Public hospitals are not effective in terms of proper selection as this has contributed to the failure of the equipment management in their institutions. Despite having a good performance in selection of the equipment most of their practices lead to earlier failure rate of the equipment either through manufacturing faults, design faults and misuse of the equipment as they selected faulty equipment. The following factors are not wholly considered; safety, infection control and decontamination, effective performance of the equipment, full life cost, reliability of the equipment, availability of spare parts and installation requirements. All organizations should consider medical equipment performance with reference to the change of environment before purchasing the equipment; they should advice the supplier to undertake environmental measures and ways to reduce the environmental impact on medical equipment. The equipment should be bought from reliable companies. Technical and user manuals should be provided and the