coast waste management association regulations: example management of biomedical waste transport of...

Copyright © 2017 Stericycle. All rights reserved.

DATE: October 20th, 2017

Coast Waste Management AssociationCompliance and Safety in Handling Hazardous, Regulated and Controlled Waste


William Yeo

Director of Sales, Environmental Solutions, Stericycle Canada

• Nearly 10 years with Stericycle Canada, in roles including Healthcare Compliance Solutions and Environmental Solutions, and has launched and directly managed five successful Stewardship Service Programs across Canada

• Currently responsible for managing and developing sustainable alternate use and recycling opportunities and partnerships

• More than 25 years of business, operations and technical sales management experience related to industrial water treatment, chemical processing and environmental sustainability

Copyright © 2017 Stericycle. All rights reserved.3

Haz

PHARM

SHARPS

YELLOW BAG WASTE

Electronic WASTE

Confidential DOCUMENTS

RECYCLABLES

CONSTRUCTION DEBRIS

MUNICIPAL SOLID WASTE

Volume

Re

gu

lato

ry E

xp

os

ure

& C

os

t

Waste Streams in a typical Hospital as an example


Regulatory Compliance

Environmental Best Practices

Cost Containment

Program Imperatives


Reduce

Environmental Sustainability Spectrum

• Device Reprocessing

• Furniture

• Raw Materials & Supplies

• Reusable Tools, Dies, andOther manufacturing techniques

• Mixed Fiber

• Metals

• Plastic

• Glass

• Blue Wrap

• Sharps Container

most sustainable less sustainable

Reuse Recycle

• Purchasing Practices

• Energy Consumption

• Water Usage

Reduce. Reuse. Recycle. Stericycle.


Hazardous Waste Disposal


Examples include Anything flammable, corrosive, oxidizing or toxic can be considered a hazardous waste

Corrosive

A substance that causes destruction of skin, or corrodes steel or non-clad aluminum.

Flammable

A liquid that has a closed-cup flash point not greater than 60°C.

Oxidizing

A substance that causes or contributes to the combustion of other material by yielding oxygen or other oxidizing substances, whether or not the substance itself is combustible.

Toxicity

A solid or liquid that is toxic through inhalation, by skin contact or by ingestion.


1. Fines: Top Violations

Labeling Closed ContainersMixed Waste

Waste Determination Spills Training Hazardous Waste Manifest

LABELLING MIXED WASTE CLOSED CONTAINERS

WASTE DETERMINATION SPILLS TRAINING

HAZARDOUS WASTE MANIFEST


Improper handling, storage and categorization of hazardous waste can put your employees and customers at risk of:

• Fire

• Explosion

• Release of dangerous gases from chemical reactions

• Headaches, rashes, chemical burns

2. Harm to people or the environment

It can also cause harm to the environment, in terms of:

• Soil contamination

•Water contamination

• Air pollution


• If your organization is involved in a high-profile fine or, worse, an incident involving harm to a person or the environment, news outlets are quick to pick up on any perceived offenses.

• Social media will further amplify any damaging news.

3. Harm to your brand reputation


Biomedical Waste Disposal


Biomedical Waste is sometimes also referred to as:

• Infectious Waste

• Biohazardous Waste

• Regulated Medical Waste

• This unique waste stream is regulated by both Provincial and Federal Regulations.

Biomedical Waste Disposal


Provincial Regulations affecting Management of Biomedical Waste


Provincial Regulations affecting Management of Biomedical Waste and Hazardous Waste

• All Provinces have regulations and/or guidelines that provide a framework for how waste is managed within the Provincial boundaries

• Ministry of the Environment

• Definition: most use Canadian Council of Ministers of the Environment (CCME) definition

• Hazardous Waste/Waste Dangerous Goods

• Registration requirements

• Manifests

• Colour-coding

• Storage Requirements

• Packaging and labelling requirements – CCME, TDG, specified, and/or standards

• Transportation Requirements

• Treatment and disposal requirements


Federal Regulations: Example Management of Biomedical Waste

Transport of Dangerous Goods Regulations• Regulates the transportation of “infectious substances” as defined in the Regulations

• Criteria for inclusion are complex

• Requires knowledge of the presence, nature and form of the infectious substance

Three categories:• Category A (UN2814) Infectious Substance, Affecting Humans

• Category B (UN3373) Biological Substance

• Biomedical Waste (UN3291) – applies to all waste containing Category B infectious substances or for which there is a low probability of containing infectious substances.

• Includes, by reference, detailed packaging specifications (CGSB 43-125)

• Requires labelling, placarding, shipping documents, etc...

• Transport Canada currently include UN3291 in the TDG regulation - All biomedical waste is now regulated


Federal Regulations: Example Management of Regulated Waste

• Canadian Environmental Protection Act (CEPA): Interprovincial Movement of Hazardous Waste Regulation

• Export and Import of Hazardous Waste and Hazardous Recyclable Materials Regulations

• Regulates the movement of regulated waste across Provincial or National borders

• Defines Waste (similar to CCME definition)

• Requires a “Movement Document” (manifest)

• Movement Document distribution to Provincial authorities and/or Environment Canada (international movements)

• International movements require Pre-notification and permits


Leading Organizations Best Practices

Best Practices include the following:

• Reduce / Reuse / Recycle

• Focus on the Carbon Footprint

• Proper segregation practices

• Plastic: consider what type of plastic is used; segregate

• Most waste service provider’s capabilities are regionally specific

• Reusable sharps containers and Sharps Management Services

• Reusable Biomedical waste containers- yellow bag waste

• Pharmaceutical Waste Characterization & Destruction

• Waste Medical Device reprocessing

• Energy from waste (Treated Biomedical Waste incinerated to generate Energy)

• CSA 317.10 : Handling of waste in health care facilities and veterinary health care facilities


Controlled Waste Disposal

Narcotic and Precursor


Narcotic and Controlled Drugs Regulation

• Managed by the Controlled Drugs and Substances Act

• Require a Narcotic and Controlled Drug License to sell, distribute, manufacturer or warehouse. Along with a QPIC (Qualified Person In Charge) registered with Health Canada

• Require Authorization from Health Canada to destroy

• Can only destroy $250K-$750K (dependent of drug type) in street value at one time. Anything in excess requires Health Canada witness and Police witness

• Must be witnessed by two company representatives who are part of the company’s license (ie. a QPIC and A/QPIC)

• Destruction method must chemically alter the active ingredient

• Incineration is best practice


Precursor Regulation

• Legislation in Canada controls the import, export, production, packaging, sale and provision of precursor chemicals

• Require a Precursor License to sell, distribute, manufacturer or warehouse. Along with SPIC (Senior Person In Charge) registered with Health Canada

• Managed by the Office of Controlled Substances (Health Canada)

• Common examples are cold and flu medications which contain pseudoephedrine (used to make ecstasy)

• Destruction – needs to be witnessed by the final disposal site or transferred to a company with a license

• Best practices – Witness from a licensed dealer via Incineration.


Sustainability

Considerations


Sustainability Considerations

BRANDPROTECTION

CONTINUOUSIMPROVEMENT

ALTERNATIVEUSE PROGRAMS

CUSTOMIZEDRECYCLINGSERVICES

CUSTOMIZEDMAIL BACKSERVICES

DATAMANAGEMENT

ZERO WASTE TO LANDFILL PROGRAMS

METRICSREPORTING

ON-SITEBYPRODUCTSOLUTIONS


Processing Choices

RECYCLING

LANDFILL

SOURCE REDUCTION

FUEL BLENDING

ENERGY RECOVERY

INCINERATION

TREATMENT

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contents or to use or to sell it. Reproduction, disclosure, or use without specific written authorization of Stericycle, Inc. is strictly forbidden. The trademarks and trade names mentioned in this presentation are the

property of their respective owners. Their inclusion in this presentation is for illustration purposes only and does not imply an affiliation with or an endorsement of our services.


Thank You, Questions ?

coast waste management association regulations: example management of biomedical waste transport of...

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