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LAPORAN PIKET POSKO BPBD KABUPATEN MAGELNG

I. Kejadian Bencana
a. Jenis Bencana : .........................................................................
b. Tanggal Kejadian : .........................................................................
c. Waktu Kejadian : .........................................................................
d. Lokasi Kejadian : .........................................................................
e. Penyebab Bencana : .........................................................................

II. Dampak Bencana


a. Korban Jiwa : ....(MD), ....(LB), ....(LR), ....(Hilang)
b. Kerusakan : .........................................................................
c. Pengungsi : .........................................................................

III. Informasi Asal Instansi/Kel/Kec/Masyarakat/POSKO ..............................


a. Nama Pelapor : .........................................................................
b. Initial/Call Sign Radio : .........................................................................
c. No.Telp/Fax/Hp : .........................................................................
d. No. Telp Darurat : .........................................................................

IV. Kondisi Umum/Kronologis


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V. Kegiatan/Assesment/Upaya Penanganan Darurat yang telah dilakukan


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VI. Kendala/Kebutuhan Mendesak/Potensi Bencana Susulan


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VII. Pelaksanaan Piket


Hari/ Tanggal : ..
Waktu Siaga/Piket : Pukul_________WIB s/d Pukul__________WIB

Perwira Piket

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