Surveillance activities include monitoring the effectiveness of house keeping services.  (This shall be done on a regular basis. The organisation shall define the periodicity. This is applicable even if the housekeeping services are outsourced. It could be done using a checklist. This need not mean routine environmental sampling).

Proper segregation and collection of biomedical waste from all patient-care areas of the hospital is implemented and monitored.  (Wastes to be segregated and collected in different colour coded bags and containers as per statutory provisions. Monitoring shall be done by members of the infection control committee/team. Biomedical waste shall be handled in the proper manner).

Hazardous materials are identified within the organisation. *  (The organisation shall identify, list and document the hazardous materials and has a documented procedure for their sorting, storage, handling, transpirations, disposal mechanism, and method for managing spillages and adequate training of the personnel for these jobs. The hazardous materials could be identified as per part II of Manufacture, Storage and Import of Hazardous Chemical (Amendment) Rules, 2000.In addition, biological materials like blood, body fluids and microbiological cultures, mercury, nuclear isotopes, medical gases, LPG gas, steam, ETO, etc., are some of the other common hazardous materials).

The organisation implements processes for sorting, labelling, handling, storage, transporting and disposal of hazardous material. * (The organisation shall conduct an exercise of hazard identification and risk analysis (HIRA) associated with handling of hazardous materials and accordingly taken all necessary steps to eliminate or reduce such hazards and associated risks. The organisation has ensured display of Material Safety Data Sheets (MSDS) for all hazardous materials and has accordingly arranged training of personnel who handle such materials. The situational hazards also need to be covered in HIRA so that any emergency situation arising out of process of storing, handling, storage, transportation and disposal of such hazardous materials are met effectively. The organisation has the requisite training need identification for material handling and those trainings are included in the organisation‘s training calendar).

Requisite regulatory requirements are met in respect of radioactive materials.   (The appropriate personnel in the organisation are aware about the rules and regulations such as the Atomic Energy Act, the norms issued by Atomic Energy Regulatory Board (AERB) and the directives from the Health Physics Division of Bhaba Atomic Research Centre (BARC).

There is a plan for managing spills of hazardous materials. *  (The organisation could have a HAZMAT kit(s) as part of PPE for handling spills).

Staff are educated and trained for handling such materials.

Staff interview on handling spills - safety.