Person in Charge (PiC) Readiness Roster

Tracer interview preparation, mock drill recency, and simulated oral defense scoring across clinical leads.

High Risk (Drill Overdue)

9

Never drilled or >90 days ago

Moderate Risk

2

Drilled 30–90 days ago

Survey Ready

11

Drilled within 30 days (≥80% score)

AccrediSense Intelligence

High-Risk Surveyor Interrogation Intersection

Staff whose clinical indicators are in a breach or alert zone and who have not drilled in 90 days represent the highest-risk intersection for on-site surveyor findings.

Two designated leads fall into this critical zone: Pn. Aishah Kamal (Staff Wellbeing & Human Resources, un-drilled) and En. Hakim Osman (Biomedical Engineering & Medical Gases, indicator breach without documented action plan). Surveyors routinely focus interview time on these areas.

Derived from Cross-referencing PiC drill records against indicator control chart zones and survey challenge logs.Governance disclosure (1.4.1.4)

Person in Charge (PiC) Readiness Roster

Ranked by interview exposure risk: un-drilled leads, drill recency, and simulated challenge articulation scores.

Pn. Aishah Kamal

(hs-aishah)Never drilled

Head of Human Resources · Human Resources Management

Indicators:PI-01-019
Last mock drill:None recorded
Challenge performance: Could not explain indicator trend

Dato' Dr. Hj Razak Ismail

(hs-razak)Never drilled

Chief Executive Officer · Executive Management

Indicators:No direct indicators assigned
Last mock drill:None recorded

Pn. Faridah binti Kassim

(hs-faridah-k)Never drilled

Nurse Unit Manager, Intensive Care Unit · Intensive Care Unit (ICU)

Indicators:PI-12A-001
Last mock drill:None recorded

En. Shahril bin Hassan

(hs-shahril)Never drilled

Senior Radiographer & Imaging Supervisor · Diagnostic Imaging Services

Indicators:PI-19-001PI-19-002
Last mock drill:None recorded

Pn. Salmiah Zakaria

(hs-salmiah)Never drilled

Manager, Diagnostic Laboratory Services · Pathology & Clinical Laboratory

Indicators:PI-20-001PI-25-001
Last mock drill:None recorded

Pn. Zainab binti Sulaiman

(hs-zainab)Never drilled

CSSD Supervisor · Central Sterile Supply Department

Indicators:PI-16-001
Last mock drill:None recorded

Pn. Harlina binti Mansor

(hs-harlina)Never drilled

Mortuary Services Supervisor · Mortuary Services Unit

Indicators:PI-21-001PI-22-001PI-23A-001
Last mock drill:None recorded

Dr. Wong Wei Jun

(hs-wong)Never drilled

Consultant Paediatrician · Paediatric Care Services

Indicators:PI-09D-001
Last mock drill:None recorded

Pn. Rosnah binti Daud

(hs-rosnah)Never drilled

Senior Staff Nurse & Clinical Auditor · Nursing Quality & Audit

Indicators:No direct indicators assigned
Last mock drill:None recorded

En. Hakim Osman

(hs-hakim)Survey ready

Head of Facilities & Biomedical Engineering · Facilities & Engineering Services

Indicators:PI-04-001
Last mock drill:2025-12-15
Drill defense score:72%
Challenge performance: Articulated clearly

En. Khairul Anuar

(hs-khairul)

Head of Food and Dietary Services · Dietary & Catering Services

Indicators:PI-15-001
Last mock drill:2026-01-20
Drill defense score:68%
Challenge performance: Could not explain indicator trend

En. Mohd Zaki Ariffin

(hs-zaki)

Safety, Health and Environment Officer · Occupational Safety & Health Unit

Indicators:PI-02-001
Last mock drill:2026-02-14
Drill defense score:78%

Dr. Lim Chee Keong

(hs-lim)Survey ready

Head of Anaesthesia & Operating Theatres · Operating Suite & Anaesthetic Services

Indicators:PI-10-001PI-09F-001
Last mock drill:2026-03-10
Drill defense score:82%

Dr. Nurul Huda

(hs-nurul)Survey ready

Emergency Medicine Specialist · Emergency & Trauma Department

Indicators:PI-14-001
Last mock drill:2026-03-12
Drill defense score:84%

Pn. Mastura binti Ahmad

(hs-mastura)Survey ready

Head of Health Information & Medical Records · Medical Records Department

Indicators:PI-08-001
Last mock drill:2026-03-14
Drill defense score:87%

Pn. Rohani binti Ismail

(hs-rohani)Survey ready

Quality Manager · Quality Assurance & Accreditation

Indicators:PI-05-001PI-07-001PI-24-001
Last mock drill:2026-03-15
Drill defense score:92%
Challenge performance: Articulated clearly

En. Azman bin Yahya

(hs-azman)Survey ready

Manager, Information Technology & Digital Health · Information Technology Department

Indicators:No direct indicators assigned
Last mock drill:2026-03-16
Drill defense score:89%

Dr. Azmi Razak

(hs-azmi)Survey ready

Head of Clinical Services & Consultant Physician · Clinical Services & Internal Medicine

Indicators:PI-09A-001PI-09B-001PI-09C-001PI-09E-001PI-11-001
Last mock drill:2026-03-18
Drill defense score:88%
Challenge performance: Articulated clearly

Dr. Tan Mei Ling

(hs-tan)Survey ready

Infection Control Officer & Consultant Microbiologist · Infection Prevention & Control Unit

Indicators:PI-01-007PI-06-001PI-06-002PI-06-003
Last mock drill:2026-03-20
Drill defense score:94%
Challenge performance: Articulated clearly

Dr. Suresh Nair

(hs-suresh)Survey ready

Head of Pharmacy Services · Pharmacy Services

Indicators:PI-18-001
Last mock drill:2026-03-22
Drill defense score:86%
Challenge performance: Articulated clearly

Matron Norliah binti Hashim

(hs-norliah)Survey ready

Director of Nursing · Nursing Administration

Indicators:PI-06-014PI-13-001
Last mock drill:2026-03-25
Drill defense score:90%

En. Fauzi bin Ramli

(hs-fauzi)Survey ready

Head of Physiotherapy & Rehabilitation Services · Rehabilitation Medicine Services

Indicators:PI-17A-001
Last mock drill:2026-03-28
Drill defense score:85%