MIL-HDBK-1191
TECHNIQUES FOR TREATMENT OF REGULATED MEDICAL WASTE
Types of RMW
Retort
Chemical
Sterilization
Disinfection
Isolations Wastes
Yes
Yes
Yes
Yes
Yes
Yes
Cultures & Stocks Of
Infectious Agents &
Associated Biologicals
Human Blood & Blood
Yes
Yes (4)
Yes
Products
Pathological Waste
Yes (2)
Used/Unused Sharps
Yes
Yes
Yes
Contaminated Animal
Carcasses, Body Parts &
Bedding
Other Wastes Mixed In
Yes
Yes
Yes
With RMW
1.
Discharge to sanitary sewer for treatment in municipal sewerage system
provided that the secondary treatment is available.
2.
For aesthetic reasons, steam sterilization should be followed by
incineration of the treated waste or by grinding, in accordance with the
National, State and Community regulations.
3.
Handling by a mortician (burial or cremation.
4.
Limited to 10% moisture by weight and
1% metallic content by weight.
TABLE 18.1
TECHNIQUES FOR TREATMENT OF
RMW
REFERENCES:
18a
Environmental Protection Agency (EPA) Regulation 40 CFR 261-265
implementing the Resource Conservation and Recovery Act (RCRA), 42 USC
6973.
18b
EPA Regulation 40 CFR Parts 22 and 259, the Medical Waste Tracking Act.
18c
Department of Transportation (DOT) Regulation 49 CFR 171-181, Hazardous
Materials Transportation.
18d
DOT Regulation 49 CFR 173.386, The Etiologic Waste Act (EWA).
18e
Occupational Health and Safety Administration (OSHA) Regulation 29 CFR
1910.1200.
18f
OSHA Regulation 29 CFR 1910.134.
18g
OSHA Regulation 29 CFR 1910.1030.
18-10
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