Rule 6
Discharge And Management Of Health Institution Related waste
6. Discharge and Management of Health Institution Related Waste:
1) The health institution shall make processing and management of the health institution related waste generated and discharged by itself  segregating at its source.
2) Regarding procedures and technology to be applied, and management site for purification, processing and management of health related waste, the permission from the Local Body shall be obtained. The Local Body shall, while issuing the permit, ascertain whether the procedure, technology submitted along with the application for the permission request and the management site meets or not the standard set by the Government of Nepal.
3) The health institution, which has obtained permission under Sub- Rule (2), shall itself undertake the task of processing, purification and management of related activities of health institution related waste.
4) In case of the inability of the health institution for processing, purification and management by itself under Sub-Rule (3), the health institution may request the Local Body for processing, purification and management. The Local Body may, if such request is made, carry out the processing, purification and management by itself or  cause to carry out in its coordination.
5) After processing and purification of general solid waste and health institution related harmful waste generated and discharged from the health institution, the Local Body may, charging a service fee to the related health institution, make arrangement for the disposal of including such wastes.
6) Whether the complete purification of health institution related infectious waste has been completely done or not, should be tested by a recognized laboratory and certified to that effect.
7) The health institution, generating harmful waste, shall completely abide by the prevailing environmental law and the set standard concerning the management of such solid waste
8) The Local Body shall monitor on whether the health institution obtaining permission under sub Rule (3) for the management of such solid waste has used or not the approved procedures, technology or site.