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  • Jadwal Satpam

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    Yusuf HY
    11 views180 pages
    This document contains monthly tables from January to May 2017 tracking safety incidents and near misses at RSI Sultan Hadlirin Hospital in Jepara, Indonesia. Each month shows 30 rows, presumably for 30 days, with all categories reported as 0 incidents. The tables also include sections to record the type and color code of incidents, root cause analysis, impact assessment, likelihood and risk scoring, follow up actions taken, and monthly totals for different incident types, all of which are reported as 0.

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    JADWAL SATPAM

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    This document contains monthly tables from January to May 2017 tracking safety incidents and near misses at RSI Sultan Hadlirin Hospital in Jepara, Indonesia. Each month shows 30 rows, presumably for 30 days, with all categories reported as 0 incidents. The tables also include sections to record the type and color code of incidents, root cause analysis, impact assessment, likelihood and risk scoring, follow up actions taken, and monthly totals for different incident types, all of which are reported as 0.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    11 views180 pages

    Jadwal Satpam

    Uploaded by

    Yusuf HY
    This document contains monthly tables from January to May 2017 tracking safety incidents and near misses at RSI Sultan Hadlirin Hospital in Jepara, Indonesia. Each month shows 30 rows, presumably for 30 days, with all categories reported as 0 incidents. The tables also include sections to record the type and color code of incidents, root cause analysis, impact assessment, likelihood and risk scoring, follow up actions taken, and monthly totals for different incident types, all of which are reported as 0.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xlsx, pdf, or txt
    of 180

    JANUARI 2017

    JENIS ∑
    NO RUANG
    INSIDEN

    10
    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25
    26

    27

    28

    29

    30

    Warna ∑
    MERAH 0
    KUNING 0
    HIJAU 0
    BIRU 0
    TOTAL 0
    TIM KESELAMATAN PASIE
    RSI SULTAN HADLIRIN
    Jl. Raya Jepara – Bangsri Km 3 Telp. (0291) 5
    Fax (0291) 4295554 Jepara 59431

    TABEL INSIDEN NEAR MISS KESELA


    RSI SULTAN HADLIRIN JE
    TINDAKAN TANGGAL AKAR DAMPAK (D)
    SEGERA LAPORAN MASALAH 1 2 3 4 5
    UNIT KERJA
    AMATAN PASIEN
    ADLIRIN JEPARA
    ngsri Km 3 Telp. (0291) 591507
    295554 Jepara 59431

    R MISS KESELAMATAN PASIEN


    N HADLIRIN JEPARA
    PROBABILITAS (P) SKOR
    1 2 3 4 5 PETA RESIKO
    RESIKO

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    TINDAK TANGGAL PENANGGUNG
    LANJUT PENYELESAIAN JAWAB
    UNIT KERJA

    0
    0

    0
    0

    IKP JUMLAH
    KPC 0
    KNC 0
    KTC 0
    TOTAL 0
    IKP
    FEBRUARI 2017
    JENIS ∑
    NO RUANG
    INSIDEN

    10
    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25
    26

    27

    28

    29

    30

    Warna ∑
    MERAH 0
    KUNING 0
    HIJAU 0
    BIRU 0
    TOTAL 0
    TIM KESELAMATAN PASIE
    RSI SULTAN HADLIRIN
    Jl. Raya Jepara – Bangsri Km 3 Telp. (0291) 5
    Fax (0291) 4295554 Jepara 59431

    TABEL INSIDEN NEAR MISS KESELA


    RSI SULTAN HADLIRIN JE
    TINDAKAN TANGGAL AKAR DAMPAK (D)
    SEGERA LAPORAN MASALAH 1 2 3 4 5
    UNIT KERJA
    AMATAN PASIEN
    ADLIRIN JEPARA
    ngsri Km 3 Telp. (0291) 591507
    295554 Jepara 59431

    R MISS KESELAMATAN PASIEN


    N HADLIRIN JEPARA
    PROBABILITAS (P) SKOR
    1 2 3 4 5 PETA RESIKO
    RESIKO

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    TINDAK TANGGAL PENANGGUNG
    LANJUT PENYELESAIAN JAWAB
    UNIT KERJA

    0
    0

    0
    0

    IKP JUMLAH
    KPC 0
    KNC 0
    KTC 0
    TOTAL 0
    IKP
    MARET 2017
    JENIS ∑
    NO RUANG
    INSIDEN

    10
    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25
    26

    27

    28

    29

    30

    Warna ∑
    MERAH 0
    KUNING 0
    HIJAU 0
    BIRU 0
    TOTAL 0
    TIM KESELAMATAN PASIE
    RSI SULTAN HADLIRIN
    Jl. Raya Jepara – Bangsri Km 3 Telp. (0291) 5
    Fax (0291) 4295554 Jepara 59431

    TABEL INSIDEN NEAR MISS KESELA


    RSI SULTAN HADLIRIN JE
    TINDAKAN TANGGAL AKAR DAMPAK (D)
    SEGERA LAPORAN MASALAH 1 2 3 4 5
    UNIT KERJA
    AMATAN PASIEN
    ADLIRIN JEPARA
    ngsri Km 3 Telp. (0291) 591507
    295554 Jepara 59431

    R MISS KESELAMATAN PASIEN


    N HADLIRIN JEPARA
    PROBABILITAS (P) SKOR
    1 2 3 4 5 PETA RESIKO
    RESIKO

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    TINDAK TANGGAL PENANGGUNG
    LANJUT PENYELESAIAN JAWAB
    UNIT KERJA

    0
    0

    0
    0

    IKP JUMLAH
    KPC 0
    KNC 0
    KTC 0
    TOTAL 0
    IKP
    APRIL 2017
    JENIS ∑
    NO RUANG
    INSIDEN

    10
    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25
    26

    27

    28

    29

    30

    Warna ∑
    MERAH 0
    KUNING 0
    HIJAU 0
    BIRU 0
    TOTAL 0
    TIM KESELAMATAN PASIE
    RSI SULTAN HADLIRIN
    Jl. Raya Jepara – Bangsri Km 3 Telp. (0291) 5
    Fax (0291) 4295554 Jepara 59431

    TABEL INSIDEN NEAR MISS KESELA


    RSI SULTAN HADLIRIN JE
    TINDAKAN TANGGAL AKAR DAMPAK (D)
    SEGERA LAPORAN MASALAH 1 2 3 4 5
    UNIT KERJA
    AMATAN PASIEN
    ADLIRIN JEPARA
    ngsri Km 3 Telp. (0291) 591507
    295554 Jepara 59431

    R MISS KESELAMATAN PASIEN


    N HADLIRIN JEPARA
    PROBABILITAS (P) SKOR
    1 2 3 4 5 PETA RESIKO
    RESIKO

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    TINDAK TANGGAL PENANGGUNG
    LANJUT PENYELESAIAN JAWAB
    UNIT KERJA

    0
    0

    0
    0

    IKP JUMLAH
    KPC 0
    KNC 0
    KTC 0
    TOTAL 0
    IKP
    MEI 2017
    JENIS ∑
    NO RUANG
    INSIDEN

    10
    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25
    26

    27

    28

    29

    30

    Warna ∑
    MERAH 0
    KUNING 0
    HIJAU 0
    BIRU 0
    TOTAL 0
    TIM KESELAMATAN PASIE
    RSI SULTAN HADLIRIN
    Jl. Raya Jepara – Bangsri Km 3 Telp. (0291) 5
    Fax (0291) 4295554 Jepara 59431

    TABEL INSIDEN NEAR MISS KESELA


    RSI SULTAN HADLIRIN JE
    TINDAKAN TANGGAL AKAR DAMPAK (D)
    SEGERA LAPORAN MASALAH 1 2 3 4 5
    UNIT KERJA
    AMATAN PASIEN
    ADLIRIN JEPARA
    ngsri Km 3 Telp. (0291) 591507
    295554 Jepara 59431

    R MISS KESELAMATAN PASIEN


    N HADLIRIN JEPARA
    PROBABILITAS (P) SKOR
    1 2 3 4 5 PETA RESIKO
    RESIKO

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    TINDAK TANGGAL PENANGGUNG
    LANJUT PENYELESAIAN JAWAB
    UNIT KERJA

    0
    0

    0
    0

    IKP JUMLAH
    KPC 0
    KNC 0
    KTC 0
    TOTAL 0
    IKP
    JUNI 2017
    JENIS ∑
    NO RUANG
    INSIDEN

    10
    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25
    26

    27

    28

    29

    30

    Warna ∑
    MERAH 0
    KUNING 0
    HIJAU 0
    BIRU 0
    TOTAL 0
    TIM KESELAMATAN PASIE
    RSI SULTAN HADLIRIN
    Jl. Raya Jepara – Bangsri Km 3 Telp. (0291) 5
    Fax (0291) 4295554 Jepara 59431

    TABEL INSIDEN NEAR MISS KESELA


    RSI SULTAN HADLIRIN JE
    TINDAKAN TANGGAL AKAR DAMPAK (D)
    SEGERA LAPORAN MASALAH 1 2 3 4 5
    UNIT KERJA
    AMATAN PASIEN
    ADLIRIN JEPARA
    ngsri Km 3 Telp. (0291) 591507
    295554 Jepara 59431

    R MISS KESELAMATAN PASIEN


    N HADLIRIN JEPARA
    PROBABILITAS (P) SKOR
    1 2 3 4 5 PETA RESIKO
    RESIKO

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    TINDAK TANGGAL PENANGGUNG
    LANJUT PENYELESAIAN JAWAB
    UNIT KERJA

    0
    0

    0
    0

    IKP JUMLAH
    KPC 0
    KNC 0
    KTC 0
    TOTAL 0
    IKP
    JULI 2017
    JENIS ∑
    NO RUANG
    INSIDEN

    10
    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25
    26

    27

    28

    29

    30

    Warna ∑
    MERAH 0
    KUNING 0
    HIJAU 0
    BIRU 0
    TOTAL 0
    TIM KESELAMATAN PASIE
    RSI SULTAN HADLIRIN
    Jl. Raya Jepara – Bangsri Km 3 Telp. (0291) 5
    Fax (0291) 4295554 Jepara 59431

    TABEL INSIDEN NEAR MISS KESELA


    RSI SULTAN HADLIRIN JE
    TINDAKAN TANGGAL AKAR DAMPAK (D)
    SEGERA LAPORAN MASALAH 1 2 3 4 5
    UNIT KERJA
    AMATAN PASIEN
    ADLIRIN JEPARA
    ngsri Km 3 Telp. (0291) 591507
    295554 Jepara 59431

    R MISS KESELAMATAN PASIEN


    N HADLIRIN JEPARA
    PROBABILITAS (P) SKOR
    1 2 3 4 5 PETA RESIKO
    RESIKO

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    TINDAK TANGGAL PENANGGUNG
    LANJUT PENYELESAIAN JAWAB
    UNIT KERJA

    0
    0

    0
    0

    IKP JUMLAH
    KPC 0
    KNC 0
    KTC 0
    TOTAL 0
    IKP
    AGUSTUS 2017
    JENIS ∑
    NO RUANG
    INSIDEN

    10
    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25
    26

    27

    28

    29

    30

    Warna ∑
    MERAH 0
    KUNING 0
    HIJAU 0
    BIRU 0
    TOTAL 0
    TIM KESELAMATAN PASIE
    RSI SULTAN HADLIRIN
    Jl. Raya Jepara – Bangsri Km 3 Telp. (0291) 5
    Fax (0291) 4295554 Jepara 59431

    TABEL INSIDEN NEAR MISS KESELA


    RSI SULTAN HADLIRIN JE
    TINDAKAN TANGGAL AKAR DAMPAK (D)
    SEGERA LAPORAN MASALAH 1 2 3 4 5
    UNIT KERJA
    AMATAN PASIEN
    ADLIRIN JEPARA
    ngsri Km 3 Telp. (0291) 591507
    295554 Jepara 59431

    R MISS KESELAMATAN PASIEN


    N HADLIRIN JEPARA
    PROBABILITAS (P) SKOR
    1 2 3 4 5 PETA RESIKO
    RESIKO

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    TINDAK TANGGAL PENANGGUNG
    LANJUT PENYELESAIAN JAWAB
    UNIT KERJA

    0
    0

    0
    0

    IKP JUMLAH
    KPC 0
    KNC 0
    KTC 0
    TOTAL 0
    IKP
    SEPTEMBER 2017
    JENIS ∑
    NO RUANG
    INSIDEN

    10
    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25
    26

    27

    28

    29

    30

    Warna ∑
    MERAH 0
    KUNING 0
    HIJAU 0
    BIRU 0
    TOTAL 0
    TIM KESELAMATAN PASIE
    RSI SULTAN HADLIRIN
    Jl. Raya Jepara – Bangsri Km 3 Telp. (0291) 5
    Fax (0291) 4295554 Jepara 59431

    TABEL INSIDEN NEAR MISS KESELA


    RSI SULTAN HADLIRIN JE
    TINDAKAN TANGGAL AKAR DAMPAK (D)
    SEGERA LAPORAN MASALAH 1 2 3 4 5
    UNIT KERJA
    AMATAN PASIEN
    ADLIRIN JEPARA
    ngsri Km 3 Telp. (0291) 591507
    295554 Jepara 59431

    R MISS KESELAMATAN PASIEN


    N HADLIRIN JEPARA
    PROBABILITAS (P) SKOR
    1 2 3 4 5 PETA RESIKO
    RESIKO

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    TINDAK TANGGAL PENANGGUNG
    LANJUT PENYELESAIAN JAWAB
    UNIT KERJA

    0
    0

    0
    0

    IKP JUMLAH
    KPC 0
    KNC 0
    KTC 0
    TOTAL 0
    IKP
    OKTOBER 2017
    JENIS ∑
    NO RUANG
    INSIDEN

    10
    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25
    26

    27

    28

    29

    30

    Warna ∑
    MERAH 0
    KUNING 0
    HIJAU 0
    BIRU 0
    TOTAL 0
    TIM KESELAMATAN PASIE
    RSI SULTAN HADLIRIN
    Jl. Raya Jepara – Bangsri Km 3 Telp. (0291) 5
    Fax (0291) 4295554 Jepara 59431

    TABEL INSIDEN NEAR MISS KESELA


    RSI SULTAN HADLIRIN JE
    TINDAKAN TANGGAL AKAR DAMPAK (D)
    SEGERA LAPORAN MASALAH 1 2 3 4 5
    UNIT KERJA
    AMATAN PASIEN
    ADLIRIN JEPARA
    ngsri Km 3 Telp. (0291) 591507
    295554 Jepara 59431

    R MISS KESELAMATAN PASIEN


    N HADLIRIN JEPARA
    PROBABILITAS (P) SKOR
    1 2 3 4 5 PETA RESIKO
    RESIKO

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    TINDAK TANGGAL PENANGGUNG
    LANJUT PENYELESAIAN JAWAB
    UNIT KERJA

    0
    0

    0
    0

    IKP JUMLAH
    KPC 0
    KNC 0
    KTC 0
    TOTAL 0
    IKP
    NOVEMBER 2017
    JENIS ∑
    NO RUANG
    INSIDEN

    10
    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25
    26

    27

    28

    29

    30

    Warna ∑
    MERAH 0
    KUNING 0
    HIJAU 0
    BIRU 0
    TOTAL 0
    TIM KESELAMATAN PASIE
    RSI SULTAN HADLIRIN
    Jl. Raya Jepara – Bangsri Km 3 Telp. (0291) 5
    Fax (0291) 4295554 Jepara 59431

    TABEL INSIDEN NEAR MISS KESELA


    RSI SULTAN HADLIRIN JE
    TINDAKAN TANGGAL AKAR DAMPAK (D)
    SEGERA LAPORAN MASALAH 1 2 3 4 5
    UNIT KERJA
    AMATAN PASIEN
    ADLIRIN JEPARA
    ngsri Km 3 Telp. (0291) 591507
    295554 Jepara 59431

    R MISS KESELAMATAN PASIEN


    N HADLIRIN JEPARA
    PROBABILITAS (P) SKOR
    1 2 3 4 5 PETA RESIKO
    RESIKO

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    TINDAK TANGGAL PENANGGUNG
    LANJUT PENYELESAIAN JAWAB
    UNIT KERJA

    0
    0

    0
    0

    IKP JUMLAH
    KPC 0
    KNC 0
    KTC 0
    TOTAL 0
    IKP
    DESEMBER 2017
    JENIS ∑
    NO RUANG
    INSIDEN

    10
    11

    12

    13

    14

    15

    16

    17

    18

    19

    20

    21

    22

    23

    24

    25
    26

    27

    28

    29

    30

    Warna ∑
    MERAH 0
    KUNING 0
    HIJAU 0
    BIRU 0
    TOTAL 0
    TIM KESELAMATAN PASIE
    RSI SULTAN HADLIRIN
    Jl. Raya Jepara – Bangsri Km 3 Telp. (0291) 5
    Fax (0291) 4295554 Jepara 59431

    TABEL INSIDEN NEAR MISS KESELA


    RSI SULTAN HADLIRIN JE
    TINDAKAN TANGGAL AKAR DAMPAK (D)
    SEGERA LAPORAN MASALAH 1 2 3 4 5
    UNIT KERJA
    AMATAN PASIEN
    ADLIRIN JEPARA
    ngsri Km 3 Telp. (0291) 591507
    295554 Jepara 59431

    R MISS KESELAMATAN PASIEN


    N HADLIRIN JEPARA
    PROBABILITAS (P) SKOR
    1 2 3 4 5 PETA RESIKO
    RESIKO

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    0 x 0

    0 x 0

    0 x 0

    0 x 0

    0 x 0
    TINDAK TANGGAL PENANGGUNG
    LANJUT PENYELESAIAN JAWAB
    UNIT KERJA

    0
    0

    0
    0

    IKP JUMLAH
    KPC 0
    KNC 0
    KTC 0
    TOTAL 0
    IKP

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