Chapter NR 526
MEDICAL WASTE MANAGEMENT
Subchapter I — General Provisions
Subchapter II — Infectious Waste Management
NR 526.05 Infectious waste categories. NR 526.055 Trace chemotherapy waste. NR 526.06 Source separation. NR 526.09 Storage and transfer. NR 526.10 Transportation and shipping. NR 526.11 Treatment methods. NR 526.12 Treatment facilities. NR 526.14 Records and infectious waste manifests. NR 526.15 Infectious waste annual reports. Subchapter III — Medical Waste Reduction
NR 526.17 Medical waste reduction policy. NR 526.19 Medical waste reduction plan. NR 526.20 Implementation and assessment. NR 526.21 Progress reports. NR 526.01 HistoryHistory: Cr. Register, October, 1994, No. 466, eff. 11-1-94. NR 526.02(1)(1) Except as otherwise provided, the infectious waste management rules apply to all persons generating, handling, storing, transporting, shipping, treating and disposing of infectious waste. NR 526.02(2)(2) Except as otherwise provided, the medical waste reduction rules in this chapter apply only to medical facilities. NR 526.02(3)(3) Except as otherwise provided, this chapter governs all solid waste facilities as defined in s. 289.01 (35), Stats., except hazardous waste facilities as defined in s. 291.01 (8), Stats., and regulated under chs. NR 660 to 679; metallic mining operations for nonferrous minerals as defined in s. 293.01 (9), Stats., and regulated under ch. NR 182; and metallic mining operations for ferrous minerals as defined in s. 295.41 (26), Stats., including mining wastes and mining waste sites as defined in s. 295.41 (30) and (31), Stats., and regulated under subch. III of ch. 295, Stats. NR 526.02(4)(4) This chapter does not apply to the design, construction or operation of industrial wastewater facilities, sewerage systems and waterworks treating liquid wastes approved under s. 281.41, Stats., or permitted under ch. 283, Stats., nor to facilities used solely for the disposal of liquid municipal or industrial wastes which have been approved under s. 281.41, Stats., or permitted under ch. 283, Stats., except for facilities used for the disposal of solid waste. NR 526.02(5)(5) Except as otherwise provided, this chapter does not apply to the handling, transportation, treatment or disposal of animal carcasses, animal tissue, blood and body fluids from animals, or animal excreta. In cases where the requirements of this chapter conflict with the requirements of s. 95.50, Stats., concerning the disposition of animal carcasses, the provisions of s. 95.50, Stats., shall take precedence. NR 526.02(6)(6) This chapter does not apply to medical waste mixed with radioactive material which is managed and disposed in a manner that does not violate the provisions of 10 CFR parts 20, 35, 60 and 61, and ch. DHS 157. Except as otherwise provided, this chapter shall apply after the radioactive component has decayed in storage as provided in 10 CFR 35.92 and ch. DHS 157 or is otherwise not regulated as radioactive material. NR 526.02(7)(7) Any provision of this chapter which deals with occupational health and safety does not apply to a person who is subject to a federal standard for the same activity which is in effect under the federal occupational safety and health act of 1970 and standards promulgated thereunder by OSHA. NR 526.02(8)(8) Any requirement of subch. II which deals with transportation of infectious waste does not apply to a person who is subject to a federal standard for the same activity established by the United States department of transportation in 49 CFR Parts 171, 172, 173, 177 and 178. NR 526.02 HistoryHistory: Cr. Register, October, 1994, No. 466, eff. 11-1-94; corrections in (6) made under s. 13.93 (2m) (b) 7., Stats., Register March 2003 No. 567; CR 05-020: cr. (8) Register January 2006 No. 601, eff. 2-1-06; corrections in (3) and (6) made under s. 13.92 (4) (b) 7., Stats., Register April 2012 No. 688; CR 13-057: am. (3) Register July 2015 No. 715, eff. 8-1-15. NR 526.03NR 526.03 Definitions. The definitions in s. NR 500.03 apply to the terms used in this chapter unless the context requires otherwise. NR 526.03 HistoryHistory: Cr. Register, October, 1994, No. 466, eff. 11-1-94. NR 526.04(1)(1) General exemptions. In special cases, the department may grant exemptions in writing from non-statutory requirements of this chapter. A person may apply for an exemption under this section by providing the department with a written request along with appropriate documentation which demonstrates to the satisfaction of the department that the proposal will not cause environmental pollution as defined in s. 299.01 (4), Stats., and will protect waste handlers and other persons from exposure to infectious waste. The department will send an invoice for the exemption request fee specified in s. NR 520.04, Table 2, upon receipt of the exemption request. In making its decision, the department shall take into account factors such as the population of the area being served, the amount of waste being generated, the design of the facility, the operational history of the facility, the physical and chemical characteristics of the waste and any other information which may be appropriate. The department may grant exemptions under this section if the department finds that granting the exemption will not cause environmental pollution as defined in s. 299.01 (4), Stats., and that the exemption will protect waste handlers and other persons from exposure to infectious waste. NR 526.04(3)(3) Sharps collection station exemptions. Persons who operate sharps collection stations are exempt from the requirements of this chapter except the requirements under s. NR 526.09 (5). NR 526.04(4)(4) Emergency response exemptions. Persons, including but not limited to law enforcement personnel, emergency medical personnel and fire fighters, who are responding to an emergency not occurring at a medical facility, including but not limited to vehicle accidents, fires and natural disasters, are exempt from the requirements of this chapter except the requirements under ss. NR 526.06 to 526.08, 526.09 (4), 526.10 (3) and 526.13. NR 526.04(5)(5) Funeral director exemptions. Human tissue which is to be interred or cremated under the direction of a funeral director licensed under ch. 445, Stats., the university of Wisconsin medical school or the medical school of Wisconsin, is exempt from the requirements of this chapter. NR 526.04(6)(6) Research exemptions. Human tissue or animal tissue carrying an infectious agent which is used in research is exempt from the requirements of this chapter until it is no longer being used for research. NR 526.04(7)(7) Animal product exemptions. Animal tissue which is processed by a rendering plant or incorporated into a consumer product is exempt from the requirements of this chapter. NR 526.04(8)(8) Wastewater treatment plant exemptions. Any mixture of domestic sewage and other wastes that passes through a sewer system to a publicly-owned treatment works for treatment is exempt from the requirements of this chapter. NR 526.04 NoteNote: Persons who generate or manage small quantities of infectious waste must follow all safety-related requirements found in this rule, but may be exempt from administrative requirements such as licensing and paperwork. Safety requirements are found in the following sections:
Section NR 526.06 for separating waste.
Section NR 526.07 for containing infectious waste.
Section NR 526.08 for handling infectious waste.
Section NR 526.09 (4) for storing and transferring infectious waste.
Section NR 526.10 (3) for transporting and shipping infectious waste.
Sections NR 526.11 and 526.12 (4) for treating infectious waste.
Section NR 526.13 for disposing of infectious waste.
Exemptions from administrative requirements are found in the following sections:
Section NR 526.09 (2) for storage and transfer licenses.
Section NR 526.10 (2) for transportation licenses.
Section NR 526.12 (2) for treatment licenses.
Section NR 526.14 (2) for infectious waste manifests and keeping records of amounts generated.
Section NR 526.15 (2) for infectious waste annual reports. NR 526.04(9)(9) Blood collection vehicle exemptions. Persons, including but not limited to the American Red Cross, who are transporting whole blood or blood components from temporary locations where blood is collected back to the collector’s permanent location are exempt from the requirements of this chapter except the requirements under ss. NR 526.06 to 526.08, 526.09 (4), 526.10 (3) and 526.13. NR 526.04(10)(10) Mass vaccination waste exemptions. Persons who are transporting infectious waste from emergency mass vaccinations, including but not limited to smallpox and excluding routine vaccinations, are exempt from the requirements of this chapter except the requirements under ss. NR 526.06 to 526.08, 526.09 (4), 526.10 (3), 526.11, 526.12 (4), 526.13 and 526.14 (1) (a). Persons transporting waste from emergency mass vaccinations may be required to file annual reports under s. NR 526.15. NR 526.04 NoteNote: USDOT requirements may apply to hazardous materials transported by researchers, emergency response personnel and blood collection vehicles. For more information, contact the USDOT helpline at 1-800-467-4922.
NR 526.04 HistoryHistory: Cr. Register, October, 1994, No. 466, eff. 11-1-94; am. (1), Register, June, 1996, No. 486, eff. 7-1-96; CR 05-020: cr. (9) and (10) Register January 2006 No. 601, eff. 2-1-06. NR 526.05NR 526.05 Infectious waste categories. NR 526.05(1)(1) A solid waste which is included in any of the following categories is presumed to be infectious waste unless methods of testing which are generally accepted by the medical profession demonstrate that the waste is not infectious: NR 526.05(1)(a)1.1. Contaminated sharps which are both infectious and may easily cause punctures or cuts in the skin, including but not limited to: hypodermic needles, syringes with needles attached, scalpel blades, lancets, broken glass vials, broken rigid plastic vials and laboratory slides. NR 526.05(1)(a)2.2. Unused or disinfected sharps which are being discarded, including hypodermic needles, scalpel blades, lancets and syringes with needles attached. NR 526.05 NoteNote: A tooth containing mercury amalgam may be both an infectious waste and a hazardous waste. See s. NR 526.11 (2) (f) for how to manage teeth containing mercury amalgam. NR 526.05(1)(e)(e) Tissue, bulk blood or body fluids from an animal which is carrying a zoonotic infectious agent. NR 526.05(2)(2) A solid waste which is not included in the definition of infectious waste, which is not mixed with infectious waste and which does not fall under one of the categories in sub. (1) is presumed not to be an infectious waste. Solid wastes presumed not to be infectious wastes include all of the following: NR 526.05(2)(a)(a) Items soiled but not saturated with blood or body fluids from humans included in the definition of “bulk blood and body fluids”. NR 526.05(2)(b)(b) Items soiled with body fluids from humans not included in the definition of “bulk blood and body fluids”. NR 526.05(2)(d)(d) Tissue, blood, body fluids or cultures from an animal which is not known to be carrying or experimentally infected with a zoonotic infectious agent. NR 526.05(2)(f)(f) Other solid wastes, including but not limited to containers, packages, waste glass, laboratory equipment and other materials which have had no contact with blood, body fluids, clinical cultures or infectious agents. When possible, use of these items shall be reduced, and the items shall be reused or recycled.
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Chs. NR 500-599; Environmental Protection – Solid Waste Management
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