<![CDATA[The surveillance and maintenance of environmental sanitation facilities are essential for safe hospital services. This activity aimed to identify priority sanitation risks and develop evidence-based educational recommendations for the sanitation team at Bhayangkara Level III Hospital, Palu, Indonesia. A descriptive, participatory needs-assessment approach was used, drawing on field observations and environmental monitoring records collected between 4 August and 2 September 2026. The assessment covered wastewater treatment, hazardous waste storage, food hygiene, building maintenance, and vector control. Eight wastewater effluent pH measurements were available. Two measurements (25.0%) exceeded the 6–9 reference range, whereas six (75.0%) were within that range. Observations also identified inadequate use of protective equipment among food handlers, unsafe disposal of sludge from wastewater inspection chambers, constrained hazardous-waste storage capacity, damaged ceiling panels, and stagnant water containing mosquito larvae. These findings informed a five-domain risk-priority matrix and practical recommendations for supervision and staff education. The resulting needs assessment provides a transparent starting point for a targeted hospital sanitation education program, followed by structured monitoring and outcome evaluation.]]>
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