Medical Waste Handling Verification Form
Date:
Facility Name:
Department/Area:
Employee Name:
Employee ID:
Type of Waste
Sharps
Biohazard
Pharmaceutical
Other
Container Used:
Waste Picked Up By:
Date/Time of Pickup:
Location of Storage:
Verification Checklist
Waste container is properly sealed
Container is clearly labeled
Proper PPE worn during handling
No spills/leaks observed
Notes/Comments:
Employee Signature
Supervisor Signature
Date