PWS of Med Waste.pdf

PERFORMANCE WORK STATEMENT

FOR

MEDICAL WASTE DISPOSAL AND TRANSPORTATION SERVICE

AT BUILDING 99

MISAWA AIR BASE, JAPAN

18 Nov 24

Table of Contents

1 – DESCRIPTION OF SERVICES/GENERAL INFORMATION

2 – SERVICES SUMMARY

3 – GOVERNMENT-FURNISHED PROPERTY

4 – APPENDICES:

4.1. Chapter 17 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 17 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 17 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 of not exceeding 10,000 liters (200liters/per Drum x 50 Drum) 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 Safety Data Sheets (SDS) 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 the EM385-1-1 (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.

http://www.usace.army.mil/inet/usace-docs/eng-manuals/em385-1-1/toc.htm

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 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 17 of Japan Environmental Governing Standards (JEGS)

APPENDIX 4.1

Japan Environmental Governing Standards (JEGS)

CHAPTER 17, MEDICAL WASTE MANAGEMENT

CHAPTER 17: MEDICAL WASTE

17.1 INTRODUCTION

This chapter contains standards on the safe handling, storage, treatment, and disposal of medical waste generated by medical, dental, research and development, and veterinary facilities. Medical waste includes waste generated in the diagnosis, treatment, or immunization of human beings or animals or in the production or testing of biologicals (i.e., medical products, such as a vaccine, made from biological sources) subject to certain exclusions. It also includes mixtures of medical waste and hazardous waste. Waste that would otherwise be solid waste or radiological waste are not covered in this chapter. Standards for solid waste are provided in JEGS Chapter 15.

Standards for radiological waste are covered in DoDI 4715.27, DoD Low-Level Radioactive Waste (LLRW) Program.

17.2 TRAINING

Installations must:

17.2.1 Ensure that all employees are adequately trained to perform their duties.

17.2.2 Train employees who come in direct contact with patients, or who generate, segregate, package, store, transport, treat, or dispose of infectious medical waste, in the safe handling and management of infectious medical waste.

17.3 GENERATION

Installations must:

17.3.1 Separate infectious medical waste, if practical, from other solid waste at the point of origin. Place all infectious medical waste in final storage containers lined with plastic bags that comply with Paragraph 17.3.3 before being transported off-site for disposal and destruction.

17.3.1.1 Handle mixtures of infectious medical waste and hazardous waste as an infectious hazardous waste.137

17.3.1.1.1 These mixtures are the responsibility of the generating DoD Service Component, with priority given to the hazard that presents the greatest risk.

17.3.1.1.2 DLA Disposition Services has no responsibility for this type of hazardous waste until it is rendered noninfectious, as determined by the appropriate DoD medical authority. Prior to transfer to DLA Disposition Services, the Turn-In Document (DD Form 1348-1A, Issue, Release/Receipt) must include certification from the appropriate DoD medical authority stating the waste is no longer infectious.

137 DoDM 4160.21 (Volume 4), Defense Materiel Disposition: Instructions for Hazardous Property and Other Special Processing Materiel, Enclosure 3 Paragraph 96.

17.3.1.2 Handle mixtures of other solid waste and infectious medical waste as infectious medical waste.

17.3.1.3 Segregate and manage mixtures of infectious medical waste and radioactive waste in accordance with DoD Service Component guidance.

17.3.2 Segregate from routine infectious medical waste any medical waste from animal or human treatment containing a Category A infectious substance and manage in accordance with regulations of Japan and the International Air Transport Association.

17.3.3 Segregate, transport, and store infectious medical waste in red bags or receptacles that are a minimum of 3.0-mil [0.0762-millimeter] thick and have durability, puncture resistance, and burst strength as to prevent rupture or leaks during ordinary use.

17.3.4 Clearly mark all bags or receptacles used to segregate, transport, or store infectious medical waste with:

17.3.4.1 The universal biohazard symbol.

17.3.4.2 The word “BIOHAZARD” in English and Japanese.

17.3.4.3 Markings or a label that identify the generator, date of generation, and contents.

17.3.5 Segregate and store sharps in upright and stable heavy-duty plastic containers with tight-fitting, puncture-resistant, leak-resistant lids. Discard sharps in rigid receptacles. Do not clip, cut, bend, or recap needles before disposal. Close sharps containers and remove them when they are three-fourths full.

17.3.6 Place all anatomical pathology waste (e.g., large body parts) in containers lined with plastic bags in accordance with Paragraph 17.3.3.

17.3.7 Ensure all receptacles can be closed and are kept closed, except when the container is actively being used.

17.4 HANDLING WITHIN THE FACILITY

Installations must:

17.4.1 Transport infectious medical waste to minimize human exposure. Do not place in chutes or dumbwaiters.

17.4.2 Avoid compacting infectious medical waste unless first converted to noninfectious medical waste by the treatment described in Paragraph 17.6. Do not compact containers holding sharps.

17.4.3 Ensure all personnel handling infectious medical waste and medical waste containers wear appropriate protective apparel or equipment such as gloves, coveralls, masks, and goggles, and receive appropriate training on the use of protective equipment and risk reduction associated with exposure to infectious agents, pathogens, and physical hazards.

17.5 STORAGE

Installations must:

17.5.1 Manage infectious waste when stored on-site.

17.5.1.1 Store infectious medical waste in a manner that prevents decay, spoilage, or becoming putrid. Refrigeration is required for pathology waste.

17.5.1.2 Infectious medical waste must not be placed in hallways.

17.5.1.3 Infectious medical waste with multiple hazards (e.g., infectious hazardous waste or infectious radioactive waste) must be segregated from the general infectious waste stream when additional or alternate treatment and disposal is required.

17.5.2 Ensure storage sites:

17.5.2.1 Are specifically designated for such use.

17.5.2.2 Are constructed to prevent entry of insects, rodents, and other pests.

17.5.2.3 Prevent access by unauthorized personnel.

17.5.2.4 Are marked on the outside with the universal biohazard symbol and the word “BIOHAZARD” in English and Japanese.

17.5.3 Post signage that:

17.5.3.1 Identifies any special requirements for entering the site, and the name and telephone number of the person responsible for the storage site.

17.5.3.2 Is fluorescent orange-red in color, or predominately so, with lettering and symbols in contrasting color, and easily visible to workers.

17.5.4 Remove waste from:

17.5.4.1 Interim storage sites (e.g., soiled utility rooms) daily.

17.5.4.2 The final storage site at least every seven calendar days unless refrigerated. If refrigerated, the infectious medical waste may remain in the final storage site for 30 calendar days. Infectious medical waste is typically refrigerated at temperatures between 0-4.0°C [32.0- 39.2°F].

17.6 TREATMENT AND DISPOSAL

Installations must:

17.6.1 Treat and dispose of blood, blood products, and other liquid infectious waste as follows:

17.6.1.1 Decant bulk blood and blood products into a sewer system connection (e.g., sinks, drains), unless pre-treatment is required.

17.6.1.1.1 If pre-treatment is required, use the methods outlined in Table 17.1 before discharge to the sewer system. Continue to manage the emptied containers as infectious medical waste.

17.6.1.1.2 If pre-treatment is not feasible to allow for sewer system disposal, seal the liquid waste in leak-proof containers and incinerate.

17.6.1.2 Either decant suction canister waste from operating rooms into a clinical sink (if pre-treatment is available) or sealed in leak-proof containers and incinerate.

17.6.2 Before disposal, treat infectious medical waste in accordance with Table 17.1 and:

17.6.2.1 Ensure sterilizers maintain their temperature at 121°C [250°F] for at least 30 minutes at 103.4 kilopascal [15 pounds per square inch].

17.6.2.2 Check the effectiveness of sterilizers at least weekly using Bacillus stearo thermophilus spore strips or an equivalent biological performance test.

17.6.2.3 Design and operate incinerators used to treat infectious medical waste to maintain a minimum temperature and retention time sufficient to destroy all infectious agents and pathogens and meet the applicable air emission standards in JEGS Paragraph 4.4.

17.6.2.4 Assess ash or residue from the incineration of infectious medical waste for classification as hazardous waste in accordance with JEGS Paragraph 16.3.

17.6.2.4.1 Manage ash that is determined to be hazardous waste in accordance with JEGS Chapter 16.

17.6.2.4.2 Dispose of all other residue in a landfill that complies with the standards in JEGS Chapter 15.

17.6.2.5 Conduct chemical disinfection using procedures and compounds approved by the appropriate DoD medical authority for use on any pathogen or infectious agent suspected to be present in the waste.

17.7 OFF-SITE DISPOSAL OF MEDICAL WASTE

17.7.1 Infectious medical waste is classified as either a specially controlled municipal solid waste (SCMW) or specially controlled industrial waste (SCIW) depending on the source of generation (JEGS Table 16.7).138 Disposal of such waste off-site in Japan may require special handling depending on local prefectural and municipality guidelines.

17.7.2 For the disposal of non-contaminated animal carcasses, consider and appropriately address Japanese requirements that may vary from the standards in this chapter.

17.7.3 Place bags and receptacles containing infectious medical waste in rigid or semi-rigid, leak-proof containers before being transported off-site.

138 GOJ Order for Enforcement of the Waste Management and Public Cleansing Act, Articles 1, 2-4.

17.7.4 Package and document the transport of infectious medical waste off-site for disposal in accordance with transportation regulations of Japan and the International Air Transport Association. At a minimum, the transporter must be appropriately credentialed by the appropriate governmental authority to transport the waste and must provide a receipt for transport to the disposal facility.

17.7.5 Installations utilizing off-site disposal facilities must ensure that the transportation and disposal facility contractor(s) are properly licensed by the appropriate governmental authorities for the infectious medical waste being disposed.139 Installations are not required to inspect these facilities. Installations must ensure the disposal contractor maintains a current license with the appropriate governmental licensing authority.

17.7.6 Generators of infectious medical waste are prohibited from contracting with a licensed transporter that requires the transporter to then subcontract with a licensed disposal facility.140 The installation must either contract with a single contractor who is licensed to both transport and dispose the waste, or contract separately with a licensed transporter and a licensed disposal facility.

17.8 CONTINGENCY PLANNING

Installations must:

17.8.1 Develop and update as necessary medical waste contingency plans for treatment and/or disposal of infectious medical waste in case the primary means become either inoperable or inaccessible.

17.8.2 Include alternate storage sites or alternate means of treatment and disposal in the contingency plans.

17.9 SPILLS

Installations must:

17.9.1 Clean up spills of infectious medical waste as soon as possible.

17.9.2 Comply with personal protection equipment requirements in Paragraph 17.4.3.

17.9.3 Remove blood, body fluid, and other infectious fluid spills with an absorbent material that must then be managed as infectious medical waste.

17.9.4 Wash surfaces contacted by infectious medical waste with soap and water and chemically decontaminate the surfaces in accordance with Paragraph 17.6.2.5.

139 GOJ Act on Waste Management and Public Cleansing, Articles 7, 14.

140 GOJ Act on Waste Management and Public Cleansing, Article 14.

17.10 RECORDKEEPING

Installations must keep records of the following information concerning infectious medical waste for at least three years after the date of disposal:

17.10.1 Type of waste.

17.10.2 Amount of waste (volume or weight).

17.10.3 Treatment method, including date of treatment.

17.10.4 Disposition, including:

17.10.4.1 Date of disposition.

17.10.4.2 If the waste was transferred to Japanese facilities.

17.10.4.3 Receipts acknowledging Paragraphs 17.10.1 through 17.10.3 for each transfer.