HOSPITAL DOC.

NO: BMJH-G/E-NABH/POL/HIC 03
NABH STD REF. HIC/ 03/ a- e
INFECTION PREPARED DATE: 30.11.2020
CONTROL ISSUE DATE: 16.12.2020
ISSUE NO: 02
MANAGEMENT OF BIO- REV. NO 01
MEDICAL WASTE NEXT REV. DATE: 29.11.2021
DOCUMENT: MASTER COPY

1.0 PURPOSE:

1.1 To provide protocols on hospital-generated biomedical waste management

(cleaning, segregation, collection, transportation and disposal).
2.0 SCOPE:
2.1 Applicable hospital-wide, all patient care areas.

3.0 RESPONSIBILITY:
3.1 Doctors/ Consultant
3.2 Nursing staffs
3.3 Para-Medical Staffs
3.4 Infection Control Team
3.5 Housekeeping Staffs

4.0 ABBREVIATIONS:
4.1 NABH : National Accreditation Board For Hospitals and Healthcare
Providers
4.2 BMW : Bio-Medical Waste
4.3 HAI : Healthcare Associated Infections

4.4 HIC : Hospital Infection Control

4.5 ICU : Intensive Care Unit
4.6 IP : In-Patient
4.7 OP : Out-Patient
4.8 UHID : Unique Hospital Identification Data

5.0 DEFINITION:
5.1 The Biomedical waste means any waste, which is generated during the diagnosis,
treatment or immunization of human beings or animals or in research activities

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 HOSPITAL DOC. NO: BMJH-G/E-NABH/POL/HIC 03
NABH STD REF. HIC/ 03/ a- e
INFECTION PREPARED DATE: 30.11.2020
CONTROL ISSUE DATE: 16.12.2020
ISSUE NO: 02
MANAGEMENT OF BIO- REV. NO 01
MEDICAL WASTE NEXT REV. DATE: 29.11.2021
DOCUMENT: MASTER COPY

pertaining thereto or in the production or testing of biological and including

categories mentioned in schedule I of the Rules
6.0 POLICY:

6.1 The Hospital shall adhere to all the statutory provisions specified in the
Biomedical Waste Management and Handling Rules.
6.2 Bio-medical waste shall not be mixed with other wastes.
6.3 The personnel handling BMW shall adhere to all safety precautions and wearing
of the required PPE.
6.4 Bio-medical waste shall be segregated into containers/bags at the points of
generation in accordance with Schedule II prior to its storage transportation,
treatment and disposal. The containers shall be labelled according to Schedule
III.
6.5 The monitoring shall be done by the members of the Infection Control
Committee.
6.6 The Hospital which is generating, collecting, receiving, storing, transporting,
treating and /or handling Biomedical Waste shall apply on Form 1 for
Authorization to the Board.
6.7 The Biomedical waste shall be transported out of the hospital within 48 hours of
its collection.

6.8 The Hospital shall submit an annual report to the prescribed authority in Form
IV on or before 30th June of every year, to include information about the
categories and quantities of bio-medical wastes handled during the preceding
year. The prescribed authority shall send this information in a complied form to
the Central Pollution Control board on or before 31st July of every year.
6.9 When any accident occurs at the Hospital or any other site where bio-medical
waste is handled or during transportation of such waste, the authorized person
shall report the accident in Form I to the prescribed authority forthwith.

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 HOSPITAL DOC. NO: BMJH-G/E-NABH/POL/HIC 03
NABH STD REF. HIC/ 03/ a- e
INFECTION PREPARED DATE: 30.11.2020
CONTROL ISSUE DATE: 16.12.2020
ISSUE NO: 02
MANAGEMENT OF BIO- REV. NO 01
MEDICAL WASTE NEXT REV. DATE: 29.11.2021
DOCUMENT: MASTER COPY

7.0 PROCEDURE: Refer Infection Control Manual (BMJH-G/E-NABH/HWM/HIC/02)

7.1 Biomedical waste management is as per the hospital’s biomedical waste plan
and is integrated with it.
7.2 BIOMEDICAL WASTE: Any solid and/or liquid waste including its container and
any intermediate product, which is generated during the diagnosis, treatment
or immunization of human beings or in research pertaining thereto or testing
thereof.
7.3 GENERAL WASTE: Material free of any apparent or actual
pathological/infectious, radioactive or hazardous chemical contamination
7.4 RESPONSIBILITY:
7.4.1 All staff is responsible for the implementation of policy on waste
management.
7.4.2 Infection control Nurse is responsible to ensure that the staff comply by
the waste disposal policy.
7.4.3 Housekeeping supervisor is responsible to maintain the record of waste
generation.
7.4.4 In charge – STP (Engineering Services) shall be responsible for ensuring
proper working condition of the plant.
7.5 The Hospital shall practices the following waste management policies:
7.5.1 REDUCE: Generation of waste shall be reduced: Reduce waste
generation wherever possible – e.g. Minimize the use of disposable cups
for serving drinks and beverages in our restaurant, water dispensing
stations and other vending machines. Use non-PVC plastic materials
wherever possible.
7.5.2 REUSE: All staffs are responsible to identify reusable items in their
departments and reduce wastage. All staff in the hospital is encouraged

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 HOSPITAL DOC. NO: BMJH-G/E-NABH/POL/HIC 03
NABH STD REF. HIC/ 03/ a- e
INFECTION PREPARED DATE: 30.11.2020
CONTROL ISSUE DATE: 16.12.2020
ISSUE NO: 02
MANAGEMENT OF BIO- REV. NO 01
MEDICAL WASTE NEXT REV. DATE: 29.11.2021
DOCUMENT: MASTER COPY

to use reusable cups. Use one- sided blank paper for printing.
7.5.3 RECYCLE: Wastewater is recycled in STP (Sewage Treatment Plant)
according to standard methods to remove all organisms and reused for
watering plants and flushing.
7.6 TREATMENT OF WASTE:

Cat Waste class Type of container Colour Disposal

1.
Human anatomical waste Plastic bags Yellow Incineration
2. Puncture proof
Waste sharp plastic containers Yellow/White Deep burial.
3. Solid (biomedical

waste)- cotton Plastic bags Yellow Incineration

4. Solid (biomedical waste)

(plastic) Plastic bag Red Autoclaving and Shredding

5. Microbiology and Biotechnology Yellow (cotton,
waste (Culture swab, gauze)
swabs, stocks of specimen) Plastic bags /Red (plastics) Autoclave & Incineration

7.7 SEGREGATION AT SOURCE: The hospital follows the segregation of waste

according to colour code at the point of origin. The collection bins are provided
with liner bags of the appropriate colour and these are kept at places in the
hospital where there is a chance of waste generation.
7.8 TRANSPORTATION: The waste should be tied in liner bags when three-fourth
full. Handle the waste bag by holding the neck. Transport in separate trolleys. It
is ensured that there is no spillage of wastes during transportation. The waste is
transported to a room in which the waste is stored.
7.9 DISPOSAL:
7.9.1 Biomedical waste (Yellow and Red coded containers) & Sharps: The
bio medical waste and sharps is weighed and recorded and will be

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 HOSPITAL DOC. NO: BMJH-G/E-NABH/POL/HIC 03
NABH STD REF. HIC/ 03/ a- e
INFECTION PREPARED DATE: 30.11.2020
CONTROL ISSUE DATE: 16.12.2020
ISSUE NO: 02
MANAGEMENT OF BIO- REV. NO 01
MEDICAL WASTE NEXT REV. DATE: 29.11.2021
DOCUMENT: MASTER COPY

collected & treated by Anu Autoclave Agency on daily basis.

7.9.2 General waste (Green & white): General waste is collected by BBMP.
7.9.3 General waste – Bottles, plastics & metals: These non-infectious waste
items are sold as scrap.
7.9.4 Food waste: The food waste that is generated at the points of origin
are collected and collected by BBMP authorized vendor.
7.10 PROTECTIVE MEASURES:
7.10.1 Staff handling waste shall use protective wears, which includes
apron, shoes such as gum-boot, mask, head cover, gloves, eye
glasses(if required).
7.10.2 Training and awareness on the need and methods of handling &
disposal of waste are given to all staff on regular basis by
housekeeping in charge/ supervisor, Infection Control Nurse and
Quality Cell
7.10.3 .Vaccination against Hepatitis B & TT are given.
7.10.4 Post exposure prophylaxis are followed.

8.0 REFERENCE:
8.1 Pre Accreditation Entry Level Standards for Hospitals 1st Edition, April 2014
8.2 Chapter 5: Hospital Infection Control – HIC (3a – 3e)
8.3 WHO – Prevention of Hospital Acquired Infections,
WHO/CDS/CSR/EPH (www.who.int/emc).

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