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.
2.1.4Safety Standard
Facilities and equipmentHazardous Materials and Waste Management
Hazardous materials, chemical reagents and clinical waste are handled, stored and disposed of in accordance with environmental and safety regulations.
Compliance Criteria
- 1Safety Data Sheets (SDS) readily accessible in all chemical storage locations
- 2Spill kits available with clear staff spill management SOPs in clinical areas
- 3Licensed clinical waste contractor consignment notes and licensed storage room
- 4Radiation protection protocols and personal dosimeter badge monitoring
Hospital Self-Rating
Rated by En. Mohd Zaki Ariffin on 17 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"Safety Data Sheets are available at all chemical points of use. Licensed clinical waste disposal contractor maintains compliant collection manifests."
thin
Evidence documents establish procedural intent but lack documented verification records for the current audit period.
Unverified criteria:
- Licensed clinical waste contractor consignment notes and licensed storage room
- Radiation protection protocols and personal dosimeter badge monitoring
Derived from AccrediSense Evidence Engine · 1 document(s) attached with 2 unverified criteriaGovernance disclosure (1.4.1.4)
Evidence Documents (1)
RegisterAcceptedScore: 92/100Unconfirmed link
Chemical Safety Data Sheets (SDS) & Clinical Waste Consignment Manifests
80 pages · EN, MSValid: 2025-06-01 to 2027-06-01
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)