Surveyor Consensus & Allocation Dispute
Team leader to resolveLead SurveyorDr Mohd Anis HaronAssigned Service Standard Lead
Rating SurveyorFully met
Dr Noraini AhmadRecorded 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.
22.1.1
Facilities and equipmentHospital Housekeeping Colour-Coding and Chemical Dilution
Housekeeping services utilize colour-coded microfibre cleaning equipment and automated chemical dilution systems to prevent cross-contamination.
Compliance Criteria
- 1Strict 4-colour cleaning cloth and mop coding system (Red, Yellow, Blue, Green)
- 2Automated wall-mounted disinfectant dilution dispensers tested for accurate dosing
- 3Housekeeping staff training records on chemical safety and biohazard spill clean-up
- 4Daily supervisor cleaning checklist and terminal discharge room turnover audits
Hospital Self-Rating
Rated by Pn. Harlina binti Mansor on 20 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"Housekeeping enforces four-colour microfibre cloths and automated chemical dilution dispensers with daily supervisor checklists."
unsupported
No evidence documents attached to substantiate this self-assessment claim.
Unverified criteria:
- Strict 4-colour cleaning cloth and mop coding system (Red, Yellow, Blue, Green)
- Automated wall-mounted disinfectant dilution dispensers tested for accurate dosing
- Housekeeping staff training records on chemical safety and biohazard spill clean-up
- Daily supervisor cleaning checklist and terminal discharge room turnover audits
Derived from AccrediSense Evidence Engine · 0 documents attached against 4 compliance criteriaGovernance disclosure (1.4.1.4)
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.
Linked Performance Indicators (1)
PI-22-001Housekeeping & Hygiene
Environmental Surface Cleanliness ATP Bioluminescence Swab Compliance Rate
18 readings recorded (Target: >= 90%)
HM
Person-in-ChargeMortuary Services Supervisor
Head of DepartmentHead of Facilities & Biomedical Engineering
HO
Surveyor Authority PaneAssigned: Dr. Noraini Ahmad (Allied Health & Clinical Support Surveyor)