SCHEDULE I
(See rule 3)
CATEGORIES OF BIO-MEDICAL WASTE
OPTION
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WASTE CATEGORY
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TREATMENT AND DISPOSAL
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Category No1
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Human Anatomical Waste ( human tissues, organs , body parts)
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Incineration/Deep Burial
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Category No2
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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)
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Incineration/Deep Burial
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Category No3
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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
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Category No4
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Waste Sharps (needles, syringes, scalpels, blades, glass, etc. that may cause
puncture and cuts. this includes both used and unused sharps)
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Disinfection (Chemical Treatment/Autoclaving/Microwaving and Mutilation /Shredding)
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category no 5
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Discarded Medicines and Cytotoxic Drugs (wastes comprising of outdated, contaminated
and discarded medicines)
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Incineration/Destruction and Drugs Disposal in Secured Landfills
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Category No6
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Solid Waste ( items contaminated with blood , and fluids including cotton,
dressings, soiled plaster casts, lines, bedding, other material contaminated with
blood
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Incineration/Autoclaving/Microwaving
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Category No7
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Solid Waste (wastes generated from disposable items other than the waste sharps
such as tubings, catheters, intravenous sets etc)
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Disinfection by Chemical Treatment, Autoclaving/Microwaving and Mutilation Shredding
|
Category No8
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Liquid Waste ( waste granted form laboratory and washing, cleaning, house keeping
and disinfecting activities)
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Disinfection by Chemical Treatment and Discharge into Drains
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Category No9
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Incineration Ash
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Disposable in Municipal Landfill
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Category No10
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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
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Type of Container
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Waste Category
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Treatment options as per schedule I
|
Yellow
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Plastic Bag
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Cat1, Cat2, Cat3 and Cat6
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Treatment options as per schedule I
|
Red
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Disinfected Containers /Plastic Bags
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Cat 3, Cat 6, Cat 7
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Autoclaving/Microwaving/Chemical Treatment
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Blue /White Translucent
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Plastic Bag/Puncture Proof Container
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Cat4 , Cat 7
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Autoclaving/Microwaving/Chemical Treatment and Destruction /Shredding
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Black
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Plastic Bag
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Cat 5, Cat 9 and Cat 10
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Disposal in Secured Landfill
|
Notes :
- 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
- Waste collection bags for waste types needing incineration shall not be made of
chlorinated plastics.
- Categories 8 and 10 (liquid) do not require containers/bags
- 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
- Combustion efficiency (CE) shall be at least 99.00%
- The combustion efficiency is computed as follows
%CO2
C.E= --------------------------------------
%CO2+ %CO
- The temperature of the primary chamber shall be 800 +_ 50-deg c
- 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)
- Particulate matter 150
- Nitrogen oxides 450
- HCL 50
- Minimum stack height shall be 30 meters above ground
- 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
- Microwave treatment shall not be used for cytotoxic, hazardous or radioactive wastes,
contaminated animal carcasses, body parts and large metal items.
- 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.
- 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
- 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.
- It must be ensured that animals do not have any access to burial sites. Covers of
galvanized iron/wore 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 to the site
- 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.
- The location of deep burial site will be authorized by the prescribed authority.
- 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.
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Hospitals and nursing homes in towns with population of 30 lakhs and above
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by 31st December, 1999 or earlier
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B.
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Hospitals and nursing homes in towns with population Below 30 lakhs
|
|
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(a) With 500 beds and above
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by 31st December, 1999 or earlier
|
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(b) With 200 beds and above but less than500
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by 31st December, 2000 or earlier
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(c) With 50 beds and above but less than 200
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by 31st December, 2001 or earlier
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(d) With less than 50 beds
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by 31st December 2002 or earlier
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C.
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All other institutions generating bio-medical waste by Not included in A and B above
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by31st December 2002 or earlier
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