Medical waste rules in Seattle, WA
Washington sets a single statewide definition of biomedical waste in RCW 70A.228 and then leaves generator rules to the 39 local health jurisdictions; the state Department of Health does not run a medical waste program. Haulers are regulated by the Utilities and Transportation Commission (UTC) under chapter 81.77 RCW and WAC 480-70, so a practice's obligations come from its county health code and its hauler's tariff and shipping papers.
- What counts (RCW 70A.228.010): cultures and stocks, human blood and blood products (materials containing free-flowing blood), pathological waste from surgery, obstetrics and autopsy, sharps waste (needles, syringes with needles attached, IV tubing with needles, scalpel blades and lancets removed from their sterile package), infected animal waste and biosafety level 4 disease waste. The definition preempts any local one (RCW 70A.228.020).
- Local rules govern the generator: Public Health, Seattle and King County, for example, applies King County Board of Health Code Title 10, which requires segregation at the point of origin, proper storage, labeling and containment, treatment by a Public Health-permitted vendor when not treated on site, transport by a Public Health-permitted hauler and a written biomedical waste management plan available for inspection. Spokane, Snohomish, Pierce, Clark and the other jurisdictions publish their own codes; check the county before assuming a storage limit.
- Haulers (WAC 480-70-426 to 480-70-476): a company collecting biomedical waste for compensation operates under a UTC certificate, keeps a biomedical waste operating plan in its office and in every vehicle, trains and certifies its staff, uses fully enclosed leak-proof cargo compartments separated from the driver, never compacts biomedical waste and delivers only to facilities that meet local, state and federal rules.
- Packaging (WAC 480-70-451): non-sharps waste in moisture-impervious bags or lined containers that will not rip, tear, leak or burst, placed by the hauler inside tightly covered pails, cartons, drums or bins; sharps in rigid, puncture-resistant, moisture-impervious containers labeled to federal standards. Reusable containers are washed and decontaminated every time they are emptied.
- Shipping papers (WAC 480-70-471): the hauler issues a 49 CFR Part 172 shipping paper for every shipment naming the generator, the person who handed over the waste, the collection date and time, the destination, the type and quantity, and signed by both the generator's representative and the driver; the receiving facility signs on arrival and the company keeps a copy for three years. Ask for your copy, since that is the record most county inspectors expect to see.
- Residential sharps (RCW 70A.228.040, .050): households use a red, rigid sharps container and keep it out of recycling; that programme is separate from commercial generators.
Source: RCW Chapter 70A.228, Biomedical Waste (Washington State Legislature).
Reviewed September 2026.
General information, not legal advice. Requirements change; we confirm what applies to your facility during onboarding.Washington overviewAll states