BIO-MEDICAL WASTE

MANAGEMENT RULES

Dr Naveen
 OUTLINE
1. Introduction 10. Waste categorisation

2.Overview Of Biomedical Rules 11.How to segregate waste

3.Biomedical waste rules apply 12.What goes in

to 4.Objectives red,yellow,blue,back,w
hite
5.BMW rules comprises of
13.Duties of occupier or
6.Definition commonly used
HCF 14.Environmental
in
legislation
BMW Rules

7.Key function

8.Key features BMW

 OVERVIEW OF BIOMEDICALWASTE
MANAGEMENT RULES
The Rules apply to all persons who generate,
collect, receive, store, transport, treat, dispose or
handle bio-medical waste in any form
• Rules under the Environment (Protection) Act,
1986
I draft-1995, II draft- 1997
• Final rules notified on 27th July 1998, Bio
Medical Waste (Management & Handling)
Rules, 1998
• Amendments-2003 latest
• New Rules Notified on 28.3.16, Bio medical
Waste Management Rules,2016
 INTRODUCTION
Medical care is vital for our life and health, but biomedical waste
management is crucial health issue for community. Improper segregation
and disposal of hospital waste poses a serious threat to our environment
and healthcare.

Biomedical waste management is an essential component of quality

healthcare assurance in hospitals. Meticulous biomedical waste
disposal management has been documented to reduce the hospital
acquired infections to a great extent.

Most health professionals are not aware about the risk involved when they
handle biomedical waste. The sole purpose of this biomedical waste
management manual is to develop awareness to all health professionals
about the recent biomedical waste management rules, 2018 by
Government of India and it is mandatory to implement.
 BIOMEDICAL WASTE RULES
APPLY TO
 Hospitals, blood bank  Clinical establishments

 Research or educational institution

 Nursing homes
 Health camps,

 Dispensaries,  Medical or surgical camps,

 Vaccination camps,
 Veterinary institutions
 Blood donation camps,

 Animal houses,  First aid rooms of schools,

 Forensic and research labs.

Pathological laboratories
(irrespective of the size)  Ayush hospitals,
 OBJECTIVES
 To reduce the infectious /hazardous nature of
waste

 To reduce volume of waste

 To prevent misuse or abuse of waste

 To ensure occupational safety and health

 To recycle the waste

 RULES COMPRISE
 18 Rules,OF
4 Schedules, And 5 Forms
 Schedule I BMW Color Coding, Collection,
Treatment And Disposal
 Schedule II Standards For Treatment And Disposal
 Schedule III Prescribed Authorities And
 responsibilities
 Schedule IV Labels For BMW Containers And Bags
 Form I Accident Reporting
 Form II And III Application And
Authorization Document
 Form IV Annual Report
 Form IVAAnnual Report By SPCB Or AFMS
ToCPBB
 Form V Appeal
 DEFINITIONS COMMONLY USED
IN BMW
OCCUPIER

means a person having administrative control over the institution and the premises generating
bio-medical waste, which includes a hospital, nursing home, clinic, dispensary, veterinary
institution, animal house, pathological laboratory, blood bank, health care facility and clinical
establishment, irrespective of their system of medicine and by whatever name they are;

OPERATOR

of a common bio-medical waste treatment facility" means a person who owns or controls a
Common Bio-medical Waste Treatment Facility (CBMWTF) for the collection, reception,
storage, transport, treatment, disposal or any other form of handling of bio- medical waste;
KEY FUNCTIONS – AUTHORISATION

Every occupier or operator handling bio-

medical waste,
irrespective of the quantity shall make an
application in Form II to the prescribed authority
i.e. State Pollution Control Board and
Pollution Control Committee, for grant of
authorization

Prescribed authority shall grant the authorization in

Form III and the validity of authorization
synchronized with validity of consent orders. One
time authorization for non bedded HCF
KEY FEATURES BMW
Occupier or
Operatorshal State
l make an Pollution
application in control Board
Form II

Grant
authorizatio
n in
FormIII
 Waste categorisation

Wast
e

Non infectious Hazardous

infectious
 SCHEDULE I
(See Rule 5)
CATEGORIES OF BIO-MEDICAL WASTE

Waste Waste Category [Type] Treatment ad Disposal

Category No. [Option+]
Category No. I Human Anatomical Waste (human Incineration@/deep burial*
tissues, organs, body parts)

Category No. 2 Animal Waste Incineration@/deep burial*

(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)

Category No 3 Microbiology & Biotechnology Waste Local autoclaving/micro-

waving/incineration

Category No 4 Waste sharps Disinfection (chemical treat-

(needles, syringes, scalpels, blades, glass, ment@01/auto calving/micro-waving
etc. that may cause puncture and cuts. and mutilation/ shredding"
This includes both used and unused
sharps)

Category No 5 Discarded Medicines and Cytotoxic Incineration @/destruct ion and

drugs drugs disposal in secured landfills
(wastes comprising of outdated,
Contaminated and discarded
medicines)
 Cont.........
Category No 6 Solid Waste incineration@ autoclaving/microwaving
(Items contaminated with blood, and
body fluids including cotton, dressings,
soiled plaster casts, lines, beddings, other
material
contaminated with blood)

Category No. 7 Solid Waste Disinfection by chemical treatment

(wastes generated from autoclaving/microwaving and
disposable items other than the waste mutilation/ shredding
[sharps] such as tubing's, catheters,
intravenous sets etc).

Category No. 8 Liquid Waste Disinfection by chemical

(waste generated from laboratory and treatment@@and discharge
washing, cleaning, house- keeping and
disinfecting
activities)

Category No. 9 Incineration Ash Disposal in municipal landfill

(ash from incineration of any bio-medical
waste)

Category No. 10 Chemical Waste Chemical treatment and discharge into

(chemicals used in production of drains for liquids and secured landfill
biological, chemicals used in for solids.
disinfection, as insecticides, etc.)
 PROCESS OF FLOW OF BMW

GENERATIO SEGREGATIO STORAGE

N N

TREATMENT N
TRANSPORTATION COLLECTION
DISPOSAL
SEGREGATION AT SOURCE
DUTIES OF OCCUPIER

HEALTH CHECK UP
MONTHLY ANNUALLY
REPORTING
STORAGE N
DISPOSAL
PRE-
TREATMENT
NONCLORINATE
BAGS
HANDLE AND
SEGREGATION

TRAINING
REGISTER
COMMITTEE
 The Central Government, on March 16, 2018, has made the Bio-Medical Waste
Management (Amendment) Rules, 2018 to amend the Bio-Medical Waste Management
Rules, 2016 in the following manner:

Rule no Original provision Amended provision

Rule 4(c) It shall be the duty of every It shall be the duty of every
occupier to pre-treat the occupier to pre-treat the
laboratory waste, laboratory waste,
microbiological waste, blood microbiological waste, blood
samples and blood bags samples and blood bags
through disinfection or through disinfection or
sterilization on-site in the sterilization on-site in the
manner as prescribed by the manner as prescribed by the
World Health Organization World Health Organization
(WHO) or National AIDs (WHO) guidelines on Safe
Control Organization (NACO) management of wastes from
guidelines and then sent to the health care activities and
common bio-medical waste WHO Blue Book, 2014 and
treatment facility for final then sent to the Common
disposal. bio-medical waste treatment
facility for final disposal.
 Cont...........
Rule no Original Amended provision
Rule 4(d) It shall be the duty of every It shall be the duty of every
occupier to phase out use of occupier to phase out use of
chlorinated plastic bags, gloves chlorinated plastic bags
and blood bags within two (excluding blood bags) and
years from the date of gloves by the 27th March,
notification of these rules. 2019.

Rule 4(i) It shall be the duty of every It shall be the duty of every
occupier to establish a Bar- occupier to establish a Bar
Code System for bags or Code System for bags or
containers containing bio- containers containing bio-
medical waste to be sent out of medical waste to be sent out of
the premises or place for any the premises or for the further
purpose within one year from treatment and disposal in
the date of the notification of accordance with the
these rules. guidelines issued by the
Central Pollution Control
Board by 27th March, 2019.
 Cont.........
Rule no Original provision Amended provision
Rule 4(p) It shall be the duty of every It shall be the duty of all the
occupier to make available the health care facilities (any
annual report on its web-site number of beds) shall make
and all the health care facilities available the annual report
shall make own website within on its web-site within a
two years from the date of period of two years from the
notification of these rules. date of publication of Bio-
Medical Waste Management
(Amendment) Rules, 2018
Rule 5(c) It shall be the duty of every It shall be the duty of every
operator of a common bio- operator of a common bio-
medical waste treatment and medical waste treatment and
disposal facility to establish bar disposal facility to establish bar
coding and global positioning coding and global positioning
system for handling of bio- system for handling of bio-
medical waste within one year medical waste in accordance
with the guidelines issued by
the Central Pollution Control
Board by 27th March, 2019.
 Cont,...
Rule no Original provision Amended provision
Rule 7(8) Every occupier shall phase out use Every occupier shall phase out
of non-chlorinated plastic bags use of chlorinated plastic bags
within two years from the date of within two years from the date of
publication of these rules and after publication of these rules and after
two years from such publication of two years from such publication of
these rules, the chlorinated plastic these rules, the chlorinated plastic
bags shall not be used for storing bags shall not be used for storing
and transporting of bio-medical and transporting of bio-medical
waste and the occupier or operator waste and the occupier or operator
of a common bio-medical waste of a common bio-medical waste
treatment facility shall not dispose treatment facility shall not dispose
of such plastics by incineration of such plastics by incineration
and the bags used for storing and and the bags used for storing and
transporting biomedical waste shall transporting biomedical waste shall
be in compliance with the Bureau be in compliance with the Bureau
of Indian Standards. Till the of Indian Standards. Till the
Standards are published, the carry Standards are published, the carry
bags shall be as per the Plastic bags shall be as per the Plastic
Waste Management Rules, 2011. Waste Management Rules, 2016.
 cont,.......
Rule no Original provision Amended provision
Rule 13(2) The prescribed authority shall The prescribed authority shall
compile, review and analyze compile, review and analyze
the information received and the information received and
send this information to the send this information to
Central Pollution Control the Central Pollution Control
Board on or before the 31st Board in Form IVA
July of every year. before the 31st July of every
year.

Along with the changes in the

Rules, amendments have also
been made to Schedule I, II
and III and the format for
submission of the annual
report information on bio-
medical waste management
has been inserted as Form IVA.
 ENVIRONMENTAL LEGISLATION
(COMPENSATION)
CPCB Guidelines:-

1. No Authorization under BMWM Rules, 2016;

2. No arrangement with CBWTF for disposal of biomedical waste;

3.Improper Segregation of generated biomedical waste as per color

coded system prescribed under BMWM Rules, 2016;

4.No facility for pre-treatment of yellow(h) category waste (microbiology,

biotechnology and other clinical laboratory waste);
 CONTD……………….
5. Storage facility not provided for segregated biomedical
waste (applicable for bedded hospitals);

6. Not provided Effluent Treatment Plant for treatment of

wastewater, in case when city sewerage network in
not connected to terminal STP; and

7. Non-compliance to other responsibilities as stipulated for

Healthcare Facilities under BMWM Rules, 2016.
 MONITORING INSTITUTE
(AUTHORITY)
Bio-Medical Waste Management Rules,2018
Published in the Gazette of India,
Extraordinary, Part II, Section 3, Sub-section (i)]
GOVERNMENT OF INDIA MINISTRY OF
ENVIRONMENT, FOREST AND CLIMATE CHANGE
NOTIFICATION
(New Delhi, the 16TH March, 2018).
 CONT...........
1. MINISTRY OF ENVIRONMENT, FOREST AND CLIMATE CHANGE,
GOVERNMENT OF INDIA
2.CENTRAL OR STATE MINISTRY OF HEALTH AND FAMILY
WELFARE, CENTRAL MINISTRY FOR ANIMAL HUSBANDRY AND
VETERINARY OR STATE DEPARTMENT OF ANIMAL HUSBANDRY
AND VETERINARY
3. MINISTRY OF DEFENCE
4. CENTRAL POLLUTION CONTROL BOARD 5. STATE
GOVERNMENT OF HEALTH OR UNION TERRITORY
GOVERNMENT OR ADMINISTRATION
6. STATE POLLUTION CONTROL BOARDS OR POLLUTION
CONTROL COMMITTEES
7. MUNICIPALITIES OR CORPORATIONS, URBAN LOCAL BODIES
AND GRAM PANCHAYATS
8. OPERATOR OF A COMMON BIO-MEDICAL WASTE TREATMENT
FACILITY (CBMWTF):
………………………………………………………………………........
9.(Occupier):…………………………………………………………………