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Deny Aristya — 11000050

Assessment anda telah berhasil disubmit pada tanggal 03/01/2021, 15:05:27


Your self-assessment has been submitted on 03/01/2021, 15:05:27

SCORE: 2 — Medium Risk


0 : Risiko Kecil / Low Risk
1 -4 : Risiko Sedang / Medium Risk
≥5 : Risiko Besar / High Risk

Silahkan capture layar ini dan kirimkan ke atasan langsung anda.


Please capture this screen and send it to your direct supervisor.

Risiko kecil - sedang, diperbolehkan masuk bekerja namun dilakukan pemeriksaan suhu di pintu masuk tempat kerja. Apabila
didapatkan suhu > 37,3oC agar dilakukan investigasi dan pemeriksaan petugas kesehatan. Jika dipastikan pekerja tidak
memenuhi kriteria OTG, ODP atau PDP. Pekerja dapat masuk bekerja.

Low - medium risk, allowed to go to work, with a temperature check at the designated place. If body temperature of > 37.3oC, an investigation
and inspection by a health professional is required. If it is con rmed that the worker does not meet the OTG, ODP or PDP criteria. Workers can
go to work.

Your Form ID - f161a6c6cb17be88486515693602d92f

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1. Apakah pernah keluar rumah/ tempat umum (pasar, fasyankes, kerumunan orang, dan lain lain)?
Have you left the house / went to a public place (market, health facility, places with big crowd, etc.)?
Yes — Score: 1

2. Apakah pernah menggunakan transportasi umum ?


Have you used public transportation?
No — Score: 0

3. Apakah pernah melakukan perjalanan ke luar kota/internasional? (wilayah yang terjangkit/zona merah)
Have you ever traveled outside the city / country? (to areas with high infection rate / red zone)
No — Score: 0

4. Apakah anda mengikuti kegiatan yang melibatkan orang banyak?


Have you participated in an activity that involves a lot of people?
Yes — Score: 1

5. Apakah memiliki riwayat kontak erat dengan orang yang dinyatakan ODP,PDP atau kon rm COVID-19 (berjabat tangan,
berbicara, berada dalamsatu ruangan/ satu rumah)?
Do you have a history of close contact with a person who was/is declared as ODP, PDP or con rmed COVID-19 (shaking hands, talking, been in
one room / one house)?
No — Score: 0

6. Apakah pernah mengalami demam/ batuk/pilek/ sakit tenggorokan/sesak dalam 14 hari terakhir.
Have you ever experienced a fever / cough / runny nose / sore throat / shortness of breath in the last 14 days.
No — Score: 0

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