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Lembar Observasi Kepatuhan Penggunaan Apd

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LEMBAR OBSERVASI KEPATUHAN PENGGUNAAN APD

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LEMBAR OBSERVASI KEPATUHAN PENGGUNAAN APD

BULAN:
TAHUN:

APD YANG DIGUNAKAN MENGGUNAKAN APD DENGAN LENGKAP

NO TANGGAL OBSERVER PETUGAS UNIT/RUANGAN
TUTUP KEPALA KACAMATA PELINDUNG MASKER APRON SARUNG TANGAN SEPATU BOOT YA TIDAK

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