Requirement Drawer — ICSH.01.02

الاعتماد والامتثال

Evidence, ownership and assessment history for this requirement.

ICSH.01.02 CBAHI ESR · Ch.3

Multidisciplinary IPC committee meets quarterly

Applicability

ApplicableNot applicable — justification required

NA justification (mandatory): “Committee oversight consolidated under regional IPC council for PHC sites — delegation letter attached.”

Self-assessment

CompliantPartialNon-compliant

Score 1 / 2

Linked documents / policies

MOH-POL-0142 Infection Prevention & Control Policy v3.1

MOH-SOP-0203 IPC Committee Terms of Reference

Evidence attachments

Drop evidence filesphotos, minutes, logs · tagged to surveyor checklist

Committee-Minutes-Q3.docx ✓ verified Remove

IPC-KPI-Dashboard-Q3.png ✓ verified Remove

Gap action plan (mini-board)

Schedule Q4 committee session

QAdue 30 Nov Planned