# Healthcare Waste Institute — Hazardous Materials Safety Interpretation

- **operation:** document
- **citation:** 21-0085
- **title:** Healthcare Waste Institute — Hazardous Materials Safety Interpretation
- **source type:** guidance
- **agency:** Pipeline and Hazardous Materials Safety Administration
- **status:** guidance
- **official:** true
- **published on:** 2021-09-24
- **effective on:** Not available
- **summary:** 21-0085 response to Healthcare Waste Institute concerning 171.1.
- **machine formats:** - **json:** https://regulus.evalyn.ai/document/phmsa-interpretation-21-0085.json
- **markdown:** https://regulus.evalyn.ai/document/phmsa-interpretation-21-0085.md
- **app url:** https://regulus.evalyn.ai/document/phmsa-interpretation-21-0085
- **source url:** https://www.phmsa.dot.gov/sites/phmsa.dot.gov/files/docs/standards-rulemaking/hazmat/interpretations/75946/210085.pdf
**body:**

<<<PAGE 1>>>

U.S. Department
of Transportation
Pipeline and Hazardous
Materials Safety
Administration
1200 New Jersey Avenue, SE
Washington, DC 20590
September 24, 2021
Mr. Darrel K. Smith
President and CEO
Healthcare Waste Institute
1550 Crystal Drive, Suite 804
Arlington, VA 22202
Reference No. 21-0085
Dear Mr. Smith:
This letter is in response to your August 16, 2021, email requesting clarification of the
Hazardous Materials Regulations (HMR; 49 CFR Parts 171-180) applicable to requirements for
the transportation of regulated medical waste. Specifically, you seek confirmation that the
requirements for the transportation of hazardous materials in commerce found in the HMR apply
to generators and carriers of regulated medical waste in quantities less than 200 lbs.
The answer is yes. There are requirements in the HMR applicable to the transportation of
regulated medical waste in commerce, regardless of the aggregate quantity offered or transported
at a given time.
As noted in the 2012 Utah Division of Solid & Hazardous Waste infectious waste transportation
guidance, “OSHA and USDOT have separate regulations that apply to infectious waste. These
regulations should be consulted by persons handling infectious waste.” This 2012 guidance,
issued by a division of the Utah state government clarifying applicability of Utah state law, does
not conflict with the requirements of the HMR.

<<<PAGE 2>>>

Therefore, PHMSA does not intend to direct the state to revise its guidance.
I hope this information is helpful. Please contact us if we can be of further assistance.
Sincerely,
Dirk Der Kinderen
Chief, Standards Development Branch
Standards and Rulemaking Division

<<<PAGE 3>>>

21-0085
Patrick
From: Foster, Glenn (PHMSA)
To: Subject: Date: Dodd, Alice (PHMSA); Hillman, Kenetha CTR (PHMSA)
FW: Email from Chief Counsel Inbox
Thursday, August 19, 2021 4:32:46 PM
Attachments: FW Request for interpretation.msg
image002.png
Alice and Kenetha,
Please have the attached checked in as an Interp and assigned to a Specialist.
Thanks,
Glenn
From: Saniuk, Madison (PHMSA) <madison.saniuk@dot.gov>
Sent: Thursday, August 19, 2021 4:16 PM
To: Foster, Glenn (PHMSA) <Glenn.Foster@dot.gov>
Cc: Horsley, Adam (PHMSA) <adam.horsley@dot.gov>; Andrews, Steven (PHMSA)
<steven.andrews@dot.gov>; Ciccarone, Michael (PHMSA) <m.ciccarone@dot.gov>
Subject: FW: Email from Chief Counsel Inbox
Glenn,
The attached email and letter got routed to PHC to make sure it wasn’t a preemption request. Upon
review we realized that the letter is a general HMR applicability question/interpretation request, so
I’m passing it along to you and your team.
Thanks,
Madison Saniuk
Attorney Advisor, Office of the Chief Counsel
US Department of Transportation
Pipeline and Hazardous Materials Safety Administration
1200 New Jersey Avenue, SE, Washington, DC, 20590
Office: 202.366.8573 ◊ Mobile: 202.807.8850
PRIVILEGED & CONFIDENTIAL: This e-mail, including any attachments, is confidential,
intended only for the named recipient(s) above and may contain information that is privileged,
confidential, attorney work product or otherwise legally protected. If you have received this
message in error, or are not the named recipient(s), please immediately notify me and permanently
delete this e-mail message and any attachments from your workstation and/or network mail system.
From: Hollingshead, Brandon (PHMSA) <brandon.hollingshead@dot.gov>
Sent: Thursday, August 19, 2021 8:55 AM
To: Saniuk, Madison (PHMSA) <madison.saniuk@dot.gov>
Cc: Horsley, Adam (PHMSA) <adam.horsley@dot.gov>; Tsaganos, Vasiliki (PHMSA)

<<<PAGE 4>>>

<vasiliki.tsaganos@dot.gov>
Subject: Email from Chief Counsel Inbox
Madison,
The attached email and letter from the Healthcare Waste Institute came into
the Chief Counsel inbox. I am sending to you for review and whatever action
is appropriate.
Thank you.
Best,
Brandon Hollingshead
Assistant Chief Counsel for General Law, Office of Chief Counsel
US Department of Transportation
Pipeline and Hazardous Materials Safety Administration
1200 New Jersey Avenue, Washington, DC, 20590
Office: 202.366.0845 ◊ Mobile: 202.604.6777
PHMSA Home | LinkedIn | Twitter | HAZMAT | OPS
PRIVILEGED & CONFIDENTIAL: This e-mail, including any attachments, is confidential, intended only for the
named recipient(s) above and may contain information that is privileged, confidential, attorney work product or
otherwise legally protected. If you have received this message in error, or are not the named recipient(s), please
immediately notify me and permanently delete this e-mail message and any attachments from your workstation
and/or network mail system.

<<<PAGE 5>>>

21-0085
Patrick
1550 Crystal Drive
Suite 804
Arlington, VA 22202
T 202.244.4700
August 16, 2021
T. Glenn Foster
Chief, Regulatory Review and Reinvention Branch
Standards and Rulemaking Division
Pipeline & Hazardous Materials Safety Administration
U.S. Department of Transportation
1200 New Jersey Avenue, SE
Washington, DC 20590
Re: Transportation of Infectious Waste
Dear Mr. Foster:
The Healthcare Waste Institute (HWI) of the National Waste & Recycling Association
(NWRA) is writing to request an interpretation on Utah’s Infectious Waste
Management Guidance.
1 The HWI represents manufacturers and service providers
as well as other professionals in the healthcare waste management industry.
The Healthcare Waste Institute is an advocacy organization within NWRA, a not-for-
profit trade group serving the interests of the solid and healthcare waste industries.
The Institute supports private companies across the United States that manage
healthcare waste, including regulated medical waste and infectious substances,
through transportation and facility operations. In addition, members assist
shippers in complying with hazardous materials packaging requirements.
The “Infectious Waste Transportation” section states that transporters of infectious
waste are regulated when they have more than 200 pounds from one source in the
vehicle at one time and must follow US DOT requirements. This implies that US DOT
requirements do not apply for infectious waste below Utah’s state regulated 200-
1 Infectious Waste Management Guidance, Utah Division of Solid & Hazardous Waste, May 2012,
accessed August 4, 2021 at https://documents.deq.utah.gov/waste-management-and-radiation-control/solid-
waste/DSHW-2019-002192.pdf

<<<PAGE 6>>>

Utah Infectious Waste Management Guidance
August 16, 2021
Page 2 of 2
pound weight limit. However, US DOT regulates the packing, marking, labeling, and
transportation of regulated medical waste for transportation regardless of weight.
While we understand that the state does not have any regulations governing the
transportation of infectious waste when it is below the weight threshold,
nonetheless, transportation of Regulated Medical Waste falls under the US DOT’s
Hazardous Materials Regulations which preempts state regulations and thus,
transporters must comply with federal laws. However, facilities may not understand
this distinction and, as a result, based on this guidance could mix infectious waste
with their municipal solid waste. This jeopardizes the ability of waste transporters
to comply with state and federal regulations. We therefore request an interpretation
as to whether the Hazardous Materials Regulations (HMR; 49 CFR §171-180) would
preempt this guidance and if so, if PHMSA will direct the state to revise the guidance
accordingly. A revised guidance would provide consistency, enabling transporters to
better comply with all regulations.
HWI appreciates your consideration of our request. HWI and its members would
welcome the opportunity to discuss these and other concerns in further detail.
Should you have any questions, please call Anne Germain at 202-364-3724 or e-mail
at agermain@wasterecycling.org.
Very truly yours,
Darrel K. Smith
President & CEO
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