National Norms and Standards relating to Environmental Health

t) A separate room or area with separate designated counters, with an impervious surface must beprovided for the receipt and dispatch of articles;u) When five or more persons of the same sex are employed on the premises, adequate separatechange rooms must be provided for male and female employees and designated for each sex;v) Change rooms must be provide with;• An adequate locker for every employees;• A hand wash basin provided with a supply of running hot and cold potable water; and• And adequate supply of soap and disposable towels at every hand wash basin.w) All machinery and equipment must be equipped with adequate suction fans to remove any noxiousgas, steam and hot air from any room and to release it in the open air in an adequate manner;x) If nappies are laundered on the premises, a separate pre-rinsing area must be provided for rinsing ofnappies prior to washing;y) An approved, suitable and effective means of drainage and sewage disposal must be available on thepremises;z) The premises of a dry-cleaning and laundry establishments, all fittings, equipments and appliancesand machinery must be kept clean, hygienic and in good repair at all times;aa) Equipment for fire fighting and control of accidental fires should be available on the premises;bb) A tea kitchen provided with a single-basin stainless steel sink, with a constant supply of hot and coldrunning potable water must be provided separately, to meet the needs of employees on the premises;andcc) Acceptable waste management strategies must be utilised to handled all waste generated on thepremises (provision of refuse bins for collection of waste, adequate waste storage prior to disposaland disposal by municipality or other approved authority).SECTION 11: CLINICS, INCLUDING SURGERIES AND OTHER MEDICAL COMPLEXESFor the purpose of this document, surgeries, day clinics and other medical complexes refers to privatedoctor’s surgeries, private and public clinics, medical complexes, dentists surgeries, pharmacists,excluding public and private hospitals and facilities providing in-patient services.1. NORMS1.1 The premises facilities and infrastructure in compliance with environmental health and occupationalhygiene requirements as well as the Core Standards for Health Establishments in South Africa.1.2 Building structure and facilities in compliance with the requirements of the National BuildingRegulations and the Building Standards Act 103 of 1977 and SANS 10400.1.3 The use of equipment, material or substances by workers in accordance with the provisions as setout in the Occupational Health and Safety Act 85 of 1993.1.4 Fire fighting and control equipment available and in compliance to the local municipality firedepartment requirements.1.5 Potable water available, in compliance to SANS 241 available and within 200m of the premises, 24hours a day, at a flow rate of not less than 10liters per minute, 7 days a week.1.6 Adequate basic sanitation available within 200m of the premises. If non-water borne sanitary facilitiesis used, must be Ventilated Improved Pit (VIP) toilets, well constructed to agreed standards asspecified in the RDP Guidelines.2. ENVIRONMENTAL HEALTH MONITORING STANDARDS2.1 Environmental health inspections of clinics should be conducted at least once a year.2.2 Inspection checklists should be designed for utilization during all environmental health inspections.2.3 An inspection report, including the relevant recommendations must be issued to the person in chargeafter every inspection is conducted.2.4 EH must maintain a database of clinics in their local municipality for control and monitoring purposes.2.5 Inspections should include the assessment of aspects such as ventilation, indoor air quality, lighting,structural safety of the premises, as well as other dirty and unsatisfactory health conditions.3. STANDARDS FOR SURGERIES, DAY CLINICS AND OTHER MEDICAL COMPLEXESDOH. Norms and standards for environmental health in South Africa Feb 2013 45