NABH 6th edition facility records, kept continuously
NABH accredits hospitals in India against its 6th edition standards, in force since January 2025. The Facility Management and Safety chapter asks for round-the-clock water and power, tested backups and monitored equipment downtime. Aqueduct supplies those records from meters and sensors.
Who it applies to
Hospitals in India with more than 50 sanctioned inpatient beds, public or private, assessed as a whole organization. Smaller providers use the separate SHCO standards. NABH is a constituent board of the Quality Council of India.
The 6th edition has 10 chapters and 639 objective elements. Hospital Infection Control is now Infection Prevention and Control (IPC). Accreditation runs on a four-year cycle.
Objective elements that need measured data
Element codes from the NABH Accreditation Standards for Hospitals, 6th edition. NABH assessors decide accreditation.
| Requirement | What it asks for | Data Aqueduct supplies |
|---|---|---|
| FMS.2.d | Potable water and electricity available round the clock. | Supply meters and tank levels showing continuity, with interruptions logged. |
| FMS.2.e and FMS.2.f | Alternate sources of water and electricity, tested at a set frequency. | Generator and backup supply run records for each test. |
| FMS.4.d and FMS.4.g | Utility equipment inspected and calibrated; downtime of critical equipment monitored to corrective action. | Equipment status, fault alerts and work orders with times. |
| IPC.4.a | Appropriate engineering controls to prevent infections. | Pressure, temperature and humidity in critical areas, logged per room. |
| COP.14.j | Surgical quality program includes surveillance of the operation theatre environment. | Operation theatre conditions per room, exported for the review. |
| ROM.3.b | Initiatives toward an energy-efficient hospital. | Energy per bed and per building, compared with a baseline. |
Dates that matter
The 6th edition took effect; no 5th edition surveillance after 31 March 2025.
Source: NABH implementation noticeObjective elements in the 6th edition, 105 of them core.
Source: NABH 6th edition standardsRelated standards
Sources3 references cited on this page
sites in 21 countries run on Aqueduct.
and 9 clinics in one of India’s top hospital chains.
US airport running water intelligence on Aqueduct.
of commercial real estate under Aqueduct.
FMCG manufacturing campus.
operations run on Aqueduct.
Related
Common questions
Not in the published standards text. COP.14.j asks for surveillance of the theatre environment, and the design values usually come from engineering guidance your team adopts. Aqueduct logs theatre conditions against whichever values you choose.
Assessors look for evidence that utilities stayed available and that failures were caught and fixed. A timestamped log of each interruption and its work order shows that directly.
Yes. NABH published a Guidebook for Climate Action and Sustainability in Healthcare in 2025, alongside the energy efficiency element ROM.3.b. Aqueduct tracks hospital energy intensity against a weather-normalized baseline, the measured figure such initiatives are judged on.
Yes, as evidence for the facility chapter. Aqueduct reads supply meters, tank levels and generator status continuously and records when supply dropped, for how long and which backup carried the load. See hospitals.
See Aqueduct on your own facility.
Bring a site, a utility bill or a question. We will show you where the loss is.