50 2015 TT-BYT Vi

B Y T
CNG HA X HI CH NGHA VIT NAM
S: 50 /2015/TT-BYT
H Ni, ngy 11 thng 12 nm 2015
c lp - T do - Hnh phc
THNG T
Quy nh vic kim tra v sinh, cht lng nc n ung, nc sinh hot
Cn c Ngh nh s 63/2012/N-CP ngy 31 thng 8 nm 2012 ca Chnh
ph quy nh chc nng, nhim v, quyn hn v c cu t chc ca B Y t;
Cn c Ngh nh s 117/2007/N-CP ngy 11 thng 7 nm 2007 ca
Chnh ph quy nh v sn xut, cung cp v tiu th nc sch; Ngh nh s
124/2011/N-CP ngy 28 thng 12 nm 2011 ca Chnh ph v vic sa i, b
sung mt s iu Ngh nh s 117/2007/N-CP ngy 11 thng 7 nm 2007 ca
Chnh ph v sn xut, cung cp v tiu th nc sch;
Theo ngh ca Cc trng Cc Qun l mi trng y t;
B trng B Y t ban hnh Thng t Quy nh vic kim tra v sinh, cht
lng nc n ung, nc sinh hot,
Chng I
NHNG QUY NH CHUNG
iu 1. Phm vi iu chnh
Thng t ny quy nh vic kim tra v sinh, cht lng nc n ung, nc
sinh hot.
iu 2. Gii thch t ng
Trong Thng t ny, cc t ng di y c hiu nh sau:
1. Nc n ung l nc dng cho cc mc ch n ung, ch bin thc phm
do cc c s cung cp nc cung cp, bo m cht lng theo cc quy chun k
thut do B Y t ban hnh.
2. Nc sinh hot l nc s dng cho cc mc ch sinh hot thng thng,
khng s dng n ung trc tip hoc dng cho ch bin thc phm do cc c
s cung cp nc cung cp, bo m cht lng theo cc quy chun k thut do
B Y t ban hnh.
3. Nc h gia nh l nc do h gia nh t khai thc v lu tr s dng
lm nc sinh hot.
4. Ni kim l vic thc hin cc quy nh bo m v sinh, cht lng nc

ca c s cung cp nc do c s cung cp nc t thc hin, bao gm kim tra
v sinh ni khai thc nc nguyn liu, v sinh ngoi cnh, v sinh h thng sn
xut nc; xt nghim cht lng nc thnh phm theo quy nh; lp v qun l
h s theo di v sinh, cht lng nc.
5. Ngoi kim l kim tra vic thc hin cc quy nh bo m v sinh, cht
lng nc ca c s cung cp nc do c quan nh nc c thm quyn trc tip
thc hin, bao gm kim tra v sinh chung; kim tra vic thc hin ch ni
kim; xt nghim cht lng nc thnh phm.
6. C s cung cp nc l t chc, c nhn thc hin mt phn hoc tt c cc
hot ng khai thc, sn xut, kinh doanh, cung cp nc n ung, nc sinh hot.
7. Nc thnh phm l sn phm nc kt thc cng on cui cng ca
qu trnh x l nc v c a vo mng li ng ng hoc phng tin
phn phi nc cung cp cho t chc, c nhn s dng.
iu 3. C quan nh nc c thm quyn trc tip kim tra v sinh, cht
lng nc
1. Trung tm Y t d phng tnh, thnh ph trc thuc Trung ng (sau y
gi tt l Trung tm Y t d phng tnh); Trung tm Y t d phng hoc Trung
tm Y t huyn, qun, th x, thnh ph trc thuc tnh (sau y gi tt l Trung
tm Y t d phng hoc Trung tm Y t huyn) thc hin chc nng y t d phng
c thm quyn kim tra v sinh, cht lng nc ca cc c s cung cp nc.
2. Trm Y t x, phng, th trn (sau y gi tt l Trm Y t x) c thm
quyn kim tra v sinh, cht lng nc i vi cc hnh thc cp nc h gia
nh.
Chng II
KIM TRA V SINH, CHT LNG NC
CA C S CUNG CP NC
Mc 1
NI KIM V SINH, CHT LNG NC
iu 4. Kim tra v sinh ni khai thc nc nguyn liu

1. i vi c s cung cp nc s dng ngun nc ngm:
a) Phm vi kim tra: trong bn knh ti thiu 25m tnh t im khai thc nc
ngm nguyn liu.
b) Ni dung kim tra:
- Tng ro bo v xung quanh.
- Cc cng trnh xy dng (k c cng trnh ca c s cung cp nc).
- H thng ng ng nc, cng, knh mng, rnh nc thi chy qua hoc
vo khu vc bo v ngun nc.
- Cc hot ng sn xut cng nghip, nng nghip, khai thc ti nguyn
khong sn.
- Cht thi, rc thi, nc thi t cc hot ng sn xut, kinh doanh v sinh
hot.
c) Phng php nh gi: theo Phiu chm im nguy c quy nh ti Mu s
01 - Ph lc s 01 ban hnh km theo Thng t ny.
2. i vi c s cung cp nc s dng ngun nc sng:
a) Phm vi kim tra: trong bn knh ti thiu 200m t im ly nc ln
thng ngun, ti thiu 100m t im ly nc xung h ngun v 100m v pha
hai bn b sng tnh t mc nc cao nht ca sng.
b) Ni dung kim tra:
- Bin bo gii hn khu vc bo v ngun nc.
- B phn chn rc ti im thu nc.
- Bn , bn ph hoc phng tin thy ni a neo u.
- Cc cng trnh xy dng (k c cng trnh ca c s cung cp nc).
- Cc hot ng sn xut cng nghip, nng nghip, khai thc ti nguyn
khong sn, khai thc dch v, nui trng thu sn.
- H thng ng ng nc, cng, knh mng, rnh nc thi chy qua hoc
vo khu vc bo v ngun nc.
- Cht thi, rc thi, nc thi t cc hot ng sn xut, kinh doanh v sinh
hot.
3. i vi c s cung cp nc s dng ngun nc t h cha nc:
a) Phm vi kim tra: trong bn knh ti thiu 300m t im ly nc;
b) Ni dung kim tra: theo quy nh ca im b Khon 2 iu 4 Thng t
ny;
iu 5. Kim tra v sinh ngoi cnh ca c s cung cp nc
1. Phm vi kim tra: ton b bn trong tng ro bo v ca c s cung cp
nc.
2. Ni dung kim tra:
a) H thng thu gom, x l nc thi, rc thi;
3
b) Cc cng trnh v sinh: tnh trng hp v sinh ca cc nh tiu (nh v

sinh).
3. Phng php nh gi: in thng tin theo Phiu ni kim v sinh, cht
lng nc quy nh ti Mu s 01 - Ph lc s 02 ban hnh km theo Thng t
ny.
iu 6. Kim tra v sinh h thng sn xut nc ca c s cung cp nc
1. Phm vi kim tra: ton b h thng sn xut nc.
2. Ni dung kim tra:
a) Cc b, bn, h cha nc nguyn liu, nc thnh phm;
b) Cc trm bm nc;
c) H thng kh st, mangan;
d) B keo t, b lng, b lc v b cha sau x l;
) H thng kh trng;
e) Kho ho cht x l nc: loi, tn, ngun gc, giy chng nhn hoc vn
bn xc nhn ha cht c dng kh khun nc n ung, nc sinh hot (i
vi ha cht kh khun) do c quan c thm quyn cp; tnh hnh bo qun; hn
s dng; cch s dng; s lng d tr; s theo di tnh hnh s dng ha cht;
g) B phn pha ch ho cht x l;
h) Trang b bo h lao ng c nhn theo quy nh ca php lut v an ton
lao ng.
,
3. Phng php nh gi: in thng tin theo Phiu ni kim v sinh, cht
ny.
iu 7. Xt nghim cht lng nc thnh phm
1. Cc ch tiu xt nghim:
a) i vi c s cung cp nc c cng sut thit k t 1.000 m3/ngy m tr
ln: xt nghim tt c cc ch tiu thuc cc mc A, B, C theo quy nh ti Quy
chun k thut quc gia v cht lng nc n ung do B trng B Y t ban
hnh;
b) i vi c s cung cp nc c cng sut thit k di 1.000 m3/ngy m:
xt nghim tt c cc ch tiu thuc cc mc A, B theo quy nh ti Quy chun
k thut quc gia v cht lng nc sinh hot do B trng B Y t ban hnh.
2. Vic xt nghim cht lng nc phi c thc hin ti cc phng th
nghim t chun ISO/IEC 17025: 2005 v cc ch tiu cht lng nc c xt
nghim.
iu 8. Tn sut thc hin ni kim

1. Kim tra nh k:
a) Kim tra hng ngy v sinh ni khai thc nc nguyn liu, v sinh ngoi
cnh, v sinh h thng sn xut nc theo Phiu ni kim v sinh, cht lng nc
quy nh ti Mu s 01 - Ph lc s 02 ban hnh km theo Thng t ny;
b) Tn sut xt nghim cht lng nc thnh phm:
- i vi c s cung cp nc c cng sut thit k t 1.000 m3/ngy m tr
ln: xt nghim t nht 01 ln/01 tun cc ch tiu thuc mc A; xt nghim t
nht 01 ln/06 thng cc ch tiu thuc mc B; xt nghim t nht 01 ln/02
nm cc ch tiu thuc mc C.
- i vi c s cung cp nc c cng sut thit k di 1.000 m3/ngy m:
xt nghim t nht 01 ln/03 thng cc ch tiu thuc mc A; xt nghim t nht
01 ln/06 thng cc ch tiu thuc mc B.
2. Kim tra t xut: khi c s c v mi trng; khi kt qu kim tra v sinh
ngun nc cho thy ngun nc c nguy c b nhim; khi xut hin ri ro trong
qu trnh sn xut c nguy c nh hng n cht lng nc thnh phm hoc
khi c cc yu cu c bit khc.
iu 9. Trng hp khng bo m v sinh, cht lng nc
Trng hp v sinh, cht lng nc khng bo m theo quy nh, c s
cung cp nc phi thc hin cc hot ng sau y:
1. Khc phc ngay cc nguyn nhn gy nn vic v sinh, cht lng nc
khng bo m v bo co kt qu khc phc cho c quan nh nc c thm
quyn quy nh ti iu 3 Thng t ny.
2. Trng hp khng khc phc c phi bo co ngay cho c quan ch
qun, c quan nh nc c thm quyn, chnh quyn a phng ni t c s
cung cp nc v S Y t c bin php gii quyt hoc xem xt dng vic sn
xut v cung cp nc.
iu 10. H s theo di, qun l v sinh, cht lng nc
C s cung cp nc phi lp v qun l h s theo di v sinh, cht lng
nc gm:
1. Kt qu kim tra, xt nghim cht lng nc nguyn liu v nc thnh
phm ca c s cung cp nc trc khi a vo vn hnh sn xut.
2. Kt qu kim tra v sinh nh k quy nh ti im a Khon 1 iu 8
Thng t ny; kt qu kim tra v sinh t xut.
3. Kt qu xt nghim cht lng nc nguyn liu nh k, t xut.
4. Kt qu xt nghim cht lng nc thnh phm nh k, t xut.
5. S theo di vic lu mu nc thnh phm (mi ln ly mu ghi c th s
lng mu lu; v tr ly mu; th tch mu; phng php bo qun mu; thi gian
ly v lu mu; ngi ly mu lu).
5
6. Bo co, ti liu v thc hin k hoch cp nc an ton.

Mc 2
NGOI KIM V SINH, CHT LNG NC
iu 11. Kim tra v sinh chung

1. Ni dung kim tra: bao gm kim tra v sinh ni khai thc nc nguyn
liu, v sinh ngoi cnh v v sinh h thng sn xut nc thc hin theo quy nh
ti cc iu 4, 5 v 6 Thng t ny.
2. Phng php nh gi: in thng tin theo Phiu ngoi kim v sinh, cht
ny.
iu 12. Kim tra vic thc hin ch ni kim
1. Ni dung kim tra:
a) H s theo di, qun l v sinh, cht lng nc;
b) Tn sut thc hin ch ni kim;
c) Vic thc hin ch thng tin, bo co v sinh, cht lng nc.
2. Phng php nh gi: in thng tin theo Phiu ngoi kim v sinh, cht
ny.
iu 13. Xt nghim cht lng nc thnh phm
1. Cc ch tiu xt nghim: theo Khon 1 iu 7 Thng t ny.
2. Vic xt nghim cht lng nc c thc hin ti cc phng th nghim
c cng nhn t chun ISO/IEC 17025: 2005 v cc ch tiu cht lng nc
c xt nghim.
iu 14. Tn sut thc hin ngoi kim
1. Kim tra nh k:
a) t nht 01 ln/01 nm kim tra v sinh chung v vic thc hin ch ni
kim ca c s cung cp nc;
b) t nht 01 ln/01 nm xt nghim cht lng nc thnh phm i vi cc
ch tiu thuc cc mc A, B; t nht 01 ln/02 nm xt nghim cht lng nc
thnh phm i vi cc ch tiu thuc mc C.
2. Kim tra t xut: khi c nghi ng v cht lng nc thnh phm qua theo
di bo co tnh hnh v sinh, cht lng nc nh k, t xut ca c s cung
cp nc; khi xy ra s c mi trng c th nh hng n v sinh, cht lng
ngun nc; khi kt qu kim tra v sinh, cht lng nc hoc iu tra dch t
cho thy ngun nc c nguy c b nhim; khi c cc phn nh ca c quan, t

chc, c nhn v cht lng nc hoc khi c cc yu cu c bit khc.
Trng hp kt qu ngoi kim, theo di, gim st cho thy v sinh, cht
lng nc ca c s cung cp nc khng bo m theo quy nh, c quan nh
nc c thm quyn thc hin cc vic sau y:
1. Yu cu c s cung cp nc phi khc phc ngay cc nguyn nhn gy nn
vic v sinh, cht lng nc khng bo m v bo co kt qu khc phc.
2. Theo di vic khc phc ca c s cung cp nc. Trng hp khng khc
phc c cn bo co hoc thng bo cho chnh quyn a phng ni t c s
cung cp nc c bin php gii quyt hoc xem xt dng vic sn xut v
cung cp nc.
iu 16. S lng v v tr ly mu nc xt nghim (p dng cho ni
kim v ngoi kim)
1. Mi ln xt nghim ly t nht 03 mu nc thnh phm ca c s cung cp
nc.
2. V tr ly mu: 01 mu ti b cha sau x l ti c s cung cp nc trc
khi a vo mng li ng ng phn phi, 01 mu ti vi s dng ngu nhin
trn mng li ng ng phn phi (bao gm c cc phng tin phn phi nc
nh xe bn hoc ghe ch nc), 01 mu ti vi s dng ngu nhin cui mng
li ng ng phn phi.
3. Ly thm 01 mu b sung trong mng li ng ng phn phi i vi c
s cung cp nc tp trung cho t 100.000 dn tr ln v c thm 100.000 dn s
ly thm 01 mu xt nghim.
4. Ty theo tnh hnh thc t ca tng a phng (dn s, h thng cung cp
nc, iu kin kinh t, nng lc xt nghim, nguy c nhim ngun nc, tnh
hnh dch bnh lu hnh) c th tng s lng mu nc ly xt nghim.
Chng III
KIM TRA V SINH, CHT LUNG NC H GIA NH
iu 17. Kim tra ngun nc mng ln, nc t chy
1. Phm vi kim tra: trong khong cch ti thiu 100m t ni ly nc ln
thng ngun.
2. Ni dung kim tra:
a) Hot ng sinh hot (v d nh tm, git); sn xut, khai thc ti nguyn,
khong sn;
b) Hot ng nui trng thy sn;
7
c) Gia sc, gia cm hoc cc loi vt nui khc n tm, ung nc;
d) Cht thi, rc thi, nc thi t hot ng sn xut, kinh doanh v sinh hot;
) Dng c dn nc, cha nc v dng c ly nc.
3. Phng php nh gi: theo Phiu kim tra v sinh ngun nc h gia nh
quy nh ti Mu s 03 - Ph lc s 02 ban hnh km theo Thng t ny.
iu 18. Kim tra ngun nc ging o, ging khoan
1. Phm vi kim tra: trong bn knh ti thiu 10m tnh t tm ging.
2. Ni dung kim tra:
a) Np y, thnh ging, c ging, vch ging (thn ging), sn ging;
b) Dng c ly nc;
c) Rnh thot nc thi v im nc thi;
d) Nh tiu, chung tri chn nui;
) Bi rc v cc ngun gy nhim khc;
e) Dng c bm nc (nu c).
iu 19. Kim tra h thng thu hng, lu tr nc ma v cc hnh thc
lu tr nc nh b, chum, vi, lu, khp
1. Ni dung kim tra:
a) B mt hng nc v mng dn nc;
b) Hp hoc ga ngn rc;
c) Np y b; thnh b; tnh trng v sinh trong b;
d) Dng c ly nc.
iu 20. Kim tra khu vc x l nc (nu c)
1. Ni dung kim tra: tnh trng v sinh khu vc x l nc hin c ca h gia
nh nh: gin ma, b lc, vt liu trong b lc, dng c cha nc v ly nc
sau x l.
iu 21. Kim tra v sinh, cht lng nc
1. Kim tra cht lng nc trc khi a vo s dng: do h gia nh t thc
hin.
2. Kim tra nh k v t xut:

a) Do c quan nh nc c thm quyn thc hin;
b) Ty theo tnh hnh thc t ca a phng (dn s; iu kin a l, kinh t;
ngun nhn lc; nng lc xt nghim, nguy c nhim ngun nc, tnh hnh dch
bnh lu hnh), c quan nh nc c thm quyn quyt nh s lng h gia nh
c kim tra trn a bn v tn sut kim tra.
3. Ni dung kim tra:
a) Kim tra v sinh ni khai thc nc v v sinh khu vc x l nc;
b) Xt nghim cht lng nc: ly mu nc u vi s dng hoc vt dng
cha, lu tr nc ca h gia nh v xt nghim ti cc phng th nghim c
cng nhn t chun ISO/IEC 17025: 2005 v cc ch tiu cht lng nc c
xt nghim. Cc ch tiu xt nghim c thc hin theo quy nh ti Quy chun
k thut quc gia v cht lng nc sinh hot do B Y t ban hnh.
Trong trng hp v sinh, cht lng nc h gia nh khng bo m, yu
cu h gia nh tin hnh ngay cc bin php khc phc s c. Trng hp khng
khc phc c, h gia nh phi dng s dng ngun nc khng bo m cht
lng v thng bo ngay vi y ban nhn dn cp x ni gia nh c tr c
bin php gii quyt.
Chng IV
CH THNG TIN, BO CO
iu 23. Cng b thng tin v v sinh, cht lng nc thnh phm
1. Cng b kt qu xt nghim ni kim:
a) Ni dung cng b: ngay sau khi c kt qu xt nghim cht lng nc
thnh phm nh k hoc t xut, c s cung cp nc phi c trch nhim tng
hp tm tt cc kt qu xt nghim sau y cng b thng tin cht lng nc
thnh phm:
- Tng s mu xt nghim.
- Tng s mu t quy chun.
- Tng s ch tiu xt nghim.
- Tng s ch tiu t quy chun.
- Cc ch tiu khng t: tng s ch tiu, kt qu xt nghim, v tr ly mu
nc.
- Bin php v thi gian khc phc trong trng hp khng t v sinh, cht
lng nc.
9
Khuyn khch cc c s cung cp nc cng b thng tin chi tit ton b kt

qu xt nghim cc ch tiu xt nghim cht lng nc.
b) Hnh thc cng b: trong thi hn 3 ngy, sau khi c kt qu, c s cung
cp nc phi c trch nhim ng thng bo kt qu xt nghim cht lng nc
trc cng c s cung cp nc v mt trong cc hnh thc cng b sau:
- Cng b kt qu xt nghim cht lng nc trn trang thng tin in t ca
c s cung cp nc hoc c quan ch qun (nu c).
- ng ti kt qu xt nghim cht lng nc trn cc phng tin thng tin
i chng.
2. Thng bo v cng b kt qu kim tra ngoi kim v sinh, cht lng
nc:
a) Kt qu kim tra ngoi kim v sinh, cht lng nc c thng bo bng
vn bn cho:
- i tng c kim tra.
- C quan ch qun ca i tng c kim tra v cc c quan qun l nh
nc c thm quyn ti a phng.
b) Kt qu kim tra ngoi kim v sinh, cht lng nc c cng b trn
trang thng tin in t ca c quan nh nc c thm quyn, c s cung cp nc
hoc c quan ch qun (nu c).
iu 24. Ch bo co
1. Ni dung bo co:
a) C s cung cp nc thc hin bo co bng vn bn theo cc ni dung quy
nh ti Ph lc s 03 ban hnh km theo Thng t ny v hnh thc bo co bng
phn mm gim st cht lng nc c c quan nh nc c thm quyn ca
B Y t ban hnh.
- i vi c s cung cp nc c cng sut thit k t 1.000 m3/ngy m tr
ln: hng thng bo co cho Trung tm Y t d phng tnh v c quan qun l nh
nc c thm quyn ni c s cung cp nc t tr s.
- i vi c s cung cp nc c cng sut thit k di 1.000 m3/ngy m:
hng qu bo co cho Trung tm Y t d phng hoc Trung tm Y t huyn thc
hin chc nng y t d phng v c quan qun l nh nc c thm quyn ni c
s cung cp nc t tr s.
b) Trm Y t x thc hin bo co bng vn bn cho Trung tm Y t d phng
hoc Trung tm Y t huyn thc hin chc nng y t d phng theo cc ni dung
quy nh ti Mu s 01 - Ph lc s 04 ban hnh km theo Thng t ny;
c) Trung tm Y t d phng hoc Trung tm Y t huyn thc hin chc nng y
t d phng thc hin bo co bng vn bn cho Trung tm Y t d phng tnh
theo cc ni dung quy nh ti Mu s 02 - Ph lc s 04 ban hnh km theo
Thng t ny;
10
d) Trung tm Y t d phng tnh thc hin bo co bng vn bn cho S Y t

tnh, thnh ph trc thuc Trung ng (sau y gi tt l S Y t tnh), Vin
chuyn ngnh ph trch khu vc (l mt trong cc vin: Vin Sc khe ngh
nghip v mi trng, Vin V sinh dch t Ty Nguyn, Vin Pasteur Nha Trang,
Vin Y t cng cng thnh ph H Ch Minh) v Cc Qun l mi trng y t B Y t theo cc ni dung quy nh ti cc Mu s 03 v Mu s 04 - Ph lc s
04 ban hnh km theo Thng t ny v hnh thc bo co bng phn mm gim
st cht lng nc c c quan nh nc c thm quyn ca B Y t ban hnh;
) Cc Vin Sc khe ngh nghip v mi trng, Vin V sinh dch t Ty
Nguyn, Vin Pasteur Nha Trang, Vin Y t cng cng thnh ph H Ch Minh
(gi tt l cc vin chuyn ngnh ph trch khu vc) thc hin bo co Cc Qun
l mi trng y t theo cc ni dung quy nh ti Mu s 05 - Ph lc s 04 ban
hnh km theo Thng t ny v hnh thc bo co bng phn mm gim st cht
lng nc.
2. Thi gian bo co:
a) Bo co thng c tnh t ngy 01 n ht ngy cui cng ca thng;
b) Bo co hng qu c tnh t ngy 01 n ngy cui cng ca thng 3;
thng 6; thng 9 v thng 12;
c) Bo co nm c tnh t ngy 01 thng 01 n ht ngy 31 thng 12 hng
nm.
3. Thi hn gi bo co:
a) Thi hn gi bo co nh k hng thng:
Chm nht sau 07 ngy lm vic k t ngy kho s, c s cung cp nc c
cng sut thit k t 1.000 m3/ngy m tr ln gi bo co cho Trung tm Y t
d phng tnh.
b) Thi hn gi bo co nh k hng qu:
- Chm nht sau 05 ngy lm vic k t ngy kho s, c s cung cp nc c
cng sut thit k di 1.000 m3/ngy m gi bo co cho Trung tm Y t d
phng hoc Trung tm Y t huyn thc hin chc nng y t d phng.
- Chm nht sau 10 ngy lm vic k t ngy kho s, Trung tm Y t d
phng hoc Trung tm Y t huyn thc hin chc nng y t d phng gi bo co
cho Trung tm Y t d phng tnh, ng thi gi mt bn cho Phng Y t huyn
bo co.
phng tnh gi bo co cho Cc Qun l mi trng y t - B Y t, S Y t tnh,
Vin chuyn ngnh ph trch khu vc bo co.
c) Thi hn gi bo co nm:
- Chm nht sau 05 ngy lm vic k t ngy kho s, Trm Y t x gi bo
co nh k v Trung tm Y t huyn, ng thi gi mt bn cho Phng Y t
huyn bo co.
11

phng hoc Trung tm Y t huyn thc hin chc nng y t d phng gi bo co
v Trung tm Y t d phng tnh, ng thi gi mt bn cho Phng Y t huyn
bo co.
phng tnh gi bo co v Cc Qun l mi trng y t - B Y t, S Y t tnh,
Vin chuyn ngnh ph trch khu vc bo co.
- Chm nht sau 20 ngy lm vic k t ngy kho s, cc vin chuyn ngnh
khu vc gi bo co v Cc Qun l mi trng y t - B Y t.
d) Thi gian gi bo co t xut:
Bo co bng in thoi, fax hoc th in t trong vng 24 gi v bng vn
bn trong vng 72 gi k t khi c vn t xut xy ra. Trng hp bo co
theo yu cu ca cp trn, thc hin theo ng thi gian m cp trn yu cu phi
bo co.
Chng V
IU KHON THI HNH
iu 25. Hiu lc thi hnh
1. Thng t ny c hiu lc k t ngy 01/3/2016.
2. Thng t ny thay th cc ni dung hng dn vic kim tra v sinh nc
sch, nc n ung quy nh ti Thng t s 15/2006/TT-BYT ngy 30/11/2006
ca B trng B Y t hng dn vic kim tra v sinh nc sch, nc n ung
v nh tiu h gia nh; cc ni dung v tn sut gim st nh k do cc c quan
c thm quyn thc hin quy nh ti im b Khon 1 v im b Khon 2 Mc II
ca Phn III Ch gim st cht lng nc ca Quy chun k thut quc gia v
cht lng nc n ung ban hnh theo Thng t s 04/2009/TT-BYT ngy
17/6/2009 ca B trng B Y t; cc ni dung v tn sut gim st nh k do
cc c quan c thm quyn thc hin quy nh ti im b Khon 1 v im b
Khon 2 Mc II ca Phn III Ch gim st cht lng nc ca Quy chun k
thut quc gia v cht lng nc sinh hot ban hnh theo Thng t s
05/2009/TT-BYT ngy 17/6/2009 ca B trng B Y t.
iu 26. iu khon tham chiu
Trng hp cc vn bn dn chiu trong Thng t ny b thay th hoc sa
i, b sung th thc hin theo vn bn thay th hoc vn bn c sa i, b
sung.
iu 27. T chc thc hin
1. Cc Qun l mi trng y t, B Y t chu trch nhim:
a) Qun l, ch o, n c, hng dn, thanh tra, kim tra, gim st cc hot
ng kim tra v sinh, cht lng nc n ung, nc sinh hot trn phm vi ton
quc;
12
b) T chc xy dng, sa i, b sung v trnh cp c thm quyn ban hnh

cc vn bn hng dn, tiu chun, quy chun k thut c lin quan n kim tra
v sinh, cht lng nc n ung, nc sinh hot;
c) Tng hp cc thng tin v cht lng nc v bo co cng tc thanh tra,
kim tra v sinh, cht lng nc n ung, nc sinh hot ca cc a phng
hng nm bo co Lnh o B Y t;
d) Ch tr v phi hp vi cc c quan nh nc c thm quyn trc thuc B
Xy dng, B Nng nghip v Pht trin nng thn thc hin chc nng qun l
nh nc trong vic cp nc n ung, nc sinh hot t chc thanh tra, kim tra
lin ngnh vic thc hin cc quy nh m bo v sinh, cht lng nc n ung,
nc sinh hot ca cc c s cung cp nc.
2. Cc Vin Sc khe ngh nghip v mi trng, Vin V sinh dch t Ty
Nguyn, Vin Pasteur Nha Trang, Vin Y t cng cng thnh ph H Ch Minh
chu trch nhim:
a) Tng hp, phn tch v bo co tnh hnh v sinh, cht lng nc n ung,
nc sinh hot ca cc tnh trong a bn ph trch c k hoch h tr v
chuyn mn, k thut;
b) Nghin cu, xut cc gii php k thut trong cng tc kim tra v sinh,
cht lng nc n ung, nc sinh hot; cc gii php bo m an ton v sinh
ngun nc;
c) Hng dn cc a phng v chuyn mn k thut kim tra v sinh, cht
lng nc n ung, nc sinh hot;
d) Thc hin kim tra v sinh, cht lng nc n ung, nc sinh hot khi
xy ra thin tai, thm ha, dch bnh hoc khi c yu cu.
3. S Y t tnh chu trch nhim:
a) Ch o cc n v trc thuc thc hin vic kim tra, gim st v sinh, cht
lng nc n ung, nc sinh hot, nc h gia nh trn a bn tnh, thnh
ph;
b) T chc thanh tra, kim tra hoc ch tr, phi hp vi cc c quan qun l
nh nc c thm quyn t chc thanh tra, kim tra nh k, t xut v sinh, cht
lng nc n ung, nc sinh hot ca cc c s cung cp nc trn a bn tnh,
thnh ph;
c) Bo m nhn lc, trang thit b v b tr kinh ph (trong ngn sch hng
nm) cho vic thc hin thanh tra, kim tra, gim st v sinh, cht lng nc n
ung, nc sinh hot, nc h gia nh trn a bn tnh, thnh ph.
4. Trung tm Y t d phng tnh chu trch nhim:
a) Thc hin ngoi kim nh k, t xut v sinh, cht lng nc ca tt c
cc c s cung cp nc c cng sut thit k t 1.000 m3/ngy m tr ln trn
a bn tnh, thnh ph;
13
b) Phi hp vi cc Trung tm Y t d phng huyn hoc Trung tm Y t

huyn thc hin chc nng y t d phng thc hin ngoi kim nh k, t xut
v sinh, cht lng nc ca cc c s cung cp nc c cng sut thit k di
1.000 m3/ngy m v cp nc h gia nh trn a bn;
c) Xy dng k hoch, d ton kinh ph hng nm cho vic t chc thc hin
hot ng kim tra v sinh, cht lng nc n ung, nc sinh hot, nc h gia
nh trnh cp c thm quyn ph duyt.
5. Trung tm Y t d phng hoc Trung tm Y t huyn thc hin chc nng y
t d phng chu trch nhim:
a) Thc hin ngoi kim nh k, t xut v sinh, cht lng nc ca tt c
cc c s cung cp nc c cng sut thit k di 1.000 m3/ngy m;
b) Phi hp vi Trm Y t x kim tra t xut tnh trng v sinh chung i
vi cc hnh thc cp nc h gia nh trn a bn;
c) Xy dng k hoch, d ton kinh ph hng nm cho vic t chc thc hin
cc hot ng kim tra v sinh cht lng nc n ung, nc sinh hot trnh cp
c thm quyn ph duyt.
6. Trm Y t x chu trch nhim:
a) Kim tra nh k v t xut tnh trng v sinh chung i vi cc hnh thc
cp nc h gia nh trn a bn qun l;
b) Xy dng k hoch, d ton kinh ph hng nm cho vic t chc thc hin
cc hot ng kim tra tnh trng v sinh cht lng nc i vi cc hnh thc
cp nc h gia nh trnh cp c thm quyn ph duyt.
7. Trch nhim ca y ban nhn dn tnh, thnh ph trc thuc Trung ng:
a) R sot, iu chnh, b sung quy hoch cp nc bo m cung cp nc
sch cho ngi dn; u tin cp nc sch cho cc a bn kh khn v ngun
nc, c ngun nc b nhim bi cc hot ng sn xut cng nghip, nng
nghip, lng ngh; ch o vic xy dng k hoch cp nc an ton trn a bn
tnh, thnh ph;
b) B tr ngn sch cho cng tc thanh tra, kim tra, gim st cht lng nc
nh k, t xut hng nm; u t nng cp trang thit b phng xt nghim cho
Trung tm Y t d phng tnh c kh nng thc hin xt nghim gim st
cc ch tiu theo quy nh hin hnh;
c) Ch o cc S, ngnh tng cng phi hp lin ngnh trong vic thanh tra,
kim tra cc nh my, c s cp nc, b cha cc khu chung c, khu cng
nghip, khu tp th v cc h gia nh. X l nghim cc c s vi phm cht
lng nc theo cc quy nh hin hnh;
14
d) Ch o cc c s cung cp nc trn a bn thc hin nghim tc ch

t kim tra v sinh cht lng nc v cc bin php bo m cht lng nc,
cng b tnh hnh cht lng nc trn cc phng tin thng tin i chng
ngi dn c bit.
8. C s cung cp nc chu trch nhim:
a) Thc hin ni kim v sinh, cht lng nc theo quy nh hin hnh;
b) Cng b thng tin v bo co kt qu ni kim v sinh, cht lng nc n
ung, nc sinh hot cho cc c quan nh nc c thm quyn;
c) Chu s kim tra, gim st ca cc c quan nh nc c thm quyn.
Trong qu trnh thc hin, nu c kh khn, vng mc ngh cc c quan,
t chc, c nhn bo co v Cc Qun l mi trng y t - B Y t xem xt,
gii quyt./.
Ni nhn:
- VPCP (Phng Cng bo, Cng Thng tin
in t CP);
- B trng Nguyn Th Kim Tin;
- Cc Th trng;
- B T php (Cc Kim tra vn bn QPPL);
- B Xy dng;
- B Nng nghip v PTNT;
- B Ti nguyn v Mi trng;
- B Khoa hc v Cng ngh;
- B Cng an (Cc Y t);
- B Quc phng (Cc Qun y);
- B Giao thng vn ti (Cc Y t);
- UBND cc tnh, thnh ph trc thuc Trung ng;
- Cc V, Cc, Thanh tra B Y t;
- Vin Sc khe ngh nghip v mi trng;
- Vin Pasteur Nha Trang;
- Vin Y t cng cng TP. H Ch Minh;
- Vin V sinh dch t Ty Nguyn;
- S Y t cc tnh, thnh ph trc thuc Trung ng;
- Cng Thng tin in t B Y t;
- Lu: VT, PC (02b), MT(04b).
Ph lc s 01 Mu s 01
(Ban hnh km theo Thng t s ........./2015/TT-BYT
ngy ..... thng .... nm 2015 ca B trng B Y t)
PHIU CHM IM NGUY C
V SINH NI KHAI THC NC NGUYN LIU
(i vi cng trnh s dng ngun nc ngm)
1
2
Khu vc bo v ngun nc: Trong phm vi bn knh ti thiu 25m i vi cc ging

khoan ly nc khai thc
Cc ni dung kim tra
im nguy c
Thiu tng ro bo v xung quanh khu vc ging khoan.
(C: 1 im; khng: 0 im)
Cng trnh xy dng (k c cng trnh ca trm x l nc) trong
khu vc bo v ca ging khoan.
(C: 1; khng: 0)
ng ng cng hoc knh mng hoc rnh nc thi chy qua
hoc vo khu vc bo v ca ging khoan.
(C: 1; khng: 0)
Cc hot ng canh tc nng nghip (trng cy lng thc, hoa
mu...) trong khu vc bo v ca ging khoan.
(C : 1; khng : 0)
Bi rc thi hoc ni tp kt rc thi trong khu vc bo v ca
ging khoan.
(C: 1; khng: 0)
Gia sc, gia cm hoc vt nui trong khu vc bo v ca ging
khoan.
(C: 1; khng: 0)
Phn ngi hoc phn gia sc, gia cm hoc xc sc vt trong khu
vc bo v ca ging khoan.
(C: 1; khng: 0)
Nh tiu khng hp v sinh trong khu vc bo v ca ging khoan.
(C: 1; khng: 0)
Cng
nh gi nguy c:
-
0 im: Cha c nguy c gy nhim ngun nc;
1 - 3 im: C nguy c gy nhim ngun nc;
4 im: C nguy c cao gy nhim ngun nc.
16
Ph lc s 01 Mu s 02
(Ban hnh km theo Thng t s ........./2015/TT-BYT
PHIU CHM IM NGUY C
(i vi cng trnh s dng ngun nc sng)
Khu vc bo v ngun nc: Trong phm vi khong cch ti thiu 200m t im ly
nc ln thng ngun, ti thiu 100m t im ly nc xung h ngun v ti thiu
100m v pha hai bn b sng tnh t mc nc cao nht
Cc ni dung kim tra
im nguy c
1
Thiu bin bo gii hn khu vc bo v v sinh ngun nc.
2
Thiu b phn chn rc ti im thu nc.
(C: 1; khng: 0)
3
Cng trnh xy dng (k c cng trnh ca trm x l nc)
trong khu vc bo v ngun nc.
(C: 1; khng: 0)
4
ng ng cng, knh mng, rnh nc thi xung sng trong
khu vc bo v ngun nc.
(C: 1; khng: 0)
5
Bn , bn ph hoc thuyn b , neo u trong khu vc bo
v ngun nc.
(C: 1; khng: 0)
6
Hot ng tm git ca con ngi trn trong khu vc bo v
ngun nc.
(C: 1; khng: 0)
7
Hot ng sn xut, khai thc ti nguyn trong khu vc bo v
ngun nc.
(C: 1; khng: 0)
8
Hot ng nui trng thu sn trong khu vc bo v ngun
nc.
(C: 1; khng: 0)
9
Gia sc, gia cm hoc loi vt nui khc tm, ung nc trong
(C: 1; khng: 0)
Cng
nh gi nguy c:
-

17
Ph lc s 01 Mu s 03
(Ban hnh km theo Thng t s
/2015/TT-BYT
PHIU CHM IM NGUY C
(i vi cng trnh s dng ngun nc t h cha nc)
Khu vc bo v ngun nc: Trong phm vi bn knh ti thiu 300m t im ly
nc
Cc ni dung kim tra
im nguy c
1
Thiu bin bo gii hn khu vc bo v ngun nc.
2
Thiu b phn chn rc ti im thu nc.
(C: 1; khng: 0)
3
Cng trnh xy dng (k c trm x l nc) trong khu vc bo
v ngun nc.
(C: 1; khng: 0)
4
ng ng cng, knh mng, rnh nc thi vo trong khu
vc bo v ngun nc.
(C: 1; khng: 0)
5
Thuyn b , neo u trong khu vc bo v ngun nc.
(C: 1; khng: 0)
6
Hot ng tm git, du lch trong khu vc bo v ngun nc.
(C: 1; khng: 0)
7
Hot ng nui trng thu sn trong khu vc bo v ngun
nc.
(C: 1; khng: 0)
8
Cc hot ng canh tc nng nghip (trng cy lng thc, hoa
mu...) trong khu vc bo v ca ging khoan.
(C : 1 ; khng : 0)
9
Gia sc, gia cm hoc loi vt nui khc tm, ung nc trong
(C: 1; khng: 0)
10
Rc thi hoc phn ngi hoc phn gia sc hoc xc sc vt
trong khu vc bo v ngun nc.
(C: 1; khng: 0)
Cng
nh gi nguy c:
-

18
Ph lc s 02 Mu s 01
/2015/TT-BYT
Tn c s cung cp nc
PHIU NI KIM V SINH, CHT LNG NC
(Dnh cho c s cung cp nc t kim tra v lu h s theo di, qun l v sinh, cht
lng nc ca c s cung cp nc)
A. THNG TIN CHUNG
1. Thi gian kim tra: ngy........... thng ......... nm ...........
2. Ngi kim tra:...............................
3. S mu v v tr ly mu lm xt nghim (nu c)
......................................................................................................................................
......................................................................................................................................
B. NI DUNG KIM TRA
I. V sinh ni khai thc nc nguyn liu:
1. i vi cng trnh s dng ngun nc ngm:
- im nguy c nhim ngun nc: (S dng mu phiu chm im nguy c ti
Ph lc s 01 - Mu s 01).............................................................................................
- nh gi: (C hay khng c nguy c nhim ngun nc. M t chi tit cc nguy
c)..............................................................................................................................
2. i vi cng trnh s dng ngun nc sng:
Ph lc s 01 - Mu s 02) .............................................................................................
c) ...............................................................................................................................
3. i vi cng trnh s dng ngun nc t h cha nc:
Ph lc s 01 Mu s 03) ............................................................................................
c) ...............................................................................................................................
II. V sinh ngoi cnh c s cp nc:
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
19
III. V sinh h thng sn xut nc:

1. B/h cha nc nguyn liu:
......................................................................................................................................
......................................................................................................................................
2. Cc trm bm nc th:
......................................................................................................................................
......................................................................................................................................
3. H thng kh st, mangan:
......................................................................................................................................
......................................................................................................................................
4. B keo t v lng:
......................................................................................................................................
......................................................................................................................................
5. B lc:
......................................................................................................................................
......................................................................................................................................
6. H thng kh trng (bao gm b phn pha ch v chm ho cht x l; tn ho
cht c s dng, liu lng dng, hn s dng; thi gian tip xc; b iu tit;
khuy trn...):
......................................................................................................................................
......................................................................................................................................
7. Kho ha cht x l nc (loi, tn, ngun gc, s ng k, tnh hnh bo qun,
hn s dng, cch s dng, s lng d tr, s theo di tnh hnh s dng ha
cht):
......................................................................................................................................
......................................................................................................................................
8. Thit b phng h khi c s c
......................................................................................................................................
......................................................................................................................................
9. B cha sau x l:
......................................................................................................................................
......................................................................................................................................
20
C. KT QU XT NGHIM NC TI CH
Cc ch tiu
M s mu,
v tr ly mu
pH
Clo d
(NTU)
(mg/l)
Gi tr gii hn theo quy nh 6,5 - 8,5 2

hin hnh
0,3 - 0,5
6,0 - 8,5 5
0,3 - 0,5
nh gi
.....
(t/khng
t)
D. CC BIN PHP KHC PHC

......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
. KT LUN:
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
.........., ngy
thng
nm
Ngi kim tra

(k, ghi r h tn)
21
Ph lc s 02 Mu s 02
/2015/TT-BYT
PHIU NGOI KIM V SINH, CHT LNG NC
(Dnh cho c quan nh nc c thm quyn. Mu ny c lp thnh 02 bn, 01 bn
giao cho c s cung cp nc ngay sau khi kim tra, 01 bn do on kim tra lu ti
n v)
A. THNG TIN CHUNG
1. Tn nh my nc/c s cung cp nc:.......
2. a ch:................
3. Cng sut thit k......................../ Tng s dn c cung cp nc: ......................
4. Thi gian kim tra: ngy........... thng ......... nm ...........
5. Thnh phn on kim tra:
...........................................................................................................................
...........................................................................................................................
...........................................................................................................................
...........................................................................................................................
...........................................................................................................................
6. S mu v v tr ly mu nc thnh phm lm xt nghim: (C bin bn ly mu
km theo)
...........................................................................................................................
...........................................................................................................................
B. TNH TRNG V SINH CHUNG
I. V sinh ni khai thc nc nguyn liu
1. i vi cng trnh s dng ngun nc ngm:
Ph lc s 01 - Mu s 01) .............................................................................................
- nh gi: (C hay khng c nguy c nhim ngun nc. M t chi tit cc
nguy c)............................................................................................................................
2. i vi cng trnh s dng ngun nc sng:
Ph lc s 01 - Mu s 02). ............................................................................................
nguy c) ...........................................................................................................................
22
3. i vi cng trnh s dng ngun nc t h cha nc:

Ph lc s 01 - Mu s 03) .............................................................................................
nguy c) ...........................................................................................................................
II. V sinh ngoi cnh c s cp nc
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
III. V sinh h thng sn xut nc
1. B/h cha nc nguyn liu:
......................................................................................................................................
......................................................................................................................................
2. Cc trm bm nc th:
......................................................................................................................................
......................................................................................................................................
3. H thng kh st, mangan:
......................................................................................................................................
......................................................................................................................................
4. B keo t v lng:
......................................................................................................................................
......................................................................................................................................
5. B lc:
......................................................................................................................................
......................................................................................................................................
6. H thng kh trng (bao gm b phn pha ch v chm ho cht x l; tn ho
cht c s dng, liu lng dng, hn s dng; thi gian tip xc; b iu tit;
khuy trn...):
......................................................................................................................................
......................................................................................................................................
7. Kho ha cht x l nc (loi, tn, ngun gc, s ng k, tnh hnh bo qun,
hn s dng, cch s dng, s lng d tr, s theo di tnh hnh s dng ha
cht): .......................................................................................................................
......................................................................................................................................
23
8. Thit b phng h khi c s c:

......................................................................................................................................
......................................................................................................................................
9. B cha sau x l:
......................................................................................................................................
......................................................................................................................................
C. VIC THC HIN NI KIM CA C S CUNG CP NC
1. H s theo di, qun l v sinh, cht lng nc: (nh gi c s cung cp nc c
thc hin y cc ni dung trong vic lp v qun l h s v sinh cht lng nc
khng)
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
2. Tn sut thc hin ch ni kim: (nh gi c s cung cp nc c thc hin
tn sut v cc ch tiu xt nghim cht lng nc thnh phm theo quy nh khng)
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
3. Thc hin ch thng tin, bo co v sinh, cht lng nc: (nh gi c s cung
cp nc c thc hin nghim tc vic cng b thng tin v bo co v sinh, cht
lng nc theo quy nh khng)
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
D. KT QU XT NGHIM NC TI CH
Cc ch tiu
M s mu,
v tr ly mu
pH
Clo d
(NTU)
(mg/l)
...
...
Gi tr gii hn theo quy nh 6,5 - 8,5 2
hin hnh
0,3 - 0,5
6,0 - 8,5 5
0,3 - 0,5
24
nh gi
.....
(t/khng
t)
. KT LUN
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
E. KIN NGH
......................................................................................................................................
......................................................................................................................................
......................................................................................................................................
.........., ngy
thng
nm
i din c s cung cp nc
Trng on kim tra
(k, ghi r h tn)
(k, ghi r h tn)
25
Ph lc s 02 Mu s 03
/2015/TT-BYT
PHIU KIM TRA V SINH NGUN NC H GIA NH

A. THNG TIN CHUNG :
1. Tn h gia nh:......................................................................................................
2. Thn/lng/bn/p:...............................X/phng :...............................................
Qun/Huyn :...................................Tnh/thnh ph :...............................
3. S nhn khu:.........................................................................................................
4. Cc hnh thc cung cp nc ti h gia nh:........................................................
5. Thi gian kim tra:.................................................................................................
6. Ngi kim tra:......................................................................................................
7. S mu ly lm xt nghim v v tr ly mu (nu c): ........................................
B. THNG TIN KIM TRA V SINH NGUN NC
I. V sinh ni khai thc nc:
1. i vi ngun nc mng ln, nc t chy:
Ni ly nc: Trong phm vi khong cch 100m t ni ly nc ln thng ngun.
1.1
1.2
1.3
1.4
1.5
1.6
1.7
Cc ni dung kim tra

im nguy c
Hot ng tm git hoc sn xut hoc khai thc ti nguyn ca
con ngi
(C: 1; khng: 0)
ng ng cng hoc knh mng hoc rnh nc thi vo
ngun nc
(C: 1 ; khng: 0)
Hot ng nui trng thy sn
(C:1; khng: 0)
Gia sc, gia cm hoc cc loi vt nui khc n tm, ung nc
(C: 1; khng: 0)
Rc thi hoc phn ngi hoc phn gia sc hoc xc sc vt
(C: 1; khng: 0)
Dng c dn nc t ngun nc ti h gia nh b bn
(C: 1; khng: 0)
Dng c cha nc, mc nc b bn, nhim
(C: 1; khng: 0)
Cng
nh gi nguy c:
-
1 2 im: C nguy c gy nhim ngun nc;

26
2. i vi ngun nc ging o:
Cc ni dung kim tra
2.1
Khong cch t ging ti nh tiu gn nht < 10m

(C: 1; khng: 0)
2.2
Khong cch t ging ti bi rc gn nht < 10m

(C: 1 ; khng: 0)
2.3
Khong cch t ging ti chung gia sc gn nht < 10m

(C: 1; khng: 0)
2.4
Thiu np y ging
(C: 1; khng: 0)
2.5
Thnh ging cao <0,8m so vi nn ging

(C: 1; khng: 0)
2.6
Vch ging b h, b nt
(C: 1; khng: 0)
2.7
Thiu sn ging hoc sn ging b nt hoc hp hn 1m tnh

t vch ging
(C: 1; khng: 0)
2.8
Thiu rnh thot nc thi hoc im nc thi < 10 m

(C: 1; khng: 0)
2.9
Dng c ly nc b bn hoc c t trn nn ging

(C: 1; khng:0)
Cng
nh gi nguy c:
-
27
im nguy c
3. i vi ngun nc ging khoan

3.1. Ging khoan c su mc nc t 25m tr ln:
Cc ni dung kim tra
3.1.1 C ging b nt, h hoc r r
(C: 1; khng: 0)
3.1.2 Thiu sn ging hoc sn ging b nt, v
(C:1; khng: 0)
3.1.3 Dng c bm nc b bn hoc h hng
(C: 1; khng: 0)
im nguy c
Cng
nh gi nguy c:
-
1 im: C nguy c gy nhim ngun nc;
3.2. Ging khoan c su mc nc di 25m:

Cc ni dung kim tra
3.2.1 C ging b nt, h hoc r r
(C: 1; khng: 0)
3.2.2 Thiu sn ging hoc sn ging b nt, v
(C:1; khng: 0)
3.2.3 Dng c bm nc b bn hoc h hng
C: 1; khng: 0)
3.2.4 Khong cch t ging ti nh tiu gn nht < 10m
(C: 1; khng: 0)
3.2.5 Khong cch t ging ti bi rc gn nht < 10m
(C: 1; khng: 0)
3.2.6 Khong cch t ging ti chung gia sc gn nht < 10m
(C: 1; khng: 0)
3.2.7 Thiu rnh thot nc thi hoc im nc thi < 10m
(C: 1; khng: 0)
Cng
nh gi nguy c:
-

28
im nguy c
4.i vi h thng thu hng, lu tr nc ma:

Cc ni dung kim tra
4.1
im nguy c
Mi hng nc ma (nu c) c lm bng fibro xi mng

(C:1; khng: 0)
4.2
Mi hng nc ma v mng dn nc ma b bn hoc b

tc nghn, ng rc, l cy, t ct
(C: 1; khng: 0)
4.3
Thiu hp hoc ga ngn rc

(C:1; khng: 0)
4.4
Thiu np y b
(C:1; khng: 0)
4.5
Thnh b b nt, h hoc r r

(C: 1 im; khng: 0)
4.6
Rong ru, rc, xc sc vt cht trong b

(C:1; khng: 0)
4.7
Dng c ly nc b bn hoc c t trn nn t

(C: 1; khng: 0)
Cng
nh gi nguy c:
-
5. i vi cc hnh thc lu tr nc nh b, chum, vi, lu, khp:

Cc ni dung kim tra
5.1
5.2
5.3
Thiu np y
(C: 1; khng: 0)
Rong ru hoc rc hoc xc sc vt cht
(C:1; khng: 0)
Dng c ly nc b bn hoc c t trn nn t
(C: 1; khng: 0)
Cng
nh gi nguy c:
-
1 im: C nguy c gy nhim ngun nc;
29
im nguy c
II.V sinh khu x l nc (nu c):

1. Gin ma:
......................................................................................................................................
......................................................................................................................................
2. B lc:
......................................................................................................................................
......................................................................................................................................
3. Vt liu trong b lc:
......................................................................................................................................
......................................................................................................................................
4. Dng c cha, mc nc sau x l:
......................................................................................................................................
......................................................................................................................................
C. KT QU XT NGHIM NC TI CH:
Thng s
pH
M s mu, v tr
Quy chun hin hnh
.....
(NTU)
6,0 - 8,5
nh gi
(t/khng t)
D. KT LUN:
......................................................................................................................................
. KIN NGH:
......................................................................................................................................
.........., ngy
thng
nm
i din h gia nh
Trng on kim tra
(k, ghi r h tn)
(k, ghi r h tn)
30
Ph lc s 03
/2015/TT-BYT
Tn c s cung cp nc
S: .

.......... ngy ... thng ... nm 20.....
BO CO
Kt qu kim tra v sinh, cht lng nc thnh phm Thng. nm.(i vi

c s c cng sut thit k t 1.000 m3/ngy m tr ln) hoc Qu. nm (i vi
c s c cng sut thit k di 1.000 m3/ngy m)
(Dng cho c s cung cp nc)
A. THNG TIN CHUNG
1. Tn c s cung cp nc:.
2. a ch:.
3. Cng sut thit k:............................./ Tng s dn c cung cp nc:............
4. Ngun nc nguyn liu (ghi r thng tin v cc ngun nc ngm, nc mt
c c s cung cp nc khai thc x l): .............
B. KT QU KIM TRA
1. Kt qu kim tra tnh trng v sinh
1.1. Tnh trng v sinh ngun nc nguyn liu (ghi r khng c nguy c hoc c
nguy c, c nguy c cao. Nu c nguy c cn m t c th v cc c im nguy c v
cc bin php kim sot, khc phc nguy c thc hin; kt qu khc
phc)..........................................
...................
1.2. Tnh trng v sinh ngoi cnh c s cp nc (ghi r t hay khng t. Nu
khng t cn m t c th v cc v tr v c im khng t. Cc bin php khc
phc v kt qu)..............................
.............
1.3. Tnh trng v sinh h thng sn xut nc (ghi r t hay khng t. Nu
khng t cn m t c th v cc khu trong h thng sn xut v c im khng
t. Cc bin php khc phc v kt qu).............................
...............
2. Kt qu xt nghim nc thnh phm trong thng (km theo bn chnh cc
Phiu ghi kt qu xt nghim cc ch tiu cht lng nc ca phng th nghim. Nu
l bn sao cn c xc nhn ca th trng c s cung cp nc)
2.1. S mu, thi gian, tn sut xt nghim: .......................
31
2.2. Kt qu xt nghim (Mt mu nc lm xt nghim bao gm c cc ch tiu v l,

ho hc v vi sinh vt. Mt mu nc t quy chun l t tt c cc ch tiu theo quy
nh hin hnh):
- Tng s mu t quy chun:......................... T l mu t quy chun:................%
- Tng s mu khng t quy chun:.............
Trong :
+ S mu khng t v l, ha hc:..................
+ S mu khng t v vi sinh vt:....................
+ S mu khng t c v l, ha hc v vi sinh vt: ..........................
- Cc ch tiu khng t gm:.............................................................................
+ Tn ch tiu khng t A: kt qu xt nghim, thuc mu nc ly v tr no,
thi im ly mu xt nghim nc (V d Thng bo thng 6 ca nh my nc X
cng sut 10.000 m3/ngy m khng t ch tiu clo d ghi nh sau: Clo d: 0,1
mg/L trong mu nc ly ti h gia nh cui mng li. t xt nghim tun 1 thng
6).
+ Tn ch tiu khng t B:
3. Cc bin php khc phc:................................................................................................
.......................................................................................................................................................
4. Kt lun:.............................................................................................................................
.......................................................................................................................................................
Th trng n v
(K tn, ng du)
32
Ph lc s 04 - Mu s 01
/2015/TT-BYT
n v bo co
S: .

.......... ngy ... thng ... nm 20.....
BO CO
Kt qu kim tra v sinh, cht lng nc n ung, nc sinh hot

(Dng cho Trm y t x)
Bo co 6 thng
Bo co 1 nm
1. Kt qu kim tra v sinh cc hnh thc cp nc h gia nh.

1.1. Kt qu kim tra v sinh cc hnh thc cp nc tnh theo ngun nc
Ging
o
Ging
khoan
Mng ln,
t chy
B nc
ma
Loi
khc
Cng
Tng s ngun nc trn a bn

Tng s ngun nc c kim tra
Tng s ngun nc t tiu chun
v sinh
T l %
1.2. Kt qu kim tra v sinh cc hnh thc cp nc tnh theo h gia nh
Ging
o
Ging
khoan
Mng ln,
t chy
B nc
ma
Loi
khc
Cng
Tng s HG trn a bn
Tng s HG c kim tra
Tng s h c ngun nc t
tiu chun v sinh
T l %
2. Cc bin php x l i vi cc hnh thc cp nc h gia nh khng m bo v
sinh:
3. Nhn xt, kin ngh: ........................................................................................................
Th trng n v
(K tn, ng du)
33
/2015/TT-BYT
n v bo co
S: .

.......... ngy ... thng ... nm 20....
BO CO

(Dng cho Trung tm y t huyn)
Bo co 6 thng
Bo co 1 nm
1. Kt qu kim tra v sinh ca cc c s cp nc tp trung c cng sut thit k

di 1.000m3/ngy m, cc ngun nc h gia nh.
C s Ging
cp nc
o
TT
Mng
ln, t
chy
Ging
khoan
B
nc
ma
Loi
khc
Cng
Tng s trn a bn
Tng s c kim tra
Tng s t tiu chun
v sinh
T l %
2. Kt qu xt nghim nc ca cc c s cp nc tp trung c cng sut thit
k di 1.000m3/ngy m, cc ngun nc h gia nh.
(Mt mu nc lm xt nghim bao gm c cc ch s v l, ho hc v vi sinh vt. Mt mu
nc t quy chun l t tt c cc ch tiu theo quy nh hin hnh)
Tng s mu nc lm XN: ....................(mu)
Tng s mu t quy chun l: ..................... (mu). T l mu t quy chun l:............%
Tng s mu khng t quy chun l: ......................(mu)
Trong :
S lng mu nc khng t
Loi ch
tiu xt
nghim
C s cp
nc TT
S
%
lng
Ging
o
S
lng
Ging
khoan
Mng
ln, t
chy
B nc
ma
khc
S
%
lng
S
%
lng
S
%
lng
S
%
lng
L, ho hc
Vi sinh vt
34
Loi
3. Cc bin php x l i vi cc c s cp nc khng m bo v sinh, cht

lng nc:
................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
4. Nhn xt, kin ngh

................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
Th trng n v
(K tn, ng du)
35
/2015/TT-BYT
n v bo co
S: .

.......... ngy ... thng ... nm 20....
BO CO
Kt qu ngoi kim v sinh, cht lng nc n ung, nc sinh hot

(Dng cho Trung tm y t d phng tnh)
Bo co 6 thng
Bo co 1 nm
1. Kt qu kim tra v sinh c s cung cp nc c cng sut thit k t

1.000m3/ngy m tr ln:
Tng s c s cung cp nc trn a bn: .........................................................................
Tng s c s c kim tra: ..............................................................................................
Tng s lt kim tra cc c s trong 6 thng (12 thng):..................................................
Tng s lt kim tra v sinh khng t:...................... chim t l: .......................%
Tng s c s kim tra v sinh c t nht 2 ln kim tra lin tip khng t (tn cc c s
khng t): .............................................................................................................................
S c s thc hin nghim tc ch ni kim theo quy nh:............chim t l:..........%
2. Kt qu xt nghim nc ca nh my nc:
Tng s mu nc lm XN: .......................... (mu)

Tng s mu nc t quy chun l: ................(mu). T l mu t quy chun:........%
Tng s mu nc khng t quy chun l: ........................ (mu)
Trong :
Khng t v cc ch tiu l, ho hc l: ........................ (mu). Tn cc ch tiu khng
t:.....................................................................................................................................
Khng t v cc ch tiu vi sinh vt: ............................. (mu). Tn cc ch tiu khng
t:.....................................................................................................................................
Khng t c ch tiu l ha v vi sinh: .....................(mu)
3. Cc bin php x l i vi cc nh my nc khng m bo v sinh, cht
lng nc:
................................................................................................................................................................................................................................
36
4. Kt qu kim tra v sinh ca cc c s cung cp nc c cng sut thit k

di 1.000m3/ngy m, cc ngun nc h gia nh.
C s cung
cp nc <
1.000m3/n
Ging
Ging
khoan
Mng
ln, t
chy
B
nc
ma
Loi
khc
Cng
Tng s trn a bn
Tng s c kim
tra
Tng s t tiu
chun v sinh
T l %
k di 1.000m3/ngy m, cc ngun nc h gia nh.
Tng s mu nc lm XN: ....................(mu)

Tng s mu t quy chun l: .................(mu). T l mu t quy chun l:............%
Tn cc ch tiu khng t:................................................................................................
Trong :
S lng mu nc khng t
Loi ch tiu xt
nghim
C s cp
nc TT
Ging
Ging
khoan
Mng ln,
t chy
B nc
ma
Loi
khc
L, ho hc
Vi sinh vt
6. Cc bin php x l i vi cc nh my nc, c s cp nc khng m bo
v sinh cht lng nc:
7. Nhn xt v kin ngh:

................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
Th trng n v
(K tn, ng du)
37
/2015/TT-BYT
n v bo co
S: .

.......... ngy ... thng ... nm 20....
BO CO
Tng hp kt qu ni kim v sinh, cht lng nc n ung, nc sinh hot ca

cc c s cung cp nc c cng sut thit k t 1000m3/ngy m tr ln
(Dng cho Trung tm y t d phng tnh tng hp bo co ni kim ca cc c s
cung cp nc)
Bo co Qu ....... nm ...........
1. Kt qu kim tra v sinh ca cc c s cung cp nc c cng sut thit k t
1.000m3/ngy m tr ln:
Tng s c s cung cp nc trn a bn:......................................................................
Tng s c s cung cp nc gi bo co: .....................................................................
Tng s c s cung cp nc m bo v sinh chung: ..................... T l: ................%
Danh sch cc c s khng m bo v sinh chung t nht 01 ln trong qu bo co:
...........................................................................................................................................
...........................................................................................................................................
2. Kt qu xt nghim nc thnh phm ca cc c s cung cp nc:
Tng s c s cung cp nc t quy chun trong qu bo co:......................................
Danh sch cc c s khng t quy chun t nht 01 ln trong qu bo co (vi mi c
s khng t ghi r khng t v cc ch tiu no):..........................................................
...........................................................................................................................................
...........................................................................................................................................
Tng s mu nc lm XN ca tt c cc c s: .............................................................
Tng s mu t quy chun l: ...........................T l mu t quy chun l:..............%
Tng s mu xt nghim khng t quy chun:.....................
Trong :
S mu khng t v l, ho hc: ...................................................................................
S mu khng t v vi sinh vt ....................................................................................
S mu khng t v l, ha hc v vi sinh vt:..............................................................
3. Cc bin php khc phc ca c s cung cp nc khng m bo v sinh,
cht lng nc
.................................................................................................................................................................................................................................................................
38
.................................................................................................................................................................................................................................................................
4. Nhn xt:
................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
5. Kin ngh:
................................................................................................................................................................................................................................
................................................................................................................................................................................................................................
Th trng n v
(K tn, ng du)
39
/2015/TT-BYT
n v bo co
S: .

.......... ngy ... thng ... nm 20....

BO CO
(Dng cho cc Vin chuyn ngnh khu vc)
Bo co 6 thng
Bo co 1 nm
Phn I. Thng tin chung:

Tng s tnh trn a bn ph trch: ............ tnh. S tnh c bo co: ........tnh.
Phn II. Tng hp kt qu kim tra v sinh ngun nc ca cc tnh:
1. Kt qu kim tra v sinh ca nh my nc, c s cp nc tp trung c cng
sut thit k t 1000m3/ngy m tr ln (gi chung l nh my nc):
Tng s nh my nc trn a bn ..................................................................................
Tng s nh my nc c kim tra ...............................................................................
Tng s lt kim tra cc nh my nc trong 6 thng (12 thng).....................................
Tng s lt kim tra v sinh khng t ...................... chim t l .......................%
Tng s c s kim tra v sinh c t nht 2 ln kim tra lin tip khng t..........
2. Kt qu xt nghim nc ca nh my nc:
nc t quy chun l t tt c cc ch tiu theo qui nh)
Tng s mu nc lm XN: .......................... (mu)

Tng s mu nc t quy chun l: ............. (mu). T l mu t quy chun l:......%
Tng s mu nc khng t quy chun l: ........................ (mu)
Trong :
Khng t v cc ch tiu l, ho hc l: ........................ (mu)

Khng t v cc ch tiu vi sinh vt: ............................. (mu)
3. Cc bin php x l i vi cc nh my nc khng m bo v sinh, cht

lng nc:.
................................................................................................................................................................................................................................
4. Kt qu kim tra v sinh, cht lng nc ca cc c s cp nc tp trung c

cng sut thit k di 1000m3/ngy m, cc ngun nc h gia nh.
C s
cp nc
TT
Ging
Ging
khoan
o
40
Mng
ln, t
chy
B
nc
ma
Loi
khc
Cng
Tng s trn a bn
Tng s c kim
tra
Tng s t tiu
chun v sinh
T l %
k di 1000m3/ngy m, cc ngun nc h gia nh.
nc t quy chun l t tt c cc ch tiu theo qui nh hin hnh)
Tng s mu nc lm XN: ....................(mu)

Tng s mu t quy chun l: ................(mu). T l mu t quy chun l:............%
Trong :
S lng mu nc khng t
Loi ch tiu xt
nghim
C s cp
nc TT
Ging
Ging
khoan
Mng ln,
t chy
B nc
ma
Loi
khc
L, ho hc
Vi sinh vt
6. Cc bin php x l i vi cc nh my nc, c s cp nc khng m bo
v sinh, cht lng nc:
...........................................................................................................................................
..........................................................................................................................................
Phn III. Kt qu kim tra v sinh, cht lng nc n ung, nc sinh hot ca
Vin ti cc tnh trong khu vc:
........................................................................................................................................................................................................................
........................................................................................................................................................................................................................
........................................................................................................................................................................................................................
Phn IV. Hot ng nghin cu v v sinh cht lng nc n ung, nc sinh

hot ca Vin:
........................................................................................................................................................................................................................
........................................................................................................................................................................................................................
........................................................................................................................................................................................................................
Phn V. Nhn xt v kin ngh:

........................................................................................................................................................................................................................
........................................................................................................................................................................................................................
........................................................................................................................................................................................................................
Th trng n v
(K tn, ng du)
41

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B Y T

CNG HA X HI CH NGHA VIT NAM

H Ni, ngy 11 thng 12 nm 2015

4. Ni kim l vic thc hin cc quy nh bo m v sinh, cht lng nc

iu 4. Kim tra v sinh ni khai thc nc nguyn liu

b) Cc cng trnh v sinh: tnh trng hp v sinh ca cc nh tiu (nh v

iu 8. Tn sut thc hin ni kim

6. Bo co, ti liu v thc hin k hoch cp nc an ton.

iu 11. Kim tra v sinh chung

cho thy ngun nc c nguy c b nhim; khi c cc phn nh ca c quan, t

2. Kim tra nh k v t xut:

Khuyn khch cc c s cung cp nc cng b thng tin chi tit ton b kt

d) Trung tm Y t d phng tnh thc hin bo co bng vn bn cho S Y t

- Chm nht sau 10 ngy lm vic k t ngy kho s, Trung tm Y t d

b) T chc xy dng, sa i, b sung v trnh cp c thm quyn ban hnh

b) Phi hp vi cc Trung tm Y t d phng huyn hoc Trung tm Y t

d) Ch o cc c s cung cp nc trn a bn thc hin nghim tc ch

Khu vc bo v ngun nc: Trong phm vi bn knh ti thiu 25m i vi cc ging

0 im: Cha c nguy c gy nhim ngun nc;

1 - 3 im: C nguy c gy nhim ngun nc;

4 im: C nguy c cao gy nhim ngun nc.

0 im: Cha c nguy c gy nhim ngun nc;

1 - 3 im: C nguy c gy nhim ngun nc;

4 im: C nguy c cao gy nhim ngun nc.

0 im: Cha c nguy c gy nhim ngun nc;

1 - 3 im: C nguy c gy nhim ngun nc;

4 im: C nguy c cao gy nhim ngun nc.

III. V sinh h thng sn xut nc:

Gi tr gii hn theo quy nh 6,5 - 8,5 2

D. CC BIN PHP KHC PHC

Ngi kim tra

3. i vi cng trnh s dng ngun nc t h cha nc:

8. Thit b phng h khi c s c:

Trng on kim tra

(k, ghi r h tn)

(k, ghi r h tn)

PHIU KIM TRA V SINH NGUN NC H GIA NH

Cc ni dung kim tra

0 im: Cha c nguy c gy nhim ngun nc;

1 2 im: C nguy c gy nhim ngun nc;

3 im: C nguy c cao gy nhim ngun nc.

Khong cch t ging ti nh tiu gn nht < 10m

Khong cch t ging ti bi rc gn nht < 10m

Khong cch t ging ti chung gia sc gn nht < 10m

Thnh ging cao <0,8m so vi nn ging

Thiu sn ging hoc sn ging b nt hoc hp hn 1m tnh

Thiu rnh thot nc thi hoc im nc thi < 10 m

Dng c ly nc b bn hoc c t trn nn ging

0 im: Cha c nguy c gy nhim ngun nc;

1 2 im: C nguy c gy nhim ngun nc;

3 im: C nguy c cao gy nhim ngun nc.

3. i vi ngun nc ging khoan

0 im: Cha c nguy c gy nhim ngun nc;

1 im: C nguy c gy nhim ngun nc;

2 im: C nguy c cao gy nhim ngun nc.

3.2. Ging khoan c su mc nc di 25m:

0 im: Cha c nguy c gy nhim ngun nc;

1 - 3 im: C nguy c gy nhim ngun nc;

4 im: C nguy c cao gy nhim ngun nc.

4.i vi h thng thu hng, lu tr nc ma:

Mi hng nc ma (nu c) c lm bng fibro xi mng

Mi hng nc ma v mng dn nc ma b bn hoc b

Thiu hp hoc ga ngn rc