SCHEDULE I
(See rule 3)

CATEGORIES OF BIO-MEDICAL WASTE

OPTION WASTE CATEGORY TREATMENT AND DISPOSAL
Category No1 Human Anatomical Waste  ( human tissues, organs , body parts) Incineration/Deep Burial 
Category No2 Animal waste  (animal tissues, organs , body parts carcasses, bleeding parts, fluid , blood and experimental animals used in research, waste generated by veterinary hospitals colleges, discharge from hospitals , animal houses) Incineration/Deep Burial
Category No3 Microbiology and Biotechnology Tissue  ( wastes from laboratory cultures, stocks or specimens of micro-organisms live or attenuated vaccines, human and animal cell culture used in research and infectious agents from research and industrial laboratories , wastes from production of biologicals , toxins , dishes and devices used for transfer of cultures) Local Autoclaving/Microwaving/Incineration
Category No4 Waste Sharps (needles, syringes, scalpels, blades, glass, etc. that may cause puncture and cuts. this includes both used and unused sharps) Disinfection (Chemical Treatment/Autoclaving/Microwaving and Mutilation /Shredding)
category no 5 Discarded Medicines and Cytotoxic Drugs (wastes comprising of outdated, contaminated and discarded medicines) Incineration/Destruction and Drugs Disposal in Secured Landfills
Category No6 Solid Waste ( items contaminated with blood , and fluids including cotton, dressings, soiled plaster casts, lines, bedding, other material contaminated with blood Incineration/Autoclaving/Microwaving
Category No7 Solid Waste (wastes generated from disposable items other than the waste sharps such as tubings, catheters, intravenous sets etc) Disinfection by Chemical Treatment, Autoclaving/Microwaving and Mutilation Shredding
Category No8 Liquid Waste ( waste granted form laboratory and washing, cleaning, house keeping and disinfecting activities) Disinfection by Chemical Treatment and Discharge into Drains 
Category No9 Incineration Ash Disposable in Municipal Landfill
Category No10 Chemical Waste (chemicals used in the production of biologicals, chemicals used in disinfection, as insecticides, etc.) Chemical Treatment and Discharge into Drains for Liquids into Drains for Liquids and Secured Landfill for Solids

SCHEDULE II
(See rule 6)

COLOR CODING AND TYPE OF CONTAINER FOR DISPOSABLE OF BIO-MEDICAL WASTES

Color Coding  Type of Container  Waste Category  Treatment options as per schedule I
Yellow  Plastic Bag Cat1, Cat2, Cat3 and Cat6 Treatment options as per schedule I
Red  Disinfected Containers /Plastic Bags Cat 3, Cat 6, Cat 7 Autoclaving/Microwaving/Chemical Treatment
Blue /White Translucent Plastic Bag/Puncture Proof Container Cat4 , Cat 7 Autoclaving/Microwaving/Chemical Treatment and Destruction /Shredding
Black Plastic Bag Cat 5, Cat 9 and Cat 10 Disposal in Secured Landfill 

Notes :

  1. Color coding of waste categories with multiple treatment options as defined in schedule I shall be selected depending on treatment of option chosen, which shall be specified in schedule I
  2. Waste collection bags for waste types needing incineration shall not be made of chlorinated plastics.
  3. Categories 8 and 10 (liquid) do not require containers/bags
  4. Category 3 if disinfected locally need not be put in containers/bags

SCHEDULE IV
(SEE RULE 6)

LABEL FOR TRANSPORT OF BIO-MEDICAL WASTE CONTAINERS /BAGS

Day................ Month..........

Year...........

Waste category no........... Date of generation..................

Waste class

Waste description

Senders name and address receiver's name and address

Phone no..................... Phone no.....................

Telex no..................... Telex no.....................

Fax no........................ Fax no........................

Contact person............. Contact person.............

In case of emergency please contact:

Name and address

Phone no.

No:

Label shall be non-washable and prominently visible.

SCHEDULE V
(See rule 5 and schedule 1)

STANDARDS FOR TREATMENT AND DISPOSAL OF BIO-MEDICAL WASTES

STANDARDS FOR INCINERATORS :

All incinerators shall meet the following operating and emission standards:

A. Operating standards

  1. Combustion efficiency (CE) shall be at least 99.00%
  2. The combustion efficiency is computed as follows


                            %CO2
    C.E= --------------------------------------
                        %CO2+ %CO

  3. The temperature of the primary chamber shall be 800 +_ 50-deg c
  4. The secondary chamber gas residence time shall be at least 1 second 1050 +_ 50 degrees centigrade with minimum 3% oxygen in the stack gas.

B. Emission standards

Parameters concentration mg/Nm3 at (12% CO2 correction)

  1. Particulate matter 150
  2. Nitrogen oxides 450
  3. HCL 50
  4. Minimum stack height shall be 30 meters above ground
  5. Volatile organic compounds in ash shall not be more than 0.01%

Note : Suitably designed pollution control devices should be installed/retrofitted with the incinerator to achieve the above emission limits, if necessary, Wastes to be incinerated shall not be chemically treated with any chlorinated disinfectants, Chlorinated plastics shall not be incinerated, Toxic metals in incineration ash shall be limited within the regulatory quantities as defined under the hazardous waste (management and handling rules) 1989. only low sulphur fuel like L.D.O / L.S. H.S/ Diesel shall be used as fuel in the incinerator.

STANDARDS FOR LIQUID WASTE :

The effluent generated from the hospital should conform to the following limits :

  • PARAMETERS PERMISSIBLE LIMITS
  • PH 6.5-9.00
  • Suspended solids 100 mg /1
  • Oil and grease 10 mg/1
  • BOD 30 MG/1
  • COD 250 mg/1
  • Bio-assay test 90 % survival of fish after 96 hours in 100 %
  • Effluent.

These limits are applicable to those hospitals, which are either connected with sewers without terminal sewage treatment plant or not connected to public sewers. For discharge into public sewers with terminal facilities, the general standards as notified under the environment (protection) Act, 1986 shall be applicable.

STANDARDS FOR MICRO WAVING

  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/routine tests and a performance guarantee may be provided by the supplier before operation of the unit.
  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 indictors for the microwave shall be bacillus subtilis spores using vials or spore strips with at least 1*10 to the power of 4 spores per milliliter.

STANDARDS FOR DEEP BURIAL

  1. A pit or trench should be dug about 2 meters deep. It should be half filled with waste then covered with lime within 50 cm of the surface, before filling the rest of the pit with soil.
  2. It must be ensured that animals do not have any access to burial sites. Covers of galvanized iron/wore 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 site so as to ensure that no contamination occurs of any surface water or ground water. The area should not be prone to flooding or erosion.
  7. The location of deep burial site will be authorized by the prescribed authority.
  8. The institution shall maintain a record of all pits for deep burial.
     

SCHEDULE VI

SCHEDULE FOR WASTE TREATMENT FACILITIES LIKE INCINERATOR / AUTOCLAVE/MICROWAVE SYSTEM

A. Hospitals and nursing homes in towns with population of 30 lakhs and above by 31st December, 1999 or earlier
B. Hospitals and nursing homes in towns with population Below 30 lakhs  
  (a) With 500 beds and above by 31st December, 1999 or earlier
  (b) With 200 beds and above but less than500 by 31st December, 2000 or earlier
  (c) With 50 beds and above but less than 200 by 31st December, 2001 or earlier
  (d) With less than 50 beds     by 31st December 2002 or earlier
C. All other institutions generating bio-medical waste by Not included in A and B above by31st December 2002 or earlier