Surveyor Consensus & Allocation Dispute
Team leader to resolveLead SurveyorDr Mohd Anis HaronAssigned Service Standard Lead
Rating SurveyorFully met
Mr Ganesh PillaiRecorded 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.
4.2.1
Facilities and equipmentCorrective Maintenance and Breakdown Response
A responsive breakdown repair service operates with documented response times, replacement part traceability and post-repair safety verification.
Compliance Criteria
- 1Biomedical work order ticketing system with priority response metrics
- 2Defective equipment quarantine and 'Out of Service' lockout tagging
- 3Post-repair functional and electrical safety test sign-off before clinical reuse
- 4Monthly breakdown analysis and mean time to repair (MTTR) monitoring
Hospital Self-Rating
Rated by En. Hakim Osman on 18 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"Breakdown work orders are managed within set response timeframes. Defective equipment is immediately tagged and quarantined."
thin
Evidence documents establish procedural intent but lack documented verification records for the current audit period.
Unverified criteria:
- Post-repair functional and electrical safety test sign-off before clinical reuse
- Monthly breakdown analysis and mean time to repair (MTTR) monitoring
Derived from AccrediSense Evidence Engine · 1 document(s) attached with 2 unverified criteriaGovernance disclosure (1.4.1.4)
Evidence Documents (1)
RegisterAcceptedScore: 87/100
Biomedical Breakdown Work Order Logs & Corrective Maintenance Sign-offs
36 pages · ENValid: 2025-06-01 to 2026-06-01
HO
Person-in-ChargeHead of Facilities & Biomedical Engineering
Head of DepartmentHead of Facilities & Biomedical Engineering
HO
Surveyor Authority PaneAssigned: Mr. Ganesh Pillai (Engineering & Facilities Surveyor)