MIL-HDBK-1191
18.4
WASTE COLLECTION AND TRANSPORT. The waste management design shall
be fully coordinated with the transportation design to determine the most
appropriate means and routing of transport of wastes within the facility.
Automatic or manual systems may be considered. The design shall avoid
creating conditions which require or involve the double handling of waste,
especially RMW and HW.
18.4.1
Vertical Collection Systems. The extent of use of vertical
collection for the movement of soiled linens and NRMW shall be determined in
coordination with the transportation design, addressed in Section 17.
Vertical collection elements include:
a)
Gravity Chutes;
b)
Pneumatic Chutes;
c)
Conveyors and
d)
18.4.2
Restricted Movement Routes. Hospital wastes and soiled materials
movement routes shall be designed to avoid public areas and contact with
patients.
18.4.3
Containment and Labeling. HW and RMW will be collected in
enclosed, leak-proof containers (or bags), properly labeled to identify the
nature of the materials. Management of HW shall comply with the RCRA.
18.4.4
Restricted Transport Systems. Chute systems shall not be used for
RMW, RM, and HW: these wastes are moved by cart. Liquid borne shredded-waste
(NRMW), and institutional vacuum systems, are not recommended.
18.4.5
Manual Collection Methods. Manual collection of waste and soiled
materials is generally accomplished by cart. The cart design should be
compatible with automatic cart dumping, cart washing and RMW processing
equipment (if utilized). Additional guidance for the design of waste
transport systems and methodology is provided at Section 17.
18.5
NRMW PROCESSING AND DISPOSAL. The design shall coordinate
processing and disposal of NRMW with the existing procedures of the base/post.
Waste compaction should be considered to determine cost feasibility.
18.5.1
Automatic Cart Dumper. If NRMW is delivered to the WMC by cart,
an automatic cart dumper should be provided to transfer the waste into the
holding container or compactor.
18.5.2
Collection Hopper(s). For systems utilizing chutes for transport
of NRMW to the WMC, collection hoppers should be provided to load the waste
automatically into the holding container or compactor.
18.5.3
Compaction. Compaction is used in conjunction with roll-off
containers and the equipment must be compatible with the soiled dock design.
Where a separate compactor and container system arrangement is planned,
under-dock installations should be used. Compactor location must be
compatible with the dock traffic patterns, transporter access, and suitable
for physical protection. Compacted NRMW is normally disposed of off-site.
18.5.4
Waste Grinders. Grinders should be provided in Food Service
areas, including dish washing, pots/pans washing and food preparation areas.
Grinder size will be based upon the maximum number of meals possible at full
occupancy. Grinders shall not be used in Obstetrical Suites.
18.5.5
Pulping and Shredding Systems. A pulping/shredding system is
normally provided for Food Service Department waste. Food Service waste
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