Medical waste rules in Columbus, OH

Ohio calls it infectious waste. Ohio EPA regulates generators under Ohio Revised Code 3734.021 and Ohio Administrative Code Chapter 3745-570, which replaced the old Chapter 3745-27 rules on April 6, 2025. The line that matters is 50 pounds a month: below it a practice is a small generator with light duties, at or above it a large generator that registers with Ohio EPA.

  • Small generators (OAC 3745-570-110): less than 50 pounds of infectious waste in any one month at a premises. They separate infectious waste at the point of generation, put sharps in a labeled sharps container, weigh and record their monthly generation for each premises, and treat cultures on site or through a licensed facility. Packaged and labeled to federal (DOT) standards, a small generator's other infectious waste may go out with solid waste.
  • Large generators (OAC 3745-570-120, 3745-570-125): 50 pounds or more in any one month. They apply for a registration certificate within 30 days after the end of that month, with a $140 fee; the certificate covers every premises, lasts three years and is renewed 30 days before it expires. They segregate into biohazard-labeled containers, never compact untreated waste, and send it to a licensed Ohio treatment facility or an out-of-state facility.
  • Storage (OAC 3745-570-31, 3745-570-100): containers are kept intact and non-putrescent, refrigerated or frozen if needed; indoor storage carries the biohazard symbol at every access point and outdoor storage is locked; self-storage units are prohibited. Closed containers must reach a treatment facility, or lawful disposal for small generators, within 60 days.
  • Transport: Ohio does not license infectious waste transporters. Packaging for shipment follows the US DOT rules in 49 CFR Parts 173 and 178, and large generators also follow OSHA 29 CFR 1910.1030.
  • Records: large generators keep disposal papers for waste treated on site for at least five years (OAC 3745-570-120); small generators keep their monthly weight records and produce them on request.

Source: Ohio EPA, Ohio Administrative Code Chapter 3745-570, Infectious Waste.

Reviewed September 2026.

General information, not legal advice. Requirements change; we confirm what applies to your facility during onboarding.Ohio overviewAll states

Scheduling options in Columbus

  1. Scheduled route pickupWeekly, every other week, monthly or quarterly, set from what your Columbus facility actually generates and adjusted as volume changes.
  2. On-call pickupFor low-volume sites that fill a container every few months. You call when a container is ready and we schedule the collection.
  3. Multi-location programsOne point of contact for groups with several Columbus area sites, with pickup schedules, billing and documentation organized by location.

Services available in Columbus

  1. Regulated medical waste pickupScheduled or on-call pickup of regulated medical waste, also called biohazard or red bag waste, from healthcare facilities: compliant containers, permitted transport and a manifest for every collection.Red bag, cardboard box
  2. Sharps disposalSharps container supply, exchange and disposal for practices of every size, from a single dental office to a hospital network.Red sharps container
  3. Pharmaceutical waste disposalCompliant collection and disposal of expired, unused and partially used non-hazardous pharmaceuticals, with the right stream for each drug.Blue container
  4. Trace chemo waste disposalYellow-container collection for trace chemotherapy waste from oncology, infusion and specialty practices.Yellow container
  5. RCRA hazardous waste disposalBlack-container programs for RCRA-listed and characteristic hazardous pharmaceutical waste, with generator-status guidance and cradle-to-grave documentation.Black container
  6. Pathological waste disposalDedicated, labeled collection for tissues, organs and surgical specimens from surgery centers, labs, dermatology practices and veterinary clinics.Red bag, pathology label

Facilities we serve in Columbus

All facility types

Columbus service questions

How quickly can service start in Columbus?

After we review your facility details, operations confirms a route and start date before anything is promised. Timing depends on your address, waste streams and containers, so we give you an estimate once we have reviewed them.

Which rules apply to medical waste in Columbus?

Ohio sets the state requirements for segregation, storage time, transporter permits and treatment; OSHA, DOT and EPA rules apply on top. The Ohio summary above covers the points that most affect small and mid-size generators, and we confirm what applies to your facility during onboarding.

Do you handle multiple Columbus locations under one account?

Yes. Multi-location groups get one point of contact, with pickup schedules, billing and documentation organized by location.

What documentation do we receive?

A manifest or tracking document for every pickup, plus certificates of treatment where applicable, so your compliance file stays complete.

Medical waste pickup in Columbus, OH

Tell us your address, waste streams and current pickup schedule. We reply with a clear quote.