Medical Disposal
Transportation Plan
Company Summary
The legal name of the company will be Medi-Disposal Limited. Medi-Disposal will be located in Montego
Bay, Jamaica. Due to the taxation system Medi-Disposal may be able to evade heavy taxing because of
its environmental benefit. Medi-Disposal Limited is owned by the Grant Family and they will be an active
participant in management decisions
Biohazardous Material
The following types of biohazardous medical waste are appropriate for Medi-Disposal to collect and
transport:
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Cultures and stocks: Discarded cultures and stocks generated in the diagnosis, treatment or
immunization of a human being or animal or in any research relating to that diagnosis,
treatment, or immunization, or in the production or testing of biological.
Human blood and blood products: Discarded products and materials containing free-flowing
blood or free-flowing blood components.
Medical sharps: Discarded sharps used in animal or human patient care, medical research, or
clinical laboratories, including hypodermic needles, syringes, pipettes, scalpel blades, blood
vials, needles attached to tubing broken and unbroken glassware, and slides and coverslips.
Bedding: Discarded medical bedding covers that have been infected with agents that produce,
or may produce, human infection.
Medical Disposed Materials Management
The following types of medical waste are appropriate for Medi-Disposal to collect and transport:
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Trace contaminated chemotherapy waste (only empty containers/bags are acceptable):
Materials involved in the preparation and administration of chemotherapy drugs, including
ampoules, gloves, gowns, IV bags, pads, syringes, tubing and empty chemotherapy vials.
Non-hazardous/non-controlled discarded pharmaceuticals: Discarded pharmaceutical
products/medications that are non-controlled substances that are regulated by the Jamaican
Health Authorities, including prescription and over-the-counter medication.
Excluded Materials
The following types of waste are not appropriate for Medi-Disposal to collect, transport, transfer, or
store:
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Non-decayed radioactive waste/radioactive materials
Hazardous waste
Household waste except medical supplies used in the homes and sanitary napkins.
Industrial and commercial process waste
Human remains
Liquid chemotherapy waste
Products and Services
Medi-Disposal will be the leader as the first company in the region to collect and transport medical
waste to the National Medical Waste Management Plant located at 15-17 Drummond Street, Kingston.
Medi-Disposal notices that consumers today are more conscious of recycling and of their environment.
For this reason, there is a growing trend among consumers to move away from improper medical
disposals facilities to prevent health risks factors.
Product and Service Description
Nationwide, many landfills are closing or exhausting their remaining capacity. However, due to
environmental regulations it is very important that medical waste is disposed of properly. Medi-Disposal
will place specially designed hermetically sealed reusable polycarbonate bins that will be disposed of
every three months by a recycling plastic process. Hence, every three months there will be newly
replaced hermetically sealed reusable polycarbonate bins at medical facilities. There will be a rental fee
for the bins and a fee for pick-ups depends on the rate of pick-ups within a month. This will be done at a
competitive price.
Disposal Packaging and Transportation
requirements
Careful packaging and transportation will be strictly influenced by Medi-Disposal because it poses a risk
of disease transmission to humans or animals, as well as environmental damage.
Laboratory researchers and workers are responsible for knowing what is medical waste and disposing of
medical waste as it is generated into the appropriate bags and containers as defined by the Jamaica
Solid Waste Management and Jamaica Health Authorities.
Laboratory researchers are responsible for using the proper biohazard bags before disposing the waste
into our bins and closing red biohazard bags and bins. All laboratory researchers must comply with the
following practices when working with Medi-Disposal:
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All red biohazard bags are required to be closed by twisting and tying a square knot or by
twisting and folding the twist over itself and taping the bag closed.
Red plastic biohazard bags with a minimum thickness of 1.5mil are required to be used.
The lid of the hermetically sealed reusable polycarbonate bin that will be provided by MediDisposal should be snapped closed with a tampered resistant lock prior to pick-up. In order to
deny access of unauthorized persons or to prevent contamination. The lid is required at all times
to be on the container once there is medical waste inside even if it’s not full and ready for
transport.
Medi-Disposal hermetically sealed reusable polycarbonate bins will have the necessary
transportantion labels, such as:
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The universal biohazard symbol
The word, “Biohazard”
The proper shipping name, “(Bio)Medical Waste”
The UN number, “UN3291”
The maximum weight allowed in the container
UN and Jamaica Heath Authorities specification markings for transporting infectious
substances
Name of the medical facility that the container is coming from and the final address
destination.
Every time Medi-Disposal picks up filled containers/bins from health care or medical facilities we will
complete a tracking document. The tracking document is a record of the type and quantity of the waste
offered for trabsportation and will serve as the documentation or the papers for transport of medical
waste. The tracking documents must be signed by an authorized personal at each health care or medical
facility. The signature denotes certification that the materials contained in the containers/bins have
been properly described, packed, marked and labeled according to Medi-Disposal and Jamaica Health
Authorities regulations. Custodians, sanitary personnel and others (such as head doctors, administrative
manager) may sign the tracking form. Each tracking document will contain an emergency response
phone number in case of any mishaps. A copy of the Tracking Document is provided in Appendix 2.
Medi-Disposal will keep tracking records on file for at least one year.
Delivery and Disposal Requirements
Medi-Disposal will deliver all biohazardous medical waste to National Medical Waste Management Plant
in Kingston within 24 hours of collection or refrigerate the waste for not more than 90 days at 4.4
degrees Celsius/40 degrees Fahrenheit or lower until delivery.
The medical waste will not be unloaded, reloaded or transferred to another vehicle in any location other
than at the National Medical Waste Management Plant except in an emergency situation. Combination
vehicles or trailers may be uncoupled and coupled to another cargo vehicle or truck trailer as long as the
medical waste is not removed from the cargo department.
Medi-Disposal knows that it cannot hold waste longer than 96 hours in a refrigerated vehicle unless the
vehice is parked at an approved facility. Containers/bins will be stacked on top of each other using a
fitting clamp mechanism in the cargos, as well as packed beside each other with shock resisters, in order
to prevent compaction and spills.
Transport Vehicle(s) and Security
All Medi-Disposal vehicles used for transporting medical waste will meet the standards of Jamaica
Health Authorities:
1. Have a fully enclosed, leak-proof cargo compartment consisting of a floor, sides and a rood that
are made of a non-porous material impervious to medical waste and physically separated from
the driver’s compartment, OR
2. Pull a fully enclosed, leak-proof cargo box made of a non-porous material impervious to medical
waste, OR
3. Tow a fully enclosed leak-proof trailer made of a non-porous material impervious to medical
waste.
Vehicles are padlocked and secured when medical waste cargo is not being either loaded or unloaded.
The padlocks will use a coded lock system to prevent the theft or lost of keys. The transporters shall
ensure that the locking mechanisms are in proper working order prior to leaving the destination of
transport.
Vehicle Operator Safety Training
All Medi-Disposal employees engaged in over-the-road transportation activities such as; load, unload or
handle hazardous materials; prepare hazardous materials for transportation; or is responsible for safety
of transporting hazardous materials. These employees must always use the appropriate engineering
controls and personal protective equipment for the nature of the medical waste and the operation
performed. At least they should always wear gloves and a laboratory coat when handling bags of
medical waste or containers of medical waste. Wear eye, face and mouth protection if splashing is
anticipated. Employees will be trained to perform the following tasks:
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Gain knowledge and general awareness of the process
Wear proper and purposed personal protective equipment;
Identification of medical waste materials allowed and materials not allowed;
Packing and labeling of bins properly
Handling of sharps properly
Control of blood borne pathogens that may be exposed and safety training in the evident of
emergency
Methods of avoiding accident
This training will be completed prior to the employee being given an over-the-road assignment (at least
90 days before first assignment), and retraining will occur at least every 3 years.
Emergency Response Information
Medi-Disposal Emergency Response will be supervised by health personals. All incidents will be reported
on an accident report form. Employees should never pick-up medical waste using their hands or without
a Emergency Response supervisor present. Employees may use devices such as tongs or sweep materials
into a dust pan or bucket using a handful of disinfectant soaked paper towels or a broom. A detailed
Emergency Response Plan is provided in Appendix 3.
Spill Containment Kits
Each vehicle will be equipped with a Spill Kit containing appropriate emergency and spill response items.
A detailed listing of the Spill Kit contents is provided in Appendix 4.
Spill Kit location will depend on the configuration of each vehicle used; however, the Spill Kit will be
located such that it is readily accessible in the event of an emergency. This may mean that the Spill Kit
location will change as the container-portion of the vehicle makes its rounds.
Target Market
Medi-Disposal will target the following potential customers:
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Retail Pharmacy
Drug Manufacturer
Medical Office
Self Injector
Dental Office
Veterinary Clinic
Assisted living/Old-Aged homes
Funeral homes
Laboratories
Tattoo Agencies
Piercing facilities
Acupuncture facilities
Ambulances
Hotels
Hospitals
Appendix 1
Hermetically sealed reusable polycarbonate bin:
Sharp containers:
Appendix 2
Appendix 3
EMERGENCY RESPONSE PLAN
1) Basic Description and Technical Name
a) Proper transportation name: (Bio)medical Waste
b) Un Identification Number: 3291
c) Packing Group: II
2) Potential Health Hazards
a) Inhalation or contact may cause infection, disease, or death; and
b) Runoff from fire control may cause pollution.
3) Risk from Fire or Explosion
a) The reusable containers are fire resistant: High Density Polyethylene; and
b) Some of the waste material may burn, but none ignite readily.
4) Immediate Precautions
a) Assess the extent of the incident and/or spill;
b) Isolate spill from unauthorized personnel using the yellow caution tape provided in
the Spill Kit.
c) If applicable, stop continual leakage from container(s), by using absorbent, or
additional liners and additional polyvinyl container needed;
d) Contain spill within an appropriate area, using absorbent and supplied rags as
needed; and
e) If necessary, call Medi-Disposal Emergency Response telephone number.
5) Immediate Methos for Handing Fires
a) Small Fires:
i)
Use a dry chemical fire extinquisher provided in the vehicle or the one by the
loading dock roll-up door. If at another facility, locate the closet fire
extinguisher prior to an accident.
b) Large Fires:
i)
Call 119; then Medi-Disposals Emergency response phone number.
6) Spill Response Procedures
a) Medical Waste Spill:
i)
Personnel (Drivers)
(a) If a person has direct contact with untreated medical waste, first remove
any contaminated clothing and shower thoroughly or wash area with a
germicidal soap.
(b) Prior to conducting the following clean-up procedures, utilize the
following personal protective equipment:
(1) Tyvek suit (for liquid spills only);
(2) Tyvek booties (for liquid spills only);
(3) Impermeable gloves (i.e., latex, polyethylens, etc); and
(4) Safety glasses or face shield.
ii)
Surfaces coming in contact with the spill:
(a) The driver that becomes aware of the spill must inform the appropriate
Supervisor, via telephone or other communication device, as soon as
possible and cordon off the spill area using safety cones and caution tape
from the Spill Kit.
(b) The employee(s) cleaning up the spill must wear personal protective
equipment as specified above.
(c) Place an appropriate red plastic bag inside a fiberboard box or reusable
plastic container at the Packing Group II level.
(d) Initially, shovel the solid portion of the spilled material into the previously
prepared fiberboard box or reusable container.
(e) Spray the contaminated area with the approved disinfectant.
(f) Spread absorbent on the contaminated area and wait at least 10 minutes.
(g) Shovel the absorbent and any other contaminated items into the
container; continue until no visible contamination remains.
(h) Once again spray the area previously covered by the spill with the
approved disinfectant.
(i) Spray any tools that may have come into contact with the medical waste
during this clean up.
(j) Remove and place all disposable personal protective equipment in the
fiberboard box or reusable plastic container used during this clean-up.
Seal the contents and mark the box or container as “Spill Cleanup”.
(k) Ensure that the inner packaging (bag) and the outer packaging
(container) are closed according to the applicable packaging
specifications. Mark the container “Spill Cleanup.”
(l) Segregate the “Spill Cleanup” container from any other loaded waste, to
avoid mixing the contents with manifested waste contents.
(m) Load all containers onto the transportation vehicle and ensure it is
properly secured.
(n) Generate a Tracking Document for any additions or subtractions to total
quantity of waste caused by the spill response activity (i.e., medical waste
from one container cleaned up and placed into two new containers).
(o) The Supervisor must complete incident-reporting requirements.
7) Incident Reporting
(a) The incident will be reported to the employee’s Supervisor as soon as possible.
(b) Gather the relevant data and complete the Incident Report Form.
(c) Upon receipt of the complete Incident Report Form, the Supervisor then must:
i)
Make the immediate telephone notice, if applicable; and/or
ii)
Complete and submit a form to:
(a) Jamaica Transportation Authority within 30 days (original and one copy)
(b) The collection company (if other than Medi-Disposal) that collected this
container.
(c) Medi-Disposal representative assigned to the applicable customer (who
will then communicate to the customer).
8) Emergency Response and First Aid
a) For large spills or emergencies requiring emergency response:
i)
Call 119 to report the emergency.
ii)
Call Medi-Disposal Emergency Response Number.
iii)
Other agencies to consider contacting depending on the nature and scope of
the spill include local fire department and/or related agencies.
iv)
At the earliest possible opportunity, call your immediate supervisor to get
additional instructions.
b) First aid:
i)
Move injured victims to a safe area, away from the incident location.
ii)
Call 119 for emergency medical care, if necessary, or prepare to take the
victim to the emergency room at a community hospital or closet emergency
room if incident occurs outside of that service area.
iii)
Call Medi-Disposal to report the incident.
iv)
If the victim is not in immediate danger, remove and isolate any
contaminated clothing and shoes.
v)
In the event of contact with medical waste, immediately flush skin and/or
eyes with sufficient amount of water (running water for at least 20 minutes).
vi)
In the eventof contact of contaminants with the eyes, the eyes must be
flushed for 20 consecutive minutes in order to prevent further injury. Once
step (vi) have been complete, the victim shall be immediately moved to the
nearest medical facility, or to a location equipped with the appropriate eye
flushing equipment in order to continue with eye flushing for the prescribed
20 minutes period.
vii)
Ensure that medical personnel are aware of the material(s) involved, and
take precautions to protect themselves.
Appendix 4
Spill Kit Contents
All vehicles shall carry Spill Containment Kits containing the following:
 Broom and dust pan or scooper
 Scissors
 Heavy-duty latex exam gloves or
 Tongs or forceps to pick up broken or
disposable Nitrile gloves
sharp items
 Two pairs of puncture-resistant heavy
 First aid kit:
rubber gloves
o Antiseptic towelettes
o Antiseptic ointment
 Full face shield
o Adhesive tape
 Safety glasses
o Roller gauze and gauze pads
 Steel-toed rubber boots or other
o Two quart-size eye wash
protective foot covering
containers
 One spray container of approved
o
Band-Aids in assorted sizes
disinfectant
o Cold pack
 One small container of anti-bacterial
 Paper towels
skin cleanser (alcohol-based hand
 Plastic garbage bags
sanitizer product)
 Markers, labels, and pens
 One bar of germicidal soap
 Tyvek suits (x2)
 Two gallons of water for emergency
 10 pounds of absorbent (kitty-litter or
first-aid and skin and eye contact
equivalent)
 Flashlight and batteries
 Respiratory mask
 Emergency blanket
 One warning triangle, flare kit, and
 One bag of rags
barrier tape
 One roll of duct tape
 One well-rated fire extinguisher
 One roll of caution tape
(carried in the truck cab)
 A secondary container for spill cleanup,
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Camera
such as red biohazardous bags for
 Instructions, contact information and
biohazardous medical waste
Incident report Form
 5 gallon fold-a-carrier water container
The Spill Kit will be stored in a container marked “Spill Cleanup Equipment Kit” and will be
stored separate from waste containers. The Spill Kit will be located so that it is readily
accessible in the event of an emergency.
A copy of this Biohazardous Medical Waste shall be kept in the driver’s compartment of each
transport vehicle and extra copies shall be kept in the Spill Kit.
Appendix 5