National Norms and Standards relating to Environmental Health

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Chapter 1HEALTH SURVEILLACE OF PREMISESSTANDARD INDEXPageBackground 13Scope of applicability 13Norms and standards applicable to all premises 14Section 1: Pre-school institutions/ child care centers/ Early childhood development 15centers (ECDC)Section 2: Nursing homes 22Section 3: Maternity homes 26Section 4: Homes for the aged 29Section 5: Schools 32Section 6: Initiation schools 35Section 7: Accommodation establishments 37Section 8: Beauty Salons 39Section 9: Swimming pools and spa baths 41Section 10: Dry cleaning and laundry establishments 43Section 11: Clinics and other medical centers 45Section 12: Health Establishments 47Section 13: Construction sites 53Section 14: Funeral undertaker’s premises, mortuaries & crematoriums 54Section 15: Food handling premises 56Section 16: Public gathering places (shopping malls, cinema’s etc) 58Section 17: Keeping of animals on premises 59Section 18: Industries 68Section 19: Prisons and holding cells 70Section 20: Vacant land 72Section 21: Office accommodation 72Section 22: Operation of boilers, incinerators and private sewage works 73Section 23: Noise, dust, vector, pest and tobacco control 74Section 24: Environmental pollution control 76Section 25: Compliance monitoring and enforcement 77DOH. Norms and standards for environmental health in South Africa Feb 2013 12
BACKGROUNDHealth surveillance of premises is a Municipal Health Services Function, performed by EnvironmentalHealth Practitioners (EHPs) in a municipality; it involves the identification, monitoring and evaluation ofhealth risks, nuisances and hazards on any premises and instituting remedial and preventative measureswhere necessary. The National Act 2003 (Act 61 of 2003) specifies that environmental health inspectionsand investigations be undertaken to ensure that corrective and preventative measures are implementedwhere a condition arises that poses or is likely to pose a hazard or risk to human health. This requiresregular monitoring of all premises (private and public) to ensure compliance with applicable healthrequirements, and minimisation of any detrimental environmental health risk to give effect to the principlesof Agenda 21 and the "Healthy Cities" approach.The Scope of Profession of Environmental Health, as published under Regulation 698 of 26 June 2009 asamended, promulgated under the Health Professions Act, 1974 (Act 56 of 1974), determines the role ofEnvironmental Health in health surveillance of premises, as follows:a) Conducting environmental health impact assessments of, amongst others housing projects;b) Assessing aspects such as ventilation and indoor air quality, lighting, moisture proofing, thermalquality, structural safety and floor space;c) Assessing overcrowded, dirty or other unsatisfactory health conditions on any residential,commercial, industrial or other occupied premises;d) Monitoring all buildings and all other permanent or temporary physical structures used for residential,public or institutional purposes (including health care and other care, detainment, work, recreational,travel, tourism, holidaying and camping) and the facilities in connection therewith and the immediateprecincts;e) Ensuring urban and rural land use planning and practices that are conducive to sustainabledevelopment conducting sound environmental health impact and other assessments;f) Ensuring the prevention and abatement of any condition on any premises, which is likely to constituteand health hazard;g) Ensuring the health safety of public transport facilities such as buses, trains, taxis, boats and aeroplanes as well as all other facilities in connection therewith;h) Ensuring compliance with the principles of Local Agenda 21 and the Health Cities approach tointegrated service rendering and the practical minimizing of any environmental health risk.THE SCOPE OF APPLICABLITY OF THE NORMS AND STANDARDSThis set of norms and standards applies to the use of premises, including commercial, industrial andpublic or applicable private premises, which includes the following;• Preschool Institutions/Child care centers/ Early childhood development centers (ECDC)• Nursing homes• Maternity homes• Homes for the aged• Schools• Initiation schools• Accommodation establishments• Beauty salons• Swimming pools and spa baths• Dry cleaning and laundry establishments• Clinic and other health and medical centers• Hospitals• Construction sites• Funeral undertakers’ premises and mortuaries• Keeping of animals on premises• Food handling premises• Public gathering places• Industries• Prisons, police station holding cellsDOH. Norms and standards for environmental health in South Africa Feb 2013 13
Page 1 and 2: No. 36849 GOVERNMENT GAZETTE, 20 SE
Page 3 and 4: AcknowledgementsDrafting Team (Nati
Page 5 and 6: Preamble by Director-GeneralThe Nat
Page 7 and 8: POLICY AND LEGISLATIVE FRAMEWORKThe
Page 9 and 10: 1. Introduction1.1 Policy contextOn
Page 11: 5. Monitoring and enforcing complia
Page 15 and 16: h) Adequate and potable water avail
Page 17 and 18: a) Entrance and exit control must b
Page 19 and 20: • Storage of unsafe, toxic, dange
Page 21 and 22: (i) For children between 0-24 month
Page 23 and 24: • The health certificate holder,
Page 25 and 26: a) Separate storage facilities must
Page 27 and 28: 2.4 Inspections should include an a
Page 29 and 30: g) Adequate facilities must be prov
Page 31 and 32: d) Corridors must be at least 1.8m
Page 33 and 34: 1. NORMS1.1 Schools to be operated
Page 35 and 36: • A cardiopulmonary mouthpiece pr
Page 37 and 38: a) All circumcisions must be conduc
Page 39 and 40: ) Toilets, wash hand basins and bat
Page 41 and 42: • Liquid soap;• First aid instr
Page 43 and 44: h) A daily record must be kept on t
Page 45 and 46: t) A separate room or area with sep
Page 47 and 48: h) An adequate number of purpose-ma
Page 49 and 50: c) Health care facilities should ha
Page 51 and 52: a) All facilities used in connectio
Page 53 and 54: 5. General hygiene requirementsa) T
Page 55 and 56: 1.1 The premises operated under a v
Page 57 and 58: 5. Environmental health should cond
Page 59 and 60: d) The use of non-waterborne sanita
Page 61 and 62: so many kgs of manure is produced p
Page 63 and 64:
a) On any residential premises, onl
Page 65 and 66:
n) A rodent-proof storeroom must be
Page 67 and 68:
d) Pets must be vaccinated against
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1.3 The premises in compliance with
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2.1 Environmental health inspection
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2.1 Environmental health inspection
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1) Responsibility of management1.1.
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that all possible health impacts of
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BACKGROUNDThe Scope of Profession o
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a) An Integrated Disease Surveillan
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a) All food onboard must be stored
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3. Waste managementa) The managemen
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c) Documents outlining prevention,
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Chapter 3HEALTH RELATED WATER QUALI
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d) The catchment (rivers, treatment
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f) Ensuring monitoring of effective
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SECTION 4:WATER QUALITY MONITORING
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water world etc)1. In the event of
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Step 2: if water is obtained from t
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• Of the time frame, if any, with
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3. Household grey-water (generated
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SECTION 14:MONITORING OF DRINKING W
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contamination (e.g. from birds and
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SECTION 21: COMPLIANCE ENFORCEMENT6
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DEFINITION OF APPLICABLE TERMSThe f
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BACKGROUNDWaste management is the c
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• Provides municipal health servi
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a) The premises used for recycling
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SECTION 4: COLLECTION OF GENERAL WA
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SECTION 7: CLASSIFICATION, PACKAGIN
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• The spillage area shall be mark
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• Elbow length heavy duty gloves,
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anatomical waste anatomical • Hav
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• Waste oxidizing substances and
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Sharps container 90 days Cool room
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Relationships between transboundary
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Chapter 5HAZARDOUS SUBSTANCES AND C
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3. The premises used in connection
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d) In addition, all hazardous subst
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4. Guidelines for Drinking Water Qu
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for conducting monitoring.7. Analyz
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Bacterial infectionsCholeraCampylob
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paralytic aspeticmeningitis. The re
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National Norms and Standards relating to Environmental Health

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