Checklist Pemantauan Apar.docx

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CHECKLIST PEMANTAUAN APAR Tahun : Lokasi :

NO.

BULAN

1 2 3 4 5 6 7 8 9 10 11 12

JANUARI FEBRUARI MARET APRIL MEI JUNI JULI AGUSTUS SEPTEMBER OKTOBER NOVEMBER DESEMBER

PIN

SELANG

NOZZLE

TGL EXP

NAMA PETUGAS

PARAF

 : Baik / ada X : Rusak/ tidak ada

Jakarta, 25 DESEMBER 2018 Penanggung Jawab Kesling

Zulyadi, Amd. Kl NIP. 196412251988021002

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