Under the supervision of Engineer Mohammed Abdul Karim Razouki, we present a specialized analytical case study addressing one of the most important pillars of healthcare institution sustainability: "Medical Equipment Management and Maintenance Systems and Analysis of Maintenance Record Gaps." Study Focus: This study aims to provide a critical and practical perspective on how medical assets are managed within the hospital, focusing on: • Evaluating the efficiency of current systems: Reviewing the medical equipment lifecycle from procurement to decommissioning. • Analyzing maintenance records: A thorough analysis of historical malfunction data to uncover common documentation errors. • Identifying weaknesses: Detecting gaps that lead to prolonged equipment downtime or recurring technical failures. • Proactive solutions: Developing recommendations for adopting preventive maintenance systems based on data analysis, not just reactive measures. Why this study? Within the framework of the Sustainable Development Goals (Goal 3), maintenance management is not simply about "fixing malfunctions," but rather a strategy to ensure patient safety and reduce financial waste. Under the supervision of Engineer Mohammed Abdul Karim Razouqi, the focus was on transforming maintenance records from mere "routine paperwork" into "technical intelligence tools" that facilitate more accurate purchasing and maintenance decisions. Target Audience: • Hospital administrators and decision-makers. • Biomedical engineers and technicians. • Supply chain and healthcare asset management personnel. Al-Mustaqbal University is ranked first