Pat Quinn, Governor
Potentially Infectious Medical Waste
A Summary of Regulatory Requirements
Hospital Special Requirements
Title XV of the Illinois Environmental Protection Act (Act) establishes statutory requirements to ensure that Potentially Infectious Medical Waste (PIMW) will be handled in a safe and responsible manner. On June 17, 1993, the Illinois Pollution Control Board (Board), in accordance with Title VII of the Act, adopted regulations prescribing the standards and criteria for the handling of PIMW. These regulations became effective June 21, 1993. The requirements found in the Act and the Board’s regulations are intended to reduce the occupational and environmental health risks that occur during the storage, treatment, transport, transfer, and disposal of PIMW.
The information presented in this fact sheet does not eliminate any person’s responsibility to fulfill any legal obligation under the Act or regulations promulgated thereunder.
The purpose of this fact sheet is to provide some of the PIMW requirements, found in both the Act and the Board’s regulations. For the complete requirements, please see Title XV of the Act and 35 Illinois Administrative Code (Ill. Adm. Code): Subtitle M.
For additional information on PIMW regulations in Illinois, contact the PIMW Coordinator at the Illinois Environmental Protection Agency; Bureau of Land #33; 1021 North Grand Avenue East; P.O. Box 19276; Springfield, Illinois 62794-9276, or call (217) 524-3289.
How should hospitals segregate their waste?
Hospitals should separate their waste as follows:
In cases where these wastes are mixed, the whole lot must be managed in accordance with the regulations for each waste type.
How should PIMW be packaged for transport to a permitted off-site storage or treatment facility?
All PIMW which is to be shipped OFF-SITE, except for oversized PIMW, must be placed in containers that are:(1) rigid, (2) leak-resistant, (3) impervious to moisture, (4) of sufficient strength to prevent tearing or bursting under normal conditions of use and handling, and (5) sealed to prevent leakage during transport. In addition to the requirements listed above, sharps containers must also be puncture-resistant.
Oversized PIMW must be covered or packaged so that contact with transport workers and the public is minimized. Sharps may not be packaged with oversized PIMW.
How should PIMW be labeled or marked before shipping off site?
Hospitals which package PIMW for off-site transportation must mark on two opposite sides of the exterior of the PIMW package (on one side of oversized PIMW), in lettering that is readable at a minimum distance of five feet: (1) the word ‘BIOHAZARD’, (2) the word ‘Sharps’ if the package contains sharps, and (3) the International Biohazard Symbol.
In addition, the hospital must securely attach a water-resistant label or tag to each package and write in indelible ink: (1) Hospital’s name, (2) Hospital’s address, and (3) Hospital’s phone number (24-hour number, if available).
Inner packages must be marked with the word ‘BIOHAZARD’, the word ‘SHARPS’ if they contain sharps, and the International Biohazard Symbol.
How should PIMW be stored prior to treatment, disposal, or transport?
Hospitals which store PIMW prior to treatment on-site or transport off-site must comply with the following:
Multiple generators in the same building may store their PIMW in a common storage area, and must comply with the above standards.
Who can transport PIMW and what are the special requirements?
Haulers of PIMW are required to have:
Can a hospital accept medical waste from other sources?
The Act defines a transfer station as a site or facility that accepts waste for temporary storage or consolidation and further transfer to a waste disposal, treatment, or storage facility.
PIMW facilities must receive a permit from the Illinois EPA Bureau of Land to treat, store, or transfer PIMW from off-site. Only PIMW that has been stored and packaged in accordance with the Act and regulations promulgated thereunder may be shipped to these facilities. A hospital can accept PIMW from members of its medical staff without a permit provided it has been properly packaged.
Hospitals which treat their own PIMW
Treatment facilities are those facilities designed and operated to treat PIMW to eliminate its infectious potential. Hospitals which treat only their own PIMW or that of their medical staff are not required to be permitted by the Illinois EPA.
A treatment facility must certify to the transporter, if other than the generator, and certify to the landfill operator or receiving facility operator that the PIMW has been treated in accordance with 35 Illinois Adm. Code 1422 and, if applicable, with all terms and conditions specified in its operating permit. Data verifying the efficacy of the treatment unit must be made available to the receiving facility upon request of the receiving facility.
Treatment of PIMW must be conducted in a manner that:
What can I do with residuals left from treating or cleaning PIMW?
Treatment residuals must be disposed of in accordance with all applicable regulations.
Residues from cleaning and disinfecting anything contaminated with PIMW are regulated as PIMW, except when discharged directly into a sanitary or combined sewer in accordance with 35 Illinois Adm. Code: Subtitle C (Water Pollution Control). Please note: Local governments or sanitary districts may have requirements that are more stringent than these regulations. The generator of any residue is responsible for checking with the local sanitary district before disposing of any liquid PIMW into the sewer system. Solids are prohibited from disposal into any sewer system.
Residues which have been treated as PIMW in accordance with these regulations are no longer considered PIMW and may go to any municipal landfill, EXCEPT:
Units designed to treat PIMW
Hospitals which treat their own waste must comply with the treatment unit standards. A treatment unit must be:
A treatment unit may be used by a hospital which is not required to have a treatment permit if one of the following is met:
Autoclaves, incinerators, and ethylene oxide units installed or operated prior to June 21, 1993 are not required to perform an IET. The first PVT must be performed by September 21, 1993 to demonstrate that the infectious potential has been eliminated.
Untreated medical waste cannot be disposed of into any landfill!
Untreated PIMW is banned from all landfills in Illinois. Once PIMW has been properly treated to eliminate its infectious potential, it is no longer PIMW (except in the case of sharps) and may be disposed of into any landfill permitted by the Illinois EPA to accept municipal waste. For sharps, both the infectious nature must be eliminated and the sharps must either be rendered unrecognizable or packaged in accordance with the regulations prior to disposal. A treatment facility must certify to the transporter, if other than the generator, and certify to the landfill operator or receiving facility operator that the PIMW has been treated in accordance with 35 Illinois Adm. Code 1422 and, if applicable, with all terms and conditions specified in its operating permit. Data verifying the efficacy of the treatment unit must be made available to the receiving facility upon request of the receiving facility.
PIMW treated by incineration
A hospital incinerator requires a permit from the Illinois EPA Bureau of Air to burn its own waste and that of its medical staff. If the hospital accepts any off-site waste from a person who is not a member of its medical staff, then a permit from the Illinois EPA Bureau of Land will be required. Incinerators must meet all testing requirements as described in 35 Illinois Adm. Code: Subtitle M, even if no Bureau of Land permit is required.
Ash resulting from the incineration of PIMW is categorized as an industrial process waste, and therefore must be managed as a special waste. Special waste requires a special waste manifest, must be transported by a permitted special waste hauler, and can only be disposed of into landfills permitted to accept special waste. Details of the management of special waste may be found in Section 3.45 of the Act or in the Illinois EPA Fact Sheet on Non- Special Waste Certification.
PIMW treated by autoclaving
Hospital autoclaves do not require a permit from Illinois EPA for the treatment of PIMW generated on-site or by members of its medical staff. If the hospital accepts any off-site waste from a person who is not a member of its medical staff, then a permit from the Illinois EPA Bureau of Land will be required. Autoclaves must meet all testing requirements as described in 35 Illinois Adm. Code: Subtitle M, even if no Bureau of Land permit is required.
What records and reports does a hospital need to complete for PIMW?
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