Service
Transport and Destruction of Hospital and Medical Waste
ADR transport of infectious and high-risk waste from healthcare establishments to a licensed incinerator, on a schedule, with UN-certified packaging and full documentation for your register.
What does the service include?
This is the only one of our services where the law governs what happens before we arrive. Ordinance No. 1 of 9 February 2015 sets out separation at source, colour coding, packaging and the preliminary storage area within the healthcare establishment. The service is a recurring scheduled round rather than a one-off collection: medical waste is generated every day and has a limited storage period.
- Review of separation at source and of the preliminary storage areas
- Supply of UN-certified packaging: rigid containers for sharps and sealed containers for soft waste
- ADR carriage as a class 6.2 load, UN 3291, with label model No. 6.2 and written instructions
- A fixed schedule at a frequency matched to the volume you generate
- Handover only to an incinerator permitted for the code in question
- Documents for the mandatory waste register and for WMA reporting
How does the process work?
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Profile of the establishment
Type of establishment, number of beds or consulting rooms, the categories generated and approximate weekly quantities. Practices and dental surgeries can simply send their latest annual report.
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Review of the internal regime
We check whether the categories are separated at source, whether the packaging meets the requirements and whether the preliminary storage area is kept separate.
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The schedule
We set the frequency. Infectious waste does not accumulate: the frequency follows the volume and the storage capacity, not convenience.
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ADR transport
Collection is carried out with an ADR-certified vehicle and a driver holding a class 6.2 certificate. Packaging is accepted closed; we do not decontaminate or label it.
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Handover and documents
The waste is weighed and handed to the incinerator. You receive the identification document, the weighbridge ticket and the acceptance confirmation, which together are the set that goes into the establishment’s waste register.
Documents, legal compliance and codes
Three instruments apply at once. Ordinance No. 1 of 9 February 2015 governs the internal regime inside the establishment: separation at source, colour coding, packaging and preliminary storage. The WMA and Ordinance No. 2/2014 set the classification, the documents and the reporting. [ADR](/blog/adr-transport-opasni-otpadatsi/) governs carriage, with infectious waste moved as a class 6.2 load under UN 3291. Transport is carried out under registration document No. 12-РД-2661-00, issued by RIOSV.
Note that 18 01 02 is not hazardous waste under the classifier, even though it calls for special handling. Classification and risk are not the same thing, and it is the code that is checked on an inspection.
Typical codes under Ordinance No. 2/2014
| Code | Description | Type |
|---|---|---|
| 18 01 03* | Wastes whose collection and disposal is subject to special requirements in order to prevent infection | Hazardous |
| 18 01 01 | Sharps (except 18 01 03) | Non-hazardous |
| 18 01 02 | Body parts and organs, including blood bags and blood preserves (except 18 01 03) | Non-hazardous |
| 18 01 04 | Wastes whose collection and disposal is not subject to special requirements (dressings, plaster casts, bed linen, single-use clothing) | Non-hazardous |
| 18 01 06* | Chemicals consisting of or containing hazardous substances | Hazardous |
| 18 01 10* | Amalgam waste from dental care | Hazardous |
| 18 02 02* / 18 02 03 | The corresponding codes for veterinary healthcare | Hazardous / Non-hazardous |
* Hazardous waste under Ordinance No. 2/2014
Questions & Answers
Do you have ADR equipment and certificates?
Yes. The vehicles are ADR-certified and the drivers hold certificates for the carriage of class 6.2 dangerous goods. Infectious waste is carried under UN 3291 with label model No. 6.2 and written instructions in the cab. We provide copies of the certificates on signing the contract.
How should the waste be packaged before you arrive?
In UN-certified packaging meeting ADR packing instruction P621: rigid puncture-proof containers for sharps and sealed containers for soft waste, marked with the category and the establishment. Packaging is accepted closed. If you do not have suitable containers, we supply them.
How often should collection happen?
It depends on the volume and on your preliminary storage capacity. For a small practice that may be once a month; for a hospital, several times a week. We set the frequency during profiling and fix it in the contract.
Can decontamination replace incineration?
Decontamination by autoclaving or microwave treatment is a treatment operation and may only be carried out at a facility permitted under Article 35(1) of the WMA. We transport to whichever facility covers your code, whether an incinerator or a decontamination plant, as agreed in the contract.
What documents do we receive for the waste register?
An identification document under Annex 8 to Ordinance No. 1/2014 for the hazardous streams, a weighbridge ticket from the facility and an acceptance confirmation. The set is sufficient for the mandatory waste register and for your annual report.
Do you serve dental practices and laboratories too?
Yes. The volumes are smaller, but we serve clients across Bulgaria and set the schedule to the actual quantity.
Request a schedule for your establishment
Send us a profile of the establishment and approximate quantities. We come back with a proposed frequency, packaging and a price per run.