Waste Management Audit

• Site conducted

  Select

• Conducted on

  Date

• Prepared by

• Location

• Area/Ward

Waste Management and Compliance Audit Proforma

• Areas Excluded

• Clinical waste segregation posters displayed in all relevant areas as an aid to staff?

  Yes

  No

  N/A

• Standard Operational Procedures (SOP) displayed in all relevant areas as an aid to staff?

  Yes

  No

  N/A

• All waste bins in the area are foot operated where necessary, lidded and in good working order?

  Yes

  No

  N/A

• All waste bins are visibly clean?

  Yes

  No

  N/A

• Are spare waste bags stored on or at the bottom of waste bins?

  Yes

  No

  N/A

• All bag colours in use are appropriate for the location and type of waste in them?

  Yes

  No

  N/A

• Waste bags for disposal are no more than 2/3 full; correctly tied and labelled with the correct information (hospital, ward / dept and date)?

  Yes

  No

  N/A

• Cytotoxic waste stream (Purple bags) are being used correctly

  Yes

  No

  N/A

• Infectious waste stream (Black bags) is being used correctly?

  Yes

  No

  N/A

• Do barriered patients waste bins have orange Infectious waste bags in them?

  Yes

  No

  N/A

• Non-infectious (Offensive) clinical waste stream (Tiger Stripe Bags) is being used correctly?

  Yes

  No

  N/A

• Domestic waste stream (Black Bags) is being used correctly?

  Yes

  No

  N/A

• Dry Mixed recycling (Clear bags) is being used correctly?

  Yes

  No

  N/A

• The sharps containers in use comply with national standards (UN 3291, BS 7320)?

  Yes

  No

  N/A

• Suitable sharps containers are in use for the sharps waste produced (Yellow, Orange and Purple)?

  Yes

  No

  N/A

• Needles and syringes are discarded into a sharps container at the point of use?

  Yes

  No

  N/A

• Yellow lidded sharps containers contain only sharps contaminated with POMs and other Non-Blood Sharps?

  Yes

  No

  N/A

• Purple lidded sharps containers contain only sharps contaminated with Cytotoxic or Cytostatic medicines (Cyto’s)?

  Yes

  No

  N/A

• Orange lidded sharps containers contain only sharps used for bloods?

  Yes

  No

  N/A

• Sharps containers have been filled correctly and not above the fill line and are free of materials protruding from the aperture?

  Yes

  No

  N/A

• The temporary closure mechanism is being engaged when sharps containers are not in use?

  Yes

  No

  N/A

• All sharps containers have been in use for less than three months from opening?

  Yes

  No

  N/A

• All reusable sharps container labels have been dated on opening in accordance with the Trusts Waste Management Policy?

  Yes

  No

  N/A

• All reusable sharps containers have been checked to ensure that the permanent closure tabs are engaged and the label has been fully completed on final closure?

  Yes

  No

  N/A

• All disposable sharps containers have been assembled correctly in accordance with the Trusts Waste Management Procedure?

  Yes

  No

  N/A

• All disposable sharps containers have been signed on assembly in accordance with the Trusts Waste Management Procedure?

  Yes

  No

  N/A

• All disposable sharps containers have matching coloured lids and labels?

  Yes

  No

  N/A

• All disposable sharps containers have been checked to ensure that the lid is on fully and signed off upon final closure?

  Yes

  No

  N/A

• All sharps containers are stored safely out of reach of children on a flat work surface at waist height, on a bracket or a cartsmart (Not on the floor)?

  Yes

  No

  N/A

• The red lidded anatomical boxes contain only anatomical waste including full/partially full blood bags?

  Yes

  No

  N/A

• The blue lidded pharmaceutical containers contain only medicine type containers and IV bags?

  Yes

  No

  N/A

• All pharmaceutical glass containing more than residues is sent back to Pharmacy?

  Yes

  No

  N/A

• Out of date Pharmaceuticals are they stored securely?

  Yes

  No

  N/A

• Suction waste is disposed of in a manner which prevents spillage e.g. into a rigid leak proof container or waste solidified with a gelling agent?

  Yes

  No

  N/A

• When a Diabetic patient is admitted to the ward, do they self-administer their own insulin? If so how do they dispose of the needles?

• Coffee type glass is being correctly segregated and packaged in stout cardboard boxes? (NB: Not Pharmaceutical Glass)

  Yes

  No

  N/A

• Used/unwanted batteries are stored in suitable containers for collection by the waste porters? (9V & button type battery terminals must be taped over)?

  Yes

  No

  N/A

• Is all hazardous waste disposed of in line with the Waste Management Policy?

  Yes

  No

  N/A

• Clinical waste bags and full sharps containers are stored in a secure room, cupboard or container that is inaccessible to the public?

  Yes

  No

  N/A

• All sharps containers are collected by the waste porters separately from other waste?

  Yes

  No

  N/A

• All yellow clinical 770L waste carts in public accessible areas are locked to prevent access?

  Yes

  No

  N/A

• Internal storage areas are clean and tidy, amount of waste stored is within capacity and removed frequently?

  Yes

  No

  N/A

• All other storage/handling issues around waste are satisfactory?

  Yes

  No

  N/A

• Is all Confidential waste disposed of in line with the Waste Management Policy?

  Yes

  No

  N/A

Concerns / compliments brought to the attention of the ward manager at the time of audit:

• undefined

Additional Comments:

• undefined

I confirm that I have read the contents of this Waste Audit Report undertaken by the Trust “Waste Compliance Officer”. I understand my responsibility in implementing the recommendations made in the WASTE AUDIT REPORT - SIGNIFICANT FINDINGS AND ACTION PLAN, and will continue to monitor and maintain the recommendations made in order to provide a safe environment. I have communicated all findings and known risks to relevant staff & other relevant users of the Ward/Department.

Person to action the recommendations of this Waste Audit Report:

• Name:

• Position:

• Date:

  Date

• Signature:

  Sign

• Review Date:

Waste Compliance and Audit assessor

• Name:

• Position:

• Date:

  Date

• Signature:

  Sign

Advice concerning any aspect of this Waste Audit Report can be obtained from:

• • George Cook (Environmental Waste Officer): T: 0191 4041000 ext.2546 e-mail: george.cook4@nhs.net
  • Michael Simons (Environmental Waste Officer): e-mail: m.simons@nhs.net
  • Gordon Smith (Environmental Waste Manager): T: 0191 4041190 email: gordon.smith16@nhs.net
  

• Ward/Dept:

Location/Area

• Location/Area

• Type of bin in this area

  Select Orange Tiger Black Recycle

  • Orange
  • Tiger
  • Black
  • Recycle

• Type of Sharps in this area

  Select Y O P B R Am N/A

  • Y
  • O
  • P
  • B
  • R
  • Am
  • N/A

• Ward/Dept:

Job Role

• Who did you question?

Anatomical Waste

• Do you dispose of anatomical waste on your Ward/Dept?

  Yes

  No

  N/A

• If Yes into which container would you dispose of a human finger or toe?

  Select Y O P B R Am

  • Y
  • O
  • P
  • B
  • R
  • Am

Cytotoxic Waste

• Do you dispose of Cytotoxic or Cytostatic (Cyto’s) drug waste on your Ward/Dept?

  Yes

  No

  N/A

• If Yes into which container would you dispose of the sharps waste contaminated with Cyto’s i.e. chloramphenicol (also found in eye and ear drops)?

  Select Y O P B R Am

  • Y
  • O
  • P
  • B
  • R
  • Am

• If Yes into which bag would you dispose of the waste contaminated with Cyto’s i.e. IV bags/tubing, cotton wool, wipes and PPE etc.?

  HT

  HL

  B

  P

  R

Needle/Syringe Waste

• Do you dispose of any needles/syringe used for the administration of medicines on your Ward/Dept?

  Yes

  No

  N/A

• If Yes Where and when do you dispose of used syringes/ scalpels, scissors, razors or other sharps?

  Select Yellow Orange Purple Blue Red Amalgam

  • Yellow
  • Orange
  • Purple
  • Blue
  • Red
  • Amalgam

• If Yes Where and when do you dispose of empty Pharmaceutical or medicine packaging?

  Orange

  Tiger

  Black

  Recycle

  N/A

• If Yes how would you dispose of an unused syringe body that had been accidently dropped on the floor?

  Select Y O P B R Am N/A

  • Y
  • O
  • P
  • B
  • R
  • Am
  • N/A

Phlebotomy

• How would you dispose of syringe needles and syringe bodies that have been used for the taking of bloods?

  Select Yellow Orange Purple Blue Red Amalgam N/A

  • Yellow
  • Orange
  • Purple
  • Blue
  • Red
  • Amalgam
  • N/A

Drug/Medicine Disposal

• Do you dispose of any drugs/medicines on your Ward/Dept?

  Yes

  No

  N/A

• If Yes into which container would you dispose of nominally empty drugs/medicine containers or blister packs?

  Select Y O P B R Am

  • Y
  • O
  • P
  • B
  • R
  • Am

• If Yes how would you dispose of drugs/medicine containers that contain more than one dose?

  Blue container

  Pharmaceutical returns box

  N/A

• If Yes if you were giving a patient two paracetamol tablets and one dropped onto the floor where would you dispose of it?

  Select Y O P B R Am

  • Y
  • O
  • P
  • B
  • R
  • Am

Infectious Waste

• Do you dispose of Infectious waste on your ward/Dept?

  Yes

  No

  N/A

• If Yes into which bag would you dispose of Personal Protective Equipment (PPE) e.g. gloves, facemasks, gowns that are contaminated with infectious body fluids?

  Select Orange Tiger Yellow (HI) Black Recycle N/A

  • Orange
  • Tiger
  • Yellow (HI)
  • Black
  • Recycle
  • N/A

• If Yes into which bag would you dispose of swabs, tissues or other soft items that are contaminated with infectious body fluids?

  Select Orange Tiger Yellow (HI) Black Recycle N/A

  • Orange
  • Tiger
  • Yellow (HI)
  • Black
  • Recycle
  • N/A

• If Yes into which bag would you dispose of nappies and feminine hygiene products that are contaminated with infectious body fluids?

  Select Orange Tiger Yellow (HI) Black Recycle N/A

  • Orange
  • Tiger
  • Yellow (HI)
  • Black
  • Recycle
  • N/A

Offensive Waste

• Do you dispose of non-infectious (Offensive) waste on your ward/Dept?

  Yes

  No

  N/A

• If Yes into which bag would you dispose of PPE e.g. gloves, facemasks, gowns that are not contaminated with infectious body fluids?

  Select Orange Tiger Yellow (HI) Black Recycle N/A

  • Orange
  • Tiger
  • Yellow (HI)
  • Black
  • Recycle
  • N/A

• If Yes into which bag would you dispose of swabs, tissues or other soft items that are not contaminated with infectious body fluids?

  Select Orange Tiger Yellow (HI) Black Recycle N/A

  • Orange
  • Tiger
  • Yellow (HI)
  • Black
  • Recycle
  • N/A

• If Yes into which bag would you dispose of nappies and feminine hygiene products that are not contaminated with infectious body fluids?

  Select Orange Tiger Yellow (HI) Black Recycle N/A

  • Orange
  • Tiger
  • Yellow (HI)
  • Black
  • Recycle
  • N/A

Domestic/Recyclable Waste

• Other, Domestic and Recyclable waste stream bins?

  Yes

  No

  N/A

• How and where would you dispose of your nominally empty Alcohol Hand Gel containers?

  Orange

  Tiger

  Black

  Recycle

  N/A

• Into which bin would you dispose of dead flowers, banana skins or apple cores?

  Orange

  Tiger

  Black

  Recyclable

  N/A

• Into which bin would you dispose of rinsed out drinks cans/bottles; newspapers and magazines?

  Orange

  Tiger

  Black

  Recycle

  N/A

• Into which bin would you dispose of tea bags, microwave meal trays, fast food cartons or food waste?

  Orange

  Tiger

  Black

  Recyclable

  N/A

• Into which bin would you dispose of cardboard and other packaging including sterile packaging from medical items/equipment?

  Orange

  Tiger

  Black

  Recycle

  N/A

• How and where would you dispose of your empty glass jars and bottles e.g. Coffee, jam etc.?

  Select Orange Tiger Black Recycle bag Cardboard box N/A

  • Orange
  • Tiger
  • Black
  • Recycle bag
  • Cardboard box
  • N/A

• Where would you dispose of written records or other written documentation containing identifiable confidential information about patients, staff or the organisation?

  Select Orange Tiger Black Recycle Confidential waste bin N/A

  • Orange
  • Tiger
  • Black
  • Recycle
  • Confidential waste bin
  • N/A