Updates on Bio medical waste Management. New guidelines and differences from the 2011 guidelines

1. 30-09-2016 1
HANDLE WITH CARE
CYTOTOXIC HAZARD SYMBOL

2. "bio-medical waste" means any waste, which is
generated during the diagnosis, treatment or
immunisation of human beings or animals or
research activities pertaining thereto or in the
production or testing of biological or in health
camps
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3. 30-09-2016 3
1998 2011
1 Occupiers with more than 1000 beds
required to obtain authorisation
Every occupier generating BMW, requires to
obtain authorisation
2 Operator duties absent Duties of the operator listed
3 Biomedical waste divided in ten
categories
Biomedical waste divided in 8 categories
4 Rules restricted to HCEs with more than
1000 beds
Treatment and disposal of BMW made
mandatory for all the HCEs
5 No format for annual report A format for annual report appended with
the rules
6 Form VI is absent Form VI i.e. the report of the operator on
HCEs not handing over the BMW added to
the Rules
RULES- 1 to 17
SCHEDULES- I to VI
FORMS- I to VI

4. Bio-Medical Waste Management
Rules, 2016
They shall come into force on the date of their
publication in the Official Gazette.
New Delhi, the 28th March, 2016
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RULES I – 18
SHEDULE I - IV
FORMS I - V

5. RULES:
1. Short title and commencement
2. Application
3. Definitions
4. Duties of the Occupier
5. Duties of the operator of a common bio-medical waste treatment
and disposal facility
6. Duties of authorities
7. Treatment and disposal
8. Segregation, packaging, transportation and storage
9. Prescribed authority
10. Procedure for authorisation
11. Advisory Committee
12. Monitoring of implementation of rules in health care facilities
13. Annual report
14. Maintenance of records.
15. Accident reporting
16. Appeal.
17. Site for common bio-medical waste treatment and disposal facility
18. Liability of the occupier, operator of a facility30-09-2016 5

6. SCHEDULES:
1. Biomedical wastes categories and their segregation, collection,
treatment, processing and disposal options(1)
2. Standards for treatment and disposal of bio-medical wastes(5)
3. List of prescribed authorities and the corresponding duties(6)
4. Label for bio-medical waste containers or bags & label for
transporting bio-medical waste bags or containers(3)
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Schedule 2 in 2011 guidelines was the colour coding which
got merged with the Schedule 1(2016)
Schedule 2 of 2016 guidelines was schedule 5 in 2011
guidelines
Schedule 3(2016) was Schedule 6(2011)
Schedule 4(2016) was Schedule 3(2011)

7. FORMS:
1. Accident reporting (3)
2. Application for authorisation or renewal of
authorisation(1)
3. Authorisation(4)
4. Annual report(2)
5. Application for filing appeal against order passed by
the prescribed authority(5)
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The numbers in the parenthesis shows the form numbers in
the 2011 guidelines

8. Category Type of Waste Treatment and Disposal options
Yellow
Yellow coloured
non-chlorinated
plastic bags
a) Human Anatomical Waste
b) Animal Anatomical Waste
Incineration or Plasma Pyrolysis or
deep burial
c) Soiled Waste In absence of above facilities, autoclaving or
micro-waving/ hydroclaving followed by
mutilation or combination of sterilization
and shredding.
d) Expired or Discarded
Medicines
incineration at temperature >12000C
e) Chemical Waste incineration or Plasma Pyrolysis or
Encapsulation
f) Chemical Liquid
Waste
the chemical liquid waste shall be pre-
treated before mixing with other
wastewater.
g) Discarded linen, mattresses,
beddings contaminated with
blood or body fluid
Non-chlorinated chemical disinfection
 incineration
Autoclave safe
plastic bags or
containers
h)Microbiology, Biotechnology
and other clinical laboratory
waste
Pre-treat to sterilize with non chlorinated
chemicals on-site thereafter for Incineration.
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SCHEDULE 1 OF 2016 GUIDELINES

9. Categ
ory
Type of Waste Type of Bag or
Container
Treatment and Disposal options
Red Contaminated Waste
(Recyclable)
Red coloured
non-chlorinated
plastic bags or
containers
Autoclaving or micro-
waving/hydroclaving followed by
combination of sterilization and
shredding
White Waste sharps
including Metals
Puncture proof,
Leak proof,
tamper proof
containers
Autoclaving or Dry Heat Sterilization
shredding or mutilation or
encapsulation in metal container or
cement concrete; combination of
shredding cum autoclaving; and sent
for final disposal to iron foundries or
sanitary landfill or designated
concrete waste sharp pit.
Blue (a) Glassware
(b) Metallic Body
Implants
Cardboard boxes
with blue colored
marking
Disinfection (by soaking the washed
glass waste after cleaning with
detergent and Sodium Hypochlorite
treatment) or through autoclaving or
microwaving or hydroclaving and
then sent for recycling.30-09-2016 9

10. SCHEDULE 1: CATEGORIES IN 2011
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Category Waste category (type) Treatment & disposal option
1 Human Anatomical Waste Incineration
2 Animal waste Incineration
3 Microbiology &
Biotechnology Waste &
their laboratory waste
Disinfection at source by chemical treatment/ autoclaving/
microwaving mutilation/shredding disposal in secured
landfill or through authorised recyclers
4 Waste Sharps Disinfection by chemical treatment/ autoclaving/
microwaving or destruction by needle tip cutter 
mutilation/shredding & final disposal in secured landfill or
designated concrete waste sharp pit.
5 Discarded Medicine &
Cytotoxic drugs
Disposal in secured land fill/Incineration
6 Solid Waste (contaminated
with blood & body fluids)
Incineration
7 Infectious solid waste
catheters, hand gloves,
tubings, saline bottles
Disinfection by chemical treatment/ autoclaving/
microwaving followed by mutilation/shredding then
disposal through authorised recyclers
8 Chemical Waste
(disinfection, insecticides)
Chemical treatment & discharge into drains meeting the
norms & solid disposal in secured landfill

11. SCHEDULE 2: COLOR CODING AS PER 2011 RULES
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COLOR
CODE
TYPE OF CONTAINER WASTE
CATEGORY
TREATMENT OPTIONS
Yellow Non chlorinated plastic bags 1, 2, 5 and 6 Incineration
Red Non chlorinated plastic
bags/puncture proof
container for sharps
3, 4 & 7 As per Schedule-I
Blue Non chlorinated plastic bags
containers
8 As per schedule -I
Black Non chlorinated plastic bags Municipal
Waste
Disposal in municipal dump
sites

12. THANK YOU
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