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Optimised Medical Supplies Ltd

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    1. Home
    2. Resources
    3. Regulations & Compliance
    4. Clinical Waste Colour Coding: The UK Guide (HTM 07-01)

    Regulations & Compliance

    Clinical Waste Colour Coding: The UK Guide (HTM 07-01)

    The UK healthcare waste colour code explained — what orange, yellow, tiger stripe, purple, red and black streams mean, and how to segregate correctly at the point of production.

    OMS Clinical Team

    Product Specialists

    22 July 20266 min read

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    Healthcare waste in the UK is segregated by colour at the point it is produced. The code comes from HTM 07-01, the Department of Health and Social Care guidance on safe management of healthcare waste, and it exists because different streams require fundamentally different treatment — some must be incinerated, some can be treated and landfilled, and mixing them is both a compliance failure and a cost.

    Colour-coded clinical waste bins lined up in a clinical corridor
    Colour-coded clinical waste bins lined up in a clinical corridor

    The colour code

    ColourStreamTypical contentsTreatment
    OrangeInfectious clinical wasteDressings, swabs, contaminated PPETreated then disposed
    YellowInfectious waste for incinerationWaste contaminated with medicinesIncineration
    Yellow and black (tiger stripe)Offensive or hygiene wasteNon-infectious incontinence and hygiene wasteLandfill or energy recovery
    PurpleCytotoxic and cytostaticCytotoxic medicines and contaminated itemsIncineration at a permitted facility
    RedAnatomical wasteIdentifiable body parts, placentasIncineration
    BlackDomestic wasteGeneral non-clinical wasteNormal municipal route

    Segregate at the point of production

    The single most important principle is that waste is separated where it is generated, by the person who generates it. Once streams are mixed, the whole bag must be treated as the most hazardous component it contains — so one glove in the wrong bag can send an entire bag to incineration.

    • Place the right coloured receptacle where the waste is actually produced
    • Never decant between streams to save space
    • Do not overfill — bags should be tied at roughly three quarters
    • Label bags with the site and date so waste is traceable
    Clinical waste receptacles positioned at a point of care
    Clinical waste receptacles positioned at a point of care

    Offensive waste — the most misunderstood stream

    Tiger stripe is for waste that is unpleasant but not infectious — most continence products from residents with no known infection fall here. Many care homes default to orange for everything, which is safe but substantially more expensive, because infectious waste treatment costs considerably more per tonne than offensive waste disposal.

    Correct segregation is one of the few compliance improvements that reduces cost rather than adding to it.
    OMS Clinical Team

    The regulations behind the code

    • HTM 07-01 — safe management of healthcare waste, the source of the colour code
    • Environmental Protection Act 1990 — the statutory duty of care for waste
    • Hazardous Waste Regulations 2005 — classification and consignment of hazardous waste
    • Health and Safety (Sharp Instruments in Healthcare) Regulations 2013 — sharps handling and disposal

    A short audit checklist

    • Correct coloured receptacles available at every point of production
    • Staff trained on which stream each waste type belongs to
    • Bags tied and labelled with site and date
    • Nothing filled above the fill line
    • Secure storage area for waste awaiting collection
    • Consignment notes retained for the required period
    ···

    Optimised Medical Supplies stocks colour-coded clinical waste bags, sharps containers and bin systems that follow the HTM 07-01 code. Order before 4pm for next-day dispatch on stocked lines.

    Frequently asked questions

    What do clinical waste bag colours mean in the UK?
    Under HTM 07-01: orange is infectious clinical waste, yellow is infectious waste for incineration, yellow and black tiger stripe is offensive or hygiene waste, purple is cytotoxic and cytostatic, red is anatomical waste and black is domestic waste.
    What is tiger stripe waste?
    Yellow and black tiger stripe bags are for offensive or hygiene waste — waste that is unpleasant but not infectious, such as continence products from residents with no known infection. It is cheaper to dispose of than infectious waste.
    What happens if clinical waste streams are mixed?
    The entire bag must be treated as the most hazardous component it contains. One item in the wrong bag can send a whole bag to incineration, raising cost and creating a compliance failure.
    All resources

    On this page

    • The colour code
    • Segregate at the point of production
    • Offensive waste — the most misunderstood stream
    • The regulations behind the code
    • A short audit checklist
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    Clinical waste bins

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    Delivery as soon as Thursday 29 October

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    Delivery as soon as Thursday 29 October

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    20 litre Metal Bin with Red Lid - Fire Retardant

    20 litre Metal Bin with Red Lid - Fire Retardant

    In Stock

    Delivery as soon as Thursday 29 October

    £201.96

    Inc. VAT