PPPS-02

BORANG MAKLUM BALAS DAPATAN PEMERIKSAAN

(Diisi oleh lokasi bagi SETIAP ISU YANG DIKENALPASTI BERDASARKAN DAPATAN
PEMERIKSAAN dan diberikan kepada pemeriksa bersama borang PPPS-01 dalam tempoh 14 hari
bekerja)

Nama Lokasi :

Tarikh Pemeriksaan :

Bil MAKLUM BALAS

1 Isu dikenalpasti (merujuk kepada dapatan pemeriksaan):

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TINDAKAN PEMBETULAN
a) Punca
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b) Tindakan Bagi Selesai Punca

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* Sila gunakan lampiran jika ruangan tidak mencukupi

Tandatangan/ Cap Lokasi

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Tarikh : ……………………….