The overall objective of this assignment was to conduct a Rapid Assessment of the prevailing health care waste management systems in Sri Lanka. This Rapid Assessment Report consists of the background of the assignment, methodology adopted for primary data collection, results of the survey including type and amount of health care waste generated in the country, current management practices, gaps in the management practices from the environmental and social safeguard point of view, outcomes of observation visits, Key Informant Interviews and recommendations to improve healthcare waste management in Sri Lanka.