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Abstract-The assessment of medical equipment condition has become an issue of increasing concern within healthcare services over the recent years. Most of the used tools to assess medical equipment condition ignore the effect of equipment Down Time (DT) as major factors in determining medical equipment status. This manuscript describes the use of equipment DT over the assessment process, factors that impact equipment DT , auto measurement of equipment Up Time and DT, the assessment criteria, and the assessment of medical equipment condition (MEC) in respect to their DT. The assessment process was implemented for 27653 medical equipment in 30 hospitals, 732 health centers at the Jordanian Ministry of Health (MOH). Along with the use of others assessment factors, the assessment of MEC in respect to their DT provided a significant improvement to the assessment, planning, and replacement processes of medical equipment at the Jordanian Ministry of Health during the last three years.