J.5_-_Draft_Enviromental_Mitigation_Plan_and_Report.pdf

HAITI HEALTH INFRASTRUCTURE

PROGRAM

DRAFT UMBRELLA ENVIRONMENTAL

MITIGATION PLAN AND REPORT

For

Small Renovation Projects

March 2015

This publication was produced for review by the United States Agency for International Development.

It was prepared by AECOM.

DRAFT UMBRELLA

ENVIRONMENTAL MITIGATION

PLAN AND REPORT

For Small Renovation Projects

Submitted to:

USAID/Haiti

MARCH 27, 2015

Prepared by:

AECOM

DISCLAIMER:

The authors’ views expressed in this document do not necessarily reflect the views of the United States Agency for International Development or the United States Government.

Haiti Health Infrastructure Program (HHIP) Environmental Mitigation Plan and Report (EMPR) for Small Renovation Projects

I. COVERSHEET FOR ENVIRONMENTAL MITIGATION PLAN AND REPORT

(EMPR)

Status of Fulfilling Mitigation Measures and Monitoring:

Initial EMP describing mitigation plan is attached (Yes or No).

Yes

Annual EMR describing status of mitigation measures is established and attached (Yes or No).

No

Certain mitigation conditions could not be satisfied and remedial action has been provided within the EMPR (Yes or No).

No

USAID Mission Clearance of EMP/EMR:

Contracting Officer’s Technical Representative: _______________________ Date: ______________

Manish Kumar

Mission Environmental Officer: _______________________ Date: ______________

Ryan D. Knight

Regional Environmental Advisor: _______________________Date: ______________

Paul Schmidtke

USAID MISSION SO # and Title:

Haiti Health Infrastructure Program(HHIP)

Activity Title: Small Renovation Projects in Haiti IP Name: AECOM Project Number Project Name Site Specific Funding Period: FY 2015 to FY 2016 Resource Levels (US$): $2,500,000 Overall (Approx. $100-

$300,000/site) Report Prepared by: Jeantel Cheramy – Env. Engineer Dates of Previous EMP/EMR:

COVERSHEET FOR EMPR

Small Renovation Projects in Haiti

List of initial project sites covered in this EMPR

Project Site Name

Department/Region

GPS Coordinates

North West CSL Pierre Payen Artibonite/Saint-marc 18°59’51.00ˮ N 72°44’17.267ˮ W CAL Marmelade North/Marmelade 19°31’0.804 ˮ N 72°21’37.223 ˮ W CSL de La Fossette

North/Cap-Haitian 19°45’13.608ˮN 72°12’21.312ˮ W

CAL Ouanaminthe Northeast/ Ouanaminthe

19°32’57.984ˮN 72°5’21.011ˮ W

CSL de Capotille Northeast/ Capotille 19°26'52.37"N 71°41'35.34"W CSL de Dondon North/ Dondon 19°31'33.73"N 72°14'30.10"W CSL Anse a Foleur Northwest/ Anse a

Foleur 19°53’31.38ˮ N 72°37’2.964ˮ W

Dispensaire de Sanoix

Artibonite/Marchand Dessaline

19°13’19.308ˮN 72°34’54.227ˮ W

CSL de St Paul Artibonite/ Montrouis 18°56'32.35"N 72°42'0.50"W CSL OBCG West/Carrefour 18°32'16.19"N 72°24'34.27"W CSL: Health center without Bed CAL: Health center with Bed

Note: This list includes the sites that have been identified as the date of this EMPR.

Additional school and health sites will be identified during the planning process however, the activities are expected to fall within those already included in this EMPR.

II. ENVIRONMENTAL MITIGATION PLAN/REPORT NARRATIVE

1. BACKGROUND, RATIONALE, AND OUTPUTS / RESULTS EXPECTED

The Small Renovation Projects are one year USAID-funded activities with the objective of providing infrastructure improvements in up to 25 health centers and schools throughout the country, specifically in the North, Northeast, West, and Artibonite departments. The purpose of the health renovations is to facilitate better health care and the primary purpose of the school renovations is to improve access for people with disabilities. Both activities fall under the Haiti Health Infrastructure Program (HHIP). The projects began in February 2015 with selection of facilities and design of site-specific renovation activities, and will continue until approximately March 2016 when all renovation work is anticipated to be complete.

The activities under this project were envisioned as part of USAID/Haiti’s support to Pillar C: Health and Other Basic Services of the USG Haiti Five-Year Post-Earthquake Strategy. The earthquake that shocked Haiti on January 12, 2010, caused extensive damage to an already weak health system, with historically poor health outcomes.

According to Ministry of Health (MOH) estimation, even before the earthquake, a significant portion of the Haitian population had no access to basic health services; a health network capable of meeting basic primary care needs for all Haitians did not exist and access to tertiary care was extremely limited. After the earthquake, the challenge of basic health services delivery was compounded by the destruction of infrastructure such as hospitals, clinics, and MOH buildings. The Small Renovation Projects support the USG Strategy Priority of rebuilding public health infrastructure in earth-quake zones and USG development corridors by providing small-scale renovation work to existing health centers or clinics.

Another impact of the devastating earthquake was the resulting injuries and physical disabilities among the general population; leading to an increased demand for services accessible to disabled persons. The renovation of school facilities under the Small Renovation Projects supports USAID/Haiti’s priority of increasing access to quality services for persons with disabilities. The need to provide accessible ramps and other accessibility features in schools was specifically identified as a priority by the Ministry of Social Affairs in conjunction with other USAID activities to strengthen the Government of Haiti in supporting persons with disabilities.

The small-scale construction and renovation activities under this project have been identified as having the potential for negative impact on the environment and have therefore been issued a Negative Determination with Conditions under the Environmental Threshold Decision for USAID/Haiti Pillar C – Priority 1: Health (LAC- IEE-11-03) pursuant to 22 CFR 216.3 (a)(2)(iii). As such, this Umbrella Environmental Mitigation and Monitoring Report (UEMPR) was prepared by the HHIP Implementing Partner, AECOM, to provide an overview of the existing conditions of the environment in the anticipated geographic areas of intervention, potential activities and their potential impacts, key issues associated with these activities, recommendations for measures necessary to mitigate the potential impacts, and a monitoring framework for the mitigation measures.

2. ACTIVITY DESCRIPTION

The Small Renovation Projects only cover minor construction and renovation to existing buildings that is non-structural and may include ADA upgrades, architectural works, electrical upgrades, and plumbing upgrades. Any proposed plumbing upgrades will preferably replace fixtures as opposed to installing additional fixtures, which may increase the facility’s current water usage and waste streams. Mechanical work may include installation of exhaust fans, ducts, and ceiling fans, but will avoid air conditioning unless determined critical for the facility since this creates additional electrical loads of which the cost to operate may be un-sustainable. No structural work or new construction (additional rooms or increasing the size of a structure) is permitted under this project.

The activities to be implemented at each site under the Small Renovation Projects could include, but are not limited to the following:

Clean specific areas by means of pressure washing, scrubbing and other means to remove all dirt, dust, trash, and any other foreign material.

Repair/replace roofing.

Provide water, sanitation, and hygiene (WASH) improvements such as repairing or making minor improvements to existing water and sanitation facilities and systems on-site.

Repair plumbing including pipes, fixtures, and any other devices in toilets, wash basins, showers, or surgery scrubbing areas.

Remove chipped paint, clean and repaint using approved paint in specific areas.

Add, repair, and/or replace flooring.

Add, repair and/or replace doors and windows.

Construct openings and install doors.

Provide structural repairs to existing structures including columns, beams and other structural members.

Provide non-structural repairs to walls and/or ceilings.

Repair mechanical systems, including adding, removing and/or replacing a/c units, ceiling fans.

Construct masonry or curtain walls.

Install ramps.

Repair electrical systems, including updating subpanels and adding, removing, and/or replacing generators, fixtures, outlets, wiring, and lighting.

Provide and install curtains.

Install limited Fixed Furnishing and Equipment.

Specific sites for the Small Renovation Projects are first identified by USAID/Haiti’s Services de Santé de Qualité Pour Haiti (SSQH) Project, in the case of the health renovations; and the Ministry of Social Affairs, in the case of the school renovations.

AECOM, through the Haiti Health Infrastructure Program (HHIP), then assesses individual sites to determine feasibility and specific infrastructure needs. After USAID approval of the final selection, AECOM then develops renovation designs and specifications for each selected site, which USAID uses to award individual task orders to construction contractors under an Indefinite-Delivery Indefinite-Quantity Contract (IDIQ). Implementation of activities under the Small Renovation Projects will be phased as follows:

1- Project Assessment by AECOM 2- Planning and Design by AECOM 3- Procurement Phase (Bidding and awarding) by USAID 4- Site preparation as per site specific phasing plan (in coordination with the health center or school management) by Selected Construction Contractor 5- Project Implementation (Renovation) by Construction Contractor 6- Installation of required utilities (Line switch, lights bulb, A/C, Panel breaker, etc.)

by Construction Contractor 7- Commissioning & handover by Construction Contractor 8- Operations & Maintenance (O&M) Training by Construction Contractor

3. ENVIRONMENTAL BASELINE

Project sites are located in the following specific geographic areas of Haiti: North, Northeast, West and Artibonite.

3.1 Geographic Considerations

Weather and Climate:

Rainfall varies according to the island’s varied topography, with the center regions receiving more rainfall than the North and West. Northern and windward slopes in the mountainous regions receive up to three times more precipitation than the leeward side.

Annual precipitation in the mountains averages 1,200 mm, while the annual precipitation in the lowlands is as low as 550 mm. The Plaine du Gonaives and the eastern part of the Plaine du Cul-de-Sac are the driest regions in the country, where, combined with temperature, evaporation rates are high. The Island experiences year-round tropical humid conditions and is subject to the variability driven by the El Niño conditions. The wet season is long, particularly in the northern and southern regions of the island, with two pronounced peaks occurring between March and November.

Hurricanes:

Over the past 30 years, Haiti has been hit by six hurricanes, and while most of this small island nation is affected, the West, Artibonite and North Departments lie in the path of the strongest hurricanes. Impacts from cyclones range across the whole spectrum, including loss of life, livestock, destruction of agricultural lands, erosion, river siltation, increased incidence of water-borne diseases, and famine.

Floods and Storms:

Floods are the leading factor of vulnerability in Haiti. The country’s most populated cities are all nestled in the valleys along the coast. When it rains, the steep, often barren hills that surround them flush rainwater toward the urban areas. Widespread deforestation in the upper reaches of these valleys, coupled with lacking drainage infrastructure, creates an environment conducive to flooding.

Landslides:

High deforestation rates, coupled with intense rainfall, make landslides commonplace and particularly dangerous in the steep sloping lands.

Drought:

Of the regions where this project will be implemented, the Northeast, West and Artibonite departments frequently experience repeated droughts, brought about by a combination of erratic rainfall patterns coupled with a limited water management infrastructure. Droughts have destroyed crops, reduced agricultural production, and decreased food security.

3.2 Water

Water Availability:

Haiti relies on rain water to meet a majority of its water needs. The country’s 11 main drainage basins provide Haiti’s water supply and are themselves fed by a variety of interweaving streams carrying fresh water down from the mountains. Water is widely available in the selected areas of the project. Most of the time, the water table is relatively close to the ground surface and this water can be considered as having high enough quality to be used in construction activities. Most often, people in the selected areas collect water from nearby rivers for construction works. Water availability should not be an issue, but transportation to the site will be of concern.

Water Supply:

Some of the health centers surveyed have water distribution systems that obtain water from wells located on sites. In many sites, there have been numerous problems with water distribution and water pumping due to breaks in the system, open valves and lack of consistent grid power for the pumps. Additionally, although hospital staff do not regard the water from the system as potable or suitable for drinking, it is possible that some patients drink from the system against better judgment.

3.3 Wastewater

Most hospital and clinic health centers do not have a centralized wastewater collection and treatment system. Some use public pit latrine buildings which appear to be the only sanitary service that is actively utilized by their public clinic population. Additionally, some of them have a system of septic tanks to meet the needs of individual wards within their clinic. These septic tanks are set up to receive wastewater from flush toilets inside their respective wards; however, the use of flush toilets is widely misunderstood by the general clinic population. Therefore, this misunderstanding leads them to only use the pit latrines and problems in the collection and treatment system. Both the pit latrines and the septic tanks discharge wastewater effluent directly into the subsurface stratum, and they are not regularly maintained and/or emptied. There are significant problems with wastewater back-ups, which present unsanitary conditions.

3.4 Medical, Biological, and Solid Waste Management

As observed during most health clinic assessments, solid waste and medical waste are not properly separated and most of the non-medical waste is being included with medical waste. This has increased the volume of medical waste significantly and created many managerial problems. Some health centers take their medical waste to the incinerator for burning and other solid waste was collected and transported to public collection point.

4. EVALUATION OF ENVIRONMENTAL IMPACT POTENTIAL OF ACTIVITIES

(Table 1)

As described above, the Small Health Renovation Projects include only small-scale renovation activities. Therefore, potential environmental impacts during the renovation of the hospitals and clinic health centers should be minor and temporary. The most significant impacts during implementation of the renovation work would be displacement of patients, noise & dust generated by equipment and work, and construction waste which must be properly disposed of.

Contamination of Soil and Waters:

This could be caused by the open discharge of contaminants, such as toilet waste and other toxic materials that are often used in construction--solvents, paints, vehicle maintenance fluids, fuels. If these are dumped or wash into streams they may contaminate ground or surface water supplies, harming the health of the local community and populations living downstream.

Waste Management:

Activities at construction sites will produce construction waste such as cement bags, paint drums, brick and concrete rubble, metal, broken glass, timber waste and debris.

The movement of the workers, and vehicles also affect the aesthetics of the environment.

Air Quality and Noise:

Demolition of the existing concrete walkways and walls in some selected sites may generate noise & dust in the environment which will impact air quality. The presence of workers and their tools will also cause an increase in the ambient noise level during work hours.

Temporary Disruption of Healthcare Services:

Since facilities under renovation will not be closed, they will experience shortages of working space. Thus modifications of buildings in which medical services are provided may entail moving patients or equipment from room to another. This may cause temporary disruption in delivery of health services to patients at facilities under renovation.

Workers Health and Sanitary Conditions:

The presence of workers will lead to a need for additional water/sanitation services during implementation. Inadequate water/sanitation services for workers can lead to the contamination of the water table and/or lead to disease-vector breeding, odors, and other health/environmental hazards.

Adverse Social Impacts:

Noise and dirt from the renovation work may disturb those using the facilities including patients and health center staff, as well as neighbors. Additionally, renovation work may temporarily displace patients and staff.

Spread of Disease:

Construction workers from other regions may introduce new diseases to the local population or increase the incidence of local infection. This is a particular concern with sexually transmitted diseases, such as HIV. Certain facilities, such as those for healthcare, sanitation, and solid waste, can also increase the presence of diseases.

The impacts listed above are those that are anticipated to be common at all of the small renovation project sites based on site assessments conducted by AECOM and the range of renovation activities anticipated. An environmental screening form (Table 1) will be prepared by AECOM for each project site covered under this UEMPR to identify any additional site specific considerations.

5. ENVIRONMENTAL MITIGATION ACTIONS (Tables 2 & 3) In order to prevent and mitigate the impacts of the Small Health Renovation Projects, AECOM and the selected construction contractors will implement the following mitigation measures:

Develop Design Documents and Specifications that are based on national and international technical and environmental standards;

Design facilities to minimize the need for excavation, earth-moving and heavy machinery use;

Use of non lead based paints Limit earth moving to dry seasons;

Dispose of excess materials, and construction debris at an approved facility;

Provide potable water, adequate protective gear, appropriate sanitary and solid waste disposal facilities for use by the temporary workers;

Establish relationships within the community or governmental organizations to encourage the proper maintenance of newly constructed or rehabilitated infrastructures.

Tables 2 and 3 provide additional detail on the mitigation measures and monitoring strategy to be implemented.

6. GENDER

Activities under the Small Renovation Projects are not expected to significantly alter the building functions or services provided at each school or health center. Therefore the main gender consideration for the renovation work will be related to the provision or improvement of water and sanitation services. As such, the selected construction contractor for each project site will be required to discuss plans and designs with health center or clinic administrators, doctors, and health agents, including women, to ensure that any newly designed toilet and hand washing facilities offer equitable access to sanitation, including appropriate privacy, for both men and women. During consultation, gender based differences in roles, attitudes and concerns will be discussed and documented.

III-A. ENVIRONMENTAL SCREENING FORM (Table 1)

Name of Activity: Small Renovation of Health Centers

Type of Activity: Small-Scale Renovation

Contractor:

Date:

IEE/ETD # : LAC-IEE-11-03

Column A

Column B

Col C

Yes No

If answered yes to Col.

A. is it a--?

High Risk

Med ium- Risk

IMPACT ON NATURAL RESOURCES & COMMUNITIES

1 Will the project involve construction1 of any type of structure (building, check dam, walls, etc.)?

Yes ×

2 Will the project involve the construction2 or repair of roads or trails?

No

3 Will the project involve the use, involve plans to use or training in the use of any chemical compounds such as pesticides3 (including name1), herbicides, paint, varnish, lead-based products, etc.?

Yes ×

4 Involve the construction of repair of irrigation systems? No 5 Involve the construction or repair of fish ponds? No 6 Involve the disposal of used engine oil? No 7 Will the project involve implementation of timber management4 or extraction of forest products?

No

8 Are there any potentially sensitive terrestrial or aquatic areas near the project site, including protected areas?

No

9 Does the activity impact upon wildlife, forest resources, or wetlands?

No

10 Will the activities proposed generate airborne gases, liquids, or solids (i.e. discharge pollutants)

Yes ×

1 Construction projects need to be reviewed for scale, planned use, building code needs and maintenance. Some small construction projects, such as building an entrance sign to a park, may require simple mitigations whereas larger buildings will require more extensive review and monitoring.

2 New construction of roads and trails will require a full environmental assessment of the planned construction, i.e.

a Positive Determination.

3 The planned involvement of pesticides will trigger the need to develop a Supplemental Initial Environmental Examination that meets USAID pesticide procedures (Pesticide Evaluation Report and Safer Use Action Plan or “PERSUAP”) for the project.

4 Any activities the involve harvesting trees or converting forests will require a full environmental assessment of the activity (i.e. Positive Determination).

11 Will the waste generated during or after the project impact on neighboring surface or ground water?

Yes ×

12 Will the activity result in clearing of forest cover? No 13 Will the activity contribute to erosion? No 14 Is the activity incompatible with existing land use in the vicinity?

No

15 Will the activity contribute to displace housing? No 16 Will the activity affect unique geologic or physical features?

No

17 Will the activity contribute to change in the amount of surface water in anybody?

No

18 Will the activity deal with mangroves and coral reefs? No 19 Will the activity expose people or property to flooding? No 20 Will the activity contribute substantial reduction in the amount of ground water otherwise available for public water supplies?

No

21 Will the activity create objectionable odors? Yes × 22 Will the activity violate air standard? Yes ×

ENVIRONMENT & HEALTH

23 Will the project activities create conditions encouraging an increase of waterborne diseases or populations of disease carrying vectors or other health or safety hazards?

No

24 For road rehabilitation as well as water and sanitation grants, has a maintenance plan been submitted?

No

25 Will the activity generate hazards or barriers for pedestrians, motorists or persons with disabilities?

No

26 Will the activity increase existing noise levels? Yes × 27 Will the project involve the disposal of syringes, gauzes, gloves and other biohazard medical waste?

No

28 Is the activity incompatible with existing land use? No

LOCAL PLANNING PERMITS

29 Does the activity e.g. infrastructure improvements, require local planning permission(s)?

Yes N/A N/A

30 Does the activity meet the national building code (e.g.

infrastructure improvements)?

N/A N/A

GENDER

31 Do men and women benefit disproportionately or are involved unequally in the project’s activities?

32 Are there factors that prevent women’s participation in the project?

RECOMMENDED ACTION (Check Appropriate Action):

(Check)

(a) The project has no potential for substantial adverse environmental effects. No further environmental review is required (Categorical Exclusion). No EMP required.

(b) The project has potential for minimal to medium adverse environmental effects, but mitigable environmental effects. Measures to mitigate environmental effects will be incorporated (Negative Determination with Conditions). EMP Required.

(c) The project has potentially substantial or significant adverse environmental effects, but requires more analysis to form a conclusion. An Environmental Assessment will be prepared (Positive Determination). No EMP required.

(d) The project has potentially substantial adverse environmental effects, and revisions to the project design or location or the development of new alternatives is required (Deferral).

(e) The project has substantial and un-mitigable adverse environmental effects. Mitigation is insufficient to eliminate these effects and alternatives are not feasible. The project is not recommended for funding.

III-B. Identification of Mitigation Plan (Table 2)

Sub-activity or component

Description of Impact Mitigation Measures

Renovation of health facilities

a) Transmission of diseases

b) Contamination of local water supplies

a) Health and Safety Plan

b) Site Monitoring/ Quality Assurance (QA/QC) Plan

3 Renovation of health facilities

a) Risk of injury to construction workers

b) Contamination from hazardous wastes e.g. paints, lubricants, fuels

a) Health and Safety Plan

b) Provide and/or require appropriate personal protective equipment for workers, including hard hat, gloves, closed-toe boots, and other equipment as necessary, and require their use for high risk activities.

Waste Management

Activities at construction sites will produce additional construction waste and in some cases disposal will pose a threat to the environment (cement, paints, lubricants, fuels and detergents)

a) Cover collection and transfer vehicles along the route of transport to avoid windblown litter.

b) Ensure that vehicle maintenance plans provide for monitoring and replacement of covers and tarps as required.

c) Seek guidance of local environmental officers to identify acceptable disposal sites.

d) Contractors will undertake waste segregation at source to separate hazardous from non-hazardous waste.

22 Demolition, installationand minor construction a)Sedimentation of surface water bodies b)Bother or endanger neighbors due to noise, dust, and debris c)Injury from falling or flying debris when demolishing walls

a) Contractor to comply with requirements of work scope and submit plans to minimize noise and dust impacts.

b) Apply water to minimize dust.

c) Cover rubble and soil in trucks during transport.

d) Dispose of waste in designated locations.

e) Health and Safety Plan

Painting Production of toxic substances (VOCs)

a) Provide PPE to all workers

b) Use non-hazardous (no lead-based) paints and chemicals; ensure proper ventilation.

Temporary disruption of services

Since facilities under renovation will not be closed, they could experience shortages of working space.

a) Plan pre-construction activities early to identify suitable rooms or adjoining buildings into which to relocate patients, students, and/or staff with minimal inconvenience, especially for patients under intensive care.

b) Renovation will be in phases so that the whole facility is not disrupted at once.

1 Construction Activities Renovation work undertaken in buildings with patients or students has potential to cause inconvenience or even injuries to stakeholders

a) Contractors will cordon off areas under construction.

b) Ensure good housekeeping and clean operations always immediately removing rubble strewn outside construction areas.

c) Construction workers will limit verbal noise or other forms of noise during renovation works inside medical and school buildings

d) Contractors will use screens or nets to avoid flying debris and dust

26 Noise Noise and vibration caused by machines, site vehicles, pneumatic drills etc.

a) Heavy duty equipment to be minimized

b) Noisy operations to be limited to certain times

c) Noise levels to be limited to within acceptable level

Solid waste production a) Spread disease

b) Contaminate drinking water

Include space and features for source separation of recyclables and organic waste

III‐C. ENVIRONMENTAL MONITORING & EVALUATION TRACKING TABLE (Table 3)

Type of Project: Small-Scale Renovation Work

Project Name: Small Renovation Projects

Implementing Organization: AECOM

Location Name: Site Specific

Project Size: -

Nearby Communities: Site Specific

Senior Project Manager: Joseph Tuncel Date:

Monitoring Period: Renovation Period

Description of

Mitigation Measure Responsible

Party

Monitoring Methods Estima ted Cost

Results Recommended Adjustments

Indicators Methods Freque ncy

Dates Monitored

Problems Encountered

Mitigation Effectiveness

1 a) Health and Safety Plan

b) Site Monitoring/ Quality Assurance (QA/QC) Plan

AECOM /

Contractor

Health & Safety Plan Developed

Health & Safety Plan Posted and Followed

Health & Safety Plan Submitted

Site Inspection

Prior to constr uction

Bi‐ weekly

Weekl y

2 Provide personal protective equipment (PPE) for workers including gloves, boots, vests and respiratory protection

AECOM /

Contractor

Workers using appropriate

PPE

Site inspection

Bi‐ weekly

3 Undertake waste segregation at source to separate hazardous from non‐ hazardous waste.

AECOM /

Contractor

Suitable disposal areas are identified and used

Site inspection

Bi‐ weekly

4 Use non‐hazardous (no lead‐based) paints and chemicals;

ensure proper ventilation

AECOM /

Contractor

. Areas of use are properly ventilated

Workers wearing proper PPE

Site inspection

Bi‐ weekly

5 Comply with requirements of work scope and submit plans to minimize noise and dust impacts

AECOM /

Contractor

Reported complaints from community or users related to dust and noise

Site inspection

Bi‐ weekly

6 Plan pre‐construction activities early to identify suitable rooms or adjoining buildings into which to relocate services with minimal inconvenience

AECOM /

Contractor

Project baseline schedule developed and coordinated with hospital or school administratio n

Baseline Project Schedule Submitted

Prior to constr uction

7 Ensure good AECOM / Reported ?? 1 housekeeping and clean operations always immediately removing rubble strewn outside construction areas.

Contractor complaints from community or users related to construction waste

Area outside of construction zone clean and free of construction debris

Site inspection

Bi‐

8 Renovation will be in phases so that the whole facility is not disrupted at once.

AECOM # of Non‐ Conformance Reports

Site inspection

Bi‐ weekly

9 Construction workers will limit verbal noise or other forms of noise during renovation works inside medical or school buildings

AECOM /

Contractor

Site inspection

Bi‐ weekly

10 Contractors will use screens or nets to avoid flying debris and dust

Contractor Reported accidents, health issues, or complaints, from workers

Site Inspection?

Bi‐ weekly

11 a) Heavy duty equipment to be

AECOM /

Contractor

Reported complaints

Site Inspection?

Bi‐ minimized

b) Noisy operations to be limited to certain times

c) Noise levels to be limited to within acceptable level from community or users related to noise

? 2

12 Heavy duty equipment to be minimized

AECOM /

Contractor

# of Incidents / # of Non‐ Conformance Reports

Site inspection

Bi‐ weekly

IV. PHOTOS DOCUMENTATION DURING ENVIRONMENTAL ASSESSMENT SITES

Capotille Health Center`s entrance Capotille Health Center`s laboratory

Claire Heureuse Health Center`s laboratory Claire Heureuse Health Center`s electrical facilities

Dondon Health Center` Sanitary facilities Dondon Health Center`s consultation room

La Fossette Health Center interior wall La Fossette Health Center`s hall floor

Marmelade Health Center entrance Marmelade Health Center`s Laboratory

OBCG`s entrance/exit stairs OBCG`s interior wall

Ouanaminthe Health center Ouanaminthe Health center`s laboratory

Pierre Payen`Maternity Ward Exterior wall Pierre Payen`Maternity Ward ceiling