TRUST WASTE MANAGEMENT POLICY - Heart of …€¦ · Safety and Risk Management, Infection Prevention and Control and Medicines Management et al) will be drawn upon and referenced

Trust Waste Management Policy (version 2)

©Heart of England NHS Foundation Trust 2011 View/Print date 31 May 2011 Page 1 of 24

TRUST WASTE MANAGEMENT POLICY

Ratified Date: 26 May 2011 Ratified By: Facilities Committee Review Date: 31 May 2013 Accountable Directorate: Facilities Corresponding Author: Head of Hotel Services, HEFT

Paper Copies of this Document

If you are reading a printed copy of this document you should check the Trust‟s Policy website (http://sharepoint/policies) to ensure that you are

using the most current version.

Key Changes

Minor legislative changes and reformat in line with revised Trust format.

http://sharepoint/policies



Table of Contents

1 Circulation ..................................................................................................................... 5

2 Scope ............................................................................................................................ 5

3 Definitions and limitations .............................................................................................. 5

4 Reason for Development ............................................................................................... 5

5 Policy Aims and Objectives ........................................................................................... 6

6 Standards ...................................................................................................................... 7

7 Responsibilities ............................................................................................................. 8

8 Training requirements ................................................................................................. 11

9 Monitoring and Compliance ......................................................................................... 12

10 References and related documentation ...................................................................... 15

11 Attachments.........……………………………...…………………………………………….16

1. Ratification Checklist ………….……………………………..………………..18

2. Equality & Diversity Checklist …………………………….….……..…….…19

3. Equality & Diversity Action an……..…………………………………….……21

4. Waste Management Standard Operating Procedures (Document number: HSWM-0001)………………………………….….....23



Meta Data

Document Title: Trust Waste Management Policy

Status: Active

Document Author: Head of Hotel Services / Kirsten Elton of the Environment Agency

Source Directorate: Estates and Facilities

Date Of Release: 31 May 2011

Ratification Date 26 May 2011 Ratified by: Facilities Committee

Review Date: 31 May 2013

Related documents Clinical Governance & Controls Assurance Strategy

Decontamination Policy

Fire Policy

Hand Hygiene Policy

Hazardous Waste Technical Guidance WM2

Health & Safety Policy

Hepatitis B Policy

Infection & Prevention Strategy

Latex Policy

Laundry Policy

Management of Contractors Policy

Mandatory Training Policy

Manual Handling Policy

Medical Devices Policy

Medicines Policy

Personal Protective Equipment Policy

Policy on Use of Animal Products for Teaching

Retention and Disposal of Records Policy

Risk Management Policy

Risk Management Strategy

Sharps Safety Policy

Uniform Policy

Waste Standard Operating Procedures

Superseded documents

Trust Waste Management Policy June 2010 (version 1)

Relevant External Standards/ Legislation

Acts, Regulations & EC Directives

Control of Substances Hazardous to Health Regulations 1999

Controlled Waste Regulations 1992

Environment Agency

Environmental Protection Act 1990

Essential Standards in quality and safety 2010

European Union Directive on Waste Electrical and Electronic Equipment (WEEE)

European Waste Catalogue (EWC)

Hazardous Waste Regulations 2005

Health and Safety at Work Act 1974

HTM 07-01 Safe Management of Healthcare Waste 2011

Lifting Operations and Lifting Equipment Regulations 1998



Document Title: Trust Waste Management Policy

(LOLER)

Management of Health and Safety at Work Regulations 1999

Oil Storage Regulations 2004

Provision & Use of Work Equipment Regulations 1998 (PUWER)

Radioactive Substances Act 1993

Site Waste Management Plans

The Carriage of Dangerous Goods and Use of Transportable Pressure Equipment Regulations 2004

The Chemicals (Hazard Information and Packaging for Supply) Regulations 2002

The Environmental Permitting (England and Wales) (Amendment) (No. 2) Regulations 2010

The Environm ent al Perm it t in g (England and Wales)

Regu lat ions 2010

The Health Act Code of Practice for Infection Control 2006

The List of Wastes (LOW) Regulations 2005

The Waste (England and Wales) Regulations 2011

The Waste Electrical and Electronic Equipment (Amendment) Regulations 2010

Key Words waste‟, „environment‟, „waste streams‟, „disposing waste‟, „domestic waste‟, „clinical waste‟

Revision History

Version Status Date Consultee Comments Action from Comment

1

Retired 12.10.10 Attachments 1, 2 & 3: Signed Ratification Checklist, Equality & Diversity Checklist, Launch & Implementation Plans attached for completeness.

2 Active 05.11 Kirston Elton – Environment Agency

Minor legislative changes included. Format update in line with Trust requirement

Complete Complete



1. Circulation

1.1 This Policy applies equally to staff in a permanent, temporary, voluntary or contractor role acting for or on behalf of HEFT.

2. Scope

2.1 The policy covers all waste management related activity within the Trust.

2.2 Policies relating to specific areas of waste management (e.g. Health,

Safety and Risk Management, Infection Prevention and Control and

Medicines Management et al) will be drawn upon and referenced.

2.3 The policy covers all staff employed by the Trust, all Contractors, all

volunteers plus other NHS employees generating waste as part of Heart

of England‟s business and not just those with a specific responsibility for

waste management.

3. Definitions and Limitations

3.1 Wherever the word „Trust‟ appears in this document it refers to Heart of

England NHS Foundation Trust.

3.2 One likely exemption is the management and disposal of radioactive

source material, where specialised knowledge is essential. The Waste

Manager will however monitor this activity as part of the role.

4. Reason for Development

4.1 The Trust is using this policy to ensure the correct implementation of all

waste and related legislation. In particular the Trust intends to:

Maintain standards for waste management applicable to all Trust hospital sites.

Maintain operational practises across the Trust where possible.

Maintain Trust wide training for waste management.

Maintain equipment and consumables procured by the Trust.

Meet the requirements of all new and existing legislation, and best practice guidance.



5 Policy Aims and Objectives

5.1 The overarching aim of the policy is to:

Maintain a Duty of Care from point of generation to point of final disposal

thus ensuring disposal by the most appropriate means.

Assist with Health & Safety, environmental and other waste related

legislation by adherence to best practice at all times.

Provide staff with clear and easily accessible guidance in the safe

handling and disposal of waste in line with health and safety and infection

control requirements.

Identify specific roles and responsibilities within its organisational structure

for the effective management of waste.

Minimise the impact which the Trust‟s business activity has on the

environment through sustainable management.

Minimise risk to staff, patients, public, contracted staff and their agents

from exposure to hazardous or potentially hazardous waste.

Actively seek out opportunities to minimise waste at source and to

reuse/recycle waste where possible.

Constantly strive to improve environmental performance through risk

assessment, target setting, audit and periodic reviews of current practice

Ensure consistency of approach to waste management throughout the

Trust, whilst providing a flexible framework to accommodate the needs of

individual sites/departments.

5.2 It is the policy of Heart of England NHS Foundation Trust to:

Limit the quantity of waste produced using the principles of sustainability

and hierarchy of waste management.

Segregate all waste streams to minimise environmental impact, ensure

legislative compliance and keep operational costs to a minimum.

Actively seek out local solutions to waste management to reduce the

Trust‟s “carbon foot-print”.

Employ innovative approaches to waste management wherever possible.

Put procedures in place to ensure the safe segregation, handling,

transportation, storage and final disposal of all waste streams.



Train staff in accordance with this policy and procedures to ensure best

practice and statutory compliance.

Ensure this policy and procedures dovetail with the requirements of the

infection control and health & safety policies.

Monitor and audit waste management and Duty of Care performance, and

improve performance where required.

5.3 The key principles of the Published Standard Operating Procedures

documents will be:

Waste Assessment (Pre-acceptance, process)

Waste Segregation

Waste Movement

Waste Handling & Storage

Waste Recycling

Waste Collection & Duty of Care

Contingency Planning

Key performance indicators (including the monitoring of compliance)

6 Standards

6.1 This suite of documents is arranged in tiers:

6.1.1 Waste management policy

6.1.2 Waste management SOP‟s (Standard Operating Procedures)

6.1.3 Trust wide waste management directory (published on the

intranet)

6.2 Waste management standard operating procedures are based on best

practice guidance provided in HTM 07-01. Safe Management of Healthcare

Waste and all published EA guidelines. This series of documents are waste

specific, task orientated and have clear delineation describing who is

responsible for individual waste streams at each stage as they pass through

the Trust, from its point of generation to final disposal.



7 Responsibilities

7.1 Chief Executive

Has overall responsibility for waste management and will ensure that all

waste produced by the Trust is disposed of in accordance current

legislation and best practice guidance.

7.2 Director for Asset Management

Will encourage and promote sustainability and environmental best

practice.

Will monitor on-site activity is carried out in accordance with current best

practice guidance.

Will provide sufficient physical and financial resources to ensure waste is

handled and disposed of in accordance with relevant legislation and best

practice guidance so far as reasonably practicable.

Provide appropriate resources to the appointed waste manager.

Have responsibility for implementing the Trust‟s waste management policy

and procedures within their sphere of responsibility.

Provide the Chief Executive with assurance reports via the agreed

committee structure.

Ensure that the Chief Executive is informed of any deviations from the

agreed waste management plans/process.

Ensure that when waste management risks are identified they are

managed as part of the Directorates risk management process and when

appropriate are escalated through the risk register process to Trust board.

7.3 Head of Hotel Services

Will ensure that the waste manager charged with the duty for managing

waste at the Trust are suitably qualified and sufficiently experienced to

fully discharge their responsibilities.

Will put management systems in place to ensure this policy is

implemented and adhered to throughout the Trust.

Will ensure the policy and procedures undergo a periodic review.

Will ensure implementation of policy, compliance with waste management

procedures and ensure both are audited annually; with time limited action

plans to remedy any shortfall in standards.



7.4 Waste Manager

The waste manager is the person nominated by the Trust to take the lead

on all waste management issues. It is intended this person should

ultimately have operational and budgetary responsibility for all matters

related to waste management.

The waste manager is responsible for:

Checking all authorisations for Contractors on a regular basis.

Carries out a review of the Trust‟s waste management policy and

procedures at predetermined intervals.

Leads on all matters relating to operational waste management.

Advises the Trust‟s procurement team on all matters relating to contract

specifications and operational requirements.

Provides an impact assessment on all imminent waste related legislation.

Has responsibility for monitoring compliance against relevant legislation

and external standards such as the Care Quality Commission.

Ensures that the Director of Asset Management is informed of any visits to

the Trust by external agencies such as the Environment Agency or the

Health and Safety Executive.

Manages visits by external agencies and ensures that the Director of

Asset Management is kept informed of the outcome of such visits.

For accurately maintaining all documentation in relation to waste

management.

Ensuring that pre-contract checks are carried out and deviations in

requirements are escalated to the Director of Asset Management.

Developing and facilitating waste management training for all staff within

the Trust.

Works closely with the following to develop policies and procedures and

ensure the correct disposal of specialised waste ;

o Work and Wellbeing Service (Occupational Health)

o Transport Department

o Estates Department

o Procurement Team



o Environment Agency

o Waste Contractors

The Trust‟s Waste Manager is a member of/attends the following groups:

o Director of Infection Prevention Control (DIPC)

o Patient Environment Operational Group (PEOG)

o Cleaning Operational Managers Group (by invitation)

o Others to be determined

The Waste Manager provides regular reports and updates to these groups

above and, upon request, external reports to:

o The Environment Agency

o Care Quality Commission (Core Standard – C4e, C10 and C21)

o NHS Estates (ERIC/PAM returns)

o Audit Commission

o Any other official body as required

Will monitor the following key Health and Safety performance criteria

through a formalised untoward incident reporting mechanism:

o Non Conformance Notice (NCN)

Will ensure waste related risk assessments are in place:

o Hazard assessments for waste

o Management of H&S Risk Assessments

o Controls of Substances Hazardous to Health Regulations 2002

(COSHH) risk assessment

o Provision and Use of Work Equipment Regulations 1998

(PUWER) risk assessments

o Monitor the successful delivery of waste related training for all

staff within the Trust.



7.5 Board and Committee Responsibilities

Ratifying Board and Committee Responsibilities

The purpose of the DIPC is to ensure continuous improvement and reduction in rates of healthcare associated infection while proving a Trust wide operations facilitation forum for control of infection. The group consists of a membership including Nursing, Infection Control and Hotel Services. The waste management policy will therefore be tabled at this group for discussion and ratification.

Operational Committees

The Patient Environment Operational Group acts a multi disciplinary

operational forum for discussion and decision making on all matters relating to

a clean, safe hospital environment.

The waste manager is to provide a concise waste report on a bi monthly basis

to the group detailing current issues affecting standards, updates on waste

management policy, waste compliance procedures (standards for legislative

compliance) and waste management SOP‟s (Standard Operating

Procedures). Quality reports, actions plans and also any non conformity

notices, with the required „critical path analysis‟ and „corrective action plans‟

are also required. Reports will also include Health and Safety performance

and waste related risk assessments.

8 Training

8.1 Waste Management Training

A programme of training for all staff will be put in place. Training will be

facilitated using an electronic „e-learning‟ training package, which is

accessed through ward/departmental PC‟s.

Staff directly involved in waste management will receive specialist, task

related training - WAMITAB. This will be followed up by a formalised

assessment.

8.2 Waste Management Procedures

Procedures will be as generic as possible to ensure best practice is

maintained throughout the Trust.

Where necessary, specific procedures will be drawn up to reduce risk and

mirror the special needs of certain departments or types of waste.



8.3 Health, Safety & Welfare

A strong emphasis will be placed on managing the health and safety needs

of staff, contractors, patients and visitors by using a risk based approach to

determine what hazards are present and the most effective means of

control.

8.4 Training requirements for this policy would be through:

Presentation to senior management groups.

Communication bulletins including hyperlinks to the policy and training material.

Drop-in group sessions for front line staff using „e-learning‟ software training package.

8.5 Training requirements

On job training undertaken by site nominated staff for clinical and non clinical staff supported by e-learning package (local inductions).

Trust published waste disposal poster.

Trust published waste management handbook.

Specific competency check assessment for front line waste handling staff (e.g. Porters).

9 Monitoring and Compliance

Process for Monitoring Compliance with the Policy

9.1 Management of Waste Contractors

Formalised contract management meetings will take place regularly to review

contractor performance against agreed KPI‟s. All meetings are to be minuted.

Duty of Care inspections are to be carried out yearly for each Contractor, of

which results/feedback of the inspections are presented at the Patient

Environment Operational Group. New Waste Contractors must be able to

demonstrate compliance with all relevant legislation.



9.2 Governance and Internal Audit

Essential standards in quality and safety 2010, Regulations of the Health and

Social Care Act 2008 (regulated activities) Regulations 2010, ERIC and PAM

are mandatory requirements for NHS Trusts. Management arrangements will

reflect the need for regularised data collection and interim reporting on key

operational benchmarks.

9.3 Pre Acceptance Audits

Any change in the type of waste produced which will have a significant affect

with waste contracts will require a Pre Acceptance Audit detailed in

Compliance with the S5.07 environmental permitting regulations.

Waste producers are legally responsible for ensuring compliance with the

Hazardous Waste Regulations and the Duty of Care. They must ensure that

the information required by the consignment note, is provided for each

hazardous waste. This information must comprehensively identify the

chemical/biological components of the wastes and their concentrations, which

in many cases will mean full laboratory analysis. Carriers, consignees or other

parties and importantly waste management sites must be fully aware of what

is in each hazardous waste.

An external healthcare waste compliance audit will take place annually to

ensure compliance with the Trust‟s statutory obligations. During this process

an assessment will be made to determine that policies and procedures are fit

for purpose and the level of compliance is satisfactory.

9.4 Implications of not following the policy and associated procedures.

The Environment Agency view compliance with the requirements of S5.07 and

the Hazardous Waste Regulations very seriously and where non-compliances

are identified they will take action in accordance with their Enforcement and

Prosecution Policy.

9.5 What happens if I don‟t do it?

If you do not provide the information and therefore breach the Duty of Care,

we could take enforcement action against you. In addition, the operator of the

clinical waste alternative treatment plant, clinical waste incinerator or IPPC

transfer stations may no longer be able to accept your waste into their site and

your waste contractor may be unable to collect your waste.

Where it is show that this Policy and associated Guidance have not been

adhered to, (potentially) resulting in the Trust becoming legally vulnerable or

its reputation being adversely affected, the Director for Asset Management



shall take such steps as may be necessary to bring the situation back into

compliance as soon as possible. Associated costs incurred in carrying this out

may be recovered from the Ward, Department, Directorate or tenant

concerned.

9.6 Enforcement notices (The Environmental Permitting (England and Wales)

Regulations 2010

If the regulator considers that an operator has contravened, is contravening, or

is likely to contravene an environmental permit condition, the regulator may

serve a notice on him under this regulation (in these Regulations, an

“enforcement notice”).

Offences by individuals and bodies corporate

The Waste (England & Wales) Regulations 2011

Offence and Penalties of this regulation:

A person is guilty of an offence if they fail to comply with regulation 25; or fails

to comply with a compliance notice, stop notice or restoration notice.

Where a body corporate is guilty of an offence under regulation 42(1), and that

offence is proved to have been committed with the consent or connivance of,

or to have been attributable to any neglect on the part of any director,

manager, secretary or other similar officer of the body corporate; or any

person who was purporting to act in any such capacity, that person, as well as

the body corporate, is guilty of the offence.

http://www.legislation.gov.uk/uksi/2011/988/regulation/44/made



9.7 Monitoring Effectiveness

Monitoring Subject When Responsibility

Duties - Reports provided to relevant DIPC and PEOG

Bi Monthly

Waste Manager and Head of Hotel Services

Follow up action plans

- Duty of care visits - C4C reports - Pre Acceptance

Annually Ongoing

Waste Manager Waste Manager

Staff Training - Ensure „e-learning‟ software system is kept updated.

- Ensure all training Information /

handouts are kept updated.

Ongoing Ongoing


Levels of investigation

- Reporting of injuries diseases and dangerous occurrences

- Regulation compliance and non-clinical incidents

Ongoing Ongoing

Waste Manager/Health and Safety Manager

Adherence to external standards

- HTM 07.05 WEEE - Consignment legalisation

Ongoing Ongoing


Involvement of external stakeholders

- Estates Returns Information Collection

- Patient Environment Action Team

Annually Annually

Head of Technical Services Waste Manager/ Head of Hotel Services



10 References and Related Documents

Satisfactory implementation of this policy will assist the Trust in complying with the following:

Guidance, Consignment notes etc.

Best Practice Guidance:

Technical Guidance WM2 – Interpretation of the definition and

classification of hazardous wastes (Environment Agency)

Health Technical Memorandum 07-01: Safe management of healthcare

waste (Dept of Health)

Health Technical Memorandum 07-05: The treatment, recovery,

recycling and safe disposal of waste electrical and electronic

equipment [WEEE] (Dept. of Health)

Care Quality Commission – Core Standard C4e

Biological agents: Managing the risks in laboratories and healthcare

premises) (HSE)

Website References

Dept of Environment Food and Rural Affairs (Defra)

o www.defra.gov.uk

Environment Agency (EA)

o www.environment-agency.gov.uk

Health and Safety Executive (HSE)

o www.hse.gov.uk

Department of Health (DoH)

o www.doh.gov.uk

Care Quality Commission

o www.cqc.org.uk

Office of Public Sector Information

o www.opsi.gov.uk

http://www.defra.gov.uk/

http://www.environment-agency.gov.uk/

http://www.hse.gov.uk/

http://www.doh.gov.uk/

http://www.cqc.org.uk/

http://www.opsi.gov.uk/



11 Attachments

Attachment 1: Consultation and Ratification Attachment 2: Equality Impact Assessment (EIA) Attachment 3: Launch and Implementation Plan

Attachment 4: Waste Management Standard Operating Procedures (Pages 23-24)

Document number: HSWM-0001



Attachment 1: Ratification Checklist

Title Trust Waste Management Policy

Ratification checklist Details

1 Is this a: Policy

2 Is this: Revision of waste policy dated 2010

3* Format matches Policies and Procedures Template (Organisation-wide)

Yes

4* Consultation with range of internal /external groups/ individuals The Environment Agency

5* Equality Impact Assessment completed Yes

6 Are there any governance or risk implications? (e.g. patient safety, clinical effectiveness, compliance with or deviation from National guidance or legislation etc)

Yes

7 Are there any operational implications? Requires full co operational from Matrons and staff at ward level.

8 Are there any educational or training implications? Yes

9 Are there any clinical implications? Yes

10 Are there any nursing implications? No

11 Does the document have financial implications? No

12 Does the document have HR implications? Yes

13* Is there a launch/communication/ implementation plan within the document?

No

14* Is there a monitoring plan within the document? No

15* Does the document have a review date in line with the Policies and Procedures Framework?

Yes

16* Is there a named Director responsible for review of the document?

No

17* Is there a named committee with clearly stated responsibility for approval monitoring and review of the document?

Patient Operational Managers Group and DIPC

Document Author / Sponsor

Signed: Martin Long, Head of Hotel Services Date: May 2011

Ratified by (Chair of Facilities Committee and Executive Lead)

Signed: John Sellars, Director of Asset Management Date: 26 May 2011



Attachment 2: Equality and Diversity - Policy Screening Checklist

Trust Waste Management Policy: Policy and Procedures HEFT framework Directorate: Facilities

Name of person/s auditing/developing/authoring a policy/service: Martin Long

Aims/Objectives of policy/service: to define a systematic approach and required standards for the develop-ment, ratification, implementation, monitoring, review and retirement of Policies and associated Procedures.

Policy Content:

For each of the following check the policy/service is sensitive to people of different age, ethnicity, gender, disability, religion or belief, and sexual orientation?

The checklists below will help you to see any strengths and/or highlight improvements required to ensure that the policy/service is compliant with equality legislation.

1. Check for DIRECT discrimination against any group of SERVICE USERS:

Question: Does your policy/service contain any

statements/functions which may exclude people from using the services who otherwise meet the criteria under the grounds of:

Response Action required

Resource implication

Yes No Yes No Yes No

1.1 Age? x

1.2 Gender (Male, Female and Transsexual)? x

1.3 Disability? x

1.4 Race or Ethnicity? x

1.5 Religious, Spiritual belief (including other belief)? x

1.6 Sexual Orientation? x

1.7 Human Rights: Freedom of Information/Data Protection

x

If yes is answered to any of the above items the policy/service may be considered discriminatory and requires review and further work to ensure compliance with legislation.

2. Check for INDIRECT discrimination against any group of SERVICE USERS:


statements/functions which may exclude employees from operating the under the grounds of:




2.1 Age? x


2.3 Disability? x





x

If yes is answered to any of the above items the policy/service may be considered discriminatory and



requires review and further work to ensure compliance with legislation.

TOTAL NUMBER OF ITEMS ANSWERED ‘YES’ INDICATING DIRECT DISCRIMINATION =

3. Check for DIRECT discrimination against any group relating to EMPLOYEES:

Question: Does your policy/service contain any conditions or requirements which are applied equally to everyone, but disadvantage particular persons‟ because they cannot comply due to:




3.1 Age? x


3.3 Disability? x





x


4. Check for INDIRECT discrimination against any group relating to EMPLOYEES:


statements which may exclude employees from operating the under the grounds of:




4.1 Age? x


4.3 Disability? x





x


TOTAL NUMBER OF ITEMS ANSWERED ‘YES’ INDICATING INDIRECT DISCRIMINATION = 0

Signatures of authors / auditors: Date of signing: May 2011



Equality Action Plan/Report

Directorate:

Service/Policy:

Responsible Manager:

Name of Person Developing the Action Plan:

Consultation Group(s):

Review Date:

The above service/policy has been reviewed and the following actions identified and prioritised. All identified actions must be completed by: _________________________________________

Action: Lead: Timescale:

Rewriting policies or procedures

Stopping or introducing a new policy or service

Improve /increased consultation

A different approach to how that service is managed or delivered

Increase in partnership working

Monitoring

Training/Awareness Raising/Learning

Positive action

Reviewing supplier profiles/procurement arrangements

A rethink as to how things are publicised

Review date of policy/service and EIA: this information will form part of the Governance Performance Reviews

If risk identified, add to risk register. Complete an Incident Form where appropriate.

When completed please return this action plan to the Trust Equality and Diversity Lead; Pamela Chandler or Jane Turvey. The plan will form part of the quarterly Governance Performance Reviews.

Signed by Responsible Manager:

Date:



Attachment 3: Launch and Implementation Plan To be completed and attached to any document which guides practice when submitted to the appropriate committee for consideration and approval.

Action Who When How

Identify key users / policy writers

Martin Long, Head of Hotel Services,

May 2011

Present Policy to key user groups

Martin Long, Head of Hotel Services,

May/June 2011

Infection Control Operational Group, Patient Operational Managers Group, Matrons group

Add to Policies and Procedures intranet page / document management system.

Louise Angel, P.A. to Head of Hotel Services

May 2011

Offer awareness training / incorporate within existing training programmes

Waste Manager Ongoing E-learning, classroom or ward based training.

Circulation of document(electronic)

June 2011 Via Trusts‟ policies and procedures intranet site



Document number: HSWM-0001 (Attachment 4)

Waste Management Standard Operating Procedures

Title: Document Number:

Published Date:

EWC Author(s): Review Date:

Review By:

Notes

Responding to Waste Non Conformance Notices HSWM-

0002 15.06.10 - M. Long 01.04.12

Trust Waste

Manager

Segregation & Disposal of Waste from Theatres HSWM-

0003 26.11.10 - M. Long 01.04.12

Trust Waste

Manager

Segregation & Disposal of Returned or Unwanted Pharmacy Products

HSWM-0004

12.11.10 - J Maher M. Long

01.04.12 Trust

Waste Manager

Use of Tiger Bags HSWM-

0005 19.11.10 18-01-04 M. Long 01.04.12

Trust Waste

Manager

Use of Orange Bags HSWM-

0006 11.11.10 18-01-03 M. Long 01.04.12

Trust Waste

Manager

Use of Black Bags HSWM-

0007 15.11.10 20-03-01 M. Long 01.04.12

Trust Waste

Manager

Use of Orange Bags in Single or Multiple Occupancy Rooms

HSWM-0008

10.10.10 18-01-03 M. Long 01.04.12 Trust

Waste Manager

Use of Purple Stripe Bag HSWM-

0009 26.11.10

18-01-08 18-01-03

M. Long 01.04.12 Trust

Waste Manager



Document number: HSWM-0001 (Attachment 4)

Waste Management Standard Operating Procedures

Title: Document Number:

Published Date:

EWC Author(s): Review Date:

Review By:

Notes

Use of Orange Lid Sharps Container HSWM-

0010 29.11.10 18-01-03 M. Long 01.04.12

Trust Waste

Manager

Use of Yellow Lid Sharps Container HSWM-

0011 30.11.10

18-01-03 18-01-09 18-01-06

M. Long 01.04.12 Trust

Waste Manager

Use of Purple Lid Sharps Container HSWM-

0012 02.12.10 18-01-08 M. Long 01.04.12

Trust Waste

Manager

Internal Waste Storage HSWM-

0013 25.01.11 - M. Long 01.04.12

Trust Waste

Manager

Internal Waste Movement HSWM-

0014 25.01.11 - M. Long 01.04.12

Trust Waste

Manager

Waste Consignment HSWM-

0015 28.01.11 - M. Long 01.04.12

Trust Waste

Manager

Managing Consignment Notes HSWM-

0016 09.02.11 - M. Long 01.04.12

Trust Waste

Manager

Waste Monitoring/Audit Systems HSWM-

0017 13.05.11 - M. Long 01.04.12

Trust Waste

Manager