Surveyor Consensus & Allocation Dispute
Team leader to resolveLead SurveyorDr Mohd Anis HaronAssigned Service Standard Lead
Rating SurveyorFully met
Pn Zaiton AbdullahRecorded finding during tracer inspectionAwaiting Dr Mohd Anis Haron (Lead Surveyor) resolution. Dual surveyor observations are recorded with full provenance and decided strictly by clinical leadership authority.
2.1.1Core StandardSafety Standard
Safety and performance improvement activitiesOccupational Safety and Health Programme
An Occupational Safety and Health Committee is established in compliance with OSHA 1994 to maintain a safe working environment for all personnel.
Compliance Criteria
- 1OSH Committee established with equal employer and employee representation
- 2Quarterly OSH committee meetings and workplace hazard inspection reports
- 3Chemical health risk assessment (CHRA) and hazardous chemical register
- 4Staff occupational injury and needle-stick injury surveillance programme
Hospital Self-Rating
Rated by En. Mohd Zaki Ariffin on 16 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"OSH committee is fully constituted with quarterly meetings and workplace inspections. Needle-stick injuries are investigated promptly with OSH surveillance."
thin
Evidence documents establish procedural intent but lack documented verification records for the current audit period.
Unverified criteria:
- Chemical health risk assessment (CHRA) and hazardous chemical register
- Staff occupational injury and needle-stick injury surveillance programme
Derived from AccrediSense Evidence Engine · 1 document(s) attached with 2 unverified criteriaGovernance disclosure (1.4.1.4)
Evidence Documents (1)
Audit reportAcceptedScore: 88/100
Occupational Safety & Health Committee Annual Plan & Workplace Audits
32 pages · EN, MSValid: 2025-01-01 to 2026-12-31
ZA
Person-in-ChargeSafety, Health and Environment Officer
Head of DepartmentHead of Facilities & Biomedical Engineering
HO
Surveyor Authority PaneAssigned: Pn. Zaiton Abdullah (Nursing & Quality Surveyor)