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    Checklist Perawatan Ambulance (Izuzu Panter) : Tanda Tangan

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    adventia yolanda
    This document contains a checklist for monthly ambulance maintenance. It lists various parts and systems of the ambulance that staff should check, including the engine, horn/siren, lights/rotator, tires, brakes, fuel level, brake pads, oil level, emergency kit, resuscitation fluids, oxygen and cannulas. Staff should mark the checklist with a check mark if items are in good condition and an X if items are still poor after being serviced, in which case they should report it. The checklist is signed off by the hospital director and ambulance manager once completed.

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    Checklist Perawatan Ambulance (Izuzu Panter) : Tanda Tangan

    Uploaded by

    adventia yolanda
    3 views2 pages
    This document contains a checklist for monthly ambulance maintenance. It lists various parts and systems of the ambulance that staff should check, including the engine, horn/siren, lights/rotator, tires, brakes, fuel level, brake pads, oil level, emergency kit, resuscitation fluids, oxygen and cannulas. Staff should mark the checklist with a check mark if items are in good condition and an X if items are still poor after being serviced, in which case they should report it. The checklist is signed off by the hospital director and ambulance manager once completed.

    Original Description:

    CEKLIS

    Original Title

    CEKLIS AMBULANCE

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    This document contains a checklist for monthly ambulance maintenance. It lists various parts and systems of the ambulance that staff should check, including the engine, horn/siren, lights/rotator, tires, brakes, fuel level, brake pads, oil level, emergency kit, resuscitation fluids, oxygen and cannulas. Staff should mark the checklist with a check mark if items are in good condition and an X if items are still poor after being serviced, in which case they should report it. The checklist is signed off by the hospital director and ambulance manager once completed.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as docx, pdf, or txt
    3 views2 pages

    Checklist Perawatan Ambulance (Izuzu Panter) : Tanda Tangan

    Uploaded by

    adventia yolanda
    This document contains a checklist for monthly ambulance maintenance. It lists various parts and systems of the ambulance that staff should check, including the engine, horn/siren, lights/rotator, tires, brakes, fuel level, brake pads, oil level, emergency kit, resuscitation fluids, oxygen and cannulas. Staff should mark the checklist with a check mark if items are in good condition and an X if items are still poor after being serviced, in which case they should report it. The checklist is signed off by the hospital director and ambulance manager once completed.

    Copyright:

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

    CHECKLIST PERAWATAN AMBULANCE (IZUZU PANTER KB 1851 J)

    PETUGAS :
    BULAN :

    NO PENILAIAN 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 31
    1 KONDISI MESIN
    2 KLAKSON/SIRINE
    3 LAMPU/ROTATOR
    4 KONDISI BAN
    5 KONDISI REM
    6 KONDISI BBM
    KONDISI
    7
    BRANKART
    8 KONDISI OLI
    9 EMERGENCY KIT
    CAIRAN
    10
    RESUSITASI
    11 OKSIGEN+KANUL

    TANDA TANGAN

    KET : Beri tanda” √ “ bila kondisi baik Mengetahui


    Beri tanda “ X “ bila kondisi masih buruk setelah dikondisikan,laporkan. Direktur RS Citra Husada Melawi Penanggung Jawab Ambulance

    dr. Santoso Tjhin, M.Si Adjon


    CHECKLIST PERAWATAN AMBULANCE (HILUX KB 9852 JB)
    PETUGAS :
    BULAN :

    NO PENILAIAN 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 31
    1 KONDISI MESIN
    2 KLAKSON/SIRINE
    3 LAMPU/ROTATOR
    4 KONDISI BAN
    5 KONDISI REM
    6 KONDISI BBM
    KONDISI
    7
    BRANKART
    8 KONDISI OLI
    9 EMERGENCY KIT
    CAIRAN
    10
    RESUSITASI
    11 OKSIGEN+KANUL

    TANDA TANGAN

    KET : Beri tanda” √ “ bila kondisi baik Mengetahui


    Beri tanda “ X “ bila kondisi masih buruk setelah dikondisikan,laporkan. Direktur RS Citra Husada Melawi Penanggung Jawab Ambulance

    dr. Santoso Tjhin, M.Si Adjon

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