Ph lc 1

DANH MC V P M CHT THI Y T

(km theo Thng t lin tch s /2015/TTLT-BYT-BTNMT ngy .. ./.. /2015
ca B Y t - B Ti nguyn v Mi trng quy nh v qun l cht thi y t)

A. Danh mc v m cht thi y t nguy hi

1. Danh mc v m cht thi ly nhim

M
CTNH
13 01 01

Tn cht thi

Trng thi (th)

Tnh cht
Ngng
tn ti thng
nguy hi chnh
CTNH
thng

Cht thi ly nhim, gm:

Cht thi sc nhn

Rn
SN, LN

Rn

**

Cht thi ly nhim khng sc nhn

LN

Rn

**

Cht thi c nguy c ly nhim cao

LN

Rn

**

Cht thi gii phu

LN

Rn

**

2. Danh mc v m cht thi nguy hi khng ly nhim

M
CTNH
13 01 02

13 01 03

Tn cht thi

Trng thi (th)

Tnh cht
Ngng
tn ti thng
nguy hi chnh
CTNH
thng

Ha cht thi bao gm hoc c cc

thnh phn nguy hi, gm:
Dung dch axit thi b t phng xt
nghim

AM

Lng

**

Dung dch kim thi b t phng xt

nghim

AM

Lng

**

Dung dch ra phim thi b

Lng

Dung mi thi b t phng xt

nghim

Lng

Cht ty ra c cc thnh phn nguy

hi

AM, , S

Lng

Dc phm thi b hoc v chai

thuc, l thuc, cc dng c dnh
thuc thuc nhm gy c t bo
hoc c cnh bo nguy hi t nh
sn xut

Rn/lng

**

M
CTNH

Tn cht thi

13 01 04

Cht hn rng almagam thi

13 03 02

Cc thit b y t b v, hng,
qua s dng c cha thu ngn v
cc kim loi nng, bao gm:

Trng thi (th)

Tnh cht
Ngng
tn ti thng
nguy hi chnh
CTNH
thng

Rn

**

Nhit k, huyt p k thy ngn b

v, hng, thi b

, S

Rn

**

My tho lng rut c ct thy ngn

v, hng, thi b

, S

Rn

**

Ch (t tm g bc ch hoc vt liu
trng ch s dng trong ngn tia x t
cc khoa chn on hnh nh, x tr)

, S

Rn

**

, C

Lng

**

03 05 01

Dch ci thi t qu trnh chit tch

(mother liquor) v dung dch ty ra
thi c gc nc
Dch ci thi t qu trnh chit tch
(mother liquor), dung dch ty ra v
dung mi c gc halogen hu c

, S, C

Lng

**

03 05 02

, S, C

Lng

**

03 05 03

Cc loi dch ci thi t qu trnh

chit tch (mother liquor), dung dch
ty ra v dung mi hu c thi khc
Cn phn ng v cn y thp chng
ct c cc hp cht c halogen hu
c

, S

Rn/bn

**

03 05 04
03 05 05

Cc loi cn phn ng v cn y
thp chng ct khc

, S

Rn/bn

**

03 05 06

Cht hp th qua s dng v b

lc c cc hp cht halogen hu c

, S

Rn

**

03 05 07

Cc loi cht hp th qua s dng

v b lc khc

, S

Rn

**

03 05 08

Bn thi c cc thnh phn nguy hi

t qu trnh x l nc thi

, S

Bn

**

03 05 09

Cht thi rn c cc thnh phn nguy

hi khc

, S

Rn

Cht thi t qu trnh sn xut v

iu ch v cung ng dc phm

Cht thi nguy hi khc, gm:

Tn cht thi

CTNH

Trng thi (th)

Tnh cht
Ngng
tn ti thng
nguy hi chnh
CTNH
thng

16 01 06

Bng n hunh quang, bng n

compact thi b

Rn

**

16 01 08

Cc loi du m thi

, S, C

Rn/Lng

**

16 01 10

Dung dch ty ra c cc thnh phn AM, , S

nguy hi

Lng

16 01 12

Pin, c quy thi

Rn

**

16 01 13

Cc thit b, linh kin in t thi

, S
hoc cc thit b in (khc vi cc
loi nu ti m 16 01 06, 16 01 12)
c cc linh kin in t (tr bn
mch in t khng cha cc chi tit
c cc thnh phn nguy hi vt
ngng CTNH)

Rn

**

18 01 01

Bao b mm, gi lau thi b (t qu

trnh sa cha, bo dng thit b
nhim du m; cha cc ha cht
c hi)

Rn

18 01 02

Bao b cng thi bng kim loi (bao

gm c bnh cha p sut rng hon
ton; bnh cha chy ht hn s
dng)

Rn

08 02 04

Hp mc ca my in, my
photocopy thi b

Rn

18 02 01

Cht hp th, vt liu lc thi b t

qu trnh x l kh khi

Rn

**

12 01 05

Tro thi t l t cht thi rn y t

Rn

12 02 02

Bn thi t h thng x l nc thi

y t

Rn

12 01 05

Tro thi t l t cht thi rn y t

Rn

Ch thch: : c

S: c sinh hc

, S, AM

AM

C: Chy

AM: n mn LN: Ly nhim

Ngng ** : chc chn l cht thi y t nguy hi; Ngng *: Nghi ng l cht
thi y t nguy hi v nu khng c phn tch so snh vi QCVN 07:2009/BTNMT th
phi qun l nh CTYTNH.

B. Danh mc cht thi y t thng thng

TT

Loi cht thi

Cht thi sinh hot pht sinh t cc bung bnh

Cht thi pht sinh t cc hot ng chuyn

mn y t, gm:

Yu cu l cht thi thng

thng
Khng pht sinh t phng iu tr
cch ly

Cc chai, l thy tinh, chai huyt thanh, cc vt - Khng pht sinh t phng iu tr
liu nha, v l khng sinh, dc phm qu hn cch ly
s dng
- Khng dnh mu, dch sinh hc v
cc cht ha hc nguy hi
- Khng thuc nhm thuc gy c
t bo hoc c cnh bo nguy hi t
nh sn xut
Cc loi bt b trong gy xng kn

Khng dnh mu, dch sinh hc v

cc cht ha hc nguy hi

Cht thi ly nhim sau khi c x l an ton

c kh khun t yu cu ti
QCVN 55:2013/BTNMT: Quy
chun k thut quc gia v thit b
hp cht thi y t ly nhim

Cht thi pht sinh t cc cng vic hnh chnh,

gm: Giy, bo, ti liu, vt liu ng gi,
thng cc tng, ti nilon, ti ng phim

Cht thi ngoi cnh, gm: L cy v rc t cc

khu vc ngoi cnh

Thc n, thc phm thi b t cng tin, nh n

trong c s y t

C. Danh mc cht thi y t thng thng c php thu gom phc v mc ch

ti ch
TT

Loi cht thi

Cht thi l vt liu giy

Giy, bo, ba, thng cctng, v hp thuc v cc vt

liu giy

II

Cht thi l vt liu nha

- Cc chai nha ng thuc,

ha cht khng thuc nhm
gy c t bo hoc c cnh
bo nguy hi t nh sn xut.

Yu cu

Khng thi ra t phng cch ly

- Cc chai, lon nc gii kht

bng nha v cc nha khc

2
III
1

IV

Cc chai nha, dy truyn, bm Khng dnh mu v c kh khun an

tim (khng bao gm u sc ton theo QCVN 55:2013/BTNMT - Quy
nhn)
chun k thut quc gia v thit b hp
cht thi y t ly nhim
Cht thi l vt liu kim loi
Cc chai, lon nc ung gii Khng thi ra t phng cch ly
kht v cc vt liu kim loi
khc
Cht thi l vt liu thy
tinh
Cc chai, l thy tinh ng Thuc, ha cht khng thuc nhm gy
cc thuc, ha cht
c t bo hoc c cnh bo nguy hi t
nh sn xut

Ph lc 2
Nhn v biu tng trn bao b, thit b lu cha cht thi y t
(km theo Thng t lin tch s/2015/TTLT-BYT-BTNMT ngy.. ./.. /2015
quy nh qun l cht thi y t ca B Y t - B Ti nguyn v Mi trng)
A. Biu tng cho cc nhm cht thi y t

Cht thi c cht gy c t

bo
(M CT: ..)

Cht thi cha cht c hi

(M CT: .)

Cht thi c kh nng n

mn
(M CT: )

Cht thi ti ch
(M CT: )

B. Nhn trn bao b ng cht thi thu gom

Cht thi ly nhim

(M CT:.. )

Cht thi nguy hi

Cht thi phng x

Cht thi d chy

L g c s y t
1. C s y t:.
2. Ngy thu gom: gingy/
../..;
3. Loi cht thi:..
4. Trng lng:..kg

Ph lc 3

Yu cu k thut ca khu lu gi cht thi ti cc c s y t, phng tin vn

chuyn v thit b lu cha cht thi y t nguy hi trn phng tin vn chuyn
x l theo m hnh cm c s y t
(km theo Thng t lin tch s/2015/TTLT-BYT-BTNMT ngy.. ./.. /2015
quy nh qun l cht thi y t ca B Y t - B Ti nguyn v Mi trng)
A. KHU LU GI CHT THI Y T TI C S Y T
I. i vi cc c s y t c ging bnh (bnh vin) v c s y t thc hin x l
cht thi y t theo m hnh cm c s y t:
Khu vc lu gi cht thi khng bt buc phi xy dng di dng kho nhng
phi p ng cc yu cu chung sau:
1. C mi che cho khu vc lu gi; nn m bo khng b ngp lt, trnh c
nc ma chy trn t bn ngoi vo, khng b chy trn cht lng ra bn ngoi khi c
s c r r, trn.
2. C phn chia cc hoc c dng c lu gi ring cho tng loi cht thi hoc
nhm cht thi; tng trong khu vc lu gi phi c bin du hiu cnh bo, phng
nga ph hp vi loi CTYTNH c lu gi theo TCVN 6707:2009 vi kch thc
ph hp, d nhn bit; du hiu v cc dng ch cnh bo nu trn khng b m hoc
phai mu.
3. Khi lu gi cht thi thuc nhm cc cht nhim hu c kh phn hu thi
b thuc i tng qun l ca Cng c Stockholm v cc thnh phn nguy hi hu
c halogen khc (vt ngng CTNH theo quy nh ti QCVN 07:2009/BTNMT)
phi c cha trong cc bao b cng v khng xp chng ln nhau.
4. C phng tin ra tay, phng tin bo h c nhn, c dng c, ha cht
lm v sinh.
5. C vt liu hp th (nh ct kh hoc mn ca) v xng s dng trong
trng hp r r, ri vi, trn cht thi y t nguy hi th lng.
6. C thit b phng chy cha chy theo hng dn ca c quan c thm quyn
v phng chy cha chy.
7. C thit b bo qun lnh trong trng hp lu gi cht thi ly nhim khng
sc nhn thuc cc trng hp sau:
a) Lu gi cht thi ly nhim khng sc nhn qu 48 gi;
b) Lu gi cht thi gii phu qu thi gian 24 gi.
II. i vi cc c s y t d phng, phng khm bnh, nh h sinh, trm y t
1. Khng bt buc phi c khu vc lu gi ring.
2. Phi b tr v tr ph hp t cc thit b lu cha cht thi y t.
3. Thit b lu cha phi ph hp vi tng loi cht thi v lng cht thi pht
sinh trong c s y t.
4. Thit b lu cha cht thi phi c np y kn, c biu tng, nhn cho tng
loi cht thi theo ng quy nh.
5. Thit b lu cha cht thi phi thng xuyn v sinh sch s.

III. i vi cc c s sn xut thuc

Thc hin theo quy nh ti Thng t s 36/2015/TT-BTNMT ngy 30/6/2015
quy nh v qun l cht thi nguy hi.
B. PHNG TIN VN CHUYN V THIT B LU CHA CHT
THI Y T NGUY HI TRN PHNG TIN VN CHUYN X L
THEO M HNH CM C S Y T
I. Phng tin vn chuyn
Ty theo iu kin c th ca tng vng, min, c th s dng cc loi phng
tin sau y vn chuyn cht thi ly nhim ra bn ngoi c s y t:
1. Xe t, xe m t, xe gn my;
2. Xe th s;
3. Cc phng tin khc.
II. Thit b lu cha cht thi ly nhim trn phng tin vn chuyn
1. Thit b lu cha cht thi ly nhim c lp c nh hoc c th tho ri
trn phng tin vn chuyn.
2. C kt cu cng chu c va chm, khng b h hng, bin dng, rch v
bi trng lng cht thi trong qu trnh vn chuyn.
3. C biu tng, du hiu cnh bo, phng nga theo Tiu chun Vit Nam
TCVN 6707:2009 vi kch thc ph hp, c in r rng, d c, khng b m v
phai mu trn dng c lu cha.
4. C np, giong kn v np c kha trong qu trnh vn chuyn.
5. Thit b lu cha phi c v sinh sch sau mi ln vn chuyn ti s
dng.

Ph lc 4

PHNG PHP X L CHT THI Y T NGUY HI V MU S NHT

K VN HNH THIT B, H THNG X L CHT THI Y T
A. PHNG PHP X L CHT THI LY NHIM
1. X l s b cht thi c nguy c ly nhim cao bng mt trong cc phng
php sau:
- Kh khun bng ha cht: ngm cht thi c nguy c ly nhim cao trong
dung dch Cloramin B 1-2%, Javen 1-2% trong thi gian ti thiu 30 pht hoc cc
ha cht kh khun khc theo hng dn s dng ca nh sn xut v theo quy nh
ca B Y t;
- Kh khun bng thit b hp cht thi y t ly nhim, thit b vi sng hoc
thit b nhit c tnh nng kh khun khc (nh thit b hp kh khun dng c y t,
ni p sut chuyn dng) v vn hnh theo quy nh ca nh sn xut;
2. X l cht thi sc nhn bng mt trong cc phng php sau:
- Thiu t trong l t chuyn dng cng vi cht thi ly nhim khc;
- Chn trong h b tng c y, thnh v np y bng b tng;
3. X l cht thi gii phu bng mt trong cc phng php sau:
- X l theo quy nh ti im a, Khon 3 ca iu ny;
- Bc trong hai lp ti nilong, ng thng v a i chn ngha trang;
- Chn trong h b tng c y v np kn;
B. PHNG PHP X L CHT THI NGUY HI KHNG LY
NHIM
1. X l cht thi c cha cha kim loi nng vt ngng quy nh ti QCVN
07:2009/BTNMT: Quy chun k thut quc gia v ngng cht thi nguy hi bng
mt trong cc phng php sau:
- Tr li nh sn xut thu hi kim loi nng;
- Tiu hy ti ni tiu hy an ton cht thi cng nghip;
- Nu 2 phng php trn khng thc hin c, c th p dng phng php
ng gi kn bng cch cho cht thi vo cc thng, hp bng kim loi hoc nha
polyethylen c t trng cao, sau thm cc cht c nh (xi mng, vi, ct), kh
v ng kn. Sau khi ng kn c th thi ra bi thi;
2. X l cht thi ha hc nguy hi bng mt trong cc phng php sau:
- Tr li nh cung cp theo hp ng;
- Thiu t trong l t c nhit cao;
- Ph hy bng phng php trung ha hoc thy phn kim;
- Tr ha trc khi chn lp: Trn ln cht thi vi ximng v mt s vt liu
khc c nh cc cht c hi c trong cht thi. T l cc cht pha trn nh sau:
65% cht thi dc phm, ha hc, 15% vi, 15% xi mng, 5% nc. Sau khi to
thnh mt khi ng nht di dng cc th em i chn;

3. X l cht thi l dc phm thi b thuc nhm gy c t bo hoc c

cnh bo nguy hi t nh sn xut bng mt trong cc phng php sau:
- Tr li nh cung cp theo hp ng;
- Thiu t trong l t c nhit cao;
- S dng mt s cht oxy ha nh KMnO4, H 2SO4, ging ha cc cht gy c
t bo thnh hp cht khng nguy hi;
- Tr ha sau chn lp ti bi chn lp cht thi tp trung;
4. X l cht thi t qu trnh sn xut, iu ch v cung ng dc phm bng
mt trong cc phng php sau:
- Thiu t trong l t nhit cao;
- Chn lp ti cc bi chn lp cht thi nguy hi.
5. X l cht hn rng amalgam thi v thit b y t b v, hng, qua s dng
c cha thu ngn
- p dng mt trong cc phng php: ng rn v chn lp an ton ti cc c
s c giy php x l cht thi nguy hi ph hp hoc ti ch thu hi kim loi;
- Khng s dng phng php thiu t x l cht thi c cha thu ngn.
C. PHNG PHP X L CHT THI Y T NGUY HI I VI C
S Y T C TH
1. Cc c s y t cc tnh min ni, trung du, vng su, vng xa v hi o ni
cha c c s x l cht thi y t nguy hi t tiu chun ti a phng: p dng tm
thi phng php chn lp hp v sinh. Cht thi ly nhim trc khi chn lp phi
c x l s b theo quy nh ti mc A ca Ph lc ny.
2. H chn lp cht thi y t nguy hi phi m bo cc yu cu sau:
a) H chn lp ti a im theo quy nh ca chnh quyn v c s chp
thun ca c quan qun l mi trng ti a phng.
b) C hng ro vy quanh
c) Cch xa ging nc, xa nh ti thiu 100m
d) y h cch mc nc b mt ti thiu 1,5 mt
) Ming h nh cao v che tm thi trnh nc ma.
e) Vt liu xy dng h bng b tng ct thp hoc thnh h bng gch, y
bng b tng ct thp c lp y trn.
f) Mi ln chn cht thi phi ln trn mt h lp t dy t 10-25 cm v lp
t trn cng dy 0,5 mt.
g) Khng chn cht thi ly nhim ln vi cht thi thng thng. Cht thi ly
nhim phi c kh khun trc khi chn lp.

D. MU S NHT K VN HNH THIT B, H THNG X L

CHT THI Y T (Dng cho c s y t t x l cht thi y t v c s y t x l
cht thi cho cm c s y t)
I. Nht k vn hnh l t

T
T

Thi im bt
u
(gi/ngy/thng/
nm)

M s

M s

Thi im kt
Ghi chp v nhit
thc
v cc bt thng
(gi/ngy/thng/
trong qu trnh t
nm)

Lng
cht
thi
t
(kg)

Nhn xt
v qu
trnh t
v kt qu
t

Ngi
vn
hnh

Cng ngy
II. Nht k vn hnh thit b x l cht thi y t ly nhim bng cng ngh khng t
Lng cht thi x l (Kg)
Theo tng loi cht thi
Ngy
thng nm

Tn m

Cht thi
khng sc
nhn c
th ti ch

Cht
thi Gii
phu

Cht thi
sc nhn

Cht thi
ly
nhim
khc

Ngi
vn
hnh

Tng s

M s
M s
Cng ngy
III. Nht k vn hnh h thng x l nc thi
Thi
Ghi chp tnh trng
Ngy im bt
hot ng ca h thng
thng u vn
v cc du hiu bt
nm hnh h
thng
thng
(1)
(2)
(3)

Thi
im
ngng
vn
hnh
(4)

Lng
ha
cht s
dng

Bo tr, bo
dng/ sa
cha, thay th

Ngi
vn
hnh

(5)

(6)

(7)

Ghi ch:
Ct (2), (4) Khng cn ghi nu l h thng vn hnh t ng.
Ct (5): Ghi lng ha cht s dng theo ngy
Ct (6): Ghi r bo tr bo dng hoc sa cha thay th b phn no; c nhn, n v thc
hin.

Ph lc 5
MU S V CHNG T CHT THI Y T
(Km theo Thng t lin tch s/2015/TTLT-BYT-BTNMT ngy.. ./.. /2015
quy nh qun l cht thi y t ca B Y t - B Ti nguyn v Mi trng)
A. MU S THEO DI CHT THI LY NHIM KH KHUN T
QCVN 55:2013/BTNMT
I. Ba s
Tn c quan ch qun
Tn c s y t

S THEO DI CHT THI LY NHIM KH KHUN T QCVN

55:2013/BTNMT PHC V MC CH TI CH
(S dng trong c s y t)

13

II. Ni dung ghi trong S

Ngy thng
nm

S m

Gi kh
khun

Ch kh khun
Nhit
(oC)

Thi gian
(pht)

S lng
Cn b vn hnh
cht thi/m
(K, ghi r h
(kg)
tn)

Cng thng

14

B. MU S GIAO NHN CHT THI Y T NGUY HI (Dng cho c s y t

x l cht thi cho cm c s y t)
I. Mu ba s
Tn c quan ch qun
Tn c s y t

S BN GIAO CHT THI Y T NGUY HI X L THEO M HNH

CM C S Y T
(S dng cho x l cht thi y t theo m hnh cm c s y t)

II. Ni dung ghi trong s

15

Lng cht thi bn giao (Kg)

Cht thi ly nhim
Ngy thng
nm

Sc
nhn

Khng
sc
nhn

Gii
phu

Ngi giao
cht thi

Cht thi nguy hi

khc
Cht
thi A

Cht
thi B

Tng s

(K ghi r
h v tn)

Ngi
nhn cht
thi (K
ghi r h
v tn)

Cng
thng.

Ghi ch:
-

S bn giao cht thi ny c s dng thay th cho chng t cht thi nguy hi;
S bn giao cht thi c Ch ngun thi lp thnh 02 S, Ch ngun thi gi 01 S
v C s x l cht thi trong cm c s y t gi 01 S. Mi ln giao nhn cht thi
gia hai bn c in y thng tin v k nhn gia hai bn vo 02 s theo di,
i chiu v qun l;
Khng c ty xa, sa cha cc thng tin trong s.

C. MU CHNG T BN GIAO CHT THI LY NHIM KH KHUN

T QCVN 55:2013/BTNMT

16

CNG HA X HI CH NGHA VIT NAM

c lp T do Hnh phc

CHNG T BN GIAO CHT THI

Loi cht thi: cht thi ly nhim kh khun t QCVN 55:2013/BTNMT
Lin s:
1. Tn c s y t:...................................
a ch c s y t:..........................T:....................
2. Tn c s nhn bn giao cht thi :...................................
a ch c s/i l:............. T: ............
3. K khai cht thi ly nhim kh khun t QCVN 55:2013/BTNMT chuyn giao
S TT
1

Loi cht thi

S lng (kg)

Cht thi l nha:

-

Cht thi l kim loi:

-

4. Xc nhn vic tip nhn s lng v loi CTNH nh k khai mc 3

H tn ngi nhn: ........K:Ngy:.
5. Ch c s y t xc nhn bn giao s lng cht 6. Ch c s nhn bn giao xc nhn nhn s lng
thi nu ti Mc 3
cht thi nu ti Mc 3
, ngy..thng. nm ., ngy..thng. nm

(k, ghi h tn, chc danh, ng du)

(k, ghi h tn, chc danh, ng du)

17

Ph lc 6
MU BO CO KT QU QUN L CHT THI Y T
V
PHN VNG BO CO
(Km theo Thng t lin tch s/2015/TTLT-BYT-BTNMT ngy.. ./.. /2015 quy nh
qun l cht thi y t ca B Y t - B Ti nguyn v Mi trng)
A. MU BO CO KT QU QUN L CHT THI Y T CA C S Y T
***
N V CH QUN
C S Y T

CNG HO X HI CH NGHA VIT NAM

c lp - T do - Hnh phc

S: ......

....., ngy ... thng ... nm ......

BO CO KT QU QUN L CHT THI Y T NM ...

Knh gi:
Phn 1. Thng tin chung:
1. Tn n v bo co: .......................................................
2. a ch:
in thoi c quan:
3. Tn ngi tng hp bo co: ............................................
S in thoi lin h:............................; Email: ......................................................................
4. S ging bnh k hoch (nu c): ........................ S ging bnh thc k: .................
5. Tn Khoa/phng chuyn trch v qun l cht thi rn y t:
.....................................................................
6. Tn Khoa/phng chuyn trch v qun l nc thi y t:
....................................................................
Phn 2. Kt qu thc hin cc th tc hnh chnh v mi trng
7. Kt qu thc hin cc th tc hnh chnh v mi trng:
TT

Thng tin

7.1

S ng k Ch ngun CTNH

7.2

Giy php x nc thi ra mi trng

7.3

Bo co nh gi tc ng mi trng (TM)

7.4

Cam kt bo v mi trng

7.5

n bo v mi trng

7.6

Vn bn xc nhn hon thnh cc cng trnh bo v mi trng trc

khi a d n vo hot ng ca c quan c thm quyn (p dng i
vi n v phi lm Bo co TM)

7.7

S nht k vn hnh thit b, h thng x l cht thi rn y t

Khng

18

7.8

S nht k vn hnh thit b, h thng x l nc thi y t

7.9

t tiu chun GMP (p dng cho c s sn xut thuc, vc xin v

sinh phm y t)

7.10 t tiu chun ISO 140001 (p dng cho c s sn xut thuc, vc

xin v sinh phm y t)
Phn 3. Kt qu o to, truyn thng, ph bin php lut v qun l cht thi y t:
8. Kt qu o to v qun l cht thi y t:
TT

i tng c o to

S ngi
c
o to

n v
t chc

S ln
tuyn thng

n v
truyn
thng

S ln
o to

Cn b chuyn trch v qun l cht thi y t

Cn b, nhn vin y t lm pht sinh cht thi y
t nguy hi
Cn b, nhn vin vn hnh h thng x l cht
thi rn y t (nu c)
Cn b, nhn vin vn hnh h thng x l nc
thi y t (nu c)
Cc b khc (nu c)
9. Kt qu truyn thng ph bin php lut v qun l cht thi y t:
Hnh thc
Ni dung truyn thng
truyn thng
Thng tin
Phn 4. Kt qu qun l cht thi y t
10. Tnh hnh pht sinh v x l cht thi y t

n v
tnh

Tn/loi
cht thi y t

Cht thi y t nguy hi,

trong :

kg

- Cht thi ly nhim

kg

- Cht thi nguy hi khng

ly nhim

kg

Cht thi y t
thng, trong :

thng

Lng cht
Tng lng
thi pht
cht
thi pht
sinh trung
bnh trong sinh trong k
bo co
ngy

Lng
cht thi
c x l
trong k
bo co

Phng
php/cng
ngh x l
c s dng
1

kg

: C s y t ghi y phng php, cng ngh c p dng (bao gm c thu x l).

19

Tn/loi
cht thi y t

n v
tnh

- Cht thi y t thng

thng phc v mc ch
ti ch

kg

- Cht thi y t thng

thng khng phc v
mc ch ti ch

kg

Nc thi y t

m3

Lng cht
Tng lng
thi pht
cht
thi pht
sinh trung
bnh trong sinh trong k
bo co
ngy

Lng
cht thi
c x l
trong k
bo co

Phng
php/cng
ngh x l
c s dng

11. Phn loi, thu gom, vn chuyn v lu gi cht thi y t

a) C s y t thc hin phn loi cht thi y t ti ni pht sinh (C/khng):
b) Trang thit b thu gom v khu vc lu gi cht thi rn y t:
p ng yu cu

p ng yu cu

v cht lng

v s lng

Thng tin

Khng

Khng

Ti/thng cha/ng cht thi ly nhim

Ti/thng cha/ng cht thi nguy hi khng
ly nhim
Ti/thng cha/ng cht thi rn ly nhim
sc nhn
Ti/thng cha/ng cht thi y t thng
thng khng phc v mc ch ti ch
Ti/thng cha/ng cht thi y t thng
thng phc v mc ch ti ch
Khu vc lu gi cht thi y t
Nhn xt (ghi r ni dung cha t/cha thc hin v nguyn nhn): ..
c) Trang thit b thu gom, vn chuyn v lu gi cht thi i vi c s y t thu gom, x
l cht thi ly nhim cho cc n v khc theo m hnh cm c s y t:

Thng tin

p ng yu cu

p ng yu cu

v cht lng

v s lng

Khng

Khng

Ti/thng cha/ng cht thi ly nhim

Ti/thng cha/ng cht thi nguy hi
khng ly nhim

20

Thng tin

p ng yu cu

p ng yu cu

v cht lng

v s lng

Khng

Khng

Ti/thng cha/ng cht thi rn ly

nhim sc nhn
Ti/thng cha/ng cht thi y t thng
thng
Phng tin thu gom cht thi ly nhim
Khu vc lu gi cht thi y t
H thng thu gom nc thi y t
Nhn xt (ghi r ni dung cha t/cha thc hin v nguyn nhn):
d) Lu gi cht thi y t:
Loi cht thi rn y t

Thi gian lu gi
ng quy nh

Cha ng quy nh

Cht thi ly nhim

Cht thi gii phu
Cht thi nguy hi khng ly nhim
Cht thi y t thng thng
Nhn xt: .
12. Hnh thc x l cht thi rn y t (p dng i vi c s y t t x l, hoc x l cho cm
c s y t v c thit b, h thng x l cht thi rn y t di y):
a) X l cht thi ly nhim bng thit b (hp hoc vi sng):
Thng tin

Thit b hp

Thit b
vi sng

Thit b
hp kt hp
vi sng

Tn thit b
Ni sn xut
Nm a vo s dng
c cp giy php hot ng
Cng sut thit b (kg/h)
Tnh trng hot ng:
- Hot ng thng xuyn
- Hot ng khng thng xuyn
- Khng hot ng
Tnh trng thit b:

21

Thng tin

Thit b hp

Thit b
vi sng

Thit b
hp kt hp
vi sng

- S dng ht cng sut

- Hot ng qu ti
- nh k kim tra, bo dng
Nhn xt: .
b) t cht thi rn y t nguy hi bng l t:
Loi l t
Thng tin

L t
... bung

L t
... bung

L t
th cng

Tn thit b
Ni sn xut
Nm a vo s dng
c cp giy php hot ng
Cng sut l t (kg/h)
Tnh trng hot ng:
- Hot ng thng xuyn
- Hot ng khng thng xuyn
- Khng hot ng
Tnh trng l t:
- C h thng x l kh thi l t
- S dng ht cng sut
- Hot ng qu ti
- c nh k kim tra cht lng kh
thi
- c nh k kim tra, bo dng
Nhn xt: .
c) Chn lp cht thi rn y t nguy hi trong khun vin ca n v:
Thng tin

Khng

C giy tha thun ca a phng

H chn lp cht thi c thit k ng theo quy nh v
qun l cht thi y t
Ph kn lp cht thi sau mi ln chn (hoc y kn np h
chn) theo quy nh
Nhn xt: ..

22

13. Thit b, h thng x l nc thi y t (p dng i vi c s y t c h thng x l nc

thi y t):
Thng tin
Tn thit b
Ni sn xut
Nm a vo s dng
c cp giy php hot ng
Cng sut l t (kg/h)
Tnh trng hot ng
- Hot ng thng xuyn
- Khng hot ng
Tnh trng thit b, h thng:
- S dng ht cng sut
- Hot ng qu ti
- c nh k kim tra nc thi sau x l
- c nh k kim tra, bo dng
X l bn thi pht sinh trong qu trnh x l nc thi y t
Phn 6. Kt qu quan trc, gim st mi trng nh k trong k bo co
14. Kt qu quan trc, gim st mi trng:
C s y t bo co kt qu quan trc, gim st mi trng nh k theo quy nh ti
Thng t 31/2013/TT-BYT ngy 15/10/2015 ca B trng B Y t quy nh v quan trc tc
ng mi trng t hot ng khm, cha bnh trong bnh vin v theo Bo co TM hoc
n bo v mi trng hoc Cam kt bo v mi trng.
Tn xut
Quan trc mi
trng/gim st mi
trng nh k

ng
quy
nh

Khn
ng
quy
nh

Thng s
quan trc
ng
quy
nh

Khn
ng
quy
nh

Kt qu phn tch
t
TCVN,
QCVN

Khng t
TCVN,
QCVN

Nc thi y t
L t cht thi rn y t
Nhn xt (ghi r l do khng quan trc tn xut, thng s quan trc; l do thng
s/ch tiu quan trc khng t TCVN/QCVN):
Phn 7. K hoch qun l cht thi y t trong nm ti:
Nu r nhng ni dung, gii php trng tm s thc hin lm tt cng tc qun l
cht thi y t v khc phc nhng tn ti.

23

Phn 8. Cc vn khc
15. S ln thanh tra, kim tra ca c quan chc nng v cng tc qun l cht thi y t trong
k bo co: ..
Nu c, ngh Bnh vin ghi r n v thanh tra, kim tra v nu r nhng tn ti
trong cng tc qun l cht thi y t m tng n v thanh tra, kim tra ch ra.
16. Kinh ph chi thng xuyn cho x l cht thi y t
TT

Kinh ph chi
thng xuyn
(triu ng)

Thng tin
16.1

Chi mua ti, thng, dng c, phng tin phn loi, thu gom,
lu gi cht thi y t

16.2

Chi mua vt t, ha cht, in, nc vn hnh h thng x l

cht thi y t

16.3

Chi ph bo tr, bo dng, vt t tiu hao thay th

16.4

Chi ph thu vn chuyn, x l cht thi y t

16.5

Chi ph nhn cng qun l, vn hnh h thng x l cht thi

y t

16.6

Chi ph lm cc th tc mi trng (tr trng hp d n u

t xy dng mi)

16.7

Chi ph thc hin gim st, quan trc mi trng nh k

16.8

Chi ph cho hot ng o to, tp hun, truyn thng

16.9

Chi ph cho khc phc s c mi trng

Tng

Ni nhn:
- Lu: VT,

TH TRNG N V
(K, ghi h tn, ng du)

24

B. MU BO CO KT QU QUN L CHT THI Y T CA S Y T

***
C QUAN CH QUN
N V BO CO.

CNG HO X HI CH NGHA VIT NAM

c lp - T do - Hnh phc

S: ......

....., ngy ... thng ... nm ......

BO CO KT QU QUN L CHT THI Y T CA S Y T NM ..

Knh gi:
Phn 1. Thng tin chung
1. Tn n v bo co: ....................................................

2. a ch:

in thoi c quan:

3. Tn ngi tng hp bo co: ............................................

S in thoi lin h:............................; Email: ......................................................................
4. Tng s c s y t trn a bn qun l: ...................., trong :
TT
4.1

C s y t

Tng s c s

S c s y t
gi bo co

C s y t cng lp
Bnh vin cng lp
Phng khm khoa khu vc
C s thuc h y t d phng
C s sn xut thuc, vc xin
sinh phm y t
C s o to y, dc
Trm y t

4.2

C s y t t nhn
Bnh vin t nhn

Phn 2. Tnh hnh hot ng v qun l cht thi y t trin khai

5.
6.
7.
8.
9.

Cng tc ch o, hng dn v qun l cht thi y t:

Cng tc o to, tp hun, truyn thng v qun l cht thi y t:
Cng tc u t x l cht thi cho cc c s y t:
Cng cc thanh tra, kim tra v x l vi phm trong qun l cht thi y t:
Cng tc khc:

25

Phn 3. Kt qu thc hin cc th tc hnh chnh v mi trng ca cc c s y t

10. Kt qu thc hin cc th tc hnh chnh v mi trng:

TT

Thng tin

10.1

S c s c S ng k
Ch ngun CTNH

10.2

S c s c Giy php x
nc thi ra mi trng

10.3

S c s c Bo co TM

10.4

S c s c n bo v
mi trng

10.5

S c s c Cam kt bo
v mi trng

10.6

S c s c Vn bn xc
nhn hon thnh cc cng
trnh bo v mi trng
trc khi a d n vo
hot ng ca c quan c
thm quyn (p dng i
vi n v phi lm Bo
co TM)

10.7

S c s c K hoch qun
l cht thi y t

10.8

S c s c S c s c S
nht k vn hnh thit b,
h thng x l cht thi rn
y t

10.9

S c s c S nht k vn
hnh thit b, h thng x
l nc thi y t

Bnh
vin
cng
lp

Phng
C s
khm
thuc
a
h y
khoa
t d
khu
phng
vc

Cc c s
sn xut
thuc, vc
xin v sinh
phm y t

Cc c
s o Trm
to
y t
y/dc

Bnh
vin
t
nhn

10.10 S c s c t tiu chun

GMP
10.11 S c s c t tiu chun
ISO 140001 (Tiu chun
qun l mi trng)

26

Phn 4. Kt qu o to, truyn thng ph bin php lut v qun l cht thi y t
11. Kt qu o to v qun l cht thi y t

Loi hnh c s y t

Thng tin

Bnh
vin
cng
lp

Phng
khm
a
khoa
khu
vc

C s
thuc h
y t d
phng

C s sn
xut
thuc, vc
xin sinh
phm y t

C s
o
to y,
dc

Trm
y t

Bnh
vin
t
nhn

S ln o to v qun
l cht thi y t trong k
bo co
S lng cn b chuyn
trch v qun l cht
thi y t c o to
S lng cn b, nhn
vin y t lm pht sinh
cht thi y t nguy hi
c o to
S lng cn b, nhn
vin vn hnh h thng
x l cht thi rn y t
c o to (nu c)
S lng cn b, nhn
vin vn hnh h thng
x l nc thi y t
c o to (nu c)
S lng cn b khc
c o to (nu c)
Nhn xt:
12. Kt qu truyn thng ph bin php lut v qun l cht thi y t:
Thng tin

Hnh thc
truyn thng

Ni dung
truyn thng

S lng c
s c
tuyn thng

n v
truyn
thng

Bnh vin cng lp

Phng khm khoa khu vc
C s thuc h y t d phng
C s sn xut thuc, vc xin sinh
phm y t
C s o to y, dc
Trm y t
Nhn xt:
27

Phn 5. Tnh hnh pht sinh, thu gom, vn chuyn, lu gi v x l cht thi y t
13. Tnh hnh pht sinh v x l cht thi y t trong cc bnh vin cng lp:
Loi hnh c s y t

Thng tin

n
v
tnh

Tng lng cht thi ly

nhim pht sinh trong k
bo co

kg

Lng cht thi ly

nhim c x l t yu
cu trong k bo co

kg

Tng lng cht thi

nguy hi khng ly
nhim pht sinh trong k
bo co

kg

Lng cht thi nguy hi

khng ly nhim c x
l t yu cu trong k
bo co

kg

Tng lng cht thi y t

thng thng pht sinh
trong k bo co

kg

Lng cht thi y t

thng thng c x l
t yu cu trong k bo
co

kg

Tng lng nc thi y

t pht sinh trong k bo
co

m3

Lng nc thi y t
c x l t yu cu
trong k bo co

m3

Nhn xt:

Bnh
vin
cng
lp

Phng
khm
a
khoa
khu
vc

C s
thuc
h y
t d
phng

C s
sn xut
thuc,
vc xin
v sinh
phm y
t

C s
o
to y/
dc

Trm
y t
x

Bnh
vin
t
nhn

14. Kt qu thu gom, vn chuyn v lu gi cht thi y t

a) Trang thit b thu gom, vn chuyn v khu vc lu gi cht thi y t:
Loi hnh c s y t
Bnh
vin
cng
lp

Thng tin

Phng
khm
a
khoa
khu
vc

C s
thuc
h y
t d
phng

C s
sn xut
thuc,
vc xin
v sinh
phm y
t

C s
o
to y/
dc

Trm
y t
x

Bnh
vin
t
nhn

S c s y t thc hin phn

loi ti ni pht sinh
S lng c s y t trang b
ti, thng, thit b lu cha
cht thi y t
S lng c s y t b tr khu
vc lu gi cht thi y t
Nhn xt (ghi r ni dung cha thc hin v v nguyn nhn):
15. Hnh thc x l cht thi y t nguy hi:
a) V x l cht thi rn y t nguy hi:
T x l cht thi rn y t nguy hi
Thu
x l

Thng tin

L t
Tnh trng hot ng
Thit
b
Chn ang Hng Hot
2
1
Th
hc,
ng
khng
lp
hot
bung
bung
cng
xung
qu
t
ng
cp
ti

Bnh vin cng lp

Phng khm
khoa khu vc

C s thuc h y t
d phng
C s sn xut
thuc, vc xin sinh
phm y t
C s thuc h y t
d phng
Trm y t
Bnh vin t nhn
Cng
Nhn xt (ghi r ni dung cha thc hin v v nguyn nhn):

b) V x l nc thi y t:

Thng tin

T x l bng thit b, h thng x l

nc thi y t
ang hot
ng

Hng hc,
xung cp

Hot ng
qu ti

Thu
x l

Cha c
h thng
x l
nc
thi y t

Bnh vin cng lp

Phng khm a khoa khu vc
C s thuc h y t d phng
C s sn xut thuc, vc xin
sinh phm y t
C s thuc h y t d phng
Trm y t
Bnh vin t nhn
Cng
Nhn xt (ghi r c s y t ni dung cha thc hin ng v v nguyn nhn):
Phn 6. Kt qu quan trc tc ng mi trng/gim st mi trng nh k
Quan trc mi trng/gim st
mi trng nh k

S c s thc hin

S c s cha thc hin

Cng

Nc thi y t
L t cht thi rn y t
Nhn xt (ghi r l do cbnh vin quan trc tn xut, thng s quan trc; l do thng
Phn 8. Cc vn khc:
Phn 9. Kt lun v kin ngh:
Ni nhn:
- Lu: VT,

GIM C
(K, ghi h tn, ng du)

C. PHN VNG NHN BO CO KT QU QUN L CHT THI Y T

(km theo Thng t lin tch s/2015/TTLT-BYT-BTNMT ngy .. ./.. /2015

ca B Y t - B Ti nguyn v Mi trng quy nh v qun l cht thi y t)
I. Vin Sc khe ngh nghip v Mi trng nhn bo co cng tc qun l cht thi y
t ca cc bnh vin trc thuc B Y t, cc c quan u mi v y t ca B, ngnh v
S Y t ca 28 tnh, thnh ph trc thuc trung ng khu vc min Bc v min Trung
sau:
1. Lo Cai
1. Yn Bi
2. in Bin
3. Ho Bnh
4. Lai Chu
5. Sn La
6. H Giang
7. Cao Bng
8. Bc Kn
9.

Lng Sn

10. Tuyn Quang

11. Thi Nguyn
12. Ph Th
13. Bc Giang
14. Qung Ninh
15. Bc Ninh
16. H Nam
17. H Ni
18. Hi Dng
19. Hi Phng
20. Hng Yn
21. Nam nh
22. Ninh Bnh
23. Thi Bnh
24. Vnh Phc
25. Thanh Ho
26. Ngh An
27. H Tnh.
II. Vin Pasteur Nha Trang nhn bo co cng tc qun l cht thi y t ca S Y t ca
11 tnh, thnh ph trc thuc trung ng khu vc min Trung sau:
1. Qung Bnh
1. Qung Tr
2. Tha Thin - Hu

3. Nng
4. Qung Nam
5. Qung Ngi
6. Ph Yn
7. Khnh Ho
8. Bnh nh
9.

Ninh Thun

10. Bnh Thun.

III. Vin V sinh dch t Ty Nguyn nhn bo co cng tc qun l cht thi y t ca S
Y t ca 5 tnh, thnh ph trc thuc trung ng khu vc Ty Nguyn sau:
1. Kon Tum
1. Gia Lai
2. k Lk
3. c Nng
4. Lm ng.
IV. Vin Y t cng cng TP. H Ch Minh nhn bo co cng tc qun l cht thi y t
ca S Y t ca 19 tnh, thnh ph trc thuc trung ng khu vc min Nam sau:
1. Bnh Phc
1. Bnh Dng
2. ng Nai
3. Ty Ninh
4. B Ra - Vng Tu
5. H Ch Minh
6. Long An
7. ng Thp
8. Tin Giang
9.

An Giang

10. Bn Tre
11. Vnh Long
12. Tr Vinh
13. Hu Giang
14. Kin Giang
15.
16.
17.
18.

Sc Trng
Bc Liu
C Mau
Cn Th.