Tracking Medical or Biological Waste for Treatment

(A) Waste generators, small-scale generators and Sharps Collection Centers shall confirm within 30 days of shipment the receipt at a treatment facility of all medical or biological waste shipped off-site for treatment pursuant to 105 CMR 480.300. Confirmation shall be documented on a paper or electronic medical waste tracking form, approved by the Department. The medical waste tracking form must include all shipping paper information in accordance with 105 CMR 480.400(B), as well as documentation of the treatment facility name, address and telephone number with a contact person who has knowledge about the waste material received or who has immediate access to a person who possesses such knowledge. A completed copy of the medical waste tracking form must be retained with the corresponding shipping paper(s) and the record keeping log required by 105 CMR 480.500(B) for a period of 375 days. (B) If the waste generator, small-scale generator or Sharps Collection Center does not receive a hard copy or can not access for download an approved electronic copy of the completed medical waste tracking form pursuant to 105 CMR 480.425(A) within 30 days after shipment, the waste generator, small-scale generator or Sharps Collection Center shall report this fact to the Department. (C) Small-scale generators and Sharps Collection Centers conducting in-state transportation of their own medical or biological waste to an affiliated generator, in accordance with 105 CMR 480.300(F), shall retain the original shipping papers signed by the small-scale generator’s or Sharps Collection Center’s designee and a designee from the affiliated generator receiving the medical or biological waste, in lieu of a medical waste tracking form, for a period of 375 days, pursuant to 105 CMR 480.400(C). In addition, the small-scale generator or Sharps Collection Center shall document all applicable information in the required record-keeping log for off-site treatment pursuant to 105 CMR 480.500(B)(2) and the Department’s Record-Keeping Guidelines for Medical or Biological Waste. The “shipping paper” and “tracking form” boxes should be checked to reflect that both provisions have been satisfied. (D) Waste generators, small-scale generators, and Sharps Collection Centers receiving medical or biological waste from appropriate and affiliated small-scale generators, or Sharps Collection Centers, shall: (1) document all applicable information in the required record-keeping log for off-site treatment, if it is to be shipped off-site, pursuant to 105 CMR 480.500(B)(2), and the Department’s Record-Keeping Guidelines for Medical or Biological Waste, with a separate entry dedicated to each delivery received. The “shipping paper,” “tracking form” and “printed name / signature” boxes should remain blank until such time as all of the waste is shipped off-site for treatment. The next shipment for off-site treatment shall include all of the previous medical or biological waste received from small-scale generators or Sharps Collection Centers and any waste generated on-site since the last shipment. (2) document all applicable information in the required record-keeping log for on-site treatment, if it is to be treated on-site, pursuant to 105 CMR 480.500(B)(1)(b), 105 CMR 480.500(B)(1)(c), and 105 CMR 480.500(B)(1)(g)(i), as well as the Department’s Record- Keeping Guidelines for Medical or Biological Waste, with a separate entry dedicated to each delivery received. The remaining information shall be documented at the time of treatment. (E) Waste generators or small-scale generators receiving sharps from home sharps users shall: (1) document all applicable information in the required record-keeping log for off-site treatment, if it is to be shipped off-site, pursuant to 105 CMR 480.500(B)(2), and the Department’s Record-Keeping Guidelines for Medical or Biological Waste, with a separate entry dedicated to each delivery received. The “shipping paper,” “tracking form” and “printed name / signature” boxes should remain blank until such time as all of the waste is shipped off-site for treatment. The next shipment for off-site treatment shall include all of the previous medical or biological waste received from home sharps users and any waste generated on-site since the last shipment. (2) document all applicable information in the required record-keeping log for on-site treatment, if it is to be treated on-site, pursuant to 105 CMR 480.500(B)(1)(b), 105 CMR 480.500(B)(1)(c), and 105 CMR 480.500(B)(1)(g)(ii), as well as the Department’s Record- Keeping Guidelines for Medical or Biological Waste, with a separate entry dedicated to each delivery received. The remaining information shall be documented at the time of treatment.