The BMW team inspected the various areas of the hospital and found that the waste bags had not been collected in the morning shift by the sanitary staff and this varied from 0–0.11% of incinerable waste (yellow), 0.44–0.82% for other infectious waste (red), 0.55–0.71% of general waste (black) and 0.22–0.41% of sharps [Figure 2]. The percentage of unlabelled bags varied from 0.66–1.12%, while overloaded trolleys varied from 1.0–2.05% [Figure 3]. The percentage of uncovered trolleys varied from 1.22–2.25% [Figure 3]. The percentage of improperly closed sharp containers varied from 0 to 0.3% [Figure 4]. The percentage of staff wearing PPE varied from 1.22 to 1.84% [Figure 5]. The waste is transported in separate colour-coded trolleys [Figure 6] as per the BMW rules.[2] The liquid waste is disinfected by chemical treatment and drained, which is then finally connected with sewage treatment plant (STP), present in our facility. Non-compliance to the protocols in our study was noted in 11.58% occasions. This reduced to 0.72% if PPE usage was to be excluded. Compliance to PPE was major constraint, which can be overcome by regular training of BMW staff.