What actions should facilities take to maintain ongoing BDW compliance?

• A. Provide ongoing training, perform inspections, maintain documentation, and enforce proper segregation and disposal
• B. Provide ongoing training, perform inspections and audits, maintain documentation, and enforce proper segregation and disposal
• C. Post a single sign and hope for compliance
• D. Wait for external audits only

Answer: (B)

Maintaining BDW compliance means actively managing the program over time, not just doing one-off checks. The best approach includes ongoing training for staff, internal inspections and audits to regularly verify that procedures are followed and to uncover gaps, thorough documentation of trainings, inspections, corrective actions, and disposal records, and strict enforcement of proper segregation and disposal of waste. Audits are essential because they go beyond spot checks to evaluate how well the entire process works over time, identify root causes of noncompliance, and drive timely corrective actions.

The other options fall short because one sign or waiting for external audits alone doesn’t establish a proactive, continual compliance program, and relying only on inspections without formal audits misses deeper systemic issues and continuous improvement.