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% of non-compliances with the requirements of the Procedure for selection, disposal, collection and delivery of municipal waste Procedure

for selection, d
hazardous waste, Procedure for selection, disposal, collection an
1.0%

0.8%

0.6%
Complication Rate

0.4%

0.2%

0.0%
Jan Feb Mar Apr May Jun Jul Aug Sep Oct
2020

2020
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

Number of reported non-


compliances with the 0
requirements of the Procedure
for selection, disposal,
collection and delivery of
municipal waste Procedure for
selection, disposal, collection
and transfer of hazardous
waste, Procedure for selection,
disposal, collection and delivery
of medical waste, Waste
management program
Number of reported
16
incidents
Complication Rate #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 0.0% #DIV/0! #DIV/0! #DIV/0! #DIV/0!
UCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
LCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Target 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
e Procedure for selection, disposal, collection and transfer of

Sep Oct Nov Dec


% of non compliance of corrective measures
1.0%

0.8%

0.6%
Complication Rate

0.4%

0.2%

0.0%
Jan Feb Mar Apr May Jun Jul Aug
2020

2020
Jan Feb Mar Apr May Jun Jul Aug

Number of non-­
compliances closed
due to corrective 1
actions being taken
within the defined
timeframe (set on a
case by case basis)
Number of corrective
1
measures
Complication Rate #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! 100.0%
UCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
LCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Target 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
ective measures

Jul Aug Sep Oct Nov Dec


0

Sep Oct Nov Dec

#DIV/0! #DIV/0! #DIV/0! #DIV/0!


#REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF!
100.0% 100.0% 100.0% 100.0%
% Volume of waste generated by waste stream
1.0%

0.8%

0.6%
Complication Rate

0.4%

0.2%

0.0%
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2020

2020
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Residua of waste 0
Volume of waste 2500
generated
Complication Rate #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
UCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
LCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Target 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
Nov Dec
% of waste re-used or recycled

1.0%

0.8%

0.6%
Complication Rate

0.4%

0.2%

0.0%
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2020

2020
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Number of waste re- 0
used or recycled
Number (quantity)of 0
waste
Complication Rate #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
UCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
LCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Target 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
Nov Dec
% of wastes generated (including hazardous waste) that are being correctly managed by licen
1.0%

0.8%

0.6%
Complication Rate

0.4%

0.2%

0.0%
Jan Feb Mar Apr May Jun Jul Aug
2020

2020
Jan Feb Mar Apr May Jun Jul Aug

Quantity (volume) of
wastes generated
(including hazardous 0
waste) that are being
NON correctly managed
by licensed waste
contractors

Volume of wastes
generated (including
hazardous waste) that 0
are being correctly
managed by licensed
waste contractors
Complication Rate #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
UCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
LCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Target 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
ng correctly managed by licensed waste contractors

Jul Aug Sep Oct Nov Dec


0

Sep Oct Nov Dec

#DIV/0! #DIV/0! #DIV/0! #DIV/0!


#REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF!
100.0% 100.0% 100.0% 100.0%
% of complaints received from the community regarding waste management p
1.0%

0.8%

0.6%
Complication Rate

0.4%

0.2%

0.0%
Jan Feb Mar Apr May Jun Jul Aug
2020

2020
Jan Feb Mar Apr May Jun Jul Aug

Number of complaints
received from the 0
community regarding
waste management
practices.

Number of complaints 0
received from the
community regarding all
practices in hospital
Complication Rate #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
UCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
LCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Target 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0% 0.0%
garding waste management practices.

Jul Aug Sep Oct Nov Dec


0

Sep Oct Nov Dec

#DIV/0! #DIV/0! #DIV/0! #DIV/0!


#REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF!
0.0% 0.0% 0.0% 0.0%
% of all staff who have received relevant and adequate training for waste men
1.0%

0.8%

0.6%
Complication Rate

0.4%

0.2%

0.0%
Jan Feb Mar Apr May Jun Jul Aug
2020

2020
Jan Feb Mar Apr May Jun Jul Aug

Number of all staff who 10


have received relevant
and adequate training

Number of all staff who


should be received 10
relevant and adequate
training
Complication Rate #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
UCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
LCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Target 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
quate training for waste menagment

Jul Aug Sep Oct Nov Dec


0

Sep Oct Nov Dec

#REF! #REF! #REF! #REF!


#REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF!
100.0% 100.0% 100.0% 100.0%
% of reports of near misses reviewed for root cause and a corrective action identified and shared across all spreads w
1.0%

0.8%

0.6%
Complication Rate

0.4%

0.2%

0.0%
Jan Feb Mar Apr May Jun Jul Aug
2020

2020
Jan Feb Mar Apr May Jun Jul Aug

Number of reports of
near misses reviewed for
root cause and a 0
corrective action
identified and shared
across all spreads within
48 hours to prevent
future occurrence with
waste management
Number of incidents
0
reported in portsistina
Complication Rate #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0! #DIV/0!
UCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
LCL #REF! #REF! #REF! #REF! #REF! #REF! #REF! #REF!
Target 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0% 100.0%
nd shared across all spreads within 48 hours to prevent future occurrence

Jul Aug Sep Oct Nov Dec


0

Sep Oct Nov Dec

#DIV/0! #DIV/0! #DIV/0! #DIV/0!


#REF! #REF! #REF! #REF!
#REF! #REF! #REF! #REF!
100.0% 100.0% 100.0% 100.0%
KPI Number ofName of KPI
reported non- Target
compliances with the
requirements of the Procedure for
KPI-001 selection, disposal, collection and Zero per year
delivery of municipal waste,
hazardous waste &medical waste,
Waste management program

Number of non-­compliances
closed due to corrective actions 100% of all non­conformities
KPI-002 being taken within the defined remedied within the defined
timeframe (set on a case by case timeframe
basis)

Maintain or reduce waste


KPI-003 Volume of waste generated
volumes on a 6 monthly basis

Maintain or increase the volume


KPI-004 % of waste re-used or recycled of waste re-used or recycled on a
6 monthly basis.

% of wastes generated (including


100% of all waste streams
hazardous waste) that are being correctly transported and
KPI-005 correctly managed by licensed
waste contractors disposed of

Number of complaints received


KPI-006 from the community regarding Zero complaints per year
waste management practices.

% of all staff who have received 100% compliance with training


KPI-007 relevant and adequate training requirements

Number of reports of near misses


reviewed for root cause and a
corrective action identified and 100% of near miss reports
KPI-008 shared across all spreads within reviewed and shared
48 hours to prevent future
occurrence
Associated management
Monitoring measure actions

All actions identified in Procedure


Daily base for waste managment

All actions identified in Procedure


Daily base for patient safety

Quarterly report by waste Quarterly report by waste


manager/Quality manager manager and quality department

Quarterly report by waste


Waste manager/Quality manager manager and quality department

Waste manager/Quality manager Quarterly report by waste


manager and quality department

Sector for legal issues/ Waste Quarterly report by waste


manager/Quality manager manager and quality department

HR sector/Waste manager/Quality Quarterly report by waste


manager manager and quality department
and human recources

Waste manager/Quality manager Quality manager

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