UNDP GEF Project on Global Healthcare Waste
INSTRUCTOR GUIDE
MODULE 14: O FF-SITE TRANSPORT AND STORAGE OF HEALTHCARE WASTE
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UNDP GEF Project on Global Healthcare Waste
MODULE 14: OFF-SITE TRANSPORT AND STORAGE OF HEALTHCARE WASTES
Estimated Time
Module Overview
Learning Objectives
Target Audience
 Lecture: 45 minutes
Note: this presentation is closely related to Module 13 about On-site Transport and
Storage; many slides are repeated from Module 13
 Define external transport of healthcare waste
 Describe requirements for off-site transport of healthcare wastes including training
requirements and PPE
 Describe transport vehicle requirements
 Describe routing
 Describe the consignment system
 Describe the requirements of a storage facility for different kinds of wastes
 Explain the legal requirements for off-site transport and storage of healthcare waste
 Evaluate and improve transport equipment and vehicle designs
 Demonstrate the use of PPE
 Develop a routing plan for collection and transport
 Demonstrate cleaning and disinfection of off-site transport equipment and vehicles
 Demonstrate how to fill out a consignment note
 Healthcare waste collectors/haulers or off-site transporters
 Managers of healthcare waste collection companies
 Managers and workers at transfer stations or off-site storage areas for healthcare
waste
 Managers and workers of central treatment plants for healthcare waste
 HCWM coordinators
 Healthcare waste workers (Note: Presentation slides should be adjusted to fit the
needs of waste workers.)
 Healthcare professionals who deal with off-site waste transporters
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UNDP GEF Project on Global Healthcare Waste
Instructor Preparation
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Materials Needed
Student Preparation
Review Questions (apply these
questions to off-site topics,
specifically, or wait until
presenting Module 13 and
Module 14 to generate a
discussion based on the
questions and major points)
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Make notes pages of PowerPoint slides to hand out to class
Make copies of class exercise and homework for distribution after PowerPoint
presentation
Read Chapter 7 in Blue Book, and other materials included in the References
Make copies of any additional documents/readings that may be handed out to class,
such as those included in the References
Prepare any additional notes to be discussed during the presentation
Prepare any additional discussion points or review questions
Projector
Student handouts: slides, exercise, homework
Flip chart and marker pens and/or board and chalk
Blue Book Chapter 7
Think about off-site transport and storage processes in your healthcare facility
How does your facility store and transport wastes externally? Are there written
guidelines for external transport of wastes? Are different types of wastes kept
separate during transport and storage?
What are some alternative methods for dealing with these wastes that may or may
not be practiced in your facility? Are safety procedures or practices in place to
ensure that staff members and the public are not exposed during the processes?
Do you know about your country’s or region’s regulations regarding waste
transport and storage?
What are the advantages and disadvantages of different healthcare waste transport
systems? Do some seem to be safer and more effective than others? What about
storage procedures?
How does the storage setup in your facility compare with some of the general
requirements given in this presentation?
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UNDP GEF Project on Global Healthcare Waste
PRESENTATION
Slide Number/Title
Teacher’s Notes
Slide 1: Title Slide
Slide 2: Module Overview
Introduce the outline and major points of the presentation
Slide 3: Learning Objectives
Describe what participants will learn at the end of this module.
Slide 4: Off-site Waste Transport
Also called external transport
Slide 5: National and
International Laws
Off-site transport should comply with national regulations.
International agreements, such as the Basel Convention, deal with the transport of HCW
across borders.
If no national regulations exist, the UN has recommendations on the transport of
dangerous goods that can be followed:
United Nations Economic Commission for Europe: UN Recommendations on the Transport
of Dangerous Goods, 16th Revised Edition.
http://www.unece.org/trans/danger/publi/unrec/rev16/16files_e.html
Slide 6: Typical Requirements
for Waste Transporters
Slide 7: Training of Waste
Transporters
Go over the standard requirements for waste transporters
Important topics for training waste transporters:
-Relevant legal regulations
-Risks of hazardous healthcare waste
-Waste classifications
-Safe handling of healthcare waste
-Labeling and documentation
-Emergency and spillage procedures
-Emergency contact numbers and details of emergency services
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UNDP GEF Project on Global Healthcare Waste
Slide 8: National Requirements
for Waste Transporters
Slide 9: Waste Transport
Slide to be developed for your specific country
Slide 10: Waste Transport
Body mechanics refers to the way we move during every day activities. Good body
mechanics may also protect your body, especially your back, from pain and injury. Using
good body mechanics is important. Having your body in the right position helps protect
your back and allows you to use your body in a safe way. Injury to the spine may cause
problems such as a loss of feeling, movement, and strength, and could also lead to loss of
body functions.
A routine program for waste handling should be established as part of a healthcare waste
management plan.
When lifting an object:
Test the weight.
Get in a stable position by having your feet apart in a standing position.
Your back should be kept straight.
Lower your body to get close to the object by bending from your hips and knees. DO NOT
bend at the waist.
Keeping your knees bent and your back straight, lift the object using your arm and leg
muscles. Do not use your back muscles.
Tighten your stomach muscles when lifting.
Do not bend and twist your body at the same time.
When turning, rotate your whole body, not just your back.
Repeat the same movements when setting the object down.
For heavy objects, use wheeled carts, safety belts and other equipment to help you move
the object or ask another person to help you.
Source of image: http://www.vcu.edu/oehs/fire/safetytech.html
Slide 11: Typical Infectious
Waste Trolley
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UNDP GEF Project on Global Healthcare Waste
Slide 12: Examples of Wheeled
Bins to Transport Larger
Amounts of Infectious Waste
Slide 13: Cleaning Transport
Equipment
Slide 14: Example of a Cart
Cleaning Station
Slide 15: Transport Vehicle
Requirements
Slide 16: Transport Vehicle
Requirements
Equipment can be cleaned with soap and hot water, and hypochlorite (bleach) solution or
other approved disinfectants.
Go through requirements for waste transport vehicles
Describe the design criteria for waste transport vehicles. Your country specific
requirements.
The driver should be provided with details of the waste being carried.
Slide 17: Transport Vehicle
Requirements
Slide 18: Labeling of Transport
Vehicles
Slide 19: National Requirements
for Transport Vehicles
Slide 20: Examples of Healthcare
Waste Transport Vehicles
Slide 21: Routing
Slide 22: Consignment or
Manifest System
Describe how waste transport vehicles should be labeled
Slide to be developed with specific country’s requirements for transport vehicles, if any
Photos are from the UNDP GEF Projects in Latvia and Vietnam
Describe proper procedures for routing of waste transport vehicles
The off-site transport of waste requires a waste tracking system as part of a cradle-to-grave
approach, which is done through transport documentation known as consignment notes or
manifests.
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UNDP GEF Project on Global Healthcare Waste
Slide 23: Consignment or
Manifest System
Slide 24: Consignment or
Manifest System
Slide 25: Example of a
Consignment Note
Slide 26: General Requirements
for Storage Areas
Slide 27: General Requirements
for Central Storage Areas
Slide 28: Labels for Central
Storage Areas
Slide 29: Storage of Infectious
Waste and Sharps
Slide 30: Storage Times for
Infectious Waste
Slide 31: Pathological Wastes
Storage
Slide 32: Discussion
References (in order as they
appear in slides)
Go over the information included in a typical consignment note or manifest.
Source: British Veterinary Association
http://www.bva.co.uk/public/documents/hw_example_hw_consignment_note.pdf
Generate discussion with class based the review questions.
Blue Book Chapter 7
United Nations Economic Commission for Europe: UN Recommendations on the Transport
of Dangerous Goods, 16th Revised Edition.
http://www.unece.org/trans/danger/publi/unrec/rev16/16files_e.html
British Veterinary Association
http://www.bva.co.uk/public/documents/hw_example_hw_consignment_note.pdf
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