Monthly report of bio medical waste generation |
| 1.Particulars of the applicant | |
| i. Name of the authorized person (occupier/operator) : | |
| ii. Name and address of institution: | , |
| 2. Category of waste (as per schedule-I of the rule) generated and quantity for the month of: - |
| Category | Waste Quantity |
|---|---|
| Yellow- (Category-1,2,3&6) | gms |
| Red (Category-3,6&7) | gms |
| Blue (Category-7) | gms |
| White Translucent (Category-4) | gms |
| 3. Brief details of the treatment facility: | |
| In case off-site facility: | |
| i. Name of the operator: | |
| ii. Name and address of the facility: | , |
| 4. Category-wise quantity of waste treated: | |
| i. Incineration/Burial (Yellow bag): | gms |
| ii. Autoclave/Microwave | |
| a) Red Bag: | gms |
| b) Blue bag: | gms |
| c) White Translucent bag: | gms |
| 5. Mode of treatment with details: | Waste is handed over to the authorized disposal agency (i.e. ) |
| 6. Any other information: |
| 7. Certified that the above report is for the period from to |
| Date : | Place : | Signature: |
| Designation : Head Medical Services | |
| Factory Medical Officer |