DOC-1161DICOM headerChapter ACC
Needs review
sterilisation_log_v3.dcm
Owner: Dr. Kenji Tanaka
Uploaded: 4 Jul 2026
Version: v2
Size: 26.3 MB
0%Quality
Quality Assessment
This document is missing an explicit revision cadence or committee approval stamp, which a surveyor will typically ask for.
Classification:sterilisation log
Effective year:2023
Review due:Q2 2027
What this document proves
Measurable element alignments and explainability trace
ACC.2Major Gap (GAP-1161)
Access to care and continuity — control 2: documented process, responsible owner and evidence of practice (paraphrased)
ACC.2
sterilisation_log_v3.dcm
Documented Policy Evidence
Verification Gap Detected
ACC.3Verified · Requirement Met
Access to care and continuity — control 3: documented process, responsible owner and evidence of practice (paraphrased)
ACC.3
sterilisation_log_v3.dcm
Documented Policy Evidence
High Confidence (88%)
ACC.4Verified · Requirement Met
Access to care and continuity — control 4: documented process, responsible owner and evidence of practice (paraphrased)
ACC.4
sterilisation_log_v3.dcm
Documented Policy Evidence
High Confidence (88%)
high
GAP-1161Open
Documentation gap in sterilisation_log_v3.dcm: Policy requires verified committee endorsement and alignment with JCI ACC Measurable Elements.
Target requirement: ACC.2