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Infection Control—Environmental infection Control Completed Tracking Form 7. Within thirty-five (35) days of the removal of medical waste from our premises, the destination facility's owner/operator must provide this facility with a completed copy of the tracking form,which includes the following: a. The method of treatment of the medical waste received from this facility; b. The location of the landfill used to deposit our medical waste;and c. The date and signature of the destination facility's owner/operator. 35-Day Limitation 8. If, after thirty-five (35) days, our facility has not received the signed and dated tracking form,the Infection Control Coordinator(or designee)will try to determine the location of the medical waste. Documentation will be maintained of such attempts and filed in the business office. Filing an Exception Report 9. If, after forty-five (45) days, a signed and dated tracking form has not been received, the Administrator will file an Exception Report with the state and the EPA Regional Administrator the next day. Contents of Exception 10. Exception Reports shall include at least: Report a. A letter explaining our efforts to locate the waste and the results of such effects; and b. A legible copy of the original tracking form. Maintaining Documentation 11. The administration shall maintain copies of all tracking forms, shipping logs, exception reports, etc., for at least three (3) years from the date of receipt or as required by current federal,state,or local statutes. See also OSHA's Bloodbome Pathogens Standard and Enforcement Standards at: MIN www.osha.gov/ See also CDC's Guidelines for Environmental Infection Control in Healthcare Facilities at:www.cdc.gov/mmwr/PDF/rr/rr5210.pdf n/a Medical Waste Policies Medical Waste Shipment and Tracking Forms(Appendix B) Date: By: Date: By: Date: By: Date: By: Operational Policy and Procedure Manual 29 ©2001 MED-PASS,Inc.(Revised August 2009)