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REPUBLIKA N G PILIPINASTANGGAPAN NG SANGGUNIANG PANLUNGSOD

LUNGSOD N G BAKOLOD- 0 O 0 -

CITY ORDINANCE NO. 570December 1, 2011

AN ORDINANCE PROVIDING AN EFFECT IVE , PROPER HANDLING IN THECOLLECTION, TRANSPORT, STORAGE TREATMENT AND DISPOSAL OFHAZARDOUS MEDICAL AND OTHER TOXIC WASTE.

WHEREAS, with the establishment of various medical and health care facilities,there is observed an increased in generation of medical and other related waste;WHEREAS, such medical waste proved to endanger the h ealth of the generalpopulace; accordingly the n eed to provide an effective and proper handling in thecollection, transport, storage treatment and disposal is imperative;WHEREAS, Article 6 of City Ordinance No. 313, Series 2002 known as theEnvironment Code of Bacolod City, states that all hospitals and clinics both private andpublic, and other health establishments shall dispose of their clinical wastes in accordancewith the duly approved practices and technologies by the City Health and Environmentoffices, and other pertinent laws of th e government-WHEREAS, Republic Act 6969 known as the "Toxic Substances an d Hazardous

and Nuclear Wastes Control Act of 1990" states that It is the policy of the State toregulate, restrict or prohibit the importation, manufacture, processing, sale, distribut ion,use and disposal of chem ical substances and mixtures that present unreasonable riskand/or injury to h ealth or the environment; to prohibit the entry, even in transit, ofhazardous and nuclear wastes and their disposal into the Philippine territorial limits forwh atever purpose; and to provide advancement and facilitate research and studies ontoxic chemicals;

WHEREAS, the City Government, finding the urgent need to address th e currentproblem on the proper disposal of medical and health care waste pursuant to existing lawsand regulations, entered into a joint venture with a private entity, after th e conduct of allprocesses in the procurement of joint venture partner who tendered the mostadvantageous offer;

WHEREAS, with the establishment and operation of the medical and health carewastes treatment facility, the City deems it appropriate to require the use of th e facility inaccordance with conditions h ereunder contained;

NOW THEREFORE, BE IT ORDAINED by the Sangguniang Paniungsod ofBacolod City that:

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City Ordinance No. 570Decem ber 1, 2011Page 2

C H A P T E R IGenera l P rov i s ions

SECTION 1. TWO. This ordinance shall be known as the " B A C O L O DHAZARDOUS AN D TOX IC W ASTES TREATM ENT AND D ISP OSAL COD E OF 2011 ".SECTION 2. M ed ica l Coverage . Me dical or Health Ca re W astes shall include, butnot limited to, all wa stes gene rated a s a result of the following:

a. Diagnosis, treatment, managem ent and immun ization of hum ans or anima ls;b. Rese arc h pertaining to the above activitiesc. Producing or testing of biological products' andd. Waste originating from minor or scattered sources (i.e dental clinics, alternativemedicine clinics, etc.)

SECTION 3. Es tab l i shments Covered . Health Care Waste Generators shallinclude facilities, institutions, business establishments and other similar health careservice s with activities or work proc ess the generate health care waste s uc h as:a. Hospitals (Primary Care , Secondary C are and Tertiary Ca re)b. Infirmariesc. Birthing Home sd. Clinics

(1) Medical(2) Ambulatory(3) Dialysis(4) Health care centers and dispensaries(5) Surgical(6) Alternative Med icine(7) Dental(8) Veterinary

e. Laboratories and Resea rch C enters(1) Me dical and Biomed ical Laboratories(2) Medical Research Centers

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Cty Ordnance No.570December 1,2011 Page3(3) BloodBank andBloodCollectionServces(4) Dental Prosthetics Laboratories(5) NuclearMedcineLaboratories(6) Biotechnology Laboratories(7) AnmalResearchand Testing(8) Drug Testing Laboratories(9) HV Testing Laboratories

f. Drug Manufacturersg. Institutions

(1) DrugRehablitationCenter(2) Trainng Centers for Embamers(3) Med-TechIntern Trainng Centers(4) SchoolsofRadologcTechnology(5) MedcaSchoos(6) Nursing Schools(7) Dental Schools(8) School Laboratories

h. MortuaryandAutopsy Centersi. Home Treatment (e.g Dalysis,Insuininection,etc)j . Cosmetic Ear Piercing and Tattoo ParlorsSlcnOW4.Definition ofTerms. For purposes ofthsordinance, the follownterms are hereby defined based on thedefintionsof Repubic Act6969,known as th

"ToxcSubstances andHazardousand NuclearWastesControl Act of1990" and baseontheHealthCareWasHManagement gudeinesof theDepartment ofHealth:

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City Ordinance No. 570December 1, 2011Page 4

a. Hazardous Wastes - substances that are without any safe commercial, industrial,agricultural or economic usage and are shipped, transported or brought from thecountry of origin for dumping or disposal into or in transit through any part of theterritory of the Philippines. Hazardous wastes shall also refer to by-products, side-products, process residues, spent reaction media, contaminated plant or equipment orother substances from manufacturing operations, end as consumer discards ofmanufactured products.b. Toxic Waste - is a waste materia), often in chemical form, that can cause death orinjury to living creatures, it usually is the product of industry or commerce, but comesalso from residential use, agriculture, the military, medical facilities, radioactivesources, and light industry, such as dry cleaning establishments.c. TreatmentFacility - a placewhere hazardous/toxic, infectious and medical wastes are

handled and disposed properlyd. General Waste - Comparable to domestic waste, this type of waste does not posespecial handling problem or hazard to human health or to the environment. It comesmostly from the administrative and housekeeping functions of health careestablishments and may also include waste generated during maintenance ofhealthcare premises.e. Infectious Waste - This type of waste is suspected to contain pathogens (bacteria,viruses, parasites, or fungi) in sufficient concentration or quantity to cause disease insusceptible hosts. This includes:

Cultures and stocks of infectious agents from laboratory work;Waste from surgery and autopsies on patients with infectious diseases (e.g. tissues,materials or equipment that have been in contact withbiood or other body fluids);Waste from infected patients in isolation wards (e.g. excreta, dressings from infectedor surgical wounds, clothes heavily soiled with human bloodor other body fluids);Waste that has been in contact with infected patients undergoing haemodialysis (e.g.dialysis equipment such as tubing and filters, disposable towels, gowns, aprons,gloves, and laboratory coats);Infected animals from laboratories; andAny other instruments or materials that have been in contact with infected persons oranimals.

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Ordinance No. 5701, 2011Page 5

Pathological Waste - Pathological waste consists of tissues, organs, body parts,human fetus and animal carcasses, blood and body fluids. Within this category,recognizable human or animal body parts are also called anatomical waste.Chemical Waste - Chemical waste consists of discarded solid, liquid, and gaseouschemicals, for example from diagnostic and experimental work and from cleaning,housekeeping, and disinfecting procedures.

if it has at least one of the following

ToxicCorrosive (e .g. acids of pH 12)FlammableReactive (explosive, water-reactive, shock-sensitive)Genotoxic (e.g. cytostatic drugs)Sharps - Include needles, syringes, scalpels, saws, blades, broken glass, infusionsets, knives, nails and any other items that can cause a cut or puncture wounds.Pharmaceutical waste - Includes expired, unused, spilt, and contaminatedpharmaceutical products, drugs, vaccines, and sera that are no longer required andneed to be disposed of appropriately. This category also includes discarded itemsused in handling of pharmaceuticals such as bottles or boxes with residues, gloves,masks, connecting tubing and drug vials.Genotoxic Wast - Genotoxic waste may include certain cytostatic drugs, vomit,urine, or feces from patients treated with cytostatic drugs, chemicals, and radioactive

Cytotoxic wastes - are generated from several sources and include th e following:Contaminated materials from drug preparation and administration, such as syringes,needles, gauges, vials, packaging; outdated drugs, excess (left over) solutions, anddrugs returned from th e wards;Urine, feces, and vomit from patients which may contain potentially hazardousamounts of the administered cytotoxic drugs or of their metabolites and which shouldbe considered genotoxic for at least 48 hours and sometimes up to 1 week after drugadministration.Waste w i th high content of heavy metals - Wastes with a high heavy-metal contentrepresent a subcategory of hazardous chemical waste, and are usually highly toxic.Mercury wastes are typically generated by spillage from broken clinical equipment(thermometers, blood pressure gauges, etc.).

materials.

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December 1,2011Page 6

m. Pressurized Containers - Many types of gas are used in health care and are oftenstored in pressurized cylinders, cartridges, and aerosol cans. Many of these, onceempty or of no further use (although they may stHI contain residues), are reusable, butcertain types notably aerosol cans, must be disposed of. Whether inert or potentiallyharmful; gases in pressurized containers should always be handled with care;containers may explode if incinerated or accidentally punctured.

n. Radioactive Waste - are hazardous wastes made by radioactive exposure to theradiation incidental to the production or utilization of nuclear fuels but does not includenuclear fuel, or radioisotopes wh ich have reached the final stage of fabrication so as tobe usable for any scientific, medical, agricultural, commercial, or industrial purpose.o. Ste riliza tion - is defined as a 6log10 survival probability of the most resistant

microorganism of concern in a given process and disinfection is de fined as low,intermediate or high (using the Spauiding system) depending on the survivalprobability of specific microbial groups.

SECTION 5. Disposal o f Health Care Waste. The aforenamed establishmentsshall dispose of its med ical and health care wastes only to the treatment facility installedand situated at the city's sanitary landfill area.SECTION 6. Manner of Operation. The treatment facility shall be established andoperated by the City of Bacolod however, the City can also invite interested private entitiesto operate the collection and disposal of the toxic and hazardous waste s. Under the Build- Operate - Transfer scheme (BOT) or in any other manner allowed by law.

SECTION 7. Waste Minimization. It is the policy of the city that wasteminimization shaH be prioritized by all establishments. Health care waste minimization iscentered on the elimination or reduction of the hea lth care was te stream. There areseveral measures that can be instituted to achieve waste minimization including thefollowing;

7. 1. Reduction at Source. Reduction involves measures that either completelyeliminate use of a material or generate less waste. Examples are: improvinghousekeeping practices to eliminate use of chemical air fresheners; replacingmercury thermometers with digital electronic thermometers; working with suppliers toreduce packing of the products; and substituting a non-toxic biodegradable cleanerfor a hazardous chem ical cleaner.

CHAPTER I IWaste Minimization

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CHy Ordinance No. 570December 1, 2011Page 7

7. 2. Re-use. Reuse is not only find ing another use for a product but, moreimportantly, reusing product over and over again for a given function as intended .7. 3. Re cycling. Recycling is collecting waste and processing it into something new.Many items in the hospital can be recycled, items such as organic s, plastic, paper,glass an d metal can be recycled easily.7. 4. Segregation o f Waste. Segregation, is an important step to wastemanagement.7, 5. Composting. Composting is another important strategy to minimize waste suchas fo od discards, kitchen waste, cardboard, and yard waste.

CHAPTER IIWaste Handling, Collection,Storage, And Transport

SECTION 8. Waste Segregation Color Coding Scheme. Hazardous wasteshould be placed in clearly marked containers that are appropriately labeled for the typeand weight of the waste. Except for sharps an d fluids, hazardouswastes are generally putin plastic bags, plastic lined cardboard boxes, or leaked proofed containers that meetspecific performance standards.The following color scheme shall be strictly observed:

Black - For Non-infectious dry wasteGreen - Non-infectious wet waste (kitchen, dietary etc.)Yellow - Infectious and Pathological WasteYellow with Black Band - Chemical Waste including those with heavy metalsOrange - Radioactive wastesRed - Sharps and pressurized containers

SECTION 9. Other Medical and Toxic Waste Segregation Practices. Apart fromthe color-coding system for medical and toxic wastes, the following practice should:9 . 1 . Residuals of the general health care waste should join the stream ofdomestic refuse or mun icipal solid waste for proper waste management.9.2. Sharps should all be collected together, regardless of whether or not theyare contam inated. Containers should be puncture proof (usually made o fmetal or high-density plastic) and fitted with covers. It should be rigid andimpermeable to contain not only the sharps but also any residual liquidsfrom syringes. To discourage abuse, containers should be tam per proof

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City Ordinance No. 570December 1, 2011Page 8

(difficult to open or break) and needles and syringes should be renderedunu sable. Where plastic or m etal containers are unavai lable or too costly,containers made of dense cardboard are recommended.

9.3. Bags and containers for infect ious waste should be marked with th einternational infectious substance symbol .9.4. Highly infectious and other hazardous waste should, whenever possib le, betreated immediately by any method recommended |n this manual. I ttherefore needs to be package in bags that are compatible with th eproposed treatment process.9.5. Cytotoxic was te, most of which is produce in major hospital or res earchfaci li t ies, should be col lected in strong, leak proof co ntainers clearly labeled"Cytotoxic wastes" .9.6. Radioactive was tes should be segregated according to i ts ph ysic al form:solid & l iquid and according to i ts half-life or potency: s hort-l ive and l ived inespecially marked containers as prescribed by the pertinent regulation ofthe Philippine Nuclear Research Institute (PNRI) sp ecific to suchauthorized practice.9.7 Small amounts of chem ical or pharmaceutical was te may be col lectedtogether with infect ious w aste.9.8. Larg e quanti ties of obsolete or expired ph armaceuticals stored in hosp italwards or departments should be returned to the pharmacy for disposal .Other pharmaceutical w aste g enerated at this level, such as expired drugsor packaging containing drug residu es shou ld not be returned b ecau se ofthe risk of contaminating the pharmacy. I t should be deposited in thesp ecified container at the point of g eneration.9.9. Larg e quanti ties of chem ical was te should be packed in chem ical resistantcontainers and sent to the designated treatment facil it ies. The identity ofthe chemicals should be clearly marked on the containers. Hazardouschemical waste of different types should never b e m ixed.9.10. Waste with a high content of heavy metals (e.g. cadmium or mercury)should b e col lected separately9.11. Aeroso l containers may be col lected with general health care waste oncethey are completely empty. Aerosol containers should not be burnt orincinerated.

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CityOrdinance No. 570December 1 , 2011 Page 99 12. Appropriate containers or bag holder should be placed in ail locations

where particular categories of waste may be generated.9.13. Staff should never attempt to correct errors of segregation by removingitems from a bag or container after disposal or by placing one bag insideanother bag of a different color. If general and hazardous waste areaccidentally mixed, the mixture should be classified as hazardous healthcare waste.SECTION 10. STORAGE. Ail health care waste should be collected and stored inwaste storage area until transported to the designated Treatment Facility This area shallbe marked with warning sign:"CAUTION:BiOHAZAROOUSWASTE STORAGEAREA -UNAUTHORIZEDPERSONS KEEP OUT."SECTION 11.Location of Storage Area. Storage areas for health care wasteshould be located within the establishment or research facility However, these areasshould be located away from patient rooms, laboratories, hospital function/operationrooms or any public access areas. The waste in bags or containers should be stored in aseparate area, room or building of a size appropriate to the quantities of waste producedand the frequency ofcollection. Daily collection and disposal should be enforced.SECTION 12. Storage for other wastes. Cytotoxic waste should be storedseparatelyfrom other waste in adesignated secured location which shall only be disposedin the designated Treatment Facility Daily collection and disposal should be forced.SECTION 13. Storing RadioActiveWastes. Radioactive waste should be storedseparately in containers that prevent dispersion, and if necessary behind lead shielding.Storage facility for radioactive waste must bear the sign "Radioactive Waste" placedconspicuously. Methods of treatment and disposal of radioactive waste shall conform tothe requirements and guidelines of the PNRl, which shall only be disposed in thedesignated Treatment Facility. Daily collection and disposal should be forced.SECTION 14. Requirements for Storage Facilities. The following are therequirements inputting up storage facilities, to wit:a. The storage area should have an impermeable, hard-standing floorwith gooddrainage; it should beeasyto clean and disinfect.b. Thereshould be water supply for cleaning purposes.c. The storage area should alloweasy access for staff in charge of handling thewaste.d. It should be possible to lock the storage area to prevent access byunauthorized persons.

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City Ordinance No. 570December 1, 2011Page 10

e. Easy access for waste collection vehicle is e ssential.f. There should be protection from sun, rain, strong winds,floods,etc.g. The storage area should be inaccessible to animals, insects and birds.h. There should be good lighting and adequate ventilation.i . The storage area should not be situated in the proximity of fresh foo d stores orfood p reparation areas.). A supply of cleaning equipment, protective clothing, and waste bags orcontainers should be located conveniently close to the storage area.k. Floors, waHs, and ceilings of the storage area must be kept clean in

accordance to established procedures, which at a minimum should includedaily cleaning of floors,I. Biodegradable general and hazardous waste should not be stored longer than2 days to m inimize microbial growth, putrefaction, and odors. If the waste mustbe stored longer than 2 days, app lication of treatment like chemical disinfectionor refrigeration at 4oC or lower is recomm ended.SECTION 15. Collection and T ransport of the Wa stes. Medical and toxic wastecollection practices should be designed to achieve an efficient movement of waste frompoints of generation to storage or treatment while minimizing the risk to personnel.Suggested collection frequency on room to room basis is once every shift or asoften as necessary Time of collection regardless of category should be at the start ofevery shift.15.1. On-site Collection. Waste should not be allowed to accumulate at thepoint of production. A program for their collection and transportation shouldbe established as part of the health care waste management plan of everyestablishment and laboratories Nursing and other clinical staff shouldensure that waste bags are tightly closed or sealed when they are aboutthree-quarters full. Light-gauge bags can be closed by tying the neck, butheavier gauge bags probably require plastic sealing tag of the serf-lockingtype. Bags should not be closed by stapling. Sealed sharp containersshould not be p laced in a labeled, yellow infectious health care waste bag.SECTIOH 16. Procedures to be Followed by Personn el who directly Involvedin waste handling and collection. Personnel who are in charge of handling andcollecting toxic, hazardous and healthcare wastes shall follow the followingrecommendations:

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C i v Ordinance No. 570December 1, 2011Page 11

a. Waste should be collected dairy (or as frequently as required) and transpo rted to thedesignated central storage site or waste transfer station.b. No bags should be removed unless they are labeled with their point of production(hospital ward or department) and contents.c. The bags or containers should be replaced immediately with new ones of the sametype.d. A supply of fresh collection bags or containers should be readily available at alllocations where waste is produced .e. Collection practice for active solid radioactive waste shall consist of distributing orangecolor-coded suitable containers with the radiation symbol colored magenta or black.The collection of active solid radioactive waste from designated storage area can onlybe made when the activity (delay-to-decay) decays to a safe level and upon the strictsupervision and guidance of the radiological health and safety officer.f. Handling, collection, transport and disposal of these materials shall be based on theguidelines issued by PNRI.g. The Treatment Facility Waste collection will then collect such waste for theestablishment storage facility.SECTION 17. On-site Tr an spo rt. Transportation of waste within th eestablishment could utilize wheeled trolleys, containers, or carts that are dedicated solelyfor the purpose.17.1. Ve hicle Spe cific atio ns. On-site transportation vehicle should meet thefollowing specifications:i . Easy to load and unloadi i . No sharp edges that could damage waste bags or containers during loadingand unloadingi f i . Easy to clean17.2. Ve hi cle M aint ena nce . The on-site collection vehicles should be cleanedand disinfected daily with an appropriate disinfectant like chlorinecompounds, formaldehyde, phenolic compounds and acids. All waste bagseals should be in-place and intact at the end of transportation.

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Cty Ordnance No.570December 1,2011 Page11

a. Wasteshoudbecollected daily(or asfrequentlyasrequred) and transported to thedesignated central storage site or waste transferstation.b. Nobags shoudberemoveduness theyarelabeed wth their pointofproduction(hospital ward or department) and contents.c. Thebagsorcontainers shoudbereplaced immediatey wthnewonesofthe sametype.d. Asupplyoffresh collection bags orcontainers shoudbereadily availableat alllocationswherewaste is produced.e. Collection practiceforactivesolidradioactive waste shall consist ofdistributingorangecolor-coded sutable containers wththeradiation symbol colored magentaorblack.Thecollection of active solid radioactive waste fromdesignated storage area can onybe madewhenthe activty (deay-to-decay) decaystoasafe level and upon the strictsupervsion and gudance of the radiologcal health and safety officer.f. Handlingcollection, transport and disposalofthese materials shallbebasedon thegudeines issued byPNRI.g The Treatment Facility Waste collection wll then collect such waste for theestablishment storage facility

SECTON 17. On-site Transport. Transportation of waste wthin theestablishment coud utilize wheeed trolleys, containers,orCartsthatarededicated soleyfor the purpose.17.1. Vehicle Specifications. On-site transportation vehcle shoud meetthefollowngspecifications:i. Easytoload and unoadii. Nosharp edgesthatcoud damage waste bagsorcontainers during loadingand unoadingifi. Easytoclean17.2. Vehicle Maintenance.Theon-site collection vehcles shoudbecleanedand disinfected daily wth an appropriate disinfectant like chorinecompounds, formaldehyde, phenolic compounds and acids. Al waste bagseals shoud be in-place andintactat the end of transportation.

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City Ordinance No. 570December 1,2011 Page 12

17.3. Transporting Personnel. Workers transporting the waste should beequipped with appropriate personal protective equipment including heavy-duty gloves, coveralls, thick-soled boots and leg protectors.

SECTION 18. Off-site Transportation of Health Care Waste. The health carewaste generator is responsible for the safe packaging and adequate labeling of waste tobe transported off-site for treatment and disposal. Packaging and labeling should complywith the national regulation governing the transport of hazardous wastes (RA 6969) andmaintaining that it presents no danger to the public during transport. Likewise, the wastegenerators must see to it and ensure that their wastes are property treated and disposedof inthe treatment facility. The citywillbe the one to collect such waste facility.

Section 19. Consignment Note. AH Medical hazardous toxic waste to betransported to an approved off-site waste treatment facility shall be transported only by aDENR-accredited transporter or carrier. The authorized transporter / City Governmentcarrier shall maintain a completed consignment note of all health care waste taken fromthe health care establishment for treatment or disposal.By the time that waste transporter receives the waste, the transporter shall provide thewaste generatorwitha copy oftheconsignment note for the generator's waste records.

SECTION 26. Content of the Consignment Mote. The transporter and thegenerator shall separately maintain a copy of the consignment note. The consignmentnoteshaH include, but not limted to the following information:

a. The name address, telephone number, and accreditation number ofthetransporterb. The type and quantity of waste transportedc. The name, address, and telephone number ofthegeneratord. The name, address, telephone number, permt number, and the signature of anauthorized representative oftheapproved facility receiving the waste

The date that the waste is collected or removed from the generator's facility, the date thatthe waste is received by the transfer station, or point of consolidation, if applicable, andthe date that the waste is received by the treatment facility.

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City Ordinance No.570December 1,2011 Page 13

Sample Format of the Consignment Note

A. TRANSPORTER

CONSIGNMENT NOTE(Sample Format)

Name:Telephone No.Type of Was te Transpo rted:

.Address :Accreditation No.

.Quantity (kg):B. GENERATORName.Telephone No.: ,

Address :

C TREATMENT FACILITYName of Manager/ Authorized Representat ive:Address :Permit to Operate (Permit No.)

Telephone No.

Signature of Manager/ Authorized Representa t ive:D. DATE WASTES ARE COLLECTED/TRANSPORTED/ RECEIVEDDate CoMected/ Removed f rom Generator's Facil ity.Date Received by the Transfer Station (Point of Consol idat ion):Date Received by the Treatment Facil ity:

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SECHOII 21 . Mandatory Carrying of Consignment Note. The transportertransporting the waste should have the consignment note in his or her possession in thevehicle white transporting the waste. The tracking document sho uld be available upondemand by any traffic enforcement agency personnel. The transporter shall provide thefacility receiving waste with a copy of the original tracking document.SECTION 22. Requirements for Packaging f o r Off-site Collection. Wasteshould be packaged in sealed bags or containers to prevent spilling during hand ling andtransportation. The bags or containers should be robust for their content (for example:puncture proof fo r sharps and resistant to aggressive chemicals) an d for norma l conditionsof handling and transportation, such as vibration or changes in temperature, humidity oratmospheric pressure. (In case of plastic bags,minimum gauge should be at least 0.009

mm).22.1. Radioactive wastes must be packaged for off-site collection andtransported in accordance with the acceptance criteria for low levelradioactive wastes established by PNRI (AO No 01 series of 1990, Annex3) .22.2. All waste bags or containers should be labeled with th e basic informationabout their content and about the waste generator. This information may bewritten directly on the bag or container or on pre-printed labels, securelyattached. Basic information should include but not limited to the following:i . Type of health care wasteH. Form of waste and waste categoryHi. Date of collectioniv. Volume/quantity of wa stev. Precautions to be taken whHe handlingvi . Emergency procedures in the event of accident or spillagevit. Destination of the wasteSECTION 23. Requirem ents for Off-site Col lect ion Vehicles. Collectionvehicles used for the transport of hazardous and medical wastes should not be used forthe transport of any other materials that could be seriously affected by contamination suchas food, livestock, people or retail goods. The vehicle should have an enclosed leak proofbody and capable of being locked to secure the waste. Waste can be loaded directly toespecially designed vehic le, but it is saf er to place them first in containers (e.g. cardbo ard

boxes or wheeled, rigid, lidded plastic or galvanized bins). Infectious and pathologicalwaste should be bagged in appropriate colored coded bags or other special containerswhen transported. Each package should be marked or coded for easy identification.Containers should be leak-proofed and be fitted with self-sealing lid and be tight enough towithstand being spilled in the vehicle.

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City Ordinance No 570December 1,2011 Page 15

SECTION 24. Design of th e Collection Vehicle. The design of the collectionvehicle must conform to the following.a. The bod y of the vehicle should be of suitable size com mensurate with th edesign of the vehicle.b. The vehicle should have totally enclosed car body with the driver seatseparated from the loader to prevent coming into contact with the waste in theevent of coHision/accidentc. There should be a suitable system for securing the load during transport.d. The vehicle should be easy to clean and the internal surface of the bodyshould be smooth enough that allows it to be steam cleaned and with ailcomers/angles rounded. The vehicle should be cleaned at the end of eachwo rking day and in the event of any spillage.e. The vehicle should be marked with the name and address of the w aste carrier.f The international hazard sign should be displayed on the vehicle or container,as well as the emergency telephone numberg. Emp ty plastic bags, suitable protective clothing, cleaning equipment, tools, anddisinfectant, together with special kits for dealing with liquid spills, should be

carried in a separate compartment in the vehicle.SECTION 25. R out ing. Hazardous, toxic and m edical wa ste should be transportedthrough the quickest or shortest possible route and should be planned before the tripbegins. After departure from the source, every effort should be made to avoid furtherhandling. If handling cannot be avoided, it should be pre-arranged and tak e place inadequately designed and authorized premises. Han dling requirem ents can be specified inthe contract established betw een the waste generator and the transporterAn efficient and effective collection system route should consider the following:a. Collection schedule either by route or zoneb. Assignment of personnel responsible for the zone or areac. Logical planning of the route (should avoid passing the collected package ofw aste on congested area)

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d. Collection system route must be laid out from the farthest pomt of thedesignated transfer station and as collection progresses towards the collectionstorage area.

e. Routes drawn shall be practicable and must consider the logical progression ofhealth care waste throughout the area

f Revised routing plan should be established due to circumstances arising toalteration in the original routingplan.g. Suggested collection frequency on room to room basis is once every shift or asoften as necessary. Time of collection regardless of category should be at the

start of every shift.

SECTION 26. Toxic, Hazardous and Health Care wastes shall be treated anddisposed in accordance with the guidelines stated in the Healthcare Waste ManagementManual of the Department of Health and Department on Environment and NaturalResources which shaR be in a designated Treatment Facility

SECTION 27. Septic/Concrete Vault. This method is especially suitable for thedisposal of used sharps and syringes. The following procedures for the safe burial ofsharps and syringes through septic/concrete vault are recommended:

a. Dig a pit (mnimum size of1mx1mx1.8m depth), enough to accommodatesharps and syringes for an estimated period of time without reaching thegroundwater level. The site must be isolated and at least 500 feet away fromthe groundwater supply sources and dwelling units.b. Construct concrete walls and slabs of the pit. Provide slab with opening ormanhole for easy deposition of collected sharps and syringes. The manholeshould be extended a few centimeters above the soil surface to overcomeinfiltration of surface water.c. Deposit the collected safety boxes filled with used sharps and needles insidethe septic/concrete vault.d. Install a security fence around the site.SECTION 28. On-SHe Treatment of Wastewater. An efficient on-site wastewater

treatment plant should include the following operations:

CHAPTER niWaste Treatment and Disposal System

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a. Primary Treatment - this includes muti-chamber septic tank, comprising ofprimary sedmentation tank and dgestive chamber. The effluent should beconveyedto the secondary treatment facility for furtheroxdationof sewage.b. Secondary Treatment - this employs a compete bologcal process oftreatment includng aeration and sedmentation system TheCearwatershould

beconveyedto the tertiary treatment whle the sludgeshallbeconveyedto thesludge treatment.c. TertiaryTreatment - In order to meet the standard parameters prescribed bytheDENR AdmnstrativeOrderNo. 35series1990,this stage should therefore

serve as the final treatment. Theclearwater wll passthroughmcro filter andchorine dsinfection before being discharged to the nearest drainage orbodyof water.SECTION 29. Establishment of Wastewater Treatment Plant The followngfactorsshall be observed in the establishment of the on-site wastewater treatment pant,to wt:a. Quantityof wastewater for treatment and disposalb. Typeof wastewater for treatment and disposalc. Location of the treatment and disposal facilityd. infrastructure requirementse. Treatment efficiencyf. Locally available equpment and partsg. Spaceavailablityh. Investment and operatingcosti. Operation and maintenancej. Training requrement for operationk. Regulatory requrements

SECTION 3 Occupational Health and Safety Measures. The Essentialoccupational health and safety measures of the personnel that wll handle the collection,treatment and disposal ofthewastes,are thefollowng:a. Proper trainng of healthcareworkersb. Provsion of personal protective equpment (fromhead to toe)

CHAPTER WHealth and SafetyPractices

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c. Establishment of an effective occupational health program that Includesimmunization, post exposure prophylactic treatment, and continuous medicalsurveillanced. Information, Education and Communication (IEC) activities.SECTION 31. Protection of Personnel. All personnel who are directly involved inth e handling of potentially hazardous health care waste must be provided with adequateprotection from the hazards associated with it. The individual responsible for themanagement of health care waste should ensure that ail these risks are identified and thatsuitable protection from those risks is provided. The design of th e measure will focus onthe prevention of workers exposure or at least an exposure within safe limits. Suitable

training should be provided to th e health care workers on this aspect.SECTIOII 32. Protective Equipments. Personnel that handle the wastes shallwe a r the appropriate protective equipments that will be provided in the storage facility, towit:a. Hard hats with or without visor - depending on th e nature of operationb. Facemasks - depending on th e nature of operationc. Eye protectors/Safety goggles - depending on th e nature of operationd. Overalls (coveralls) - obligatorye Industrial aprons - obligatoryf. Leg protectors and/or industrial shoes/boots - obligatoryg. Disposable gloves (medical staff) or heavy duty gloves (waste workers) -obligatoryh. Respirators (HEPA) filters - depending on th e nature of operationSECTIOII 33. Trainings for Personnel hi the Treatment Facil ity. Personnelinside the treatment facility shall be trained in First Aid application due to the nature of th ework that they will handle which is prone to accidentsSECTIOH 34. Spill Control. Spillage of chemicals and other substances are verydangerous and might cause injuries and accidents to the personnel in the storage ortreatment facility The following procedures should be followed in case there is a spillage

in the facility, to wit:a. Vacate and secure th e area to prevent further exposure of other individuate.b. Provide first aid and medical care to Injured Individual.c. Inform the designated person (usually the waste management officer) whoshould coordinate th e necessary actions.

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City Ordinance No 570December 1, 2011Page 19

d. Determine the nature of the spill.e. Provide adequate protective ctothing to personnel involved in cleaning-up.f Limit the spread of spiH.g. Vacate ail peop le not involved in cleaning up if the spiHage involves particularly

hazardous substance.h. Neutralize or disinfect the spilled or contaminated materia! if indicated.i . Collect all spilled and contaminated material (sharps should never be pickedup by hand; brushes and parts or other suitable tools should be used). Spilled

material and disp osable contaminated items for cleaning shou ld be p laced inthe appropriate waste bags or containers.j . Decontaminate or disinfect the area, wiping up with absorbent cloth. The cloth(or other absorbent material) should be turned during this process, becausethis will spread the contamination. Working from the least to the mostcontaminated part, with a change of cloth at each stage should carry out thedecontamination. Dry cloth should be used in the case of liquid spillage,spillage of solids, cloth impregnated with water (acidic, basic, or neutral asappropriate) should be used 'k. Decontaminate or disinfect any tools that were usedI. Seek medical attention if exposure to hazardous material has occun ed duringthe operation.SECTION 35. Training for Waste Collectors. All other establishments mentionedin Section 3 of this ordinance shall provide the necessary trainings and seminars fo r theirpersonnel that are directly involved in the collection and storage of their toxic, hazardous,healthcare and pathologic wastes.

The training course shall include:a. Information on the risks associated with the handling of hazardous and toxicwaste;b. Procedures for dealing with spillage and other accidents;c. Correct use of protective clothing.

;\

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City Ordinance No. 570December 1, 2011Page 20

SECTION 36. Training for Waste Transporter. The Management of theTreatment Facility shall also provide trainings and semnar to the personnel who transportthe wastes from the establishment to the facility The training shall focus on the followingaspects:a. Handling, loading and unloading ofwastebags and containers;b. Dealing with spiHage or accidents;c. The use of Personal Protective Equipment (PPE); and,

d. Documentation and recording of health care waste, e.g. by means ofconsignment note system to allow waste to be traced from the point of collection to thefinal place of disposal.

SECTION 37. Training for Treatment Facility Operators. Operators in thetreatment facility shall be provided with adequate and necessary trainings in the treatmentand disposal ofthewastes. The trainingshaH focus on the following aspects:

a. General operation ofthetreatment facility;b. Health, safety, and environmental implications of treatment operations;c. Technical procedures for plant operation;d. Emergency response, in case of equipment failures and alarms for example;e. Maintenance oftheplant and record keeping;f. SurveWtance of the quality of emssions and discharges, according to thespecifications

CHAPTERVMiscellaneous ProvisionsSECTION 3S. Citations. Some of the provisions cited in this ordinance is takenfrom the Republic Act 6969, known as the Toxic Substances and Hazardous and NuclearWastes Control Act of 1990" and from the Health Care Waste Management Manual of theDepartment of Health and the City Ordinance No. 310, series of 2002 otherwise known asthe "Revised Ecological Solid Waste Management Ordinance of Bacolod City.

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CtyOrdinance No. 570December1,2011 Page21

SECTON 39.Coordination between establishments and theTreatmentFacility Theaforementioned estabishments shall closeycoordinate wth the authorizedpersonne ofthetreatment facilityinthecollection,transport, storage and treatment of saidmedical and health care wastes.SECTON40.PenaltyVolation ofthisOrdinanceshall,upon convction be metedthe penaltyof:

a. 1stOffense- afineof FIVE THOUSANDPESOS(P5,000.00)to be paid bytheowner ormanager of theestabishment and theclosure ofthe said businessestabishment concerned until suchtimethatthe responsibe officers of the saidestabishment complies herewth.b. 2ndOffense- a fine ofFIVE THOUSANDPESOS(P5,000.00)and imprisonmentof One (1) month to be paid bytheowneror manager oftheestabishment and theclosure ofthe said business estabishment concerned until suchtimethattheresponsibe officers ofthesaid estabishment complies herewth.c. 3rd and succeedingOffense- afineof FIVE THOUSANDPESOS(P5, 000.00)and imprisonment of Sx(6)months to One (1)year upon the discretionofthecourt to be paidbytheownerormanager of the estabishment and the closureofthe said business estabishment concerned until suchtimethat theresponsibeofficers of the said estabishment complies herewth.

SECTON41. RepealingCause.Al otherOrdinancesor parts thereof which areinconsistent wththeprovsionofthis Ordinance areherbyrepealed, amended and/ormodified accordingySECTON42. SeparabilityCause. Shoudanyprovsionofthis Ordinancebedeclared voidbya proper court of law all the other provsions hereofthatare not affectedbysuchdeclaration shall continue tohavelegal force and effect.SECTON43. Effecttvtty ThsOrdinance shall take effect fifteen (15)Daysuponpubicationintwo (2)newspapersof local circulation.CARREDBY THEVOTEOF:Affirmative:Councilors HomerQBais, EmL. Ang,DndoCRamos, SonyaMVerdeflor, AVctor A Espino, CaesarZDstrito, CarlosJoseVLopez,Mona DaGJardin.

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City Ordinance No. 570December 1,2011

Negative *Abstention:

Official Travel:Official Leave:

Absent -Author

Co-Authors .

PassedComments:

ATTESTED:

Page 22Councilor Archie S, BaribarCouncilor CataKno T AlisboVice Mayor Jude Thaddeus A. SaysonCouncilor Keith Emm anuel L. Ramos.None .Councilor Cesar Z. Dtstrito,Councilors Em L. Ang, Roberto M. Rojas, Al Victor A.Espino and Mona Dia G . Jardin.December 1, 2011 (7 4 th Regular/Special Session)P a s s e d .Councilors Roberto M. Rojas and Elmer T. Sy were out ofthe Session Hall whe n this ordinance was passed.

\cting Vice MayorPresiding Officer

H E L E N P. UEGASPIBoard Secretary IVOIC, Secretary to the Sangguntan

APPROVED: December 19 . 2011.

HPLtjhzLK^LAHUESERVICE CTION

. RY.. i T . T - ^ ^ too

EVELIO R. LEONARtHACity Mayor