Illinois Administrative Code › Title 77 - PUBLIC HEALTH › Part 518 - FREESTANDING EMERGENCY CENTER CODE › Section 518.2150 - Garbage, Waste and Sewage Handling and Disposal

Current through Register Vol. 48, No. 28, July 12, 2024
a) All garbage and refuse shall be collected,
			 stored, and disposed of in a manner that will not permit the transmission of a
			 contagious disease, create a nuisance or fire hazard, or provide a breeding
			 place for vermin or rodents.
b)
			 Solid waste shall be handled in a safe and sanitary manner within the facility.
			 Garbage and refuse receptacles within the facility shall be made of metal or
			 other appropriate material provided with disposable liners or shall be cleaned
			 and disinfected after each emptying. Receptacles in areas where wet or
			 hazardous wastes are generated shall have tight-fitting lids and shall be kept
			 closed except during use. Carts used for transport shall be of easily cleanable
			 construction, and shall be kept in a sanitary condition. Trash chutes shall be
			 kept clean and sanitary. Pulping-transport systems, where installed, shall be
			 operated and maintained in a safe and sanitary manner. All refuse shall be in
			 impervious bags during transport within the facility. Potentially hazardous
			 waste shall be identified and bagged in durable bags resistant to puncture and
			 tears. Waste may be single bagged if it can be put in the bag without
			 contaminating the outside; otherwise, double bagging is required. Wastes
			 capable of producing injury, such as needles and scalpel blades, shall be
			 stored and transported in rigid containers. Blood specimens may be carefully
			 poured down the drain.
c) Collected
			 garbage and refuse shall be stored in stable, durable, watertight, vermin- and
			 rodent-proof containers, with tight-fitting lids. Lids shall be kept closed
			 except during use. Containers shall be emptied at frequent intervals, and shall
			 be kept clean and sanitary. Garbage storage areas shall be kept in a clean and
			 nuisance-free condition.
d) Final
			 disposal of general solid waste shall be by incineration or grinding and
			 flushing to the municipal sewerage system, or removal to a sanitary landfill
			 that is approved by the Illinois Environmental Protection Agency. Incinerators
			 shall be those approved by the Illinois Environmental Protection Agency for the
			 types of wastes being generated. Surgical, obstetrical and other tissue wastes
			 shall be disposed of by grinding and flushing, incineration or burial. Other
			 potentially infectious wastes shall be rendered safe by grinding and flushing,
			 incineration or steam autoclaving.
e) Any blood or blood components, organs,
			 semen, or other human tissue showing exposure to HIV or to any other identified
			 causative agent of AIDS, or originating from a patient diagnosed with AIDS, as
			 defined in 77 Ill. Adm. Code
			 697.20 shall be
			 disposed of by the FEC in accordance with subsection (f) of this Section, or
			 delivered in accordance with subsection (g) of this Section to a research
			 facility to use such blood, blood components, organs, semen or other human
			 tissue for AIDS research.
f) Any
			 such blood, blood components, organs, semen, or other human tissue, and any
			 other materials or paraphernalia exposed to, or contaminated by, such blood,
			 blood components, organs, semen, or other human tissue shall be completely
			 incinerated, sterilized, or sealed to render the materials innocuous before
			 disposal or removal from the premises.
1)
			 Materials shall be incinerated in accordance with the requirements of the
			 Pollution Control Board concerning the operation of an incinerator (35 Ill.
			 Adm. Code 724).
2) Materials shall
			 be sterilized by autoclaving in accordance with the recommendations of the
			 manufacturer of the autoclave. The effectiveness of the autoclave shall be
			 verified and documented at least weekly with a biological spore assay
			 containing B. stearothermophilus.
3) Incinerated or sterilized materials shall
			 be disposed of through routine waste disposal methods without precautions
			 against possible contamination.
4)
			 Materials that have not been incinerated or sterilized shall be disposed of by
			 a waste hauler with a permit from the Illinois Environmental Protection Agency
			 under rules of the Pollution Control Board (35 Ill. Adm. Code 809). These
			 materials shall be sealed, transported, and stored in biohazard containers.
			 These containers shall be marked "Biohazard", shall bear the universal
			 biohazard symbol, and shall be orange, orange and black, or red. The containers
			 shall be rigid and puncture resistant, such as a secondary metal or plastic can
			 with a lid that can be opened by a step-on pedal. These containers shall be
			 lined with one or two high-density polyethylene or polypropylene plastic bags
			 with a total thickness of at least 2.5 mil or equivalent material. The
			 containers that are marked "Biohazard" shall be sealed before being removed
			 from the FEC.