Bio/Trauma Documentation upload
Upload all required Bio/Trauma documentation to confirm your location is prepared and approved to begin offering this service. This submission verifies that you have the proper training records, certifications, and materials on file. All state-specific requirements are listed below for your reference.
UWRG Biohazard Cleanup Requirements by State
Comprehensive guide to certifications, licensing, and compliance for trauma and biohazard cleanup professionals.
Overview
This guide outlines regulatory requirements and best practices for performing biohazard cleanup across all 50 U.S. states. It includes federal mandates, key certifications, and an operator-level state-by-state cheat sheet identifying what is required in each jurisdiction for compliance, including certifications, disease education, waste handling, transportation, and state-specific licensing or registration obligations.
Federal & Industry Standards (Apply in All States)
- OSHA Bloodborne Pathogens Standard (29 CFR 1910.1030): Exposure Control Plan, annual training, Hepatitis B vaccination offer, PPE, medical records.
- OSHA Hazard Communication (29 CFR 1910.1200) and Respiratory Protection (29 CFR 1910.134): Hazard labeling, SDS, and respirator program with medical clearance & fit testing.
- EPA / CDC Guidance: Best practices for medical/regulated waste segregation, packaging, storage, and disposal.
- USDOT/PHMSA (49 CFR Parts 171–180): Requirements for transporting regulated medical waste; hazmat training for applicable drivers.
- Industry Standards (Recommended): IICRC S540, IICRC TCST, ABRA certifications, documented infectious disease & trauma scene cleanup training.
States with Specific Trauma Scene Cleanup Requirements
California
- Authority: California Department of Public Health (CDPH) - Medical Waste
- Trauma Scene License: Trauma Scene Waste Management Practitioner
- Key Rules: Registration as a Trauma Scene Waste Management Practitioner; compliance with the Medical Waste Management Act, OSHA, and DOT.
Georgia
- Authority: Georgia Board of Trauma Scene Waste Management
- License: Trauma Scene Waste Management Practitioner (Company & Practitioner)
- Key Rules: Registration, insurance/bonding, and compliance with Georgia trauma scene waste regulations.
Florida
- Authority: Florida Department of Health - Biomedical Waste Program
- Requirements: Biomedical waste generator permit and, if applicable, transporter registration.
- Key Rules: Compliance with Chapter 64E-16 F.A.C., OSHA Bloodborne Pathogens Standard, and DOT requirements.
Operator-Level Cheat Sheet: All States & DC
Each state requires compliance with OSHA, DOT, and its own Regulated Medical Waste (RMW) rules. The links below direct to RMW / biomedical waste guidance (via EnvCAP/HERC or state programs) where you can confirm generator registration, transporter requirements, packaging, storage, and recordkeeping standards.
| State / Jurisdiction | Regulatory Focus / Requirements |
|---|---|
| Alabama | RMW program; generator plan, segregation, packaging, and use of permitted transporters/treatment. |
| Alaska | Infectious/medical waste rules; strict packaging and transport expectations. |
| Arizona | RMW under health/environment agencies; generator management, storage limits, approved haulers. |
| Arkansas | Medical/infectious waste rules; registration and proper treatment/disposal. |
| California | Medical Waste Management Act; separate trauma scene registration via CDPH for cleanup firms. |
| Colorado | Infectious waste under solid waste rules; packaging, storage, and treatment standards. |
| Connecticut | Biomedical waste regulations; generator categories, manifests, treatment requirements. |
| District of Columbia | Medical waste rules; DOH oversight for generators and haulers. |
| Delaware | Infectious waste requirements; use of authorized transporters and facilities. |
| Florida | Biomedical waste program; permits for generators/transporters; strict labeling and storage standards. |
| Georgia | RMW rules plus trauma scene waste management licensing requirements. |
| Hawaii | Infectious waste controls; approved treatment and transport standards. |
| Idaho | Infectious waste guidance; disposal via permitted facilities. |
| Illinois | PIMW program; generator obligations, manifests, and treatment documentation. |
| Indiana | Infectious waste rules; storage, labeling, and handling requirements. |
| Iowa | Infectious medical waste; segregation, packaging, and authorized treatment/disposal. |
| Kansas | Medical/infectious waste rules; manifests and approved facilities as required. |
| Kentucky | Infectious waste regulations; generator duties and transporter requirements. |
| Louisiana | Medical waste regulations; registration and disposal via authorized facilities. |
| Maine | Biomedical waste rules; transporter licensing; strict segregation and packaging. |
| Maryland | Special Medical Waste program; permitting, manifesting, and treatment standards. |
| Massachusetts | Biological/medical waste rules; strict generator and transporter obligations. |
| Michigan | Medical Waste Regulatory Act; generator registration and written MWMP. |
| Minnesota | Infectious waste rules; applied to healthcare and cleanup operations. |
| Mississippi | RMW rules; manifests and approved transport/treatment providers. |
| Missouri | Infectious waste under solid waste program; defined handling and treatment. |
| Montana | Infectious waste rules; coordination with DEQ and local health authorities. |
| Nebraska | Infectious waste; segregation, storage, and use of permitted haulers/facilities. |
| Nevada | Bio/medical waste rules; county-level enforcement (e.g., Clark/Washoe) may add requirements. |
| New Hampshire | Infectious waste guidance; disposal via approved facilities. |
| New Jersey | Regulated Medical Waste program; cradle-to-grave manifesting and strict treatment rules. |
| New Mexico | Infectious waste regulations; generator and transporter requirements. |
| New York | RMW program; strict generator rules, manifests, and treatment documentation. |
| North Carolina | Medical waste rules; hauler permitting; storage & packaging standards. |
| North Dakota | Infectious waste segregation and disposal via authorized facilities. |
| Ohio | Infectious Waste program; registration thresholds and management rules. |
| Oklahoma | RMW rules; generator responsibilities and transporter regulations. |
| Oregon | Infectious waste regulations; packaging, storage, and transportation standards. |
| Pennsylvania | RMW rules; manifests and authorized treatment/disposal required. |
| Rhode Island | RMW program; hauler licensing and operating standards. |
| South Carolina | Infectious waste rules; generator registration and manifesting. |
| South Dakota | Infectious waste guidance; use of approved transport and treatment. |
| Tennessee | Medical waste under solid waste/DOH oversight; defined handling protocols. |
| Texas | Medical waste regulations; generator registration, packaging, and manifesting. |
| Utah | Infectious waste rules; incineration and alternative treatment options. |
| Vermont | RMW program; packaging and disposal standards. |
| Virginia | RMW regulations; permits for treatment facilities; generator obligations. |
| Washington | Biomedical/infectious waste rules; strict segregation, container, and transport requirements. |
| West Virginia | Infectious medical waste regulations; permits for larger generators and facilities. |
| Wisconsin | Infectious waste management; written plans and volume-based requirements. |
| Wyoming | Infectious waste guidance; disposal consistent with EPA/CDC best practices. |
Internal Company Compliance Checklist
- Maintain active business registration and any required local licenses.
- Implement OSHA-compliant Bloodborne Pathogens & Hazard Communication programs.
- Provide initial and annual training; offer Hepatitis B vaccination.
- Maintain a written waste management plan (segregation, packaging, labeling, manifests).
- Use licensed/permitted medical waste transporters and treatment facilities.
- Ensure key staff hold IICRC TCST or equivalent trauma/biohazard cleanup training.
- Carry appropriate insurance: General Liability, Pollution Liability, Auto, Workers’ Comp.
- Retain records (training, manifests, permits) for verification and audits.
Recommended Resources
Training & Certifications
The following training and certifications are required for UWRG Locations performing trauma and biohazard cleanup. Each link opens in a new tab.

