Daily Record, Monthly Report: Bio-Waste Rules Enforced
- Dr. Sanjay Joshi

- Jul 11, 2025
- 3 min read
Proper handling, segregation, and disposal of biomedical waste is now a strict facility-level responsibility.

The Bio-Medical Waste Management Rules, 2016, marked a significant shift in India’s approach to handling medical waste—simplifying classifications, expanding coverage, and aiming for greater compliance across the board. In my previous article, I outlined the evolution of these rules and the rationale behind the 2016 overhaul. Today, I will delve into their actual scope and applicability. From hospitals and clinics to health camps and school infirmaries, the rules apply to a wide array of institutions involved in the generation or handling of biomedical waste. Let’s take a closer look at who these rules apply to, what types of waste are excluded, and the detailed responsibilities of key players, especially the “occupier,” who plays a central role in ensuring that biomedical waste is managed safely and responsibly.
According to the notification, the Bio-Medical Waste Management Rules, 2016, apply to all individuals and entities involved in any aspect of handling biomedical waste. This includes those who generate, collect, receive, store, transport, treat, dispose of, or manage such waste in any form. The rules cover a wide range of establishments, such as:
· Hospitals, nursing homes, clinics, and dispensaries
· Veterinary institutions and animal houses
· Pathological laboratories and blood banks
· AYUSH hospitals and other clinical establishments
· Research and educational institutions
· Health camps, medical or surgical camps, and vaccination camps
· Blood donation camps and first aid rooms in schools
· Forensic laboratories and research labs
However, these rules shall not apply to radioactive wastes, hazardous chemicals, municipal solid wastes, lead-acid battery waste, hazardous wastes, electronic and electrical waste, hazardous microorganisms, genetically engineered microorganisms, etc. In these rules, the responsibilities of the concerned authorised persons, namely an “Occupier” and an “Operator,” have been specified.
(a) Occupier: The occupier is a person who has control over an institution generating biomedical waste, such as a hospital, nursing home, clinic, or laboratory, and has overall administrative control to ensure the proper handling, segregation, storage, and disposal of biomedical waste generated within their facility. They must take all necessary steps to prevent adverse effects on human health and the environment. The following are the major responsibilities of the occupier:
1. Provide a safe, ventilated, and secured location for storing segregated biomedical waste in coloured bags or containers within the premises, as specified in these rules.
2. Ensure that there is no secondary handling, pilferage of recyclables, or inadvertent scattering or spillage by animals, and that the biomedical waste from such place or premises shall be directly transported in the manner as
prescribed in these rules to the common treatment facility.
3. Ensure that the laboratory waste, microbiological waste, blood samples, and blood bags are pre-treated on-site through disinfection or sterilisation in the manner as prescribed by the World Health Organisation (WHO) or National AIDS Control Organisation (NACO) guidelines before sending it to a common treatment facility for final disposal.
4. Ensure that the solid waste, other than biomedical waste, is disposed of following the provisions of the respective waste management rules made under the relevant laws and amended from time to time, and do not mix treated biomedical waste with municipal solid waste.
5. Provide on-site training regarding handling and segregation of waste to all its healthcare workers and others involved in handling of biomedical waste at the time of induction and thereafter at least once every year, and the details of training programmes conducted, number of personnel trained, and number of personnel who have not undergone any training shall be provided in the Annual Report.
6. Provide adequate personal protective equipment (PPE) to health care workers and others involved in handling biomedical waste.
7. Arrange for a health check-up at the time of induction and at least once a year for all its health care workers and others involved in handling biomedical waste, and maintain the records for the same.
8. Maintain and update the biomedical waste management register daily. Display the monthly record on the website as per the prescribed categories and colour codes in the biomedical waste management rules.
Stay tuned for the next part, where I’ll cover the remaining aspects. Have a wonderful weekend!
(The writer is an environmentalist.)





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