Professional Documents
Culture Documents
BACKGROUND:
With a view to control the indiscriminate disposal of hospital waste/bio medical waste, the Ministry of
Environment & Forest, Govt. ofIndia has issued a notification on Bio Medical Waste Management under the
Environment (Protection) Act. Govt. ofNCT Delhi in its notification dated 6th July, 1999 has authorised
Delhi Pollution Control Commit~ee (DPCC) for the purpose of granting authorisation for collection,
reception, storage, treatment and disposal of bio medical waste and to implement the Bio Medical Waste
(Management & Handling) Rules. 1998. Govt of NCT of Delhi has also constituted advisory committee,
appellate authority in exercise of powers conferred under the said rules. Some of salient features of these rules
are:
RULESARE ApPLICABLE To:
i) These Rules will apply to hospitals, Nursing Homes, veterinary hospitals, animal houses, pathological labs
& blood banks, generating hospital wastes. (except such occupier of clinics, dispensaries, pathological labs,
blood banks providing treatment/ service to less than 1000 (one thousand) patients per month).
DuTY:
ii) It shall be the duty of every occupier of an institution generating bio medical waste which includes a
hospital, nursing home, clinic, dispensary, Veterinary institution animal house, pathological laboratory,
blood bank by whatever name called to take all steps to ensure-that such waste is ha~dled without any
adverse effect the humari health and the environment.
MANAGEMENT OF BIO-MEDICAL WASTE:
iii) Every occupier generating the bio-medical waste need to install an appropriate facility'in the premises or
set up a common faci1ityto ensure requisite treatment of waste by 30.6.2000 in accordance with Schc;dule
I (copy enclosed) and in compliance with standards prescribed with Schedule V (copy,enclosed).
The bio medical waste need to be segregated into container/bags at the point of generation in accordance
with Schedule Il (copy enclosed), prior to its storage, transportation, treatment and disposal. The
container shall be labelled according to Schedule III (copy enclosed).
MANDATORY I LEGAL REQUIREMENT:
iv) Every occupier of an institution, generating, collecting, receiving, storing, transporting, treating,
disposing andlor handling bio medical waste in any other manner, shall make an application in Form I
(copy enclosed) alongwith the following fee structure to the Delhi Pollution Control Committee for
grant of authorisation. The Form I can be obtained after paying an amount ofRs. 1001- in the form of
'i' Segregate waste at point of generation, dispose in bags with correct colour coding. 'i'
1.
2.
3.
4.
5.
An operator of bio-medical waste facility may also engage in transportation of bio-medical waste on
payment of additional fees prescribed for a transporter of biomedical waste.
An application in Form-I appended to the aforesaid rules shall be made to the prescribed authority i.e. the
Chairman, Delhi Pollution Control Committee, for grant of authorization along with the checklist of
documents as given in Annexure-I, wherever applicable.
An authorization shall be granted for a period of three years, including an initial trial period of one year for
which a provisional authorization will be granted. All subsequent authorizations shall be for a period of
three years. Fee shall be payable for three years at time.
.
The above fee structure is subject to revision from time to time.
The Government's notification No. E23 (522)/95-Env/99 dated the 6th July 1999, issued in pursuance of
rule 8(3) ibid shall stand superseded with immediate effect).
An operator of a facility shall make an application form in Form -I with the fee as applicable for grant of
authorisation.
~
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In addition, they shall also submit an annual reRrt to DPCC in form II (copy enclo~ed) by 3 IstJanuary every
year to include information about the categories and quantities of bio medical'wastes handled during the
proceeding year and also maintain records related to the generation, collection, reception, storage,
transportation, treatment, disposal, and/or any form of handing ofbio medical waste in accordance with rules
and guidelines issued. All records shall be subject to inspection and verification by the D PCC at any time.
The transporter, operator of a facility shall label the Bio-Medical Waste strictly in accordance with ther
procedure given in Schedule-IV:
PENALTY:
v)
The defaulting hospitals/nursing homes etc. are liable to be penalised as per the provisions of
Environment (Protection) Act, 1986 and other pollution control Acts.
ApPEAL:
vi)
Appeal: Any person aggrieved by an order made by the D PCC under these rules may within thirty days
from date on which the order is communicated to him, prefer an appeal to the Financial Commissioner,
Govt. ofNCT of Delhi.
.
Ii? Transport BMW in covered trolleys. Ii? Disinfect and sterilise and dispose critical items
Ii?
SCHEDULE I
Option
Waste Category
Category No. 1
Category No. 2
Animal Waste
(animal tissues, organs, body parts carcasses,
CategoryNo. 4
Waste Sharps
(needles, syringes, scalpels, blade, glass, etc. that may
disinfection (chemical
treatment@@@ Iauto
unused sharps)
CategoryNo. 5
nd
discarded medicines)
incineration@/destructionand
drugs disposal in secured
landfills
""--
CategoryNo. 6
Soiled Waste
(items contaminated with blood, and body fluids including incineration@1
cotton, dressings, soiled plaster casts, lines, bedding, other-
autoclavingl microwaving
CategoryNo. 7
Solid Waste
disinfection by chemical
treatment@@
autoclaving/ microwaving
Liquid Waste
disinfection by chemical
treatment@@
and discharge into drains.
CategoryNo. 9
Incineration Ash
(ash from incineration of any bio-medical waste)
Categoiy No; 10
disposal in municipallandfill
Chemical Waste
(chemicals used in production of biologicals, chemicals
##
There will be no chemical pretreatment before incineration. Chlorinated plastics shall not be incinerated.
Deep burial shall be an option available only in towns with population less than five lakhs and in rural
areas.
'et?Waste handlers to use gloves, apron, respirator (mask), boots, while transporting waste. 'et?
SCHEDULE 11
COLOUR CODING AND THE TYPE OF CONTAINER
FOR DISPOSAL OF BIO-MEDlCAL WASTES
Colour Coding
Type of Container
Waste Category
Yellow
Plastic lng
Incineration/deep burial
Red
Disinfected container
Plastic bag
Autoclaving/Microwaving/
Treatment Chemical
BluelWhite
transl ucent
Cat. 4, Cat. 7.
Autodaving/Microwaving
Chemical Treatment and
destruction/ shrediding
Black
Plastic bag
Disposal in secured
landfill
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..
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Notes:
Colour coding of waste categories with multiple treatment options as defined in Schedule I, shall be
selected depending on treatment option chosen, which shall be as specified in Schedule I.
Waste collection bags for waste types needing incineration shall not be made of chlorinated plastics
Categories 8 and 10 (liquid) do not require containers/bags.
Category 3 if disinfected locally need not be put in containers/bags.
SCHEDULE III
LABELFOR BIO-MEDlCAL WASTE CONTAINERS/BAGS
CYTOTO~CHAZARDSYMBOL
BIOHAZARD SYMBOL
BIOHAZARD
CYTOTOXIC
HANDLE WITH CARE
SCHEDULE N
(See Rule 16)
LABELFOR TRANSPORT OF BIO-MEDICAL WASTE CONTAINERS/BAGS
.....
Day
Month .........................
Waste Class.........................................................
Year
Waste Description..
.................................
.....
,...................
.............................................................................
,................................
PhoneNo.
............
Phone No.
TelexNo.
FaxNo. ...
FaxNo.
....,...........
CQntact Person.....................................................
...........
,.............................................
:.........................................
............................................................................
.............................................................................
Phone No. ............................................................
If? Wear respirator (marks) to protect against aerosols & splashes. If?
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SCHEDULE V
STANDARDS FOR TREATMENT AND DISPOSAL OF BIO-MEDICAL WASTES
STANDARDSFR INCINERATORS:
All incinerators shall meet the following operating and emission standards:
A.
Operating Standards
1.
2.
% CO2
C.E. =
x 100
%CO2 + % CO
.B.
3.
4.
The secondary chamber gas residence time shall be at least 1 (one) second at 1050 :t 50C*,
with minimum 3% oxygen in the stack gas.
5.
Emission Standards
Parameters
1) Particulate matter
150
2) Nitrogen Oxides
450
3)
HCL
50
4)
Suitably designed pollution control devices should be installedlretrofitted with the incinerator to
achieve the above emission limits, if necessary.
.
.
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Waste to be incinerated shall not be chemically treated with any chlorinated disinfectants.
Chlorinated plastics shall not be incinerated.
Toxic metals in incineration ash shall be limited within the regulatory quantities as defined
under the Hazardous Waste (Management and Handling Rules,) 1989.
"",
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STANDARDS FORWASTEAUTOCIAVING:
The autoclave should be dedicated for the purposes of disinfecting and treating bio-medical waste,
(I)
When operating a gravity flow autoclave, medical waste shall be subjected to:
(i) a temperature of not less than 1210 C and pressure of 15 per square inch (psi) for an autoclave
residence time of not less than 60 minutes; or
(ii) a temperature of not less than 1350 C and pressure of 31 per square inch (psi) for an autoclave
residence time of not less than 45 minutes; or
(iii) a temperature of not less than 1490 C and pressure of 52 per square inch (psi) for an autoclave
residence time of not less than 30 minutes.
(11)
When operating a vacuum autoclave, medical waste shall be subjected to a minimum of one pre
vacuum pulse to purge the autoclave of all air.The waste shall be subjected to the following:
(i) a temperature of not less than 1210C and pressure of 15 psi per an autoclave residence time of not
lessthan 45 minutes; or
(ii) a temperature of not less than 1350 C and pressure of31 psi for an autoclave residence time of not
lessthan 30 minutes;
(Ill)
Medical waste shall not be considered properly treated unless that time, temperature and pressure
indicators indicate that the required time, temperature and pressure were reached during the autoclave
process. If for any reasons, time temperature or pressure indicator indicates that the required
temperature, pressure or residence time was not reached, the entire load of medical waste must be
autoclaved again until the proper temperature, pressure and residence time were achieved.
(IV)
Validation test
(V)
Spore testing:
the autoclave
maximum
.
(VI)
should
completely
and consistently
biological
indicator
at the
design capacity of each autoclave unit. Biological indicatOr for autoclave shall be Bacillus
stearothermophilus spores using vials or spore strips, with at least 1x 10\pores per millilitre. Under no
circumstances will an autoclave have minimum operating parameters less than a residence time of 30
minutes, regardless of temperature and pressure, a temperature less than 1210 C or a pressure less than
15 psi.
Routine Test
A chemical indicator stripltape that changes colour when a certain temperature is reached can be used
to verifYthat a specific temperature has been achieved. It may be necessary to use more than one strip
over the waste package at different location to ensure that the inner content of the package has been
adequatelyautoclaved.
'i'
Segregate the waste at source; it will reduce the management burden to a great wxtent
'i'
Microwave treatment shall not be used for cytotoxic, hazardous or radioactive wastes, contaminated
animal carcasses,body parts and large metal items.
2.
The microwave system shall comply with the efficacytest!routine tests and a performance guarantee may
be provided by the supplier before operation of the unit.
3.
The microwave should completely and consistently kill the bacteria and other f1athogenicorganisms that
is ensured by approved biological indicator at the maximum design capaCllYof eacq microwave unit.
Biological indicators for microwave shall be Bacillus Subtilis spores using vials or spore strips with at least
I x 104spores per millilitre.
1.
2.
It must be ensured that animals do not have any access to burial sites. covers. ofgalvanised iron/wire
meshesmaybeused.
3.
On each occasion when wastes are added to the pit, a layer of 10 cm of soil shalfbe added to cover the
wastes.
4.
5.
The deep burial site should be relatively impermeable and shallow well should nol be close to the site.
6.
The pits should be distan t from habitation, and sited so as to ensure that no contamination occurs of any
surface water or ground water. The area should not be prone to flooding or erosion.
7.
The location of the deep burial site will be authorised by the prescribed authority.
8.
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FORM I
APPLICATION FOR AUTHORISATION
(To be submitted in duplicate)
To
The Delhi Pollution Control Committee, ISBT, 4th Floor, Delhi-!! 0006
(Name of the State Govt./UT Administration)
Address.
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Particulars of Applicant
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Generation
Collection
Reception
Storage
Transportation
Treatment
Disposal
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waste:
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I hereby declare that the statements made and information given above are true to the best of my
knowledge and belief and I have not concealed any information.
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Declaration
any conditions
stipulated
authority.
Date: ................................
Signature: ...........................
Place:
Designation:
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FORM II
(See rule 10)
ANNUAL REPORT
0)
Oi)
2.
3.
(i)
(ii)
4.
5.
6.
7.
.................................................................................................................................................
Date:
................................
Signature: ...........................
Place: .............................
Designation:
.
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c?
ANNEXURE
-I
Check List
Enclosures required to be submitted with the authorization application form before June 30,2001
1.
Application form, duly completed, [Form-I of the Bio-Medical Waste (Management & Handling)
Rules, 1998.]
2.
Fee as prescribed/Applicable to be paid through Bank draft only in favour of Delhi Pollution Control
Committee. (Forthreeyears).
3. Affidavit on non-judicial Stamp paper of Rs. 10/- duly attested by notary public with a stamp
of Rs.5/- indicating
a.
application form
b.
4.
Number of beds.
Copy the Agreement, if any, with operator of a facility / transporter of the Bio- Medical Waste
RI0
1. That I am responsible for operating the Hospital I Nursing Home I Clinic I Dispensary I Pathological
lab, etc. named MI s ..................................................................................................................
Address
,
...
2. That I
(with name
& designation)
am
authorized to sign the authorization application form and the other enclosure with the application.
3. That the number of Beds are............................................................................................................
4. That all the Conditions mentioned in the previous authorization for compliance of various provisions
of the Bio-Medical Waste (Management & Handling) Rules, 1998 have been complied.
5. That the agreement with operator of facilityl transporter of the Bio-Medical Waste has been
completed. (if applicable).
6. That the Bio-Medical Waste generated is managed effectively in accordance with the handling and
disposal methods mentioned in Bio-Medical Waste (Management & Handling) Rules, 1998.
7. That in case of any change in the location or information provided above, a fresh application for
aUthorization shall be submitted.
8. An application for renewal of authorization shall be submitted to DPCC one month in advance of the
date of expiry the authorization granted by the 0 Pcc.
9. That annual report in Form No. ITshall be submitted on or before 31January of every year indicating
10. That a copy of agreement with operator of facility shall be submitt~d within 15 days of entering into
agreement, wherever applicable.
Note:- Pleaseomit whatever is not applicable.
DEPONENT
VERIFICATION
them.
c>