Tmkp - Rekap Laporan Harian Kejadian.docx

  • Uploaded by: Qobil
  • 0
  • 0
  • April 2020
  • PDF

This document was uploaded by user and they confirmed that they have the permission to share it. If you are author or own the copyright of this book, please report to us by using this DMCA report form. Report DMCA


Overview

Download & View Tmkp - Rekap Laporan Harian Kejadian.docx as PDF for free.

More details

  • Words: 93
  • Pages: 1
PEMERINTAH KOTA TANGERANG SELATAN DINAS KESEHATAN

PUSKESMAS BENDA BARU Komplek Vila Dago Kel. Benda Baru Kec. Pamulang Tlp 021.74645873 Email [email protected]

REKAP LAPORAN HARIAN KEJADIAN UNIT

: ………………… 1

Tanggal

2

3

BULAN: …………………. TAHUN: 2018 4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

27

28

29

Kejadian Tidak Diinginkan

Kondisi Potensial Cedera Kejadian Nyaris Cedera Pelaporan Keterangan: 

Ceklis () bila ada kejadian



Strip (-) bila tidak ada kejadian

Penanggung Jawab Unit .............

(...............................................)

30

31

Related Documents


More Documents from ""