Shipping Regulated Medical Waste

This course covers the fundamentals of shipping regulated medical waste by ground. Our 10-step approach encompasses the activities which must be addressed when preparing regulated medical waste for shipment. Participants will learn how to classify hazardous materials, select proper packaging, mark and label containers, and prepare required shipping documents, all in accordance with the U.S. DOT regulations. New requirements enacted over the past year are highlighted throughout the course.

The U.S. DOT requires training for anyone who handles hazardous materials including individuals who ship or receive hazardous materials, prepare hazardous materials for transportation, mark and label containers, complete shipping documents, select packaging and load or unload hazardous materials.

This course is designed to meet the training requirements as specified in 49 CFR 172.700 Subpart H, which specify that employees must be trained at least once every three years. At the completion of the course, participants will receive a certificate which includes the participants name, completion date, and copy of the test scores. The certificate includes the name and address of the trainer as required for recordkeeping.

This course is based on the requirements for training as specified in 49 CFR 172 Subpart H, including testing of participants. This training is also referred to as HM-181 training, Subpart H training, and hazmat training. While this course is meant to satisfy DOT's general training requirements, it does not go into detail on the shipping of radioactive materials.

Course Fee
$180.00 USD


  • Instant Access, Online, On-Demand
  • Certificate, Wallet Card, Scoresheet
  • Accepted by: DOT

For help call Toll-Free 866-523-9108

Group Discount Information


  • General awareness and familiarization
  • Identification of hazardous materials, including regulated medical waste
  • Packaging operations
  • Marking and labeling
  • Shipping papers
  • Placarding
  • Security Awareness & Plan
  • Federal Register update

Who Should Attend

Hazardous materials (hazmat) training now applies to any individual who:

  • Ships regulated medical waste by ground;
  • Loads, unloads, or handles regulated medical waste;
  • Marks, labels, or otherwise prepares containers, drums, or packagings for transportation of regulated medical waste;
  • Prepares regulated medical waste shipping papers for transportation, including signing manifests;
  • Is responsible for safety of transporting regulated medical waste;


Upon completion of this online course, participants should be able to:

  • locate and use the Federal hazardous materials regulations as they apply to regulated medical waste;
  • properly label and mark regulated medical waste containers for shipment;
  • complete shipping documentation (including Bill of Lading, shipping papers, and manifests) for regulated medical waste;
  • select proper packaging for regulated medical waste;
  • understand the vehicle placarding requirements;
  • develop appropriate emergency response information to accompany shipments;and
  • understand security awareness and plan requirements.


Linda R. Taylor, PE

Linda is the owner of Taylor Engineering, and a former faculty member in the Department of Forestry and Environmental Technology at NC State University and the former Director of Environmental Health & Safety at North Carolina State University's IES. She has over 30 years of engineering experience working in industry, academia, and environmental consulting, including over 25 years at North Carolina State University. She has provided instruction on a wide range of environmental, health, transportation, and safety topics at conferences and training courses, both live and online, and she is a licensed Professional Engineer and an OSHA authorized instructor.

Ms. Taylor received a BS in Civil Engineering from Stanford University and a MS in Environmental Engineering from the University of North Carolina at Chapel Hill.

Contact Hours

4 Contact Hours
This represents the estimated time to complete the online course, including exercises. Actual times may vary from user to user.

Training Requirement

Citation: 49 CFR 172.704 (Subpart H)

DOT's training requirements for shipping hazardous materials is located in 49 CFR Part 172 Subpart H. In addition to initial training [49 CFR 172.704(c)(1)], DOT requires "recurrent training" every 3 three years.

"A hazmat employee shall receive the training required by this subpart at least once every three years." [49 CFR 172.704(c)(2)]

Refresher Training Required: Every 3 year(s).

The course fee entitles a single user to participate in the online course for at least six (6) months. Requests for additional time will be considered on a case-by-case basis, but are almost always honored. Hardcopy certificates are mailed (first class for domestic locations/standard airmail for international locations) and included in the course fee. Expedited shipping costs are additional.