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Checklist Monitoring Suhu

The document contains 4 identical checklists to monitor refrigerator temperature over a month. Each checklist includes spaces to record the temperature, notes, and who checked at morning and afternoon on each date of the month.

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puskesmas sukomulyo
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© © All Rights Reserved
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857 views11 pages

Checklist Monitoring Suhu

The document contains 4 identical checklists to monitor refrigerator temperature over a month. Each checklist includes spaces to record the temperature, notes, and who checked at morning and afternoon on each date of the month.

Uploaded by

puskesmas sukomulyo
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
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Checklist Monitoring Suhu Lemari Es Checklist Monitoring Suhu Lemari Es Checklist Monitoring Suhu Lemari Es Checklist Monitoring Suhu

Bulan : Bulan : Bulan : Bulan :


Tgl. Suhu Keterangan Checklist Tgl. Suhu Keterangan Checklist Tgl. Suhu Keterangan Checklist Tgl.

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FR/Lab/06 Rev00 FR/Lab/06 Rev00 FR/Lab/06 Rev00
hecklist Monitoring Suhu Lemari Es Checklist Monitoring Suhu Lemari Es

: Bulan :
Suhu Keterangan Checklist Tgl. Suhu Keterangan Checklist

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FR/Lab/06 Rev00 FR/Lab/06 Rev00
Lembar Pemantauan Suhu Ruangan Puskesmas Sukomulyo
Bulan :

Tanggal
Waktu
Pengukuran
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

Pagi

Siang
FR/GOB/05 Rev.00

Lembar Pemantauan Suhu Ruangan Puskesmas Sukomulyo


Bulan :

Waktu Tanggal
Pengukuran 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
Pagi

Siang

Lembar Pemantauan Suhu Ruangan Puskesmas Sukomulyo


Bulan :

Waktu Tanggal
Pengukuran 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
Pagi

Siang
FR/GOB/05 Rev.00
Lembar Pemantauan Suhu Ruangan Lembar Pemantauan Suhu Ruangan Lembar Pemantauan Suhu Ruangan Lembar Pemantauan Suhu Ruangan Lembar Pemantauan Suhu Rua

Bulan : Bulan : Bulan : Bulan : Bulan :


Waktu Waktu Waktu Waktu Waktu
Pengukuran Pengukuran Pengukuran Pengukuran Pengukuran
Pagi Siang Ket Pagi Siang Ket Pagi Siang Ket Pagi Siang Ket
Tanggal Tanggal Tanggal Tanggal Tanggal
1 1 1 1 1
2 2 2 2 2
3 3 3 3 3
4 4 4 4 4
5 5 5 5 5
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FR/GOB/05 Rev.00 FR/GOB/05 Rev.00 FR/GOB/05 Rev.00 FR/GOB/05 Rev.00

Lembar Pemantauan Suhu Ruangan Lembar Pemantauan Suhu Ruangan Lembar Pemantauan Suhu Ruangan Lembar Pemantauan Suhu Ruangan Lembar Pemantauan Suhu Rua
Bulan : Bulan : Bulan : Bulan : Bulan :
Waktu Waktu Waktu Waktu Waktu
Pengukuran Pagi Siang Ket Pengukuran Pagi Siang Ket Pengukuran Pagi Siang Ket Pengukuran Pagi Siang Ket Pengukuran
Tanggal Tanggal Tanggal Tanggal Tanggal
1 1 1 1 1
2 2 2 2 2
3 3 3 3 3
4 4 4 4 4
5 5 5 5 5
6 6 6 6 6
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FR/GOB/05 Rev.00 FR/GOB/05 Rev.00 FR/GOB/05 Rev.00 FR/GOB/05 Rev.00
ar Pemantauan Suhu Ruangan Lembar Pemantauan Suhu Ruangan

Bulan :
Waktu
Pengukuran
Pagi Siang Ket Pagi Siang Ket
Tanggal
1
2
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5
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13
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30
31
FR/GOB/05 Rev.00 FR/GOB/05 Rev.00

ar Pemantauan Suhu Ruangan Lembar Pemantauan Suhu Ruangan


Bulan :
Waktu
Pagi Siang Ket Pengukuran Pagi Siang Ket
Tanggal
1
2
3
4
5
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15
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FR/GOB/05 Rev.00 FR/GOB/05 Rev.00

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