Attachment_1_-_Performance-based_Work_Statement_(PWS).pdf

Attachment 1 of RFQ #FA520519QMG11

PERFORMANCE BASED WORK STATEMENT

FOR

MEDICAL WASTE DISPOSAL AND TRANSPORTATION SERVICE

AT BUILDING 99

MISAWA AIR BASE, JAPAN

Jun 19

Table of Contents

1 – DESCRIPTION OF SERVICES/GENERAL INFORMATION

2 – SERVICES SUMMARY

3 – GOVERNMENT-FURNISHED PROPERTY

4 – APPENDICES:

4.1. Chapter 8 of Japan Environmental Governing Standards (JEGS)

1. DESCRIPTION OF SERVICES/GENERAL INFORMATION. Non personal service. The contractor shall furnish all labor, supervision, equipment, tools, materials, personnel protective equipment (PPE), facilities, and any other items necessary to safely and properly perform Medical Waste Disposal and Transportation Services as outlined in this Performance-Based Work Statement (PWS). The contractor shall perform the Medical Waste Disposal and Transportation Service in accordance with applicable Japanese laws, and Chapter 8 of the Japan Environmental Governing Standards (JEGS). Service shall be furnished upon receipt of a call by the Contracting Officer or individuals authorized to place calls during the period of the purchase order.

1.1. SCOPE OF WORK.

1.1.1. The purpose of this service is to ensure medical waste materials generated by the Misawa AB Hospital are completely destroyed and rendered harmless and nontoxic.

1.1.2. The contractor shall pick up, transport, and destroy all medical waste in an off base disposal facility in accordance with all applicable Japanese laws/regulations and Chapter 8 of the JEGS (Appendix 4.1.).

1.1.3. The contractor shall ensure the disposal facility complies with applicable Government of Japan (GOJ) and local government laws. It is the contractor’s responsibility to improve or reconstruct their facility at their own expense upon revision of applicable GOJ and local government laws.

1.1.4. Manifest shall be furnished to Medical Group (MDG) Personnel to confirm all medical waste removed from Misawa AB Hospital has been incinerated, completely destroyed, and properly disposed of.

1.2. LICENSES AND PERMITS. The contractor must possess valid licenses to collect, transport, and dispose of the medical waste in accordance with Japanese laws. The contractor shall submit valid disposal license (Tokubetsu Kanri Sangyo Haikibutsu Syobungyo Kyokasyo) and transportation license (Tokubetsu Kanri Sangyo Haikibutsu Syusyu Unpangyo Kyokasyo) at the beginning of the contract and upon expiration of existing licenses.

1.3. PICK UP AND DELIVERY OF WASTE.

1.3.1. The contractor shall pick up medical waste and re-supply the hospital (Bldg 99) with new containers within 24 hours of being called by MDG Personnel. U.S. Government personnel will place medical waste generated into the containers in preparation for pick-up by the contractor. The contractor-furnished containers shall be able to hold at a minimum 33-gallon (approximately 125-liter) medical plastic bags without obstructing the ability of the container to be securely closed.

1.3.2. Frequency. The contractor shall pick up medical waste at frequency of 7 times a month and at weight of 1,000 liters each time, 7,000 liters per month.

1.3.3. MDG Personnel verify the quantity of waste collected and disposed of each time the service is performed. This information is annotated on copy “A” of the manifest. (See paragraph 1.4.2)

1.3.4. The contractor shall provide new containers as mentioned in 1.3.1, in room LG29 of building 99, upon start of the contract and as requested thereafter.

1.3.5. The contractor shall ensure all containers stay properly sealed throughout transportation of the medical waste from the hospital to the disposal facility.

1.3.6. The contractor shall immediately pick up and clean up all spillage of waste in the course of handling during collection including any spillage en route to the disposal facility. The contractor shall repackage all spillage of waste from containers.

1.3.7. In the event a medical waste container is broken by the contractor during the transportation process (pick-up, in transit, or delivery) the contractor will replace the container at their expense.

1.3.8. The contractor shall be responsible for providing his/her employees all necessary personal protective gear and training for the proper handling of medical waste to avoid accidentally being stuck by needles.

1.4. WASTE TRANSPORTATION/DISPOSAL, REPORTS/RECEIPT.

1.4.1. The contractor shall furnish a manifest each time medical waste is collected to comply with the Japanese law. The manifest will indicate quantity of waste collected, size of containers collected, name of person who collected the waste, name of person who transported the waste to off-base disposal facility, date waste was collected at Misawa Hospital, and date it was transported to the disposal facility.

1.4.2. The manifest shall accompany all medical waste materials. The manifest will have seven (7) copies; and each shall be annotated with an A, B1, B2, C1, C2, D and E.

(1) Copy A: Shall be furnished to Misawa Hospital upon pickup.

(2) Copy B1: To be retained by the contractor.

(3) Copy B2: Shall be provided to Misawa Hospital within 10 days from the date waste materials are delivered to disposal facility.

(4) Copy C1: To be retained by the contractor.

(5) Copy C2: To be retained by the contractor

(6) Copy D: Completed copy shall be provided to Misawa Hospital within 10 days from the date waste materials are successfully disposed of.

(7) Copy E: Completed copy shall be provided to Misawa Hospital within 10 days from the date waste materials are successfully disposed of.

1.4.3. The contractor shall maintain a file of the manifests for all medical waste collected. All manifest need to be kept chronologically for five (5) years.

1.5. ENVIRONMENTAL AND HAZADOUS MATERIALS HANDLING.

1.5.1. Compliance with Laws and Regulations. The contractor shall be knowledgeable of and shall comply with all applicable Japanese laws. The contractor shall ensure policies and procedures are established that protect the health and safety of employees and the community and to minimize or eliminate the risk of environmental pollution.

1.5.2. Notification of Environmental Spills. If the contractor spills or releases any substance, the contractor shall immediately report the incident to the Contracting Officer and the Government

Representative. The contractor shall be liable for containment and environmental cleanup of the spill or release of such substance.

1.5.3. The contractor is responsible for advising his employees of all Environmental and Hazardous Materials Handling and is required to have and maintain Material Safety Data Sheets (MSDS) for all materials used by the contractor in accordance with all Japanese laws and regulations.

1.6. SAFETY PRECAUTIONS. The contractor shall report any damage caused by his/her operations under this contract or personnel injury occurring while working on this contract immediately to the Contracting Officer and Government Representative.

1.7. HOURS OF OPERATION.

1.7.1. Normal Hours. The medical group's normal business hours are 0730 to 1630 Monday through Friday, the contractor shall provide a point of contact with necessary contact information to successfully meet the obligation under PWS.

1.7.2. Recognized Holidays. The contractor is not required to perform services that fall on the following days:

New Year’s Day 1st of January Martin Luther King Jr’s Birthday 3rd Monday of January Washington’s Birthday 3rd Monday of February Memorial Day Last Monday of May Independence Day 4th of July Labor Day 1st Monday of September Columbus Day 2nd Monday of October Veteran’s Day 11th of November Thanksgiving Day 4th Thursday of November Christmas Day 25th of December

NOTE: When a holiday falls on a Saturday or Sunday, the contractor shall consider the Friday preceding the holiday or the Monday following the holiday as the observed holiday for contract performance purposes.

1.8. PICK UP AND DELIVERY SCHEDULE

BLDG NO. ORGANIZATION PICK-UP TIME DELIVERY TIME DAYS PER WEEK

99 35 MDG 0800 to 1100 0800 to 1100 MONDAY - FRIDAY USAF Hospital Hours Hours

1.9. PERFORMANCE OF SERVICES DURING CRISIS DECLARED BY THE NATIONAL

COMMAND AUTHORITY OR OVERSEAS COMBATANT COMMANDER. This service contract is classified as “mission essential“ during a crisis as declared by the National Command Authority or Overseas Combatant Commander. In the event of such a crisis, the Government Representative may notify the contractor to discontinue the service due to base closure. However until such a notification, the contractor is required to continue the performance. Even if a crisis is not over and as soon as the contractor’s access to the installation can resume, the contractor shall recommence services and dispose of any accumulated waste containers stored during the crisis.

1.10. CONTRACTOR’S PERSONNEL.

1.10.1. Contract Manager. The contractor shall provide a contract manager who shall be responsible for the performance of the contract. The contract manager shall have full authority to act on behalf of the contractor on all contract matters relating to the daily operation of this contract.

1.10.2. The contract manager shall be able to read, write, speak, and understand English, or an interpreter provided by the contractor may be provided to work alongside the contract manager.

The contract manager or alternate(s) shall be available during normal duty hours and be able to meet with U.S. Government personnel designated by the Contracting Officer within 24 hours to discuss deficiencies.

1.10.3. Contract Employees. Contract personnel shall present a neat appearance and be easily recognized as contractor employees. This may be accomplished by wearing distinctive clothing bearing the company name or by wearing appropriate badges that contain the contractor’s company name and the employee’s name.

1.10.4. The contractor shall not employ persons for work on this contract if such an employee is identified by the Contracting Officer as a potential threat to the health, safety, security, general well-being, or operational mission of Misawa AB and its population.

1.10.5. The contractor shall not employ any person who is presently an employee of the U.S.

Government when and if the employment of that person would create a conflict of interest or perception of conflict nor shall the contractor employ any person who is presently an employee of the Department of the Air Force, either military or civilian, unless such a person seeks and receives prior approval from his or her commander. In addition, the contractor shall not employ any person presently employed with the Department of the Air Force if such employment would constitute conflict of interest.

1.10.6. The contractor is cautioned that off duty active military personnel hired under this contract may be subject to permanent change of station (PCS), change in duty hours or deployment. Military Reservists and National Guard members may be subject to recall to active duty. The abrupt absence of these personnel could adversely affect the contractor’s ability to perform within the standards prescribed in this contract. Their absence at any time shall in no way constitute a valid reason for non-performance under this contract. All active duty members are required to complete an AF IMT form 3902 which is approved by the members’ commander. Contractor is required to endure all active duty members have this form complete and approved before scheduling them for work under this contract.

1.11. MISAWA AIR BASE FIRE PREVENTION. The contractor shall be responsible for fire prevention in all area, and be free from any potential fire hazards. The contractor shall comply with the following fire prevention guidance. Fire Reporting: 1) The primary emergency reporting number on Misawa Air Base is 911 or 0176-53-1911 from off base. Fire Department operations take place out of bldg. 3003. 2) On-base telephones shall have “911” stickers. 3) All contractor-employed personnel shall be familiar with fire reporting numbers and procedures, and shall to put the number “0176-53-1911” into his/or her mobile-phone. Vehicles: 1) Access for fire fighting vehicles must be maintained at all working sites. 2) Contractor’s vehicles shall not be parked within 15 feet of any fire hydrant of Fire Department connection. 3) Contractor’s vehicles shall give the right-of-way to responding fire/emergency vehicles. Electrical Hazards: 1) All of the contractor’s electrical tools and equipment shall be in good (original) working condition and its maintenance shall be done properly in compliance with manufacturer’s maintenance instructions. 2) All extension cords used shall be equipped with circuit breakers and plugged directly in the outlets (no other extension cords).

3) Building utility panels shall not be blocked by contractor tools/supplies. Storage: 1) Flammable liquids shall not be stored inside the warehouses, next to the buildings, or near exit ways. 2) Fire protection system shall not be obstructed at any time.

1.11.1. FIRE & SECURITY POLICE. The contractor shall follow local fire prevention and security procedures and regulations. Burning of any material is prohibited. If emergency egress routes must be blocked due to contractor’s performance the contractor shall comply with Interim Life Safety Measures (ILSM) as mandated by The Joint Commission or AAAHC as applicable.

Any work that may interfere with fire exit routes and/or exits will be approved by the authority having jurisdiction or as directed by the facility manager prior to starting work. The contractor shall implement Interim Life Safety Procedures for contractor employees consistent with the Military Treatment Facility (MTF) Interim Life Safety Program.

1.12. SAFETY REQUIREMENTS. All work shall be conducted in a safe manner and shall comply with the current Safety and Health Requirements Manual(EM385-1-1) issued by U.S. Army Corps of Engineers. A copy of theEM385-1-1 (http://www.usace.army.mil/inet/usace-docs/eng-manuals/em385-1-1/toc.htm) can be obtained from the Public Works Department (PWD) Misawa, Facility Engineering Acquisition Division (FEAD) office. The Contractor shall provide all necessary safety protective equipment, and follow all necessary procedures.

1.13. SPECIAL SECURITY REQUIREMENTS. The contractor shall comply with all Misawa AB security requirements. The government will provide escorts for the contractor, as required.

1.13.1. Base Passes. The contractor shall obtain the following pass and identification items and adhere to the rules regarding the passes set forth:

a. Prior to the start of on-site work, the contractor shall submit applications for base passes (listed below) to 35 SFS/S-5 via 35 CONS/LGCB, for all employees including subcontractor employees, and vehicles requiring access to Misawa Air Base in order to perform services under this contract.

(1) 5 AF Form 99, Application for Base Pass, for employees.

(2) 35 FW Form 54, Application for Vehicle Registration.

b. The contractor, in conjunction with sponsoring unit/agency, will periodically cross-reference current employees against the base pass listing maintained by the Visitor Control Section, 35 SFS/S-5, Bldg. 301, to ensure accuracy and to verify employment status of assigned personnel.

The contractor will immediately report any changes in employment status such as termination, retirement, or resignation of employed personnel in possession of base and/or vehicle passes to the sponsoring unit/agency and/or the base contracting office. The contractor will be responsible for collection of the base and/or vehicle pass turn-in to the sponsoring unit/agency within three

(3) working days of the employee’s termination.

c. Upon completion of this contract, the contractor shall return all employees and vehicle passes to the Visitor Control Section, 35 SFS/S-5, Bldg. 301, and obtain a Certification of Receipt then http://www.usace.army.mil/inet/usace-docs/eng-manuals/em385-1-1/toc.htm submit to 35 CONS/LGCB. Final payment will be withheld until the contractor has accomplished required clearances.

1.13.2. Anti-Terrorism. Random Antiterrorism Measures (RAMs). RAMS are conducted on Misawa Air Base at varying times during a 24-hour period and may consist of measures such as spot checks of identification credentials, random vehicle searches, and site security sweeps. The contractor is subject to participating and cooperating with RAMS as directed by competent authority. Anticipate increased RAMS during implementation of elevated Force Protection Conditions (FPCONs).

1.13.2.1. Reporting Suspicious Activity. It is the responsibility of all personnel working and residing on Misawa Air Base to be alert for detecting and reporting suspicious criminal or terrorist activity. The contractor shall immediately report any on-base observed suspicious activity to the 35 SFS/BDOC, Bldg. 646. All contractor-employed personnel shall be familiar with suspicious activity reporting numbers and procedures. The primary number for reporting suspicious activity on Misawa Air Base is 911from a base phone or 0176-53-1911 from a mobile phone or off-base.

1.14. REQUIRED INSURANCE.

(a) The contractor shall procure and maintain during the entire period of his/her performance under this contract, the following minimum vehicle insurance:

Property Damage – Y2,000,000

(b) Prior to the commencement of work hereunder, the contractor shall furnish to the Contracting officer a certificate or written statement of the above required insurance. The contractor is required to notify the Contracting Officer immediately upon cancellation or of any material change in the policies adversely affecting the interests of the Government.

(c) The contractor agrees to insert the substance of this clause including this paragraph c, in all subcontracts hereunder.

2. SERVICES SUMMARY. The Services Summary (SS) table shown below lists service functions that are considered critical to contract performance and to the operational areas for which they affect. The contractor shall ensure the successful execution of these service standards at all times. A defect in these services shall result when the percentage of correct service shown in the right column of this table is not met. 100% performance is required when, due to the unique nature and importance of the service, the service, if not performed, or performed un-satisfactorily, cannot be re-performed with a successful outcome. When this occurs, a defect will be recorded and reported to the Contracting Officer for appropriate action.

2.1. Services Summary Table

Performance Objective PWS Para. Performance Threshold

Waste Disposal and Transportation Service:

The contractor shall pick up and transport, and destroy all medical waste in an approved off base disposal facility.

1.1.1, 1.1.2, and 1.3

100% Compliance. In the Para.

1.1.2.

Manifest:

A manifest will accompany all medical waste materials.

Each receipt will have seven

(7) copies; and each shall be annotated with an A, B1, B2, C1, C2, D and E.

1.1.4 and 1.4 100% Compliance. In the Para.

1.4.2

3. GOVERNMENT-FURNISHED PROPERTY, SERVICES AND MATERIAL. - None

4. APPENDICES

4.1. Chapter 8 of Japan Environmental Governing Standards (JEGS)

APPENDIX 4.1

Japan Environmental Governing Standards (JEGS)

CHAPTER 8, MEDICAL WASTE MANAGEMENT

C8. CHAPTER 8

MEDICAL WASTE MANAGEMENT

C8.1. SCOPE

This Chapter contains criteria for the management of medical waste at medical, dental, research and development, and veterinary facilities generated in the diagnosis, treatment, or immunization of human beings or animals or in the production or testing of biologicals subject to certain exclusions. This waste also includes mixtures of medical waste and hazardous waste. It does not apply to what would otherwise be household waste.

C8.2. DEFINITIONS

C8.2.1. Infectious Agent. Any organism (such as a virus or bacterium) that is capable of being communicated by invasion and multiplication in body tissues and capable of causing disease or adverse health impacts in humans.

C8.2.2. Infectious Hazardous Waste. Mixtures of infectious medical waste and hazardous waste to include solid waste such as fluids from a parasitology laboratory.

C8.2.3. Infectious Medical Waste. Solid waste produced by medical and dental treatment facilities that is specially managed because it has the potential for causing disease in humans and may pose a risk to both individuals or community health if not managed properly, and that includes the following classes:

C8.2.3.1. Microbiology waste, including cultures and stocks of etiologic agents which, due to their species, type, virulence, or concentration, are known to cause disease in humans.

C8.2.3.2. Pathology waste, including human tissues and organs, amputated limbs or other body parts, fetuses, placentas, and similar tissues from surgery, delivery, or autopsy procedures. Animal carcasses, body parts, blood, and bedding from contaminated animals are also included.

C8.2.3.3. Human blood and blood products (including serum, plasma, and other blood components), items contaminated with liquid or semi-liquid blood or blood products and items saturated or dripping with blood or blood products, and items caked with blood or blood products, that are capable of releasing these materials during handling.

C8.2.3.4. Potentially infectious materials, including human body fluids such as semen, vaginal secretions, cerebrospinal fluid, pericardial fluid, pleural fluid, peritoneal fluid, amniotic fluid, saliva in dental procedures, any body fluid that is visibly contaminated with blood, and all body fluids in situations where it is difficult or impossible to differentiate between body fluids.

C8.2.3.5. Sharps, including hypodermic needles, syringes, biopsy needles, and other types of needles used to obtain tissue or fluid specimens, needles used to deliver intravenous solutions, scalpel blades, Pasteur pipettes, specimen slides, cover slips, glass Petri plates, test tubes, ampoules, vials, and broken glass potentially contaminated with infectious waste.

C8.2.3.6. Infectious waste from isolation rooms, but only including those items that were contaminated or likely to have been contaminated with infectious agents or pathogens, including excretion exudates and discarded materials contaminated with blood.

C8.2.4. Noninfectious Medical Waste. Solid waste created that does not require special management because it has been determined to be incapable of causing disease in humans or which has been treated to render it noninfectious.

C8.2.5. Solid Waste. Any solid waste as defined in Chapter 7, “Solid Waste.”

C8.2.6. Treatment. Any method, technique, or process designed to change the physical, chemical, or biological character or composition of any infectious hazardous or infectious waste so as to render such waste non-hazardous, or less hazardous; safer to transport, store, or dispose of; or amenable for recovery, amenable for storage, or reduced in volume. Treatment methods for infectious waste must eliminate infectious agents so that they no longer pose a hazard to persons who may be exposed.

C8.3. CRITERIA

C8.3.1. Infectious medical waste will be separated, if practical, from other solid waste at the point of origin.

C8.3.2. Mixtures of infectious medical wastes and hazardous wastes will be handled as infectious hazardous waste under DoD 4160.21-M, “Defense Materiel Disposition Manual,” August 18, 1997, and are the responsibility of the generating DoD Component. Priority will be given to the hazard that presents the greatest risk. DLA Disposition Services have no responsibility for this type of property until it is rendered noninfectious as determined by the appropriate DoD medical authority.

C8.3.3. Solid waste that is classified as a hazardous waste in accordance with Appendix 1 will be managed in accordance with the criteria in Chapter 6, “Hazardous Waste.”

C8.3.4. Mixtures of other solid waste and infectious medical waste will be handled as infectious medical waste.

C8.3.5. Radioactive medical waste will be managed in accordance with Service Directives.

C8.3.6. Infectious medical waste will be segregated, transported, and stored in sealable bags or receptacles a minimum of 0.0762 millimeters (3 mils) thick having such durability, puncture resistance, and burst strength as to prevent rupture or leaks during ordinary use.

C8.3.7. All bags or receptacles used to segregate, transport or store infectious medical waste will be clearly marked with the universal biohazard symbol and the word "BIOHAZARD" in English and Japanese (Figure C8.1), and will include markings that identifies the generator, date of generation, and the contents.

C8.3.8. Sharps will only be discarded into rigid receptacles. Needles will not be clipped, cut, bent, or recapped before disposal.

C8.3.9. Infectious medical waste will be transported and stored to minimize human exposure, and will not be placed in chutes or dumbwaiters.

C8.3.10. Infectious medical waste will not be compacted unless converted to noninfectious medical waste by treatment as described in paragraph C8.3.17. Containers holding sharps will not be compacted.

C8.3.11. All anatomical pathology waste (i.e., large body parts) must be placed in containers lined with plastic bags that comply with paragraph C8.3.6, and may only be disposed of in a landfill or by burial in a designated area after being treated for disposal by incineration or cremation.

C8.3.12. Blood, blood products, and other liquid infectious wastes will be handled as follows:

C8.3.12.1. Bulk blood and blood products may be decanted into a sewer system connection (sinks, drains, etc.), unless pre-treatment is required. If pre-treatment is required, the methods contained in Table C8.T1, “Treatment and Disposal Methods for Infectious Medical Waste,” will be employed prior to discharge to the sewer system. The emptied containers will continue to be managed as infectious medical waste.

C8.3.12.2. Suction canister waste from operating rooms will either be decanted into a clinical sink or will be sealed into leak-proof containers and incinerated.

C8.3.13. All personnel handling infectious medical waste will wear appropriate protective apparel or equipment such as gloves, coveralls, masks, and goggles sufficient to prevent the risk of exposure to infectious agents or pathogens.

C8.3.14. If infectious medical waste cannot be treated on-site, it will be managed during storage as follows:

C8.3.14.1. Infectious medical waste will be maintained in a nonputrescent state, using refrigeration as necessary.

C8.3.14.2. Infectious medical waste with multiple hazards (i.e., infectious hazardous waste or infectious radioactive waste) will be segregated from the general infectious waste stream when additional or alternative treatment is required.

C8.3.15. Storage sites must be:

C8.3.15.1. Specifically designated by display of a sign, no less than 60 cm x 60 cm (24” x 24”) in size and written in both English and Japanese:

C8.3.15.1.1. Prohibiting unauthorized entry;

C8.3.15.1.2. Prohibiting removal of containers without permission, and;

C8.3.15.1.3. Providing a point of contact (name, telephone number).

C8.3.15.2. Constructed to prevent entry of insects, rodents, and other pests;

C8.3.15.3. Prevent access by unauthorized personnel; and

C8.3.15.4. Marked on the outside with the universal biohazard symbol and the word "BIOHAZARD" in both English and Japanese (Figure C8.1).

C8.3.16. Bags and receptacles containing infectious medical waste must be placed into rigid or semi-rigid, leak-proof containers before being transported off-site.

C8.3.17. Infectious medical waste must be treated in accordance with Table C8.T1, “Treatment and Disposal Methods for Infectious Medical Waste,” and the following before disposal:

C8.3.17.1. Sterilizers must maintain the temperature at 121°C (250°F) for at least 30 minutes at 1.034 bar (15 psi).

C8.3.17.2. The effectiveness of sterilizers must be checked at least weekly using Bacillus stearo thermophilus spore strips or an equivalent biological performance test.

C8.3.17.3. Incinerators used to treat medical waste must be designed and operated to maintain a minimum temperature and retention time sufficient to destroy all infectious agents and pathogens, and must meet applicable criteria in Chapter 2, “Air Emissions.”

C8.3.17.4. Ash or residue from the incineration of infectious medical waste must be assessed for classification as hazardous waste in accordance with the criteria in Chapter 6, “Hazardous Waste.” Ash that is determined to be hazardous waste must be managed in accordance with Chapter 6. All other residue will be disposed of in a landfill that complies with the criteria of Chapter 7, “Solid Waste.”

C8.3.17.5. Chemical disinfection must be conducted using procedures and compounds approved by appropriate DoD medical authority for use on any pathogen or infectious agent suspected to be present in the waste.

C8.3.18. Installations will develop contingency plans for treatment or disposal of infectious medical waste should the primary means become inoperable.

C8.3.19. Spills of infectious medical waste will be cleaned up as soon as possible in accordance with the following:

C8.3.19.1. Response personnel must comply with paragraph C8.3.13.

C8.3.19.2. Blood, body fluid, and other infectious fluid spills must be removed with an absorbent material that must then be managed as infectious medical waste.

C8.3.19.3. Surfaces contacted by infectious medical waste must be washed with soap and water and chemically decontaminated in accordance with paragraph C8.3.17.5.

C8.3.20. Installations will keep records of the following information concerning infectious medical waste for at least 5 years after the date of disposal:

C8.3.20.1. Type of waste;

C8.3.20.2. Amount of waste (volume or weight);

C8.3.20.3. Treatment, if any, including date of treatment; and

C8.3.20.4. Disposition, including date of disposition, and if the waste was transferred to Japanese facilities, and receipts acknowledging paragraphs C8.3.20.1. - C8.3.20.3. for each transfer, including the name, title, address and permit number of each consignee.

Figure C8.1. Universal biohazard symbol

Table C8.T1. Treatment and Disposal Methods for Infectious Medical Waste

Type of Medical Waste Method of Treatment Method of Disposal Microbiological 1 Steam sterilization 2 Municipal solid waste landfill (MSWLF)

Chemical disinfection Incineration

Pathological 3 Incineration MSWLF 3 Cremation Burial 4 Chemical Sterilization 5 Domestic wastewater treatment plant (DWTP) 4 Steam sterilization

Bulk blood & suction canister waste

6 Steam sterilization Chemical disinfection

DWTP

6 Incineration MSWLF Sharps in sharps containers Steam sterilization MSWLF

Incineration Notes:

1. Preferred method for cultures and stocks because they can be treated at point of generation

2. See Chapter 7, “Solid Waste,” for criteria for solid waste landfills.

3. Anatomical pathology waste (i.e., large body parts) must be treated either by incineration or cremation prior to disposal.

4. This only applies to placentas, small organs and small body parts which may be steam sterilized or chemically sterilized, ground, and discharged to a domestic wastewater treatment plant.

5. See Chapter 4, “Wastewater,” for criteria for domestic wastewater treatment plants.

Bulk blood or suction canister waste known to be infectious must be treated by incineration or steam sterilization before disposal.