VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
Number:
QAU HCWM
011
Title:
Revision:
Spill Management
1
Name
Title
Date
Lead author:
Scott Ackerson
Health care waste
management (HCWM)
officer
Technical approval:
Nicole Pahl
HCWM advisor
2012.11.08
Technical approval:
Tom Layloff
Senior quality assurance
advisor
2012.11.13
Section approval:
Chryste Best
Product assurance
management
Effective date:
YYYY-MM-DD
Review period:
2012.10.10
Annual
1. Purpose
Health care waste generated at the male circumcision (MC) site can pose risks to patients, health care workers and
visitors, and the environment when handled, contained and disposed of improperly. Standards to control and
minimize these risks are provided in this document.
2. Scope
This document describes methods for preparing sodium hypochlorite solution and procedures for cleaning spills.
3. Responsibilities
Title
Responsibility
Site manager

Advocate for health worker safety.

Ensure that all staff, including management, implementation and transport
teams, have obtained and are familiar with:
o National HCWM policies and regulatory framework
o VMMC campaign-specific HCWM policies and procedures.

Enforce site health care waste management plan (goal, budget, staff, roles and
responsibilities, supervision, training and reporting).

Ensure that all relevant products required for sound HCWM are adequately
supplied prior to commencement of operations, and meet a minimum standard
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Page 1 of 22
VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
QAU HCWM
Number:
011
Title:
Revision:
Spill Management
1
of quality - i.e.
o Waste containers (color-coded bags, boxes, etc.)
o Labeling tools and signage
o Decontamination products and equipment
o Temporary storage space
o Visual aids
o Control documents
Infection control officer

Ensure that all levels of site staff, including the transport team, are adequately
trained in all the proper HCWM procedures relevant to their scope of work
prior to commencement of duty.

Identify waste container supply needs and report stockouts.

Ensure that a designated on-site route plan and collection schedule is designed
and implemented for HCW.

Ensure that the waste is weighed correctly and control documents are correctly
filled in and signed off upon collection for off-site transport.

Conduct quality audits and verify compliance with HCWM SOPs.

Ensure that all staff, including management, implementation and transport
teams, have obtained and are familiar with:
o National HCWM policies and regulatory framework
o VMMC campaign-specific HCWM policies and procedures.

Enforce site health care waste management plan (goal, budget, staff, roles and
responsibilities, supervision, training and reporting).

Ensure that all levels of site staff, including the transport team, are adequately
trained in all HCWM procedures relevant to their scope of work prior to
commencement of duty.
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Page 2 of 22
VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
QAU HCWM
Number:
011
Title:
Revision:
Spill Management
1

Train and ensure staff is properly following hand hygiene and surgical scrub
procedures where applicable.

Advocate for health care worker safety.

Ensure that all relevant products required for sound HCWM are adequately
supplied prior to commencement of operations, and meet a minimum standard
of quality - i.e.
o Waste containers (color-coded bags, boxes, etc.)
o Labeling tools and signage
o Decontamination products and equipment
o Temporary storage space
o Visual aids
o Control documents

Ensure a clean and orderly environment at the site (supervisory).

Identify waste container supply needs and report stockouts.

Ensure that reporting systems (incident, injury-on-duty, needle stick injury, waste
movement, etc.) are adopted and in place.

Ensure that all waste generated at source (point of origin) is correctly segregated
and packaged, and that the packaging is safely closed off before collection for
on-site transport (supervisory).

Ensure all aspects of sterile processing of reusable metal instruments and
decontamination of disposable instruments) are competently performed by the
Orderlies, including:
o Decontamination
o Preparation
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VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
QAU HCWM
Number:
011
Title:
Revision:
Spill Management
1
o Packaging
o Sterilization
o Sterile storage
o Distribution of re-sterilized reusable metal instruments
Clinical staff

Ensure decontaminated disposable metal instruments are securely stored
(supervisory).

Ensure that the waste is weighed correctly and control documents are correctly
filled in and signed off upon collection for off-site transport.

Ensure that a designated on-site route plan and collection schedule is carefully
designed and implemented for HCW.

Conduct quality audits and verify compliance with HCWM SOPs.

Follow health care waste management policies and procedures.

Practice safe operating procedures and wear appropriate PPE.

Follow general hand hygiene and surgical scrub procedures where applicable.

Ensure a clean and orderly environment at the site.

Apply Sharps Safety Best Practice.

Place sharps containers properly at designated locations.

Ensure that all waste generated at source (point of origin) is correctly segregated
and packaged into appropriate color-coded containers, and that the packaging is
safely closed off before collection for on-site transport.

Notify Orderly when waste container is ¾ full and is ready for collection and
replacement.

Place contaminated metal instruments into presoak bath after use.

Notify Orderly if instrument presoak bath needs replacing.
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Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
QAU HCWM
Number:
011
Orderly
Title:
Revision:
Spill Management
1

Notify Orderly if there is a spill that requires cleaning and supervise and assist
accordingly.

Know the health care waste management policies and procedures.

Practice safe operating procedures and wear appropriate PPE.

Follow general hand hygiene procedures.

Ensure a clean and orderly environment at the site.

Place sharps containers at designated locations.

Properly prepare sodium hypochlorite solutions as needed.

Collect sharps containers and other waste containers once they have reached
their maximum capacity (no more than ¾ full) and take them to the temporary
storage site.

Competently perform all aspects of sterile processing of reusable or disposable
metal instruments, including:
o Decontamination
o Preparation
o Packaging
o Sterilization
o Sterile storage
o Distribution of re-sterilized reusable metal instruments
Transport team manager

Store infectious and sharps waste in a secure location.

Ensure decontaminated disposable metal instruments are securely stored.

Properly clean up spills where needed.

Obtain and enforce relevant HCWM management policies and procedures and
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VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
Number:
QAU HCWM
011
Title:
Revision:
Spill Management
1
wearing of appropriate personal protective equipment (PPE).
Transport Team

Advocate for health worker safety.

Ensure that all levels of staff are adequately trained in all the proper HCWM
procedures relevant to prior to commencement of duty.

Ensure supply of appropriate scale(s) dedicated solely to the purpose of
weighing waste, as well as a budget for periodic calibration by an accredited third
party to ensure that it is consistently accurate in operation.

Ensure staff is adequately trained on how to use and calibrate scale(s) for the
purpose of weighing HCRW.

Ensure an adequate supply of required tools and first aid kits and spill
containment kits to be kept on board the vehicle(s).

Conduct quality audits and verify compliance with relevant HCWM SOPs.

Obtain and apply relevant HCWM management policies and procedures and
wear appropriate personal protective equipment (PPE).

Follow general hand hygiene where applicable.

Ensure that a designated route plan and collection schedule is carefully designed
and implemented.

Ensure that all tools and first aid kits and spill containment kits on board
vehicles are well-stocked.
4. Definitions
Term
Definition
Anatomical
waste/pathological waste
Consists of tissues, organs, body parts, blood and bodily fluids from patients,
human fetuses and animal carcasses, but excludes teeth and hair.
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VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
Number:
QAU HCWM
011
Title:
Revision:
Spill Management
1
Biohazard symbol
A symbol required to be on the side of all infectious and sharp waste
containers.
Caution symbol
A symbol required to be on the side of all decontaminated instrument
storage containers.
Cleaning
Removal of contamination from an item to the extent necessary for further
processing or for the intended use.
Clinical staff
Includes all staff involved in and related to the observation and treatment of actual
patients rather than theoretical or laboratory studies.
Examples: nurses, doctors, phlebotomists, testers
Chemical waste
Consists of discarded solid, liquid and gaseous products that contain dangerous or
polluting chemicals, for example, from diagnostic and experimental work and from
cleaning, housekeeping and disinfecting procedures. Chemical waste from health
care may be hazardous or non-hazardous.
Examples: pharmaceutical waste, cytotoxic/genotoxic waste and radioactive waste
Color-coding system
A system for relating the contents of packaging/containers by using different
colors.
Containerization
Often used interchangeably with the word “packaging.” Refers to the materials
used to wrap and safely contain the relevant waste streams to prevent exposure
during transport until final disposal.
Examples: Rigid plastic containers, flexible plastic bags, lined fiber-board box sets
Contaminated
State of having been actually or potentially in contact with infectious agents.
Decontamination
The process by which medical devices, instruments and equipment are rendered
safe for personnel to handle.
Decontamination area
Area of a health care facility designated for collection, retention and cleaning of
soiled and/or contaminated items.
Hazard
Intrinsic potential property or ability of any agent, equipment, material or process
to cause harm.
Health ware general
Comparable to domestic/municipal/household waste, this type of waste does not
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VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
Number:
QAU HCWM
011
Title:
Revision:
Spill Management
1
waste
pose special handling problems or hazards to human health or to the environment.
Health care risk waste
All waste generated by health care establishments, research facilities and
laboratories that could pose a health risk to health worker, the public or the
environment.
Hypochlorite solutions
Widely used for decontaminating surgical instruments, laboratory equipment and
spot disinfection of countertops and floors in health care facilities.
Identification
The process of visually recognizing relevant health care waste streams at the point
of generation.
Infection control officer
Addresses factors related to the spread of infections within the health care setting,
including prevention (through hand hygiene/hand washing,
cleaning/disinfection/sterilization, vaccination, surveillance), as well as
monitoring/investigation of demonstrated or suspected spread of infection within a
particular setting.
Infectious waste
Waste that may have been in contact with human blood or bodily fluid and may
have the ability to spread disease.
Examples: gauze, cotton, dressings, laboratory cultures, IV fluid lines, blood bags, gloves,
anatomical waste, surgical instruments and pharmaceutical waste
Microorganism
Entity of microscopic size, encompassing bacteria, fungi, protozoa, and viruses.
Minimum recommended
concentration
Minimum concentration at which a liquid chemical sterilant is suitable for the
decontamination procedure.
Non-infectious waste
General waste that presents no risk to persons who handle it.
Examples: paper, packaging materials, office supplies, drink containers, hand towels, boxes, glass,
plastic bottles and food
Orderly
Includes all staff in an ancillary or assisting role to other staff. This level of staff
typically has a lower level of education and skill competency than the other staff
groups.
Examples: Cleaners, orderlies, housekeepers, grounds men, drivers
Packaging
Often used interchangeably with the word “containerization.” Refers to the
materials used to wrap and safely contain the relevant waste streams to prevent
exposure during transport till final disposal.
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VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
Number:
QAU HCWM
011
Title:
Spill Management
Revision:
1
Examples: Rigid plastic containers, flexible plastic bags, lined fiber-board box sets
Pharmaceutical waste
Includes expired, unused, spilt and contaminated pharmaceutical products, as well
as drugs, vaccines and sera that are no longer usable as medication and need to be
disposed of appropriately.
Personal protective
equipment
Specialized clothing or equipment worn by an employee for protection against a
hazard.
Segregation
Systematic separation of health care waste into designated categories.
Sharp waste
Waste that may puncture the skin and cause disease.
Examples: needles, infusion sets, scalpels, knives, blades, lancets, and broken glass
Site manager
Staff member with administrative or decision-making capacity for the relevant site.
Sodium hypochlorite
solution
Widely used for decontaminating surgical instruments, laboratory equipment and
spot disinfection of countertops and floors in health care facilities.
Example: Jik, the local trade name for concentrated sodium hypochlorite, which is sold widely.
Special waste
Comprised of infectious and hazardous waste, which has physical characteristics
that differ from anatomical/pathological, sharp and general waste, but requires
special precautions in packaging, handling, treating and disposing of this waste.
Examples: non-sharp surgical instruments
5. References
1. ANSI/AAMI ST79: 2010 & A1:2010 & A2:2011, Comprehensive guide to steam sterilization and sterility assurance
in health care facilities.
2. SOP-PQAU001-002: Incident Reporting
3. SOP-PQAU001-005: Decontamination of General Surfaces.
4. SOP-PQAU001-008: Identification, Segregation, and Packaging.
5. SOP-PQAU001-012: Storage Criteria and Guidance.
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Page 9 of 22
VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
Number:
QAU HCWM
011
Title:
Revision:
Spill Management
1
6. Equipment
The following equipment is required to perform this procedure;
Name
Quantity
Equipment
10-liter stainless steel bucket with lid and appropriate biohazard signage
3
Instrument brush with nylon bristles
1
Stainless-steel mixing spoon with handle
1
Sealable plastic storage container with appropriate caution signage
2
Sodium hypochlorite (commercial-grade household sodium hypochlorite)
3 liters
Red trash bag
1
Sharps container
1
Liter measuring cup
1
Paper towels
1 roll
Cloth towels
5
PPE (per person)
Elbow-length utility gloves
1 pair
Face shield or goggles & mask
1 pair
Heavy plastic apron
1
Gumboots / safety shoes
1 pair
7. Acronyms
HCF
health care facility
HCRW
health care risk waste
HCW
health care waste
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VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
Number:
QAU HCWM
011
Title:
Spill Management
HCWM
health care waste management
IEC
Information, education and communication
MC
male circumcision
MSDS
materials safety data sheet
PPE
personal protective equipment
SOP
standard operating procedure
Revision:
1
8. Education
Responsibility for spill cleanup should be assigned only to qualified individuals who have demonstrated competence
in all aspects of the process. Staff assigned to this duty must successfully complete a training program that will
evaluate:
a) Knowledge and adequate experience in handling health care risk waste.
b) Ability to safely and properly clean HCRW spills.
9. Mixing of sodium hypochlorite solution
Take the following steps:
1
Put on required PPE (refer to section 6) for mixing sodium hypochlorite solution, including
reusable utility gloves, apron, gumboots, and face protection (goggles & mask or full-length face
shields).
2
Determine the percentage of active sodium hypochlorite in the commercial-grade sodium
hypochlorite solution by reading the active ingredients, usually displayed on the back side of the
bottle. (Note: Sodium hypochlorite concentration can range from approximately 1% to 10%
strength.).
3
Using the table located in Annex 1 to determine the amounts of sodium hypochlorite and water
required to make the decontamination solution mixture.
Note: The solution should fill ONLY half of the stainless steel bucket, leaving room for
displacement or to prevent spillage. Example: A 10 L bucket should hold ONLY 5 L of the
diluted sodium hypochlorite solution. (Table: 4550 mL of water and 450 mL of sodium
hypochlorite equals 5 L of diluted solution for 3-5% concentration).
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Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
QAU HCWM
Number:
011
Title:
Spill Management
Revision:
1
4
Measure the appropriate amount of water as indicated in the table found in the table (Annex 1).
5
Carefully pour the water into the bucket.
6
Measure the appropriate volume of sodium hypochlorite solution found in the table (Annex1).
7
Carefully pour the corresponding amount of sodium hypochlorite concentrate into the bucket
that contains the measured water. Use caution to avoid spillage.
8
Use a stainless steel mixing spoon to gently mix the solution.
Note: The sodium hypochlorite solution should not be reused, and a new solution must be made
for every use. The solution should also be replaced if it becomes visibly contaminated.
WARNING: Avoid skin and eye contact. Solution may sensitize and may cause skin irritation. This
solution is extremely corrosive and harmful if swallowed.
If the solution comes into contact with skin, flush thoroughly with water for 3 minutes. If the
solution comes into contact with the eyes, flush with water immediately for 3 minutes and then seek
medical attention.
9.1. IEC Material
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VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
QAU HCWM
Number:
011
Title:
Spill Management
Revision:
1
10. Disposal of sodium hypochlorite solution
To properly dispose of the sodium hypochlorite solution, dilute the solution by adding water to top off the bucket.
Then, pour the contents of the bucket out at a waste disposal site or down a drain. This practice reduces pollution
risk to the environment.
11. Spillage of health care risk waste
In the event of a HCRW spillage, whether it is due to a torn bag or a broken seal, the site manager and/or
infection control officer must be informed. The origin of the waste must be determined before cleanup can begin.
Responsibility for clearing the spillage must be delegated and carried out only by persons trained in the correct
procedures, e.g., cleaning of bodily fluids and sharps. The Orderly is responsible for dealing with the HCW spillage
at the VMMC site. The main witness to the spill or the Infection Control Officer is responsible for completing the
incident form (refer to Annex 3) in the event of a spill (Refer to SOP-PQAU001-002: Incident Reporting).
11.1. Spillage of infectious waste (DRY WASTE SPILL)
1. Clear the spillage area of people and equipment. Then, put on the required PPE (refer to section 6).
A long-handled dustpan/shovel and brush should be used to gather the spilt materials to minimize
contact/exposure.
2. Sweep the material into the dustpan and carefully place the waste into a new red bag.
3. Once the bag is three-quarters full, tie it off using the double-knot tying method or use a cable tie
and immediately place the waste into the secured HCRW storage area.
4. After the dry HCRW has been removed from the surface, follow the procedure in SOP-PQAU001005 Decontamination of General Surfaces, to decontaminate the surface that came into contact with the
spilt material.
5. The dust pan/shovel and brush used to clean up the spill must also be decontaminated in a sodium
hypochlorite cleaning solution after cleanup is complete. If the solution used in step 4 appears dirty,
a new solution must be made to decontaminate these items.
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VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
QAU HCWM
Number:
011
Title:
Spill Management
Revision:
1
11.2. Spillage of sharps
1. Never pick up sharps by hand. Clear the spillage area of people and equipment; then put on the
required PPE (refer to section 6). A long-handled dustpan/shovel and brush should be used to
gather the spilt materials to minimize contact/exposure.
2. Sweep the material into the dustpan and carefully place the gathered material into a new sharps
container.
3. Small quantities of sharps may be picked up using disposable forceps/tweezers.
4. After the sharps have been removed from the surface, follow procedure SOP-PQAU001-005
Decontamination of General Surfaces, to decontaminate the surface that came into contact with the spilt
sharps.
5. The dust pan/shovel and brush used to clear the waste must also be decontaminated in a sodium
hypochlorite cleaning solution after clean up is complete. If the solution used in step 4 appears
dirty, a new solution must be made to decontaminate these items.
11.3. Spillage of blood and bodily fluids (WET WASTE SPILL)
1. Clear the spillage area of people and equipment. Then, put on the required PPE (refer to section 6).
2. Cover the spill with paper towels (or suitable absorbent material) to soak up blood or bodily fluids.
3. After approximately 10 minutes, collect the paper towels and place them carefully into a new red
infectious waste bag.
4. Continue to wipe the surface carefully until all blood and/or bodily fluids have been visibly removed
from the surface and place into a red infectious waste bag. Once done, ensuring the bag is no more
than three-quarters full, securely tie off the bag with a cable tie or secure double knot. Follow the
procedure for SOP-PQAU001-005 Decontamination of General Surfaces, to decontaminate the surface
that came into contact with the blood and/or bodily fluids.
5. Immediately after the cleaning process is complete, place the tied-off red infectious waste bags into
the secured HCRW storage area.
11.4. Chemical spillage
Since several different kinds of chemicals are available on the market, some compatible
with each other and others not, it is difficult to offer explicit guidelines for handling
chemical waste. It remains the responsibility of the person or department procuring
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VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
QAU HCWM
Number:
011
Title:
Revision:
Spill Management
1
specific chemicals for particular functions to ensure that they acquire a materials safety
data sheet (MSDS) for each chemical from the manufacturer, supplier or Internet, and
investigate, educate and display handling and spill management procedures accordingly.
It is the responsibility of the Site Manager and Infection Control Officer to have a folder
that contains all MSDSs on site.
Example: Procedures for managing hydrochloric acid
1. Execute the area and inform the managerial staff/infection prevention control immediately.
2. Review the MSDS to determine the appropriate action to be taken.
3. Put on the required PPE as stated in the MSDS, including utility gloves, apron, rubber boots and
face protection (goggles or full-length face shields).
4. Open all windows and doors to ventilate the area.
5. Neutralize with alkaline material (soda ash, lime).
6. Absorb with an inert material (e.g., vermiculite, dry sand and/or earth).
7. Place waste material in a dark green speci-bin and store according to SOP-PQAU001-012: Storage
Criteria and Guidance.
MSDS for hydrochloric acid states:
Spillage management:
Ventilate area of leak or spill. Wear appropriate personal protective equipment as specified in
Section 8. Isolate hazard area. Keep unnecessary and unprotected staff from entering. Contain
and recover liquid when possible. Neutralize with alkaline material (soda ash, lime), then
absorb with an inert material (e. g., vermiculite, dry sand, earth), and place in a chemical
waste container. Do not use combustible materials, such as saw dust. Do not flush to sewer!
Disposal:
Whatever cannot be saved for recovery or recycling should be handled as hazardous waste and
sent to an RCRA-approved waste facility. Processing, use or contamination of this product
may change the waste management options. State and local disposal regulations may differ
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Standard Operating Procedure
Section:
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011
Title:
Revision:
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1
from federal disposal regulations. Dispose of container and unused contents in accordance
with federal, state and local requirements
Storage:
Store in a cool, dry, ventilated storage area with acid resistant floors and good drainage.
Protect from physical damage. Keep out of direct sunlight and away from heat, water, and
incompatible materials. Do not wash out container and use it for other purposes. When
diluting, the acid should always be added slowly to water and in small amounts. Never use hot
water and never add water to the acid. Water added to acid can cause uncontrolled boiling and
splashing. When opening metal containers, use non-sparking tools because of the possibility
of hydrogen gas being present. Containers of this material may be hazardous when empty
since they retain product residues (vapors, liquid); observe all warnings and precautions listed
for the product.
12. Records
13. Distribution
14. Documents
Annex 1. Sodium hypochlorite tables
Annex 2. Mixing of sodium hypochlorite solution
Annex 3. Training evaluation checklist
16. Amendment history
Name:
Title:
Date:
Original lead author:
Original section approval:
Original performance
management approval:
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VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
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QAU HCWM
Number:
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Title:
Revision:
Spill Management
1
Original management
approval:
Original effective date:
YYYY-MM-DD
YYYY-MM-DD
Review Period: Annual/Quarterly
17. Additional reviewers
Revision:
Name:
Title:
Date:
Comments:
1
2
3
4
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Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
QAU HCWM
Number:
011
Title:
Revision:
Spill Management
1
Annex 1. Sodium hypochlorite concentration table
Sodium hypochlorite concentration (3–5%)
Total volume of
Amount of
bucket/container water
Amount of
water
Amount of sodium
hypochlorite
Amount of
sodium
hypochlorite
Liters
Liters
Milliliters
Liters
Milliliters
1
2
3
4
5
6
7
8
9
10
0.91
1.82
2.73
3.64
4.55
5.46
6.37
7.28
8.19
9.1
910
1,820
2,730
3,640
4,550
5,460
6,370
7,280
8,190
9,100
0.09
0.18
0.27
0.36
0.45
0.54
0.63
0.72
0.81
0.9
90
180
270
360
450
540
630
720
810
900
Sodium hypochlorite concentration (6–10%)
Total volume of
Amount of
bucket/container water
Amount of
water
Amount of sodium
hypochlorite
Amount of
sodium
hypochlorite
Liters
Liters
Milliliters
Liters
Milliliters
1
2
3
4
5
6
7
8
9
10
0.96
1.92
2.88
3.84
4.8
5.76
6.72
7.68
8.64
9.6
960
1,920
2,880
3,840
4,800
5,760
6,720
7,680
8,640
9,600
0.04
0.08
0.12
0.16
0.2
0.24
0.28
0.32
0.36
0.4
40
80
120
160
200
240
280
320
360
400
This document is uncontrolled when printed. For the official copy, check the SCMS website.
Page 18 of 22
VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
QAU HCWM
Number:
011
Title:
Spill Management
Revision:
1
Annex 2. Mixing of sodium hypochlorite solution
This document is uncontrolled when printed. For the official copy, check the SCMS website.
Page 19 of 22
VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
Number:
QAU HCWM
011
Title:
Revision:
Spill Management
1
Annex 3: Example Incident Report Form
New Incident Report
Incident Severity*: (check one box only)
Site Name:
☐Low
Incident Log Date:
Incident Location:
☐Medium
☐High
Department(s) Involved:
Incident Submitter:
 Check box only if you are submitting the incident on behalf of another individual and provide individual’s name below:
Incident Consequence/Potential consequence:
Action(s)/outcome requested:
Individuals whose input is needed in an investigation, resolution, and/or identification
of Corrective and Preventive Actions:
Supporting documentation, reference information, and/or evidence:
This document is uncontrolled when printed. For the official copy, check the SCMS website.
Page 20 of 22
VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
QAU HCWM
Number:
011
Title:
Spill Management
Revision:
1
*Incident Severity:
Low = No impact on client or staff; often entered to keep record of incident type and resolution.
Medium = Little or no impact on client or staff; require resolution to be closed but not necessarily full investigation.
High = Failures in procedure led or contributed to an emergency situation; full investigation and corrective action required.
This document is uncontrolled when printed. For the official copy, check the SCMS website.
Page 21 of 22
VMMC
Health Care Waste Management Toolkit
Standard Operating Procedure
Section:
Number:
QAU HCWM
011
Title:
Revision:
Spill Management
1
Annex 4. Training evaluation checklist
To ensure complete understanding, please answer the following questions on this SOP and
work instruction, if applicable.
1. If you have a 10-liter bucket, what is the proper amount of sodium hypochlorite and
water need to make the sodium hypochlorite solution?
2. Describe the proper method for cleaning up a blood spill?
3. What is the proper PPE for cleaning up a spill?
4. How often should you replace the sodium hypochlorite solution?
I confirm that I have read and understand this procedure: _______________________________
NAME
SIGNATURE
DATE
EMPLOYEE:
_____________________ ______________________ _________________
ICO/TRAINER:
_____________________ ______________________ __________________
This document is uncontrolled when printed. For the official copy, check the SCMS website.
Page 22 of 22