H A N D B O O K

ON SETTING UP OF
PRIVATE HOSPITALS
IN MALAYSIA
Submission Process & Harmonisation
of Technical Requirements

ALL RIGHTS RESERVED

Ministry of Health Malaysia

All rights reserved. No part of this publication may be reproduced, distributed, or transmitted in any form or by any
means, including photocopying, recording, or other electronic or mechanical methods, without the prior written
permission of the publisher, except in the case of brief quotations embodied in critical reviews and certain other
noncommercial uses permitted by copyright law.

Prepared By:

Private Medical Practice Control Section

Medical Practice Division
Ministry of Health Malaysia
Level 3, Block E1, Parcel E
Federal Government Administration Centre
62590 Putrajaya
Tel : 03-8883 1307

In Collaboration With:

Malaysia Productivity Corporation

Lorong Produktiviti
Jalan Sultan 46200 Petaling Jaya
Selangor Darul Ehsan
Tel : 03-7955 7266

PRODUCTIVITY AND REGULATION

Productivity is the only driver of income growth that is unlimited, as opposed to resource exploitation or increase in
population and labour force participation, each of which faces natural limits. The potential for productivity growth to
generate higher income for Malaysians makes it a natural and important consideration for decision makers. As such the
continuing need to stimulate productivity rightly remains at the forefront of government policies. Regulation is the
lifeblood of a modern, well-functioning economy.

Almost all regulations have the potential to impact on productivity, either through the incentives which they provide to
businesses to change operating and investment decisions, or more directly through their impacts on compliance costs.
It is inconceivable to think of a modern economy functioning without regulation. However, poor regulation can cause
frustration and unintended consequences, or simply add red tape that adds nothing useful to the economy, society or
the environment.

© Malaysia Productivity Corporation 2019

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I
FOREWORD
FROM
MINISTER OF HEALTH MALAYSIA

Firstly, I would like to applaud everyone involved in

contributing towards the successful completion of
this “Handbook on Setting Up of Private
Hospitals in Malaysia: Submission Process and
Harmonisation of Technical Requirements”.

We, at the Ministry of Health (MOH), acknowledge

that there were challenges faced by businesses in
complying with the different technical
requirements in their process of setting up a new
private hospital. Therefore, it is crucial to
streamline and harmonize the relevant regulatory
requirements across the ministry and multiple
agencies, and also other relevant stakeholders in
improving the efficiency of process.
We also acknowledge that in the course of
harmonizing and streamlining the different
requirements in the existing policies, we cannot be
working alone. Getting feedback through
consultations and collaborating with relevant
stakeholders are important to ensure that all
stakeholders’ concerns are included and thought
thoroughly, eliminating duplications for better
productivity and weighing socio-economic
benefits.
The establishment of the Private Healthcare
Productivity Nexus (PHPN) that is led by the
industry, presently championed by YBhg. Dato’ Dr.
Jacob Thomas, has provided us with a great
platform for collaborating with multiple
stakeholders across the private healthcare
subsector.
This handbook was drafted through numerous
series of meetings and discussions, consultations
with regulators and business operators and
technical operators; and MOH, through its Private
Medical Practice Control Section (CKAPS), Medical
Practice Division, has been and will continue to be
committed in working closely with the Technical
Working Group (TWG) members who are directly
involved in enhancing the approval process of
setting up new private hospital developments.
This handbook is intended to serve as a guidance
to facilitate businesses in their efforts to comply
with the technical requirements for setting up a
new private hospital. The list of harmonized
requirements, procedures and/or guidelines
outlined in this handbook are to be used as
reference and information for all stakeholders in
both public and private sector – regulators,
operators, technical professionals, and other
interested parties.
I would like to offer my sincere appreciation to
PHPN for leading the members of the Technical
Working Group (TWG) toward the successful
completion of this handbook, not forgetting the
Secretariat team from the Malaysia Productivity
Corporation (MPC), who have undertaken an active
role in coordinating and facilitating the whole
journey in coming up with this handbook and also
other initiatives under the Private Healthcare
Productivity Nexus.
On behalf of MOH, I sincerely hope that this
handbook will advance further as a ground for
continuous improvement in future.
Once again, I thank everyone involved in coming up
with this handbook.
YB DATO' SERI DR HJ DZULKEFLY AHMAD

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FOREWORD
FROM
CHAMPION, PRIVATE HEALTHCARE
PRODUCTIVITY NEXUS

It is a great pleasure for me to witness that the team

has finally accomplished the task of coming up with
this “Handbook on Setting Up of New Private
Hospitals in Malaysia: Submission Process and
Harmonisation of Technical Requirements”.

The Private Healthcare Productivity Nexus (PHPN)

which was established under the Malaysia
Productivity Blueprint (MPB) has provided us with an
invaluable opportunity and platform to deliberate on
the issues that have been “bothering” the private
healthcare sector for a certain period of time.
Although we want to run very fast, we acknowledge
that certain changes could not happen overnight,
especially when the complexity of things involve
many players or stakeholders and jurisdictions.
Failure in regulatory coordination between agencies
in the process of establishment and licensing of
private healthcare facilities (private hospital) has
adversely affected the private healthcare providers in
doing business.
With the completion of this handbook, we envisioned
that the concerns and confusions caused by the
differences in the technical requirements in setting up
of a new private hospital are cleared (by streamlining
certain set of regulations through the harmonisation
of technical requirements). This will assist the private
healthcare facilities providers in understanding the
requirements needed thus cutting the unnecessary
compliance cost.
As the Champion of PHPN, I realise that sometimes,
we need to take one thing at a time – but ultimately,
we strive to ensure that the work we do shall
contribute positively toward our nation’s economic
growth. This handbook ticks-off one of the initiatives
on regulatory focus area under the PHPN. However,
our work will not stop here. The work of PHPN shall
continue in improving efficiency of process of setting
up private hospitals.
A lot of efforts have been put into completing this
handbook and one of the biggest accomplishments
that has been achieved is when both public and
private sectors are able to sit in a room to discuss
on improvements that would be beneficial to both
parties, which would ultimately, contribute to
enhance productivity and economic growth of the
healthcare subsector.
I would like to personally thank each and every one
who has contributed, in particular technical
representatives from both private and public
sectors such as Cawangan Kawalan Amalan
Perubatan Swasta (CKAPS), MOH Engineering
Department, BOMBA, Local Authorities (PBT),
KPKT, DBKL, Association of Private Hospitals
Malaysia, medical planners, architects, engineers,
surveyors and of course not forgetting the MPC
team too.
I look forward to working together to deliver the
strategies and action plans to enable us to face the
challenges towards enhancing the industry growth
and productivity, keeping Malaysia competitive!
My heartiest congratulations to all!

YBHG. DATO' DR. JACOB THOMAS

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FOREWORD
FROM
DIRECTOR GENERAL OF
MALAYSIA PRODUCTIVITY CORPORATION

The Government places importance on productivity

as a game changer for economic growth and
recognises that the way forward would be for
various institutions to collaborate and work
together to deliver the strategies and action plans
to enable us to face the challenges ahead and keep
Malaysia competitive and productive in the long run.
The establishment of Malaysia Productivity
Blueprint’s Private Healthcare Productivity Nexus
(PHPN) that is being championed by the industry
serves as a basis for Public-Private Collaboration to
drive multi-stakeholder initiatives to increase
healthcare subsector’s productivity. This Handbook
on Setting Up of Private Hospitals in Malaysia:
Submission Process and Harmonisation of
Technical Requirements is one of the initiatives
under the PHPN.
The Technical Working Group (TWG), which
consists of technical representatives from both,
private and public sector, namely regulators,
agencies, private hospital operators, Association of
Private Hospital, professionals (architects,
engineers, medical planners, surveyors) and other
concerned parties had carried out various
engagements through series of workshops to
identify the issues of concern relating to regulations
imposed in the process of setting up of private
hospitals.
The handbook comes with a two-pronged strategy
– while it is envisaged that it will facilitate
businesses to complete and comply with the
technical requirements, this handbook will also help
ease certain unnecessary regulatory burdens
caused by the differences in the technical
requirements, which more often than not, caused
confusions to the businesses.
As we are living in an era of digitalisation, I believe
that this handbook will evolve, and the team may
make continuous improvement as and when the
need arises.
On behalf of Malaysia Productivity Corporation
(MPC), I would like to convey our heartiest
appreciation to all who have invested their time and
efforts in accomplishing this handbook.
Let us continue working together in achieving our
nation’s productivity agenda!

From these issues and applying the principles of

good regulatory practices, the team then
formulated feasible options and recommendations
for further deliberation. The recommendations
made by the team went through a public
consultation session before the drafting of this YBHG. DATO' MOHD RAZALI HUSSAIN
handbook was finalised.

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 C O N T E N T S
Introduction 1

1.0 PROCESSES OF SETTING UP PRIVATE HOSPITALS

1.1 Eight Processes Of Setting Up Private Hospitals 3

• Process 1 4
• Process 2 5
• Process 3 6
• Process 4 6
• Process 5 7
• Process 6 7
• Process 7 8
• Process 8 8

1.2 List of Apppendices and Tutorials

Appendix 1 : Checklist for “Application of Pre-Establishment” 9

Appendix 2 : Functional Planning Unit (FPU) - Example 12

Appendix 3 : Schedule of Accommodations (SOA) - Example 13

Appendix 4 : “No Objection Letter” for application of 15

Pre-Establishment - Example

Appendix 5 : Checklist for Submission for “Borang 1 – 17

Bahagian 1” (Body Corporate)

Appendix 6 : UBBL 1984, By-Law 9 (Skala Pelan) & 10 19

(Pelan-pelan Yang Dikehendaki)

Appendix 7 : Checklist for Submission for “Borang 1 – 22

Bahagian 2” (Body Corporate)

Appendix 8 : Fully Loaded Drawing - Example 23

Appendix 9 : Borang 2 - Example 24

Appendix 10 : Checklist for CCC – Example 26

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 Appendix 11 : Checklist for Submission for “Borang 3 – 28
Bahagian 1” (Body Corporate)

Appendix 12 : Checklist for Submission for “Borang 3 – 30

Bahagian 2” (Body Corporate)

Appendix 13 : Borang 4 - Example 31

Tutorial 1 : M&E List Of Drawings and M&E Requirements 33

Tutorial 2 : Checklist for Floor Plans and Inspection Visits 35

Tutorial 3 : Application Forms related to Private Healthcare 37

Facilities and Services

2.0 TECHNICAL SPECIFICATION REQUIREMENTS

BETWEEN ACT 586, UBBL AND OTHERS

2.1 Background 41
2.2 Recommendation: Harmonisation Of Regulatory Requirement 41
2.2.1 Corridors 41
2.2.2 Doors (Patient) 44
2.2.3 Ramps 46
2.2.4 Stairways 50
2.2.5 Elevators / Lifts 54
2.2.6 Ceilings 56
2.2.7 Doors (Toilet) 59
2.2.8 Refuge Area 61

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 INTRODUCTION

This handbook focuses on providing guidelines for the application, construction and operation
of new private hospitals. It serves as a reference to hospital developers, investors (local and
foreign), technical consultants, officers of relevant regulatory bodies and license providers while
maintaining current regulatory / statutory requirements.

In building and operating a private hospital in Malaysia, it is mandatory for all developers and
investors to comply with the Malaysian By-laws. Other than complying with the local authority
requirement, it is also compulsory to adhere to Private Healthcare Facilities & Services Act 1998
[Act 586] which is governed by Ministry of Health (MoH), under the purview of Private Medical
Practice Control Section (Cawangan Kawalan Amalan Perubatan Swasta – CKAPS).

Under Act 586, "private hospital" means any premises, other than a Government hospital or
institution, used or intended to be used for the reception, lodging, treatment and care of persons
who require medical treatment or suffer from any disease or who require dental treatment that
requires hospitalisation. The Act places utmost importance on patients’ safety.

Generally, buildings in Malaysia are deemed fit for occupation subject to completion and
compliance of the buildings according to local authorities’ requirements and service connected
by the service providers. However, private healthcare facilities require an additional set of
approvals from MoH, which ultimately issue the operating license for these hospitals.

A series of eight (8) processes has been identified and streamlined to facilitate the industry. Due
to the involvement of various regulatory bodies, the following relevant Acts and Guidelines
should be referred to in achieving statutory compliance:

1. Act 586;
2. Uniform Building By-Laws 1984;
3. Fire Safety Requirement;
4. Other Code of Practises and Malaysian Standard (MS), including MS1183:1990 (Specification
for Fire Precautions in the Design and Construction of Buildings), MS1184:1991 (Code of
Practice on Access for Disabled Persons to Public Buildings) and MS1331:1993 (Code of
Practice for Access of Disabled Persons Outside Buildings).

These acts and regulations must be read in tandem with the requirements set by MoH to comply
with the specific requirements as a private hospital.

Although design innovations is encouraged, applicants must ensure patients’ safety standards
are met. For the purpose of understanding the differences in interpretation of certain
requirements, the handbook has provided illustrations to clarify measurement methodology.
Part of the handbook’s objectives is to eliminate design features that do not conform with the
requirement as well as minimizing differences between Acts, Standards and Guidelines.

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 PROCESSES
OF SETTING UP
PRIVATE HOSPITALS

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 1.1 EIGHT PROCESSES OF SETTING UP PRIVATE HOSPITALS
Process 1 Process 2 Process 3 Process 4 Process 5 Process 6 Process 7 Process 8
Gather Technical Submission of Notify to Start Compliance of Submissions of
Receive Interim
Information from: Development Construction Receive Final Submissions of Application for
Inspections from: G1 - G21
• Local Order to: Work to: Inspections from: Application for License to
Deposit
Council • Local Council Certificate of License to Operate or
• Local Council
(Local Plan • Local Council • (Phase 1)
Compliance and Operate or Provide a Private
• Department of
Zoning, etc) • Architect Board Local Council Provide a Private Hospital to
Approval of Occupational Completion to:
• Sewerage Safety & Health Hospital to CKAPS incuding
Submissions of Development • (Phase 2) Manpower And
Service (JKKP) • Local Council CKAPS
(approval for Order Department of Facilities
Provider • Architect (Borang 3)
Pre-Establishment Occupational Resources
Board
Application) to Receive Interim Safety & Health Requirements
CKAPS Submissions of (JKKP)
Inspections from: (Borang 3)
• Functional Private Submissions of Issuance Of Provisional
Planning Unit Hospital’s Plan to Private Hospital’s C.C.C. Licence –
• Electricity Processing
(FPU) CKAPS - Plan Layout to (Borang F) Validity
Supply Fee **
(Borang 1) CKAPS Receive Final 6 months
Provider • CF Autoclave
Processing Fee ** • Fully Loaded Inspections from:
• Water Supply by JKKP
• Building Plans Drawing Issuance -
Provider • Atomic energy
• (Phase 1) (Borang 4),
• Sewerage license by MOH
Gathering Processing Fee ** Electricity License to
Service
Technical • Autoclave Supply Provider Operate /
Providers
Information from: Requirements Water Supply Provide a
• SKMM • Radiation Provider Private Hospital
• Electricity Design MOH
Supply Issuance of
• (Phase 2)
Provider Borang 2
Sewerage
Provisional
• Water Service
Approval
Supply Provider
Providers
Submission of
Gathering Land
Building Plan
Information from
Approval to
Land Office
Local Council

No Objection Submission of
Letter for Pre- Engineering Plan
Establishment to Local Council

Submission to CKAPS Submission to Local Council

Full Approval of
Approval from MoH Submission and Works with Service & Utility Provider

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Building Plan
(through CKAPS)
And Engineering Approval from Local Council/Service & Utility Provider
Plan Processing fee is payable
only after the amendment

3
of the Third Schedule of the
Regulations, P.U.(A)138/2006.
EIGHT PROCESSES OF SETTING UP PRIVATE HOSPITALS
Process 1
• Consultants should gather all technical information and planning
Gather
Technical
requirement (data gathering) from Local Authority (Pihak Berkuasa
Information Tempatan - PBT) and other Technical Agencies;
from:
• Local • To comply with the check-list as per CKAPS for “Pre-Establishment for
Council Private Hospital” (Appendix 1)
(Local Plan
Zoning, etc) • To include the additional drawings and documents submission to CKAPS:
1) Functional Planning Unit (FPU) (Scale 1:200) for every level
Submissions of (Appendix 2); and
(approval for
2) Schedule of Accommodations (SOA) (Appendix 3)
Pre-
Establishment
Application) to • Upon completion and compliance to all necessary requirements, a
CKAPS “No Objection Letter for Pre-Establishment” (Appendix 4) will be issued
• Functional by Ministry of Health, Malaysia (MoH) within 4 working weeks; with the
Planning Unit validity of 12 months.
(FPU)
• Applicant may not have a Registered Medical Practitioner (RMP) with
Processing Malaysian Medical Council (MMC) as one of the Board Of Director (BOD)
Fee **
in their company. However they have to ensure they have at least one (1)
Gathering RMP as BOD when they submit Borang 1. A conditional approval may be
Technical given.
Information
from: ** Processing fee is payable only after the amendment of the Third Schedule
• SKMM of the Regulations, P.U.(A)138/2006.
• Electricity
Supply
Provider
• Water
Supply
Providers

Gathering Land
Information
from Land
Office

No Objection
Letter for Pre-
Establishment

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EIGHT PROCESSES OF SETTING UP PRIVATE HOSPITALS
Process 2
• Consultants to prepare and submit Planning Permission (Kebenaran
Submission of Merancang – KM) to obtain Development Order (DO) from respective
Development Local Authority (PBT).
Order to
• Local Council • New item to be included in PBT’s DO Check List: “No Objection Letter”
from MoH
Approval
Development • DO Approval received from Local Authority ( PBT)
Order
• Developer/Operator to fill in and complete Borang 1 as per CKAPS
Submit Private “Checklist on Submission for Borang 1 – Bahagian 1 (Body
Hospital’s Plan Corporate).”(Appendix 5) together with D.O. Approval Letter and Drawing
for MoH - from Local Authority
BORANG 1
• Building • Consultants to prepare a Building Plans, as prescribed in “UBBL 1984,
Plans By-Law 9 (Skala Pelan) & 10 (Pelan-pelan Yang Dikehendaki)” (Appendix 6)

• Autoclave • Consultants to accommodate and incorporate any radiation requirement

Requirements into the Detail Design Drawing . i.e. Jabatan Keselamatan Dan Kesihatan
• Radiation Pekerjaan (JKKP) , Bahagian Kawalselia Radiasi Perubatan, MoH (BKRP),
Design MOH MoH

Provisional Building Plans submitted to CKAPS shall comprise the following but not
Approval limited to:
1. Co-ordinated Drawings from all technical disciplines;
2. All drawings submitted shall be endorsed by Principal Submitting
Submission of Persons (PSP) and Submitting Persons (SP);
Building Plan
3. Details drawings of Scale 1:50 on Staircase, Corridor, Door Opening,
Approval to
Local Council
etc to demonstrate the Distance and Spacing compliance.

• CKAPS will review Borang 1 with drawings and documents submitted.

Submission of
Engineering • Upon all drawings and documentations complete and comply, “Provisional
Plan to Local Approval” will be issued by MoH within 4 working weeks from the date of
Council acceptance of complete and compliance of drawings and documents; with
the validity of 12 months.

Full Approval • Consultants to develop and prepare Building Plan Drawings; Engineering
Of Building Plans Drawings and submit to Local Authority (PBT) with attachment of
Plan And Provisional Approval from MoH.
Engineering
Plan
• New item to be included in PBT’s BP Check List: “Provisional Approval
Letter ” from MoH

• Local Authority and Technical Agencies will review Building Plan &
Engineering Plan.

• Upon fulfilment of all requirements, PBT will issue Approved Building Plan
and Engineering Plan to applicant.

** Processing Fee to be paid in Money Order or Bank Draft as per calculation

stipulated in Checklist Borang 1.

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EIGHT PROCESSES OF SETTING UP PRIVATE HOSPITALS
Process 3
• Upon obtaining Full Building Plan (BP) Approval, Developer can
Notify to Start commence construction works by submission of “Borang B (Notice to
Construction Start Work)” to PBT.
Work to
• Developer/Operator to fill in and complete Borang 1 – Bahagian 2 as per
• Local Council CKAPS “Checklist on Submission for Borang 1 – Bahagian 2 (Body
• Architect Corporate).”(Appendix 7) together with B.P. Approval Letter and Drawing
Board from PBT.
• Sewerage
Service
Provider • Consultants to prepare Fully Loaded Drawings (Appendix 8) and
Mechanical & Electrical (M&E) Drawings and submit to CKAPS as per the
approved BP.

Submit Private • M&E list of drawings and M&E requirements to be compliance as per MoH’s
Hospital’s Plan Engineering Services Division.
Layout for MoH
Refer to Tutorial 1:
• Fully Loaded
Drawing
http://engineering.moh.gov.my/v4/download.php?i=27

Processing ** Processing Fee is payable only after the amendment of Third Schedule of
Fee ** the Regulations, P.U.(A)138/2006.

EIGHT PROCESSES OF SETTING UP PRIVATE HOSPITALS

Process 4
• Building construction to follow all guidelines and regulations set by PBT
Receive Interim and Technical Agencies.
Inspections
from: • Upon receiving completed and complied drawings, MoH to issue “Borang
2” within 4 working weeks (Appendix 9)
• Local Council
• Department
• Validity of “Borang 2” is for 36 months from the date of issuance.
of
Occupational
Safety &
Health (JKKP)

Receive Interim
Inspections
from:

• Electricity
Supply
Provider
• Water Supply
Provider
• Sewerage
Service
Providers

Issuance of
Borang 2

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EIGHT PROCESSES OF SETTING UP PRIVATE HOSPITALS
Process 5
The clearance letters from the following six agencies need to be obtained
Receive Final before the issuance of Certificate of Completion and Compliance (CCC) :
Inspections from:
1. The confirmation of electrical supply from TNB.
• (Phase 1)
2. The confirmation of water supply from the relevant water authorities.
Local Council
3. The confirmation of connection to sewerage treatment plants or
• (Phase 2) mains by the relevant regulators/agencies;
Department
of 4. The clearance of machinery & lifts and Autoclave from Jabatan
Occupational Keselamatan & Kesihatan Pekerjaan (JKKP).
Safety & Health
5. The clearance for active fire fighting systems from the Fire and
(JKKP)
Rescue Department of Malaysia.
Receive Final 6. The clearance letter of roads and drainage from PBT/JKR.
Inspections
from:

• (Phase 1)
Electricity
Supply
Provider
Water Supply
Provider

• (Phase 2)
Sewerage
Service
Provider

EIGHT PROCESSES OF SETTING UP PRIVATE HOSPITALS

Process 6
• The Certificate of Completion and Compliance (Borang F) will be issued by
Compliance of Principal Submitting Person (PSP) to confirm that the project for which
G1 - G21 he/she had obtain building plan approval from a Local Authority, is
Deposit completed and has met all statutory requirement with regard to health and
Certificate of safety aspect and is ready to be occupied with all essential utilities services
Compliance
connected.
and
Completion to :
• Copies of the CCC issued to the owner must be submitted to Board of
• Local Council Architects and the Local Authority together with all 21 supporting forms
• Architect (Form G1 to G21) (Appendix 10) signed by relevant Submitting Person of
Board various Professions/Engineering disciplines and Contractors.

Issuance Of • Atomic Energy License needs to be obtained from BKRP.

C.C.C.
(Borang F)

• CF Autoclave
by JKKP
• Atomic
Energy
License by
MOH

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EIGHT PROCESSES OF SETTING UP PRIVATE HOSPITALS
Process 7

Submit
• Hospital Operator to fill in and complete Borang 3 – Bahagian 1 as per
Application for CKAPS “Checklist on Submission for Borang 3 – Bahagian 1 (Body
License to Corporate).”(Appendix 11) together with a copy of Borang F/CFC/CCC.
Operate or
Provide a • Applicant to ensure the facility is fully fitted and equipped as per described
Private in “Checklist for Floor Plans and Inspection Visit”
Hospital to Refer to Tutorial 2:
MoH http://medicalprac.moh.gov.my/v2/modules/mastop_publish/?tac=PELA
(Borang 3)
N_LANTAI_DAN_LAWATAN_PEMERIKSAAN

Provisional • Upon receiving a complete application, CKAPS will conduct Site Inspection
Licence – within 2 – 4 weeks.
Validity
6 months **
• Upon compliance with the requirement after inspection, “Clearance Letter
of Compliance” to issue to Applicant.

** Processing Fee to be paid in Money Order or Bank Draft as per calculation

stipulated in Checklist Borang 3

** Provisional Licence will be issued by MoH for a validity period of 6 months,

after the amendment of regulations [P.U.(A)138/2006] . This will replace
the “Clearance Letter of Compliance”.

EIGHT PROCESSES OF SETTING UP PRIVATE HOSPITALS

Process 8
• Hospital Operator need to submit Application for License to Operate or
Submit
Provide a Private Hospital within the validity of the Provisional License to
Application for
License to
Ministry of Health (MOH) with complete documentation of Manpower And
Operate or Facilities Resources Requirements; as per stipulated in the CKAPS
Provide a Checklist Borang 3 – Bahagian 2 (Appendix 12).
Private Hospital
to MoH incuding • Upon receiving complete and compliance application, MOH will issue
Manpower And "Letter of Issuance Fee" to Applicant that to be paid in Money Order or
Facilities Bank Draft only.
Resources
Requirements
• Upon receiving the Issuance Fee, MoH will issue Borang 4 (Appendix 13)
(Borang 3)
License to Operate / Provide a Private Hospital.
Processing
Fee ** ** Processing fee is payable only after the amendment of the Third Schedule
of the Regulations, P.U.(A)138/2006.
ISSUANCE -
BORANG 4,
License to
Operate /
Provide a
Private
Hospital

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 1.2 LIST OF APPPENDICES AND TUTORIALS

Appendix 1: Checklist for “Application of Pre-Establishment”

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 Appendix 2: Functional Planning Unit (FPU) - Example

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 Appendix 3: Schedule of Accommodations (SOA) - Example

Overall Summary of Schedule of Accommodations

AREA IN m2 GROSS
NAMA PERKHIDMATAN NAMA JABATAN
NET AREA IN m2 AREA IN m2

Net area 13,063.25

External Circulation; Lifts, Stairs, Corridors, AHU, Raisers etc., 2,853.28
Gross area for proposed hospital 15,916.53

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 Departmental Schedule of Accommodations

DEPT : EMERGENCY DEPARTMENT

LUAS KEMASAN PENGEDARAN

KOD BILIK NAMA BILIK
(m2) LANTAI DINDING SILING UDARA

Net Total 346.93

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Appendix 4 : “No Objection Letter” for application of
Pre-Establishment - Example

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Appendix 5: Checklist for Submission for “Borang 1 –
Bahagian 1” (Body Corporate)

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Appendix 6: UBBL 1984, By-Law 9 (Skala Pelan) & 10
(Pelan-pelan Yang Dikehendaki)

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 Appendix 7: Checklist for Submission for “Borang 1 –
Bahagian 2” (Body Corporate)

SENARAI SEMAK BORANG 1 HOSPITAL SWASTA (PERTUBUHAN PERBADANAN) - BAHAGIAN 2

Nama dan Alamat Premis : __________________________________________________________

Nama & No. Tel Pemohon/Wakil : __________________________________________________________

Mailing Address : __________________________________________________________

BIL PERKARA ULASAN

1) Salinan surat “Provisional Approval” (yang sah laku)

2) Salinan Surat dan Pelan bagi Kelulusan Pelan Bangunan dan Pelan Kejuruteraan dari
Pihak Berkuasa Tempatan (PBT) (yang sah laku)
3) Pelan Lantai Arkitek (Fully Loaded):
skala 1:100 (2 set berserta legend yang lengkap)
4) Pelan Mekanikal & Elektrikal mengikut Senarai Semak Spesifikasi Lukisan Kejuruteraan
Bagi Permohonan Lesen Kemudahan Dan Perkhidmatan Jagaan Kesihatan Swasta
(KPJKS) dari Bahagian Perkhidmatan Kejuruteraan KKM:
skala 1:100 (1 set berserta legend yang lengkap)

Disemak oleh : ____________________________________________________________________

Tindakan : ___Diterima / Dipulang kepada:_______________________________________

Tarikh : ____________________________________________________________________

Senarai Semak Borang 1 Hospital Swasta (Pertubuhan Perbadanan) – Bahagian 2 Julai 2019 1/1

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Appendix 8: Fully Loaded Drawing - Example

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 Appendix 9: Borang 2 - Example

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www.medicalprac.moh.gov.my
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 Appendix 10: Checklist for CCC – Example

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www.medicalprac.moh.gov.my
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 Appendix 11: Checklist for Submission for “Borang 3 –
Bahagian 1” (Body Corporate)

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www.medicalprac.moh.gov.my
29
 Appendix 12: Checklist for Submission for “Borang 3 –
Bahagian 2” (Body Corporate)

SENARAI SEMAK BORANG 3 HOSPITAL SWASTA (PERTUBUHAN PERBADANAN) - BAHAGIAN 2

Nama dan Alamat Premis : __________________________________________________________

Nama & No. Tel Pemohon/Wakil : __________________________________________________________

Mailing Address : __________________________________________________________

BIL PERKARA ULASAN

1) Salinan Surat “Clearance Letter of Compliance” bagi kelulusan Site Inspection (yang sah
laku)
2) Salinan sijil kelayakan profesional [sijil asas dan sijil kepakaran termasuk Sijil National
Specialist Register (NSR) / Surat pewartaan daripada KKM/Hospital Universiti (jika
berkaitan)] (diperakui sah) bagi-
a) Setiap pakar (mengikut jenis disiplin/perkhidmatan yang disediakan)
termasuk pakar affiliated/rujukan
b) Setiap kakitangan profesional jagaan kesihatan (mengikut kemudahan dan
perkhidmatan yang disediakan)
3) Salinan sijil pendaftaran profesional [pendaftaran penuh & perakuan amalan tahunan
semasa (APC)] (diperakui sah) bagi-
a) Setiap pakar (mengikut jenis disiplin/perkhidmatan yang disediakan) termasuk
pakar affiliated/rujukan
b) Setiap kakitangan profesional jagaan kesihatan (mengikut kemudahan dan
perkhidmatan yang disediakan)
4) Butir-butir bagi setiap kakitangan:
a) Profesional (mengikut kemudahan dan perkhidmatan yang disediakan)
b) Separa profesional (sertakan salinan kad pengenalan)
c) Daftar Locum perlu disedia dan disenggarakan di premis yang berkenaan (jika
berkaitan)
5) Lesen Tenaga Atom (bagi kemudahan radiologi dan pengimejan yang berkaitan)
6) Perjanjian/Perkiraan Pembuangan Sisa Klinikal
7) Perjanjian Bekalan/Perkhidmatan Darah (jika outsource)
8) Perjanjian/Perkiraan Perkhidmatan Ambulan (jika outsource)
9) Sijil Pengendalian Makanan (jika berkaitan)
10) Perjanjian/Perkiraan Perkhidmatan Dobi (jika outsource)
11) Perkiraan/Perjanjian Pencegahan Haiwan Perosak
12) Dokumen kontrak/perkiraan dengan MCO (jika berkaitan)
13) Dokumen-dokumen sokongan lain yang berkaitan (mengikut kemudahan dan
perkhidmatan yang dipohon atau disediakan)

Disemak oleh : _____________________________________________________________________

Tindakan : ___Diterima / Dipulang kepada:________________________________________

Tarikh : _____________________________________________________________________

Senarai Semak Borang 3 Hospital Swasta (Pertubuhan Perbadanan) – Bahagian 2 Julai 2019 1/1

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Appendix 13: Borang 4 (Example)

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 www.medicalprac.moh.gov.my
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 Tutorial 1: M&E List Of Drawings and M&E Requirements

Step 1 : Go to

http://engineering.moh.gov.my/

Step 2 : Click “ Muat Turun” at the menu bar

Step 3 : go to “Cawangan Perancangan”

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33
 Step 4: go to “Unit Penjagaan Kesihatan Swasta”

Step 5: Download the Checklist “Senarai Semak

Lukisan Spesifikasi Lukisan Kejuruteraan
(Hospital, Pusat Jagaan Ambulatori) 2019”

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34
 Tutorial 2: Checklist for Floor Plans and Inspection Visits

Step 1 : Go to

http://medicalprac.moh.gov.my/

Step 2 : Click “CKAPS”

Step 3 : Click “Pendaftaran, Kelulusan dan Pelesenan”

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35
Step 4 : Click “Senarai Semak Pelan Lantai dan Lawatan Pemeriksaan”

Step 5:
Download all the Checklist under
“Senarai Semak Pelan Lantai dan
Lawatan Pemeriksaan Mengikut Fasiliti”

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36
Tutorial 3: Application Forms related to Private Healthcare Facilities and Services

Step 1 : Go to

http://medicalprac.moh.gov.my/

Step 2 : Click “CKAPS”

Step 3 : Click “Pendaftaran, Kelulusan dan Pelesenan”

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37
 Step 4 : Click “Borang Permohonan yang Berkaitan
dengan KPJKS (MANUAL)”

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Step 5: Download the relevant Application Form where applicable

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39
 TECHNICAL
SPECIFICATION
REQUIREMENTS
BETWEEN ACT 586,
UBBL AND OTHERS

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 TECHNICAL GUIDELINE AND SPECIFICATIONS

2.1 Background
The technical guidelines and specifications below are only applicable to Patients’ Accessible Area.

All relevant Acts, Regulations and Guidelines should be referred to in achieving statutory
compliance, including Act 586, Uniform Building By-Law 1984 (or similar By-Law which might
differ in other states), Fire Safety Requirements, Malaysian Standard(s) and other governing laws.

All dimension clearance stated in Act 586 are illustrating ‘net clearance’ where other
Guidelines and By-Laws commonly illustrating ‘gross clearance’.

All dimensions and/or all opening and/or width which are means for escape are subject to 7th
Schedule, Calculation of Occupant Load & Capacity of Exits of UBBL 1984 (or similar By-Law
which might differ in other states).

2.2 RECOMMENDATION: HARMONISATION OF REGULATORY REQUIREMENT

2.2.1 CORRIDORS

Summary

Current
No Items Act 586 Statutory Harmonisation Justification
Regulations

1. Corridors •Patients'
Accessible
• For Patients’ Area.
Transported
Through •Patient's Safety.

•Maneuvering of
• Minimum Width R 53 (1) UBBL 1984, • 2.1 meters clear Medical Equipment.
2.1m 10th width from outmost
width Schedule, projection •To comply with Act
Item II, (Act 586) 586 and UBBL 1984
Note (ii) (or similar By-Law
(iii) which might differ in
-n/a other states).

•All opening and/or

width which means
for escape are
subject to 7th
Schedule,
Calculation of
Occupant Load &
Capacity of Exits of
UBBL 1984 (or
similar By-Law
which might differ
in other states).

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Descriptions

ACT 586

Rule 53. Corridors

(1) Corridors shall be at least 2.1 metres wide but exceptions may be permitted for corridors
limited to foot traffic and serving a single hospital department and there shall be sufficient
additional width at elevators.
(2) There shall be handrails on both sides of corridors used by patients with physical
disabilities in inpatient orthopaedic and rehabilitation units of a private hospital, private
nursing home and private hospice.

CURRENT STATUTORY REGULATIONS

• Item II, Note (ii) (iii) of 10th Schedule, UBBL 1984.

HARMONISATION
• 2.1 meters clear width from outmost projection (Act 586).

JUSTIFICATION
• Patients' Accessible Area.
• Patient's Safety.
• Manoeuvring of Medical Equipment.
• To comply with Act 586 and UBBL 1984 (or similar By-Law which might differ in other states).
• All opening and/or width which means for escape are subject to 7th Schedule, Calculation
of Occupant Load & Capacity of Exits of UBBL 1984 (or similar By-Law which might differ
in other states).

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 2.1 Meter
Minimum Corridor
Clear Width

Corridor

2.1 Meter
Minimum Clear Width

Diagram 1.1 Diagram 1.2

Diagram Illustrating Diagram Illustrating
Minimum Corridor Width Minimum Corridor Width
(Plan View) (Section View)

1.2 Meter 1.2 Meter

Minimum Minimum
Clear Opening Clear Opening

All doors except closet doors

shall not swing into the corridors 1.2 Meter
Minimum
Clear Width

Clear Opening
Minimum
2.1 Meter

Corridor

Diagram 1.3
Diagram Illustrating
Allowable Door's Swing To
Corridor
(Plan View)

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RECOMMENDATION: HARMONISATION OF REGULATORY REQUIREMENT

2.2.2 DOORS (PATIENT)

Summary

Current
No. Items Act 586 Statutory Harmonisation Justification
Regulations

2. Doors (Patient) • Patients' Accessible

Area.
• For Patients’
Transported • Patient's Safety.
Through
• Maneuvering of
• Minimum Opening R 54 (1) UBBL 1984, • 1.2m clear opening Medical Equipment.
1.2m clear By-Law 181 (Act 586)
opening Minimum • To comply with Act
0.852 m 586 and UBBL 1984
clear width (or similar By-Law
for all Fire which might differ
Exit Door in other states).
MS
1184:2002 • All opening and/or
(8.1) width which means
> 0.9 m for escape are
(Single subject to 7th
Leaf) Schedule,
> 1.0 m Calculation of
(Double Occupant Load &
Leaf) Capacity of Exits of
UBBL 1984 (or
similar By-Law
which might differ
• Door Swing R 54(6) -n/a • Act 586 in other states).
All doors
except
closet
doors shall
not swing
into the
corridors

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Descriptions

ACT 586

Rule 54. Doors

(1) All doors in an operating room, labour-delivery room, recovery room, emergency room,
fracture room, X-ray room, patient room doors, exit doors and other doors through which
patients are transported in wheel chairs, stretchers or beds shall have 1.2 metres minimum
clear opening.
(3) The doors for receiving entrance, store room and other doors through which large carts
passes through or bulk goods are transported shall be of adequate width.
(4) All two-way swing doors shall have vision panels.
(5) Exterior doors shall be designed to prevent entrance of rodents and the clearance at the
bottom of the door shall not exceed 0.6 centimetre.
(6) All doors except closet doors shall not swing into the corridors.

CURRENT STATUTORY REGULATIONS

• Minimum 0.852 meter clear width for all Fire Exit Door (UBBL 1984 By-Law 181).
• Single Leaf: Minimum 0.9 meter clear opening (MS 1184 : 2002 (8.1)).
• Double Leaf: Minimum 1.0 meter clear opening for at least one leaf (MS 1184 : 2002 (8.1)).

HARMONISATION
• 1.2 meters clear opening (Act 586).

JUSTIFICATION
• Patients' Accessible Area.
• Patient's Safety.
• Maneuvering of Medical Equipment.
• To comply with Act 586 and UBBL 1984 (or similar By-Law which might differ in other states).
• All opening and/or width which means for escape are subject to 7th Schedule, Calculation
of Occupant Load & Capacity of Exits of UBBL 1984 (or similar By-Law which might differ
in other states).

1.2 Meter
Minimum 1.2 Meter
Clear Minimum
Opening Clear Opening

Minimum 1000 mm clear

opening for at least one leaf

Diagram 2.1 Diagram 2.2

Diagram Illustrating Diagram Illustrating
Minimum Door Opening Minimum Door Opening
For Single Leaf For Double Leaf
(Plan View) (Plan View)

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RECOMMENDATION: HARMONISATION OF REGULATORY REQUIREMENT

2.2.3 RAMPS

Summary

Current
No. Items Act 586 Statutory Harmonisation Justification
Regulations

3. Ramps • Patients' Accessible

Area.
• For Patients’
Transported Through • Patient's Safety.

• Maximum Gradient R 52 (e) MS • 1:16 (Act 586) • Maneuvering of

1:16 1184:2002 Medical Equipment.
(5.1 (b))
1:12 • To comply with Act
586 and Malaysian
• Minimum Width R 52 (a) MS • Combination of Standard.
≥ 1.1m 1184:2002 both Act 586 &
wide (5.1 (a)) MS 1184:2002 • All opening and/or
≥ 1.2m width which means
for escape are
• Minimum R 52 (a) MS • ≥ 1.8m wide subject to 7th
Landing Size ≥ 1.8m 1184:2002 (Act 586) Schedule,
wide (5.1 (a)) Calculation of
≥ 1.2m Occupant Load &
Capacity of Exits of
UBBL 1984 (or
• Maximum Length - n/a MS • To provide landing similar By-Law
1184:2002 at every 6.0m run which might differ
(5.2 (a)) (MS 1184:2002 (5.2 in other states).
≤ 6.0m (a))

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Descriptions

ACT 586

Rule 52. Elevators, Stairways or Ramps

(6) All ramps:-

(a) Shall be at least 1.1 metres wide with a landing of at least 1.8 metres wide to allow
egress or exit or patients using beds, trolleys, stretchers or wheelchairs;
(b) Shall have non-skid surfaces;
(c) Shall have handrails on both sides, where necessary;
(d) Shall have adequate guard-rails and other safety devices, where necessary;
(e) Shall have slope of ramps not exceeding 1:16; and
(f) Shall comply with standards and requirements to the satisfaction of the Fire Services Department.

CURRENT STATUTORY REGULATIONS

• Maximum Gradient: 1:12 (MS 1184 : 2002 (5.1 (b)).
• Minimum Width: 1.2 meters (MS 1184 : 2002 (5.1 (a)).
• Minimum Landing Size: 1.2 meters (MS 1184 : 2002 (5.2 (a)).
• Maximum Length: 6.0 meters (MS 1184 : 2002 (5.2 (a)).

HARMONISATION
• Maximum Gradient: 1:16 (Act 586)
• Minimum Width: Combination of Act 586 and MS 1184 : 2002 (5.1 (a)).
• Minimum Landing Size: 1.8 meters (Act 586)
• Maximum Length: 6.0 meters (MS 1184 : 2002 (5.2 (a)).

JUSTIFICATION
• Patients' Accessible Area.
• Patient's Safety.
• Maneuvering of Medical Equipment.
• To comply with Act 586 and Malaysian Standard.
• All opening and/or width which means for escape are subject to 7th Schedule, Calculation
of Occupant Load & Capacity of Exits of UBBL 1984 (or similar By-Law which might differ
in other states).

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 1.8 Meter
Minimum
Clear Width
(Landing)

Clear Width
(Landing)
Minimum
1.8 Meter

1.1 Meter 1.1 Meter

Minimum Minimum
Clear Width Clear Width
(ACT 586) (ACT 586)

1.2 Meter 1.2 Meter

Minimum Minimum
Width Width
(UBBL 1984) (UBBL 1984)

Diagram 3.1 Diagram 3.2

Diagram Illustrating Diagram Illustrating
Minimum Clear Width Minimum Clear Width
(Plan View) (Section View)
[Full Height Wall With Side Railing] [Full Height Wall With Side Railing]

+ Based on this design, the + Based on this design, the

clear width will be 1.1 meters clear width will be 1.1 meters

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 1.8 Meter
Minimum
Clear Width
(Landing)

Clear Width
(Landing)
Minimum
1.8 Meter

1.1 Meter
Minimum
Clear Width
(ACT 586)

1.2 Meter
Minimum
Width
(UBBL 1984)

Diagram 3.3 Diagram 3.4

1.1 Meter
Diagram Illustrating Minimum
Diagram Illustrating
Minimum Clear Width Clear Width Minimum Clear Width
(Plan View) (ACT 586) (Section View)
[Low Height Wall With Top Railing] [Low Height Wall With Top Railing]

+ Based on this design, the 1.2 Meter + Based on this design, the
clear width will be 1.2 meters Minimum clear width will be 1.2 meters
Width
(UBBL 1984)

Landing
dient 1 : 16
Maximum Gra

1.8 Meter
Maximum Minimum
Length Clear Width
6.0 Meter (Landing)

Diagram 3.5
Diagram Illustrating
Maximum Gradient & Length
(Section View)

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RECOMMENDATION: HARMONISATION OF REGULATORY REQUIREMENT

2.2.4 STAIRWAYS

Summary

Current
No. Items Act 586 Statutory Harmonisation Justification
Regulations

4. Stairways • Patients' Accessible

Area.
• For Patients’
Transported Through • Patient's Safety.

• Minimum Width R 52 (a) UBBL • Combination of • Maneuvering of

≥ 1.1 m 1984, both Act 586 & Medical Equipment.
wide By-Law 177 UBBL 1984
(e) • To comply with Act
≥ 1.1 m 586 and UBBL 1984
(or similar By-Law
which might differ
• Minimum R 52 (a) UBBL • ≥ 1.8 m wide in other states).
Landing Size ≥ 1.8 m 1984, (Act 586)
wide By-Law • All opening and/or
106 (3) width which means
≥ 1.1 m for escape are
subject to 7th
Schedule,
• Maximum Flights - n/a UBBL • 16 steps Calculation of
1984, (UBBL 1984) Occupant Load &
By-Law Capacity of Exits of
108 (1) UBBL 1984 (or
16 steps similar By-Law
which might differ
in other states).
• Minimum Handrail R 52 (c) UBBL • Combination of
Bothsides 1984, both Act 586 &
By-Law UBBL 1984
107 (3)
Bothsides

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Descriptions

ACT 586

Rule 52. Elevators, Stairways or Ramps

(5) All stairways:-

(a) Shall be at least 1.1 metres wide with a landing of at least 1.8 metres wide to allow
egress or exit of patients using beds, trolleys or stretchers;
(b) Shall have non-skid surfaces;
(c) Shall have handrails on both sides;
(d) Shall have adequate guard-rails and other safety devices, where necessary; and
(e) Shall comply with standards and requirements to the satisfaction of the Fire Services
Department.

CURRENT STATUTORY REGULATIONS

• Minimum Width: 1.1 meters (UBBL By-Law 177 (e)).
• Minimum Landing Size: 1.1 meters (UBBL By-Law 106 (3)).
• Maximum Flights: 16 steps (UBBL By-Law 108 (1)).
• Handrail: Bothsides (UBBL By-Law 107 (3)).

HARMONISATION
• Minimum Width: Combination of Act 586 and UBBL By-Law 177 (e).
• Minimum Landing Size: 1.8 meters (Act 586).
• Maximum Flights: 16 steps (UBBL By-Law 108 (1)).
• Handrail: Bothsides (Act 586 & UBBL By-Law 107 (3)).

JUSTIFICATION
• Patients' Accessible Area.
• Patient's Safety.
• Maneuvering of Medical Equipment.
• To comply with Act 586 and UBBL 1984 (or similar By-Law which might differ in other states).
• All opening and/or width which means for escape are subject to 7th Schedule, Calculation
of Occupant Load & Capacity of Exits of UBBL 1984 (or similar By-Law which might differ
in other states).

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 1.8 Meter
Minimum
Clear Width
(Landing)

Clear Width
(Landing)
Minimum
1.8 Meter

1.1 Meter
Minimum
Clear Width
(ACT 586)

1.1 Meter
Minimum
Clear Width
(ACT 586)
1.1 Meter
Minimum
Width
(UBBL 1984)

1.1 Meter
Minimum
Width Diagram 4.2
(UBBL 1984) Diagram Illustrating
Minimum Clear Width
Diagram 4.1 (Section View)
Diagram Illustrating [Full Height Wall With Side Railing]
Minimum Clear Width
(Plan View) + Based on this design, the
[Full Height Wall With Side Railing] clear width will be 1.1 meters

+ Based on this design, the

clear width will be 1.1 meters

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 1.8 Meter
Minimum
Clear Width
(Landing)

Clear Width
(Landing)
Minimum
1.8 Meter

1.1 Meter
Minimum
Clear Width
(ACT 586)

1.1 Meter 1.1 Meter

Minimum Minimum
Clear Width Width
(ACT 586) (UBBL 1984)

Diagram 4.4
1.1 Meter
Minimum Diagram Illustrating
Width Minimum Clear Width
(UBBL 1984) (Section View)
[Low Height Wall With Top Railing]
Diagram 4.3
Diagram Illustrating + Based on this design, the
Minimum Clear Width clear width will be 1.2 meters
(Plan View)
[Low Height Wall With Top Railing]

+ Based on this design, the

clear width will be 1.2 meters

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53
RECOMMENDATION: HARMONISATION OF REGULATORY REQUIREMENT

2.2.5 ELEVATORS / LIFTS

Summary

Current
No. Items Act 586 Statutory Harmonisation Justification
Regulations

5. Elevators / Lifts • Patients' Accessible

Area.
• For Patients’
Transported Through • Patient's Safety.
• JKKP Certification Maneuvering of
(Borang G11) Medical Equipment.

• To comply with Act

• Numbers of Elevators R 52 (2) UBBL 1984, • Act 586 586 and UBBL 1984
/ Lifts ≥ 1 elevators, By-Law 124 • Preferably (or similar By-Law
if Patients’ To be minimum one which might differ
facilities are provided evacuation lift in other states).
located on for building to be provided
other than more than 4 • All opening and/or
ground floor storey width which means
for escape are
≥ 2 elevators, subject to 7th
if ≥ 60 beds Schedule,
other than Calculation of
ground floor Occupant Load &
Capacity of Exits of
≥3 UBBL 1984 (or
elevators, similar By-Law
if ≥ 200 beds which might differ
other than in other states).
ground floor

R 52 (3)
• Lift Door Opening Clear - n/a • Act 586
Opening ≥
1.2m

• Lift Car Size Car Size ≥ - n/a • Act 586

1.5 m x 2.1m

• Lift Capacity Capacity ≥ - n/a • Act 586

1,500kg

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54
Descriptions

ACT 586

Rule 52. Elevators, Stairways or Ramps

(2) The provision of elevators in a private healthcare facility or service shall be as follows:
(a) there shall be at least one elevator if a patient room, operating room, labour-delivery
room, X-ray room, solarium, or treatment room is located on other than a single floor
from the ground floor;
(b) there shall be at least two elevators if the private healthcare facility or service has a
capacity of more than sixty beds on other than the ground floor; and
(c) there shall be at least three elevators if the private healthcare facility or service has a
capacity of over two hundred beds on other than the ground floor.
(3) Where an elevator in a private healthcare facility or service is used or intended to be used:-
(a) for patient transportation, the size of such elevator shall at least be 1.5 metres by 2.1
metres clear size with a capacity of 1,500 kilograms, car and shaft doors of at least 1.2
metres clear opening; and
(b) for transfer of patient bed with attachments, the size of such elevator shall be
appropriate to such function.

CURRENT STATUTORY REGULATIONS

• Elevators / Lifts to be provided for building more than 4 storey (UBBL 1984 By-Law 124).

HARMONISATION
• Elevator / Lift to be provided (Act 586).
• Preferably minimum one evacuation lift to be provided.

JUSTIFICATION
• Patients' Accessible Area.
• Patient's Safety.
• Maneuvering of Medical Equipment.
• To comply with Act 586 and UBBL 1984 (or similar By-Law which might differ in other states).
• All opening and/or width which means for escape are subject to 7th Schedule, Calculation
of Occupant Load & Capacity of Exits of UBBL 1984 (or similar By-Law which might differ
in other states).
Clear Opening
Clear Width
Minimum

Minimum
1.5 Meter

1.2 Meter

Lift

2.1 Meter
Minimum
Clear Width

Diagram 5.1
Diagram Illustrating
Minimum Clear Opening & Width
(Plan View)

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RECOMMENDATION: HARMONISATION OF REGULATORY REQUIREMENT

2.2.6 CEILINGS

Summary

Current
No. Items Act 586 Statutory Harmonisation Justification
Regulations

6. Ceiling Height • Patients' Accessible

Area.
• Floor-to- R 58 (a) UBBL 1984, • Combination of
Ceiling Height 2.4m: By-Law 44(5) both Act 586 & • Patient's Safety.
for air- 3.0m: UBBL 1984
conditioned floor to floor • Maneuvering of
rooms or for patients’ Medical Equipment.
areas room
• To comply with Act
586 and UBBL 1984
R 58 (b) (or similar By-Law
3.0m: which might differ
for non-air- in other states).
conditioned
rooms or
areas

R 58 (c)
2.7m:
in an air
conditioned
sterile
room, labor
room.

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56
Descriptions

ACT 586

Rule 58. Ceilings

(1) Ceilings of each room or area in a private healthcare facility or service shall be:-
(a) 2.4 metres minimum clear floor to ceiling height for air-conditioned rooms or areas;
(b) 3.0 metres minimum clear floor to ceiling height for non-air-conditioned rooms or
areas; and
(c) 2.7 metres minimum clear floor to ceiling height in operating rooms, labour-delivery
rooms and similar rooms having special ceiling-mounted light fixtures.

CURRENT STATUTORY REGULATIONS

• Minimum Floor to Floor Height is 3.0 meters (UBBL 1984 By-Law 44 (5)).

HARMONISATION
• To be based on Act 586 and UBBL 1984 By-Law 44 (5).

JUSTIFICATION
• Patients' Accessible Area.
• Patient's Safety.
• Maneuvering of Medical Equipment.
• To comply with Act 586 and UBBL 1984 (or similar By-Law which might differ in other states).

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 Floor Level

To Floor Height (UBBL 1984)

3.0 Meter Minimum Floor
Ceiling Level

2.4 Meter Minimum

Clear Height
Diagram 6.1

(ACT 586)
Diagram Illustrating
Minimum Height
Air-Conditioned
(Section View)
Rooms or Areas
Floor Level + Based on this ceiling height
requirement, the floor to floor height
could be 3.0 meters

Floor Level
To Floor Height (UBBL 1984)
3.0 Meter Minimum Floor

Ceiling Level Diagram 6.2

Diagram Illustrating
3.0 Meter Minimum

Minimum Height
Clear Height

(Section View)
(ACT 586)

+ Based on this ceiling height

requirement, the floor to floor height
Non Air-Conditioned
should be more than 3.0 meters
Rooms or Areas
Floor Level

Floor Level
To Floor Height (UBBL 1984)
3.0 Meter Minimum Floor

Diagram 6.3
Ceiling Level Diagram Illustrating
Minimum Height
2.7 Meter Minimum

(Section View)
Clear Heigh
(ACT 586)

+ Based on this ceiling height

Operating Rooms, requirement, the floor to floor height
Labour/ Delivery Rooms, could be 3.0 meters
Similar Rooms
Floor Level

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 RECOMMENDATION: HARMONISATION OF REGULATORY REQUIREMENT

2.2.7 DOORS (TOILET)

Summary

Current
No. Items Act 586 Statutory Harmonisation Justification
Regulations
7. Doors (Toilet) • Patients' Accessible
Area.

• Patient’s Toilet and

Bathroom • Patient's Safety.

• Minimum Opening R 54 (2) MS • Combination of • Maneuvering of

0.9m clear 1184:2002 both Act 586 & Medical Equipment.
opening (8.1) UBBL 1984
> 0.9 m
• To comply with
• Door Swing R 54 (2) - n/a • Act 586 Act 586.
the door
shall not
swing into
the toilet or
bathroom

Descriptions

ACT 586

Rule 54. Doors

(2) The door for patient toilet and bathroom including door to toilet adjoining patient room
shall have 0.9 metre minimum clear opening and the door shall not swing into the toilet or
bathroom and if the toilet or bathroom is located next to a corridor, the door shall open
sideways.

CURRENT STATUTORY REGULATIONS

• Minimum 0.9 meter clear opening (MS 1184 : 2002 (8.2)).

HARMONISATION
• 0.9 meter clear opening (Act 586).

JUSTIFICATION
• Patients' Accessible Area.
• Patient's Safety.
• Maneuvering of Medical Equipment.
• To comply with Act 586.

www.medicalprac.moh.gov.my
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 0.9 Meter 0.9 Meter
Minimum Minimum
Clear Opening Clear Opening

Diagram 7.1 Diagram 7.2

Diagram Illustrating Diagram Illustrating
Minimum Door Opening Minimum Door Opening
For Single Leaf For Double Leaf
(Plan View) (Plan View)

Toilet or Toilet or
Bathroom Bathroom
0.9 Meter 0.9 Meter
Minimum Minimum
Clear Opening Clear Opening

The Door shall not swing into the toilet or bathroom

and if the toilet or bathroom is located next to a
corridor, the door shall open sideways.
Clear Width
Minimum
2.1 Meter

Corridor

Diagram 7.3
Diagram Illustrating
Allowable Door's Swing To Corridor
(Plan View)

www.medicalprac.moh.gov.my
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RECOMMENDATION: HARMONISATION OF REGULATORY REQUIREMENT

2.2.8 REFUGE AREA

Summary

Current
No. Items Act 586 Statutory Harmonisation Justification
Regulations

8. Refuge Area • Staging area for

evacuation process
• Horizontal No UBBL 1984, • UBBL 1984
By-Law 169 • Patients' Accessible
Evacuation Area provision (Amendment 2012
(Amendment Area.
for Patients 2012) adopted)
• Patient's Safety &
• To provide an Health.
enclosed area
• Maneuvering of
which can occupy
Medical Equipment.
50% based on
number of beds • To comply with
per floor. UBBL 1984 (or
similar By-Law
which might differ
in other states).

www.medicalprac.moh.gov.my
61
 ACKNOWLEDGEMENT
TECHNICAL REPRESENTATIVES
Public Sector

Dr. Ahmad Razid bin Salleh

Director, Medical Practice Division, MOH

Dr. Afidah binti Ali

Deputy Director, Private Medical Practice Control Section, Medical Practice,
Division, MoH

Dr. Siti Zufina binti Abd Samah

Senior Principal Assistant Director, Private Medical Practice Control Section,
Medical Practice Division, MOH

Dr. Alicia Liew Hsiao Hui

Senior Principal Assistant Director, Private Medical Practice Control Section,
Medical Practice Division, MOH

Dr. Nurul ‘Ain binti Selamat

Principal Assistant Director, Private Medical Practice Control Section,
Medical Practice Division, MOH

Dr. Mohd Azran Hafiz bin Ahmad

Principal Assistant Director, Private Medical Practice Control Section,
Medical Practice Division, MOH

Farhanah binti Mohamad Dahari

Senior Assistant Director, Engineering Services Division, MOH

Muhamad Faiz bin Shahrom

Assistant Director, Engineering Services Division, MOH

Ismawijaya Zah bin Mohd Jais

Senior Deputy Director, Building Control Department,
Dewan Bandaraya Kuala Lumpur

Mohd Azlan Shah bin Abdullah

Engineer (Civil), Infrastructure Planning Department,
Dewan Bandaraya Kuala Lumpur

www.medicalprac.moh.gov.my
62
Yusri bin Basri
Senior Fire Superintendent I, Jabatan Bomba Dan Penyelamat Malaysia

Amram bin Jaya

Senior Fire Superintendent II, Jabatan Bomba Dan Penyelamat Malaysia

Azahar bin Rabu

Senior Assistant Fire Superintendent,
Jabatan Bomba Dan Penyelamat Malaysia

Zahid bin Ismail

Director, Malaysia Productivity Corporation

Sr Alias bin Marjoh

Associate, Malaysia Productivity Corporation

Dr. Izhar bin Che Mee

Associate, Malaysia Productivity Corporation

Private Sector

YBhg. Dato’ Dr. Jacob Thomas

Champion
Private Healthcare Productivity Nexus

YBhg. Datuk Ar. Hj. Saiful Anuar Abdul Aziz

Principal, Anuar Aziz Architect
(a member of Arte Axis Design Group)

Hj Syamsul Arman Yap

Director of Project & Admin, Anuar Aziz Architect
(a member of Arte Axis Design Group)

Mohamad Nizam Mohd Walid

Senior Associates, Anuar Aziz Architect
(a member of Arte Axis Design Group)

Ezlin Tajuddin
Associate - Head of Healthcare Design, Total Alliance Health Partners
International (TAHPI)

Ng Hong Choo
Senior Nurse Planner, Total Alliance Health Partners International (TAHPI)

www.medicalprac.moh.gov.my
63
 Ar. TPr. Hj. Mohd Nazam Md Kasim
Managing Director, Focus Achitects & Urban Planners Sdn Bhd.

Azmi Mustapha
Business Development Director, Focus Architects & Urban Planners Sdn. Bhd.

Riadhi Jazlan Jaafar

Assistant Architect, Focus Architects & Urban Planners Sdn. Bhd.

Nadiah Husna Saiful Bahri

Assistant Architect, Focus Architects & Urban Planners Sdn. Bhd.

Secretariat

Jamaliah Daud
Associate, Malaysia Productivity Corporation

Mohamad Azrol Mohamad Dali

Senior Manager, Malaysia Productivity Corporation

Azimah Adnan
Manager, Malaysia Productivity Corporation

Nur Syafina Anuar

Assistant Manager, Malaysia Productivity Corporation

Rabiatul Hana Ishak

Assistant Manager, Malaysia Productivity Corporation

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64