For much of the 20th century, our industrial hygiene community was well served by the widely accepted decision-making framework of "recognize, evaluate, and control." This framework was substantially strengthened in the 1990s by inclusion of "anticipate." Now it is time to further strengthen the framework by incorporating the concept of confirmation so that our comprehensive IH decision-making framwork becomes "Anticipate, recognize, Evaluate, Control, and Confirm. We approach this suggested revision of the framework from several perspectives. Fundamentally, "confirm" has always been implicit in the framework, and it is clearly implicit in the discussion and pictorials contained in the AIHA Strategy for Assessing and Managing Occupational Exposures. However, it isn't explicit, and the IH profession could benefit from making it explicit in the decision-making framework. We believe its inclusion would send a clearer message about how IH is conducted to practitioners and to our partners in other fields that we work with, such as engineers, managers, and others. Making the "confirm" step more explicit may reduce the resistance we often get while building toward new risk management approaches, such as control banding. The "fine print" in control banding paradigms includes a measurement requirement, which is essentially a confirmation component, but inclusion of a formal "confirm" step in the IH decision-making framework would make it clear that reasonable measures must be taken to confirm the efficacy of any control approach.