Government of Gujarat
“Quality Improvement Programme”
Bio Medical Waste Checklist
Name of the hospital:-------------------------------------------------------------------------
No of beds:-----------------Date:--------------------Signature of Observer : ----------------
Basic Requirement for Biomedical waste
S. Check OT / Labour Room / OPD / Remarks
Emergency / Laboratory / ICU /
No. Give your Answers in Yes/No NICU / Wards and Campus etc.
(Yes / No)
1 Adequate no. of BMW Bins as per BMW Guide line (Red,
Yellow, Blue, and Black) & Green Bins for General Waste.
2 Adequate no. of BMW Bags as per BMW Guide line (Red,
Yellow, Blue, and Black) & Green bags for General Waste.
3 Puncture proof Containers for Sharps / Blue Bags
4 Mutilators ( Needle / syringe cutters)
5 Calibrated Weighing machine for BMW
6 Personal protected equipments like Gloves, Caps, Masks,
Aprons & Gum boots etc.used adequately As per BMW Guide
line.
7 1% fresh Sodium hypochlorite or Bleaching Powder Solution
As per BMW Guide line.
8 BMW Record Register
9 Mercury Spill Management, kit
10 Blood spill Management kit
11 Post Exposure Prophylaxis Kit
10 BMW Storage Rooms With Lock & Key
12 BMW Licenses under GPCB (Gujarat Pollution Control Board)
13 Different Forms & Formats (Needle Stick Injury & Annual
Report, etc.)
Man Power for BMW
1 Availability of a trained dedicated person for BMW
Management.
2 Trained and skilled BMW person for BMW Collection &
Transportation.
3 Dedicated & Trained Infection Control Nurse
Training for BMW
1 Training for BMW Handlers
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Generation & Segregation
From Wards / O.T.s / ICUs / Labs / OPDs / Blood Bank / Radiology etc. Others
Generation
1. Is the waste segregated at the site of generation
2. Is the sharp infectious waste (needles, blades, broken
glass etc) to be disposed in white/blue puncture proof
Containers?
3. Is the non sharp Infectious material:( infected
plastics,syringe,dressing,gloves,masks, blood bags and
urine bags) to be disposed in red plastic bins/bags
4. Is Anatomical Infectious waste (Placenta, body parts) to
be disposed in yellow plastic bins or bags
5. Is non infectious (General )waste E.g. packing
materials.Cartons,Fruit and vegetable pills, Syringe and
needle wrappers, Medicine covers to be disposed in
Green/Black plastic bins or bags.
6. Is the infectious waste and non infectious waste mixed at the
source of generation?
Collection and Storage
1 Is the waste covered in covered bins
2 Is the bins filled up to more than ¾ th level
3 Is the bins cleaned with soap and disinfectant
regularly
4 Is the bins overfilled
5 Is the infectious and non infectious waste filled in
same bins
6 Is the stored waste kept beyond 48 hrs
Transportation
1 Is the waste transported in closed containers
2 Are the waste collection bins/Trolleys/wheel barrow
used for transporting waste
3 Is the Pre defined route available for transportation of
waste within the health care facility
4 Is the waste transported in open container and bags
5 Is the transportation done during the OPD time or any
Emergency
Treatment and disposal
Give your answers in Yes/No
1 Is your bio medical waste disinfected and mutilated before
final disposal
2 Is the anatomical waste to be deep buried /incinerated?
3 Are the syringes to be cut and chemically disinfected with 1%
sodium hypo chloride solution at the source of generation
before final disposal?
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4 Is the infected plastics to be chemically disinfected or
autoclaved ,shredded and send for final disposal
5 Is the General waste to be chemically disinfected before final
disposal
6 Is the infectious waste disposed before chemical disinfection
and mutilation
7 Can the infectious waste and non infectious waste be mixed at
any point of time
Management of different waste streams
Give your answers in Yes/No
1 Is the sharp injury reported and is it reported within 7 hrs.If
yes then please mention the count per month
2 Are the protective gears like gloves used while handling and
syringe
3 Is the barrel and plunger detached before disinfecting the
syringe
4 Is the sharp waste mixed with other waste
5 Is the practice of recapping or bending of needles done
6 Is the sharp discarded in poly bags
7 Is the sharp disposed in open area
8 Is the vials and ampoules disposed in sharp containers
9 Is the anatomical waste disinfected before final disposal
10 Is the anatomical waste disposed in unsecured open areas or
in any water bodies
11 Is the personal protective gears like mask and gloves used
while handling sputum cups and slides
12 Is the sputum cup or slides disinfected with 5 % hypochlorite
solution for at least one hr
13 Is the sputum cups finally disposed inside the premises?
14 Is the slides of the Sputum test disposed in sharp container
15 Is the discarded blood bags punctured before disinfection in 5
% sodium hypochlorite solution for at least 1 hr.
16 Is the blood bag discarded without mutilation and disinfection
for final disposal?
17 Is the plastic waste like IV set,bottles,syringes,latex gloves,
catheters etc.cut by scissors before disinfection in 1% sodium
hypochlorite solution for 1 hr.
18 Is the disposable gloves and masks reused?
19 Is liquid waste spillage (blood, body fluid puss or any
discharge) disinfected by adding 1% hypochlorite solution
before cleaning.
20 Is the blood spill cleaned cloth reused
21 Is the mercury spill cleaned with bare hands
22 Is the mercury disposed in waste bins and drains
23 Is the mercury collected into bottle having some water and
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tightly covered with the lid
24 Is the mercury droplet collected using 2 card board piece
/Syringe
25 Is the hand washing done before and after any procedure.Eg
collecting lab sample, examination of the patient, handling
blood and body fluid.
26 Is all staff immune to hepatitis B and tetanus vaccine?
27 Does the hospital personnel visit the final disposal site even if
outsourced or done outside the hospital?
28 Is the medicine and chemicals stored in same store?
Detail of the Task Force :
Sr. Name Designation Mobile No. E-mail ID Sign Remarks
No.
1
2
3
4
5
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