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  • 9.1.1.5 Rekapitulasi Insiden

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    kak

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    7 views2 pages

    9.1.1.5 Rekapitulasi Insiden

    Uploaded by

    Nevi Yah
    kak

    Copyright:

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

    PEMERINTAH KOTA TASIKMALAYA

    UPTD PUSKESMAS CIGEUREUNG


    Jl. Cigeureung No. 112 Telp 082318333381
    Email : puskesmascigeureungpart2@gmail.com
    TASIKMALAYA
    Kode Pos 46153

    REKAPITULASI INSIDEN

    BULAN :
    JENIS
    NO TANGGAL NAMA KEJADIAN INSIDEN KEJADIAN KRONOLOGIS INSIDEN PELAPOR KORBAN LOKASI UNIT KERJA AKIBAT
    KNC KTC KTD

    Mengetahui
    Kepala UPTD Puskesmas Cigeureung Penanggungjawab UKP

    H. Ajang Karyawan,SKM ,M.Si dr. Vulkhan Abdul Fatah


    NIP. 196809161988031002 NIP. 198209042010011012
    PEMERINTAH KOTA TASIKMALAYA
    UPTD PUSKESMAS CIGEUREUNG
    Jl. Cigeureung No. 112 Telp 082318333381
    Email : puskesmascigeureungpart2@gmail.com
    TASIKMALAYA
    Kode Pos 46153

    ANALISA DAN TINDAKLANJUT INSIDEN

    BULAN :
    JENIS
    KEJADIAN RENCANA
    NO TANGGAL NAMA INSIDEN KEJADIAN ANALISA PENYEBAB RENCANA TINDAKLANJUT EVALUASI
    KNC KTC KTD PELAKSANAAN

    Mengetahui
    Kepala UPTD Puskesmas Cigeureung Penanggungjawab PMKP

    H. Ajang Karyawan,SKM ,M.Si dr. Vulkhan Abdul Fatah


    NIP. 196809161988031002 NIP. 198209042010011012

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