HEALTH CARE WASTE

MANAGEMENT PLAN

Name of Facility

VISION:

MISSION STATEMENT:
Table of Contents
SECTION 1: Introduction
1.1. Rationale
1.2. Objectives

SECTION 2: Definition of Terms

2.1. Hospital Waste
2.2. Cytotoxic Waste
2.3. Pharmaceutical Waste
2.4. (Please add more)

SECTION 3: Organizational Concerns

3.1. Legal Responsibilities of the Hospital Facility
3.2. Waste Management Committee
3.3. Green Purchasing Policy
3.4. Education and Training
SECTION 4: Waste Management
4.1. Policies
4.2. Assessment of Current State of Waste Management Activities
a) Prevention
b) Reduction
c) Reuse
d) Recycling
e) Treatment of Waste
f) Disposal
4.5. Responsibilities
4.5.1. Employees Per Department
4.5.2. Patients / Significant Others
Note: Duties and responsibilities for each category of personnel
generating and/or involved in managing health care waste.
4.6. Concerns on Waste Segregation (both solids and liquid waste)
4.6.1. Materials / Equipment – (bins, liners, trolleys, etc.)
4.6.2. Holding Areas of Waste Bins
4.7. Collection of Waste
4.7.1. Policies
4.7.2. Strategies
4.7.3. Education and Training of the Collector
4.7.4. Collector’s Protective Gears
4.7.5. Fixed and Regular Collection Schedules
4.8. Numerical Profile Audit
4.8.1. Biodegradable
4.8.2. Non-Biodegradable
4.8.3. Sharps
4.8.4. Cytotoxic / Chemical
4.8.5. Others – please refer to the manual specifically hazardous
4.9. Transportation of Waste
4.9.1. On-Site Transport Policies
4.9.2. Schedules
4.9.3. Equipment
 4.10. Storage
4.10.1. On-Site Storage Policies
4.10.1.1. Infectious Waste Storage
4.10.1.2. Pathological Waste Storage
4.10.1.3. Pharmaceutical Waste Storage
4.10.1.4. Hazardous Waste Storage
4.10.1.5. Chemical Waste Storage
4.10.1.6. Radioactive Waste Storage
4.10.1.7. Mercury-Containing Waste Storage
4.11. Waste Treatment (both solids and liquid)
4.11.1. Policies
4.11.2. Methods of Treatment
4.11.2.1. Solid Waste
4.11.2.2. Waste Water
4.12. Waste Disposal (both solid and liquid)
4.12. 1. Policies on Safe Disposal
4.12.2. Disposal Methods

5. Actual Implementation plan — a detailed plan, timetable with the

corresponding amount outlining the initial stages of
the implementation. (in excel form)
Note: Resources (people, equipment and budget) required annually to
implement the plan.
 Training requirements — including a matrix (departments, categories of
personnel, training requirements, frequency of training, internal and
external training service providers), training records.
 Health Care Waste Management Training —Can include a schedule of
themes for the year, with resources (pamphlets, posters, electronic
information, presentations, etc) to raise awareness of waste-related
issues that will help to improve waste management in the facility. The
resources used will vary with the audience targeted, as determined by
facility management. Simple, clear messages are essential, preferably
using pictures and photos to convey the information.
 Work instruction posters showing waste management requirements at
strategic and specific locations for specific waste streams, and how to
ensure proper segregation, correct containment and compliance with
handling and storage requirements. Facility management should
procure posters appropriate for their facility.
6. Incident Waste Management, Monitoring and Documentation Report
 Incident Report Form (breach of the standards) ; Emergency response,
including live simulations to test awareness and compliance.
 Documentation — A file containing all the waste management
documentation (procedures, training and awareness, signage,
contractors, authorizations, etc.); details of waste storage, collection,
transport, treatment and disposal; a site map highlighting the storage
areas and other relevant locations; compliance requirements; as well as
auditing and inspection procedures and schedules.
 Procedures and associated documentation (such as incident registers,
reports, follow-up audits, and work instructions) for hazardous spills
(including mercury, radioactivity, etc.); incident analysis and trend
reporting: Biological Spill Clean-Up — SOP;
 Contingency plans for dealing with emergency or abnormal situations,
such as an incident that causes a surge of waste that could exceed the
facility’s capacity. Examples include:
 Mass immunizations
 Outbreak of infectious disease
 Mass casualties from disasters or other major incidents
 Breakdown of the treatment/disposal facility or the associated
transportation system, which may lead to the requirement for
additional storage of waste.