Dealing with <strong>and</strong> reporting of incidents <strong>and</strong> accidents. Interpretation of material safety data sheetsRecord of such trainings need <strong>to</strong> be kept for a period of at least five yearsd) ImmunizationThe facility’s health <strong>and</strong> safety policy must make provision for appropriate immunization in the event ofaccidental needle stick injuries <strong>and</strong> other accidents involving the h<strong>and</strong>ling of HCRW <strong>to</strong> prevent the spreadof any communicable disease.SECTION 12: COMMUNITY AWARENESS AND EDUCATIONa) Waste management awareness <strong>and</strong> education campaigns is critical as part of community education,therefore EHPs should conduct waste management awareness raising, education <strong>and</strong> promotion incommunities on “ the management of HCRW at a household level <strong>and</strong> general waste management”as part of compliance inspections <strong>and</strong> health education activities.b) Each campaign should have an action plan, detailing the campaign date, venue, target group,objectives of the campaign, campaign activities, stakeholders involved, education materials <strong>to</strong> beused, <strong>and</strong> costs implications.c) The campaign shall also have a feedback report detailing all aspects included in the action plan aswell as campaign impact <strong>and</strong> recommendations.d) Such campaigns shall target formal <strong>and</strong> informal recyclers, health care facilities, business owners <strong>and</strong>the general public, especially schools.e) These campaigns shall also be done jointly with relevant internal <strong>and</strong> external stakeholders; <strong>and</strong> thepublic.SECTION 13: ENVIRONMENTAL HEALTH INSPECTIONS1. EHPs should moni<strong>to</strong>r waste management activities (waste minimization, separation, collections,s<strong>to</strong>rage, transportation <strong>and</strong> disposal), at different residential, business, industrial, places of care <strong>and</strong>health care facilities at all times during routine or follow inspections as planned <strong>and</strong> as prescribed inthe norms <strong>and</strong> st<strong>and</strong>ards for health surveillance of the premises.2. General <strong>and</strong> hazardous l<strong>and</strong>fill sites should be inspected at least twice per year; <strong>and</strong> during preoperation, during closer <strong>and</strong> after closer.3. All required permits, waste management plans; waste information records <strong>and</strong> environmental impactassessment reports should be inspected.4. Site plans of premises generating business, industrial <strong>and</strong> hazardous, including health care riskwaste, should be evaluated for conformances <strong>to</strong> relevant legislation specifying requirements for wastes<strong>to</strong>rage areas.5. An EHP should moni<strong>to</strong>r the collection <strong>and</strong> management of waste during events (festivals, sports, etc)throughout the period of the particular event.6. Condemned foodstuffs must be collected, transported <strong>and</strong> disposed of in the presence of an EHP,who shall moni<strong>to</strong>r all processes <strong>to</strong> ensure that condemned waste is effectively managed untildisposal.7. EHPs should keep records of inspections, findings <strong>and</strong> recommendations of all inspections conductedon premises generating waste, particularly hazardous, <strong>and</strong> health care risk waste.8. An inven<strong>to</strong>ry of premises generating <strong>and</strong> h<strong>and</strong>ling hazardous <strong>and</strong> HCRW must be kept by EH.9. Inspection report with recommendations should be provided <strong>to</strong> the person in charge of the premisesafter conducting inspection.10. Routine inspection programmes for closed l<strong>and</strong>fill sites should be established <strong>and</strong> implemented by anEHP.11. Inspection checklist as per Annexure C shall be completed for all waste management inspectionsSECTION 14: INTERSECTORAL COLLABORATION<strong>Environmental</strong> <strong>Health</strong> Practitioners need <strong>to</strong> establish strong relationships, with various stakeholders, suchas Department of Transport, Department of Agriculture, Department of Labour, Department of Minerals<strong>and</strong> Energy, private sec<strong>to</strong>r waste companies, in the waste industry in order <strong>to</strong> win the battle against poormanagement of waste in South Africa.DOH. <strong>Norms</strong> <strong>and</strong> st<strong>and</strong>ards for environmental health in South Africa Feb 2013 132
Relationships between transboundary provincial <strong>and</strong> municipalities also need <strong>to</strong> be strengthened in order<strong>to</strong> easily address transboundary waste management issues, Memor<strong>and</strong>um of underst<strong>and</strong>ing may besigned where deemed necessary.In municipalities, environmental health department should build strong relations with other wastemanagement department/utility or contracted company, which renders waste management services, suchas collection, transport <strong>and</strong> disposal for the particular municipality.Waste management forums need <strong>to</strong> be established between relevant government departments <strong>and</strong>municipalities <strong>and</strong> local waste recycling companies, nongovernmental organizations interested in waste,management, schools, businesses <strong>and</strong> the community. <strong>Environmental</strong> health institutions <strong>and</strong> practitionersneed <strong>to</strong> actively participate in those forums.SECTION 15: CAPACITY BUILDING AND TRAINING1. There is a need for various training aspects in the field of waste management, which should focus onvarious role players in the waste management sec<strong>to</strong>r, including in the field of waste h<strong>and</strong>ling. Roleplayers in with waste management should ensure that they are kept abreast with new technologies,new concepts, new innovations <strong>and</strong> new ideas in the fields of waste by attending conferences,seminars <strong>and</strong> workshops, <strong>to</strong> enable management of waste in line with current <strong>and</strong> developing trends.2. Waste management field workers (from street cleansing <strong>to</strong> disposal of general <strong>and</strong> hazardous waste)should be provided with training <strong>and</strong> information on the risks involved in the h<strong>and</strong>ling of waste <strong>and</strong> theimportance of personal hygiene <strong>and</strong> wearing appropriate protective clothing at all times whileengaged in waste h<strong>and</strong>ling.3. EHPs, infection control nurses, quality assurance officers, relevant management of relevantworkplaces, health <strong>and</strong> safety officers <strong>and</strong> health <strong>and</strong> safety representatives should also be trainedas trainers in relevant aspects of waste management related <strong>to</strong> their duties. Training must beconducted by accredited institutions <strong>and</strong> trainers.4. In-service <strong>and</strong> refresher training need <strong>to</strong> be conducted periodically <strong>and</strong> records thereof should beupdated <strong>and</strong> kept for a period of at least 5 years.5. It is recommended that major waste genera<strong>to</strong>rs, including genera<strong>to</strong>rs of health care risk waste <strong>and</strong>hazardous waste genera<strong>to</strong>rs appoint a waste management officer, <strong>to</strong> moni<strong>to</strong>r <strong>and</strong> ensure soundmanagement of waste in the facility.6. Human resource capacity of all people, which can play a major role in good waste management,should be addressed by the public sec<strong>to</strong>r, private sec<strong>to</strong>r, <strong>and</strong> non-governmental organizationsSECTION 16: MONITORING, EVALUATION AND DATA REPORTINGThe moni<strong>to</strong>ring <strong>and</strong> evaluation of waste management activities by <strong>Environmental</strong> <strong>Health</strong> Practitioners <strong>and</strong>other role players is essential for effective waste management. All data collected need <strong>to</strong> be analyzed,interpreted <strong>and</strong> reported, where required. The quality of moni<strong>to</strong>ring, evaluations conducted as well asdata reported need <strong>to</strong> be analyzed, <strong>and</strong> strengthened where necessary.SECTION 17: COMPLIANCE ENFORCEMENT1. EHPs must investigate any non conformances in relation <strong>to</strong> waste management <strong>and</strong> take appropriateaction.2. The following aspects of waste management shall be reported within 24 hours of identification <strong>to</strong> therelevant authorities as outlined in the table below for further action:Table:Waste management aspect• Unpermitted <strong>and</strong> unlicensed facilities.• Waste management activities operating withoutthe necessary environmental authorization, forbasic assessment or EIA• Unsafe h<strong>and</strong>ling of radioactive waste <strong>and</strong> illegaldumping thereofRelevant authorityDepartment of <strong>Environmental</strong> AffairsDepartment of <strong>Health</strong>: Radiation ControlDOH. <strong>Norms</strong> <strong>and</strong> st<strong>and</strong>ards for environmental health in South Africa Feb 2013 133
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No. 36849 GOVERNMENT GAZETTE, 20 SE
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AcknowledgementsDrafting Team (Nati
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Preamble by Director-GeneralThe Nat
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POLICY AND LEGISLATIVE FRAMEWORKThe
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1. Introduction1.1 Policy contextOn
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5. Monitoring and enforcing complia
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BACKGROUNDHealth surveillance of pr
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h) Adequate and potable water avail
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a) Entrance and exit control must b
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• Storage of unsafe, toxic, dange
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(i) For children between 0-24 month
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d) Corridors must be at least 1.8m
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1. NORMS1.1 Schools to be operated
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a) All circumcisions must be conduc
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) Toilets, wash hand basins and bat
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h) A daily record must be kept on t
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h) An adequate number of purpose-ma
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so many kgs of manure is produced p
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a) On any residential premises, onl
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2.1 Environmental health inspection
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2.1 Environmental health inspection
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that all possible health impacts of
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BACKGROUNDThe Scope of Profession o
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