contacted, only three have provided the requisite reports and proposals for system augmentation. The three vendors who submitted quotes and proposals are: 1. Parisudh Eco Concepts 2. Divine Tech Solutions 3. Envirocare Pvt Ltd These vendors have presented their insights and solutions to enhance the current system's capacity and efficiency. Further evaluation of these proposals will be crucial in determining the most effective course of action for addressing the identified issues in the effluent treatment process. INDIVIDUAL PROPOSAL ANALYSIS 1. Proposal from M/s. Parisudh Eco Concepts Quoted Price for the Work – Rs. 55,88,000/- Plus 18% GST The proposed system has been meticulously designed with the primary objective of augmenting the treatment capacity during the pretreatment phase. A key component of this enhancement involves the incorporation of Moving Bed Biofilm Reactor (MBBR) systems. These advanced systems are strategically integrated to effectively control the levels of Biological Oxygen Demand (BOD) and Chemical Oxygen Demand (COD) in the effluent. By enhancing the current MBBR technology, the proposed system aims to achieve optimal treatment efficiency, ensuring that the treated effluent adheres to specified quality standards. This meticulous approach is instrumental in guaranteeing that the effluent, post-treatment, aligns with regulatory requirements before being discharged into the existing Effluent Treatment Plant (ETP). The proposed system consists of, INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 306
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϳϴ IMA Goes Eco-friendly [IMAGE] 1. Mixing sump & channel – for adding chemicals such as poly/Alum/lime 2. Clarifier 3. Three additional MBBR chambers with air blowers Advantages of the Proposed System: 1. Enhanced Capacity: o The proposed system boasts a treatment capacity that is more than double that of the existing batch reactor setup. It exhibits the capability to handle additional loads, accommodating up to 50% of the current capacity; if necessary, without compromising the quality of the treated water. 2. Efficient BOD & COD Neutralization: o The system effectively neutralizes Biological Oxygen Demand (BOD) and Chemical Oxygen Demand (COD) of the PL Wash effluent, ensuring that the final treated effluent consistently adheres to the limits prescribed by Statutory Authorities. 3. Continuous Bacterial Growth: o The slurry required for the growth of Moving Bed Biofilm Reactor (MBBR) media is supplied from the Primary Settling tank. This ensures a constant and adequate bacterial population in the MBBR setup at all times, contributing to the system's efficiency. 4. Optimal Space Utilization: o As the entire new setup is prefabricated, it optimally utilizes the existing available space without disrupting the current Effluent Treatment Plant (ETP) area. Minimal civil work is required for the foundations of the new structures, facilitating a seamless integration. 5. Streamlined Chemical Addition: o The mixing channel arrangement in the proposed system allows for the addition of all required chemicals for sedimentation without the need for a Flash Mixer and Flocculator arrangement. This streamlined approach enhances operational efficiency and chemical treatment effectiveness. DISADVANTAGE Higher cost for the work. 2. Proposal From M/s. DIVINE TECH SOLUTIONS: Quoted Price for the Work – Rs. 53,85,000/- Plus 18% GST The proposed system from Divine Tech Solutions shares a common objective with the previously outlined enhancements — aiming to augment treatment capacity during the pretreatment phase. Key components of the proposal include the enhancing of Moving Bed Biofilm Reactor (MBBR) systems to effectively regulate Biological Oxygen Demand (BOD) and Chemical Oxygen Demand (COD) levels in the effluent. This strategic framework ensures that Celebrating Fraternal Fellowship 307 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϳϵ IMA Goes Eco-friendly [IMAGE] the treated effluent consistently meets specified quality standards before its discharge into the existing Effluent Treatment Plant (ETP). Divine Tech Solutions also advocates for a similar proposal and analysis for rectifying the existing process. The vendor recommends the installation of additional MBBR tanks, clarifiers, air blowers, and diffusers, aligning with the overarching goal of optimizing the system's performance. Given the parallel nature of the proposal and analysis, the system design analysis closely mirrors the previously provided augmentation analysis. This consistent approach across vendors underscores the significance of the proposed enhancements, emphasizing the need for a systematic and unified strategy to address operational inefficiencies and enhance the overall effectiveness of the effluent treatment process. The convergence of recommendations from different vendors further reinforces the validity and importance of the proposed enhancements for the existing system. Advantages of Proposed System 1. Enhanced Capacity: o The proposed system from Divine Tech Solutions boasts a treatment capacity that is more than double that of the existing batch reactor setup. It demonstrates the ability to handle additional loads, accommodating up to 50% of the current capacity if necessary, without compromising the quality of the treated water. 2. Efficient BOD & COD Neutralization: o The system effectively neutralizes Biological Oxygen Demand (BOD) and Chemical Oxygen Demand (COD) of the PL Wash effluent, ensuring that the final treated effluent consistently adheres to the limits prescribed by Statutory Authorities. 3. Continuous Bacterial Growth: o The system ensures a continuous and required bacterial growth in the Moving Bed Biofilm Reactor (MBBR) setup by supplying slurry from the Primary Settling tank. This feature contributes to the overall efficiency of the treatment process. 4. Optimal Space Utilization: o Utilizing prefabricated components, the new setup optimally utilizes the existing space without disrupting the current Effluent Treatment Plant (ETP) area. Minimal civil work is required for the foundations of the new structures, facilitating a seamless integration. 5. Streamlined Chemical Addition: o The mixing channel arrangement in the proposed system ensures that all chemicals needed for sedimentation are added without the need for a Flash Mixer and Flocculator arrangement. This streamlined approach enhances operational efficiency and chemical treatment effectiveness. INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 308
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϴϬ IMA Goes Eco-friendly [IMAGE] 3. Proposal from ENVIROCARE PVT LTD: Quoted Price For The System – 10,55,880/- Plus 18% GST The IMAGE Consent quantity is specified at 450 KLD, with incoming wastewater quantities in the respective streams as follows: Incinerator wastewater ranging from 350 to 370 KLD and PL wastewater ranging from 50 to 70 KLD. The primary focus of this proposal is on effectively managing high loads of wastewater quality parameters, particularly BOD and COD, to achieve a superior quality of treated water. Currently, the existing secondary treatment for PL wastewater, involving the aeration tank and secondary clarifier, is not operating in compliance with KPCB and CPCB norms. To address this and bring the system into alignment with regulatory standards, minimal modifications are proposed. These adjustments aim to ensure that the wastewater treatment processes meet specified norms, addressing both quantity and quality concerns in accordance with environmental regulations. The Proposed Modifications: 1. Aeration Tank and Secondary Clarifier Compliance: o Minimal modifications to the existing secondary treatment for PL wastewater, specifically the aeration tank and secondary clarifier, to ensure compliance with KPCB and CPCB norms. These proposed modifications are presented with the objective of enhancing the efficiency of the wastewater treatment processes, aligning with regulatory standards, and ultimately contributing to a more environmentally sustainable wastewater management system. Recommendations for Equalization Tank: 1. Homogenization of Effluent: o Ensure homogeneity of the effluent in the Equalization Tank, including the initial, middle, and end portions. This is crucial for maintaining the pH of the effluent within the appropriate range. 2. Use of Coarse Bubble Diffuser: o Replace the existing pipeline holes with a 3-inch coarse bubble diffuser system for proper homogenization of effluent. This upgrade is essential to prevent pipeline chocking during the equalization process. 3. Installation of Blower System: o Provide a blower system along with the coarse bubble diffuser in the collection tank. This addition will aid in stabilizing pH and temperature, minimizing shock loads in the aeration tank (MBBR tank). 4. Control of Foul Smell: Celebrating Fraternal Fellowship 309 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϴϭ IMA Goes Eco-friendly [IMAGE] o Address the issue of foul smell in the ETP area, particularly in the PL collection tank, by incorporating Ozliq and Oz-pdr. These additives will effectively control and minimize odors in the collection tank. These recommendations aim to improve the overall efficiency of the Equalization Tank, ensuring proper homogenization of effluent and mitigating potential issues related to pH, temperature, and foul odors in the wastewater treatment process. Recommendations for Flash Mixer Tank: 1. Clarity in Coagulation and Flocculation Process: o Ensure a clear and efficient coagulation and flocculation process in the Flash Mixer Tank to achieve a high-quality primary outlet. In conclusion, M/s. Envirocare proposal appears to offer a more practical and cost-effective solution while maintaining compliance with regulatory standards. The emphasis on avoiding unnecessary erections aligns with the goal of optimizing the existing system. The Purchase Committee recommended to consider this proposal for its feasibility and potential cost savings. 4. MODIFICATIONS /REPAIR OF OLD ROTARY INCINERATOR OVERVIEW AND PRESENT SYSTEM ANALYSIS In our IMAGE CBWTF plant, we operate six incinerators, with one designated as a standby. Among these, one employs a Dry Scrubbing System, while the remaining five utilize a Wet Type Scrubbing System. Additionally, one of the wet type incinerators is a Rotary Kiln type. On average, the biomedical waste received for incineration amounts to 26.2 tons. This waste is distributed and processed through all five incinerators, with the sixth serving as a standby in case of shutdown on any of the primary units. It is noteworthy that emissions from wet scrubbing incinerators are comparatively higher than those from dry type incinerators. The installed dry incinerator, employing a rotary kiln, demonstrates superior efficiency, and its performance has been validated and approved. Recognizing the environmental implications, regulatory bodies such as the CPCB and other environmental authorities advocate for the adoption of dry type scrubbing systems. Accordingly, there are expectations and directives to transition all incinerators to dry scrubbing systems in the near future. The incinerator, installed in 2009, has been in operation for nearly 15 years with a capacity of 500 kg/hr. Throughout this period, the incinerator has encountered multiple breakdowns, primarily attributed to various factors, with refractory damage being a recurrent issue. Operators conducted minor INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 310
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϴϮ IMA Goes Eco-friendly [IMAGE] maintenance periodically, while major maintenance responsibilities were overseen by IMAGE. In 2019, a significant maintenance initiative was undertaken to address refractory damage by implementing refractory casting as an alternative to traditional refractory brick works. Following this intervention, the rotary clin part, specifically the primary chamber, has been functioning smoothly without any issues for the past four years. However, other components of the incinerator have experienced notable challenges, particularly severe damage to the air pollution control devices due to corrosion. This corrosion has adversely impacted the incinerator's performance, leading to the expulsion of dust particles and carbon deposits. Despite these ongoing issues, operators have conducted periodic minor maintenance to sustain its operation up to the present time. Damages Observed in the Old Rotary Incinerator 1. Inner refractory lining damage in hood, feeding doors and secondary chambers. 2. Wear and tear due to abrasion in venturi scrubber. 3. Droplet separator damaged due to caking and corrosion 4. Packed bed scrubber damage due to clogging, corrosion, degradation of materials, scaling (deposition and accumulation of solid minerals, Oxides, salts), and mechanical damages 5. Damages to ID fan impeller and motor – which lead to decreased negative pressure inside the incinerator. 6. External and internal corrosion to total APCD systems. For the required repair and maintenance works, we engaged with several vendors. However, most of these vendors lacked sufficient experience in the field, particularly in comparison to the original manufacturers of the incinerators. Regrettably, the manufacturers were unwilling to undertake the maintenance works, citing prohibitive costs comparable to purchasing a new incinerator. In this challenging situation, M/s. Steadfast Ventures emerged as a viable solution. They willingly stepped forward, demonstrating a commendable level of knowledge and proposing suitable solutions to meet our specific requirements. Their proactive approach and commitment to addressing our needs made them the preferred choice for carrying out the necessary maintenance work. Steadfast Ventures has presented two distinct proposals for our consideration. The first proposal entails conducting repair and maintenance work to sustain the current wet type system. Alternatively, their second proposal suggests a comprehensive conversion of the entire system into a dry type system. Celebrating Fraternal Fellowship 311 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϴϯ IMA Goes Eco-friendly [IMAGE] These proposals provide us with valuable options, allowing us to weigh the advantages and disadvantages of each approach. The decision will depend on factors such as cost considerations, long-term efficiency, and compliance with environmental standards. We will carefully evaluate both proposals to determine the most suitable course of action for our IMAGE CBWTF plant. To continue with the wet type of air pollution control system, M/s. Steadfast provided two different quotes. For 500 MM duct, the proposed quote is Rs.35,03,500/- For 800 MM duct, the proposed quote is Rs.36,96,550/- The proposal includes the total revamping of the system. The system will be brought back to complete efficiency (as per their info). If we can install an 800 mm duct, it will effectively accelerate the possibilities of efficiency of the system. For the wet to dry conversion, the proposed quote is Rs. 75,00,000/-. Converting the incinerator to a dry type is expected to result in more efficient operation and less pollution, as dry types are generally more efficient. Notably, we already have one dry-type incinerator that is performing well. The recurring expenses for ash disposal are significantly lower compared to the wet-type incinerator, and major maintenance can be minimized due to the dry type's lower corrosion nature (water-based operations cause high corrosion). Although the conversion charges are more expensive than wet-type maintenance and require civil structure modifications, the benefits to IMAGE are considerable: 1. Corrosion control, reducing the need for frequent major maintenance. 2. Continuous operations for better productivity. 3. Reduction in ash generation, leading to a potential 50% reduction in ash disposal charges. 4. Environmental Safety The advantages of Rotary Clin with Dry Type Scrubbing System 1. Ash Handling: • The ash produced dry incinerators are typically less and in the form of a dry, granular material. This facilitates easier handling, storage, and disposal of the ash. The efficiency of the incinerator is 95%. i.e. most of the input waste is treated without residue. • Efficient combustion and effective management of particulate matter in the incineration process will significantly reduce the residual ash quantity. This outcome not only enhances the financial viability of our plant but also contributes to environmental stability. The reduction in INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 312
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϴϰ IMA Goes Eco-friendly [IMAGE] ash volume translates to improved cost-effectiveness and a positive impact on pollution levels. • The utilization of high temperatures in rotary kilns plays a crucial role in achieving this reduction, ensuring that organic materials are thoroughly combusted. As a result, the remaining ash volume is minimized. This not only aligns with environmental standards but also positions our plant to meet and exceed regulatory requirements over time. This strategic approach not only supports financial savings but also reinforces our commitment to sustainable and eco-friendly waste management practices. 2. Versatility: • Dry incinerators can handle a wide range of waste types, including solid, liquid, and sludge-like materials. This versatility makes them suitable for the incineration of diverse waste streams. 4. Controllable Oxygen Levels: • Dry incinerators provide control over the oxygen levels in the combustion chamber. This control is important for optimizing the combustion process and ensuring complete destruction of organic materials. 5. High Temperature and Residence Time • Dry incinerators can operate at high temperatures, typically in the range of 800 to 1,200 degrees Celsius more efficiently than wet type incinerators. This high temperature, coupled with extended residence times, ensures effective combustion and destruction of hazardous waste. 6. Best Suitable for Hazardous Waste: • Dry incinerators are often used for the treatment of hazardous waste due to their ability to reach high temperatures, ensuring the destruction of toxic and hazardous compounds. 10. Long Service Life and reduced maintenance: • Well-designed dry incinerators are known for their durability and longevity. With proper maintenance, they can have a long service life, providing a reliable waste disposal solution. 11.Reduction in the usage of water. • In wet type incinerators, the usage of water is relatively high. For scrubbing and other purposes, huge amounts of water are used. When we introduce the dry system, we can omit most of the usage of water and can adhere to the policy of water conservation. 12. Reduced Environmental impact Celebrating Fraternal Fellowship 313 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϴϱ IMA Goes Eco-friendly [IMAGE] • Due to complete combustion, Particulate matter control, Emission control systems, it will help to keep the emissions at the minimum level. So, the purchase committee recommended converting the incinerator to dry type for maximum efficiency and to adhere with the environmental standards. Considering the above advantages, we strongly recommend conducting a feasibility study to assess and consider the technical, economic, and environmental aspects of converting our wet incinerator to a dry incinerator. This strategic shift aligns with our commitment to operational efficiency, environmental sustainability, and compliance with evolving regulatory standards. The conversion to a dry incinerator is anticipated to yield significant benefits for our facility. Date: 28.12.2023 Place: Trivandrum INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 314
92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] Details of IMAGE - Purchase Committee Approvals (Period 1st Oct to 31stDec 2023) Previous Purchase Committee (2022-23) Chairman: Dr. V.U. Seethi; Convenor: Dr. Sharafudheen. K.P. Members: Dr. C.K. Chandrasekharan, Dr. Devadas. K.V, Dr. Krishnakumar. P.V No. Requirement Commercial Bids Analysed Commercial Bids Approved Final Quoted Price 1 Additional Fire Hydrant System Installation Mr. Vijayan. K, Kalath Associates - Fire Protection System Contractors, Thrissur Mr. Vijayan. K, Kalath Associates - Fire Protection System Contractors, Thrissur Rs. 27,73,815 New IMAGE Purchase Committee (2023-24) Chairman: Dr. C.K. Chandrasekharan; Convenor: Dr. Sharafudheen. K.P Members: Dr. Devadas. K.V, Dr. A. V. Babu, Dr. Krishnakumar. P.V No. Requirement Commercial Bids Analysed Commercial Bids Approved Final Quoted Price 1 Purchase of New Bottle Washing Machine 1. Sri Velmani Industries, Coimbatore 2. Newtech Engineering Pvt Ltd 3. Steadfast Ventures (single conveyor system), Palakkad 4. Steadfast Ventures (double conveyor system), Coimbatore Steadfast Ventures (double conveyor system), Coimbatore Rs.21,60,500/- 2 Repair of Damaged Old Bottle Washing Machine 1. M/s. Sri Velmani Industries, Coimbatore 2. M/s. Steadfast Ventures, Coimbatore M/s. Steadfast Ventures, Coimbatore Rs.3,75,000/- 92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] 3 Modification of Old Rotary Incinerator to Dry Scrubbing APCD System & Repair Works 1. Steadfast Ventures, Coimbatore for wet scrubbing system 2. Steadfast Ventures, Coimbatore for dry scrubbing system Steadfast Ventures, Coimbatore for dry scrubbing system Rs.75,00,000/- 4 ETP Augmentation to rectify the BOD issue 1. Parisudh Eco Concepts, Palakkad 2. Divine Tech Solutions, Palakkad 3. Envirocare Pvt Ltd, Erode Envirocare Pvt Ltd, Erode Rs.10,55,880/- Celebrating Fraternal Fellowship 315 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
92nd Managing Committee Report IMA Goes Eco-friendly [IMAGE] Details of IMAGE - Technical Committee Approvals (Period 1st October to 31st December 2023) Previous Technical Committee (2022-23) Chairman: Dr. A.V. Jayakrishnan; Convenor: Dr. Jain Chimmen; Member: Dr. Shaji. C.K New IMAGE Technical Committee (2023-24) Chairman: Dr. Srikumar Vasudevan; Convenor: Dr. Shaji Sreedharan; Member: Dr. Pavan Madhusudan No. Requirement Technical Bids Analysed Technical Bids Approved 1 New Bottle Washing Machine 1. Sri Velmani Industries, Coimbatore 2. Newtech Engineering Pvt Ltd 3. Steadfast Ventures (single conveyor system), Palakkad 4. Steadfast Ventures (double conveyor system), Coimbatore Steadfast Ventures (double conveyor system), Coimbatore 2 Repair of Damaged Bottle Washing Machine 1. M/s. Sri Velmani Industries, Coimbatore 2. M/s. Steadfast Ventures, Coimbatore M/s. Steadfast Ventures, Coimbatore 3 Modification of Old Rotary Incinerator to Dry Scrubbing APCD System & Repair 1. Steadfast Ventures, Coimbatore for wet scrubbing system 2. Steadfast Ventures, Coimbatore for dry scrubbing system Steadfast Ventures, Coimbatore for dry scrubbing system 4 ETP Augmentation to rectify the BOD issue 1. Parisudh Eco Concepts, Palakkad 2. Divine Tech Solutions, Palakkad 3. Envirocare Pvt Ltd, Erode Envirocare Pvt Ltd, Erode ANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMAGE (IMA Goes Eco-friendly) VIGILANCE COMMITTEE REPORT The Vigilance Committee of IMAGE met on 21.01.2024 at 10.00 AM at the IMAGE Administrative Office in the IMA State Headquarters, Thiruvananthapuram Committee Members : Dr. Joseph Mani, Chairman : Dr. Suresh Kumar T., Convenor : Dr. Syam N., Member Vigilance Committee Report: INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 316
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report WĂŐĞϵϬ IMA Goes Eco-friendly [IMAGE] CONCLUSION BY THE SECRETARY IMAGE I express my deepest gratitude to Dr. Joseph Benaven State President, Dr. Sulphi N., I.P.P., Dr. Sasidharan, the State Secretary, all Vice-Presidents, all Joint Secretaries and State Treasurer of IMA KSB for their guidance and support for the successful implementation of this prestigious project of IMA KSB. I am very much grateful to Dr. Abraham Varghese Chairman IMAGE for his guidance and timely advice. I am very much indebted to the guidance and advice given to me by Dr. Joseph Benaven who gave me a brotherly support during all demanding situations in managing the IMAGE as the Past Secretary of IMAGE. I express my gratitude to all Senior Leaders & all Past State Presidents of IMA including Dr. A. Marthanda Pillai., Dr. R. V. Asokan, Dr. Babu Ravindran, Dr. M. Bhaskaran, Dr. Alex Franklin, Dr. Ramesh, Dr. Srikumar Vasudevan, Dr. K. V. Devadas, and Dr. M. E. Sugathan. My special thanks to Dr. V. G. Pradeep Kumar, Dr. A. V. Jayakrishnan, Dr. PT. Zacharias, Dr. Samuel Koshy, and the Ex. Chairman of IMAGE Dr. V. U. Seethi for the tremendous support they have extended to me in the day today affairs of IMAGE. My special thanks to the Purchase Committee Chairman Dr. C.K. Chandrasekharan & Members Dr. K.V. Devadas and Dr. Babu A.V. who helped me to grant the sanction for all the major work orders & purchase orders in time. My thanks to the Committee for the New Projects Chairman Dr. Samuel Koshy and Convenor Dr. Suresh Kumar. M. My appreciation & gratitude are to Dr. Joseph Mani, Dr. Sureshkumar T., and Dr. Syam N., the Vigilance Committee of IMAGE. My appreciation & thanks to Technical Committee of IMAGE Chairman Dr. Srikumar Vasudevan, Convener Dr. Shaji Sreedharan and member Dr. Pavan Madhusudan My appreciations are due to Dr. Rajagopalan Nair P., for his support as Vice Chairman of IMAGE, Treasurer IMAGE Dr. P. V. Krishnakumar for his active involvement & help in IMAGE; Dr. Sajeev Kumar P, Dr. Haneesh M., Dr. Ramaraju P. and Dr. Velayudhan. K. (Joint Secretaries, IMAGE) for their whole-hearted involvement and co-operation in improving the activities of the IMAGE. My appreciations are due to Chairman & Secretary of IMA PEPS & PEPS staff for the extreme co-operation in the supply of consumables to the IMAGE affiliated institutions, especially the barcode printed colour coded bags and sharp containers. Celebrating Fraternal Fellowship 317 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
IMAGE THE PANACEA FOR ALL BIOMEDICAL WASTE 92nd Managing Committee Report IMAGoesEco-friendly[IMAGE]WĂŐĞϵϭ May I recognize from the bottom of my heart, the contributions of all the District Representatives of IMAGE Dr. Sidharthan B, Dr. Manimaran K., Dr. Sen C. R., Dr. Subash K. S., Dr. Sukumaran T. U., Dr. George Tukalan, Dr. Rasitha Girish, Dr. Aneen N. Kutty, Dr. Bennet Chacko, Dr. Jolly Varghese, Dr. Hareendranathan A. M., Dr. Rajesh P., Dr. Sunny George, Dr. Kishor Kumar T. rendered to me in their capacity as District Representatives. I would like to express my sincere gratitude to Dr. Rajagopalan Nair P., Dr. Velayudhan. K & Dr. Rasitha Gireesh for helping me in sorting out all issues related to the Plant in Palakkad. I also extend my heartfelt thanks to all the Staff at the IMAGE Administrative Office & Plant for their dedicated and sincere service. I extend my sincere gratitude to all Professional Consultants, all Contractors, sub-contractors and vendors who are sincerely involved for the smooth operations of IMAGE. Thiruvananthapuram Dr. Sharafudheen K. P 31.12.2023 Secretary, IMAGE–IMA INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 318
Celebrating Fraternal Fellowship 319 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
Receipts Amount Payments Amount Opening Balance: Capital Expenditure: Cash at Bank 6,82,86,255.21 Boom Barrier 31,116.68 Cash in Hand - IMA Periyar House 15,000.00 Furniture & Fittings 11,267.80 Cash in Hand - Plant 25,000.00 Solar Power System 44,795.00 Cash in Hand - TVM Office 25,000.00 Fixed Deposit 22,33,89,214.00 Work in Progress: Software Connectivity to PCB 30,000.00 Capital Receipts: Affiliation Fees 55,04,392.00 Revenue Expenditure Accommodation charges 60,140.00 Revenue Receipts: Advertisement Charges 1,25,000.00 Interest on S B Acount 1,03,738.00 Ambulance Expenses 4,640.00 Interest on Fixed Deposit 15,04,235.00 Analytical Lab Expenses 9,385.00 Late Fee 9,87,466.13 Annual Maintenance Charges 99,000.00 Operation Cost -Backlogs of Biomedical Waste 98,952.30 Ash Disposal Expenses 19,37,431.68 Operational Cost - Biomedical Waste 10,43,36,412.09 Bank Charges 39,452.00 Operational Cost - Covid 19 3,58,333.38 Donation & Contributions 56,000.00 Operational Cost - Discarded Medicine 1,50,398.00 Emission and Effluent Monitoring Charges 2,48,735.00 Sale of Scrap 2,48,06,329.05 Food Expenses 1,20,037.00 Sales - Rent From Canteen 1,80,000.00 Gratuity Paid To Employees 1,17,404.00 Guest House Expenses 11,218.00 Other Receipts: IMAGE AVITIS Clinic Expenses 72,480.00 Salary Advance Repaid 52,500.00 IMAGE Canteen Expenses 2,96,014.70 Staff Medical Insurance Recovered From Employee 8,347.00 IMAGE Guest House IMA Periyar House Expenses 24,305.82 Taxes,EPF,ESI Collected 3,05,61,660.73 IMAGE Office IMA Periyar House Expenses 18,000.00 Meeting Expenses 3,06,333.00 Miscellaneous Expenses 49,320.20 Office Expenses 65,818.00 Operational charges- Fuel 2,25,59,957.00 Operational charges Electricity - IMAGE Plant 42,71,930.00 Operational Cost Biomedical Waste 5,31,50,780.98 Operational Cost Biomedical Waste Backlog 2,51,656.00 Operational Cost Covid-19 Biomedical Waste 9,16,391.80 Postage & Courier 58,742.00 Printing & Stationery 84,983.00 Professional & Consultancy Charges 2,81,559.00 Promotional Expenses 3,84,595.00 Rates & Taxes 5,450.00 Repairs & Maintenance 45,77,383.47 Salaries & Allowances 15,02,659.00 Software Renewal & Upgradation 2,02,876.00 Staff Welfare Expenses 24,185.08 Tax Audit Fees Paid 90,000.00 Telephone & Internet 4,39,938.56 Travelling Expenses 3,29,968.20 Unloading Charges 6,500.00 Other Payments Contribution to IMA - Kinfra Adoor Project 1,45,697.00 Income Tax AY 2024 - 2025 Advance Tax 75,00,000.00 Income Tax AY 2023 - 2024 Self Assessment Tax 31,74,538.00 Income Tax Paid For Earlier Years 6,234.00 Taxes & EPF Paid (GST, TDS, ESI etc) 3,01,50,556.33 Closing Balance Cash at Bank 9,37,61,929.59 Cash in Hand - IMA Periyar House 15,000.00 Cash in Hand - Plant 25,000.00 Cash in Hand - TVM Office (including Trainees) 35,000.00 Fixed Deposit 23,26,61,829.00 Total 46,03,93,232.89 Total 46,03,93,232.89 Dr. Sharafudheen K P Dr. Krishnakumar P V Secretary Treasurer Date: 20.01.2024 Thiruvananthapuram IMAGE (INDIAN MEDICAL ASSOCIATION GOES ECO FRIENDLY) Provisional Receipts and Payments Account for the period from 01.10.2023 to 31.12.2023 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 320
Expenditure Amount Income Amount Expenditure : Income : Accommodation charges 60,140.00 Late Fee 9,87,466.13 Advertisement Charges 1,25,000.00 Operation Cost -Backlogs of Biomedical Waste 38,572.50 Ambulance Expenses 6,884.00 Operation Cost - Biomedical Waste 9,97,28,301.84 Analytical Lab Expenses 9,385.00 Operational Cost - Covid 19 25,390.00 Annual Maintenance Charges 10,21,738.19 Operational Cost - Discarded Medicine 4,26,500.00 Ash Disposal Expenses 19,37,431.68 Sale of Scrap 2,51,78,224.05 Bank Charges 39,452.00 Sales - Rent From Canteen 1,80,000.00 Bike Insurance Premium 1,142.00 Donations & Contributions 56,000.00 Other Indirect Income: Emission and Effluent Monitoring Charges 2,48,735.00 Interest on SB Account 1,03,738.00 ERP Usage Charges 19,48,926.00 Interest on Fixed Deposit 16,71,373.00 Fire Insurance Premium 4,42,441.00 Food Expenses 1,20,037.00 Gratuity Paid To Staff 1,17,404.00 Guest House Expenses 11,218.00 IMAGE AVITIS Clinic Expenses 72,480.00 IMAGE Canteen Expenses 2,96,014.70 IMAGE Guest House IMA Periyar House Expenses 24,305.82 IMAGE Office IMA Periyar House Expenses 18,000.00 Income Tax Paid For Earlier Years 6,234.00 Meeting Expenses 3,06,333.00 Miscellaneous Expenses 49,320.20 Office Expenses 65,818.00 Online Server Renewal Charges 9,185.00 Operational charges- Fuel 2,25,60,217.00 Operational charges Electricity - IMAGE Plant 42,71,930.00 Operational Cost Biomedical Waste 5,31,50,780.98 Operational Cost Biomedical Waste Backlog 2,51,656.00 Operational Cost Covid-19 Biomedical Waste 9,16,391.80 Postage & Courier 58,742.00 Printing & Stationery 84,983.00 Professional & Consultancy Charges 2,81,559.00 Promotional Expenses 3,84,595.00 Rates & Taxes 5,450.00 Repairs & Maintenance 46,90,197.47 Salaries & Allowances 15,02,659.00 Server Subscription Charge - Old Winds CRM 19,785.00 Software Renewal & Upgradation 2,58,974.00 Staff Welfare Expenses 24,185.08 Telephone & Internet 4,16,483.92 Travelling Expenses 3,29,968.20 Unloading Charges 6,500.00 Website Renewal Charges 1,578.00 Excess of Income over Expenditure 3,21,29,305.48 Total 12,83,39,565.52 Total 12,83,39,565.52 Dr. Sharafudheen K P Secretary Dr. Krishnakumar P V Treasurer Date: 20.01.2024 Thiruvananthapuram IMAGE (INDIAN MEDICAL ASSOCIATION GOES ECO FRIENDLY) Provisional Income & Expenditure Account for the period from 01.10.2023 to 31.12.2023 Celebrating Fraternal Fellowship 321 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
Sl No: Name of Assets Assets as as on 01.10.2023 Additions Deletions Inter-transfer in Fixed Assets/WIP Assets as as on 31.12.2023 1 Air Conditioner 25,835.54 25,835.54 2 Attendance Recording System 3,161.15 3,161.15 3 Barcode Based Bag Management System 84,105.60 84,105.60 4 Boom Barrier 72,607.00 31,116.68 1,03,723.68 5 Borewell 3,21,413.08 3,21,413.08 6 Building 6,89,72,810.00 6,89,72,810.00 7 Building - ETP Plant 1,01,46,531.60 1,01,46,531.60 8 Building - Fire Sump Tank 15,07,303.80 15,07,303.80 9 Building Rain Harvesting System 29,68,083.90 29,68,083.90 10 Building Residential 1,52,62,949.85 1,52,62,949.85 11 CCTV 6,02,638.00 6,02,638.00 12 Chemical storage Cabinets - Analytical Lab 1,78,391.20 1,78,391.20 13 Computer & Accessories 6,77,381.59 6,77,381.59 14 Computer Software 7,43,470.80 7,43,470.80 15 Construction of Ash / Sludge Tank 20,91,243.95 20,91,243.95 16 Electrical Fittings 38,29,631.85 38,29,631.85 17 Electrical Items 12,97,754.32 12,97,754.32 18 Furniture & Fittings 18,78,205.85 11,267.80 45,072.00 19,34,545.65 19 Furniture & Fixtures - Guest House 1,06,494.30 1,06,494.30 20 HVLS Fan 1,50,000.00 1,50,000.00 21 Inverter 782.45 782.45 22 Kitchen Equipments 6,95,158.93 6,95,158.93 23 Ladder 289.31 289.31 24 Land at Palakkad -1 13,48,690.00 13,48,690.00 25 Land at Palakkad - 2 28,73,115.00 28,73,115.00 26 Land at Palakkad - 3 6,52,300.00 6,52,300.00 27 Land at Peringamala 1,75,48,013.00 1,75,48,013.00 28 Land Improvement 20,42,143.00 20,42,143.00 29 LCD Projector 26,869.84 26,869.84 30 Mahindra Bolero Ambulance Vehicle 1,53,314.70 1,53,314.70 31 Motor Cycle 14,442.35 14,442.35 32 Motorised Sliding roof for Ash Pit 7,46,288.10 7,46,288.10 33 Office Equipment 5,68,205.26 - 5,68,205.26 34 Plant - ETP Machinery 35,840.31 35,840.31 35 Plant - Needle Pit Phase II 29,29,185.85 29,29,185.85 36 Plant & Machinery 5,74,06,864.41 - 5,74,06,864.41 37 Plant & Machinery - Autoclave 11,66,911.47 11,66,911.47 38 Pump Set & Accessories 2,72,641.75 2,72,641.75 39 Sign Board 62,000.00 62,000.00 40 Solar Power System 5,21,871.08 44,795.00 5,66,666.08 41 Transformer - 11KV 2,890.68 2,890.68 42 Weighing Scale 4,465.00 4,465.00 43 Xerox Machine 10,526.40 10,526.40 20,00,02,822.27 87,179.48 - 45,072.00 20,01,35,073.75 * Opening figures changed as per finalisation entries and due to the entry for change in GST input credit after provisional Accounts. WORK IN PROGRESS 1 Kinfra Adoor project** 6,62,400.00 82,800.00 7,45,200.00 - 2 Consent for Expansion-IMAGE PLANT Pkd 78,000.00 78,000.00 3 Advance to Suppliers- Software Connectivity to PCB & Fire Hydrant System 45,072.00 30,000.00 45,072.00 30,000.00 7,85,472.00 1,12,800.00 - 7,90,272.00 1,08,000.00 * Opening figures changed as per finalisation entries ** The balance under the head 'KINFRA Adoor Project' has been transferred to 'IMA-KINFRA Adoor Project' under Reserves & Surplus. IMAGE (INDIAN MEDICAL ASSOCIATION GOES ECO FRIENDLY) Assets as on 31.12.2023 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 322
Sl No: Name of Liabilities Liabilities as on 01.10.2023 Additions Deductions Liabilities as on 31.12.2023 1 Affiliation Fees 21,47,79,794.74 64,07,481.00 9,03,089.00 22,02,84,186.74 21,47,79,794.74 64,07,481.00 9,03,089.00 22,02,84,186.74 Dr. Sharafudheen K P Dr. Krishnakumar P V Secretary Treasurer Date: 20.01.2024 Thiruvananthapuram Schedule of Liabilities as on 31.12.2023 Celebrating Fraternal Fellowship 323 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
HEALTH SCHEME INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 324
Celebrating Fraternal Fellowship 325 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 326
Celebrating Fraternal Fellowship 327 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 328
Celebrating Fraternal Fellowship 329 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 330
Celebrating Fraternal Fellowship 331 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 332
Celebrating Fraternal Fellowship 333 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 334
Celebrating Fraternal Fellowship 335 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 336
Celebrating Fraternal Fellowship 337 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 338
Celebrating Fraternal Fellowship 339 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 340
Celebrating Fraternal Fellowship 341 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 342
Celebrating Fraternal Fellowship 343 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 344
Celebrating Fraternal Fellowship 345 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
PROFESSIONAL DISABILITY SUPPORT SCHEME INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 346
Celebrating Fraternal Fellowship 347 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 348
Celebrating Fraternal Fellowship 349 INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode
INDIAN MEDICAL ASSOCIATION 278th State Working Committee 18th February 2024 KPM Tripenta Hotel, Kozhikode Celebrating Fraternal Fellowship 350