L7 Form Incident Alert.docx
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Lampiran 5. Form Incident Alert
INCIDENT ALERT Perihal Subject: Tanggal Date:
Lokasi : Location:
Apa yang terjadi : What Happen:
Kronologis kejadian : Sequence of Event:
TIndakan penanggulangan (untuk mencegah kejadian lebih meluas/ekskalasi pada tingkat lebih tinggi) Immediate Actions: (Immediate remedial actions and actions to prevent reoccurrence or escalation)
Tindakan Pencegahan : ( rekomendasi berdasarkan pengamatan atas insiden awal) Immediate Safety Precautions: (hypothetical recommendations based on initial incident observation)
Foto : Photos:
Personil yang bias dihubungi : No HP : Contact Person: Mobile Phone:
INCIDENT ALERT Perihal Subject: Tanggal Date:
Lokasi : Location:
Apa yang terjadi : What Happen:
Kronologis kejadian : Sequence of Event:
TIndakan penanggulangan (untuk mencegah kejadian lebih meluas/ekskalasi pada tingkat lebih tinggi) Immediate Actions: (Immediate remedial actions and actions to prevent reoccurrence or escalation)
Tindakan Pencegahan : ( rekomendasi berdasarkan pengamatan atas insiden awal) Immediate Safety Precautions: (hypothetical recommendations based on initial incident observation)
Foto : Photos:
Personil yang bias dihubungi : No HP : Contact Person: Mobile Phone:
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