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The minimum requirement for a bloodborne pathogens training course being OSHA-compliant is essential because OSHA (Occupational Safety and Health Administration) sets regulations that ensure safe practices and training in workplaces where exposure to bloodborne pathogens may occur. An OSHA-compliant training ensures that the content covers all necessary aspects, such as recognizing hazards, understanding the transmission of bloodborne diseases, and knowing the appropriate safety measures and personal protective equipment to use.

The other options represent important but not minimum requirements. While voluntary training might be beneficial, it does not meet the necessary standards for workplace safety mandated by OSHA. Completion of training annually is a best practice but not necessarily a minimum requirement; training frequency can vary depending on specific workplace guidelines and changes in OSHA regulations. Including a written exam can be valuable for assessing understanding, yet it is not a mandated aspect of the training itself. Thus, the emphasis on compliance with OSHA regulations is crucial for ensuring that the training is comprehensive and effective in protecting workers from bloodborne pathogens.