Documentation, Reporting & BCP Drill

All BCP activities must be properly documented and periodically tested to ensure clinic-wide readiness and compliance with KKM and ISO standards.

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Documentation & Reporting SOP

Mandatory Records to Keep

BCP Report

Completed BCP Report (Lampiran A)

Manual Records

Prescriptions, clerking sheets, consent forms, logbooks, Google Sheet/Excel trackers

Retention Period

Records must be stored for at least 2 years for audit purposes.

Submission & Filing

BCP Manager is responsible for submitting reports and filing all records securely.

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BCP Drill Requirement

1

Minimum Frequency

Once per year or as directed by KKM

All units must participate in at least one BCP drill annually.

2

Alternative to Planned Drill

Real downtime events may substitute

A real downtime event may substitute for a drill if fully documented using Lampiran A.

3

Reporting

Documented and reviewed by clinic management

Drill outcomes must be documented using Lampiran A and reviewed by clinic management.

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Lampiran A — BCP Report Template

The official BCP Report Template (Lampiran A) is referenced throughout this documentation. It is obtained from the Muar ICT Helpdesk App and must be completed for every BCP activation or drill.

Content to be inserted here:

• Lampiran A form template (digital or scanned)
• Filing instructions
• Submission deadline (within 24–48 hours of BCP stand-down)