COMPLIANCE INFO_1985-2020 - Laserfiche WebLink

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g. Name, address and phone number of Offsite Treatment Facility where pharmaceutical waste is transported for treatment, if different than pharmaceutical waste hauler: Name: Address: Z S city State ,Zip Code Phone: 1qjo ' h. All medical waste generators are required to keep accurate records regarding containment, storage,hauling, treatment and disposal. All medical waste records area to be maintained and available for review during inspection for three (3) years. Do you have tracking documents for all medical wastes handled at your facility: Yes ❑No i_ Describe training provided to staff regarding handling, storage, disposal and r cord keeping of all medical waste, including pharmaceutical waste, at your facility: �. Describe your medical waste emergency action plan, including procedures for handlings ills,, exposures, equipment failures, etc (Attach information as necessary): k. Describe how reusable medical waste carts or containers are cleaned and decontaminated. Approved methods include agitation to remove visible soil combined with one of the following: 1. Exposure to hot water of at least 82 degrees Centigrade(180 degrees Fahrenheit)for a minimum of 15 seconds. 2. Exposure to chemical sanitizer by rinsing with, or immersion in, one of the following for a minimum of three minutes: • hypochlorite solution(500 ppm available chlorine) • Phenolic solution (500 ppm active agent) • Iodoforxaa solution(100 ppm available iodine) Quaternary ammonium solution(400 ppm active agent) 1 hereby certify to the est of my knowledge and belief that the statements made herein are correct and true. Signature: Title:_ 1Y1m aro Date: 2 2 EM)45-03 7 11/20108 S00 'd 'OH M WV Z1 : 11 I1HIA I OUI URHH