Joint Commission Checklist

Joint Commission Pest Control Checklist for Hospitals

Source: Joint Commission Pest Control Checklist (PDF)

Environment of Care Standard 3.10: The organization manages hazardous materials and waste risks.

Element of Performance 1: Hazardous Materials and Hazardous Waste Management Plan
The organization creates and maintains an inventory that identifies hazardous materials and waste used, stored or generated using criteria consistent with applicable law and regulation.

EVIDENCE OF COMPLIANCE

Facility has plans on file, readily accessible by appropriate staff, for pesticide:

Application:

  • Selecting chemicals used in grounds keeping
  • Ensuring restricted or prohibited pesticides not used
  • Ensuring pesticide applicators appropriately trained, licensed
  • Posting warning signs when pesticides applied

Disposal:

  • Managing waste pesticides as hazardous waste
  • Triple rinsing pesticide containers
  • Managing rinsate as hazardous waste if not used
  • Managing disinfectants and sterilants as pesticides

EVIDENCE OF PERFORMANCE IMPROVEMENT

Facility has plans on file, readily accessible by appropriate staff, for:

  • Implementing an Integrated Pest Management (IPM) program

Element of Performance 2: Hazardous Materials and Hazardous Waste Inventory
Organization creates and maintains an inventory that identifies hazardous materials and waste used, using criteria consistent with applicable law and regulation.

EVIDENCE OF COMPLIANCE

  • Hazardous materials inventory contains accurate list of pesticides

EVIDENCE OF PERFORMANCE IMPROVEMENT

  • Quantity of hazardous materials (including pesticides) used over successive time periods tracked and documented
  • Size of hazardous materials inventory reduced

Element of Performance 3: Implementation of Hazardous Material and Hazardous Waste Program
The organization establishes and implements processes for selecting, handling, storing, transporting, using and disposing of hazardous materials and wastes from receipt or generation through use and/or final disposal,including managing the following: chemicals, chemotherapeutic materials, pharmaceuticals, radioactive materials and infectious and regulated medical waste including sharps.

EVIDENCE OF COMPLIANCE

  • Pesticides classified for restricted use applied only by licensed applicators
  • Pesticide containers triple rinsed
  • Rinsate managed as hazardous waste if not used
  • Hazardous waste determination made, documented for pesticides being discarded
  • Warning signs posted, staff notified when pesticides applied

EVIDENCE OF PERFORMANCE IMPROVEMENT

  • Restricted pesticides not used
  • Facility has instituted Integrated Pest Management program with following elements:
  • Pesticide application used only as last resort
  • Only least toxic pesticides used
  • Primary focus of program: pest identification, monitoring
  • Non-chemical methods used for pest control (e.g. traps, barriers)
  • Staff training component, e.g. actions that help prevent pests on premises
  • Pesticide applicators licensed, trained by appropriate authorities
  • Communication to staff, patients, visitors when pesticide applied

Element of Performance 7: Hazardous Material and Hazardous Waste Documentation
The organization maintains documentation, including permits, licenses, and adherence to other regulations.

EVIDENCE OF COMPLIANCE

  • Records indicate appropriate training for staff using disinfectants, cold sterilants, pesticides
  • Pesticide applicator licenses maintained or in pest management contract
  • Documentation maintained to ensure exposure monitoring, no restricted pesticides
  • For federal facility, documentation that Integrated Pest Management program in place

EVIDENCE OF PERFORMANCE IMPROVEMENT

  • Integrated Pest Management program in place
  • Pesticide applicator licenses no longer needed due to no pesticides being applied at facility

H2E (Hospitals for a Healthy Environment) thanks Orkin Commercial Services for their assistance with the development of this Joint Commission checklist.