National Norms and Standards relating to Environmental Health

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• Vacant land;• Office accommodation;• Any other premises as per the definition in terms of the National Health Act 61 of 2003.NORMS AND STANDARDS APPLICABLE TO ALL PREMISESThe following norms and standards are applicable to all premises:1. Building structure must be in compliance with the requirements of the National Building Act, theNational Building Regulations, 103 of 1977, and well as the SANS 10400: Application of the NationalBuilding Regulations.2. Health education should form an integral part of all environmental health compliance inspections.Water Supplya) The quality of water supply must comply with the SANS 241 for drinking water, with regards tomicrobiological, chemical and physical quality.b) Potable running water must be continually available on all premises for drinking, preparing foodstuffsand to accommodate all uses in the day care center.c) Where the premises are not equipped with running water, a minimum of at least 10-25 liters perperson per day must be kept and stored hygienically on the premises.Sewage and drainage systemsd) Drinking water must be adequately stored and protected against contamination.e) Suitable and effective means of drainage and sewage disposal must be provided on all premises, incompliance to the Part-P of the National Building Regulations and SANS 10400.f) Water must be stored at a temperature of at least 60 0 c and distributed at 50 o c minimum, to preventthe risks of ligionella.Waste managementa) Approved methods of waste collection, storage, transportation and disposal must be adopted.b) The collection, storage and disposal of general waste, must be managed in accordance with therequirements as specified in Part U of the National Building Regulations and Section 2-5 of the Normsand Standards for Waste Management;c) An approved refuse area must be provided on the premises for the storage of all refuse pendingremoval;d) Access to waste storage facility must be limited to employees who have been trained with respect tothe operation of a waste facility;e) An adequate number of refuse bins must be provided for the storage of general waste on thepremises.Health care risk waste managementa) The collection, storage and disposal of waste, including health care risk waste must be managed inaccordance with the requirements as specified in the SANS Code 10248 and Section 9-10 of theNorms and Standards for Waste Management in this document.b) An adequate number of purpose-manufactured, leak-proof, sealable containers must be available forthe storage of health care risk waste. Such containers to be designed as to not allow the exposure ofneedles, cuts and other substances that may cause harm to service users or staff members;c) Containers used for the storage of health care risk waste must be clearly labeled in large, legiblelettering;d) Employees must be adequately trained in the identification, separation, handling and storing of healthcare risk waste;e) Containers used for the storage of health care risk waste must be clearly labeled in large, legiblelettering;f) Employees must be adequately trained in the identification, separation, handling and storing of healthcare risk waste;g) Health care risk waste may only be removed/ collected, transported, treated and disposed by aregistered service provider from the premises.DOH. Norms and standards for environmental health in South Africa Feb 2013 14
h) Adequate and potable water available within 200m of the school premises.i) Adequate, basic and appropriate sanitation facilities available within 200m of the school premises.j) Approved methods of waste storage and disposal must be adopted to prevent offensive odours andattracting flies.k) A central refuse storage area must be provided on the premises for the storage of waste pendingremoval by the municipality waste removal services.l) Adequate number of refuse containers must be provided for the collection of waste in various areason the premises. The containers should therefore be transferred to the central storage area.SECTION 1: CHILD CARE CENTERSFor the purpose of this document, a child care centre shall refer to a facility that provides care for“children under the age of 6 years” who are not yet attending a formal school or equivalent. These shallinclude full time day care or half day care where more than 3 children are being care for between theages of 0-6 years. Child care centers also include afterschool care services for school going children.The following types of child care services are applicable:Part time day care:A part time day care center provides day care services for a maximum of only 5 hours per day andaccommodates children of between the ages of 0-6 years.Full time day care:A full day care provides day care for more than 5 hours per day and accommodates children between theages of 0-6 years.Child minders/ Day mothers:Child minders/day mothers provide child care services in their own homes for a full day. Not more than 6children may be accommodated on the premises at a time (including the child minders own children).Play groups:Play groups provide child care services for half day only (not more than 5 hours per day). Only amaximum of only 20 children between the ages of 3-5 years may be accommodated.Drop off centers service:Drop off centers provides care for children for a period of not more than 2 hours while a parent orguardian is temporarily unavailable (mainly located at shopping centers and usually operate duringweekends).After care centers:After care services are services provided for school going children and are mainly operational in theafternoon. Children at primary school level (grade R to grade 7) are mainly accommodated.1. NORMS1.1 The premises operated under a valid Health Certificate issued by an Environmental HealthPractitioner of a relevant District or Metropolitan Municipality, to the effect that the premises andgeneral facilities comply with environmental health requirements.1.2 The premises promote a healthy and safe environment, free from environmental hazards anddiseases and welfare of the children accommodated.1.3 Staff members adequately qualified in child care, and knowledgeable in health and safety aspectsrelating to children.1.4 Playground equipment in compliance to the SANS 51176: 2010 for playground equipment andsurfacing.2. ENVIRONMENTAL HEALTH MONITORING STANDARDS2.1 A Day care center must be inspected at least once every quarter (not less than 3 times in a year).The risk profile of the day care center should also inform the frequency of inspections of specificpremises.Environmental health inspections of day care centers should include:DOH. Norms and standards for environmental health in South Africa Feb 2013 15
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 and 12: 5. Monitoring and enforcing complia
Page 13: BACKGROUNDHealth surveillance of pr
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
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n) A rodent-proof storeroom must be
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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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