Quality of water supplyin heath-care organisation (HCO) is often not taken seriously in many low to middle income countries (LMIC). Waterborne pathogens may come in contact with patients in various ways in HCOs which includes showering, bathing, drinking or in contact withimproperly cleaned medical devices. Hand colonization is another important source of transmission of health-care associated infections (HAIs), specially the Surgical site infections (SSI). Contaminated water system maycontribute to HAIs by various pathogens like coliforms and other opportunistic pathogens like Pseudomonas aeruginosa, Burkholderia cepacia, Acinetobacter spp. etc. Stringent implementation of water surveillance (WS) program along with immediate corrective action against the root cause of contamination should be mandatory in each HCO. Keywords: heathcare organisation (HCO), healthcare associated infections (HAIs), Surgical site infections (SSI), water surveillance (WS), coliforms, Pseudomonas spp.