DOC-1231JPGChapter ACC
Needs review
sterilisation_log_v1.jpg
Owner: Dr. Kenji Tanaka
Uploaded: 26 Aug 2026
Version: v3
Size: 809.6 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:2025
Review due:Q4 2026
What this document proves
Measurable element alignments and explainability trace
ACC.2Major Gap (GAP-1231)
Access to care and continuity — control 2: documented process, responsible owner and evidence of practice (paraphrased)
ACC.2
sterilisation_log_v1.jpg
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_v1.jpg
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_v1.jpg
Documented Policy Evidence
High Confidence (88%)
high
GAP-1231Open
Documentation gap in sterilisation_log_v1.jpg: Policy requires verified committee endorsement and alignment with JCI ACC Measurable Elements.
Target requirement: ACC.2