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3.7 Preventive Maintenance
3.7.1 Development of a maintenance plan
Contents of a maintenance plan are;
Cleaning rooster- where each person in charge of basic maintenance for every internal and
external area named.
Site plan- showing divisions into internal and external area for basic maintenance
Inspection chart- listing each time for inspection of all items
Job survey forms- for reporting on needed materials for or other assistance to the PHO in
charge of maintenance
Monthly health maintenance report- for reporting on all maintenance activities carried out
during a month to the PHO in charge of maintenance
Maintenance diary- for recording any action taken concerning maintenance
Carrying out maintenance
When carrying out maintenance, the following are always given priority;
Basic cleaning
This is the single most cost effective maintenance activity and should always be given
attention
Prevention of water damage
This ensures the evacuation of rain water from the buildings and within the site. It also keeps
rooms and associated components water- proof
Controlling of bats, insects and microorganisms
Feces and urine of bats and insects accumulate on the ceiling boards hence causing
decomposition. To stop the bats from entering the building, entrance holes are sealed using
mesh or firm rubber, roofs are made less attractive, crisscrossing wires are used to knock
them off. Where termites are present, then anti- termites are used. Termite shelters are
removed.
Security maintenance
A hard outer shell of walls and roofs that protect against breaking are used. Functioning doors
and locks in all rooms and cardboards that have restricted access should be put in place.
Hence, priority should be given to the maintenance of doors, windows and burglar proofing
devices in external walls.
Water supply maintenance
Water is required for hand hygiene when handling patients and is also critical when teaching
hygiene to the local community. Water is also used in cleaning.
Thus, availability of safe water helps health facility staffs provide better medical services and
also to maintain the facility. Priority too should be given to protecting water sources against
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water pollution and also ensuring good functioning of storage tanks, supply pipes and rain
water collection devices such as gutters and down pipes.
3.8 Building Regulations, standards and codes
The existing relevant building laws are Local Government Act Cap 265, Public Health Act
Cap 242, Land Control Act Cap 302, and Physical Planning Act Cap 286.
A person who erects a building or develops land or changes the use of a building or land, or
who owns or occupies a building or land shall comply with the requirements of this by-laws.
Any person who intends to erect a building shall submit a written application to do so in such
form as the council may require, completing all details required therein is so far as they apply
to the proposal. The application form shall be completed in ink, signed by the developer or by
