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  • Cheklist APAR

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    Yolanda Afrilia
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    This document is a form used to conduct periodic inspections of portable fire extinguishers (APAR) at RSUD Lubuk Sikaping. It lists 27 areas in the facility where APARs are located. For each inspection, the date is recorded along with checks of the APAR's condition, including whether the hose is unobstructed, seals and pins are intact, and there is no rust or hindrances. Spaces are provided for the inspector's signature and notes. The form helps ensure regular maintenance and readiness of emergency equipment across the hospital.

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    CHEKLIST APAR

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    This document is a form used to conduct periodic inspections of portable fire extinguishers (APAR) at RSUD Lubuk Sikaping. It lists 27 areas in the facility where APARs are located. For each inspection, the date is recorded along with checks of the APAR's condition, including whether the hose is unobstructed, seals and pins are intact, and there is no rust or hindrances. Spaces are provided for the inspector's signature and notes. The form helps ensure regular maintenance and readiness of emergency equipment across the hospital.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    4 views3 pages

    Cheklist APAR

    Uploaded by

    Yolanda Afrilia
    This document is a form used to conduct periodic inspections of portable fire extinguishers (APAR) at RSUD Lubuk Sikaping. It lists 27 areas in the facility where APARs are located. For each inspection, the date is recorded along with checks of the APAR's condition, including whether the hose is unobstructed, seals and pins are intact, and there is no rust or hindrances. Spaces are provided for the inspector's signature and notes. The form helps ensure regular maintenance and readiness of emergency equipment across the hospital.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as xls, pdf, or txt
    of 3

    K3RS K3RS

    Komite Tenaga Komite Tenaga


    Kesehatan Lain Kesehatan Lain
    K3RS

    Kesehatan Lain
    Komite Tenaga

    Komite Tenaga
    Kesehatan Lain
    RSUD LUBUK SIKAPING

    FORM PEMERIKSAAN BERKALA ALAT PEMADAM API RINGAN (APAR)

    MERK TAB : LOKASI TAB :


    JENIS TAB : BERAT TAB : Kg
    BULAN :

    NO TANGGAL PEMERIKSAAN CEKLIST KONDISI APAR

    Indikator jarum digaris hijau jika ada


    Kondisi selang baik -tidak tersumbat

    Goyang tabung untuk pencegahan


    Timbang tabung apabila indikator

    Tanggal pemasangan APAR


    Kondisi segel Bagus - Utuh

    Tanggal pemakaian APAr


    Tidak terdapat rintangan

    Kondisi PIN bagus - baik

    Paraf Kepala ruangan


    RUANGAN TANGGAL

    tdk diwarna hijau


    Bebas karat

    Keterangan
    1 KANTOR
    2 POLI KLINIK
    3 MR
    4 RADIOLOGI
    5 LABORATORIUM
    6 APOTIK
    7 PONEK
    8 IGD
    9 ICU
    10 OK
    11 FISIOTERAPY
    12 GUDANG UMUM
    13 VIP/PAVILIUN
    14 RUANG KEBIDANAN
    15 RUANG HD
    16 RUANG ANAK
    17 RUANG BEDAH
    18 RUANG INTERNE
    19 RUANG JIWA
    20 KELAS PENGEMBANGAN
    21 RUANG PARU
    22 RUANG NEUROLOGI
    23 INSTALASI GIZI
    24 IPSRS/ IPS MEDIK
    25 GUDANG FARMASI
    26 KAMAR JENAZAH
    27 AULA
    28 LAUNDRY

    Catatan : LUBUK SIKAPING, / / 2023


    Beri Tanda check (√) jika sesuai PETUGAS
    Beri Tanda check (x) jika tidak sesuai
    Laporkan jika ada masalah
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    NIP:

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