From: Eddie.Bailey@hse.gsi.gov.uk Sent: 04 April 2002 15:47 To: admin@smdsa.com Subject: TRANSPORT OF CLINICAL WASTE Martin 1. Further to my e-mail of 20 March, I write in response to the list of points you raised in your e-mail of 18 March on the transport of clinical waste. Before I turn to them, you will appreciate that this message sets out HSE's views and that ultimately interpretation of any legislation is a matter for the courts. 2. First, it is worth reiterating what current UK law allows, namely that those disposing of clinical waste have two options: to continue to transport packaged clinical waste in UN typeapproved rigid packagings (as provided by the Carriage of Dangerous Goods (Classification, Packaging and Labelling) and Use of Transportable Pressure Receptacles Regulations 1996 and the Approved Requirements); or to carry clinical waste in bulk, subject to conditions (as set out in the certificate of exemption), one of which is to continue to use UN type approved sacks for waste that does not contain sharp objects. 3. Your paragraph three suggests that you may be misunderstanding the legal position. The letter we issued on 4 January did not cancel the use of rigid packagings. It stated that we were proposing to continue with the two alternative means of transporting clinical waste. We sought to clarify this point when we met on 22 January. 4. Turning to your points/questions, in paragraph one, the certificate of exemption took effect from the date it was signed (28 February 2002). Given that clinical waste can continue to be carried in rigid packagings or in bulk in accordance with the certificate, we understand that any modifications or retraining would be minimal. 5. In your paragraph two, you point to inconsistent advice from HSE offices. It is difficult to comment on particular unspecified cases but you can be assured that we have disseminated the information and that our Infoline, usually the first port of call for enquiries, is aware of the position. And, as you know, the certificate of exemption and cover letter are on our website. 6. In your paragraph four, you ask about using up stocks of existing certificated sacks. These can continue to be used. 7. In reply to your paragraph five, no new certificates will be issued. A minor amendment to existing certificates has been made to make it clear that bags can be used as inner packagings of type approved packagings or large packagings or as part of a bulk consignment. Bags will already have been tested so there is no new testing cost. 8. Turning to the conditions contained in the certificate of exemption, appropriate measures under condition 5(b) could include the use of liners or absorbent material. We would not want to constrain the industry in developing its own solutions to this, the aim being to prevent leakage from the vehicle or container. 9. Similarly condition 5(c) tries to allow for some flexibility, the aim here being to seek to avoid a situation where rigid packagings puncture bags. Wheeled containers are unlikely to meet this requirement unless adequately secured to the vehicle. Where a rigid large packaging, for example, is secured to prevent movement, then a cargo net to contain the bags should be sufficient, provided it prevented the bags from coming into contact with the large packaging. I do not see any need for any vehicle modification in the way you describe. 10. I do not believe that condition 5 (d) is contrary to the provisions of ADR. Its intention is to avoid contamination, for example arising from mixing medicines with waste. 11. I agree that some manual handling will be unavoidable. However, there are ways to minimise it (and regulations governing it - the Manual Handling Operations Regulations 1992), such as seeking ways to reduce the handling of each bag as they are loaded on to vehicles or into containers. 12. Under condition 5 (f) we want to avoid deliberate compression of bags into transport units that would be likely to result in bags bursting (as in the pictures handed around when we met). 13. I hope the above points help to clarify the position. Looking back at the issues you raised at our meeting on 22 January, reflected in your letter of 25 January, I do not feel that we can usefully add anything further. The legal position is as set out in HSE's 28 February letter, which cross-referred to our 4 January letter and certificate of exemption and we have explained the background to the dilemma we faced in correspondence with you and when we met on the 22 January. 14. The changes we have introduced are necessary to ensure that the clinical waste industry can continue to operate safely and in line with international commitments. On compensation, I do not believe that it is appropriate for me to comment. This is a matter for SMDSA and its constituent members to consider and on which to take their own advice. 15. If, in the light of the above clarifications, you would still like to meet, please let me know and we can consider dates. I am now out of the office until Tuesday 9 April. 16. So far as other respondents' comments on the 4 January letter are concerned, excluding those you are already aware of, I have so far received seven replies confirming that they are content for their views to be forwarded to you, one negative reply with the remainder outstanding. I am arranging for copies to be sent to you of those willing to share their comments with you. Eddie Bailey Transport of Dangerous Goods Policy Unit Gas and Transport Safety Division 020 7717 6218 ********************************************************************* **************************************************** Interested in Occupational Health and Safety information? Please visit the HSE website at the following address to keep yourself up to date: www.hse.gov.uk ********************************************************************* ****************************************************