Dialysis centers are collocated either in hospitals or leased premises within existing buildings, and have fire safety provisions in line with local regulatory requirements. Where appropriate, the dialysis centers have obtained a No Objection Certificate (NOC) from local fire departments.  NephroPlus has developed an SOP on the fire safety requirements for all its facilities that complies with local regulatory requirements. Fire safety drills are conducted at least once a year across all facilities and all fire hydrants and extinguishers are checked monthly. 

NephroPlus facilities are typically located in a mixed use (commercial and residential) neighborhoods. Since health care facilities use specialized gases and chemicals, some of which may be hazardous, NephroPlus will ensure adequate engineering controls and staff training are provided to mitigate risks and issues associated with its operations and associated infrastructure, which also includes storage and transport of infectious and hazardous wastes, chemicals and gases. Use and storage of chemicals is subject to stringent safety standards at NephroPlus. The company has emergency prevention and control plans which specifies responsibilities, ensures appropriate response equipment and materials are in place, and detail a set of procedures to be followed to minimize the harm from any potential accident. Moving forward, NephroPlus will additionally develop a comprehensive emergency response plan for subcontracted operations such as transport of infectious and hazardous materials, and add a community involvement component that addresses appropriate behavior and safety measures to be implemented in the event of an accident during transportation, handling, etc. of such materials.

Health care facilities operated by NephroPlus are designed and operated to meet local regulatory requirements for life and fire safety (L&FS). These standards vary by region and location, and are not certified under any particular certification regime. In order to confirm that life and fire safety provisions are adequate across all its facilities and are in compliance with WBG?s EHS Guidelines, the Company will commission an independent review of life and fire safety provisions by a qualified external expert.  The scope of review will include all existing facilities, and develop a set of minimum requirements / specifications for new facilities that is responsive to all national requirements and an internationally recognized fire and life safety code, as required by the life and fire safety section of the WBG EHS General Guidelines. These standard specifications should form part of the SOP on life and fire safety for all the company?s operations, and be basis for closing any gaps that that are identified in the review. Additionally, NephroPlus will adopt a disaster response plan for earthquakes, fires and other large scale emergency situations. The plan would include scenarios in which disease; pathogens and other bio hazards might be released under during normal and emergency scenarios, based on a risk assessment and analysis.