(A) For the purposes of this rule, a storage
area means an area used to collect containers that are sealed,
and/or
or bags
that are sealed or otherwise closed, and tied,
and/or
or closed
sharps containers prior to
transportation
or treatment. Generators
,
transporters, and treatment facilities, as defined under Chapter 3734.
of the Revised Code, shall adhere to the following handling requirements for
all in-use and stored containers of infectious waste:
(1) Handle infectious waste containers in a
manner and location that maintains the integrity of the
packaging
container;
(2) Lock outside storage areas containing
infectious wastes containers to prevent unauthorized access;
(3) Designate infectious waste storage areas.
Those storage areas that are not locked, shall be visibly labled with a sign
stating "warning: infectious waste"
and/or
or displaying
the international biohazard symbol at all points of access
;
.
(4) Contain and clean up any spill
of infectious wastes from a container within a storage area utilizing either an
U.S. EPA registered hosptial disinfectant that is also tuberculocidal, for a
contact time as specified by the manufacturer, a unexpired dated stablized
bleach product that is an U.S. EPA registered hospital disinfectant that is
also tuberculocidal, for a contact time as specified by the manufacturer, or
materials necessary to prepare a minimum ten per cent sodium hypochlorite
solution prepared immediately prior to use with a minimum thirty minutes of
contact time with the waste.
[Comment: Household bleach depending
upon brand is three to five per cent sodium hypochlorite by volume. A 1:10
dilution of household bleach (one part household bleach to nine parts of water)
contains a minimum ten per cent volume/volume sodium hypochlorite solution and
will produce a solution with 3000-5000 parts per million of free available
chlorine.
To make a ten per cent household
bleach solution for disinfection, add approximately 6.4 ounces of household
bleach to 57.6 ounces of tap water. This yields 1/2 gallon of
solution.]
(B) Generators
,
transporters, and treatment facilities, as defined under Chapter 3734.
of the Revised Code, shall adhere to the following regulations for the
management of the infectious wastes within containers:
(1) Maintain infectious wastes in a
nonputrescent state, using refrigeration or freezing when necessary;
and
(2) If infectious waste becomes
putrescent, then the waste must be immediately refrigerated or frozen and shall
be treated and disposed of as soon as possible regardless of any storage time
frame;
(3) Maintain infectious
wastes in a manner that affords protection from animals and does not provide a
breeding place or a food source for insects or rodents
;
.
(4) Contain and clean up any spill
of infectious wastes within a storage area utilizing either an U.S. EPA
registered hosptial disinfectant that is also tuberculocidal, for a contact
time as specified by the manufacturer, a unexpired dated stablized bleach
product that is an U.S. EPA registered hosptial disinfectant that is also
tuberculocidal, for a contact time as specified by the manufacturer, or
materials necessary to prepare a minimum ten per cent sodium hypochlorite
solution prepared immediately prior to use with a minimum of thirty minutes of
contact time with the waste;
[Comment: Household bleach depending
upon brand is three to five per cent sodium hypochlorite by volume. A 1:10
dilution of household bleach (one part household bleach to nine parts of a
minimum ten per cent volume/volume sodium hypochlorite solution and will
produce a solution with 3000-5000 parts per million of free available
chlorine.
To make a ten per cent household
bleach solution for disinfection, add approximately 6.4 ounces of household
bleach to 57.6 ounces of tap water. This yields 1/2 gallon of
solution.]
(C) Infectious waste treatment facilities
shall adhere to the following storage regulations:
(1) No infectious waste may be stored more
than fourteen days at any facility;
(2) No more than seven times the treatment
facility's total maximum daily throughput capacity of all incinerators and/or
autoclaves shall be stored for treatment;
(3) All facilities shall formulate a
contingency plan. At a minimum the plan shall:
(a) Address compliance with the requirements
set forth in paragraphs (A) and (B) of this rule, and shall provide for the
removal of infectious wastes to an alternate treatment facility;
(b) Be maintained at the treatment facility
as a part of the facility management plan in accordance with rule
3745-27-32 of the Administrative
Code;
(c) Designate an emergency
coordinator and an alternate emergency coordinator; and
(d) Contain all of the following:
(i) Table of contents, and
(ii) Facility identification, and
(iii) Purpose statement, and
(iv) Emergency response equipment,
and
(v) A designatation of
alternative treatment facilities, and
(vi) Responsibilities of emergency
coordinator, and
(vii) Storage
procedures, and
(viii) Handling
procedures, and
(ix) Refrigeration
and freezing requirements in accordance with
paragraph (A)(5) of rule 3745-27-31 and rule
3745-27-35 of the Administrative
Code, and
(x) Implementation of
response, and
(xi) Internal
notification, and
(xii) Provide a
posting of emergency procedures.
(4) If the treatment facility exceeds or
reasonably anticipates exceeding storage capacity, then the treatment facility
shall implement its contingency plan and notify on the same or next business
day the appropriate health department and Ohio EPA district office of the
implementation of the contingency plan;
(5) A generator who also treats infectious
wastes generated on premises owned or operated by the generator shall be
subject to the requirements of paragraph (C) of this rule when the untreated
infectious wastes are in a centralized storage area directly prior to
treatment; and
(6) Other storage
methods approved by the director.
(D) For the purposes of this rule, a
transporter or treatment facility may
utilize a truck or trailer as a storage
area only if the truck or trailer is
equipped in such a manner as to prevent the spillage of infectious wastes or
liquids outside of the truck or
trailer.
(E) Generators that
collect and store infectious wastes, produced by multiple infectious waste
generators in a centralized location, shall store and handle the infectious
wastes in accordance with this rule.
