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*2.1-5.4.2.1 Incineration
  1. Where provided, on-site hospital incinerators shall comply with local, state, and federal regulatory and environmental requirements.
  2. The design and construction of incinerators shall comply with NFPA 82: Standard on Incinerators and Waste and Linen Handling Systems and Equipment.
A2.1-5.4.2.1 Incinerator design and construction. The EPA has identified medical waste incineration as a significant contributor to air pollution. Health care facilities should seek to minimize incineration of medical waste, consistent with local and state regulations and public health goals. Refer to the Code of Federal Regulations, 40 CFR part 60, Standards of Performance for New Stationary Sources, regarding emission guidelines and source performance criteria for hospital, medical, or infectious waste incinerators.
Where incinerators are used, consideration should be given to the recovery of waste heat from on-site incinerators used to dispose of large amounts of waste materials. Incinerators should be designed in a manner fully consistent with protection of public and environmental health, both on-site and off-site, and in compliance with federal, state, and local statutes and regulations. Toward this end, permit applications for incinerators and modifications thereof should be supported by environmental assessments and/or environmental impact statements (EISs) and/or health risk assessments (HRAs) as may be required by regulatory agencies. Except as noted below, such assessments should utilize standard U.S. EPA methods, specifically those set forth in U.S. EPA guidelines, and should be fully consistent with U.S. EPA guidelines for health risk assessment. Under some circumstances, however, regulatory agencies having jurisdiction over a particular project may require use of alternative methods.
*2.1-5.4.2.2 Other Waste Treatment Technologies
Types of non-incineration technology(ies) used by the facility shall be determined by the governing body.
  1. Location
    1. The following shall be considered when locating non-incineration technology:
      1. Safe transportation routes
      2. Distances from waste generation sources
      3. Temporary storage spaces
      4. Spaces required for treatment equipment
    2. The location of the technology shall not cause traffic problems as waste is brought in and out.
    3. Odor, noise, and the visual impact of medical waste operations on patients, visitors, public access, and security shall be considered.
  2. Space requirements for such technologies shall be determined by equipment requirements, including associated area(s) for opening waste entry doors; access to control panels; and space for hydraulic lifts, conveyors, and operational clearances.
A2.1-5.4.2.2 Safe access and operation of equipment by equipment operators should be a primary consideration when designing spaces for non-incineration technology.