SLIDE FOR PRESENTATION

1. Maintenance in Hospital
Sultanah Nora Ismail

2.  Nora Ismail Hospital is a government-funded
multi-specialty hospital located in Batu
Pahat, Johor, Malaysia.
 Hospital Batu Pahat was built in the Sixth
Malaysia Plan in 1991 and initiated the
concept of hospital nucleus.
 Transfer service to the hospital was made on
12 November 1994.
 From this date, Hospital Batu Pahat has been
operating in the scope of patient care
services, emergency and outpatient
treatment with capacity of 314 beds

3.  Operation and maintenance of lighting,
plumbing, electrical distribution, air
conditioning / heating systems, and
finishes of all Hospital buildings
 Preventive Maintenance program
 Dispatching Office for maintenance calls

5. Categories of
hospital
maintenance
1. fabric
maintenance
3. day‐to‐day
repairs.
2. improvement
and modification

6. 1. Fabric maintenance
• Maintenance manager decide which of
the various components or elements of
the building, such as walls, floors,
roofs, windows and doors, inspected in
detail for assessing their condition.
• The maintenance management know
the cost implications of the various
alternatives and the minimum
acceptable condition of the element.

7. 2. Improvement and modification
•To maintain a property to a
standard appropriate for its
intended use or to bring it into
line with current standard and
thereby maximize its asset
value

8. 3. Day‐to‐day repairs
• mostly small jobs in nature carried out in
response to specific requests from the users of
the buildings, with an urgency associated with
a short time scale of the requested response.
• The work ranges from emergency caused by
serious electrical or plumbing problems in
terms of potential cost and safety to building
users, such as replacing a defective light bulb.
• Important as the users of buildings often judge
the efficiency of the maintenance department
by the service they receive when they make
requests

9.  A demand forecast leads to the specification of what
maintenance should be carried out at what time
during the technical system in the organization
concerned.
 Forecasting the demand is based on the study of the
failure behaviour, the distribution of delay‐time, the
distribution of the equipment to be maintained or the
failure rate.

10.  The majority of maintenance jobs can be considered
to be single trade repairs such as plumbing or joinery
in the building group and electrical and mechanical in
the engineering group.
 Can be reduced by implementing the appropriate and
effective maintenance action such as a block of
replacement of light bulbs or introducing a periodic
inspection.
 Detected by the building user during working hours of
the week and reported to the maintenance
department either by post or telephone calls.
 Upon received, the maintenance department
categorizes jobs as emergency, urgent and non‐urgent
jobs.

11.  Emergency jobs reported during working hours
are deal with as soon as possible.
 Emergency jobs reported during the
night‐time, weekends, holidays or otherwise
outside working hours are deal with by a duty
maintenance operative
 All non‐emergency jobs are deal with in a
notional “first in first out” priority.
 Although defects may or may not be noted at
a constant rate during a 24‐hour period, the
reporting of defects to the maintenance
department is at a constant rate during the
working hours.

13. • Condition-based maintenance is maintenance when
need arises. This maintenance is performed after one
or more indicators show that equipment is going to
fail or that equipment performance is deteriorating
• For Hospital Sultanah Norah Ismail the Hospital must
make sure the equipment is can be used in every time
and also can be used when emergency. The Hospital
try to maintain the correct equipment at the right
time is based on using real-time data to prioritize and
optimize maintenance resources.
• Ideally condition-based maintenance will allow the
maintenance personnel to do only the right things,
minimizing spare parts cost, system downtime and
time spent on maintenance.

14. Advantages of condition base maintenance.
CBM has some advantages over planned
maintenance:
• Improved system reliability
• Decreased maintenance costs
• Decreased number of maintenance operations
causes a reduction of human error influences
Disadvantages of condition base maintenance.
• High installation costs, for minor equipment items
often more than the value of the equipment
• Unpredictable maintenance periods cause costs to
be divided unequally
• Increased number of parts that need
maintenance and checking.

16.  Running maintenance which includes those
maintenance activities that are carried out while
the machine equipment is running.
 ensure that building stock is maintained to an
appropriate standard such as patient beds
 make a checking on the maintenance in ward
 MAKE SURE the machine and equipment that
hospital indeed always running in good condition.

18.  Defined as: Maintenance work which involves
the repair or replacement of components
which have failed or break down.
 The equipment at the Hospital Sultanah Nora
Ismail must be inspected to identify the
problems and must take an action to remove
the future similar failure after the corrective
maintenance is done.

19.  The corrective maintenance also is done
based on the complaints from the staff or
the patients at the hospital.
 The corrective maintenance in Hospital
Sultanah Nora Ismail, such as the plumbing
system. For example the medical gas system
and piping for air such as nitrous oxide and
oxygen which must be available in
emergency and operating areas as well as in
patients ward.

20.  Advantage of corrective maintenance:
1) Less staff because the management do not have to
hire many staff to fix the problem only need less
staff since less work is being done.
2) Skill and care is required when determining which
assets should be allowed to run to failure.
 Disadvantage of corrective maintenance:
1. Cost- increase long term cost due to unplanned
equipment downtime
2. The risk is greater from the perspective of cost
because the process to fix the equipment may fail
and need more money to repair the broken
equipment and also in term of time because some
of the equipment need to repair quickly and if still
fail it take long time to fix it.

22. -flexible use
-special parking for
EMERGENCY CASES
-large space
The maintenance are
such as:
-Striping and painting
-Asphalt repair
-Asphalt crack sealing
-Concrete repair and
replacement

23. -Have special requirement
-multi-beam door sensor
Secure the passenger’s safety
by reopening the doors before
touching human being
-auto tuning – precise levelling
and optimum open-close speed
enhance the safety and
reliability
- Door detachment preventing
system -Special structure in
the upper and lower sides of
the door protects passengers
from falling by preventing
door's detachment

24. - Regularly check and testing
- Install smoke alarms more in
bedrooms but do not install in
kitchens, laundries and bathrooms.
- It is very important when:
smoke alarms will sound a regular
warning ‘beep’ if the battery needs
replacing Smoke alarms should never
be painted.
The date the smoke alarm was
manufactured will be displayed.
Smoke alarms have a maximum
service life of ten (10) years and need
to be replaced.
Contact the manufacturer or supplier
with any queries regarding smoke
alarm.

25. 1.Leaking of hazardous or harmful
substances
2.The system breakdown
3.Sudden shutdown or damage of
the machine