Thurrock Council
Application for Clinical Waste Collection
Strictly confidential
How we will use your information
We will use your information to provide the service requested. We may share your personal data
between our services and with partner organisations, such as government bodies and the police.
We will do so when it is of benefit to you, or required by law, or to prevent or detect fraud. To find
out more, go to thurrock.gov.uk/privacy. Get free internet access at libraries and community hubs.
Your details
Name:
Address:
Postcode:
Phone:
Email:
Types of waste
To be completed by a community nurse, practise nurse, consultant or GP – please indicate below
the groups of waste that, in your professional opinion, are being produced:
Type of waste
Description
Sharps
Discarded syringes and needles – in a yellow-lidded
sharps container.
Yes
No
Offensive waste
Non-infectious incontinence pads, bed pan liners, stoma
bags, etc. – in yellow sacks with black stripe.
Yes
No
Infectious waste
Waste that is deemed to be infectious or potentially
infectious and subject to special treatment for disposal,
such as infected wound dressings – in orange sacks.
Yes
No
Yes
No
Do we need to be aware of specific risks associated with the waste?
Applicable?
Community nurse, practise nurse, consultant or GP approval
Name:
Signature:
Official
NHS
Stamp
Date:
About the disposal of clinical waste
Clinical waste includes:


infectious items
identifiable human tissue
Please go to thurrock.gov.uk/sharps to check:

items that are not considered clinical waste and should be disposed of as ordinary domestic
non-recyclable waste in a grey/green wheeled bin, the same as used disposable nappies
and sanitary products

the addresses of local pharmacies where clinical sharps – needles, syringes, lancets or
needle clippers – can be deposited for free in boxes we provide
Filled sacks are usually collected each week from outside your front door, with new empty
sacks being posted through your letterbox or left in a nearby visible place.
If either this is not convenient, or needles from syringes cannot be taken to the pharmacies listed
at thurrock.gov.uk/sharps – for example, where transport is not available – please state where we
can collect filled sacks and where new empty sacks can be left:
Is the waste generated by a health care professional in the resident's home?
Yes – this waste should be disposed of by the health care professional
No – this waste may be disposed of by Thurrock Council
To return this form, please either:

post to:
Trade Waste Team
Thurrock Council
Oliver Close Depot
Oliver Road
West Thurrock
RM20 3ED

email to
[email protected]
Please do not return this form in person as Oliver Close Depot is an active operational site with
large vehicles frequently moving around.
For office use only
Date received:
By:
Approved:
2
Yes
No