There is a lack of scientifically justified approaches for assessing sediment ingestion rates of people exposed to contaminated sediments. Consequently, a method was developed to estimate sediment ingestion rates from: (1) hand-to-mouth contact with sediments and (2) incidental ingestion of surface water containing suspended sediments. In the case of hand-to-mouth contact, a mechanistic approach was used based on established principles and assumptions previously used for estimation of soil and dust ingestion rates. A key modification of the approach was to account for greater adherence of sediments to hands as compared to soil and dusts. For estimation of sediment ingestion from surface water contact, a method was developed that considered the unique aspects of suspended sediments. The analysis indicated that hand-to-mouth contact is the dominant pathway for ingestion of sediment. When people use aquatic areas for recreational purposes, the analysis has indicated that mean sediment ingestion rates may range from 18 to 72 mg/h for various receptor age groups. For sites where people spend more than 1 h per day on a consistent basis in direct contact with sediments, the results indicate that sediment ingestion rates may be greater than those typically assumed in Canadian human health risk assessment guidance for soils.