This document provides guidelines on operation and maintenance (O&M) requirements for effluent treatment plants (ETPs). It discusses the key ETP components that require O&M, how to identify O&M requirements, the staffing requirements for ETP O&M including the roles of plant manager, operators, technicians, and laborers. It also covers topics like staff competency and training, safety guidelines, plant performance monitoring, record keeping, and criteria for appointing an O&M agency.