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Environmental Monitoring Report

Project Number: 44265-013 Semi-annual Report (January-June 2018) August 2018

Loan 3038-Vie: Second Health Care in the Central Highlands Project

Prepared by The Ministry of Health, Central Project Management Unit for the Asian Development Bank.

CURRENCY EQUIVALENTS

(as of 31 Jan 2018)

Currency Unit – Viet Nam Dong (VND) VND1.00 = $ 0.000046

$1.00 = VND 22,622

ADB - Asian Development Bank CHS - Commune Health Station CPMU - Central Project Management Unit EGP - Ethnic Group Plan HICH - Health Care in the Central Highlands Project IEC - Information, Education and Communication ICP - Inter-communal Polyclinics IMR - Infant Mortality Rate MDG - Millennium Development Goal MMR - Maternal Mortality Ratio MOH - Ministry of Health MOF - Ministry of Finance NGO - Non-Government Organization PAM - Project Administration Manual PCR - Project Completion Report PHC - Primary Health Care PPMU - Provincial Project Management Unit U5MR - Under-five mortality Rate VHW - Village Health Worker VSS - Vietnam Social Security System

WEIGHTS AND MEASURES dB(A) – Junibel (weighted average)

ha – Hectare kg/d – kilogram per day km – Kilometer km2 – square kilometer m – Meter m2 – square meter m3 – cubic meter

m3/d – cubic meters per day m3/s – cubic meters per second

mg/m3 – milligrams per cubic meter mm – Millimeter

NOTE

(i) In this report, "$" refers to US dollars.

This environmental monitoring report is a document of the borrower. The views expressed herein do not necessarily represent those of ADB's Board of Directors, Management, or staff, and may be preliminary in nature.

In preparing any country program or strategy, financing any project, or by making any designation of or reference to a particular territory or geographic area in this document, the Asian Development Bank does not intend to make any judgments as to the legal or other status of any territory or area.

TABLE OF CONTENT

I. INTRODUCTION 1

A. Project background 1 B. Project Implementation Progress 4

II. INSTITUTIONAL SETUP AND RESPONSIBILITIES FOR EMP IMPLEMENTATION AND SUPERVISION 7

A. Institutional responsibilities for environmental management 7 B. Incorporation of Environmental Requirements into Project Contractual Arrangements 11

III. COMPLIANCE WITH ENVIRONMENT RELATED PROJECT COVENANTS 11

IV. ENVIRONMENTAL MITIGATIONS MEASURES IMPLEMENTED IN THE REPORTING PERIOD 14

V. PUBLIC CONSULTATION, GRIEVANCE REDRESS MECHANISM 27

A. Public consultation and EMP information dissemination 27 B. Grievance Redress Mechanism 29 C. Establishment of a Hotline 30

VI. INSTITUTIONAL STRENGTHENING AND TRAINING 31

VII. KEY ENVIRONMENTAL ISSUES 31

A. Review the implementation of corrective actions from previous report 31 B. Key identified issues and requested actions for the period of Jan to Jun 2018 32

VIII. CONCLUSION AND RECOMMENDATION 34

A. Overall Progress of Implementation of Environmental Management Measures 34 B. Actions Recommended 34

List of Tables

Table 1. Description of construction and upgrading works of the Project. .................. 1 Table 2. Scope of construction packages .................................................................. 4 Table 3. Institutional responsibilities for environmental management ........................ 8 Table 4. Project environmental reporting system assessment ..................................10 Table 5. Status of Compliance with ADB Loan Covenants .......................................11 Table 6. the schedule of updating EMPs ..................................................................14 Table 7. Environmental and Safety monitoring activities ..........................................14 Table 8. Findings during the site inspections ............................................................15 Table 9.EMP implementation assessment ...............................................................25 Table 10. Public consultation during mission trip in Jan 2018 ...................................27 Table 11. Environmental key issues .........................................................................32

List of Figures

Figure 1. Locations of the 05 project provinces ............................................... 3

Figure 2. Environmental and safety monitoring structure .............................. 10

I. INTRODUCTION

A. Project background

1. The Ministry of Health (MOH) is implementing the Second Health Care in the Central Highlands Project (HICH2, or the Project) in the 5 provinces (Dak Lak, Lam Dong, Gia Lai, Kom Tum and Dak Nong) of Viet Nam, through Loan № 3038 – VIE (SF) from the Asian Development Bank (ADB). The objective of the Project is to increase use of maternal and child health services in district hospitals, inter-communal polyclinics (ICPs) and commune health stations (CHSs) by: (i) building new, upgrading some CHSs, ICPs and district hospitals including WWTPs, (ii) providing medical equipment and HMIS at the central, provincial, district, commune and village levels, (iii) developing human health resources through long-term and short-term training courses in professional and managerial skills and (iv) service access support.

2. The Project comprises the following components in the Target Provinces:

– Component A: Improved Access and Quality of Community Health Care

– Component B: Increased Access and Quality of Hospital Services

– Component C: Strengthened Provincial Health System Management

3. The safeguard categories for the Project is as below:

– Environment category B: Anticipated disturbance during construction and generation of wastes during operation of hospitals.

– The Initial Environmental Examination (IEE) was cleared in September 2013, which included the Environmental Management Plans (EMPs)

4. The project activities are expected to have a range of benefits on the natural and social environment, and only minor or negligible negative environmental impacts. The majority of minor negative impacts are expected to occur during the construction phase. These will be localized, minor and temporary and will be readily managed to acceptable levels through the implementation of standard construction environmental management practices.

5. The Project is implementing in the 5 provinces (Dak Nong, Dak Lak, Lam Dong, Gia Lai and Kom Tum) and the succeeding table shows the descriptions of sub-components related to construction and upgrading works, the locations of the 5 project provinces is shown in the figure 1

Table 1. Description of construction and upgrading works of the Project.

No Province Description of construction and upgrading works

Status of implementation up to Jun 2018

1 Dak Nong Construction and upgrading of 9 Commune Health Stations (CHSs) that are single-storey houses with 11 rooms and minimum area of 150 m2 to meet the required standards of MOH for CHSs. The works also includes of constructing auxiliary facilities as WC house, parking yard, incinerator and service house.

Construction of a new WTP with capacity of 200m3/day for Dak R’Lap District Hospital

Construction of Construction of a new treatment ward 2-storey building with the area of 300m2

Rehabilitation of the existing single storey house

Under construction phase (the detail progress for each construction packages is presented in table 2)

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No Province Description of construction and upgrading works

Status of implementation up to Jun 2018

with the area of 120m2

2 Dak Lak Upgrading intercommunal polyclinic 719: Upgrading the main building: 2-storey building, Construction of a treatment ward: 2-storey building and a bridging house: 2-storey building BMT General Hospital: Upgrading the capacity of WWTP from 100m3/day to 200 m3/day Krong Buk District Hospital: Construction of a main building: 3-storey grade II building, a nutrition faculty and general services block: 2-storey grade II building, a bridging house: 2-storey building, a infection control faculty: single – storey grade IV building, a infectious faculty: single-storey grade IV building, an Anatomical pathology house: single-storey grade IV building, a store, a workshop and a garage: single-storey grade IV building, a WWTP, internal road system, yard, sport areas and green, grass areas

Under construction phase (the detail progress for each construction packages is presented in table 2)

3 Lam Dong Construction and upgrading of 11 Commune Health Stations (CHSs) that are single-storey houses with 11 rooms and the minimum area of 150 m2 meeting the required standards of MOH for CHSs. The works also includes of constructing auxiliary facilities as WC house, parking yard, incrinerator and service house

Starting construction since May 2018

4 Kom Tum Construction and upgrading of 35 Commune Health Stations (CHSs) that are single-storey houses with 11 rooms and the minimum area of 150 m2 meeting the required standards of MOH for CHSs. The works also includes of constructing auxiliary facilities as WC house, parking yard, incrinerator and service house

Starting construction since Nov 2017

5 Gia Lai Construction and upgrading of 13 Commune Health Stations (CHSs) that are single-storey houses with 11 rooms and the minimum area of 150 m2 meeting the required standards of MOH for CHSs. The works also includes of constructing auxiliary facilities as WC house, parking yard, incrinerator and service house

Preparation of bidding document

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Figure 1. Locations of the 05 project provinces

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6. This environment monitoring report is in line with Environmental Monitoring Report_Template issued and guided by ADB as well as the approved IEE. The report documents the implementation of Initial Environmental Examination (IEE) and the incorporated EMPs. The report was prepared through reviewing the monthly reports of the Construction Supervision Consultants (CSCs). This report presents the results of the environmental management performance and internal monitoring activities for period of Jan to Jun 2018. The report covers the following:

• Status of compliance with ADB environmental loan covenants and with the environmental requirements of the Government of Vietnam during the report period; and

• Status of implementation of the environmental mitigation measures during the report period based on the IEE andEMPs, including documentation of complaints received and corresponding action/resolution;

B. Project Implementation Progress

On-going Site Works

7. As mentioned above, four provinces (Dak Nong, Kom Tum, Lam Dong and Dak Lak) have been carried out construction. Consequently, the environmental monitoring mission only focuses on these construction packages of the four provinces. The scope of each contract package is summarized in Table 2.

Table 2. Scope of construction packages

Package Scope of work Contractor Start Date End Date Progress

Dak Nong Province

DN01-NCB

Construction of a WWTP for Đắk R’lấp hospital

Gia Viet Company 24/12/2016 17/07/2017 100%

DN02.02-NCB

Upgrading Đắk R’lấp hospital

JV of Ngu Hanh Son company and Dak Lak Construction companies

24/12/2016 24/12/2017 100%

DN03.01 Construction of CHS Quang Hoa

JV of Tien Quang and Hoang Dung companies

12/12/2016 12/08/2017 100%

Construction of CHS Quang Son

12/12/2016 12/08/2017 100%

DN03.02 Construction of CHS Eat’ling

Nguyen Phuong Ban Me company

24/11/2016 13/05/2017 100%

Construction of CHS Nam Dong

24/11/2016 13/05/2017 100%

DN03.03 Construction of CHS Thuan Hanh

JV of Tran Phu and Chau Phuc companies

24/11/2016 24/05/2017 100%

Construction of CHS Duc An

24/11/2016 24/05/2017 100%

DN03.04 Construction of CHS Quang Tan

JV of Phuong Tuan and Tan Tien

01/12/2016 29/05/2017 100%

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Construction of CHS Dak Bokso

companies 01/12/2016 29/05/2017 100%

DN03.05 Construction of CHS Nghia Thang

JV of Nguyen

Phat and Trung Hieu

24/11/2016 24/05/2017 100%

Construction of CHS Duc Xuyen

24/11/2016 24/05/2017 100%

DN03.06 Construction of CHS Kien Duc

JV of Nguyen Phat Binh An Quang Ngai

21/12/2017 15/9/2018 0%

Construction of CHS Quang Tin

21/12/2017 15/9/2018 70%

DN03.07 Construction of CHS Kien Thanh

JV of Tran Phu and Hoang Dung

21/12/2017 15/9/2018 75%

Construction of CHS Nghia Trung

21/12/2017 15/9/2018 70%

DN03.08 Construction of CHS Dak Mam

JV of Bao Phu and Nam Son

02/11/2017 15/9/2018 80%

Construction of CHS Truong Xuan

02/11/2017 15/9/2018 80%

DN03.09 Construction of CHS Cu Kia

JV of Nguyen Phuong Ban Me and Kiem Anh

02/11/2017 15/9/2018 90%

Construction of CHS Nam DOng

02/11/2017 15/9/2018 90%

Dak Lak Province

DL-Lo1 Upgrades to polyclinic 719

Dak Lak Construction company

08/02/2017 08/8/2019 100%

DL-Lo2 Construction of Krong Buk district hospital


08/02/2017 8/8/2019 75%

DL-Lo3 Construction of wastewater treatment plant of Buon Me Thuot Hospital


02/02/2018 02/02/2019 70%

Kom Tum Province

KT01-NCB

Construction of Dak Glei town health station

Tri Dung Company 11-12/2017 12/2018 55%

Upgrades of Ngoc Linh CHS

11-12/2017 12/2018 40%

Upgrades of Dak Man CHS

11-12/2017 12/2018 40%

Upgrades of Dak Su CHS

11-12/2017 12/2018 40%

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Upgrades of Dak Nong CHS

11-12/2017 12/2018 40%

KT02-NCB

Construction of Dak Ui CHS

Kim Nguyen Kom Tum Company

11-12/2017 12/2018 30%

upgrades of Sa Loong CHS

11-12/2017 12/2018 40%

Upgrades of Dak Kan CHS

11-12/2017 12/2018 50%

Upgrades of Dak To CHS

11-12/2017 12/2018 50%

Upgrades of Kon Dao CHS

11-12/2017 12/2018 50%

KT03-NCB

Construction of Tu Ma Rong CHS

Association of H-B Kon Tum and Viet Trung – Gia Lai

Company

11-12/2017 12/2018 55%

Upgrades of Te Xang CHS

11-12/2017 12/2018 50%

Upgrades of Dak SaovCHS

11-12/2017 12/2018 50%

Dak To Kan CHS 11-12/2017 12/2018 50%

KT04-NCB

Construction of Dak Ro Nga CHS

Binh Chuan Company

11-12/2017 12/2018 50%

Contruction of Dak Ha CHS

11-12/2017 12/2018 50%

Upgrades of Van Lem CHS

11-12/2017 12/2018 60%

Upgrades of Ngo May CHS

11-12/2017 12/2018 60%

KT05-NCB

Construction of Mo Rai CHS

501.1 Company 11-12/2017 12/2018 50%

Upgrades of Yaly CHS 11-12/2017 12/2018 60%

Upgrades of Sa Son CHS

11-12/2017 12/2018 60%

Upgrades of Sa Thay CHS

11-12/2017 12/2018 60%

KT06-NCB

Upgrades of Doan Ket CHS

Association of Quoc Hung

company and Hai

Dang company

11-12/2017 12/2018 50%

Upgrades of DakTo Re CHS

11-12/2017 12/2018 60%

Upgrades of Hoa Binh CHS

11-12/2017 12/2018 60%

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Upgrades of Truong Chinh CHS

11-12/2017 12/2018 60%

Upgrades of Tan Lap CHS

11-12/2017 12/2018 60%

KT07-NCB

Construction of Dak Coi CHS

Association of Phu Hung company

and Duy Phuc

company

11-12/2017 12/2018 50%

Upgrades of Ngoc Tem CHS

11-12/2017 12/2018 60%

Upgrades of Dak Long CHS

11-12/2017 12/2018 60%

Upgrades of Dak To Lung CHS

11-12/2017 12/2018 60%

Upgrades of Bo E CHS 11-12/2017 12/2018 60%

KT08-NCB

Construction of Dak Ro Nga CHS

Dong Sang

Company

11-12/2017 12/2018 50%

Construction of Kroong CHS

11-12/2017 12/2018 50%

Construction of Ngoc Wang CHS

11-12/2017 12/2018 60%

Construction Activities during the last six months

8. In the last six months, construction of 35 CHSs in Kom Tum Province and construction of Krong Buk district hospital and construction of Wastewater treatment plant for Buon Me Thuot City Hospital in Dak Lak Province have been carried out.

Planned Construction activities for the next reporting period

9. In next six months, the construction will be carried out in all five project provinces of Dak Nong, Dak Lak, Lam Dong, Gia Lai and Kom Tum which are upgrades and construction of 08 supplementing CHSs in Dak Nong, completion of the wastewater treatment plant of Buon Ma Thuot and Krong Buk Hospitals in Dak Lak, construction of 35 CHSs in Kom Tum and starting upgrading and construction of District Hospitals and CHSs in Gia Lai Province.

II. INSTITUTIONAL SETUP AND RESPONSIBILITIES FOR EMP IMPLEMENTATION AND SUPERVISION

A. Institutional responsibilities for environmental management

10. The roles and responsibilities of the different institutions in EMP implementation and monitoring are described in Table 3.

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Table 3. Institutional responsibilities for environmental management

Organization EMP Responsibility committed in aproved IEE

Current Implementation status

MOH

Responsibility for project operation including operation stage environmental performance

Allocation of staff with responsibility for environmental issues during operation

Being Complied with

Issued regulations related to health waste management

CPMU

Responsibility for overall project implementation, including environmental management activities and implementation of EMPs

Coordination of environment-related activities of provinces / districts / Communes including implementation of aspects of EMPs

Being Complied with

Since 2015, CPMU has signed a contract with an environmental consultant to support CPMU on implementing environment-related issues as (i) preparing Due Diligence Reports for 4 of 5 provinces (Gia Lai not yet prepared due to the delay in the design process of the sub-components) prior to awarding construction contracts; (ii) preparing updated environmental management plans (uEMPs) for the 5 project provinces according to ADB’s requirement in the mission trip in Feb 2017; (iii) prepared and submitted two semiannual environmental monitoring report for the year of 2017; (iv) supervising the EMP implementation of PPMUs, Construction contractors and Construction Supervision Consultants (CSCs); Delivering training courses on EMP monitoring and Providing monitoring report template and HSE checklist to CSCs in Jun 2017

Since 2017, before starting the first construction packages in Dak Nong province, CPMU has signed contracts with two CSCs and these CSCs take also responsibilities of monitoring the implementation of contractor’s mitigation on construction sites.

PPMUs

Responsibility for province level project implementation

Responsibility for implementing EMPs including preparation of environmental assessments - and obtaining environmental approvals for works within province

Complied with.

All project provinces have already obtained environmental certificates before biding process as required of national laws.

four provinces Dak Nong, Dak Lak, Lam Dong and Kon Tum,

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Responsibilities of Parties in Environmental Monitoring and Supervision

11. The current organizational structure for the implementation of environmental monitoring and supervision is presented in Figure 2

construction package have started as well as assigned staffs to cooperate with the CSCs on supervision missions including safety and environmental monitoring.

Responsibility for pre-construction stage and construction stage environmental management, monitoring and reporting

The environmental consultant of CPMU has taken this mission instead of the PPMUs

DONREs

Approval of EMPs for works within districts

Provision of advice to PPMUs/districts/communes as required on environmental issues

Complied with

Approved the environmental certificates under their authority

Provision of advices on the approved IEE as required in the Loan Agreement.

Construction contractors

Implementation of environmental management commitments contained in site specific EMPs

Partly Complied with

Please see the chapter 3 for detail.

Monitoring and reporting of environmental performance

These missions have changed to CSCs and the environmental consultant of CPMU

Environmental support consultant

Support to CPMU and PPMU environment officers in implementation of project responsibilities

Being Complied with

Please refer to the row of CPMU above

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Figure 2. Environmental and safety monitoring structure

Environmental Reporting System

12. In accordance with the approved EMP, monthly monitoring reports on EMP compliance as well as semi-annual environmental monitoring reports must be prepared by relevant stakeholders. The detail status of current reporting is described in Table 4. The reporting process is illustrated in Figure 3.

Table 4. Project environmental reporting system assessment

Agency Required reports in approved IEE

To Whom

Current status of Reportage

Construction contractors

Monthly monitoring report

Self-monitoring of environmental effects of construction work in terms of environmental performance monitoring requirements identified in EMP. Undertaken on an ongoing basis throughout construction works with regular monitoring frequencies.

CPMU/PPMUs

After participating the training course on EMP monitoring and receiving the template of environmental monitoring report with HSE checklist, the CSCs hired by CPMU have prepared monthly environmental monitoring reports since Oct 2017.

The monthly environmental and safety monitoring report was included in the monthly progress reports of CSC since Oct 2017 for Krong Buk Hospital in Dak Lak since Feb 2018 for CHSs in Kom Tum and in Dak Nong and since May 2018 for District Hospitals and CHSs in Lam Dong

CSC

MOH

ADB CPMU/ Environment Consultant

PPMUs of 5

provinces

Construction Contractors of 5 project provinces

Monitoring line

Reporting line

Semiannual report

Daily

Monthly report

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Agency Required reports in approved IEE

To Whom

Current status of Reportage

CPMU/ Environmental consultant

Semiannual monitoring report

Monitoring of Contractor’s compliance with EMP requirements undertaken regularly throughout construction period. Monitoring based on combination of observation and review of contractors’s environmental performance monitoring results

ADB Complied with

CPMU prepared and submitted two semiannual monitoring report for the year of 2017 which got approved and disclosed both on ADB and the Project websites

This semiannual monitoring report for Jan to Jun 2018 will be submitted ADB in Aug 2018.

Staff resources for EMP implementation

13. Contractors, CSCs and PPMUs: Because of small construction works, no full time staffs are assigned for environment and safety supervision. The CSCs have included this mission to on-site supervision consultant and The PPMUs have appointed technical staffs in charged of construction progress, quality and aslo other safeguard issues.

14. CPMU: CPMU has signed contract with a national environmental consultant that has continually been providing support on environmental and safe issues through site inspections for implementation of the environmental and safety compliance at site.

B. Incorporation of Environmental Requirements into Project Contractual Arrangements

15. The original EMP (2011) was intergrated in bidding documents of civil works. The contractors were required to consider requirements of the EMP when preparing their bids.

16. The environmental and safety monitoring tasks was included in the contracts with the Construction Supervision Consultants (CSCs) that require CSCs doing regular inspection of the environmental and safety compliance at the sites.

III. COMPLIANCE WITH ENVIRONMENT RELATED PROJECT COVENANTS

17. Table 6 shows the status of compliance with ADB’s loan covenants relating to environment, health and safety during this report period.

Table 5. Status of Compliance with ADB Loan Covenants

Schedule Description Remarks/Issues

(Status of Compliance)

Schedule 4

Item 7

Conditions for Award of Contract: The Borrower shall not award any Works contract which involves environmental impacts until:

(a) Department of Natural Resources and Environment of the Borrower has granted the final approval of the IEE;

(b) the Borrower has incorporated the

Being Complied with

(a) the DONREs of 5 provinces, provided their consents of the approved IEE as well as guidances on environmental issues to the project.

(b) uEMP is included into the

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relevant provisions from the EMP into the Works contract; and

(c) Department of Natural Resources and Environment of the Borrower has issued the certificates of environmental protection or environmental impact assessment certificates.

Works contract in item 24 chapter A, Section 7 of the bidding document and annex 1 of the works contract

(c) all construction works of all 5 project provinces were obtained appropriate environmental certificates required by national laws

Schedule 5

Item 9

Environment

The Borrower shall cause MOH and the PPMUs to ensure that the preparation, design, construction, implementation, operation and Junommissioning of the Project and all Project facilities comply with

(a) all applicable laws and regulations of the Borrower relating to environment, health and safety;

(b) the Environmental Safeguards; and

(c) all measures and requirements set forth in the IEE, the EMP, and any corrective or preventative actions set forth in a Safeguards Monitoring Report.

Being Complied with

a) all construction works of 5 project provinces were obtained appropriate environmental certificates required by national laws.

b,c) Two semiannual environmental monitoring report was prepared for the year of 2017

Monthly CSC reports intergrated environmental monitoring section using HSE checklists have been submitted to PMUs since Oct 2017.

Schedule 5

Item 10

The Borrower shall cause MOH and the PPMUs to ensure that environment- related capacity development measures contained in Section III D of the IEE are adequately resourced and implemented.

Complied with

CPMU has signed a contract with a national environmental consultant to provide capacity building and oversight of EMP implementation

The contractors who build wastewater treatment plants shall be responsible for providing training on the WWTP’s operation and maintenance

The CSCs have included the supervision mission on environment and safety to their on-site supervisors

Schedule 5

Item 14

Safeguards – Related Provisions in Bidding Documents and Works Contracts

The Borrower shall cause MOH and the PPMUs to ensure that all bidding documents and contracts for Works contain provisions that require contractors to:

(a) comply with the measures relevant to the contractor set forth in the IEE, the EMP and

Being complied with

IEE and uEMP included into the Works contract in item 24 chapter A, Section 7 of the bidding document and annex 1 of the works contract

(a,b,c) refer to the answers above.

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the EGDP (to the extent they concern impacts on affected people during construction), and any corrective or preventative actions set forth in a Safeguards Monitoring Report;

(b) make available a budget for all such environmental and social measures; and

(c) provide MOH with a written notice of any unanticipated environmental, resettlement or indigenous peoples risks or impacts that arise during construction, implementation or operation of the Project that were not considered in the IEE, the EMP and the EGDP.

The CPMU shall do monitoring on these requirements

Schedule 5

Item 15

Safeguards Monitoring and Reporting

The Borrower shall cause MOH and the PPMUs to do the following:

(a) submit semi-annual Safeguards Monitoring Reports to ADB and disclose relevant information from such reports to affected persons promptly upon submission;

(b) if any unanticipated environmental and/or social risks and impacts arise during construction, implementation or operation of the Project that were not considered in the IEE, the EMP and the EGDP, promptly inform ADB of the occurrence of such risks or impacts, with detailed description of the event and proposed corrective action plan; and

(c) report any actual or potential breach of compliance with the measures and requirements set forth in the EMP or the EGDP promptly after becoming aware of the breach.

Being Complied with

a) Two semiannual environmental monitoring report was prepared for the year of 2017. Approved and disclosed on both ADB and the project’s website (Vie-Eng). (http://duanytetaynguyen.org.vn/index.php/en/cach-ly/ba/1001-semi-annual-environmental-monitoring-report). The semiannual monitoring report for Jan to Jun 2018 will be submitted to ADB in Aug 2018 and also disclosed on the websites after clearance and approval of ADB.

b) All unanticipated environmental and/or social risks and impacts arise during construction, implementation or operation of the project, (if any) shall be informed ADB with detailed description of the event and proposed corrective action plan.

(c) the findings related to environment and safety (if any) shall be included in the monitoring reports submitted to CPMU and ADB

18. As required by ADB, the original EMPs must be updated based on the detail design of each project Provinces and the uEMPs should be incorporated in the biding documents

instead of the original EMP. The succeeding table showing the schedule of preparation of the updated EMPs

http://duanytetaynguyen.org.vn/index.php/en/cach-ly/ba/1001-semi-annual-environmental-monitoring-report)




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Table 6. the schedule of updating EMPs

No Province Status of biding process at Jun 2018 Schedule of updating EMP

1 Kom Tum

Completion of biding process since Nov 2017

Approved by ADB in Aug 2017

2 Lam Dong

In the evaluation of biding document. The biding process started in Jan 2018

Approved by ADB in Sep 2017

3 Dak Lak Completion of biding process since Jan 2017

Approved by ADB in Oct 2017

4 Dak Nong

Completion of biding process since Jan 2017

Approved by ADB in Nov 2017

5 Gia Lai Expectedly starting at Mar 2018 Approved by ADB in Jan 2018

IV. ENVIRONMENTAL MITIGATIONS MEASURES IMPLEMENTED IN THE REPORTING PERIOD

Monitoring of Compliance with the EMP

19. The inspection methodology involved reviewing project document and CSC reports, field observations of the work areas and relevant site supplemented with photographic documentation and formal and informal interviews with workers, residents, stakeholders and affected persons (APs),

Schedule of Environmental Monitoring

20. The site inspections for EMP compliance are conducted daily by CSCs, joint meetings among CPMU, PPMUs, CSCs and Contractors shall be organized whenever the environmental and safety issues are identified and corrective actions are requested. The monitoring activities relating to environment and safety are shown in Table 7.

Table 7. Environmental and Safety monitoring activities

Mission/task Date Location of site visits Conducted by Whom

Monitoring on Contractor’s EMP compliance

Daily All sites of construction packages of Dak Nong and Dak Lac Provinces

Staffs of CSCs

Monitoring on EMP implementation and compliance for Semiannual environmental report

Dak Nong: 6th to 7th May 2018

Dak Lak: 8th to 9th May 2018

Kom Tum: 9th -10th May 2018

Dak Nong: 07 CHSs under construction

Dak Lak: City polyclinic hospital and Krong Buk District Hospital

Kom Tum: 35 CHS under construction

Joint site inpections of CPMU’s Environmental Consultant, PPMU staffs and CSC’s staffs.

Lam Dong: 6th Jun to 9th Jun 2018

02 district hospitals and 05 CHSs in Lam Dong

Joint site inpections of CPMU’s Environmental Consultant, PPMU staffs and CSC’s staffs.

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21. During the period from 6th to 10th May 2018 and 6th to 9th Jun 2018, site inspections were conducted by the national environmental consultant (NES) to validate and monitor the implementation of EMP for construction packages in four provinces Dak Nong, Kom Tum, Lam Dong and Dak Lak. The site visits were conducted together with the PPMUs, the CSCs and the relevant contractors in the four provinces. The site-visits suggested that the construction works in Dak Nong, Kom Tum, Dak Lak and Lam Dong are mostly minor that did not generate significant adverse environmental impacts. There are some minor environmental and safety issues that the contractors have not complied with to follow approved EMPs, as indicated in Table 8.

Table 8. Findings during the site inspections

Issues/Concerns/Findings Pictures

Dak Nong Province

Issue: Risks of worker health

Description: The worker’s camp was not sanitary as the place for sleeping was dusty and had a lot of garbage. The contractor also did not provide bins to collect domestic waste and emergency medical box.

Rainy and domestic waste water flooded outside of a worker’s camp causing sanitation problems to workers

Location: at the worker’s camp for construction of Kien Thanh health station

Time: May 6th 2018

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Issue: Solid waste management

Description: in accords with uEMP, burning waste at site is prohibited, the waste both from construction and domestic activities must be collected and haulted to disposal sites by local service company. However, the signs of buring waste were found in almost all of construction sites visited.

Location: at the sites of Truong Xuan, Nam Dong commune health station

Time: May 6th 2018

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Issue: Solid waste management during operation

Description: For commune health station, the waste is separated in two types, health and domestic waste which are collected diffirently. The domestic waste is collected by local service company and the health waste stored in yellow plastic packages is burned in on-site incinerator. However, some of project CHSs burned both domestic and health waste in the on-site incinerators causing pollution to ambien environment and fills up faster the container specially for ash of health waste.

Location: at the site of Nghia Thang commune health station

Time: May 7th 2018

Issue: Risk of community safety

Description: A local kindergarten is very close to construction without a fence in oder to prevent childrent accessing the construction sites or minimize impacts from construction activities such as noise, dust….

Location: at the site of Kien Thanh commune health station

Time: May 6th 2018

Dak Lak Province

18


Issue: Risks of community and worker safety

Description: The first three pics showed workers working without basic protective equipment such as helmet, shoes, personal belts for working at height

All of construction sites at high were not installed with guard rail or safety net to protect workers falling down from the sites at high.

All workers working at height were not equipped with person belts to protect from falling down and workers working on ground or lower sites did not wear helmets to protect their heads.

There was no fencing, warning signs or barries to distinguish and separate construction sites and places accessible to public. People visiting the district hospital could access the construction sites without any notices, warnings and be likely to get injuried by construction activities.

Location: the first three pics are in Krong Buk hospital and the fourth is the site of City Polyclinic Hospital at Buon Me Thuot City

Time: May 8th 2018

19


Issue: Information disclosure

Description: Information boards at every site did not contain all of the required information in particular and information regarding a telephone hotline to contractor to which complaints could be forwarded. The contractor was obviously afraid to print a contactable number to which he might be held account for working incorrectly.

No Information board at the site of wastewater treatment plant in Buon Me Thuot City Polyclinic Hospital

Location: at the gate of the site of Krong Buk District Hospital

Time: May 8th 2018

Kom Tum Province

20



Description: workers were working without basic protective equipment such as helmet, shoes, personal belts for working at height

All of construction sites at high were not installed with guard rail or safety net to protect workers falling down from the sites at high.


There was no fencing, warning signs or barries to distinguish and separate construction sites and places accessible to public. People visiting the district hospital could access the construction sites without any notices, warnings and be likely to get injuried by construction activities.

Location: the first two pics are in Tan Lap CHS, the third in Dak R’Lap CHS and the fourth is the site of Truong Chinh CHS

Time: May 9, 10th 2018

21


Lam Dong Province

Issue: Risks of worker safety

Description: All of construction sites at high were not installed with guard rail or safety net to protect workers falling down from the sites at high.


Location: the construction site of Da Hoai District Hospital and Da Loan Polyclinic

Time: June 6th 2018

22



Description: a floor of Da Hoai District Hospital was dusty and slippery because of losing the door by construction activities

Location: the construction site of Da Hoai District Hospital

Time: June 6th 2018

23


Issue: Generation of solid waste needing to be disposed

Description: Construction works for wastewater treatment plant of Da Hoai and Nam Ha District Hospital generated an amount of spoil needing to be disposed (180 m3 in Da Hoai and 90 m3 in Nam Ha). This amount of spoil was stored temporarily in the campus of contruction sites

Location: the construction site of Da Hoai and Lam Ha District Hospitals

Time: June 6th and 7th 2018

24


Issue: Information disclosure

Description: Information boards at every site did not contain all of the required information in particular and information regarding a telephone hotline to contractor to which complaints could be forwarded.

Location: at the gate of the site of Loc An, Ninh Gia Polyclinics

Time: Jun 6th & 7th 2018

22. Table 9 summarizes the environmental measures that were implemented by the contractors.

25

Table 9.EMP implementation assessment

EMP requirement

Assessment on Compliance with EMP

Dak Nong Province Dak Lak Province

Dust suppression

Partly Complied

some disused waste heaps were not protected against dust production. No water spraying. No mention of any dust control monitoring.

Trucks carrying materials to or from the site were covered

Being Complied

Dust control by spraying on dry days


Noise limitation

Being Complied

Construction activities are minor and limited in day time hours

Being Complied

Construction site of Krong Buk District hospital which needs to be mobilized some noisy machines is remote from residential areas. It is isolated by a hard fence surrounding.

The other construction activities as of intercommunal polyclinic 719 and City Hospital are minor

All construction activities are limited in day time hours

Water quality protection

Being complied

All construction sites had separated toilet and bath space

All of construction sites are far away from water resources

Being complied

All construction sites have sanitary toilets and washing facilities.

The site of Krong buk district hospital installed a store chemical in secure area, with concrete floor and weatherproof roof

However, all of construction sites are far away from water resources

Occupational and Community health and safety plan

Partly complied

All the sites at height were not equipped with façade netting, safety net fan and rail guard. The use of personnel protective equipment was not satisfactory.

No significant accidents recorded during the reporting period

Partly complied

The site of Krong Buk Distric Hospital was fenced around by durable metal sheets to secure construction site and restrict access by local communities. But the site of wastewater treatment plant in Buon Me Thuot City Hospital was not secure enough while using traffic tape to separate the contruction site and other public areas.


Excavated soils and construction waste management

Being complied Being complied

26

EMP requirement


Dak Nong Province Dak Lak Province

Given small construction works, the amount of excavated soil and construction waste is minor.

No complaint related to construction waste, excavated soil from adjacent houses

All excavated soil were reused as backfill material for lowland areas within the campus of construction site.

Table 10.EMP implementation assessment

EMP requirement


Lam Dong Province Kom Tum Province

Dust suppression

Being Complied

Contruction sites were all surrounded by durable fences that separate the sites with other buildings and minimize the impacts of dust and noise


Partly Complied

Some disused waste heaps were not protected against dust production. No water spraying. No mention of any dust control monitoring.


Noise limitation

Being Complied

Construction works were minor that did not require to mobilize heavy construction equipment. In addition, Construction activities are limited in day time hours.

No complaint related to high level of noise from surrounding houses.

Being Complied

Construction works were minor that did not require to mobilize heavy construction equipment. In addition, Construction activities are limited in day time hours.

No complaint related to high level of noise from surrounding houses.

Water quality protection

Being Complied



Being complied



Occupational and Community health and safety plan

Partly complied



Partly complied



Excavated soils and

Partly complied Partly complied

27

EMP requirement


Lam Dong Province Kom Tum Province

construction waste management

There is evidence on all sites of these materials not being disposed of in a timely manner and whilst on site they are not being protected from dust emission.

Given small construction works, the amount of excavated soil and construction waste is minor.

No complaint related to construction waste, excavated soil from adjacent houses

V. PUBLIC CONSULTATION, GRIEVANCE REDRESS MECHANISM

A. Public consultation and EMP information dissemination

23. Information relevant to the construction packages were disseminated through (i) sending documents to related commune people committees; and (ii) the information boards at the gates or on the fencing system of construction sites. These kinds of information disseminated by (i) and (ii) only focused on technical description of the packages, project progress etc…but with no information related to EMP implementation. The information boards do not provide the contact and hotline of contractors. GRM is not specifically disclosed.

24. During the monitoring trips in Jan and Jun 2018, there were some local people living or working adjacent to the construction sites in Dak Nong, Lam Dong, Kom Tum and Dak Lac Province involved in the public consultation. Given that most of construction works are minor which only request mobilizing a few machines and vehicles /or the construction sites are remote and isolated from residential areas in case of Krong Buk district hospital, the most local concern is only the progress of construction works.

25. Details of the public consultation during Jan to Jun 2018 is presented in the table 11 below. All consulted local people confirmed that they understand the situation of the contractors and support construction, they also confirmed that none of serious impacts or labor accidents has occurred from the commencement of construction.

Table 11 . Public consultation during mission trip in Jan and Jun 2018

Name of consulted

people

Construction works

Address Comments

Dak Nong Province

H’ Karsor Truong Xuan Health Station

Truong Xuan commune, Cu Jut District

Neither serious impacts nor labor accidents

Do Hoang Giang Kien Thanh Health Station

Kien Thanh commune, Dak Song District


Nguyen Thi Hoa Dak R’Lap District Hospital

Dak R’Lap Distrist DoH should provide supports on periodically

28

Name of consulted

people

Construction works

Address Comments

sampling program for wastewater treatment plant

Tran Dinh Trong Nghia Thang Health Station

Nghia Thang Commune, Dak Glong District


Nguyen Van Tri Nam Dong Health Station

Nam Dong commune, Cu Jut District


Dak Lak Province

Hoang Dinh Thien

Wastewater treatment plant for Buon Ma Thuot City Hospital

Buon Ma Thuot City Hospital

Contractor should pay more attention to secure the safety for local people coming to the hospital.

Hoang Dinh Tien Krong Buk District Hospital

Cu Ne Commune, Krong Buk District


Lam Dong Province

Le Ngoc Bao Da Hoai District Hospital

Da Hoai District, Lam Dong Province


Luu Quoc Huong Da Hoai District Hospital

Da Hoai District, Lam Dong Province


Nguyen Quang Long

Loc Thanh Polyclinic

Loc Thanh commune, Bao Loc District


Pham Viet Duy Loc An Polyclinic Loc An Commune, Bao

Lam District Neither serious impacts nor labor accidents

Nguyen Huy Trinh Ninh Gia Polyclinic Ninh Gia Commune, Duc

Trong District Neither serious impacts nor labor accidents

Do Ngoc Ty Da Loan Polyclinic Da Loan Commune, Duc

Trong District Neither serious impacts nor labor accidents

Nguyen Thanh Anh

Lam Ha District Hospital

Lam Ha District, Lam Dong Province


Kom Tum Province

Van Thi Ngoc

Tan Lap CHS Tan Lap Commune, Kon Ray District

Contractor should pay more attention to secure the safety for local people coming to the CHS.

Truong Minh Can Dak R’Lap CHS Dak Lap Commune, Dak

Ha District Neither serious impacts nor labor accidents

Nguyen Ngoc Minh

Truong Chinh CHS Truong Chinh Ward, Kon Tum City

Contractor should pay more attention to secure the safety for local people coming to the CHS.

I Oan B’Roai Dak Ro Wa CHS Dak Ro Wa commune,

Dak To District Neither serious impacts nor labor accidents

29

Name of consulted

people

Construction works

Address Comments

Ly Duc Duc Ngoc Wang CHS Ngoc Wang commune,

Dak Ha District Neither serious impacts nor labor accidents

B. Grievance Redress Mechanism

26. The way that affected people can report a complaint on adverse impacts of project is to make verbal complaints directly to contractors or inform the impact-related to Commune People Committees (CPCs) and then these CPCs can make verbal complaints to contractors. Local communities did not have the contact information of PPMUs, CSC or CPMU.

27. Interviews conducted during site inspections during Jan to Jun 2018 by the nation environment specialist found that no interviewee had heard of the grievance redress mechanism (GRM) and were not aware of how to access it. The absence of a GRM that requests accessible and known by potentially affected people was a critical lapse and needed urgent attention by PPMUs and CPMU. However, based on the information from local CPCs and through public consultation at sites there was no complaint of local community related to the impact on environment due to the project activities.

28. The PPMUs should establish a grievance redress and resolution mechanism to address grievances related to EMP implementation and the project in general introduced in Figure 3. Every attempt should be made to establish a rapport between the affected communities and the implementing agencies through frequent interactions and transparency thereby maximizing the resolution of grievances at commune level. A three-stage procedure for redress of grievances is proposed based on practice as follows:

Stage 1: Complaints from affected people on any environmental damage caused by the project implementation will be lodged verbally or in written form by the affected people (refer to Appendix 8 for sample complaint form). The staff from Commune/Commune Supervision Board will assess the level of environmental damage and report to the PPMU within 15 days of the receipt of the complaint.

Stage 2: If no resolution can be reached or if no response is received from the liaison officer within 15 days of registering the complaint, the affected people can take their complaint to the relevant Provincial People Committee who will conduct a site investigation to assess the damage and discuss with a contractor during the construction stage to determine and immediately take the appropriate remedial measures within 30 days of the receipt of the complaint.

Stage 3: If the affected people are not satisfied with the Junision of Viet tri City People Committee or in the absence of any response, the affected people can appeal to the DONRE or Provincial People’s Committee (PPC). The DONRE/PPC will provide a Junision on the appeal within 45 days but not exceeding 60 days1, from the day it is received by the PPC. In this stage,

1 Law on Complaints, Article 28, Law No. 02/2011/QH13 dated November 11, 2011

30

DONRE/PPC will enforce PPMU to take the strong corrective action to resolve the problems either though enforcement of contractor’s duties under the signed contract or providing necessary additional actions under its overall duties of project implementation.

29. A complaint or a case in the Court of Law may be filed separately or independently from the Project level Grievance Redress mechanism filing process. Implementers of the mechanism should be guided by appropriate government Junrees related to complaints such as: Law on Complaints No. 02/2011/QH13; Article 64 of Government Junree 84/2007/ND-CP; Clause 2, Article 40 of Junree 69/2009; and regulation on grievance at Government Junree 75/2012/ND-CP dated 20/11/2012.

Figure 3. Grievance and Redress Mechanism

C. Establishment of a Hotline

30. Supplementary to the procedures mentioned in the previous sections, the PPMUs/Contractors shall establish a dedicated hotline for the local people to call directly whenever there is an incident or issue that need to be addressed immediately. The hotline number will be made public and posted on all work sites and field offices of the Contractor, and public gathering places of the nearby communities. The PPMU officer will be provided access to the hotline for easier and faster response. The primary objective of the hotline is to assist the complainants, stakeholders and affected persons to connect directly to PPMUs in solving all the problems from the project,

Grievance

Commune People Committee

District People Committee

Construction supervision Consultant

Construction Contractors

CORRECTIVE ACTION

CPMU

PPMU

Stage 3

Stage 2

Stage 1

DONRE/Provincial People Committee (PPC)

31

especially during the construction phase

VI. INSTITUTIONAL STRENGTHENING AND TRAINING

31. As requirement of ADB, a template of environmental monitoring report included a checklist for CSCs was prepared by the national environmental consultant (Refer to appendix 1) and during his site inspection trip iduring Jan to Jun 2018, this template have been disseminated to the CSCs with the guidance of how to use.

VII. KEY ENVIRONMENTAL ISSUES

A. Review the implementation of corrective actions from previous report

Table 12. Environmental key issues from the previous report (Jul to Dec 2017)

No Key issues Corrective actions Status of implementaiton of the actions

CPMU

1 Preparation of semiannual environmental monitoring report

Preparing the semiannual monitoring report for Jul to Dec 2017 and submitting to ADB before 23rd June 2018

Done. The seminannual report was approved and disclosured on ADB and Project Websites in June 2018

Prepare and submit the semiannual environmental monitoring report for Jan to Jun 2018 before Aug 2018

Done. The draft semiannual monitoring report for Jan to Jun 2018 has been submitted to ADB in Aug 2018

PPMUs

2 Findings/issues during site inspection needing to be solved

PPMUs of Dak Lak and Dak Nong takes responsibility on sending findings and recommendations in this report to respective contractors and request them proposing measures and reporting the implementation of the measures after they are done.

Done.

Dak Lak and Dak Nong PMUs discussed with relevant contractors on these findings, corrective actions through meetings in site

3 Lack of a project GRM

Refer to item B,C chapter V Not Done Yet

Contractors in Dak Nong Province

No construction activities

Contractors in Dak Lak

4 Risks of worker safety in Krong Buk District Hospital

Provide adequate personal protective equipments to workers and instruct them how to use these equipments.

Install guard rail or safety net at the sites at height (5 m above the

Done.

The construction site of Krong Buk District Hospital still has keeped the strong fence and workers were equipped adequatedly protective equipment.

32

No Key issues Corrective actions Status of implementaiton of the actions

ground)

With the sites higher than 5 m, contractors installed safety net and guard rail

5 Information disclosure at the site of Krong Buk District Hospital

Provide tel, address of the contractors and CSC on the information board at the gates of construction sites.

Not Done Yet

B. Key identified issues and requested actions for the period of Jan to Jun 2018

32. Based on the assessment mentioned in previous chapters, Key environmental outstanding issues identified during this monitoring period are presented in table 14 with respective corrective actions, implementation responsibility and timeframe.

Table 13. Environmental key issues

No Key issues Corrective actions Supervised by

Schedule

CPMU

1 Disclosure of approved seminannual monitoring report

Disclose the semiannual environmental monitoring report for Jan to June 2018 in both languages Eng and Vie after cleared and approved by ADB

ADB/CPMU Before Oct 2018

PPMUs

2 Findings/issues during site inspection needing to be solved

PPMUs of Dak Lak, Kom Tum, Lam Dong and Dak Nong takes responsibility on sending findings and recommendations in this report to respective contractors and request them proposing measures and reporting the implementation of the measures after they are done.

CPMU In the first week of Aug 2018

3 Lack of a project GRM

Refer to item B,C chapter V CPMU Before 30th Aug 2018 for the Provinces under construction phase.

Contractors in Dak Nong Province

4 Risks of worker health in Kien Thanh Health Station

Ditch a trench to drain flooded water to local drainage

Provide a large bin (100L) at the worker’s camp and clean the area surrounding the camp

PPMU/CPMU In the first week of Jul 2018

5 Improper solid waste management in

Prohibit workers burning garbage at site

Provide large bins (100L) at


33


Schedule

Truong Xuan and Nam Dong CHSs

construction sites and request local services companies coming for empting the bins at least twince per week

6 Improper solid waste management during operation in Nghia Thang CHS

Stop buring domestic waste and health waste together in the incinerator of CHS.

Domestic waste must be collected in large bin (200L) which already was provided by local services company.


7 Risk of community safety

Build a wall with a heigh of 2 m to separate the site and the kindergarten


Contractors in Dak Lak

8 Risks of worker safety in Krong Buk Hospital



9 Risks of community and worker safety in Buon Me Thuot City Hospital

Install a durable fence surrounding the site, especially the part bordering with the hospital parking area


10 Information disclosure at the site of Krong Buk District Hospital

Provide tel, address of the contractors and CSC on the information board at the gates of construction sites.


Contractors in Kom Tum

11 Risks of worker safety in Tan Lap, Dak Lap, Truong Chinh CHS


Install safety net, guard rail for all construction site with a height higher than 5 m


12 Risks of community safety in Truong Chinh CHS

Install a durable fence surrounding the site, especially the part bordering with the existing CHS


Contractors in Lam Dong

13 Risks of worker safety in Da Hoai Hospital


Install safety net, guard rail for all construction site with a height higher than 5 m


14 Risk of community

Cover tightly the undoor gate by cavas to ensure rain water not coming into the floor of existing hospital


34


Schedule

safety in Da Hoai Hospital

115 Improper solid waste management in Da Hoai and Lam Ha Hospitals

Identify adequate disposal sites for the spoil. These disposal sites must obtain the written agreement of land owners with signature of local authority and be testified by CSC.

The disposal site should not be so close to natural water ways, at least 10 m away.


16 Lack of information disclosure in all construction sites

Provide a hotline on the information board at the gate of construction sites


VIII. CONCLUSION AND RECOMMENDATION

A. Overall Progress of Implementation of Environmental Management Measures

33. The environmental management system of the project has been well established given all environmental requirements from both ADB and the Government have been addressed and respective corrective action plans have been proposed and implemented.

34. In general, the contractors for commune health stations have paid little attention to the environmental mitigation and safety measures such almost contractors do not have enough fence system, warning sign boards or guard rail, safety net for the sites at height. Other non-compliance issues that have been noted during this period, include limited provision of personal protective equipment (PPE) to workers, workers not enjoined to wear PPE, improper management of petroleum products and waste oil, etc.

35. The contractors are trying to comply with the required environmental management measures. The PPMUs, with assistance from CSCs is continually conducting discussions and reminding the contractors to improve the implementation of environmental measures. The CSCs are regularly monitoring the contractors’ performance through their daily site inspections.

36. The CSCs have already included a more detailed section using the report template and the checklists on the contractors’ environmental management activities and performance in monthly progress reports.

B. Actions Recommended

37. Outstanding issues during this report period and corrective action are presented in Table 14. The related stakeholders need to allocate adequate resources to carry out effectively these actions.

35

APPENDIX 1–CSC environmental monitoring report done by the CSC for Krong Buk hospital

BIỂU MẪU GIÁM SÁT TUẨN THỦ CÁC BIỆN PHÁP GIẢM THIỂU (Theo tháng)

Dựán: Chăm sóc sức

khỏe nhân dân các

tỉnh tây nguyên

Đơn vị thực hiện :

Đơn vị Tư vấn giám

sát.

Phạm vi giám sát:

Giám sát chất lượng

thi công xây dựng

công trình

Nhà thầu thi công:

Công ty cổ phần

xây dựng Đắc Lắc.

Điều kiện thời tiết: 4

ngày mưa/ 31 ngày

Người giám sát:

Đinh Văn Tiền

chức danh:

Cán bộ Hỗ trợ Tư

vấn giám sát

Thời gian giám sát:

Tháng 4

36

Hoạt động

thi công

Biện pháp giảm thiểu (theo sEMP của nhà thầu) Thực hiện biện

pháp giảm

thiểu

Có/Không

Hiệu quả của

biện pháp

giảm thiểu

1 tới 5

Các biện pháp cần bổ sung,

sửa đổi bao gồm cả thời hạn

thực hiện các biện pháp này

Hiệu quả áp dụng của

các biện pháp bổ sung,

sửa đổi

Công tác

hoàn thiện

nhà : Trát

ngoài nhà,

ốp lát gạch

tườn và

nền, làm

trần thạch

cao.

- Chất, xếp, bảo quản, bốc dỡ và vận chuyển

nguyên vật liệu sử dụng các xe máy xây dựng, sàn công

tác, dàn giáo, nôi, thang khi làm công tác hoàn thiện,

trát, sơn, mộc, kính, lát sàn… phải theo đúng quy định.

- Khi sử dụng dàn giáo, sàn công tác hoặc nôi

làm công tác hoàn hiện ở trên cao phải theo sự hướng

dẫn của cán bộ kỹ thuật thi công hoặc đội trưởng.

- Cấm làm các công việc hoàn thiện đồng thời ở

hai hay nhiều tầng trên cùng một phương thẳng đứng,

nếu ở giữa các tầng không có sàn che chắn bảo vệ.

- Cán bộ kỹ thuật thi công phải đảm bảo việc

ngắt điện hoàn toàn trước khi trát, sơn, dán giấy hoặc ốp

các tấm cách điện lên trên bề mặt của hệ thống điện.

- Khi đưa vữa lên mặt sàn công tác cao không

quá 5m, phải dùng các thiết bị cơ giới nhỏ hoặc công cụ

cải tiến. Đối với những sàn công tác cao trên 5m phải

dùng máy nâng hoặc phương tiện cẩu chuyển khác.

- Thùng, xô đựng vữa cũng như các dụng cụ đồ

nghề khác phải để ở vị trí chắc chắn để tránh rơi, trượt,

đổ. Khi tạm ngừng việc, phải thu dọn vật liệu, dụng cụ

vào một chỗ.

- Công nhân phải được trang bị đầy đủ trang

thiết bị bảo hộ lao động trong quá trình làm việc.

Có.

3.

-Còn 1 vài công nhân

trong quá trình thi công

không đội mũ bảo hộ lao

động và đeo găng tay,

khẩu trang trong quá trình

vận chuyển vật liệu và thi

công, đề nghị nhà thầu

nhắc nhở công nhân thực

hiện nghiêm túc vấn đề an

toàn lao động .

Sau vài ngày công

nhân nghiêm túc

chấp hành dùng đồ

bảo hộ lao động và

chấp hành nghiêm

chỉnh công tác an

toàn lao động

37

Công tác thi

công hệ

thống thoát

nước mưa

và nước

thải ngoài

nhà

- Cấm người không có trách nhiệm vào khu vực đang

đào đất.

- Không được thực hiện cùng lúc đào đất bằng máy &

đào thủ công trên cùng một vị trí.

- Đào đất phải theo sự hướng dẫn của Cán bộ kỹ thuật.

Khi đào nếu gặp vật lạ phải ngưng đào và báo ngay cho

Cán bộ chỉ huy để có biện pháp giải quyết.

- Hàng ngày, Cán bộ kỹ thuật phải kiểm tra tình trạng của

thành hố đào để kịp thời phát hiện và có biện pháp gia cố,

ngăn ngừa nguy cơ sụp lở thành hố đào nhất là sau cơn

mưa.

- Lắp dựng biển báo, hàng rào an toàn bảo vệ hố đào.

-Trước khi làm việc, công nhân lái máy phải kiểm tra

tình trạng máy và đảm bảo tốt mới được đào đất.

- Cấm người không có phận sự đi lại trong phạm vi hoạt

động của máy đang đào đất.

- Phải đảm bảo khoảng cách, không để máy đào va

quẹt làm hư hỏng công trình lân cận.

- Dọc theo bờ thành mương phải chừa lại một

dãi đất trống rộng ít nhất là 0,5m, trên đó không được

chất đất hoặc chất vật liệu để chuẩn bị xây móng. Không

bố trí máy móc hoặc xe cộ đi vào để tránh sạt lở.

- Vật liệu vữa, gạch, đá đưa xuống hố phải hạ từ

từ, không được lắc, giật, va đập mạnh, cấm người đứng

bên dưới khi đưa vật liệu xuống.

- Không đổ ồ ạt hoặc ném gạch, đá xuống hố vì

như vậy có thể gây chấn thương cho người đang làm

việc ở dưới hoặc làm sạt lở hố móng.

- Khi thi công nếu hố móng mương bị ngập

nước do một nguyên nhân nào đó thì phải xử lý hết nước

mới được tiếp tục làm việc.

- Không được lấp đất một bên thành mương khi

lớp vữa xây chưa hoàn toàn khô cứng. Đối với tường

chắn chỉ được lấp đất khi tường đã đạt được cường độ

thiết kế.

Có 3

Có. Công nhân thực

hiện nghiêm túc.

38

Công tác

làm hạ tầng

sân đường

- Trong quá trình vận chuyển đất thừa đi đổ chỗ

khác ô tô phải được che chắn bạt tránh đất rơi

vãi gây bụi và bẩn trên công trường

- Trong bán kính máy xúc làm việc phải có cảnh

báo nguy hiểm tránh người qua lại đảm bản an

toàn khi thi công.

- Có biện pháp tưới nước để tránh bụi bay vào

khu vực ban chỉ huy , cũng như khu vực công

nhân ở ảnh hưởng tới sức khỏe con người

có 2 - Thời tiết tây

nguyên vào mùa

Khô nên nắng và

gió to gây ra bụi

đất, bụi cát bay

nên đề nghị nhà

thầu tưới nước

thường xuyên khu

vực đường giao

thong thi công nội

bộ để tránh bụi và

đất ảnh hưởng

Ban chỉ huy cũng

như người lao

động và một số hộ

dân sống gần công

trình đang thi

công.

- Nhà thầu

tưới nước

thường

xuyên khu

vực đi lại

nhiều, hạn

chế bụi bay

ảnh hưởng

đến xung

quanh

Điểm đánh giá hiệu quả của biện pháp giảm thiểu

1: Rất tốt 2: Tốt 3: Có hiệu quả 4: Hiệu quả hạn chế 5: Không có hiệu quả

Đính kèm bảng này là Ảnh, biên bản, kết quả phân tích để làm rõ

- Hoạt động thi công: Tất cả các hoạt động thi công tại thời điểm giám sát trên công trường cần yêu cầu các biện pháp giảm thiểu được thể hiện trong SEMP

- Biện pháp giảm thiểu:các biện pháp giảm thiểu được trình bày trong SEMP tương ứng với hoạt động thi công

- Các biện pháp bổ sung, sửa đổi: Trong trường hợp phát hiện nhà thầu không thực hiện biện pháp giảm thiểu hoặc biện pháp giảm thiểu đề xuất không hiệu quả, các

biện pháp sửa đổi, bổ sung phải được xác định, bàn luận và thống nhất với nhà thầu thi công bao gồm cả thời hạn thực hiện các biện pháp này

- Hiệu quả áp dụng các biện pháp bổ sung, sửa đổi: Người giám sát cần phải kiểm tra lại hiệu quả của các biện pháp bổ sung, sửa đổi (nếu có) của các lần giám sát

trước. Việc này rất hữu dụng để đánh giá mức độ tuân thủ của nhà thầu và đề xuất biện pháp phạt phù hợp

39

Các tác động không được lường trước, tai nạn lao động và sự cố nghiêm trọng Ngày

Vị

trí của sựcố

Miêu tả sự cố bao gồm mức độ sự cố và các biện pháp khắc phục đã

thực hiện tại thời điểm đó

Đánh giá hậu quả

sự cố

Các biện pháp khắc phục bổ sung bao gồm thời han thực

hiên và bài học kinh nghiệm rút ra từ sự cố

Chữ ký các bên liên quan

Tư vấn giám sát Ngày

Nhà thầu Ngày

Kèm theo Ảnh, phiếu nhập viện, kết quả y tế và các tài liệu liên quan khác

- Đánh giá hậu quả sự cố: theo chiều hướng sự cố gây hậu quả lâu dài hay trong thời gian ngắn có thể khắc phục hoàn toàn, mức độ lan tỏa của sự cố ngoài phạm vi

công trường

- Các biện pháp khắc phục bổ sung bao gồm thời han thực hiên và bài học kinh nghiệm rút ra từ sự cố: Các hành động khắc phục phải được thống nhất và xác

định cùng với nhà thầu thi công, các biện pháp đền bù là cần thiết đối với các sự cố gây ra thiệt hại lên nguồn tài nguyên cộng đồng và sinh kế của người dân. Kinh

nghiệm rút ra sẽ đưa ra, công bố tới tất cả các bên liên quan để tránh sự cố tương tự xảy ra trong tương lai.

40

Biểu mẫu ghi nhớ yêu cầu, kiến nghị

của các bên bị ảnh hưởng bởi hoạt động thi công TT Ngày/Địa điểm Người kiến nghị/ ngày liên lạc Chi tiết kiến nghị Kiểm tra kiến nghị/ Giải

pháp

Hiệu quả giải pháp

Chữkýcủa CSC Ngày

Checklist về Môi trường và an toàn

41

STT VỊ TRÍ TÁC ĐỘNG MÔI

TRƯỜNG CHỈ TIÊU GIÁM SÁT

KẾT QUẢ GIÁM SÁT

CHÚ THÍCH (**) CÓ

THỰC HIỆN

KHÔNG THỰC HIỆN

KHÔNG CẦN

THIẾT

BỆNH VIỆN ĐA KHOA HUYỆN K’RONG BUK

1

Công trình xây

dựng

- Phương tiện

xây dựng:

(i) Xe lăn

(ii) xe tải

(iii) Máy đào

(i) Không khí ô

nhiễm, khí thải nhà

kính,

(ii) Tiếng ồn và độ

rung

Chất cháy hoặc vật liệu xây dựng (ví dụ, nhựa đường, phế thải ...)

trên công trường. X

Dấu hiệu giới hạn tốc độ phải được sắp xếp cách mặt đất 50m từ 2

đầu. X

Đèn chiếu sáng vào ban đêm X

Giấy chứng nhận đã được hiệu chuẩn (Tất cả các xe phải có "giấy

chứng nhận về chất lượng, an toàn kỹ thuật và bảo vệ môi trường"

theo Quyết định số 35/2005 / QĐ-BGTVT để tránh máy gây ra tiếng

ồn quá mức do không được bảo dưỡng đúng cách).

X

các nhà máy trộn bê tông phải cách xa khu dân cư. X

lắp đặt bộ giảm xóc, bộ phận giảm thanh hoặc thiết lập máy móc có

tiếng ồn lớn trong vùng cách âm. X

Tránh hoặc giảm thiểu lưu thông qua các khu dân cư và trạm xử lý

vật liệu trong khu dân cư (như máy trộn xi măng) X

Kết luận: Nhà thầu thực hiện nghiêm túc.

Bụi phát sinh

Hoạt động tưới nước tại các vị trí phát sinh bụi X

Liệu việc định kỳ tưới nước hay không? X

Liệu tưới hiện nay có hiệu quả (tham khảo ý kiến với người dân và

quan sát, lấy mẫu) X

Kết luận: Nhà thầu thực hiện nghiêm túc.

An toàn lao động

và an toàn công

cộng

Cung cấp đội mũ bảo hiểm và mũ bảo hiểm cho công trường xây

dựng theo quy định của pháp luật. X

Người lao động làm việc trực tiếp với hóa chất, hàn nên được trang bị

găng tay, mặt nạ; X

Dấu hiệu giới hạn ra vào / ra; dấu hiệu cảnh báo; quy tắc phòng cháy X

Thiết bị chống cháy X

Có những túi / hộp cứu trợ khẩn cấp tại các trại lao động có đầy đủ

các loại thuốc cơ bản / thiết bị cấp cứu đầu tiên (bông, băng, gạc,

thuốc lạnh và cúm, kháng sinh tổng hợp, rượu y tế).

X

Hàng rào, hệ thống cảnh báo để cô lập các công trình xây dựng và

tách các khu vực với các khu vực công cộng X

Nhân viên giao thông tại các nút giao thông giữa các công trường và

đường địa phương? X

Bìa cống? X

42





THỰC HIỆN


KHÔNG CẦN

THIẾT

Công nhân có thắt lưng cá nhân khi làm việc ở độ cao X

Các vị trí có chiều cao có lan can cứng để tránh bị ngã X

Những người không có thẩm quyền có thể vào các công trường xây

dựng không? X

Kết luận: Đa số công nhân tuân thủ An toàn lao động nhưng đôi lúc vẫn còn một vài công nhân khi thi công không mặc đồ bảo hộ lao động.

Kiểm soát lắng

đọng, lắng đọng

bùn lắng

Xử lý nước thải, ô

nhiễm nguồn nước

Có hệ thống thoát nước (tạm thời / theo thiết kế) trong công trường? X

Có bùn, chất thải ảnh hưởng đến việc thoát nước trong hệ thống thoát

nước không?

Vâng, nhưng việc thoát nước trong khu vực thi công không còn được

sử dụng nữa

X

Có những điểm ngập lụt nào trong khu vực xung quanh công trường

vì công tác xây dựng bắt đầu? X

Quá trình xây dựng có ảnh hưởng đến hệ thống thoát nước của các

khu vực xung quanh không? X

Thoát nước X

Có nhà vệ sinh riêng biệt, an toàn (tự hoại); nước thải được thải vào

hệ thống nước thải của khu vực. X

Kết luận:Nhà thầu luôn luôn luôn tuân thủ khâu vệ sinh môi trường . đặc biệt là khu sinh hoạt của lán trại tạm,nhà tắm nhà vệ sinh luôn gọn gàng

và sạch sẽ

Vật liệu, quản lý

kho bãi

Cửa hàng vật liệu có sàn xi măng, xi măng, mái, hàng rào đảm bảo

khô, thông gió tốt. Các bãi vật liệu như cát, đất phải được bảo vệ cẩn

thận để tránh bụi.

X

Các địa điểm cất trữ cách xa các nguồn nước X

Có các cửa hàng riêng biệt và tiêu chuẩn có sàn chống thấm và mái

chống rò rỉ và có biển báo cháy cho các hóa chất cũng như xăng dầu

và xăng dầu

X

Kết luận: Nhà thầu luôn tuân thủ khâu bảo quản cất giữ vật liệu xây dựng, bố trí kho xăng dầu, vật liệu xây dựng như cát, xi măng cuối hướng gió

và xa khu lán trại tạm của công nhân tránh bụi.

An ninh và trật tự

địa phương Hoàn thành tờ khai tạm trú với chính quyền địa phương. X

Tạo

Chất thải rắn, chất

thải sinh hoạt

Có các quy tắc để ngăn cấm và trừng phạt các hành vi xả rác và bừa

bãi. X

Nhà thầu có cung cấp các thùng rác, thùng chứa và các phương tiện

thu gom rác thải tại công trường không? X

43





THỰC HIỆN


KHÔNG CẦN

THIẾT

Văn bản phê duyệt các địa điểm lưu giữ tạm thời chất thải rắn tại chỗ

do Tư vấn giám sát thi công và các cơ quan chức năng địa phương

liên quan.

X

Làm các thùng rác, thùng chứa có nắp và chúng bị hư hỏng nghiêm

trọng? X

Có đốt hoặc chôn lấp chất thải rắn trên công trường? X

Liệu các vật liệu có thể được tái sử dụng như tấm gỗ để xây dựng

mương, giàn giáo thép, bao bì, vv ... được thu gom và phân loại tại

chỗ?

X

Các Nhà thầu có được giấy chứng nhận xử lý theo yêu cầu không?

Hoặc hợp đồng thu rác với công ty dịch vụ địa phương X

Kết luận:

2

Thành lập trại

lao động và

đường vào

công trình đến

trại công nhân

Quản lý giao

thông, tiếng ồn và

rung động

Lắp đặt hệ thống chiếu sáng vào ban đêm để đảm bảo an toàn giao

thông X

Lắp đặt biển báo an toàn, giới hạn tốc độ xung quanh các giao lộ giữa

địa điểm xây dựng và đường giao thông X

Địa điểm xây dựng là gọn gàng, không cản trở giao thông của người

dân X

Sử dụng tải trọng phù hợp theo quy định X

Hạn chế giao thông trong giờ cao điểm giờ nghỉ ngơi của người X

Bụi bặm

Phương tiện vật chất phải được bảo hiểm X

Thường xuyên tưới nước để giảm phát thải bụi X

Không có khiếu nại từ cư dân xung quanh công trường. X

An toàn lao động,

an toàn công cộng

Có dấu hiệu cảnh báo của trại lao động X

Có ánh sáng ban đêm X

Có những rào chắn vững chắc, dấu hiệu cảnh báo về trại lao động. X

Tờ khai tạm trú với chính quyền địa phương X

Các quy tắc bảng để sống và làm việc tại chỗ. X

Văn bản thông báo của Nhà thầu cho chính quyền địa phương với đầy

đủ thông tin về đội ngũ nhân viên an toàn của Nhà thầu X

Thiết bị chống cháy X

Có những túi / hộp cứu trợ khẩn cấp tại các trại lao động có đầy đủ

các loại thuốc cơ bản / thiết bị cấp cứu đầu tiên (bông, băng, gạc,

thuốc lạnh và cúm, kháng sinh tổng hợp, rượu y tế).

X

Kết luận:

44





THỰC HIỆN


KHÔNG CẦN

THIẾT

Kiểm soát thoát

nước

Có hệ thống thoát nước (tạm thời / theo thiết kế) trong trại công

nhân? X

Sản xuất chất thải

sinh hoạt

Có các quy tắc để ngăn cấm và trừng phạt các hành vi xả rác và bừa

bãi. X

Nhà thầu có cung cấp thùng chứa bụi, thùng chứa và phương tiện thu

gom rác thải tại công trường và trại của công nhân? X

Làm các thùng rác, thùng chứa có nắp và chúng bị hư hỏng nghiêm

trọng? X

Có đốt hoặc chôn lấp chất thải rắn trên công trường? X

Liệu các vật liệu có thể được tái sử dụng như tấm gỗ để xây dựng

mương, giàn giáo thép, bao bì, vv ... được thu gom và phân loại tại

chỗ?

X

Các Nhà thầu có được giấy chứng nhận xử lý theo yêu cầu không?

Hoặc hợp đồng thu rác với công ty dịch vụ địa phương X

địa điểm X

Kết luận:

Vật liệu, quản lý

kho bãi

Cửa hàng vật liệu có sàn xi măng, xi măng, mái, hàng rào đảm bảo

khô, thông gió tốt. Các bãi vật liệu như cát, đất phải được bảo vệ cẩn

thận để tránh bụi.

X

Các địa điểm cất trữ cách xa các nguồn nước X

Có các cửa hàng riêng biệt và tiêu chuẩn có sàn chống thấm và mái

chống rò rỉ và có biển báo cháy cho các hóa chất cũng như xăng dầu

và xăng dầu

X

Kết luận và kiến nghị: Đề nghị nhà thầu luôn luôn nghiêm túc khâu an toàn lao động và vệ sinh môi trường