On approval of the rules for provision of information on medical waste

Invalidated Unofficial translation

Order of the Minister of Health of the Republic of Kazakhstan dated March 30, 2019 No. ҚР ДСМ-15. Registered in the Ministry of Justice of the Republic of Kazakhstan on April 4, 2019 No. 18459. Abolished by the Order of the Minister of Health of the Republic of Kazakhstan dated November 30, 2020 No. KR DSM-219/2020

      Unofficial translation

      Footnote. Abolished by the Order of the Minister of Health of the Republic of Kazakhstan dated November 30, 2020 No. KR DSM-219/2020 (effective ten calendar days after the date of its first official publication).

      In accordance with subparagraph 126) of paragraph 1 of Article 7 of the Code of the Republic of Kazakhstan dated September 18, 2009 "On people’s health and healthcare system", I HEREBY ORDER:

      1. To approve the attached Rules for provision of information on medical waste.

      2. The Committee for protection of public health of the Ministry of Health of the Republic of Kazakhstan in the manner prescribed by law to ensure:

      1) state registration of this order in the Ministry of Justice of the Republic of Kazakhstan;

      2) within ten calendar days from the date of the state registration of this order, sending its copy in paper and electronic form to the Republican state enterprise on the basis of the right of economic management “Republican Legal Information Center” for official publication and inclusion in the Reference Control Bank of regulatory legal acts of the Republic of Kazakhstan;

      3) placement of this order on the Internet resource of the Ministry of Health of the Republic of Kazakhstan;

      4) within ten working days after the state registration of this order in the Ministry of Justice of the Republic of Kazakhstan, submission of information to the Department of Legal Services of the Ministry of Health of the Republic of Kazakhstan on implementation of measures provided for in subparagraphs 1), 2) and 3) of this paragraph.

      3. The supervising vice minister of health of the Republic of Kazakhstan shall be authorized to oversee the execution of this order.

      4. This order shall come into force twenty one calendar days after the day of its first official publication.

      Minister of Health of the
      Republic of Kazakhstan Ye. Birtanov

  Approved by the order of the
Minister of Health of the
Republic of Kazakhstan
dated March 30, 2019
№ ҚР ДСМ-15

Rules for provision of information on medical waste

Chapter 1. General provisions

      1. These Rules for provision of information on medical waste (hereinafter referred to as the Rules) are developed in accordance with subparagraph 126) of paragraph 1 of Article 7 of the Code of the Republic of Kazakhstan dated September 18, 2009 “On people’s health and healthcare system”.

      2. The following basic concepts are used in these Rules:

      1) owners of waste - individuals and legal entities that handle medical waste;

      2) specialized organizations - entities whose activities are associated with the collection, neutralization, storage, burial and disposal of medical waste;

      3) medical waste - waste generated during the provision of medical services and medical procedures, classified by hazard class;

      4) disposal of medical waste - operations for the disposal and destruction of waste;

      5) medical waste management – types of activities related to waste, including the prevention and minimization of waste generation, accounting and control, waste accumulation, as well as the collection, processing, disposal, neutralization, transportation, storage (warehousing), waste disposal and other actions related to them;

      6) neutralization of medical waste - reduction or elimination of the hazardous properties of waste by mechanical, physic-chemical or biological treatment;

      7) disposal of medical waste - the use of waste as secondary material or energy resources;

      8) burial of medical waste - placement of waste in a designated place for storage for an unlimited period, eliminating the dangerous effects of buried waste on public health and the environment.

Chapter 2. Procedure for provision of information on medical waste

      3. Health organizations keep daily records of generated medical waste in a logbook in the form according to Appendix 5 to the Sanitary Rules “Sanitary and epidemiological requirements for health care facilities”, approved by the order of the Minister of Health of the Republic of Kazakhstan dated May 31, 2017 No. 357 (registered in the Register of state registration of regulatory legal acts under No. 15760).

      4. Specialized organizations keep a logbook daily on the neutralization and (or) disposal of medical waste in the form in accordance with Appendix 1 to these rules.

      5. Owners of waste in accordance with Article 296 and Chapter 19 of the Environmental Code of the Republic of Kazakhstan dated January 9, 2007 provide information on medical waste to the authorized body in the field of environmental protection in the form of an annual report in the field of medical waste management (hereinafter - the report) for their inclusion in the State inventory of production and consumption waste.

      6. The report is submitted annually as of January 1 to March 1 of the year following the reporting year to the authorized body in the field of environmental protection by filling out the form in accordance with Appendix 2 to these Rules and signing it by an authorized person responsible for submission of information.

      7. Owners of waste ensure the completeness, continuity and reliability of these reports.

      8. Owners of waste keep documentation on waste accounting for at least five years.

      9. The territorial divisions of the state body in the field of sanitary and epidemiological welfare of the population through the environmental protection system analyze the data on medical waste during the state control and supervision.

  Appendix 1
to the Rules for provision of
information on medical waste
Form

Logbook of daily accounting for neutralization and (or) disposal of medical waste
____________________________________________ for 20___
(Name of specialized organization)

      Table

Class "Б"

Biological / Anatomical Waste (tons)

Sharp, stabbing waste (tons)

Other (tons)

Accepted from healthcare organizations and other specialized organizations

Neutralized

Buried

Submitted for burial

Accepted from healthcare organizations and other specialized organizations

Neutralized

Submitted for waste disposal or recycling

Accepted from healthcare organizations and other specialized organizations

Neutralized

Submitted for waste disposal or recycling

1

2

3

4

5

6

7

8

9

10












Class "В"

Biological / Anatomical Waste (tons)

Sharp, stabbing waste (tons)

Other (tons)

Accepted from healthcare organizations and other specialized organizations

Neutralized

Buried

Submitted for burial

Accepted from healthcare organizations and other specialized organizations

Neutralized

Submitted for waste disposal or recycling

Accepted from healthcare organizations and other specialized organizations

Neutralized

Submitted for waste disposal or recycling

11

12

13

14

15

16

17

18

19

20











      Table continuation

Class "Г"

Mercury containing items (pcs)

Liquid (l), solid (tons) drugs

Other (tons)

Accepted from healthcare organizations and other specialized organizations

Demercurized

Submitted for demercurization

Accepted from healthcare organizations and other specialized organizations

Neutralized

Submitted for waste disposal

Accepted from healthcare organizations and other specialized organizations

Submitted for burial

Submitted for waste disposal

Mechano-
chemical

Thermal vacuum

Other methods

Burning

Non-burning methods

21

22

23

24

25

26

27

28

29

30

31

32













Accepted from healthcare organizations and other specialized organizations

Buried

Submitted for burial

33

34

35

      Note.

      The daily accounting form is filled in electronically, in xls format (Microsoft Excel).

  Appendix 2
to the Rules for provision
of information
on medical waste
  Medical waste management report
Form

Report on the generated medical waste*
____________________________________ for 20___
(name of the healthcare facility)

      Table 1

Class "А" (m3)

Class "Б"

Biological / Anatomical Waste (tons)

Sharp, stabbing waste (tons)

Other (tons)

Generated

Submitted to third parties for neutralization

Generated

Neutralized by the healthcare facility itself

Submitted to third parties for neutralization (disposal)

Generated

Neutralized by the healthcare facility itself

Submitted to third parties for neutralization (disposal)

Generated

Neutralized by the healthcare facility itself

Submitted to third parties for neutralization (disposal)

Burning

Non-burning methods

Burning

Non-burning methods

Burning

Non-burning methods

1

2

3

4

5

6

7

8

9

10

11

12

13

14
















Class "В"

Biological / Anatomical Waste (tons)

Sharp, stabbing waste (tons)

Other (tons)

Generated

Neutralized by the healthcare facility itself

Submitted to third parties for neutralization (disposal)

Generated

Neutralized by the healthcare facility itself

Submitted to third parties for neutralization (disposal)

Generated

Neutralized by the healthcare facility itself

Submitted to third parties for neutralization (disposal)

Burning

Non-burning methods

Burning

Non-burning methods

Burning

Non-burning methods

15

16

17

18

19

20

21

22

23

24

25

26













      Table continuation

Class "Г"

Class "Д" (kg)

Submitted to third parties (for neutralization, disposal, demercurization)

Mercury containing items (pcs)

Liquid (l), solid (tons) drugs

Other (kg)

Generated

Submitted to third parties for neutralization (disposal)

Generated

Neutralized by the healthcare facility itself

Submitted to third parties for neutralization (disposal)

Generated

Submitted to third parties for neutralization (disposal)

Generated

Submitted to third parties for neutralization (disposal)

Waste class

Shipment details

Name of organization

BIN/IIN

Grounds for submission (date and contract number)

Burning

Non-burning methods

27

28

29

30

31

32

33

34

35

36

37

38

39

40















      * filled out by healthcare organizations

      Surname, name, patronymic (if any), signature of the head

      __________________________________________________________________________

      Surname, name, patronymic (if any), signature of the person responsible for compiling the information

      __________________________________________________________________________

      Date of compilation "__" ____ 20

      Report on neutralization and (or) disposal of medical waste **

      ____________________________________________ for 20___

      (Name of specialized organization)

      Table 2

Class "Б"

Class "В"

Biological / Anatomical Waste (tons)

Sharp, stabbing waste (tons)

Other (tons)

Biological / Anatomical Waste (tons)

Accepted from healthcare organizations and other specialized organizations

Neutralized

Buried

Submitted for burial

Accepted from healthcare organizations and other specialized organizations

Neutralized

Submitted for waste disposal or recycling

Accepted from healthcare organizations and other specialized organizations

Neutralized

Submitted for waste disposal or recycling

Accepted from healthcare organizations and other specialized organizations

Neutralized

Buried

Submitted for burial

1

2

3

4

5

6

7

8

9

10

11

12

13

14
















Class "В"

Sharp, stabbing waste (tons)

Other (tons)

Accepted from healthcare organizations and other specialized organizations

Neutralized

Submitted for waste disposal or recycling

Accepted from healthcare organizations and other specialized organizations

Neutralized

Submitted for waste disposal or recycling

15

16

17

18

19

20







      Table continuation

Class "Г"

Mercury containing items (pcs)

Liquid (l), solid (tons) drugs

Other (tons)

Accepted from healthcare organizations and other specialized organizations

Demercurized

Submitted for demercurization

Accepted from healthcare organizations and other specialized organizations

Neutralized

Submitted for waste disposal

Accepted from healthcare organizations and other specialized organizations

Submitted for burial

Submitted for waste disposal

Mechano-chemical

Thermal vacuum

Other methods

Burning

Non-burning methods

21

22

23

24

25

26

27

28

29

30

31

32














Class "Д" (tons)

Submitted to third parties (for neutralization, disposal, demercurization)

Waste class

Shipment Details

Accepted from healthcare organizations and other specialized organizations

Buried

Submitted for burial

Name of organization

BIN/IIN

Grounds for submission (date and contract number)

33

34

35

36

37

38

39








      ** filled in by a specialized organization

      Surname, name, patronymic (if any), signature of the head

      __________________________________________________________________________

      Surname, name, patronymic (if any), signature of the person responsible for compiling the information

      __________________________________________________________________________

      Date of compilation "__" ____ 20

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