NABH Required Records
— What You Need & How to Get Them

Why Records matter more than assessors let on upfront

Most hospitals have a Policy on file for nearly every standard. Many have SOPs too. What trips teams up during survey isn't the absence of a Policy — it's an assessor asking "show me the record for this" and the hospital producing a blank register, an incomplete log, or nothing at all. A Policy without a Record behind it is a promise nobody can verify.

What a "Record" actually means in NABH terms

A Record is the evidence format — a checklist, a register, a log sheet, a signed form — that an assessor can pick up on the day and see filled in, dated, and consistent with the SOP it's meant to evidence. It's not the SOP itself; it's proof the SOP was followed, case by case, shift by shift.

Common types of Records assessors ask for

• Checklists completed at the point of care (consent, pre-op, handover)
• Registers logged over time (incidents, equipment checks, drills)
• Monitoring sheets tied to a standard's indicator (infection surveillance, medication errors)
• Signed acknowledgement forms (training attendance, policy sign-off)
• Committee minutes evidencing review and action on findings

The gap most hospitals have

Building the right Record format — one that actually captures what a specific standard needs, not a generic form — takes almost as much thought as the SOP it supports. Hospitals either reuse an unrelated format that doesn't quite fit, or design one from scratch under time pressure right before survey, which usually means it's inconsistent across departments.

How AccredReady closes it

Inside AccredReady, each standard's Records button downloads the ready-made evidence formats that match that standard specifically — the same set as the Policy and SOPs for that standard, so what you're asked to produce on the day is exactly what's been designed to prove.

Frequently Asked Questions

How many Records does a typical standard need?

It varies by standard — some need a single checklist, others need several linked registers. NABH does not publish a fixed count per standard; the right number is whatever actually evidences the SOP's steps.

Can Records be digital instead of paper?

Yes, as long as the digital record is accessible, dated, and auditable the same way a paper one would be — the format AccredReady provides can be adapted to either.

Do Records need to be personalised per hospital like Policy documents?

The format itself works as downloaded; what changes hospital to hospital is how it's actually filled in day to day, which is the evidence an assessor is really checking.