HEALTHCARE WASTE MANAGEMENT CHECKLIST TEMPLATE

Created by ChecklistGuro (https://checklistguro.com)

--- WASTE SEGREGATION & IDENTIFICATION ---
[ ] Waste Category (e.g., Pharmaceutical, General, Recyclable) (Pharmaceutical, General, Recyclable, Pathological, Chemical, Sharps)
[ ] Waste Description (e.g., Expired Medication, Paper Waste)
[ ] Estimated Waste Volume (in Liters/Gallons)
[ ] Container Type (Red Bag, Yellow Container, Blue Bin, Cardboard Box, Other)
[ ] Hazard Characteristics (Select all that apply) (Toxic, Corrosive, Flammable, Reactive, Infectious, None)
[ ] Container Label Details (e.g., Date, Waste Type, Generator)

--- HAZARDOUS WASTE HANDLING ---
[ ] Hazardous Waste Determination Method (Listed Waste, Characteristic Waste (Ignitability, Corrosivity, Reactivity, Toxicity), Mixture Rule)
[ ] Detailed Description of Hazardous Waste
[ ] Estimated Quantity of Hazardous Waste Generated (lbs)
[ ] Date of Waste Determination
[ ] Hazardous Waste Container Type (DOT-approved drums, DOT-approved tanks, Other (Specify))
[ ] Specific Hazards Associated with Waste
[ ] Supporting Documentation (e.g., Safety Data Sheets)
[ ] Waste Storage Status (Stored Properly, Requires Action)

--- REGULATED MEDICAL WASTE (RMW) MANAGEMENT ---
[ ] Date of Last RMW Generator Status Review
[ ] Estimated Monthly RMW Generation (lbs)
[ ] RMW Storage Container Type (Red Biohazard Bags, Rigid Containers, Other)
[ ] Description of RMW Storage Area Security Measures
[ ] Types of RMW Generated (Select all that apply) (Sharps, Pathological Waste, Microbiology Waste, Pharmaceutical Waste, Other)
[ ] Date of Last Container Inspection
[ ] Signature of Responsible Person for RMW Management

--- SHARPS WASTE MANAGEMENT ---
[ ] Sharps Container Type (Rigid Plastic, Puncture-Resistant, Reusable)
[ ] Sharps Container Capacity (Gallons)
[ ] Date Sharps Container Last Replaced/Emptied
[ ] Time of Sharps Container Replacement/Emptying
[ ] Percentage of Container Full (Visual Estimate)
[ ] Container Leakage/Damage Observed? (No, Yes)
[ ] Description of any Leakage or Damage (If Applicable)
[ ] Signature of Person Completing Sharps Inspection

--- RADIOACTIVE WASTE MANAGEMENT ---
[ ] Isotope Activity (MBq/mCi)
[ ] Waste Form (e.g., Liquid, Solid, Gas) (Liquid, Solid, Gas, Other)
[ ] Date of Waste Generation
[ ] Description of Radioactive Material
[ ] Waste Container Type (Lead Pig, Shielded Container, Standard Waste Can, Other)
[ ] Container Volume (L)
[ ] Scheduled Disposal Date
[ ] Waste Generator Signature

--- UNIVERSAL WASTE MANAGEMENT ---
[ ] Quantity of Batteries Collected (lbs)
[ ] Number of Fluorescent Lamps Collected
[ ] Battery Type (e.g., Alkaline, Lithium) (Alkaline, Lithium, Ni-Cad, Lead-Acid, Other)
[ ] Universal Waste Streams Present (Batteries, Fluorescent Lamps, Mercury-Containing Equipment, Pesticides, Other)
[ ] Date of Last Universal Waste Inventory
[ ] Notes on Universal Waste Handling/Storage
[ ] Upload Universal Waste Manifest (if applicable)

--- WASTE STORAGE AREA INSPECTION ---
[ ] Inspection Date
[ ] Temperature of Storage Area (Â°C)
[ ] Container Condition (e.g., leaks, damage) (Excellent, Good, Fair, Poor)
[ ] Labeling Accuracy & Completeness (All Labels Present, Labels Accurate, Labels Legible, Missing Labels, Inaccurate Labels)
[ ] Observations/Comments
[ ] Spill Kit Availability & Condition (Available & Well-Stocked, Available - Needs Replenishment, Not Available)
[ ] Inspector Signature

--- EMPLOYEE TRAINING RECORDS ---
[ ] Employee ID
[ ] Employee Name
[ ] Training Date
[ ] Training Type (Initial Training, Refresher Training, Specialized Training)
[ ] Training Content Summary
[ ] Training Certificate/Record
[ ] Next Training Due Date
[ ] Trainer Name (Trainer 1, Trainer 2, Trainer 3)

--- RECORD KEEPING & DOCUMENTATION ---
[ ] Date of Waste Manifest Generation
[ ] Total Waste Generated (lbs/kg)
[ ] Description of Waste Types
[ ] Scanned Waste Manifest
[ ] Disposal Method (Incineration, Landfill, Recycling, Treatment)
[ ] Date of Waste Shipment
[ ] Permitted Disposal Facility Name

--- WASTE MANIFEST TRACKING ---
[ ] Manifest Date
[ ] Manifest Number
[ ] Generator Status (Large Quantity Generator, Small Quantity Generator, Conditionally Exempt Small Quantity Generator)
[ ] Generator Name
[ ] Transporter Name
[ ] Treatment/Disposal Facility Name
[ ] Total Quantity (Units)
[ ] Waste Type(s) (RCRA Hazardous Waste, Non-Hazardous Waste)
[ ] Special Handling Instructions (if any)

--- EMERGENCY RESPONSE PROCEDURES ---
[ ] Spill Response Plan Summary
[ ] Emergency Contact Phone Number (Spill Response)
[ ] Primary Spill Response Coordinator (Coordinator 1, Coordinator 2, Coordinator 3)
[ ] Date of Last Emergency Drill/Training
[ ] Time of Incident Reported (if applicable)
[ ] Location of Spill/Incident
[ ] Description of Emergency Event/Incident
[ ] Photos/Evidence of Incident (Optional)

--- REGULATORY COMPLIANCE REVIEW ---
[ ] Applicable Federal Regulations? (RCRA, DOT, Clean Water Act, Clean Air Act, None)
[ ] Applicable State Regulations? (Yes, No, Unknown)
[ ] Brief Description of State-Specific Requirements
[ ] Last Regulatory Compliance Audit Date (MM/DD/YYYY)
[ ] Next Regulatory Compliance Review Due Date
[ ] Upload Relevant Permits or Licenses (if applicable)
[ ] Summary of Findings from Last Compliance Review
[ ] Are there any pending regulatory violations? (Yes, No, Unknown)

--- END OF TEMPLATE ---
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