The Brazilian Healthcare System (SUS) is the responsible for the Healthcare Waste (HcW) management in the perspective of the reverse logistics chain. So then, the objective of this study is to examine the HcW management practices in the Brazilian public hospitals according to the reverse logistics concept. The HcW management in those hospitals has been fragmented by area (such as Nutrition, Ambulatory or Clinical Laboratory), not encompassing the entire HcW chain. For that matter, it was applied a questionnaire to 127 hospitals Hosp-Pro and was prepared using the ONA accreditation methodology. The data basis was 2010 and 2011. The conclusion that is taken from the study is that HcW management has not taken as a priority issue, patient and employee safety but it is only oriented to remove HcW outside the hospital. Actual waste practices do not achieve Brazilian standardization quality requirements.