<![CDATA[Reliable utility maintenance supports hospital safety and continuity of services; however, damage reporting systems may remain ineffective when reported problems are not translated into timely corrective actions across hospital units. This study examined the effects of the damage reporting system and IPSRS technician competence on reporting system effectiveness, with technician response as a mediating variable, at Pasar Minggu Regional General Hospital. A mixed-methods design combined a survey of 210 employees selected through purposive sampling with interviews involving 10 informants. Quantitative data were analyzed using covariance-based structural equation modeling (CB-SEM) with IBM SPSS Amos, while qualitative findings were used to strengthen the interpretation of the quantitative results. The damage reporting system significantly improved reporting system effectiveness (? = 0.436; p < 0.001) and technician response (? = 0.157; p = 0.002). Technician competence did not have a significant direct effect on reporting system effectiveness (? = 0.144; p = 0.058), but it had a strong positive effect on technician response (? = 0.709; p < 0.001). Technician response significantly improved reporting system effectiveness (? = 0.380; p < 0.001) and mediated the effects of both the damage reporting system and technician competence on reporting system effectiveness. Interview findings confirmed that complete reporting information, diagnostic competence, and prompt corrective action were essential, while limited competence in managing condensation problems in central air-conditioning systems hindered repair effectiveness. Therefore, effective damage reporting requires integrated improvements in reporting quality, technician competence, and the speed and accuracy of technician responses.]]>
