Colorado Medical Waste Compliance Guide
Colorado regulates “medical waste” under state solid waste regulations (6 CCR 1007-2, Section 13). The rules specify generator accumulation options (including time/temperature-based limits), packaging, and when a Certificate of Designation is required for onsite accumulation/storage.
Regulatory Agencies in Colorado
Colorado Department of Public Health & Environment (CDPHE)
Hazardous Materials & Waste Management Division (CDPHE)
Compliance Requirements
| Requirement | Rule |
|---|---|
| Max Storage Time | Putrescible medical waste: up to 30 calendar days onsite without refrigeration if packaged per DOT infectious substance requirements; up to 90 calendar days if packaged per DOT and refrigerated (≤45°F) or frozen. |
| Producer Registration | Generator accumulation/storage may require a Certificate of Designation unless all Section 13.3.1(A) conditions are met (6 CCR 1007-2-13). |
| Management Plan | Each generator of infectious waste shall develop and implement an onsite infectious waste management plan appropriate for the facility (C.R.S. 25-15-403). |
| Labeling | Use biohazard identification and comply with DOT marking/labeling for infectious substances when applicable; secure accumulation areas to prevent unauthorized access. |
| Container Standards | Package consistent with DOT requirements for infectious substances (49 CFR 173.196/173.197) for the specified accumulation options; sharps in rigid, puncture-resistant containers. |
| Authorized Haulers | Use approved treatment/disposal pathways and compliant transporters; follow DOT and CDPHE requirements. |
| Employee Training | Train staff on safe handling and facility procedures; align with OSHA bloodborne pathogens. |
| Shipment Records | Maintain documentation supporting compliance with onsite plan and any shipping/manifests required by vendors/regulators. |
Regulated Waste Types in Colorado
Quick Compliance Checklist
Choose the Correct Accumulation Option
30 days (no refrigeration) or 90 days (refrigerated/frozen) as allowed.
Package per DOT When Required
Use DOT-compliant packaging for infectious substances for the selected option.
Secure Storage Areas
Prevent unauthorized access and nuisance conditions.
Maintain an Onsite Plan
Implement an infectious waste management plan appropriate for your facility.
Use Compliant Vendor
Ensure transporter/treatment/disposal is compliant.
Keep Records
Retain training and shipment documentation.
Official Resources & Forms
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This guide is for informational purposes only. Always verify current regulations directly with your state agency.