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    Monitoring APD Cso

    Uploaded by

    Nining

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    of 1

    RUMAH SAKIT IBU DAN ANAK Bun

    Jl. Kosambi Timur Raya No.2 RT 011/004, Kel. Kosambi Timur


    (Pertigaan Kosambi Timur-Kosambi Barat) Kec. Kosambi, Tangerang
    Telepon : (021) 29031299/29031659

    MONITORING KEPATUHAN PETUGAS MENGGUNAKAN ALAT PELINDUNG DIRI (APD)

    Ruang : Cleaning Service Bulan : …………………..

    Masker Sarung Sepatu


    No Tggl Jenis Kegiatan tangan pelindung Penilai
    Ya Tdk Ya Tdk Ya Tdk

    Jumlah
    𝑗𝑚𝑙 𝑦𝑎
    Skor : x 100%
    𝑗𝑚𝑙 𝑦𝑎+𝑡𝑑𝑘

    Petugas

    …………………….

    PPI RSIA BUN TANGERANG

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