03.4.3.25
Special requirementsSpace Optimization Protocol 4.3
The Facility Management and Safety department establishes, implements and monitors documented operational procedures ensuring quality, clinical safety and regular compliance audits for space optimization.
Compliance Criteria
- 1Approved standard operating procedure for space optimization reviewed within the last 3 years
- 2Designated qualified personnel assigned to monitor day-to-day space optimization compliance
- 3Regular documentation audits and evidence of corrective action implementation
- 4Staff training records and competency assessments maintained in the department
Hospital Self-Rating
Rated by En. Hakim Osman on 25 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"The department has established comprehensive operational policies for space optimization. Regular self-assessments and internal quality checks demonstrate consistent compliance across all operational shifts."
Evidence Documents (0)
A criterion with no document reads as unevidenced to the survey team.
Attach relevant hospital policies, registers, audit reports, or training records.
HO
Person-in-ChargeHead of Facilities & Biomedical Engineering
Head of DepartmentHead of Clinical Services & Consultant Physician
AR
Surveyor Authority PaneAssigned: Dr. Mohd Anis Haron (Lead Surveyor)