Description
Table of contents Page
1 Scope…………………………………………………………………………………………………………………………………………….. 1
2 Normative references. ……………………………………………………………………………………………………………………..1
2.1 Standards. …………………………………………………………………………………………………………………………………..1
2.2 Other publications. ………………………………………………………………………………………………………………………1
3 Definitions and abbreviations. …………………………………………………………………………………………………………1
3.1 Definitions. …………………………………………………………………………………………………………………………………..1
3.2 Abbreviations. ………………………………………………………………………………………………………………………………6
4 Requirements. ………………………………………………………………………………………………………………………………….6
4.1 Management requirements………………………………………………………………………………………6
4.2 Requirements for the waste management team.. …………………………………………………………………………….7
5 The waste management plan. ………………………………………………………………………………………………………….10
5.1 General ……………………………………………………………………………………………………………………………………….10
5.2 Documentation requirements. ……………………………………………………………………………………………………..10
5.3 Contractual commitments. ………………………………………………………………………………………………………….11
5.4 Work procedures and work instructions. ……………………………………………………………………………………….12
5.5 Inspection and quality control ……………………………………………………………………………………………………….12
5.6 Health and safety policy. ………………………………………………………………………………………………………………13
5.7 Training. …………………………………………………………………………………………………………………………………….13
5.8 Workplace hygiene. ……………………………………………………………………………………………………………………14
6.1 Identification. …………………………………………………………………………………………………………………………..14
6.2 Classification ( see Annex D) ………………………………………………………………………………………………………..15
6.3 Waste segregation. ……………………………………………………………………………………………………………………..15
6.4 Collection. …………………………………………………………………………………………………………………………………15
6.5 Waste minimization. ……………………………………………………………………………………………………………………15
7 Packaging. …………………………………………………………………………………………………………………………………….17
7.1 Packaging requirements for healthcare general waste. ………………………………………………………………….17
7.2 Packaging requirements for healthcare risk waste. …………………………………………………………………………17
7.3 Colour coding of packaging. …………………………………………………………………………………………………………17
7.4 Packaging for infectious waste (excluding sharps) …………………………………………………………………………18
7.6 Packaging for chemical waste. …………………………………………………………………………………………………….19
8 Waste storage. ………………………………………………………………………………………………………………………………23
8.1 Temporary healthcare risk waste stores………………………………………………………………………………………. 23
8.2 Central healthcare risk waste stores. ……………………………………………………………………………………………23
8.3 Provisions for the storage of infectious waste and non-infectious anatomical waste. ………………………25
8.4 Provisions for the storage of chemical and pharmaceutical waste. ………………………………………………..25
8.5 Provisions for the storage of radioactive waste. …………………………………………………………………………….26
8.6 Provisions for the storage of healthcare general waste. ………………………………………………………………….26
9 Collection and transportation of healthcare risk waste. …………………………………………………………………….26
9.1 Collection of healthcare risk waste within a healthcare facility. ………………………………………………………26
9.2 Transportation of healthcare risk waste within a healthcare facility. ……………………………………………….27
9.3 Collection of healthcare risk waste for off-site transportation. ………………………………………………………..27
10 Spillage of healthcare risk waste during transportation. ………………………………………………………………..28
10.1 Policy and strategies. …………………………………………………………………………………………………………………28
10.2 Clean-up procedures for infectious waste and hazardous chemical waste spills. ……………………………28
10.3 Clean-up procedures for cytotoxic pharmaceutical waste spills. ……………………………………………………29
11 Treatment and disposal methods. …………………………………………………………………………………………………29
11.1 General ……………………………………………………………………………………………………………………………………29
11.2 Disposal via discharge to a municipal sewer ……………………………………………………………………………….30
11.3 Disposal of healthcare risk waste by incineration. ………………………………………………………………………30
11.4 Disposal of healthcare risk waste by alternative technologies. ……………………………………………………31
11.5 Authorized treatment facilities operated on-site at healthcare facilities. ……………………………………..31
11.6 Authorized treatment facilities operated off-site from healthcare facilities. ………………………………….31
Annex A…………………………………………………………………………………………………………………………………………. 32
Annex B.. ………………………………………………………………………………………………………………………………………….33
Annex C.. ………………………………………………………………………………………………………………………………………..34
Annex D.. ………………………………………………………………………………………………………………………………………….38
Annex E. …………………………………………………………………………………………………………………………………………..40
Annex F. …………………………………………………………………………………………………………………………………………..43
Bibliography. ……………………………………………………………………………………………………………………………………48