ISEE-445 Introduction: Health impact assessment (HIA) is a process to identify, predict and evaluate the human health impact of a proposed policy, plan, program or project. The purpose of health impact assessment is to alert decision-makers to possible health impact that could be reduced. Aim: The aim of this paper was to assess the health impact of human excreta management at Udonthani Municipality (UM). Methods: The study involved a focus group discussion, interviews, questionnaires and a literature review to collect data from key informants and stakeholder that are involved in human excreta management (i.e. collection, transportation and disposal), in order to establish a scoping framework, to identify and evaluate impacts on health, including physical, mental and social health. Results: The results showed that UM had 1 vehicle with vacuum pumps and rented 15 vehicles with vacuum pumps, from the regulated private sector. Most negative health impacts were evident in nightsoil collectors – where there were accidental injuries caused by lack of personal protective equipment usage and carelessness. The inhabitants of UM approved of the work carried out to the regulated private sector for the excreta collection, because this put in place an efficient service which could serve as competition for the excreta collection service provided by the municipality. Discussion: The treatment and processing of excreta had the highest impact on people who lived nearby, especially with regard to waste water contamination that happened in the rainy season, and the noxious smell evident in winter season, in the evenings. In addition, some collectors did not transfer the nightsoil to the treatment plant when this was required, thus spreading pathogens to the environment. This paper includes the recommendations made for enhancing positive and reducing negative impacts of human excreta management.