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CHECKLIST HARIAN AMBULANCE

RUMAH SAKIT GRAHA SEHAT


Jl. Panglima Sudirman No.2 Telp. (0335) 846500
KRAKSAAN - PROBOLINGGO

Bulan : 2019 Jenis Kendaraan :


TANGGAL
No Nama Barang 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
BRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBRBR
1. Radioator & Fan Belt
2. Air Accu
3. Oli Mesin
4. Minyak Rem
5. Tekanan Angin & Pentil
6. Baut Roda
7. Sirine & Klakson
8. Brankart
9. Pedal Gas, Rem, Kopling
10. Tuas Rem, dan pintu
11. Lampu Rotator
12. Lampu Utama & Kota
13. Lampu Rem & Mundur
14. Lampu Sign
15. Lampu Kabin
16. Indikator, Speedo & RPM
17. AC Kendaraan
18. Inverter dan Monitor
19. Oksigen
20. Washtafel
Keterangan : B : Kondisi Baik R : Butuh Perbaikan/ Kondisi Rusak Kraksaan, 2019
Catatan
.........................................................................................................................................................
: Koordinator Ambulance
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......................................................................................................................................................... Eko Hendrik, S.Kep, Ns.

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