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Biomedical rules

13-May-2016


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[Published in the Gazette of India, Extraordinary, Part II, Section 3, Sub-section (i)]
GOVERNMENT OF INDIA
MINISTRY OF ENVIRONMENT, FOREST AND CLIMATE CHANGE
NOTIFICATION
New Delhi, the 28th March, 2016
G.S.R. 343(E).-Whereas the Bio-Medical Waste (Management and Handling) Rules, 1998 was published
vide notification number S.O. 630 (E) dated the 20th July, 1998, by the Government of India in the
erstwhile Ministry of Environment and Forests, provided a regulatory frame work for management of
bio-medical waste generated in the country;
And whereas, to implement these rules more effectively and to improve the collection,
segregation, processing, treatment and disposal of these bio-medical wastes in an environmentally sound
management thereby, reducing the bio- medical waste generation and its impact on the environment, the
Central Government reviewed the existing rules;
And whereas, in exercise of the powers conferred by sections 6, 8 and 25 of the Environment
(Protection) Act, 1986 (29 of 1986), the Central Government published the draft rules in the Gazette vide
number G.S.R. 450 (E), dated the 3rd June, 2015 inviting objections or suggestions from the public within
sixty days from the date on which copies of the Gazette containing the said notification were made
available to the public;
And whereas, the copies of the Gazette containing the said draft rules were made available to the
public on the 3rd June, 2015;
And whereas, the objections or comments received within the specified period from the public in
respect of the said draft rules have been duly considered by the Central Government;
Now, therefore, in exercise of the powers conferred by section 6, 8 and 25 of the Environment
(Protection) Act, 1986 (29 of 1986), and in supersession of the Bio-Medical Waste (Management and
Handling) Rules, 1998, except as respects things done or omitted to be done before such suppression, the
Central Government hereby makes the following rules, namely:-
1. Short title and commencement.- (1) these rules may be called the Bio-Medical Waste Management
Rules, 2016.
(2) They shall come into force on the date of their publication in the Official Gazette.
2. Application.-
(1) These rules shall apply to all persons who generate, collect, receive, store, transport, treat,
dispose, or handle bio medical waste in any form including hospitals, nursing homes, clinics,
dispensaries, veterinary institutions, animal houses, pathological laboratories, blood banks, ayush
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hospitals, clinical establishments, research or educational institutions, health camps, medical or surgical
camps, vaccination camps, blood donation camps, first aid rooms of schools, forensic laboratories and
research labs.
(2). These rules shall not apply to,-
(a) radioactive wastes as covered under the provisions of the Atomic Energy Act, 1962(33 of
1962) and the rules made there under;
(b) hazardous chemicals covered under the Manufacture, Storage and Import of Hazardous
Chemicals Rules, 1989 made under the Act;
(c) solid wastes covered under the Municipal Solid Waste (Management and Handling) Rules,
2000 made under the Act;
(d) the lead acid batteries covered under the Batteries (Management and Handling) Rules, 2001
made under the Act;
(e) hazardous wastes covered under the Hazardous Wastes (Management, Handling and
Transboundary Movement) Rules, 2008 made under the Act;
(f) waste covered under the e-Waste (Management and Handling) Rules, 2011 made under the
Act; and
(g) hazardous micro organisms, genetically engineered micro organisms and cells covered under
the Manufacture, Use, Import, Export and Storage of Hazardous Microorganisms,
Genetically Engineered Micro organisms or Cells Rules, 1989 made under the Act.
3. Definitions.- In these rules, unless the context otherwise requires, -
(a) "Act" means the Environment (Protection) Act, 1986 (29 of 1986);
(b) "animal house" means a place where animals are reared or kept for the purpose of experiments or
testing;
(c) "authorisation" means permission granted by the prescribed authority for the generation, collection,
reception, storage, transportation, treatment, processing, disposal or any other form of handling of
bio-medical waste in accordance with these rules and guidelines issued by the Central Government
or Central Pollution Control Board as the case may be;
(d) "authorised person" means an occupier or operator authorised by the prescribed authority to
generate, collect, receive, store, transport, treat, process, dispose or handle bio-medical waste in
accordance with these rules and the guidelines issued by the Central Government or the Central
Pollution Control Board, as the case may be;
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(e) "biological" means any preparation made from organisms or micro-organisms or product of
metabolism and biochemical reactions intended for use in the diagnosis, immunisation or the
treatment of human beings or animals or in research activities pertaining thereto;
(f) "bio-medical waste" means any waste, which is generated during the diagnosis, treatment or
immunisation of human beings or animals or research activities pertaining thereto or in the
production or testing of biological or in health camps, including the categories mentioned in
Schedule I appended to these rules;
(g) "bio-medical waste treatment and disposal facility" means any facility wherein treatment, disposal
of bio-medical waste or processes incidental to such treatment and disposal is carried out, and
includes common bio-medical waste treatment facilities;
(h) “Form” means the Form appended to these rules;
(i) “handling” in relation to bio-medical waste includes the generation, sorting, segregation,
collection, use, storage, packaging, loading, transportation, unloading, processing, treatment,
destruction, conversion, or offering for sale, transfer, disposal of such waste;
(j) “health care facility” means a place where diagnosis, treatment or immunisation of human beings
or animals is provided irrespective of type and size of health treatment system, and research
activity pertaining thereto;
(k) “major accident” means accident occurring while handling of bio-medical waste having potential to
affect large masses of public and includes toppling of the truck carrying bio-medical waste,
accidental release of bio-medical waste in any water body but exclude accidents like needle prick
injuries, mercury spills;
(l) “management” includes all steps required to ensure that bio- medical waste is managed in such a
manner as to protect health and environment against any adverse effects due to handling of such
waste;
(m) "occupier" means a person having administrative control over the institution and the premises
generating bio-medical waste, which includes a hospital, nursing home, clinic, dispensary,
veterinary institution, animal house, pathological laboratory, blood bank, health care facility and
clinical establishment, irrespective of their system of medicine and by whatever name they are
called;
(n) "operator of a common bio-medical waste treatment facility" means a person who owns or controls
a Common Bio-medical Waste Treatment Facility (CBMWTF) for the collection, reception,
storage, transport, treatment, disposal or any other form of handling of bio-medical waste;
(o) “prescribed authority” means the State Pollution Control Board in respect of a State and Pollution
Control Committees in respect of an Union territory;
(p) "Schedule" means the Schedule appended to these rules.
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4. Duties of the Occupier.- It shall be the duty of every occupier to-
(a) take all necessary steps to ensure that bio-medical waste is handled without any adverse effect to
human health and the environment and in accordance with these rules;
(b) make a provision within the premises for a safe, ventilated and secured location for storage of
segregated biomedical waste in colored bags or containers in the manner as specified in Schedule I,
to ensure that there shall be no secondary handling, pilferage of recyclables or inadvertent
scattering or spillage by animals and the bio-medical waste from such place or premises shall be
directly transported in the manner as prescribed in these rules to the common bio-medical waste
treatment facility or for the appropriate treatment and disposal, as the case may be, in the manner
as prescribed in Schedule I;
(c) pre-treat the laboratory waste, microbiological waste, blood samples and blood bags through
disinfection or sterilisation on-site in the manner as prescribed by the World Health Organisation
(WHO) or National AIDs Control Organisation (NACO) guidelines and then sent to the common
bio-medical waste treatment facility for final disposal;
(d) phase out use of chlorinated plastic bags, gloves and blood bags within two years from the date of
notification of these rules;
(e) dispose of solid waste other than bio-medical waste in accordance with the provisions of
respective waste management rules made under the relevant laws and amended from time to time;
(f) not to give treated bio-medical waste with municipal solid waste;
(g) provide training to all its health care workers and others, involved in handling of bio medical waste
at the time of induction and thereafter at least once every year and the details of training
programmes conducted, number of personnel trained and number of personnel not undergone any
training shall be provided in the Annual Report;
(h) immunise all its health care workers and others, involved in handling of bio-medical waste for
protection against diseases including Hepatitis B and Tetanus that are likely to be transmitted by
handling of bio-medical waste, in the manner as prescribed in the National Immunisation Policy or
the guidelines of the Ministry of Health and Family Welfare issued from time to time;
(i) establish a Bar- Code System for bags or containers containing bio-medical waste to be sent out of
the premises or place for any purpose within one year from the date of the notification of these
rules;
(j) ensure segregation of liquid chemical waste at source and ensure pre-treatment or neutralisation
prior to mixing with other effluent generated from health care facilities;
(k) ensure treatment and disposal of liquid waste in accordance with the Water (Prevention and
Control of Pollution) Act, 1974 ( 6 of 1974);
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(l) ensure occupational safety of all its health care workers and others involved in handling of biomedical
waste by providing appropriate and adequate personal protective equipments;
(m) conduct health check up at the time of induction and at least once in a year for all its health care
workers and others involved in handling of bio- medical waste and maintain the records for the
same;
(n) maintain and update on day to day basis the bio-medical waste management register and display
the monthly record on its website according to the bio-medical waste generated in terms of
category and colour coding as specified in Schedule I;
(o) report major accidents including accidents caused by fire hazards, blasts during handling of biomedical
waste and the remedial action taken and the records relevant thereto, (including nil report)
in Form I to the prescribed authority and also along with the annual report;
(p) make available the annual report on its web-site and all the health care facilities shall make own
website within two years from the date of notification of these rules;
(q) inform the prescribed authority immediately in case the operator of a facility does not collect the
bio-medical waste within the intended time or as per the agreed time;
(r) establish a system to review and monitor the activities related to bio-medical waste management,
either through an existing committee or by forming a new committee and the Committee shall
meet once in every six months and the record of the minutes of the meetings of this committee
shall be submitted along with the annual report to the prescribed authority and the healthcare
establishments having less than thirty beds shall designate a qualified person to review and monitor
the activities relating to bio-medical waste management within that establishment and submit the
annual report;
(s) maintain all record for operation of incineration, hydro or autoclaving etc., for a period of five
years;
(t) existing incinerators to achieve the standards for treatment and disposal of bio-medical waste as
specified in Schedule II for retention time in secondary chamber and Dioxin and Furans within two
years from the date of this notification.
5. Duties of the operator of a common bio-medical waste treatment and disposal facility.-It shall be
the duty of every operator to -
(a) take all necessary steps to ensure that the bio-medical waste collected from the occupier is
transported, handled, stored, treated and disposed of, without any adverse effect to the human
health and the environment, in accordance with these rules and guidelines issued by the Central
Government or, as the case may be, the central pollution control board from time to time;
(b) ensure timely collection of bio-medical waste from the occupier as prescribed under these rules;
(c) establish bar coding and global positioning system for handling of bio- medical waste within one
year;
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(d) inform the prescribed authority immediately regarding the occupiers which are not handing over
the segregated bio-medical waste in accordance with these rules;
(e) provide training for all its workers involved in handling of bio-medical waste at the time of
induction and at least once a year thereafter;
(f) assist the occupier in training conducted by them for bio-medical waste management;
(g) undertake appropriate medical examination at the time of induction and at least once in a year and
immunise all its workers involved in handling of bio-medical waste for protection against diseases,
including Hepatitis B and Tetanus, that are likely to be transmitted while handling bio-medical
waste and maintain the records for the same;
(h) ensure occupational safety of all its workers involved in handling of bio-medical waste by
providing appropriate and adequate personal protective equipment;
(i) report major accidents including accidents caused by fire hazards, blasts during handling of biomedical
waste and the remedial action taken and the records relevant thereto, (including nil report)
in Form I to the prescribed authority and also along with the annual report;
(i) maintain a log book for each of its treatment equipment according to weight of batch; categories of
waste treated; time, date and duration of treatment cycle and total hours of operation;
(k) allow occupier , who are giving waste for treatment to the operator, to see whether the treatment is
carried out as per the rules;
(l) shall display details of authorisation, treatment, annual report etc on its web-site;
(m) after ensuring treatment by autoclaving or microwaving followed by mutilation or shredding,
whichever is applicable, the recyclables from the treated bio-medical wastes such as plastics and
glass, shall be given to recyclers having valid consent or authorisation or registration from the
respective State Pollution Control Board or Pollution Control Committee;
(n) supply non-chlorinated plastic coloured bags to the occupier on chargeable basis, if required;
(o) common bio-medical waste treatment facility shall ensure collection of biomedical waste on
holidays also;
(p) maintain all record for operation of incineration, hydroor autoclaving for a period of five years;
and
(q) upgrade existing incinerators to achieve the standards for retention time in secondary chamber and
Dioxin and Furans within two years from the date of this notification.
6. Duties of authorities.-The Authority specified in column (2) of Schedule-III shall perform the
duties as specified in column (3) thereof in accordance with the provisions of these rules.
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7. Treatment and disposal.- (1) Bio-medical waste shall be treated and disposed of in accordance
with Schedule I, and in compliance with the standards provided in Schedule-II by the health care
facilities and common bio-medical waste treatment facility.
(2) Occupier shall hand over segregated waste as per the Schedule-I to common bio-medical waste
treatment facility for treatment, processing and final disposal:
Provided that the lab and highly infectious bio-medical waste generated shall be pre-treated by
equipment like autoclave or microwave.
(3) No occupier shall establish on-site treatment and disposal facility, if a service of ` common biomedical
waste treatment facility is available at a distance of seventy-five kilometer.
(4) In cases where service of the common bio-medical waste treatment facility is not available, the
Occupiers shall set up requisite biomedical waste treatment equipment like incinerator, autoclave
or microwave, shredder prior to commencement of its operation, as per the authorisation given by
the prescribed authority.
(5) Any person including an occupier or operator of a common bio medical waste treatment facility,
intending to use new technologies for treatment of bio medical waste other than those listed in
Schedule I shall request the Central Government for laying down the standards or operating
parameters.
(6) On receipt of a request referred to in sub-rule (5), the Central Government may determine the
standards and operating parameters for new technology which may be published in Gazette by
the Central Government.
(7) Every operator of common bio-medical waste treatment facility shall set up requisite biomedical
waste treatment equipments like incinerator, autoclave or microwave, shredder and effluent
treatment plant as a part of treatment, prior to commencement of its operation.
(8) Every occupier shall phase out use of non-chlorinated plastic bags within two years from the date
of publication of these rules and after two years from such publication of these rules, the
chlorinated plastic bags shall not be used for storing and transporting of bio-medical waste and
the occupier or operator of a common bio-medical waste treatment facility shall not dispose of
such plastics by incineration and the bags used for storing and transporting biomedical waste
shall be in compliance with the Bureau of Indian Standards. Till the Standards are published, the
carry bags shall be as per the Plastic Waste Management Rules, 2011.
(9) After ensuring treatment by autoclaving or microwaving followed by mutilation or shredding,
whichever is applicable, the recyclables from the treated bio-medical wastes such as plastics and
glass shall be given to such recyclers having valid authorisation or registration from the
respective prescribed authority.
(10) The Occupier or Operator of a common bio-medical waste treatment facility shall maintain a
record of recyclable wastes referred to in sub-rule (9) which are auctioned or sold and the same
shall be submitted to the prescribed authority as part of its annual report. The record shall be
open for inspection by the prescribed authorities.
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(11) The handling and disposal of all the mercury waste and lead waste shall be in accordance with
the respective rules and regulations.
8. Segregation, packaging, transportation and storage.-(1) No untreated bio-medical waste
shall be mixed with other wastes.
(2) The bio-medical waste shall be segregated into containers or bags at the point of generation in
accordance with Schedule I prior to its storage, transportation, treatment and disposal.
(3) The containers or bags referred to in sub-rule (2) shall be labeled as specified in Schedule IV.
(4) Bar code and global positioning system shall be added by the Occupier and common bio-medical
waste treatment facility in one year time.
(5) The operator of common bio-medical waste treatment facility shall transport the bio-medical waste
from the premises of an occupier to any off-site bio-medical waste treatment facility only in the
vehicles having label as provided in part ‘A’ of the Schedule IV along with necessary information
as specified in part ‘B’ of the Schedule IV.
(6) The vehicles used for transportation of bio-medical waste shall comply with the conditions if any
stipulated by the State Pollution Control Board or Pollution Control Committee in addition to the
requirement contained in the Motor Vehicles Act, 1988 (59 of 1988), if any or the rules made there
under for transportation of such infectious waste.
(7) Untreated human anatomical waste, animal anatomical waste, soiled waste and, biotechnology
waste shall not be stored beyond a period of forty –eight hours:
Provided that in case for any reason it becomes necessary to store such waste beyond
such a period, the occupier shall take appropriate measures to ensure that the waste does not
adversely affect human health and the environment and inform the prescribed authority along with
the reasons for doing so.
(8) Microbiology waste and all other clinical laboratory waste shall be pre-treated by sterilisation to
Log 6 or disinfection to Log 4, as per the World Health Organisation guidelines before packing
and sending to the common bio-medical waste treatment facility.
9. Prescribed authority.-(1) The prescribed authority for implementation of the provisions of these
rules shall be the State Pollution Control Boards in respect of States and Pollution Control Committees in
respect of Union territories.
(2) The prescribed authority for enforcement of the provisions of these rules in respect of all health
care establishments including hospitals, nursing homes, clinics, dispensaries, veterinary
institutions, animal houses, pathological laboratories and blood banks of the Armed Forces under
the Ministry of Defence shall be the Director General, Armed Forces Medical Services, who shall
function under the supervision and control of the Ministry of Defence.
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(3) The prescribed authorities shall comply with the responsibilities as stipulated in Schedule III of
these rules.
10. Procedure for authorisation.-Every occupier or operator handling bio-medical waste, irrespective
of the quantity shall make an application in Form II to the prescribed authority i.e. State Pollution
Control Board and Pollution Control Committee, as the case may be, for grant of authorisation and
the prescribed authority shall grant the provisional authorisation in Form III and the validity of
such authorisation for bedded health care facility and operator of a common facility shall be
synchronised with the validity of the consents.
(1) The authorisation shall be one time for non-bedded occupiers and the authorisation in such cases
shall be deemed to have been granted, if not objected by the prescribed authority within a period of
ninety days from the date of receipt of duly completed application along with such necessary
documents.
(2) In case of refusal of renewal, cancellation or suspension of the authorisation by the prescribed
authority, the reasons shall be recorded in writing:
Provided that the prescribed authority shall give an opportunity of being heard to the
applicant before such refusal of the authorisation.
(3) Every application for authorisation shall be disposed of by the prescribed authority within a period
of ninety days from the date of receipt of duly completed application along with such necessary
documents, failing which it shall be deemed that the authorisation is granted under these rules.
(4) In case of any change in the bio-medical waste generation, handling, treatment and disposal for
which authorisation was earlier granted, the occupier or operator shall intimate to the prescribed
authority about the change or variation in the activity and shall submit a fresh application in Form
II for modification of the conditions of authorisation.
11. Advisory Committee.-(1) Every State Government or Union territory Administration shall
constitute an Advisory Committee for the respective State or Union territory under the chairmanship of
the respective health secretary to oversee the implementation of the rules in the respective state and to
advice any improvements and the Advisory Committee shall include representatives from the
Departments of Health, Environment, Urban Development, Animal Husbandry and Veterinary Sciences
of that State Government or Union territory Administration, State Pollution Control Board or Pollution
Control Committee, urban local bodies or local bodies or Municipal Corporation, representatives from
Indian Medical Association, common bio-medical waste treatment facility and non-governmental
organisation.
(2) Notwithstanding anything contained in sub-rule (1), the Ministry of Defence shall constitute the
Advisory Committee (Defence) under the chairmanship of Director General of Health Services of
Armed Forces consisting of representatives from the Ministry of Defence, Ministry of
Environment, Forest and Climate Change, Central Pollution Control Board, Ministry of Health and
Family Welfare, Armed Forces Medical College or Command Hospital.
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(3) The Advisory Committee constituted under sub-rule (1) and (2) shall meet at least once in six
months and review all matters related to implementation of the provisions of these rules in the
State and Armed Forces Health Care Facilities, as the case may be.
(4) The Ministry of Health and Defence may co-opt representatives from the other Governmental and
non-governmental organisations having expertise in the field of bio-medical waste management.
12. Monitoring of implementation of the rules in health care facilities.- (1) The Ministry of
Environment, Forest and Climate Change shall review the implementation of the rules in the country
once in a year through the State Health Secretaries and Chairmen or Member Secretary of State Pollution
Control Boards and Central Pollution Control Board and the Ministry may also invite experts in the field
of bio-medical waste management, if required.
(2) The Central Pollution Control Board shall monitor the implementation of these rules in respect of
all the Armed Forces health care establishments under the Ministry of Defence.
(3) The Central Pollution Control Board along with one or more representatives of the Advisory
Committee constituted under sub-rule (2) of rule 11, may inspect any Armed Forces health care
establishments after prior intimation to the Director General Armed Forces Medical
Services.
(4) Every State Government or Union territory Administration shall constitute District Level
Monitoring Committee in the districts under the chairmanship of District Collector or District
Magistrate or Deputy Commissioner or Additional District Magistrate to monitor the compliance
of the provisions of these rules in the health care facilities generating bio-medical waste and in the
common bio-medical waste treatment and disposal facilities, where the bio-medical waste is
treated and disposed of.
(5) The District Level Monitoring Committee constituted under sub-rule (4) shall submit its report
once in six months to the State Advisory Committee and a copy thereof shall also be forwarded to
State Pollution Control Board or Pollution Control Committee concerned for taking further
necessary action.
(6) The District Level Monitoring Committee shall comprise of District Medical Officer or District
Health Officer, representatives from State Pollution Control Board or Pollution Control
Committee, Public Health Engineering Department, local bodies or municipal corporation, Indian
Medical Association, common bio-medical waste treatment facility and registered nongovernmental
organisations working in the field of bio-medical waste management and the
Committee may co-opt other members and experts, if necessary and the District Medical Officer
shall be the Member Secretary of this Committee.
13. Annual report.-(1) Every occupier or operator of common bio-medical waste treatment facility
shall submit an annual report to the prescribed authority in Form-IV, on or before the 30th June of every
year.
(2) The prescribed authority shall compile, review and analyse the information received and send this
information to the Central Pollution Control Board on or before the 31st July of every year.
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(3) The Central Pollution Control Board shall compile, review and analyse the information received
and send this information, along with its comments or suggestions or observations to the Ministry
of Environment, Forest and Climate Change on or before 31st August every year.
(4) The Annual Reports shall also be available online on the websites of Occupiers, State Pollution
Control Boards and Central Pollution Control Board.
14. Maintenance of records.- (1) Every authorised person shall maintain records related to the
generation, collection, reception, storage, transportation, treatment, disposal or any other form of
handling of bio-medical waste, for a period of five years, in accordance with these rules and
guidelines issued by the Central Government or the Central Pollution Control Board or the
prescribed authority as the case may be.
(2) All records shall be subject to inspection and verification by the prescribed authority or the
Ministry of Environment, Forest and Climate Change at any time.
15. Accident reporting.- (1) In case of any major accident at any institution or facility or any other
site while handling bio-medical waste, the authorised person shall intimate immediately to the prescribed
authority about such accident and forward a report within twenty-four hours in writing regarding the
remedial steps taken in Form I.
(2) Information regarding all other accidents and remedial steps taken shall be provided in the annual
report in accordance with rule 13 by the occupier.
16. Appeal.-(1) Any person aggrieved by an order made by the prescribed authority under these
rules may, within a period of thirty days from the date on which the order is communicated to him, prefer
an appeal in Form V to the Secretary (Environment) of the State Government or Union territory
administration .
(2) Any person aggrieved by an order of the Director General Armed Forces Medical Services under
these rules may, within thirty days from the date on which the order is communicated to him,
prefer an appeal in Form V to the Secretary, Ministry of Environment, Forest and Climate Change.
(3) The authority referred to in sub-para (1) and (2) as the case may be, may entertain the appeal after
the expiry of the said period of thirty days, if it is satisfied that the appellant was prevented by
sufficient cause from filing the appeal in time.
(4) The appeal shall be disposed of within a period of ninety days from the date of its filing.
17. Site for common bio-medical waste treatment and disposal facility.-(1) Without
prejudice to rule 5 of these rules, the department in the business allocation of land assignment shall be
responsible for providing suitable site for setting up of common biomedical waste treatment and disposal
facility in the State Government or Union territory Administration.
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(2) The selection of site for setting up of such facility shall be made in consultation with the prescribed
authority, other stakeholders and in accordance with guidelines published by the Ministry of
Environment, Forest and Climate Change or Central Pollution Control Board.
18. Liability of the occupier, operator of a facility.- (1) The occupier or an operator of a common
bio-medical waste treatment facility shall be liable for all the damages caused to the environment or the
public due to improper handling of bio- medical wastes.
(2) The occupier or operator of common bio-medical waste treatment facility shall be liable for action
under section 5 and section 15 of the Act, in case of any violation.
SCHEDULE I
[See rules 3 (e), 4(b), 7(1), 7(2), 7(5), 7 (6) and 8(2)]
Part-1
Biomedical wastes categories and their segregation, collection, treatment, processing and
disposal options
Category Type of Waste Type of Bag or
Container to be
used
Treatment and Disposal options
(1) (2) (3) (4)
Yellow (a) Human Anatomical
Waste:
Human tissues, organs,
body parts and fetus
below the viability
period (as per the
Medical Termination of
Pregnancy Act 1971,
amended from time to
time).
Yellow coloured
non-chlorinated
plastic bags
Incineration or Plasma Pyrolysis or
deep burial*
(b)Animal Anatomical
Waste :
Experimental animal
carcasses, body parts,
organs, tissues,
including the waste
generated from
animals used in
experiments or testing
in veterinary hospitals
or colleges or animal
houses.
(c) Soiled Waste:
Items contaminated
with blood, body fluids
like dressings, plaster
casts, cotton swabs and
Incineration or Plasma Pyrolysis or
deep burial*
In absence of above facilities,
autoclaving or micro-waving/
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bags containing residual
or discarded blood and
blood components.
hydroclaving followed by shredding or
mutilation or combination of
sterilization and shredding. Treated
waste to be sent for energy recovery.
(d) Expired or
Discarded Medicines:
Pharmaceutical waste
like antibiotics,
cytotoxic drugs
including all items
contaminated with
cytotoxic drugs along
with glass or plastic
ampoules, vials etc.
Yellow coloured
non-chlorinated
plastic bags or
containers
Expired `cytotoxic drugs and items
contaminated with cytotoxic drugs to be
returned back to the manufacturer or
supplier for incineration at temperature
>1200 0C or to common bio-medical
waste treatment facility or hazardous
waste treatment, storage and disposal
facility for incineration at >12000C Or
Encapsulation or Plasma Pyrolysis at
>12000C.
All other discarded medicines shall be
either sent back to manufacturer or
disposed by incineration.
(e) Chemical Waste:
Chemicals used in
production of biological
and used or discarded
disinfectants.
Yellow coloured
containers or
non-chlorinated
plastic bags
Disposed of by incineration or Plasma
Pyrolysis or Encapsulation in
hazardous waste treatment, storage and
disposal facility.
(f) Chemical Liquid
Waste :
Liquid waste generated
due to use of chemicals
in production of
biological and used or
discarded disinfectants,
Silver X-ray film
developing liquid,
discarded Formalin,
infected secretions,
aspirated body
fluids, liquid from
laboratories and floor
washings, cleaning,
house-keeping and
disinfecting activities
etc.
Separate
collection
system leading
to effluent
treatment system
After resource recovery, the chemical
liquid waste shall be pre-treated before
mixing with other wastewater. The
combined discharge shall conform to
the discharge norms given in Schedule-
III.
(g) Discarded linen,
mattresses, beddings
contaminated with
blood or body fluid.
Non-chlorinated
yellow plastic
bags or suitable
packing material
Non- chlorinated chemical disinfection
followed by incineration or Plazma
Pyrolysis or for energy recovery.
In absence of above facilities, shredding
or mutilation or combination of
sterilization and shredding. Treated
waste to be sent for energy recovery or
incineration or Plazma Pyrolysis.
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(h) Microbiology,
Biotechnology and
other clinical
laboratory waste:
Blood bags, Laboratory
cultures, stocks or
specimens of microorganisms,
live or
attenuated vaccines,
human and animal cell
cultures used in
research, industrial
laboratories, production
of biological, residual
toxins, dishes and
devices used for
cultures.
Autoclave safe
plastic bags or
containers
Pre-treat to sterilize with nonchlorinated
chemicals on-site as per
National AIDS Control Organisation or
World Health Organisation guidelines
thereafter for Incineration.
Red Contaminated Waste
(Recyclable)
(a) Wastes generated
from disposable items
such as tubing, bottles,
intravenous tubes and
sets, catheters, urine
bags, syringes (without
needles and fixed needle
syringes) and
vaccutainers with their
needles cut) and gloves.
Red coloured
non-chlorinated
plastic bags or
containers
Autoclaving or micro-waving/
hydroclaving followed by shredding or
mutilation or combination of
sterilization and shredding. Treated
waste to be sent to registered or
authorized recyclers or for energy
recovery or plastics to diesel or fuel oil
or for road making, whichever is
possible.
Plastic waste should not be sent to
landfill sites.
White
(Translucent)
Waste sharps
including Metals:
Needles, syringes with
fixed needles, needles
from needle tip cutter or
burner, scalpels, blades,
or any other
contaminated sharp
object that may cause
puncture and cuts. This
includes both used,
discarded and
contaminated metal
sharps
Puncture proof,
Leak proof,
tamper proof
containers
Autoclaving or Dry Heat Sterilization
followed by shredding or mutilation or
encapsulation in metal container or
cement concrete; combination of
shredding cum autoclaving; and sent for
final disposal to iron foundries (having
consent to operate from the State
Pollution Control Boards or Pollution
Control Committees) or sanitary
landfill or designated concrete waste
sharp pit.
Blue (a) Glassware:
Broken or discarded and
contaminated glass
including medicine vials
and ampoules except
those contaminated with
cytotoxic wastes.
Cardboard boxes
with blue
colored marking
Disinfection (by soaking the washed
glass waste after cleaning with
detergent and Sodium Hypochlorite
treatment) or through autoclaving or
microwaving or hydroclaving and then
sent for recycling.
15
(b) Metallic Body
Implants
Cardboard boxes
with blue
colored marking
*Disposal by deep burial is permitted only in rural or remote areas where there is no access to
common bio-medical waste treatment facility. This will be carried out with prior approval from the
prescribed authority and as per the Standards specified in Schedule-III. The deep burial facility
shall be located as per the provisions and guidelines issued by Central Pollution Control Board
from time to time.
Part -2
(1) All plastic bags shall be as per BIS standards as and when published, till then the prevailing Plastic
Waste Management Rules shall be applicable.
(2) Chemical treatment using at least 10% Sodium Hypochlorite having 30% residual chlorine for
twenty minutesor any other equivalent chemical reagent that should demonstrate Log104 reduction
efficiency for microorganisms as given in Schedule- III.
(3) Mutilation or shredding must be to an extent to prevent unauthorized reuse.
(4) There will be no chemical pretreatment before incineration, except for microbiological, lab and
highly infectious waste.
(5) Incineration ash (ash from incineration of any bio-medical waste) shall be disposed through
hazardous waste treatment, storage and disposal facility, if toxic or hazardous constituents are
present beyond the prescribed limits as given in the Hazardous Waste (Management, Handling and
Transboundary Movement) Rules, 2008 or as revised from time to time.
(6) Dead Fetus below the viability period (as per the Medical Termination of Pregnancy Act 1971,
amended from time to time) can be considered as human anatomical waste. Such waste should be
handed over to the operator of common bio-medical waste treatment and disposal facility in yellow
bag with a copy of the official Medical Termination of Pregnancy certificate from the Obstetrician
or the Medical Superintendent of hospital or healthcare establishment.
(7) Cytotoxic drug vials shall not be handed over to unauthorised person under any circumstances.
These shall be sent back to the manufactures for necessary disposal at a single point. As a second
option, these may be sent for incineration at common bio-medical waste treatment and disposal
facility or TSDFs or plasma pyrolys is at temperature >1200 0C.
(8) Residual or discarded chemical wastes, used or discarded disinfectants and chemical sludge can be
disposed at hazardous waste treatment, storage and disposal facility. In such case, the waste should
be sent to hazardous waste treatment, storage and disposal facility through operator of common
bio-medical waste treatment and disposal facility only.
16
(9) On-site pre-treatment of laboratory waste, microbiological waste, blood samples, blood bags
should be disinfected or sterilized as per the Guidelines of World Health Organisation or National
AIDS Control Organisation and then given to the common bio-medical waste treatment and
disposal facility.
(10) Installation of in-house incinerator is not allowed. However in case there is no common biomedical
facility nearby, the same may be installed by the occupier after taking authorisation from the State
Pollution Control Board.
(11) Syringes should be either mutilated or needles should be cut and or stored in tamper proof, leak
proof and puncture proof containers for sharps storage. Wherever the occupier is not linked to a
disposal facility it shall be the responsibility of the occupier to sterilize and dispose in the manner
prescribed.
(12) Bio-medical waste generated in households during healthcare activities shall be segregated as per
these rules and handed over in separate bags or containers to municipal waste collectors. Urban
Local Bodies shall have tie up with the common bio-medical waste treatment and disposal facility
to pickup this waste from the Material Recovery Facility (MRF) or from the house hold directly,
for final disposal in the manner as prescribed in this Schedule.
SCHEDULE II
[See rule 4(t), 7(1) and 7(6)]
STANDARDS FOR TREATMENT AND DISPOSAL OF
BIO-MEDICALWASTES
1. STANDARDS FOR INCINERATION.-
All incinerators shall meet the following operating and emission standards-
A. Operating Standards
1). Combustion efficiency (CE) shall be at least 99.00%.
2). The Combustion efficiency is computed as follows:
%C02
C.E. = ------------ X 100
%C02 + % CO
3). The temperature of the primary chamber shall be a minimum of 800 0C and the secondary
chamber shall be minimum of 10500C + or - 500C.
4). The secondary chamber gas residence time shall be at least two seconds.
B. Emission Standards
17
Sl.
No.
Parameter Standards
(1) (2) (3) (4)
Limiting concentration
in mg Nm3 unless
stated
Sampling Duration in minutes,
unless stated
1. Particulate matter 50 30 or 1NM3 of sample volume,
whichever is more
2. Nitrogen Oxides NO and
NO2 expressed asNO2
400 30 for online sampling or grab
sample
3. HCl 50 30 or 1NM3 of sample volume,
whichever is more
4. Total Dioxins and Furans 0.1ngTEQ/Nm3 (at 11%
O2)
8 hours or 5NM3 of sample volume,
whichever is more
5. Hg and its compounds 0.05 2 hours or 1NM3 of sample volume,
whichever is more
C. Stack Height: Minimum stack height shall be 30 meters above the ground and shall be attached with
the necessary monitoring facilities as per requirement of monitoring of ‘general parameters’ as notified
under the Environment (Protection) Act, 1986 and in accordance with the Central Pollution Control
Board Guidelines of Emission Regulation Part-III.
Note:
(a) The existing incinerators shall comply with the above within a period of two years from the date of
the notification.
(b) The existing incinerators shall comply with the standards for Dioxins and Furans of 0.1ngTEQ/Nm3,
as given below within two years from the date of commencement of these rules.
(c) All upcoming common bio-medical waste treatment facilities having incineration facility or captive
incinerator shall comply with standards for Dioxins and Furans.
(d) The existing secondary combustion chambers of the incinerator and the pollution control devices shall
be suitably retrofitted, if necessary, to achieve the emission limits.
(e) Wastes to be incinerated shall not be chemically treated with any chlorinated disinfectants.
(f) Ash from incineration of biomedical waste shall be disposed of at common hazardous waste treatment
and disposal facility. However, it may be disposed of in municipal landfill, if the toxic metals in
incineration ash are within the regulatory quantities as defined under the Hazardous Waste
(Management and Handling and Transboundary Movement) Rules, 2008 as amended from time to
time.
(g) Only low Sulphur fuel like Light Diesel Oil or Low Sulphur Heavy Stock or Diesel, Compressed
Natural Gas, Liquefied Natural Gas or Liquefied Petroleum Gas shall be used as fuel in the
incinerator.
18
(h) The occupier or operator of a common bio-medical waste treatment facility shall monitor the stack
gaseous emissions (under optimum capacity of the incinerator) once in three months through a
laboratory approved under the Environment (Protection) Act, 1986 and record of such analysis
results shall be maintained and submitted to the prescribed authority. In case of dioxins and furans,
monitoring should be done once in a year.
(i) The occupier or operator of the common bio-medical waste treatment facility shall install continuous
emission monitoring system for the parameters as stipulated by State Pollution Control Board or
Pollution Control Committees in authorisation and transmit the data real time to the servers at State
Pollution Control Board or Pollution Control Committees and Central Pollution Control Board.
(j) All monitored values shall be corrected to 11% Oxygen on dry basis.
(k) Incinerators (combustion chambers) shall be operated with such temperature, retention time and
turbulence, as to achieve Total Organic Carbon content in the slag and bottom ashes less than 3% or
their loss on ignition shall be less than 5% of the dry weight.
(l) The occupier or operator of a common bio-medical waste incinerator shall use combustion gas
analyzer to measure CO2, CO and O2.
2. Operating and Emission Standards for Disposal by Plasma Pyrolysis or Gasification:
A. Operating Standards:
All the operators of the Plasma Pyrolysis or Gasification shall meet the following operating and emission
standards:
1) Combustion Efficiency (CE) shall be at least 99.99%.
2) The Combustion Efficiency is computed as follows.
% CO2 C.E =
……………………… X 100
(% CO2 + % CO)
3) The temperature of the combustion chamber after plasma gasification shall be 1050 ± 50 o C with
gas residence time of at least 2(two) second, with minimum 3 % Oxygen in the stack gas.
4) The Stack height should be minimum of 30 m above ground level and shall be attached with the
necessary monitoring facilities as per requirement of monitoring of ‘general parameters’ as
notified under the Environment (Protection) Act, 1986 and in accordance with the CPCB
Guidelines of Emission Regulation Part-III.
B. Air Emission Standards and Air Pollution Control Measures
(i) Emission standards for incinerator, notified at Sl No.1 above in this Schedule, and revised from
time to time, shall be applicable for the Plasma Pyrolysis or Gasification also.
19
(ii) Suitably designed air pollution control devices shall be installed or retrofitted with the ‘Plasma
Pyrolysis or Gasification to achieve the above emission limits, if necessary.
(iii) Wastes to be treated using Plasma Pyrolysis or Gasification shall not be chemically treated with
any chlorinated disinfectants and chlorinated plastics shall not be treated in the system.
C. Disposal of Ash Vitrified Material: The ash or vitrified material generated from the ‘Plasma
Pyrolysis or Gasification shall be disposed off in accordance with the Hazardous Waste (Management,
Handling and Transboundary Movement) Rules 2008 and revisions made thereafter in case the
constituents exceed the limits prescribed under Schedule II of the said Rules or else in accordance with
the provisions of the Environment (Protection) Act, 1986, whichever is applicable.
3. STANDARDS FOR AUTOCLAVING OF BIO-MEDICAL WASTE.-
The autoclave should be dedicated for the purposes of disinfecting and treating bio-medical
waste.
(1) When operating a gravity flow autoclave, medical waste shall be subjected to:
(i) a temperature of not less than 121° C and pressure of 15 pounds per square inch (psi) for an
autoclave residence time of not less than 60 minutes; or
(ii) a temperature of not less than 135° C and a pressure of 31 psi for an autoclave residence time of
not less than 45 minutes; or
(iii) a temperature of not less than 149° C and a pressure of 52 psi for an autoclave residence time
of not less than 30 minutes.
(2) When operating a vacuum autoclave, medical waste shall be subjected to a minimum of three
pre-vacuum pulse to purge the autoclave of all air. The air removed during the pre-vacuum, cycle should
be decontaminated by means of HEPA and activated carbon filtration, steam treatment, or any other
method to prevent release of pathogen. The waste shall be subjected to the following:
(i) a temperature of not less than 121°C and pressure of 15 psi per an autoclave residence time of
not less than 45 minutes; or
(ii) a temperature of not less than 135°C and a pressure of 31 psi for an autoclave residence time of
not less than 30 minutes;
(3) Medical waste shall not be considered as properly treated unless the 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.
20
(4) Recording of operational parameters: Each autoclave shall have graphic or computer recording
devices which will automatically and continuously monitor and record dates, time of day, load
identification number and operating parameters throughout the entire length of the autoclave cycle.
(5) Validation test for autoclave: The validation test shall use four biological indicator strips, one shall
be used as a control and left at room temperature, and three shall be placed in the approximate center of
three containers with the waste. Personal protective equipment (gloves, face mask and coveralls) shall be
used when opening containers for the purpose of placing the biological indicators. At least one of the
containers with a biological indicator should be placed in the most difficult location for steam to
penetrate, generally the bottom center of the waste pile. The occupier or operator shall conduct this test
three consecutive times to define the minimum operating conditions. The temperature, pressure and
residence time at which all biological indicator vials or strips for three consecutive tests show complete
inactivation of the spores shall define the minimum operating conditions for the autoclave. After
determining the minimum temperature, pressure and residence time, the occupier or operator of a
common biomedical waste treatment facility shall conduct this test once in three months and records in
this regard shall be maintained.
(6) Routine Test: A chemical indicator strip or tape that changes colour when a certain temperature is
reached can be used to verify that a specific temperature has been achieved. It may be necessary to use
more than one strip over the waste package at different locations to ensure that the inner content of the
package has been adequately autoclaved. The occupier or operator of a common bio medical waste
treatment facility shall conduct this test during autoclaving of each batch and records in this regard shall
be maintained.
(7) Spore testing: The autoclave should completely and consistently kill the approved biological
indicator at the maximum design capacity of each autoclave unit. Biological indicator for autoclave shall
be Geobacillusstearothermophilus spores using vials or spore Strips; with at least 1X106 spores. Under no
circumstances will an autoclave have minimum operating parameters less than a residence time of 30
minutes, a temperature less than 121o C or a pressure less than 15 psi. The occupier or operator of a
common bio medical waste treatment and disposal facility shall conduct this test at least once in every
week and records in this regard shall be maintained.
4. STANDARDS OF MICROWAVING.-
(1) 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 efficacy test or routine tests and a performance
guarantee may be provided by the supplier before operation of the limit.
(3) 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 indicators for microwave shall be Bacillus atrophaeusspores using vials or
spore strips with at least 1 x 104sporesper detachable strip. The biological indicator shall be placed with
waste and exposed to same conditions as the waste during a normal treatment cycle.
21
5. STANDARDS FOR DEEP BURIAL.- (1) A pit or trench should be dug about two 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.
(2) It must be ensured that animals do not have any access to burial sites. Covers of galvanised iron
or wire meshes may be used.
(3) On each occasion, when wastes are added to the pit, a layer of 10 cm of soil shall be added to
cover the wastes.
(4) Burial must be performed under close and dedicated supervision.
(5) The deep burial site should be relatively impermeable and no shallow well should be close to the
site.
(6) The pits should be distant from habitation, and located so as to ensure that no contamination
occurs to surface water or ground water. The area should not be prone to flooding or erosion.
(7) The location of the deep burial site shall be authorised by the prescribed authority.
(8) The institution shall maintain a record of all pits used for deep burial.
(9) The ground water table level should be a minimum of six meters below the lower level of deep
burial pit.
6. STANDARDS FOR EFFICACY OF CHEMICAL DISINFECTION
Microbial inactivation efficacy is equated to “Log10 kill” which is defined as the difference
between the logarithms of number of test microorganisms before and after chemical treatment. Chemical
disinfection methods shall demonstrate a 4 Log10 reduction or greater for Bacillus Subtilis (ATCC
19659) in chemical treatment systems.
7. STANDARDS FOR DRY HEAT STERILIZATION
Waste sharps can be treated by dry heat sterilization at a temperature not less than 1850C, at least
for a residence period of 150 minutes in each cycle, which sterilization period of 90 minutes. There
should be automatic recording system to monitor operating parameters.
(i) Validation test for Shaprs sterilization unit
Waste shaprs sterilization unit should completely and consistently kill the biological indicator
GeobacillusStearothermophillus or Bacillus Atropheausspoers using vials with at least log10 6 spores per
ml. The test shall be carried out once in three months
(ii) Routine test
22
A chemical indicator strip or tape that changes colour when a certain temperature is reached can
be used to verify that a specific temperature has been achieved. It may be necessary to use more than one
strip over the waste to ensure that the inner content of the sharps has been adequately disinfected. This
test shall be performed once in week and records in this regard shall be maintained.
8. STANDARDS FOR LIQUID WASTE.-
(1) The effluent generated or treated from the premises of occupier or operator of a common bio
medical waste treatment and disposal facility, before discharge into the sewer should conform to the
following limits-
PARAMETERS PERMISSIBLE LIMITS
pH 6.5-9.0
Suspended solids 100 mg/l
Oil and grease 10 mg/l
BOD 30 mg/l
COD 250 mg/l
Bio-assay test 90% survival of fish after 96 hours in 100% effluent.
(2) Sludge from Effluent Treatment Plant shall be given to common bio-medical waste treatment facility
for incineration or to hazardous waste treatment, storage and disposal facility for disposal.
Schedule III
[See rule 6 and 9(3)]
List of Prescribed Authorities and the Corresponding Duties
Sl.
No
.
(1)
Authority
(2)
Corresponding Duties
(3)
1 Ministry of Environment, Forest
and Climate Change, Government
of India
(i) Making Policies concerning bio-medical waste
Management in the Country including notification
of Rules and amendments to the Rules as and
when required.
(ii) Providing financial assistance for training and
awareness programmes on bio-medical waste
management related activities to for the State
Pollution Control Boards or Pollution Control
Committees.
(iii) Facilitating financial assistance for setting up or
up-gradation of common bio-medical waste
treatment facilities.
(iv) Undertake or support operational research and
assessment with reference to risks to environment
and health due to bio-medical waste and
23
previously unknown disposables and wastes from
new types of equipment.
(v) Constitution of Monitoring Committee for
implementation of the rules.
(vi) Hearing Appeals and give decision made in Form-
V against order passed by the prescribed
authorities.
(vii) Develop Standard manual for Trainers and
Training.
(viii) Notify the standards or operating parameters for
new technologies for treatment of bio medical
waste other than those listed in Schedule- I.
2 Central or State Ministry of Health
and Family Welfare, Central
Ministry for Animal Husbandry
and Veterinary or State Department
of Animal Husbandry and
Veterinary.
(i) Grant of license to health care facilities or nursing
homes or veterinary establishments with a condition
to obtain authorisation from the prescribed authority
for bio-medical waste management.
(ii) Monitoring, Refusal or Cancellation of license for
health care facilities or nursing homes or veterinary
establishments for violations of conditions of
authorisation or provisions under these Rules.
(iii) Publication of list of registered health care facilities
with regard to bio-medical waste generation,
treatment and disposal.
(iv) Undertake or support operational research and
assessment with reference to risks to environment
and health due to bio-medical waste and previously
unknown disposables and wastes from new types of
equipment.
(v) Coordinate with State Pollution Control Boards for
organizing training programmes to staff of health
care facilities and municipal workers on bio-medical
waste.
(vi) Constitution of Expert Committees at National or
State level for overall review and promotion of clean
or new technologies for bio-medical waste
management.
24
(vii) Organizing or Sponsoring of trainings for the
regulatory authorities and health care facilities on
bio-medical waste management related activities.
(viii) Sponsoring of mass awareness campaigns in
electronic media and print media.
3 Ministry of Defence (i) Grant and renewal of authorisation to Armed Forces
health care facilities or common bio-medical waste
treatment facilities (Rule 9).
(ii) Conduct training courses for authorities dealing with
management of bio-medical wastes in Armed Forces
health care facilities or treatment facilities in
association with State Pollution Control Boards or
Pollution Control Committees or Central Pollution
Control Board or Ministry of Environment, Forest
and Climate Change.
(iii) Publication of inventory of occupiers and biomedical
waste generation from Armed Forces health
care facilities or occupiers
(iv) Constitution of Advisory Committee for
implementation of the rules.
(v) Review of management of bio-medical waste
generation in the Armed Forces health care facilities
through its Advisory Committee (Rule 11).
(vi) Submission of annual report to Central Pollution
Control Board within the stipulated time period (Rule
13).
4. Central Pollution Control Board (i) Prepare Guidelines on bio-medical waste
Management and submit to the Ministry of
Environment, Forest and Climate Change.
(ii) Co-ordination of activities of State Pollution Control
Boards or Pollution Control Committees on biomedical
waste.
(iii) Conduct training courses for authorities dealing with
management of bio-medical waste.
(iv) Lay down standards for new technologies for
25
treatment and disposal of bio-medical waste (Rule 7)
and prescribe specifications for treatment and
disposal of bio-medical wastes (Rule 7).
(v) Lay down Criteria for establishing common biomedical
waste treatment facilities in the Country.
(vi) Random inspection or monitoring of health care
facilities and common bio-medical waste treatment
facilities.
(vii) Review and analysis of data submitted by the State
Pollution Control Boards on bio-medical waste and
submission of compiled information in the form of
annual report along with its observations to Ministry
of Environment, Forest and Climate Change .
(viii) Inspection and monitoring of health care facilities
operated by the Director General, Armed Forces
Medical Services (Rule 9).
(ix) Undertake or support research or operational
research regarding bio-medical waste.
5. State Government of Health or
Union Territory Government or
Administration
(i) To ensure implementation of the rule in all health
care facilities or occupiers.
(ii) Allocation of adequate funds to Government health
care facilities for bio-medical waste management.
(iii) Procurement and allocation of treatment equipments
and make provision for consumables for bio-medical
waste management in Government health care
facilities.
(iv) Constitute State or District Level Advisory
Committees under the District Magistrate or
Additional District Magistrate to oversee the biomedical
waste management in the Districts.
(v) Advise State Pollution Control Boards or Pollution
Control Committees on implementation of these
Rules.
(vi) Implementation of recommendations of the Advisory
Committee in all the health care facilities.
26
6. State Pollution Control Boards or
Pollution Control Committees
(i) Inventorisation of Occupiers and data on bio-medical
waste generation, treatment & disposal.
(ii) Compilation of data and submission of the same in
annual report to Central Pollution Control Board
within the stipulated time period.
(iii) Grant and renewal, suspension or refusal cancellation
or of authorisation under these rules (Rule 7, 8 and
10).
(iv) Monitoring of compliance of various provisions and
conditions of authorisation.
(v) Action against health care facilities or common biomedical
waste treatment facilities for violation of
these rules (Rule 18).
(vi) Organizing training programmes to staff of health
care facilities and common bio-medical waste
treatment facilities and State Pollution Control
Boards or Pollution Control Committees Staff on
segregation, collection, storage, transportation,
treatment and disposal of bio-medical wastes.
(vii) Undertake or support research or operational research
regarding bio-medical waste management.
(viii) Any other function under these rules assigned by
Ministry of Environment, Forest and Climate
Change or Central Pollution Control Board from
time to time.
(ix) Implementation of recommendations of the Advisory
Committee.
(x) Publish the list of Registered or Authorised (or give
consent) Recyclers.
(xi) Undertake and support third party audits of the
common bio-medical waste treatment facilities in
their State.
7 Municipalities or Corporations,
Urban Local Bodies and Gram
Panchayats
(i) Provide or allocate suitable land for development of
common bio-medical waste treatment facilities in
their respective jurisdictions as per the guidelines of
27
Central Pollution Control Board.
(ii) Collect other solid waste (other than the biomedical
waste) from the health care facilities as
per the Municipal Solid Waste ( Management and
handling) Rules, 2000 or as amended time to time.
(iii) Any other function stipulated under these Rules.
28
SCHEDULE IV
[See rule 8(3) and (5)]
Part A
LABEL FOR BIO-MEDICAL WASTE CONTAINERS or BAGS
CYTOTOXIC HAZARDSYMBOL
HANDLE WITH CARE HANDLE WITH CARE
Part B
LABEL FOR TRANSPORTING BIO-MEDICAL WASTE BAGS OR CONTAINERS
Day ............Month ..............
Year ...........
Date of generation ...................
Waste category Number ........
Waste quantity…………
Sender's Name and Address Receiver's Name and Address:
Phone Number ........ Phone Number ...............
Fax Number............... Fax Number .................
Contact Person ........ Contact Person .........
In case of emergency please contact :
Name and Address :
Phone No.
Note :Label shall be non-washable and prominently visible.
FORM – I
[ (See rule 4(o), 5(i) and 15 (2)]
ACCIDENT REPORTING
1. Date and time of accident :
2. Type of Accident :
29
3. Sequence of events leading to accident :
4. Has the Authority been informed immediately :
5. The type of waste involved in accident :
6. Assessment of the effects of the
accidents on human health and the environment:
7. Emergency measures taken :
8. Steps taken to alleviate the effects of accidents :
9. Steps taken to prevent the recurrence of such an accident :
10. Does you facility has an Emergency Control policy? If yes give details:
Date : …………………… Signature …………………….
Place: …………………… Designation …………………..
FORM - II
(See rule10)
APPLICATION FOR AUTHORISATION OR RENEWAL OF AUTHORISATION
(To be submitted by occupier of health care facility or common bio-medical waste treatment facility)
To
The Prescribed Authority
(Name of the State or UT Administration)
Address.
1. Particulars of Applicant:
(i) Name of the Applicant:
(In block letters & in full)
(ii) Name of the health care facility (HCF) or common bio-medical waste treatment facility
(CBWTF) :
(iii) Address for correspondence:
(iv) Tele No., Fax No.:
30
(v) Email:
(vi) Website Address:
2. Activity for which authorisation is sought:
Activity Please tick
Generation, segregation
Collection,
Storage
packaging
Reception
Transportation
Treatment or processing or conversion
Recycling
Disposal or destruction
use
offering for sale, transfer
Any other form of handling
3. Application for ? fresh or ? renewal of authorisation (please tick whatever is applicable):
(i) Applied for CTO/CTE Yes/No
(ii) In case of renewal previous authorisation number and date:
------------------------------------------------------
(iii) Status of Consents:
(a) under the Water (Prevention and Control of Pollution) Act, 1974
------------------------------------------------------
(b) under the Air (Prevention and Control of Pollution) Act, 1981:
------------------------------------------------------
4. (i) Address of the health care facility (HCF) or common bio-medical waste treatment facility
(CBWTF):
(ii) GPS coordinates of health care facility (HCF) or common bio-medical waste treatment
facility (CBWTF):
5. Details of health care facility (HCF) or common bio-medical waste treatment facility (CBWTF):
(i) Number of beds of HCF:
(ii) Number of patients treated per month by HCF:
(iii) Number healthcare facilities covered by CBMWTF: ______
(iv) No of beds covered by CBMWTF: ______
(v) Installed treatment and disposal capacity of CBMWTF:_______ Kg per day
(vi) Quantity of biomedical waste treated or disposed by CBMWTF:_____ Kg/ day
(vii) Area or distance covered by CBMWTF:______________
31
(pl. attach map a map with GPS locations of CBMWTF and area of coverage)
(viii) Quantity of Biomedical waste handled, treated or disposed:
Category Type of Waste Quantity
Generated or
Collected, kg/day
Method of
Treatment and
Disposal
(Refer Schedule-
I)
(1) (2) (3) (4)
Yellow
(a) Human Anatomical Waste:
(b)Animal Anatomical Waste :
(c) Soiled Waste:
(d) Expired or Discarded Medicines:
(e) Chemical Solid Waste:
(f) Chemical Liquid Waste :
(g) Discarded linen, mattresses, beddings
contaminated with blood or body fluid.
(h) Microbiology, Biotechnology and other
clinical laboratory waste:
Red
Contaminated Waste (Recyclable)
White
(Translucen
t)
Waste sharps including Metals:
Blue
Glassware:
Metallic Body Implants
6. Brief description of arrangements for handling of biomedical waste (attach details):
(i) Mode of transportation (if any) of bio-medical waste:
(ii) Details of treatment equipment (please give details such as the number, type & capacity
of each unit)
No of units Capacity of each unit
Incinerators :
Plasma Pyrolysis:
Autoclaves:
Microwave:
Hydroclave:
Shredder:
Needle tip cutter or
destroyer
Sharps encapsulation or
concrete pit:
Deep burial pits:
Chemical disinfection:
Any other treatment
equipment:
32
7. Contingency plan of common bio-medical waste treatment facility (CBWTF)(attach documents):
8. Details of directions or notices or legal actions if any during the period of earlier authorisation
9. Declaration
I do hereby declare that the statements made and information given above are true to the best of my
knowledge and belief and that I have not concealed any information.
I do also hereby undertake to provide any further information sought by the prescribed authority in
relation to these rules and to fulfill any conditions stipulated by the prescribed authority.
Date : Signature of the Applicant
Place : Designation of the Applicant
FORM –III
(See rule 10)
AUTHORISATION
(Authorisation for operating a facility for generation, collection, reception, treatment, storage, transport
and disposal of biomedical wastes)
1. File number of authorisation and date of issue……………………………………….
2. M/s __________________ an occupier or operator of the facility located at
______________________ is hereby granted an authorisation for;
Activity Please tick
Generation, segregation
Collection,
Storage
packaging
Reception
Transportation
Treatment or processing or conversion
Recycling
Disposal or destruction
use
offering for sale, transfer
Any other form of handling
3. M/s _____________________________ is hereby authorized for handling of biomedical waste
as per the capacity given below;
(i) Number of beds of HCF:
(ii) Number healthcare facilities covered by CBMWTF: ______
33
(iii) Installed treatment and disposal capacity:_______ Kg per day
(iv) Area or distance covered by CBMWTF:______________
________________________________________________
(v) Quantity of Biomedical waste handled, treated or disposed:
Type of Waste Category Quantity permitted for
Handling
Yellow
Red
White (Translucent)
Blue
3. This authorisation shall be in force for a period of …………. Years from the date of issue.
4. This authorisation is subject to the conditions stated below and to such other conditions as may
be specified in the rules for the time being in force under the Environment (Protection) Act, 1986.
Date ……………. Signature……………………..
Place: ………………… Designation …………………..
Terms and conditions of authorisation *
1. The authorisation shall comply with the provisions of the Environment (Protection) Act, 1986
and the rules made there under.
2. The authorisation or its renewal shall be produced for inspection at the request of an officer
authorised by the prescribed authority.
3. The person authorized shall not rent, lend, sell, transfer or otherwise transport the biomedical
wastes without obtaining prior permission of the prescribed authority.
4. Any unauthorised change in personnel, equipment or working conditions as mentioned in the
application by the person authorised shall constitute a breach of his authorisation.
5. It is the duty of the authorised person to take prior permission of the prescribed authority to close
down the facility and such other terms and conditions may be stipulated by the prescribed
authority.
Form - IV
(See rule 13)
ANNUAL REPORT
[To be submitted to the prescribed authority on or before 30th June every year for the period from January
to December of the preceding year, by the occupier of health care facility (HCF) or common bio-medical
waste treatment facility (CBWTF)]
Sl.
No.
Particulars
1 . Particulars of the Occupier :
(i) Name of the authorised person (occupier or
operator of facility)
:
34
(ii) Name of HCF or CBMWTF :
(iii) Address for Correspondence :
(iv) Address of Facility
(v)Tel. No, Fax. No :
(vi) E-mail ID :
(vii) URL of Website
(viii) GPS coordinates of HCF or CBMWTF
(ix) Ownership of HCF or CBMWTF : (State Government or Private or
Semi Govt. or any other)
(x). Status of Authorisation under the Bio-Medical
Waste (Management and Handling) Rules
: Authorisation No.:
……………………………………
………………..valid up to ………..
(xi). Status of Consents under Water Act and Air
Act
: Valid up to:
2. Type of Health Care Facility :
(i) Bedded Hospital : No. of Beds:…..
(ii) Non-bedded hospital
(Clinic or Blood Bank or Clinical Laboratory or
Research Institute or Veterinary Hospital or any
other)
:
(iii) License number and its date of expiry
3. Details of CBMWTF :
(i) Number healthcare facilities covered by
CBMWTF
:
(ii) No of beds covered by CBMWTF :
(iii) Installed treatment and disposal capacity of
CBMWTF:
: _______ Kg per day
(iv) Quantity of biomedical waste treated or disposed
by CBMWTF
: _____ Kg/day
4. Quantity of waste generated or disposed in Kg per
annum (on monthly average basis)
:
Yellow Category :
Red Category :
White:
Blue Category :
General Solid waste:
5 Details of the Storage, treatment, transportation, processing and Disposal Facility
(i) Details of the on-site storage
facility
: Size :
Capacity :
Provision of on-site storage : (cold storage or
any other provision)
(ii) Details of the treatment or :
35
disposal facilities Type of treatment
equipment
No
of
unit
s
Cap
acit
y
Kg/
day
Quantity
treatedo
r
disposed
in kg
per
annum
Incinerators
Plasma Pyrolysis
Autoclaves
Microwave
Hydroclave
Shredder
Needle tip cutter or
destroyer
-
Sharps
encapsulation or
concrete pit
-
Deep burial pits:
Chemical
disinfection:
-
Any other treatment
equipment:
(iii) Quantity of recyclable wastes
sold to authorized recyclers after
treatment in kg per annum.
: Red Category (like plastic, glass etc.)
(iv) No of vehicles used for collection
and transportation of biomedical
waste
:
(v) Details of incineration ash and
ETP sludge generated and disposed
during the treatment of wastes in Kg
per annum
Quantity
generated
Where
disposed
Incineration
Ash
ETP Sludge
(vi) Name of the Common Bio-
Medical Waste Treatment Facility
Operator through which wastes are
disposed of
:
(vii) List of member HCF not handed
over bio-medical waste.
6 Do you have bio-medical waste
management committee? If yes, attach
minutes of the meetings held during
the reporting period
7 Details trainings conducted on BMW
(i) Number of trainings conducted on
BMW Management.
36
(ii) number of personnel trained
(iii) number of personnel trained at
the time of induction
(iv) number of personnel not
undergone any training so far
(v) whether standard manual for
training is available?
(vi) any other information)
8 Details of the accident occurred
during the year
(i) Number of Accidents occurred
(ii) Number of the persons affected
(iii) Remedial Action taken (Please
attach details if any)
(iv) Any Fatality occurred, details.
9. Are you meeting the standards of air
Pollution from the incinerator? How
many times in last year could not met
the standards?
Details of Continuous online emission
monitoring systems installed
10
.
Liquid waste generated and treatment
methods in place. How many times
you have not met the standards in a
year?
11 Is the disinfection method or
sterilization meeting the log 4
standards? How many times you have
not met the standards in a year?
12
.
Any other relevant information
: (Air Pollution Control Devices attached with the
Incinerator)
Certified that the above report is for the period from
…………………………………………………………..…………………………………………
………………………………………………………………………………………………………
………………………………………………………………………………………………………
……………………………..
Name and Signature of the Head of the Institution
Date:
Place
FORM –V
37
(See rule 16)
Application for filing appeal against order passed by the prescribed authority
1. Name and address of the person applying for appeal :
2. Number, date of order and address of the authority which passed the order, against which appeal
is being made (certified copy of order to be attached):
3. Ground on which the appeal is being made:
4. List of enclosures other than the order referred in para 2 against which appeal is being filed:
Signature ……………………..
Date : Name and Address……………………..
[F. No. 3-1/2000-HSMD]
(Bishwanath Sinha)
Joint secretary to the Government of India
******
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