My No: CMLS.

SL/Lab Manual/WM/2018
2018.11.10

LABORATORY WASTE DISPOSAL GUIDELINE

1.0 Introduction
Laboratory waste Management Guideline provide procedural information for laboratory workers to
follow when disposing of waste generated in laboratories in order to minimize risks associated with
the disposal of laboratory waste. These guidelines apply to all workers, and visitors who work within a
laboratory environment

Three General Principles in Waste Management

1. All potential waste streams that arise from laboratory operations needs to be assessed
2. An appropriate disposal route selected prior to waste being generated.
3. Waste should be collected in a suitable container and labelled. See Appendix 1 – Summary of
Hazardous Waste Streams.

1.1 Focal points

 Minimize waste and do not accumulate large amounts in the laboratory. Regular disposal from
the laboratories must be part of the laboratory WHS program.
 Segregate waste - have a separate residue container if you are generating a large amount of any
particular type of waste. Ensure the waste container is compatible with the waste you are
collecting.
 Label the waste residue container with the appropriate waste label.
 Store waste in a suitable area prior to collection. For example, chemicals and solvents should
be stored in ventilated areas and residue container lids must be secure. Ensure container is not
leaking and no spillage on the exterior of the container. Primary container should be placed in
a suitable bund.
 Handle waste only if you are aware of the hazards associated with the waste and appropriate
risk controls are used.
 Dispose waste as per relevant guidelines.
 Record all disposal on Waste Tracking Log to ensure evidence of correct waste management.

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1.2 Mixed Hazardous Waste
Waste that contains multiple hazards is classified as “co-mingled”. Co-mingled hazardous waste
should be disposed in a manner that best addresses ALL hazards. Segregation of the same type of
waste contaminated with different hazards may be necessary.

Eg: contaminated sharps into separate, labelled containers to segregate chemical and biological
contamination. Never mix incompatible waste in the one bin or bag.

2.0 Hazardous Waste

2.1 Chemically Contaminated Waste
Filter paper, gloves, tissues, paper towel, bench coat, spent silica, and sample vials that have been
contaminated with hazardous chemicals should be placed directly into a chemically contaminated
waste bin or bag.

Bin colour: Yellow base with orange lid

Final disposal method: incineration

Special Exceptions for Chemically Contaminated Waste

 Always it should determine chemical compatibility and recommended waste disposal
procedures. Certain chemicals require specific disposal procedures.
 Explosive, Spontaneously Combustible and Dangerous when Wet waste cannot be disposed by
regular methods.
 Halogenated solvent waste is collected in waste containers, and clearly labelled as halogenated
solvent. Halogenated waste must be kept separate to other organic solvents as mixtures can
react or even explode (mixtures of acetone and chloroform).
 Cyanide waste must be placed in an appropriate waste container and the solution kept alkaline
at all times.
 Highly reactive substances such as amines, phosphorus compounds, acetic anhydride, acetyl
chloride and reactive metals should never be placed in general disposal containers with other
waste.
 Gels contaminated with ethidium bromide or similar products must be treated as Cytotoxic
waste.
 Most scheduled poisons are disposed as outlined in the Hazardous Waste Disposal Guidelines.
 For disposal of hydrofluoric acid waste, refer to Hydrofluoric Acid Management Guidelines.

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 2.2 Chemicals Waste
Bin colour: yellow base with orange lid
Final disposal method: incineration

Waste chemicals can take various forms including solvents, aqueous solutions, dry powders, and
unwanted old chemicals. The SDS for each chemical must be checked to ensure compatibility of
materials for mixed chemical residue containers. Where possible, mixing of chemicals should be
avoided to prevent unexpected reactions from occurring. A bulging waste container must be dealt with
immediately.

The waste container should be compatible with the residue material placed within. If the waste is a
liquid, residue containers are approved strong, plastic sealable containers. Only containers up to 5
litres can be accepted by the Waste Store. Containers up to 20L can be collected from their location ( a
Waste Tracking Log is to be taken to the Waste Store in place of the container). No hazardous
chemical substances should be disposed down drains. Generally chemical waste should be segregated
according to its properties, such as:
 Aqueous acidic
 Aqueous alkaline
 Halogenated
 Non-halogenated
 General hazardous waste – powders etc.
 Toxic
 Cytotoxic

Completed Hazardous Waste labels should be put to the hazardous waste residue container. If a
chemical reagent bottle has lost its label and the identity of the substance is unknown, label with
“Caution unknown substance - Do not use”. These bottles can be taken directly to Waste Store for pick
up.

Hazardous waste is collection day and time should be defined at the Waste Store and Store opening
dates should be listed and sent to each department.

A Waste Tracking Log is required when leaving waste at the Waste Store. It is advisable for each
laboratory to keep a copy of the Waste Tracking Log.

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 2.3 Cytotoxic Waste
Cytotoxic waste is any substance contaminated with any residue or preparations that contain materials
that are toxic to cells principally by their action on cell reproduction. All cytotoxic waste (class 6.1)
should be placed in an approved purple cytotoxic bag or container. When the residue container is full,
place in purple labelled cytotoxic waste wheelie bin kept in secure area. Although the final disposal
method for cytotoxic waste is the same as chemically contaminated waste, it must be treated more
securely prior to incineration due its mutagenic potential.

Bin colour: purple base with purple lid

Final disposal method: incineration

2.1 Ethidium Bromide

Ethidium bromide can expose users to hazards such as toxic, mutagenic, carcinogenic, and other
secondary hazards dependent on its use. The decision to use products such as ethidium bromide should
be assessed early as substitutes such as GelRed may provide a similar outcome with much lower
hazards, and final disposal should be considered at this early assessment stage.

Liquid Waste
Eg: buffer solutions, stock solutions, discarded disinfectants, discarded Formalin, infected secretions,
aspirated body fluids, liquid from laboratories and floor washings, cleaning, house-keeping and
disinfecting activities, silver X Ray developing liquid etc
 Keep record of amount of EtBr in solution
 Place in spill proof container with bunding or secondary containment
 Apply Cytotoxic Waste Disposal Identification Label (and label for any secondary hazards)
Dispose via Hazardous Waste Store

The chemical liquid waste of the hospital must be collected through a separate drainage system
leading to an Effluent Treatment Plant (ETP). Hospitals with large laboratory shouldl install ETP for
separate collection and disinfection of infectious waste from laboratory prior to mixing the same with
rest of the wastewater from hospital for further treatment. For middle and small healthcare facilities
having no system of separate ETP the liquid waste is needed to be onsite chemically disinfected with
chlorine solution in a tank before mixing the same with other wastewater.

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Solid Waste
Eg: gels, powder, contaminated consumables (eg gloves, paper, used tea bags, etc)
 Place waste in laboratory bin lined with purple cytotoxic bag
 If deemed is necessary, first put waste in sealed bag/container to avoid unnecessary exposure
or contact
 When bin/bag is full, place in larger secure purple base/purple lid cytotoxic bin which is in a
secure location

2.4 Biological/Clinical, GMO and Biosecurity Waste

Biological/clinical and GMO waste must be rendered non-viable before disposal. This generally
means autoclaving. Where applicable, any biosecurity waste must be effectively contained and
disposed in a manner approved by the Department of Agriculture and Water Resources. Waste that has
been chemically treated must NOT be autoclaved. Please see the Biosafety Manual for further
information.

Bin colour: yellow base with yellow lid

Final disposal method: autoclave then landfill. Disposal of the anatomical waste in the deep burial pit
should not be practiced unless the hospitals is located in remote isolated place. Use of deep burial pit
should be as authorised by the respective officer. This waste should be disposed through twin
chambered compact incinerator with 2 seconds retention time in secondary combustion chamber and
air pollution control devices as specified. Items contaminated with blood, body fluids like dressings,
plaster casts, cotton swabs (soiled waste) should be disposed through twin chambered compact
incinerator with 2 seconds retention time in secondary combustion chamber and air pollution control
devices as specified. Soiled waste can also be disposed in captive deep burial pits only in case of the
hospitals located in remote isolated place. Use of deep burial pit should be as authorized.

All the microbiological waste, blood bags, cultures, dishes and other highly infectious waste is needed
to be pre-treated by disinfection up to microbial kill before handing over the waste. Pre-treatment
should be done by autoclave / microwave / hydroclave. Disinfection can also be adopted as pre-
treatment method by using non-chlorinated chemical disinfectants like calcium oxide, phenolic
compounds etc. The pre-treated waste bags should be handed over on daily basis. Incineration in twin
chambered compact incinerator with 2 seconds retention time in secondary combustion chamber and
air pollution control devices Pre-treated waste can be disposed in captive deep burial pits in case of the
hospitals located in remote isolated place. Use of deep burial pit should be as authorized.

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 2.5 Sharps Waste
Sharps are objects or devices that have acute, rigid corners, edges, points or protuberances capable of
cutting or penetrating the skin e.g. hypodermic needles, broken glass, scalpel blades, lancets, syringes
with needles, razor-blades.

Bin colour: yellow (general) or purple (cytotoxic) approved sharps container

 Place any sharps in approved sharps container.
 Sharps containers should be located adjacent to the work area where sharps are used for easy
access.
 Sharps may also be contaminated with toxic, infectious or radioactive materials. These sharps
should be placed into separate sharps containers which are then labelled appropriately
according to the type of primary contamination (chemically contaminated, biohazardous,
radioactive, and cytotoxic).
 When the sharps residue container is filled to the “fill line”, seal container, affix Hazardous
Waste label (if required), and place in appropriate wheelie bin.
 Do not overfill container - only fill to “fill line” marked on container.

Final disposal method: Dependent upon primary contamination. Dispose of the sharp after
chemical disinfection and dispose in captive concrete waste sharp pit. Alternatively treat by
Autoclaving or Dry Heat Sterilization followed by shredding or mutilation or encapsulation in
metal container; combination of shredding cum autoclaving prior to disposal in sharp pit and send
to iron foundries

Suggested Standard for disposal of Sharp wastes.

 A sharp pit must be constructed within the hospital premise to dispose of the sharp waste
generated from the facility.
 Sharp pit must be a 1mt×1mt×1mt concrete lined protected pit with a cemented lid.
 Disposal of the sharp containers need to be done by discarding the containers in entirety
 into the sharp pits.
 Encapsulation of the waste sharp for prevention of reuse may be done with use of binding
 material like cement or clay. The filled needle containers can be placed in the sharp pits up to
3/4th of the capacity of the pit. An immobilizing material such as cement or clay is added to
the pit. Once dry, the sharp pit is sealed. Another sharp pit is created for further use.

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 2.6 Glass Waste
Bin colour: green base with brown lid (brown glass)
green base with white lid (clear glass)
Final disposal method: recycling after autoclaving or Dispose of in sharp pits.

Glass, whether broken or unbroken, should not be placed in general waste bins. The bottle cap can be
removed and disposed in the general waste bin. Once clean, place glass in waste bin based on glass
colour. When the laboratory glass bin is ¾ full, the lid should be placed on the bin and the contents
transferred to the larger solid waste bins.

Broken Glass
Broken glass should be treated as Sharps waste. If pieces of broken glass are too large for a sharps
container, they should be placed into an impervious container with a secure lid, and then placed in
appropriate wheelie bin.

Contaminated Glass
Any glass that has been contaminated, and unable to be safely decontaminated, should be treated as
other waste of the same hazard eg: Chemically Contaminated Waste Biological/Clinical, GMO and
Biosecurity Waste, cytotoxic. Contaminated glass containers or laboratory glass such as beakers,
volumetric flasks of other Pyrex items cannot be placed in general recycling bins.

2.7 Radioactive Contaminated Waste

Bin colour: red base with red lid
Final disposal method: dependent on primary hazard

Radioactive waste should be packaged according to its primary hazard eg: Chemically Contaminated
Waste or Biological/Clinical, GMO and Biosecurity Waste. It will be kept in the Radioactive Waste
Store to “delay and decay” prior to final disposal as non-radioactive waste.

Please see Radioactive Waste Disposal Guidelines for further information.

2.8 Compressed Gas

When a compressed gas cylinder is empty, contact the manufacturer / supplier for return. Empty
aerosol cans can be disposed in the recycling bin. Full or partially used cans can be taken to the Waste
Store where they will be placed in a segregated bucket until collection.

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 3.0 General Waste
General waste consists of all the waste which has not been in contact with any hazardous or infectious,
chemical or biological secretions and does not include any waste sharps. This waste consists of mainly
the papers, cardboards, food, textile, general discharge, , C&D wastes, horticulture wastes, etc. These
general wastes are further classified as dry wastes and wet wastes and should be collected separately.

Figure 01: Format for Biomedical Waste Register

4.0 Medical Waste

The Management of Hazardous wastes can overall be summarized as in Figure 02

Figure 02: Steps in Hazardous Waste Management

Following are the responsibility for management and handling of Hazardous waste:

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  Hazardous Waste should be segregated at the point of generation by the person who is
generating the waste in designated colour coded bin/ container 

 Hazardous Waste and General Waste shall not be mixed. Hazardous Waste and General Waste
shall not be mixed. Storage time of waste should be as less as possible so that waste storage,
transportation and disposal is done within 48 hours.
 Chlorinated plastic bags for collection of biomedical waste should not be used. All efforts
should be made to minimize the chlorinated plastics in Hazardous waste. 

 Secondary handling of waste should not be done at healthcare facility.
 Only Laboratory and Highly infectious waste should be pre-treated onsite before sending 
for
final treatment or disposal.

 All bags or containers containing segregated Hazardous waste should be labelled before such
waste goes for final disposal.
 Responsibility of various categories of staff in regards to BMW Management is given in the
Table 01.

Management Activity Functional Responsibility Overall Responsibility

Segregation at source
Collection
Transportation to Interim Storage
Area
Transport to Central Storage Area
Storage and Handover
Disposal (by deep burial pits
Updating of Bio Medical Waste
Register
Submission of Reports
Authorization
Updating and Display of Reports on
Website (If available)
Monitoring of Activities of Hazardous
Waste Management

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4.1 Hazardous waste Segregation
It is required segregate waste at the point of generation as per the colour coding mentioned above

Activities to ensure that proper waste segregation

 Waste must be segregated at the point of generation (location where wastes initially generate,
accumulate and is under the control of Health care staff) of source and not in later stages.
 Display work instructions like posters for waste segregation at the point of generation
 Provide proper sized and adequate number of color coded bins, bags and containers at
 the point of generation as per the expected
 Provide PPEs to waste handlers for waste segregation and collection.
 Posters / placards for bio-medical waste segregation should be installed at the point of
generation.
 Adequate number of colour coded bins / containers or bags should be available at the point of
generation of bio-medical waste.
 Provide Personnel Protective Equipment to the bio-medical waste handling staff.

3.2 Hazardous waste Collection

3.1 Time of Collection

 Bio-medical waste should be collected on daily basis from each ward of the hospital at
a fixed interval of time. There can be multiple collections from wards during the day.
 It should ensure the collection, transportation, treatment and disposal of bio-medical
waste within 48 hours.
 Collection times should be fixed and appropriate to the quantity of waste produced in
each area.
 General waste should not be collected at the same time or in the same trolley in which
hazardous waste is collected.
 Collection should be daily for most wastes, with collection timed to match the pattern
of waste generation during the day.
 Hazardous l waste collected by the staff should be provided with PPEs.

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 3.2 Packaging
 Hazardous waste bags and sharps containers should be filled to no more than three
quarters full. Once this level is reached, they should be sealed ready for collection.
 Plastic bags should never be stapled but may be tied or sealed with a plastic tag or tie.
 Replacement bags or containers should be available at each waste-collection location so
that full ones can immediately be replaced.
 Colour coded waste bags and containers should be printed with the bio-hazard symbol,
labelled with details such as date, type of waste, waste quantity, senders name and
receivers details as well as bar coded label to allow them to be tracked till final
disposal.
 Ensure that Bar coded stickers are pasted on each bag as per the guidelines

3.3 Labeling
All the bags/ containers/ bins used for collection and storage of hazardous waste, must be labelled with
the warning Symbol of Bio Hazard or Cytotoxic Hazard as the case may be as per the type of waste

Figure 03: Labels used in Waste Management

All the bags and containers to be transported must also be labeled with following details:
 Date of Generation
 Type of waste category
 Waste Quantity in kg
 Name and Address of the hospital
 Contact Person Name and Phone Number
 Contact Details in case of any Emergency
 Receivers contact details ( Name, Address and Contact Details)

Please Refer to Annexure: Label for Hazardous Waste Containers & Bags
Please refer to Annexure: Label for Transporting of hazardous Waste and Containers

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 Figure 04: Label for collected Waste Bag

3.4 Interim Storage

Interim storage of hazardous waste is discouraged in the laboratory.
 If waste is needed to be stored on interim basis in the departments it must be stored in the dirty
utility/sections.
 No waste should be stored in patient care area and procedures areas such as Phlebotomy area
and specimen collection area. All infectious waste should be immediately removed from such
areas.
 In absence of dirty utilities/ sections such hazardous waste must be stored in designated place
away from patient and visitor traffic or low traffic area.

5.0 In house Transportation of Hazardous waste

5.1 Transportation Trolleys and Carts
 In house transportation of hazardous Waste from site of waste generation/ interim storage to
central waste collection center, within the premises of the hospital must be done in closed
trolleys / containers only preferably fitted with wheels for ease transportation.
 Such trolleys or carts are designated for the purpose of hazardous Waste Collection ONLY.
Patient/Specimen trolleys must not be used for waste transportation.
 Size of such waste transport trolleys should be as per the volume of waste generated from the
laboratory.

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 Figure 07: Examples of Waste Collection Trolleys for Transportation:

4.2 Route of intramural transportation of hazardous waste

Hazardous Waste Generated from laboratories in the Health care facilities must be transported in the
covered trolleys/carts through a route which has low traffic flow of patients and visitors.

Route of transportation preferably be planned in such a way that:

 Transportation does not occur through high risk areas
 Supplies and waste are transported through separate routes.
 Waste is not transported through areas having high traffic of patients and visitors
 Central Waste collection area can be easy accessed through this route
 Safe transportation of waste is undertaken to avoid spillage and scattering of waste

5.0 Storage of Waste

5.1 Central Waste Collection Area
Each Healthcare facility should ensure that there is a designated waste collection center situated within
its premises for storage of bio-medical waste, till the waste is transported for treatment and disposal.
Such center is manned and is under lock and key under the responsibility of a designated person. It is
to be ensured that the center is kept ventilated through the use of exhaust fan or by providing guarded
space for proper ventilation.

5.2 Suggested Guidelines for Construction of Central Waste Collection Area

 The location of central waste collection station must be away from the public/ visitors access.
 The space allocation for this station must be as per the quantity of waste generated from the
hospital.
 The planned space must be sufficient so as to store at least two days generation of waste.
 The planned space must also include space provisions for storage of waste collection
 trolleys.

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  Such center must be roofed and manned and is under lock and key under the responsibility
 of designated person.
 The entrance of this center must be accessible through a concrete ramp for easy
 transportation of waste collection trolleys.
 Flooring should be of tiles or any other glazed material with slope so as to ease the cleaning
 of the area.
 During construction it is to be ensured that the center is kept ventilated through the use of
 exhaust fan or by use of wire meshes for ventilation.
 It is to be ensured by the health care facility that such central storage station is safety
 inspected for potential fire hazard and based on such inspection preventive measure has to
 be taken by the health care facility like installation of fire extinguisher, smoke detector etc.
 There should also be provision for water supply adjacent to central waste storage area for
 cleaning and washing of this station and the containers. The drainage from the storage and
 washing area should be routed to the Effluent Treatment Plant.
 Sign boards indicating relevant details such as contact person and the telephone number
 should be provided.
 The entrance of this station must be labeled with “ENTRY FOR AUTHORIZED PERSONAL
 ONLY” and Logo of hazardous Waste Hazard.
 It is to be ensured that no general waste is stored in the central waste collection area.

Other Considerations for Central Waste Collection Area

 To ensure there is no pilferage of recyclables, it is to be ensured that central storage area is
under lock & key, guarded by a designated person.
 Healthcare facilities need to maintain the record of waste generated and handed over to the
authorized recyclers.
 To ensure protection from the animals, it is to be ensured by the health care facility that there is
no stray animal in the health care facility premises and health care facility has installed cattle
traps at the entrance of the health care facility.
 To ensure protection against the pests it is to be ensured by the HCFs that it has engagement of
the pest control agency for taking the pest control measures in the central storage area on
regular basis.

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 6.0 Handing over the Hazardous Waste
6.1 Minimum Requirements
Following Steps are needed to be undertaken by Health Care Facility while handing over the bio
medical waste.
 All the hazardous waste should be collected in the colour coded bags/ bins/ containers and
should not be mixed with the general waste generated by the health care facility.
 All the bags or containers containing bio- medical waste, to be sent out of the premises must
also be labeled as per BMWM Rules and also with the unique bar code.
 Collect or receive a receipt generated from bar-code scanning system.
 The laboratory must ensure that there is no secondary handling of the waste (the waste is
handed over directly from laboratory to central waste collection center).
 Each bag should be labelled with barcode for identification of waste and ensure that the details
of weight and time of collection
 All the bags/ containers used for collection and storage of hazardous waste must be labeled as
described earlier.
 It is the responsibility to ensure that any untreated anatomical waste; soiled waste should not
be stored in the health care facility's waste collection area beyond a period 48 Hours.
 If the waste collection agency does not collect the waste within agreed time, which must not
exceed beyond 48 hrs, it is the responsibility to immediately notify to the prescribing authority
about any such lapse.

Standards for Deep Burial

 A pit or trench should be dug about two meters deep. It should be half filled with waste, and
then covered with lime within 50 cm of the surface, before filling the rest of the pit with soil.
 It must be ensured that animals do not have any access to burial sites. Covers of galvanized
iron or wire meshes may be used.
 On each occasion, when wastes are added to the pit, a layer of 10 cm of soil shall be added to
cover the wastes.
 Burial must be performed under close and dedicated supervision.
 The deep burial site should be relatively impermeable and no shallow well should be close
 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. The location of the deep burial site shall be authorized
 The institution shall maintain a record of all pits used for deep burial.
 The ground water table level should be a minimum of six meters below the lower level of deep
burial pit.

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Management Responsibility
Each healthcare facility has to perform certain roles and responsibility in order to successfully
implement the Bio Medical Waste Management process.
 Handling of waste through waste segregation, collection, its pre-treatment and storage
activities ensuring protection of environment and human health from any adverse effect, which
laboratory.
 There should be a person having administrative control on waste management in the
laboratory.
 The In charge of the laboratory should (Define with designation) 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 environmental authority ensuring properly segregated,
handled, stored, packaged, transported and disposed of, as per these guidelines to ensure
successful implementation of hazardous waste management.
 Ensure that all the legal requirements related to the Bio Medical Waste Management are
complied with and are regularly updated 

 Ensure that annual reports and accidents reports are submitted in a timely manner. 

 Ensure that bio-medical waste is handled without any adverse effect to human health and the
environment. 

 Make a provision within the premises for a safe, ventilated and secured location for storage of
segregated biomedical waste 

 Ensure that there shall be no secondary handling, pilferage of recyclables or inadvertent
scattering or spillage by animals
 Ensure that bo-medical waste from central waste collection storage or premises shall be
directly transported to the common bio-medical waste treatment facility for the appropriate
treatment and disposal 

 Ensure pre-treatment of all the laboratory waste, microbiological waste, blood samples and
blood bags before handling to over to for final disposal.
 Ensure that the solid waste other than BMW is disposed of as per relevant rules and laws and
there is no mixing of hazardous/biomedical and solid waste 

 Ensure all the staffs of HCFs are provided regular training on BMW handling both at the time
of induction and on annual basis as well 

 Ensure occupational safety of all the employees through annual health checkups, immunization
and provisions of appropriate and adequate PPEs 

 Ensure that biomedical/hazardous waste Register is maintained & updated on day to day basis.

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 Ensure that monthly and annual records of the waste generated from the facility is 
uploaded
on its own website as well as on State Pollution Control Website(SPCB) 

 Immediately inform the SPCB in case of any lapse by waste collection agency in collection of
waste.
 Ensure that all the activities of waste management are monitored and reviewed 

 Ensure that the committee formed for monitoring and review of BMW management is 

functioning properly.
 Ensure that all the records related to BMW Management are maintained.
 Ensure that all the requirements related to establishment of a treatment facility within its 

premises are fully complied with 
All the listed responsibilities are detailed in these guidelines,
laying down all the steps which are needed to be undertaken by health care facility in order to
fulfill these responsibilities.
 Establish an accident reporting system
 Record maintenance and define record retention period
 Ensure Occupational safety
o Providing adequate and appropriate Personal Protective Equipment (PPE) to the staff
handling Bio Medical Waste 

o Conducting health check-up of all the employees at the time of induction and also at
least once in a year.
o Ensure that all the staff of the health care facility involved in handling of BMW is
immunized at least against the Hepatitis B and Tetanus.
o Taking remedial steps in accordance to any accident occurred.
o Ensure wearing PPE by all health care workers

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Budget Allocation for Waste Management
Ministry of health should allocate annual budget foe waste management implementation as per the
requirement of hospital laboratories and maintain the un interrupted waste management process

Monitoring and Review

In order to ensure that these guidelines continue to be effective and applicable to the Institution, the
program will be reviewed regularly by the relevant stakeholders. Conditions which might warrant a
review of the guidelines on a more frequent basis would include:
 An injury or near miss resulting from laboratory waste disposal
 Incidents related to laboratory waste disposal
 Changes to legislation and associated standards
 workplace concern.

Following completion of any review, the program will be revised and, if necessary, updated in order to
correct any deficiencies.

Related Documents
 Biosafety Manual
 Hazardous Waste Disposal Flowchart
 Hazardous Waste Disposal Guidelines
 Hazardous Waste Management Contact List
 Radioactive Waste Disposal Guidelines
 Working with Sharps Guidelines
 Laboratory Waste Disposal SOPs

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Annexure: Preparation of Sodium Hypochlorite solutions

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