To ensure compliance with Bio-Medical Waste Management Rules 2016 and all subsequent amendments in letter and spirit across all areas of the medical college and hospital.
To establish and maintain a comprehensive Bio-Medical Waste Management System that ensures safe handling of bio-medical waste from generation to final disposal.
To minimize generation of bio-medical waste through source reduction, optimization of waste generation practices, and adoption of environment-friendly alternatives.
To ensure proper segregation of bio-medical waste at the point of generation according to color-coded categories as per Schedule I of BMW Rules 2016.
To protect the health and safety of patients, healthcare workers, support staff, waste handlers, public, and environment from hazards associated with bio-medical waste.
To create awareness and build capacity among all stakeholders about safe bio-medical waste management practices through regular training and education programs.
To ensure occupational safety of all healthcare workers and waste handlers through provision of personal protective equipment, immunization, and health check-ups.
To maintain authorization from Bihar State Pollution Control Board for generation and handling of bio-medical waste and ensure timely renewal.
To establish effective coordination with Common Bio-Medical Waste Treatment Facility (CBMWTF) for timely collection, transportation, and disposal of segregated waste.
To implement bar-coding system and maintain comprehensive documentation and record-keeping as mandated by BMW Rules 2016.
The Committee shall have the following functions and powers:
To develop, review, update, and implement the Bio-Medical Waste Management Plan and Standard Operating Procedures (SOPs) for:
Waste generation assessment and quantification
Segregation at source according to color-coded categories
Collection and transportation within hospital premises
Temporary storage in designated areas
Pre-treatment of laboratory and microbiological waste
Handing over to CBMWTF
Record keeping and reporting
Emergency response to spills and accidents
To ensure compliance with BMW Rules 2016 regarding:
Segregation of bio-medical waste into appropriate color-coded categories (Yellow, Red, White, Blue) as per Schedule I
Use of non-chlorinated plastic bags meeting Bureau of Indian Standards
Pre-treatment of laboratory waste, microbiological waste, blood samples through disinfection or sterilization on-site
Phase-out of chlorinated plastic bags and gloves (excluding blood bags, urine bags, effluent bags)
Storage timelines (not beyond 48 hours for human anatomical waste, animal anatomical waste, soiled waste, biotechnology waste)
Treatment and disposal options specified in Schedule I
Compliance with emission standards specified in Schedule II
Labeling and transportation requirements as per Schedule IV
To obtain and maintain valid Authorization from Bihar State Pollution Control Board:
Submit application in Form II for grant of authorization
Ensure renewal of authorization as per stipulated timelines
Submit annual report in Form IV to BSPCB on or before 30th June every year
Display authorization certificate at prominent location
Inform BSPCB of any changes in waste generation, handling, or treatment processes
To establish and maintain proper waste segregation system:
Provide adequate number of color-coded bins/containers at all waste generation points (wards, ICUs, OTs, OPDs, laboratories, blood bank, radiology, administrative areas)
Ensure availability of appropriate color-coded bags (yellow non-chlorinated, red non-chlorinated, white puncture-proof, blue)
Display waste segregation charts in English and Hindi at all locations
Ensure proper labeling of bags/containers with biohazard symbol and category
Monitor segregation compliance through regular inspections
To ensure proper handling of different categories of bio-medical waste:
Yellow Category: Human anatomical waste, animal anatomical waste, soiled waste, expired medicines, chemical waste, chemical liquid waste, discarded linen contaminated with blood, microbiology and biotechnology waste
Red Category: Contaminated recyclable waste (tubing, bottles, IV sets, catheters, urine bags, syringes without needles, gloves)
White Category: Sharps including needles, syringes with fixed needles, blades, lancets
Blue Category: Glassware (broken or discarded), metallic body implants
To establish pre-treatment facilities and ensure on-site treatment:
Install and maintain autoclaves or microwaves for pre-treatment of laboratory waste, microbiological waste, blood samples, and blood bags
Ensure sterilization to Log 6 or disinfection to Log 4 as per WHO guidelines before sending to CBMWTF
Maintain autoclaving records with date, time, temperature, pressure, cycle duration, waste quantity
Chemical disinfection of liquid waste before discharge to effluent treatment system
Separate collection system for chemical liquid waste leading to effluent treatment
Ensure pre-treatment and neutralization of liquid chemical waste prior to mixing with other effluent
To ensure safe storage of bio-medical waste:
Designate separate, secured, well-ventilated storage area for each category of waste
Ensure storage areas have impervious flooring, adequate lighting, water supply, and drainage
Display appropriate signage and biohazard symbols
Restrict access to authorized personnel only
Ensure waste is not stored beyond prescribed time limits (48 hours for high-risk categories)
Maintain separate storage for sharps containers to prevent injuries
Keep storage areas clean, disinfected, and free from rodents and insects
To coordinate with Common Bio-Medical Waste Treatment Facility (CBMWTF):
Enter into agreement with authorized CBMWTF for collection, transportation, treatment, and disposal
Ensure CBMWTF has valid authorization from Bihar State Pollution Control Board
Schedule regular collection as per agreed timelines (daily, alternate days, or as required)
Handover only properly segregated waste in color-coded bags with proper labeling
Obtain collection receipts/challans for every pickup with weight and category details
Inform BSPCB immediately if CBMWTF does not collect waste within intended time
Periodic visits to CBMWTF to verify treatment processes
Maintain liaison for emergency situations
To implement bar-coding and tracking system:
Establish bar-code system for bags or containers containing bio-medical waste sent out of premises
Ensure each bag/container has unique identifier for tracking
Maintain database linking bar-codes with waste category, weight, date, time, and disposal details
Comply with CPCB guidelines on bar-coding and GPS tracking
Integrate bar-coding with hospital information system for seamless documentation
To ensure occupational safety and health of waste handlers:
Provide adequate and appropriate Personal Protective Equipment (PPE) to all waste handlers:
Heavy-duty puncture-proof gloves
Aprons or gowns
Face shields or goggles
Masks (N95 or appropriate)
Gumboots or closed-toe shoes
Caps
Ensure mandatory use of PPE during waste handling activities
Replace damaged or worn-out PPE immediately
Provide facilities for washing and decontamination of reusable PPE
To implement immunization program for waste handlers and healthcare workers:
Ensure immunization of all healthcare workers and waste handlers against:
Hepatitis B (3 doses as per National Immunization Policy)
Tetanus toxoid (booster doses as required)
Any other vaccines as recommended by Ministry of Health and Family Welfare
Maintain immunization records with dates and batch numbers
Ensure immunization at the time of induction and booster doses as per schedule
Provide post-exposure prophylaxis in case of needle-stick injuries or exposure to infectious waste
To conduct health surveillance of waste handlers:
Conduct comprehensive health check-up at the time of induction covering:
General physical examination
Blood tests (complete hemogram, liver function, kidney function)
Chest X-ray
Screening for infectious diseases
Conduct annual health check-ups for all waste handlers
Maintain confidential health records for each waste handler
Provide appropriate medical care and treatment if any health issues detected
Ensure fitness certification before deployment in waste handling activities
To organize comprehensive training programs:
Induction Training: For all new employees (medical, nursing, paramedical, support staff) within one month of joining covering:
Overview of BMW Rules 2016
Categories of bio-medical waste and color coding
Segregation at source
Handling and storage procedures
Occupational safety and use of PPE
Reporting of accidents and spills
Individual roles and responsibilities
Annual Refresher Training: For all staff at least once every year covering:
Updates in BMW Rules and guidelines
Review of segregation practices
Case studies of accidents and preventive measures
Best practices and innovations in BMW management
Specialized Training: For waste handlers, housekeeping staff, security personnel:
Safe collection techniques
Internal transportation procedures
Storage area maintenance
Spill management
Emergency response
Use and maintenance of PPE
Maintain training records with date, participants, topics, trainer details, attendance, and assessment
Submit training details in annual report (number of training programs, personnel trained, personnel not trained)
To conduct regular inspections and monitoring:
Conduct daily inspections of waste segregation at key generation points by nursing supervisors or designated staff
Conduct weekly comprehensive inspections of:
Segregation compliance in all departments
Adequacy of color-coded bins and bags
Storage area conditions and cleanliness
PPE availability and use
Waste collection schedules adherence
Conduct monthly inspections by Committee members or designated team
Use standardized checklists for inspections
Document findings with photographs
Issue corrective action notices to departments for non-compliance
Verify implementation of corrective actions
Maintain inspection records and reports
To maintain comprehensive records and documentation:
Bio-Medical Waste Register: Day-to-day records updated for all bedded healthcare units containing:
Date
Category of waste (Yellow, Red, White, Blue)
Quantity generated (in kg)
Quantity handed over to CBMWTF (in kg)
Name and signature of waste handler
Collection receipt number from CBMWTF
Display monthly records on hospital website showing category-wise and color-coding-wise waste generation
Maintain records for operation of autoclave, microwave, shredder for 5 years
Maintain training records for 5 years
Maintain health check-up and immunization records for 5 years
Maintain CBMWTF collection receipts for 5 years
Maintain inspection reports and photographs
Maintain accident and spill incident reports
Maintain correspondence with BSPCB and CBMWTF
To prepare and submit annual report:
Prepare comprehensive annual report in Form IV as per BMW Rules 2016
Submit to Bihar State Pollution Control Board on or before 30th June every year
Upload annual report on hospital website
Annual report shall include:
Total quantity of waste generated category-wise
Treatment and disposal methods used
Details of waste sent to CBMWTF
Details of training programs conducted
Number of personnel trained and not trained
Details of immunization provided
Details of health check-ups conducted
Accidents and major incidents (including nil reports)
Records of minutes of Committee meetings
Corrective actions taken for non-compliances
Budgetary expenditure on BMW management
Challenges faced and future action plan
To manage accidents, spills, and emergencies:
Develop Standard Operating Procedures for:
Bio-medical waste spills (solid and liquid)
Sharps injuries and needle-stick injuries
Fire involving bio-medical waste
Vehicle accidents during transportation
Exposure to chemical or microbiological waste
Provide spill kits at strategic locations containing:
Absorbent materials
Disinfectants
PPE (gloves, masks, goggles, aprons)
Biohazard bags
Sharps container
Instructions for spill management
Train staff on spill response and emergency procedures
Investigate all accidents and near-miss events
Document accidents in Form I and report to BSPCB within 24 hours
Implement corrective and preventive actions
Maintain accident register with details of incident, injuries, treatment, and follow-up
To ensure proper handling of specific categories of waste:
Sharps (White Category):
Use only puncture-proof, leak-proof, tamper-proof containers
Never recap needles or remove from syringes manually
Fill sharps containers only up to 3/4th capacity
Seal properly when full and label with date and generator details
Never attempt to retrieve items from sharps container
Cytotoxic and Chemotherapy Waste:
Segregate separately in yellow bags marked "Cytotoxic"
Return expired cytotoxic drugs to manufacturer or supplier
Send to CBMWTF or hazardous waste facility for incineration at >1200°C
Maintain separate records for cytotoxic waste generation and disposal
Chemical Liquid Waste:
Separate collection system for chemical liquid waste
Pre-treatment and neutralization before discharge
Effluent quality monitoring as per Schedule III of BMW Rules
Compliance with Water (Prevention and Control of Pollution) Act 1974
Mercury and Lead Waste:
Handle and dispose as per respective rules and regulations
Minimize use of mercury-containing devices (thermometers, sphygmomanometers)
Promote use of digital alternatives
Ensure proper collection and disposal through authorized recyclers
Radioactive Waste:
Not covered under BMW Rules 2016
Handle as per Atomic Energy Act 1962 and rules made thereunder
Coordinate with Atomic Energy Regulatory Board (AERB)
To implement waste minimization strategies:
Conduct waste audits to identify opportunities for reduction
Promote use of reusable items where safe and feasible
Optimize use of consumables to reduce waste generation
Encourage digital documentation to reduce paper waste
Implement good pharmacy practices to minimize expired medicines
Promote rational use of antibiotics and medicines
Segregate general solid waste from bio-medical waste to reduce infectious waste volume
Monitor waste generation patterns and set reduction targets
To ensure proper infrastructure for BMW management:
Adequate number of color-coded bins at all waste generation points
Dedicated trolleys or carts for internal transportation of waste (separate for each category)
Separate secured storage rooms for each waste category with:
Impervious flooring
Adequate lighting and ventilation
Water supply for cleaning
Drainage facility
Fire extinguishers
Biohazard signage
Restricted access
Autoclave or microwave for pre-treatment of laboratory waste
Needle cutters or hub cutters at appropriate locations
Spill kits at strategic locations
Separate area for washing and disinfection of collection bins and trolleys
PPE storage area
Designated hand-washing facilities near waste handling areas
To ensure financial provisions for BMW management:
Prepare annual budget for:
Color-coded bags and containers
Personal protective equipment
Disinfectants and cleaning materials
CBMWTF collection and disposal charges
Autoclave and equipment maintenance
Training programs
Immunization of staff
Health check-ups
Bar-coding system
Spill kits and emergency supplies
Recommend budget allocation to hospital administration
Monitor expenditure against budget
Ensure timely procurement of essential supplies
Maintain financial records for audit
To coordinate with other committees and departments:
Hospital Infection Control Committee: For segregation of infectious waste, isolation ward waste management, disinfection protocols
Disaster Management Committee: For bio-medical waste management during mass casualty incidents
Hospital Safety Committee: For occupational safety of waste handlers
Pharmacy and Therapeutics Committee: For expired medicines management and waste minimization
Purchase Department: For procurement of color-coded bags, bins, PPE, and other supplies
Engineering and Maintenance: For infrastructure, autoclave maintenance, storage area upkeep
Housekeeping Department: For waste collection, transportation, and storage activities
Security Department: For restricting access to waste storage areas
To ensure compliance with NABH standards:
Facility Management and Safety (FMS) standards on waste management
Documented policies and procedures for BMW management
Compliance with statutory and regulatory requirements
Regular audits and monitoring
Staff training and competency assessment
Continuous quality improvement initiatives
To conduct internal audits and quality improvement:
Conduct quarterly internal audits of BMW management system
Assess compliance with BMW Rules 2016 and hospital policies
Identify gaps and areas for improvement
Implement corrective and preventive actions (CAPA)
Monitor effectiveness of CAPA
Benchmark with best practices from other institutions
Participate in external audits by BSPCB or third-party agencies
To promote awareness and community engagement:
Display posters and charts on waste segregation in all departments
Develop Information, Education, and Communication (IEC) materials in English and Hindi
Organize World Environment Day (5th June) activities focused on waste management
Conduct patient and visitor awareness programs
Publish success stories and best practices in hospital newsletter
Engage with District Level Monitoring Committee on BMW management
Participate in state and national level programs on bio-medical waste management
The Bio-Medical Waste Management Committee shall be a multidisciplinary body consisting of the following members:
| S.No. | Designation/Position | Status in Committee |
|---|---|---|
| 1. | Principal cum Dean, Netaji Subhas Medical College | Chairperson |
| 2. | Medical Superintendent, NSMCH Hospital | Vice-Chairperson |
| 3. | Hospital Administrator/Administrative Officer | Member Secretary |
| 4. | Bio-Medical Waste Management Officer (to be designated) | Convener |
| 5. | Hospital Infection Control Officer | Member |
| 6. | Professor & Head, Department of Community Medicine | Member |
| 7. | Professor & Head, Department of Microbiology | Member |
| 8. | Professor & Head, Department of Pathology | Member |
| 9. | Professor & Head, Department of Biochemistry | Member |
| 10. | Professor & Head, Department of Pharmacology | Member |
| 11. | Professor & Head, Department of Forensic Medicine | Member |
| 12. | Chief Nursing Superintendent | Member |
| 13. | Nursing Superintendent (OT) | Member |
| 14. | Chief Pharmacist | Member |
| 15. | Chief of Laboratory Services | Member |
| 16. | Blood Bank Officer/In-charge | Member |
| 17. | Chief, Maintenance and Engineering Department | Member |
| 18. | Hospital Safety Officer | Member |
| 19. | Security Officer | Member |
| 20. | Housekeeping Supervisor/In-charge | Member |
| 21. | Manager, Quality Assurance and Accreditation | Member |
| 22. | Purchase Officer | Member |
| 23. | Occupational Health Physician (if designated) | Member |
| 24. | Representative from Common Bio-Medical Waste Treatment Facility | Member (Special Invitee) |
| 25. | Representative from Bihar State Pollution Control Board | Member (Special Invitee) |
Table 1: Composition of Bio-Medical Waste Management Committee
The Principal cum Dean and Medical Superintendent shall be ex-officio Chairperson and Vice-Chairperson respectively by virtue of their positions.
The Principal shall designate a Bio-Medical Waste Management Officer who shall serve as Convener of the Committee.
The Bio-Medical Waste Management Officer should preferably be from Community Medicine, Microbiology, or Hospital Administration with training in bio-medical waste management.
The Bio-Medical Waste Management Officer shall report directly to the Medical Superintendent on all BMW management matters.
The Bio-Medical Waste Management Officer shall be responsible for:
Overall coordination of bio-medical waste management activities
Development and updating of BMW Management Plan and SOPs
Obtaining and renewing authorization from Bihar State Pollution Control Board
Day-to-day monitoring of waste segregation, collection, storage, and disposal
Coordination with CBMWTF for timely waste collection
Organizing training programs for all categories of staff
Conducting regular inspections and ensuring compliance
Maintaining all records and documentation
Preparing and submitting annual report to BSPCB
Investigating accidents and implementing corrective actions
Serving as nodal officer for all BMW-related matters
The Committee ensures comprehensive representation from:
Hospital administration
Clinical departments (especially those generating significant BMW)
Laboratory services (Microbiology, Pathology, Biochemistry)
Nursing services
Pharmacy and blood bank
Infection control
Safety and security
Housekeeping and waste handlers
Engineering and maintenance
Quality assurance
External agencies (CBMWTF, BSPCB)
The Chairperson may invite:
Representatives from District Level Monitoring Committee
Representatives from other hospitals for experience sharing
Bio-medical waste management experts and consultants
Representatives from equipment suppliers
NGOs working in environmental health
Special invitees shall participate in discussions but shall not have voting rights.
The Principal/Dean shall be the Chairperson of the Committee.
The Chairperson shall have overall supervision and control of the Committee's functioning and bio-medical waste management program implementation.
The Chairperson shall:
Approve the Bio-Medical Waste Management Plan and major policy decisions
Approve budgetary provisions for BMW management
Review progress reports and ensure compliance with BMW Rules 2016
Represent the institution in meetings with BSPCB and regulatory authorities
Approve investigation reports of major accidents and corrective actions
Ensure timely submission of authorization applications and annual reports
In the absence of the Chairperson, the Vice-Chairperson shall preside over meetings and discharge the functions of the Chairperson.
The Medical Superintendent shall be the Vice-Chairperson of the Committee.
The Vice-Chairperson shall:
Assist the Chairperson in discharge of duties
Preside over meetings in the absence of the Chairperson
Oversee day-to-day implementation of BMW management in the hospital
Monitor compliance with segregation and disposal practices
Coordinate with CBMWTF for regular waste collection
Ensure adequate budgetary allocation and timely procurement of supplies
Address grievances and issues raised by staff regarding BMW management
The Hospital Administrator shall serve as Member Secretary of the Committee.
The Member Secretary shall:
Assist the Chairperson and Vice-Chairperson in administrative matters
Coordinate preparation of agenda and circulation of meeting notices
Ensure proper documentation and maintenance of minutes of meetings
Monitor implementation of decisions taken in Committee meetings
Coordinate preparation of periodic reports
Facilitate procurement of BMW management supplies and equipment
Coordinate with finance department for budget allocation
Serve as liaison between the Committee and various departments
The Bio-Medical Waste Management Officer designated by the Principal shall serve as Convener.
The Convener shall report directly to the Medical Superintendent on all BMW management matters.
The Convener shall be responsible for:
Coordinating all activities of the Bio-Medical Waste Management Committee
Convening meetings in consultation with the Chairperson
Developing and maintaining the Bio-Medical Waste Management Plan
Preparing and submitting authorization application in Form II to BSPCB
Ensuring timely renewal of authorization
Conducting daily/weekly/monthly inspections of waste segregation and handling
Maintaining day-to-day bio-medical waste register
Coordinating with CBMWTF for waste collection and obtaining receipts
Organizing training programs at induction and annual refresher sessions
Maintaining training records, health check-up records, immunization records
Investigating accidents, spills, and near-miss events
Implementing corrective and preventive actions
Preparing and submitting annual report in Form IV to BSPCB by 30th June
Uploading monthly waste generation data on hospital website
Maintaining comprehensive documentation as per BMW Rules 2016
Preparing quarterly reports for Committee meetings
Handling correspondence with BSPCB, CBMWTF, and other agencies
Serving as nodal officer for all BMW-related queries and audits
The Committee shall meet at least once every six months (minimum two meetings per year) as mandated by BMW Rules 2016. Additional meetings may be convened as required, particularly after accidents, BSPCB inspections, or when significant issues arise.
The Convener shall convene meetings with at least 7 days' prior notice to all members.
The notice shall include the date, time, venue, and detailed agenda for the meeting.
Relevant documents and reports shall be circulated at least 3 days before the meeting.
In case of urgent matters (post-accident review, regulatory notice), meetings may be convened with 48 hours notice with approval of the Chairperson.
The quorum for meetings shall be one-third of the total members or 8 members, whichever is higher.
The Chairperson or Vice-Chairperson must be present for the meeting to proceed.
If quorum is not present within 30 minutes of the scheduled time, the meeting shall stand adjourned to a date within 7 days, when no quorum shall be necessary.
Regular meetings shall include the following agenda items:
Confirmation of minutes of previous meeting
Action taken report on previous decisions
Review of bio-medical waste generation data (category-wise, department-wise)
Status of waste segregation compliance
CBMWTF collection performance and issues
Status of authorization and renewal
Training programs conducted and staff coverage
Health check-ups and immunization status of waste handlers
Inspection reports and observations
Accidents, spills, and near-miss events (if any)
Corrective actions implemented
Infrastructure and equipment status (bins, bags, autoclave, storage areas)
PPE availability and usage
Budgetary matters and procurement status
Annual report preparation and submission
Compliance with BMW Rules 2016 and NABH standards
External audit findings and action taken
Waste minimization initiatives and achievements
Any other matter with permission of Chair
Meetings shall be conducted in accordance with established rules of procedure.
All members shall have the right to participate in discussions and express opinions.
Special invitees may participate in discussions but shall not have voting rights.
Presentations may be made on specific topics by members or invited experts.
Inspection reports and accident investigation reports shall be reviewed in detail.
Data on waste generation trends shall be analyzed and discussed.
Decisions shall ordinarily be taken by consensus after thorough discussion.
Where consensus cannot be reached, matters shall be decided by simple majority vote of members present and voting.
In case of a tie, the Chairperson shall have a casting vote.
All important decisions shall be recorded as resolutions with:
Clear action points
Responsible persons for implementation
Timelines for completion
Resource requirements
The Member Secretary shall prepare minutes of each meeting within 10 days of the meeting.
Minutes shall include:
Date, time, venue, and list of members present
Summary of discussions on each agenda item
Decisions taken and resolutions passed
Action points with responsible persons and timelines
Waste generation data reviewed
Compliance issues identified
Any dissent notes recorded by members
Draft minutes shall be submitted to the Chairperson for approval and then circulated to all members.
Copies of minutes shall be submitted to the Managing Committee.
Record of minutes shall be submitted along with annual report to BSPCB as per BMW Rules 2016.
Confirmed minutes shall be maintained in a permanent record book.
The Committee shall develop and maintain a comprehensive Bio-Medical Waste Management Plan approved by the Chairperson and Managing Body.
The Bio-Medical Waste Management Plan shall include:
Introduction and Policy Statement
Commitment to environmentally sound management of bio-medical waste
Compliance with BMW Rules 2016
Scope and applicability
Waste Assessment
Types of waste generated
Quantity of waste (category-wise)
Waste generation sources (departments, areas)
Waste characterization
Organizational Structure
BMW Management Committee composition
Roles and responsibilities
Reporting structure
Waste Segregation System
Color coding system as per Schedule I
Segregation procedures for each category
Waste segregation charts in English and Hindi
Location of color-coded bins in each department
Standard Operating Procedures (SOPs)
Segregation at source
Collection and internal transportation
Pre-treatment of laboratory waste (autoclaving protocols)
Storage procedures
Handing over to CBMWTF
Spill management
Sharps injury management
Accident reporting
Emergency response
Infrastructure Details
Number and location of color-coded bins
Transportation trolleys and carts
Storage areas (location, specifications, capacity)
Autoclave/microwave specifications
Needle cutters location
PPE storage area
Hand-washing facilities
Pre-treatment Protocols
Autoclaving procedures and parameters
Chemical disinfection procedures
Record-keeping for autoclaving
CBMWTF Coordination
Agreement with CBMWTF
Collection schedule
Collection receipt format
Contact details
Occupational Safety
PPE specifications and usage guidelines
Immunization schedule
Health check-up protocols
Accident reporting and post-exposure management
Training Program
Induction training content and duration
Annual refresher training schedule
Training methodology
Assessment and evaluation
Record-keeping
Monitoring and Inspection
Daily inspection procedures
Weekly inspection checklists
Monthly inspection schedule
Corrective action protocols
Record Keeping and Documentation
Bio-medical waste register format
Training records format
Health check-up records format
Immunization records format
Accident report format
CBMWTF collection receipts
Autoclaving records
Inspection reports
Reporting Requirements
Monthly waste generation data display on website
Annual report preparation and submission
Form IV format and deadline
Annexures
Copy of authorization from BSPCB
Copy of agreement with CBMWTF
Color-coded waste segregation charts
Hospital layout showing waste generation points and storage areas
List of Committee members with contact details
Emergency contact numbers
Forms and templates
The BMW Management Plan shall be reviewed annually and updated as necessary.
Updates shall be made within 30 days after:
Changes in BMW Rules or guidelines
Changes in hospital infrastructure or services
Feedback from BSPCB inspections or audits
Major accidents or incidents
Implementation of new technologies or procedures
All departments shall be provided with updated copies of relevant SOPs.
Changes shall be clearly marked with revision date and version number.
Copies of the BMW Management Plan shall be available with:
All Committee members
All department heads
Nursing stations
Housekeeping department
Security office
Administrative office
Key SOPs and waste segregation charts shall be displayed prominently at all waste generation points.
All healthcare workers and others involved in handling of bio-medical waste shall receive:
Training at the time of induction
Annual refresher training at least once every year
Target Participants: All new employees including doctors, nurses, paramedical staff, technicians, housekeeping staff, security staff, administrative staff
Timeline: Within one month of joining
Duration: Minimum 2 hours
Content:
Overview of Bio-Medical Waste Management Rules 2016
Categories of bio-medical waste (Yellow, Red, White, Blue) with examples
Color coding system and waste segregation at source
Do's and Don'ts of waste handling
Occupational hazards associated with bio-medical waste
Personal protective equipment and its proper use
Sharps handling and needle-stick injury prevention
Spill management procedures
Reporting of accidents and exposures
Individual roles and responsibilities
Consequences of non-compliance
Methodology: Classroom teaching, demonstrations, hands-on practice, videos
Assessment: Pre-test and post-test to evaluate learning
Certificate: Issued after successful completion
Target Participants: All staff involved in handling bio-medical waste
Frequency: At least once every year
Duration: Minimum 1 hour
Content:
Review of BMW Rules 2016 and updates
Common mistakes in segregation and corrective measures
Analysis of accidents and near-miss events
Best practices and innovations in BMW management
Changes in hospital policies and procedures
Emphasis on problem areas identified during inspections
Methodology: Interactive sessions, case discussions, video presentations
Assessment: Quiz or practical assessment
Target Participants: Housekeeping staff, sanitation workers, waste handlers
Frequency: At induction and quarterly refresher sessions
Content:
Detailed segregation procedures
Safe collection techniques
Internal transportation procedures
Proper use of collection trolleys and carts
Storage area maintenance and cleaning
Handling of different categories of waste
Use and maintenance of PPE
Hand hygiene and decontamination
Spill management and emergency response
Dealing with odors and pests
Communication with CBMWTF personnel
Hands-on Training: Practical demonstrations and supervised practice
All training programs shall be documented with:
Date, time, and venue
Name and designation of trainer
Topic and objectives
Duration
Participant list with signatures
Attendance sheet
Pre-test and post-test results (if applicable)
Training materials used (handouts, presentations, videos)
Photographs
Feedback from participants
Certificate of completion
Maintain individual training records for each employee
Record all trainings attended with dates and topics
Maintain records for 5 years
Submit training details in annual report:
Number of training programs conducted
Number of personnel trained
Number of personnel not undergone any training (with reasons)
Ensure 100% coverage of all staff involved in BMW handling
All healthcare workers and waste handlers shall be immunized against diseases likely to be transmitted by handling bio-medical waste
Immunization as per National Immunization Policy or Ministry of Health and Family Welfare guidelines
Mandatory Vaccines:
Hepatitis B: 3 doses (0, 1, 6 months schedule) followed by antibody titer testing; booster if titer <10 mIU/ml
Tetanus Toxoid: Primary series if not immunized; booster dose every 10 years
Recommended Vaccines:
Influenza (annual)
Measles-Mumps-Rubella (MMR) if no documented immunity
Varicella (Chickenpox) if no documented immunity
Immunization schedule maintained for each employee
Records maintained with:
Date of immunization
Vaccine name and batch number
Dose number
Site of administration
Signature of healthcare provider
Due date for next dose
Ensure immunization at the time of induction
No employee shall be deployed in BMW handling without documented Hepatitis B and Tetanus immunization
Comprehensive health check-up at the time of induction for all waste handlers
Annual health check-ups thereafter
Components of Health Check-up:
Detailed medical history
Physical examination
Complete Blood Count (CBC)
Liver Function Tests (LFT)
Kidney Function Tests (KFT)
Hepatitis B surface antigen (HBsAg)
Hepatitis C antibody (Anti-HCV)
HIV testing (with counseling and consent)
Chest X-ray
Any other tests as deemed necessary by physician
Health records maintained in confidential manner
Fitness certificate issued after health check-up
Appropriate medical care and treatment if health issues detected
Redeployment or job modification if medically indicated
Adequate and appropriate PPE provided to all waste handlers free of cost
PPE Items:
Heavy-duty puncture-proof gloves (different from surgical gloves)
Impermeable aprons or gowns
Face shields or goggles for eye protection
Masks (surgical masks or N95 as appropriate)
Gumboots or closed-toe safety shoes
Caps or head covers
Separate PPE for handling different categories of waste
PPE changed when damaged, contaminated, or at end of shift
Reusable PPE decontaminated and cleaned after each use
Disposable PPE disposed as bio-medical waste (yellow category)
Training on proper use, removal, and disposal of PPE
Mandatory enforcement of PPE use during waste handling
Disciplinary action for non-compliance
Regular monitoring of PPE availability and usage
Standard Operating Procedure for needle-stick and sharps injuries
Immediate First Aid:
Wash the injury site with soap and running water for 5-10 minutes
Do not squeeze or suck the wound
Apply antiseptic
Cover with waterproof dressing
Reporting: Report immediately to supervisor and occupational health physician
Medical Evaluation:
Assess risk based on type of exposure and source patient
Source patient testing for HIV, HBsAg, HCV (with consent)
Exposed employee testing at baseline (0 hour)
Post-Exposure Prophylaxis (PEP):
HIV PEP initiated within 2 hours if high-risk exposure (as per NACO guidelines)
Hepatitis B immunoglobulin (HBIG) if exposed employee is unvaccinated or non-responder
Hepatitis C: No prophylaxis available; monitor ALT and Anti-HCV at 6 months
Follow-up testing and counseling
Documentation of incident in accident register
Root cause analysis and preventive measures
Hospital Infection Control Committee: For segregation and management of infectious waste, isolation ward waste, disinfection protocols
Disaster Management Committee: For BMW management during mass casualty incidents and disasters
Hospital Safety Committee: For overall occupational safety of waste handlers and staff
Pharmacy and Therapeutics Committee: For management of expired and unused medicines, waste minimization
Transfusion Committee: For management of blood bags and blood products waste
Medical Equipment Committee: For disposal of obsolete equipment and electronic waste
Construction and Renovation Committee: For waste management during construction activities
The Convener shall present comprehensive reports in Committee meetings covering:
Bio-medical waste generation data (category-wise, department-wise, month-wise)
Segregation compliance status
CBMWTF collection performance
Training programs conducted and staff coverage
Health check-ups and immunization status
Inspection findings and corrective actions
Accidents and incidents (if any)
Infrastructure and equipment status
PPE availability and usage
Budgetary utilization
Challenges and recommendations
The Committee shall prepare comprehensive annual report in Form IV and submit to Bihar State Pollution Control Board on or before 30th June every year, containing:
Name and address of healthcare facility
Authorization number and validity
Category and color-wise quantity of bio-medical waste generated (monthly data)
Pre-treatment methods used with quantities
Quantity of waste handed over to CBMWTF (category-wise)
Name and authorization number of CBMWTF
Details of on-site treatment equipment (autoclave, microwave, shredder) with operational records
Number of training programs conducted
Number of personnel trained and not trained
Number of personnel immunized
Number of health check-ups conducted
Details of accidents and remedial actions (including nil reports)
Records of minutes of Committee meetings
Corrective actions taken for non-compliances
Action plan for next year
Any other relevant information
Monthly bio-medical waste generation data (category-wise and color-coding-wise) displayed on hospital website
Updated by 10th of every month for previous month data
Annual report made available on website
Authorization certificate displayed on website
The Committee shall be accountable to the Managing Body for all bio-medical waste management matters and compliance with BMW Rules 2016
The Bio-Medical Waste Management Officer (Convener) shall report directly to the Medical Superintendent on day-to-day matters
The Committee shall ensure compliance with:
Bio-Medical Waste Management Rules 2016 and all amendments
Environment (Protection) Act 1986
Water (Prevention and Control of Pollution) Act 1974
NABH standards on waste management
Bihar State Pollution Control Board directives
CPCB guidelines
The Convener shall maintain the following records:
Bio-Medical Waste Management Plan with all revisions
Authorization certificate from BSPCB with renewal records
Agreement with Common Bio-Medical Waste Treatment Facility
Day-to-day Bio-Medical Waste Register updated for all bedded units
Collection receipts from CBMWTF with weight and category details
Autoclave/microwave operation records (date, time, temperature, pressure, cycle duration, waste quantity)
Training records (programs, participants, attendance, assessment, certificates)
Health check-up records of waste handlers
Immunization records of healthcare workers and waste handlers
PPE issue and stock registers
Inspection reports with photographs
Accident and incident reports in Form I
Corrective action implementation records
Copies of all agendas and minutes of Committee meetings
Correspondence with BSPCB, CBMWTF, and other agencies
Annual reports submitted to BSPCB in Form IV
BSPCB inspection reports and compliance certificates
Internal audit reports
Budgetary allocations and expenditure records
Monthly waste generation data uploaded on website
Waste minimization initiatives documentation
Employee training completion certificates
All records shall be maintained for a minimum period of 5 years as mandated by BMW Rules 2016 or as required by NABH accreditation standards and legal requirements.
All records shall be subject to inspection and verification by BSPCB at any time
Records shall be made available to Ministry of Environment, Forest and Climate Change when required
Records shall be presented during NABH accreditation surveys
Records shall be available for internal and external audits
Health records of employees (immunization, health check-ups, post-exposure management) shall be maintained in confidential manner and disclosed only to authorized persons or for medical purposes with employee consent.
| Category | Type of Waste | Container/Bag |
|---|---|---|
| YELLOW | Human anatomical waste, animal waste, soiled waste, | Yellow non-chlorinated |
| expired medicines, chemical waste, discarded linen, | plastic bags or | |
| microbiology and biotechnology waste | containers | |
| RED | Contaminated recyclable waste (tubing, bottles, | Red non-chlorinated |
| IV sets, catheters, urine bags, syringes without | plastic bags or | |
| needles, gloves) | containers | |
| WHITE | Sharps (needles, syringes with fixed needles, | White puncture-proof, |
| blades, lancets) | leak-proof, tamper-proof | |
| containers | ||
| BLUE | Glassware (broken or discarded), | Blue containers or |
| metallic body implants | cardboard boxes |
Table 3: Bio-Medical Waste Categories as per BMW Rules 2016 Schedule I
Month: ____________________ Year: ____________
| Date | Yellow (kg) | Red (kg) | White (kg) | Blue (kg) | Total (kg) | Signature |
|---|---|---|---|---|---|---|
| 1 | ||||||
| 2 | ||||||
| ... | ||||||
| 31 | ||||||
| Total |
