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SCHEDULE I
(See rule 3)
CATEGORIES OF BIO-MEDICAL
WASTE
| OPTION |
WASTE CATEGORY |
TREATMENT AND DISPOSAL |
| Category No1 |
Human Anatomical Waste ( human tissues,
organs , body parts) |
Incineration/Deep Burial |
| Category No2 |
Animal waste (animal tissues, organs
, body parts carcasses, bleeding parts, fluid
, blood and experimental animals used in research,
waste generated by veterinary hospitals colleges,
discharge from hospitals , animal houses) |
Incineration/Deep Burial |
| Category No3 |
Microbiology and Biotechnology Tissue
( wastes from laboratory cultures, stocks or
specimens of micro-organisms live or attenuated
vaccines, human and animal cell culture used
in research and infectious agents from research
and industrial laboratories , wastes from production
of biologicals , toxins , dishes and devices
used for transfer of cultures) |
Local Autoclaving/Microwaving/Incineration |
| Category No4 |
Waste Sharps (needles, syringes, scalpels,
blades, glass, etc. that may cause puncture
and cuts. this includes both used and unused
sharps) |
Disinfection (Chemical Treatment/Autoclaving/Microwaving
and Mutilation /Shredding) |
| category no 5 |
Discarded Medicines and Cytotoxic Drugs (wastes
comprising of outdated, contaminated and discarded
medicines) |
Incineration/Destruction and Drugs Disposal
in Secured Landfills |
| Category No6 |
Solid Waste ( items contaminated with
blood , and fluids including cotton, dressings,
soiled plaster casts, lines, bedding, other
material contaminated with blood |
Incineration/Autoclaving/Microwaving |
| Category No7 |
Solid Waste (wastes generated from disposable
items other than the waste sharps such as tubings,
catheters, intravenous sets etc) |
Disinfection by Chemical Treatment, Autoclaving/Microwaving
and Mutilation Shredding |
| Category No8 |
Liquid Waste ( waste granted form laboratory
and washing, cleaning, house keeping and disinfecting
activities) |
Disinfection by Chemical Treatment and Discharge
into Drains |
| Category No9 |
Incineration Ash |
Disposable in Municipal Landfill |
| Category No10 |
Chemical Waste (chemicals used in the
production of biologicals, chemicals used in
disinfection, as insecticides, etc.) |
Chemical Treatment and Discharge into Drains
for Liquids into Drains for Liquids and Secured
Landfill for Solids |
SCHEDULE II
(See rule 6)
COLOR CODING AND TYPE
OF CONTAINER FOR DISPOSABLE OF BIO-MEDICAL WASTES
| Color Coding |
Type of Container |
Waste Category |
Treatment options as per schedule I |
| Yellow |
Plastic Bag |
Cat1, Cat2, Cat3 and Cat6 |
Treatment options as per schedule I |
| Red |
Disinfected Containers /Plastic Bags |
Cat 3, Cat 6, Cat 7 |
Autoclaving/Microwaving/Chemical Treatment |
| Blue /White Translucent |
Plastic Bag/Puncture Proof Container |
Cat4 , Cat 7 |
Autoclaving/Microwaving/Chemical Treatment
and Destruction /Shredding |
| Black |
Plastic Bag |
Cat 5, Cat 9 and Cat 10 |
Disposal in Secured Landfill |
Notes :
- Color coding of waste categories with multiple
treatment options as defined in schedule I shall be
selected depending on treatment of option chosen,
which shall be 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 IV
(SEE RULE 6)
LABEL FOR TRANSPORT OF BIO-MEDICAL
WASTE CONTAINERS /BAGS
Day................ Month..........
Year...........
Waste category no........... Date of generation..................
Waste class
Waste description
Senders name and address receiver's name
and address
Phone no..................... Phone no.....................
Telex no..................... Telex no.....................
Fax no........................ Fax no........................
Contact person............. Contact person.............
In case of emergency please contact:
Name and address
Phone no.
No:
Label shall be non-washable and prominently
visible.
SCHEDULE V
(See rule 5 and schedule 1)
STANDARDS FOR TREATMENT
AND DISPOSAL OF BIO-MEDICAL WASTES
STANDARDS FOR INCINERATORS :
All incinerators shall meet the following
operating and emission standards:
A. Operating standards
- Combustion efficiency (CE) shall be at least 99.00%
- The combustion efficiency is computed as follows
%CO2
C.E= --------------------------------------
%CO2+ %CO
- The temperature of the primary chamber shall be
800 +_ 50-deg c
- The secondary chamber gas residence time shall be
at least 1 second 1050 +_ 50 degrees centigrade with
minimum 3% oxygen in the stack gas.
B. Emission standards
Parameters concentration mg/Nm3 at (12%
CO2 correction)
- Particulate matter 150
- Nitrogen oxides 450
- HCL 50
- Minimum stack height shall be 30 meters above ground
- Volatile organic compounds in ash shall not be more
than 0.01%
Note : Suitably designed
pollution control devices should be installed/retrofitted
with the incinerator to achieve the above emission limits,
if necessary, Wastes 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. only low
sulphur fuel like L.D.O / L.S. H.S/ Diesel shall be
used as fuel in the incinerator.
STANDARDS FOR LIQUID WASTE :
The effluent generated from the hospital
should conform to the following limits :
- PARAMETERS PERMISSIBLE LIMITS
- PH 6.5-9.00
- Suspended solids 100 mg /1
- Oil and grease 10 mg/1
- BOD 30 MG/1
- COD 250 mg/1
- Bio-assay test 90 % survival of fish after 96 hours
in 100 %
- Effluent.
These limits are applicable to those hospitals,
which are either connected with sewers without terminal
sewage treatment plant or not connected to public sewers.
For discharge into public sewers with terminal facilities,
the general standards as notified under the environment
(protection) Act, 1986 shall be applicable.
STANDARDS FOR MICRO WAVING
- Microwave treatment shall not be used for cytotoxic,
hazardous or radioactive wastes, contaminated animal
carcasses, body parts and large metal items.
- The microwave system shall comply with the efficacy
test/routine tests and a performance guarantee may
be provided by the supplier before operation of the
unit.
- The microwave should completely and consistently
kill the bacteria and other pathogenic organisms that
are ensured by approved biological indicator at the
maximum design capacity of each microwave unit. Biological
indictors for the microwave shall be bacillus subtilis
spores using vials or spore strips with at least 1*10
to the power of 4 spores per milliliter.
STANDARDS FOR DEEP BURIAL
- A pit or trench should be dug about 2 meters deep.
It should be half filled with waste then covered with
lime within 50 cm of the surface, before filling the
rest of the pit with soil.
- It must be ensured that animals do not have any
access to burial sites. Covers of galvanized iron/wore
meshes may be used.
- On each occasion, when wastes are added to the
pit, a layer of 10 cm of soil shall be added to cover
the wastes
- Burial must be performed under close and dedicated
supervision
- The deep burial site should be relatively impermeable
and no shallow well should be close to the site
- The pits should be distant from habitation and
site 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.
- The location of deep burial site will be authorized
by the prescribed authority.
- The institution shall maintain a record of all
pits for deep burial.
SCHEDULE VI
SCHEDULE FOR WASTE TREATMENT
FACILITIES LIKE INCINERATOR / AUTOCLAVE/MICROWAVE
SYSTEM
| A. |
Hospitals and nursing homes in towns with
population of 30 lakhs and above |
by 31st December, 1999 or earlier |
| B. |
Hospitals and nursing homes in towns with
population Below 30 lakhs |
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(a) With 500 beds and above |
by 31st December, 1999 or earlier |
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(b) With 200 beds and above but less than500 |
by 31st December, 2000 or earlier |
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(c) With 50 beds and above but less than 200 |
by 31st December, 2001 or earlier |
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(d) With less than 50 beds |
by 31st December 2002 or earlier |
| C. |
All other institutions generating bio-medical
waste by Not included in A and B above |
by31st December 2002 or earlier |
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