Managing medical waste is one of the most important responsibilities of any healthcare facility. Improper handling, storage, or disposal of infectious or hazardous waste can put staff, patients, and the surrounding community at risk. It can also lead to steep fines, legal liabilities, and damage to a facility’s reputation. That’s why it’s essential for healthcare providers in Delaware to understand and follow Delaware medical waste regulations, along with applicable federal requirements.
These rules are designed to minimize public health risks, protect workers from exposure to sharps and infectious materials, and ensure that waste is safely treated and disposed of. While the regulations can be complex, this guide provides a clear overview with links to official resources so your facility can stay informed and compliant.
Delaware State Requirements
The DNREC Division of Waste and Hazardous Substances regulates infectious and hazardous waste in Delaware. The rules are detailed in the Delaware Regulations Governing Solid Waste (7 DE Admin. Code 1301) and Hazardous Waste Regulations (7 DE Admin. Code 1302).
Key state regulations include:
- Generator Registration – Facilities must register with DNREC and obtain an Infectious Waste Identification Number (Infectious Waste Generator Registration).
- Annual Reporting – Generators must file reports each year summarizing how waste was managed.
- Packaging & Storage – Infectious waste must be double-bagged in red bags and placed in rigid containers. Sharps require leak-proof, puncture-resistant containers. Storage time is limited (e.g., 14 days at room temperature).
- Transporters – Only DNREC-permitted transporters may move infectious waste (Solid Waste Transporter Permits).
- Treatment & Disposal – Infectious waste must be rendered noninfectious before landfilling. Pathological waste must be incinerated, cremated, or interred.
- Hazardous Waste – Businesses generating chemical, pharmaceutical, or laboratory waste must determine generator status (large vs. small quantity) and comply with reporting and handling requirements. See DNREC’s Hazardous Waste Management Guides.

Federal Regulations That Apply
Healthcare facilities in Delaware must also comply with federal agencies overseeing medical waste:
- OSHA – Worker safety standards, including Bloodborne Pathogens Standard (29 CFR 1910.1030).
- DOT (PHMSA) – Infectious substances and regulated medical waste are classified as hazardous materials. See DOT Infectious Substances Overview and 49 CFR 173.197 Packaging Requirements.
- EPA – Does not have authority for medical waste, but provides oversight of hazardous waste treatment and disposal practices. See the EPA Medical Waste resource page and Resource Conservation and Recovery Act (RCRA) Regulations.
- CDC – Offers guidelines for regulated medical waste management.
- FDA – Regulates sharps disposal containers as Class II devices. See FDA Sharps Disposal in Healthcare Facilities.
- DEA – Oversees pharmaceutical waste when controlled substances are involved. See DEA Drug Disposal Information.
Why Compliance Matters
Failure to follow Delaware medical waste regulations can result in:
- Significant fines from state or federal agencies
- Increased risk of staff injuries, including needlestick accidents
- Exposure to bloodborne pathogens and dangerous chemicals
- Community health risks if waste is improperly treated or disposed
- Damage to your facility’s credibility and trust
Staying informed and compliant ensures not only regulatory protection but also a safer environment for employees, patients, and the wider public.
Partner with ASMAI for Full Compliance
Understanding all the state and federal requirements can be overwhelming—but you don’t have to manage it alone. Advant-EDGE Solutions of Middle Atlantic, Inc. (ASMAI) helps healthcare providers across Delaware stay fully compliant.
Our services include:
ASMAI goes beyond disposal. Our compliance package includes facility audits, employee training programs (DOT, OSHA Bloodborne Pathogens, HIPAA, and more), and online portal access for manifests, training records, and pickup schedules. We provide peace of mind that your facility is meeting every requirement while reducing liability and risk.
Ready to protect your staff and stay ahead of Delaware medical waste regulations? Request a quote and get started with our compliance solutions.