Back to Standards/Criterion 2.2.8
Surveyor Consensus & Allocation Dispute
Team leader to resolve
Lead SurveyorDr Mohd Anis HaronAssigned Service Standard Lead
Rating SurveyorNot met
Pn Zaiton AbdullahRecorded finding during tracer inspection

Awaiting Dr Mohd Anis Haron (Lead Surveyor) resolution. Dual surveyor observations are recorded with full provenance and decided strictly by clinical leadership authority.

2.2.8
Facilities and equipment

Medical Gas Pipeline System Redundancy and Safety

The medical gas pipeline system (MGPS) is monitored continuously, equipped with automatic alarms, reserve manifold supply and certified annual testing.

Compliance Criteria

  • 1Medical gas manifold room with 100% reserve cylinder banks and auto-changeover
  • 2Area valve service units (AVSU) and alarm panels operational in all clinical zones
  • 3Authorized Person (MGPS) certified maintenance and daily pressure logs
  • 4Emergency portable oxygen supply procedure during pipeline failure

Hospital Self-Rating

Rated by En. Hakim Osman on 25 Mar 2026

Evidence frozen on 30 March 2026 (14 days before survey)

"The secondary manifold auto-changeover valve in the medical gas plant failed pressure testing during the March 2026 audit. Replacement valve has been procured and installation is scheduled."

Evidence Documents (1)

Audit reportAcceptedScore: 84/100

Medical Gas Pipeline System (MGPS) Inspection & Defect Remediation Report

16 pages · ENValid: 2026-03-01 to 2027-03-01
HO
Person-in-ChargeHead of Facilities & Biomedical Engineering
Head of DepartmentHead of Facilities & Biomedical Engineering
HO
Surveyor Authority PaneAssigned: Pn. Zaiton Abdullah (Nursing & Quality Surveyor)

Surveyor Rating

Committed 14 Apr 2026

The hospital transparently self-identified and reported that the secondary medical gas manifold auto-changeover valve failed pressure integrity testing during the pre-survey engineering audit. The replacement component is on order but not yet commissioned.

Expedite delivery, installation, pressure testing and third-party AP(MGPS) certification of the secondary medical gas manifold changeover valve.

Complete installation and validation of the secondary manifold changeover valve with urgency.