Current through Register Vol. 30, No. 38, September 20, 2024
A. A person who treats biohazardous medical
waste on site shall use incineration, autoclaving, or an alternative medical
waste treatment method that meets the treatment standards prescribed in
R18-13-1415.
B. A generator who uses:
1. Incineration shall follow the requirements
of subsections (C), (F), (G), and (H),
2. Autoclaving shall follow the requirements
of subsections (D), (F), (G) and (H), or
3. An alternative treatment method shall
follow the requirements of subsections (E), (F), (G), and (H).
C. A generator who incinerates
biohazardous medical waste on site shall comply with all of the following
requirements:
1. Obtain a permit if required
by the local or state air quality agency having jurisdiction.
2. Reduce the biohazardous medical waste,
excluding metallic items, into carbonized or mineralized ash.
3. Determine whether incinerator ash is
hazardous waste as required by hazardous waste rules promulgated under A.R.S.
Title 49, Chapter 5.
4. Dispose of
the non-hazardous waste incinerator ash at a Department-approved municipal
solid waste landfill.
D.
A generator who autoclaves biohazardous medical waste on site shall comply with
all of the following requirements:
1. Further
process by grinding, shredding, or any other process, any recognizable animals
and human tissue, organs, or body parts, to render such waste non-recognizable
and ensure effective treatment.
2.
Operate the autoclave at the manufacturer's specifications appropriate for the
quantity and density of the load.
3. Keep records of operational performance
levels for six months after each treatment cycle. Operational performance level
recordkeeping includes all of the following:
a. Duration of time for each treatment
cycle.
b. The temperature and
pressure maintained in the treatment unit during each cycle.
c. The method used to determine treatment
parameters in the manufacturer's specifications.
d. The method in manufacturer's
specifications used to confirm microbial inactivation and the test
results.
e. Any other operating
parameters in the manufacturer's specifications for each treatment
cycle.
4. Keep records
of equipment maintenance for the duration of equipment use that include the
date and result of all equipment calibration and maintenance.
E. A generator who uses an
alternative treatment method on site shall comply with all of the following
requirements:
1. Use only alternative
treatment methods registered under R18-13-1414.
2. Further process by grinding, shredding, or
any other process, any recognizable animals and human tissue, organs, or body
parts, to render this waste non-recognizable and ensure effective
treatment.
3. Follow the
manufacturer's specifications for equipment operation.
4. Supply upon request all of the following:
a. The Departmental registration number for
the alternative medical waste treatment technology and the type of biohazardous
medical waste that the equipment is registered to treat.
b. The equipment specifications that include
all of the following:
i. The operating
procedures for the equipment that enable the treater to comply with the
treatment standards described in this Article for the type of waste
treated.
ii. The instructions for
equipment maintenance, testing, and calibration that enable the treater to
comply with the treatment standards described in this Article for the type of
waste treated.
5. Maintain a training manual regarding the
proper operation of the equipment.
6. Maintain a treatment record consisting of
a log of the volume of medical waste treated and a schedule of calibration and
maintenance performed under the manufacturer's specifications.
7. Maintain treatment records for six months
after the treatment date for each load treated.
8. Maintain the equipment specifications for
the duration of equipment use.
F. A generator shall do all of the following:
1. Package the treated medical waste
according to the waste collection agency's requirements;
2. Attach to the package or container a
label, placard, or tag with the following words: "This medical waste has been
treated as required by the Arizona Department of Environmental Quality
standards" before placing the treated medical waste out for collection as a
general solid waste. The generator shall ensure that the treated medical waste
meets the standards of
R18-13-1415.
3. Upon request of the solid waste collection
agency or municipal solid waste landfill, provide a certification that the
treated medical waste meets the standards of
R18-13-1415.
4. Make treatment records available for
Departmental inspection upon request.
G. A generator of medical sharps shall handle
medical sharps as prescribed in
R18-13-1419.
H. A generator of chemotherapy waste,
cultures and stocks, or animal waste shall handle that waste as prescribed in
R18-13-1420.