Key Performance Indicators (KPIs) – Global Initiative

For FY2020, the Group has established three KPIs for the pillars: Our Patients, Our People, Our Environment

Our Environment:

KPI Description Target Remarks

1. Waste Waste generated collected and 100%

Management disposed at approved disposal sites
by licensed contractors.

Country/Divison KPI Achievement Score as of 31st August 2020 Remarks

Bulgaria ACC

Macedonia Sistina 100% Waste management in our environment is in

accordance with the program and procedures for
management of all types of waste in the hospital
and legislation in Macedonia

Netherlands AIMC
 KPI Name of KPI Target Monitoring measure Associated management
actions
KPI- Number of reported non-compliances with the requirements of Zero per year Daily base All actions identified in
001 the Procedure for selection, disposal, collection and delivery of Procedure for waste
municipal waste, hazardous waste &medical waste, Waste managment
management program
KPI- Number of non- compliances closed due to corrective actions 100% of all nonconformities Daily base All actions identified in
002 being taken within the defined timeframe (set on a case by case remedied within the defined Procedure for patient safety
basis) timeframe
KPI- Volume of waste generated Maintain or reduce waste volumes Quarterly report by waste Quarterly report by waste
003 on a 6 monthly basis manager/Quality manager manager and quality
KPI- % of waste re-used or recycled Maintain or increase the volume of Waste manager/Quality department
Quarterly report by waste
004 waste re-used or recycled on a 6 manager manager and quality
monthly basis. department
KPI- % of wastes generated (including hazardous waste) that are being 100% of all waste streams correctly Waste manager/Quality Quarterly report by waste
005 correctly managed by licensed waste contractors transported and disposed of manager
manager and quality
department
KPI- Zero complaints per year Sector for legal issues/ Waste Quarterly report by waste
006 Number of complaints received from the community regarding manager/Quality manager manager and quality
waste management practices. department
KPI- 100% compliance with training HR sector/Waste Quarterly report by waste
007 requirements manager/Quality manager manager and quality
department and human
resources
% of all staff who have received relevant and adequate training
KPI- Number of reports of near misses reviewed for root cause and a 100% of near miss reports reviewed Waste manager/Quality Quality manager
008 corrective action identified and shared across all spreads within and shared manager
48 hours to prevent future occurrence
 Verification
Topic Location Requirement Responsibility
Process

Waste All All requirements in the Environmental Agreement in relation to waste management Contractor Audit
Management must be met

Waste All Any relevant requirements in the Pollution Prevention associated with waste Contractor Audit
Management management should be put in place

Contractors will produce their own Waste Management plans. These will adopt the
following ‘good practices' to reduce the risk of impacts arising from waste management
activities:
• develop an inventory of likely wastes;
• identification of local licensed waste management facilities;
Waste • waste generation will be minimized as far as possible; Review and approval of
Management All • waste reuse/recycling opportunities will be maximised; Contractor Contractor Waste
Plans • waste segregation (liquid and solid/reusable and recyclable) will be undertaken using Management Plan
appropriate storage and labelling;
• waste collection, storage and transfer in line with Good Waste Practice
• specific disposal procedures will be produced for all waste streams identified including
waste transfer notes if moved to a licensed offsite facility;
• auditing and reporting procedures will be produced for Contractor waste management
and disposal.;

Audit of relevant
*The transport of the waste for its permanent valorization / elimination should be made based on a Waste manager
All paperwork for waste
documentation prepared for the transfer of waste, according to the Government Decision no. /Contractor
transfer
 Visual
inspections. Audit of
Hazardous waste or hazardous materials will be managed separately at all locations and will be collected relevant paperwork for
All Waste manager
by authorized third party operators. There will be no incineration of hazardous waste on site. Containers of waste collection and
hazardous waste will only be moved or transferred to the site by qualified personnel using appropriate transfer.
equipment and vehicles.

Personnel involved in waste management will be given regular training, specific to the range of wastes
All being generated and managed, and where relevant including requirements for hazardous waste Contractor Audit of training records.
management.

For each type of waste, the waste management solution will be assessed, and contracts with licensed
waste management contractors for each type of waste will be obtained.
All Operators will keep track of the waste. Contractor Review of contracts

All areas &

especially
areas Contractor Visual inspections
*Waste from the work fronts will be stored in bins within trash bags and will be transferred daily to the
construction site, where there will be dedicated collection points with different containers provided for each
type of waste. For household and all food waste, a metal container with a tightly fitted lid will be provided.
 Contractors will record and report on the different types and quantities of waste
Audit of monthly reports
generated and how they are disposed of on a monthly basis by completing the waste
Reporting All Contractor and waste management
management data sheets as per the requirements of the law on waste management
data sheets.
record keeping and according to the template.

Site *To reduce the volume of waste that needs to be stored and transported plastic
Waste organizatio container will be provided on site. Contractor Visual inspections
Reduction n

Waste All Contractor Visual inspections

Disposal No waste material should be spilled/disposed of/abandoned in forested areas.

Waste All Waste will not be stored in the proximity of watercourses or protected areas Contractor Visual inspections
Storage
Waste Storage *The selective collection of waste, temporary storage and final disposal of waste under
and Disposal safety conditions and full recycling of recyclable waste will be undertaken Periodic
All Contractor
inspections

*Waste will be temporarily stored in dedicated storage areas, by waste stream, before
Waste Storage All Contractor Visual inspections
collection and transport to authorised disposal facilities.
and Disposal
 Each category of hazardous waste will be stored separately, based on physical and
chemical characteristics and fire risk. Any containers used for the collection and storage
of hazardous wastes must be compatible with the waste they contain and will be kept
Waste
All safe and sealed, properly marked and labelled or accompanied by specific documents Contractor Visual inspections
Storage
according to the regulations on hazardous waste. Such containers shall be inspected
periodically to ensure their integrity and that they are kept safe. Containers should not
be stored on walkways or any location that could affect access to emergency exits;

Waste All *The storage of any waste within any water course is prohibited. Contractor Visual inspections
Storage
Visual
inspections. Audit of
The transport / handling of waste generated and dangerous materials will be
Waste relevant paperwork for
All undertaken in such a manner as not to cause pollution of soil, surface waters or Contractor
Transport waste collection and
groundwater
transfer

Visual inspections

Waste
All *Packaging waste will be managed in accordance with the provisions of Law Contractor
Management
Training Audit of records to Evidence of training provided. All construction Level of training required
demonstrate all sites and storage
contractor/sub- depots
contractor staff have
received the relevant
training
Waste • Evidence that waste data All construction Records completed as required
Generation Audit of waste and management records camps/sites and
generation records (by have been completed storage depots
waste stream and
including hazardous • Volumes of waste generated
wastes) to ensure they
have been completed
accurately.
Waste Audit of any waste • Incidents of water pollution All construction Incident reports
Management management • Incidents of soil camps/sites and
failures contamination storage depots
• Health & Safety incidents
relating to waste
management
• Incidents of food waste
attracting wildlife
Waste Audit of final • Evidence that waste was All construction Required standards of waste
Disposal destination/use of correctly collected / camps/sites and collection, transport, treatment and
waste generated transported / treated / storage depots disposal.
(including hazardous disposed of by a licensed
waste). operator.
• Volumes of waste reused or
recycled
 Waste data

Including hazardous wastes in activities

 Waste

No. Month Location Observation

Code Name Quantity Type

1. Paper and cardboard

2. fluorescent tubes

3. printer toners

4. Electrical and electronic

equipment

5. Household waste

6. Plastic materials

7. Household oil

8. batteries

Note:

- Hazardous wastes are marked with an asterisk (*)

- The waste in the table is indicative and list will be supplemented with specific categories of generated waste.