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  • Ceklis Kebersihan Form

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    8 views2 pages

    Ceklis Kebersihan Form

    Uploaded by

    Jonry
    jhvjhv

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 2

    PEMERINTAH KABUPATEN LEMBATA

    DINAS KESEHATAN
    PUSKESMAS WULANDONI
    Jln. Trans Wulandoni No: - Telp. 082236483554

    Area Kebersihan : Bulan : Bulan :

    Tanggal
    No Kegiatan
    1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27
    1 Menyapu
    2 Mengepel
    Menbersihkan Kaca
    3
    Membersihkan
    4 Meubeler
    5 Melawa-lawa
    Membersihkan Kamar
    6 Mandi
    7 Mencuci Korden
    8 Mencucu Linen
    Paraf Pelaksana

    Paraf Koordinator

    Keterangan :
    Menyapu : : Setiap Hari
    Mengepel : Setiap Hari
    Membersihkan Kaca : 1 Minggu/ sekali Pelaksana Koordinator
    Membersihkan Meubeler : 1 Minggu/ Sekali
    Melawa-lawa : 2 Minggu/ Sekali
    Membersihkan kamar mandi/WC : Setiap Hari
    Mencuci Korden : 3 Bulan/ sekali
    Mencuci Linen : 1 Minggu/ sekali
    X: tidak berlaku, (-): tidak dilaksanakan, (V): dilaksanakan
    28 29 30 31

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