Inspeksi Kotak P3k.docx

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PT. NURSEJATI ANDHIKA

INSPEKSI KOTAK P3K (PERMENAKERTRANS NO. 15 TAHUN 2008) Nama Pekerjaan Lokasi Pekerjaan Tanggal Inspeksi No

: : :

Items

Kotak A (Untuk <25 Pekerja)

1

Kasa Steril terbungkus

20

2

Perban (lebar 5cm)

2

3

Perban (lebar 10 cm)

2

4

Plester (Lebar 1.25 cm)

2

5

Plester cepat

10

6

Kapas 25 gram

1

7

Kain segitiga / mitela

2

8

Gunting

1

9

Peniti

12

10

Sarung tangan sekali pakai

2

11

Masker

1

12

Pinset

1

13

Lampu Senter

1

14

Gelas untu Cuci Mata

1

15

Kantong plastic bersih

1

16

Aquades (100ml)

1

17

Povidon Iodin (60ml)

1

18

Alkohol

1

19

Buku Panduan P3K

1

20

Buku Catatan

1

21

Daftar Isi Kotak

1

22

Y-Rins (Obat tetes mata)

1

KETRANGAN

Contractor Diinspeksi oleh

Tanggal :

Nama

:

Jabatan

:

Tandatangan :

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