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data audit HH

profesi MOMENT 1 MOMENT 2 MOMENT 3 MOMENT 4 MOMENT 5 Gloves kepatuhan HH


bagian no
responden Opp HW HR Opp HW HR Opp HW HR Opp HW HR Opp HW HR Opp HW HR Opp HW HRHW/HR
FORMULIR KEPATUHAN CUCI TANGAN
Unit/ Instalasi :
Profesi :
Bulan :
TANGGAL
no nama indikasi Tindakan HH
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 28 29 30
□seb-ps □ HR
□seb-asept □ HW
□set-drh etbh ○ TDK
□set-pas
□set ikg ps
□seb-ps □ HR
□seb-asept □ HW
□set-drh etbh ○ TDK
□set-pas
□set ikg ps
□seb-ps □ HR
□seb-asept □ HW
□set-drh etbh ○ TDK
□set-pas
□set ikg ps
□seb-ps □ HR
□seb-asept □ HW
□set-drh etbh ○ TDK
□set-pas
□set ikg ps
□seb-ps □ HR
□seb-asept □ HW
□set-drh etbh ○ TDK
□set-pas
□set ikg ps
□seb-ps □ HR
□seb-asept □ HW
□set-drh etbh ○ TDK
□set-pas
□set ikg ps
□seb-ps □ HR
□seb-asept □ HW
□set-drh etbh ○ TDK
□set-pas
□set ikg ps

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