Management of Biomedical Waste (BMW) in a hospital is one of the most important aspects not only for safety of Health Care Workers (HCWs) and patients, but also for safety of environment as improperly managed BMW may lead to environmental degradation especially when chlorinated plastics enter into the waste stream meant for incineration. The present study was carried out by physically visiting 29 patient care areas in a tertiary care medical institute of North India from 10th to 17th October 2018 making observations in a self structured proforma. It was found that segregation score of yellow (soiled infectious), red (plastic) and blue (glass sharps) categories of BMW was 100% each whereas that of white (metallic sharps) category was 60.34%. The score of mutilation of needles, hub of plastic syringes, plastic bottles and tubings was 68.97%, 79.31%, 82.76% and 75.86% respectively. In only 6 areas (20.68%), none of the used needles were recapped whereas in the remaining, at least some of the needles had been recapped. The recapping of the needles is one of the causes leading to needle stick injury to HCWs and should be avoided. If ever recapping is to be done, it should be done with one-hand scoop technique and not using both hands. The manner of recapping could, however, not be ascertained in present study as methodology was limited to making observations from the waste bins. The study shows that good segregation practices are being followed. However, HCWs may require more sensitization about mutilation and recapping aspects of BMW management.