Panitia Prakerin
2018/2019
IDENTITAS INSTITUSI PASANGAN
LOKASI I
1. Nama Perusahaan/
Industri/Institusi
2. Nama Pemilik/Direktur/
Kepala
3. Nama Pembimbing Industri
4. Bidang Usaha
5. Status
6. Jenis Kegiatan Utama
7. Alamat Lengkap/KodePos
8. Telp./Fax./HP
9. Tanggal Mulai Prakerin
10. Tanggal Selesai Prakerin
11. Pembimbing Siswa :
1. Nama
Alamat
Nomor HP dan Email
2. Nama
Alamat
Nomor Hp dan Email
SMKN 1MAKASSAR
: ....................................................................
: ....................................................................
: ....................................................................
HP. .............................................................
: ....................................................................
: BUMN/BUMD/Diklat/Perguruan Tinggi/
CV/PT/lainnya
: (Lingkup kegiatan utama yang dikerjakan)
....................................................................
....................................................................
: ....................................................................
....................................................................
: ....................................................................
: ....................................................................
: ....................................................................
: ...................................................................
: ...................................................................
: ...................................................................
: ...................................................................
: ...................................................................
: ..................................................................
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 Panitia Prakerin
2018/2019

Jam Kerja

Jam Masuk Jam Istirahat Jam Pulang

Hari
Shift 1 Shift 1 Shift 1 Shift 1 Shift 1 Shift 1
Minggu
Senin
Selasa
Rabu
Kamis
Jumat
Sabtu

Program Praktik Kerja Lapangan (PKL)

Nama Peserta Didik : ………………………………………………….....

Kelas : …………………………………………………….

Semester : …………………………………………………….

Kompetensi Keahlian : …………………………………………………….

Nama Industri : …………………………………………………….

Nama Pembimbing : …………………………………………………….

Alamat : …………………………………………………….

Waktu PKL : …………………………………………………….

Urutan
Kompetensi Topik Pembelajaran Tempat DU /
Waktu
Dasar Pekerjaan DI*
Pelaksanaan

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

Lembar Monitoring PKL

Nama Peserta Didik : ……………………………………………………..

Kelas : ……………………………………………………..

Semester : …………………………………………………….

Kompetensi Keahlian : …………………………………………………….

Nama Industri : …………………………………………………….

Nama Pembimbing Industri : …………………………………………………….

Alamat : ............................................................................... .

Waktu PKL : …………………………………………………….

Check (v)
No Uraian
Ya Tidak
1. Peserta didik dan pembimbing industri menyepakati program PKL
Materi PKL yang diikuti peserta didik sesuai dengan hasil pemetaan
2.
kompetensi dan program PKL
3. Peserta didik mengisi jurnal PKL secara lengkap
Peserta didik mendokumentasikan proses / prosedur / data sebagai
4.
bagian dari dokumen porto folio sesuai dengan jurnal kegiatan
Pembelajaran PKL di institusi pasangan / industry menambah
5.
wawasan dan pengalaman nyata peserta didik dalam dunia kerja
Pembelajaran PKL di institusi pasangan / industry menambah
6.
keterampilan peserta didik sesuai program keahlian
Pembelajaran PKL di institusi pasangan / industri menambah
7.
pengetahuan peserta didik sesuai program keahlian
Pembelajaran PKL di institusi pasangan / industry menambah nilai –
8.
nilai disiplin kerja keras dan tanggung jawab
Pembimbing selama pembelajaran PKL di Institusi pasangan / Industri
9.
berperan dengan baik
Selama pembelajaran di Institusi Pasangan / Industri peserta didik
10.
mengalami hambatan – hambatan yang sangat ber arti

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

CATATAN PEMBIMBING INDUSTRI SELAMA SISWA

PRAKTIK KERJA INDUSTRI

NAMA INDUSTRI : …………………………………………………

NAMA PEMBIMBING INDUSTRI : …………………………………………………

HARI / TANGGAL URAIAN KETERANGAN

Pembimbing Industri,

( ................................. )

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

CATATAN PEMBIMBING INDUSTRI SELAMA PRAKERIN

Nama Dunia Usaha/Instansi : ……………………………………………………...

Alamat : ..................................................................................

Hari/Tanggal
No. Program Latihan UraianPekerjaan Paraf
Pelaksanaan

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

CATATAN PEMBIMBING INDUSTRI SELAMA PRAKERIN

Nama Dunia Usaha/Instansi : ……………………………………………………...

Alamat : ..................................................................................

Hari/Tanggal
No. ProgramLatihan UraianPekerjaan Paraf
Pelaksanaan

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

CATATAN PEMBIMBING INDUSTRI SELAMA PRAKERIN

Nama Dunia Usaha/Instansi : ……………………………………………………...

Alamat : ..................................................................................

Hari/Tanggal
No. ProgramLatihan UraianPekerjaan Paraf
Pelaksanaan

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

CATATAN PEMBIMBING INDUSTRI SELAMA PRAKERIN

Nama Dunia Usaha/Instansi : ……………………………………………………...

Alamat : ..................................................................................

Hari/Tanggal
No. ProgramLatihan UraianPekerjaan Paraf
Pelaksanaan

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

CATATAN PEMBIMBING INDUSTRI SELAMA PRAKERIN

Nama Dunia Usaha/Instansi : ……………………………………………………...

Alamat : ..................................................................................

Hari/Tanggal
No. ProgramLatihan UraianPekerjaan Paraf
Pelaksanaan

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

CATATAN PEMBIMBING INDUSTRI SELAMA PRAKERIN

Nama Dunia Usaha/Instansi : ……………………………………………………...

Alamat : ..................................................................................

Hari/Tanggal
No. ProgramLatihan UraianPekerjaan Paraf
Pelaksanaan

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

CATATAN PEMBIMBING INDUSTRI SELAMA PRAKERIN

Nama Dunia Usaha/Instansi : ……………………………………………………...

Alamat : ..................................................................................

Hari/Tanggal
No. ProgramLatihan UraianPekerjaan Paraf
Pelaksanaan

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

CATATAN PEMBIMBING INDUSTRI SELAMA PRAKERIN

Nama Dunia Usaha/Instansi : ……………………………………………………...

Alamat : ..................................................................................

Hari/Tanggal
No. ProgramLatihan UraianPekerjaan Paraf
Pelaksanaan

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

CATATAN PEMBIMBING INDUSTRI SELAMA PRAKERIN

Nama Dunia Usaha/Instansi : ……………………………………………………...

Alamat : ..................................................................................

Hari/Tanggal
No. ProgramLatihan UraianPekerjaan Paraf
Pelaksanaan

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

LOKASI I
LEMBAR MONITORING PEMBIMBING I

No. Catatan hasil monitoring

Catatan pembimbing sekolah

....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................

No. Catatan hasil monitoring

Saran pembimbing institusi pasangan

....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................

......................., ..........................
Diketahui
Pembimbing Industri Pembimbing Sekolah

___________________________ ________________________
NIP.

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

LOKASI I
LEMBAR MONITORING PEMBIMBING I

No. Catatan hasil monitoring

Catatan pembimbing sekolah

....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................

No. Catatan hasil monitoring

Saran pembimbing institusi pasangan

....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................

......................., ..........................
Diketahui
Pembimbing Industri Pembimbing Sekolah

___________________________ ________________________
NIP.

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

LOKASI I
LEMBAR MONITORING PEMBIMBING I

No. Catatan hasil monitoring

Catatan pembimbing sekolah

....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................

No. Catatan hasil monitoring

Saran pembimbing institusi pasangan

....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................

......................., ..........................
Diketahui
Pembimbing Industri Pembimbing Sekolah

___________________________ ________________________

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

LOKASI I
LEMBAR MONITORING PEMBIMBING I

No. Catatan hasil monitoring

Catatan pembimbing sekolah

....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................

No. Catatan hasil monitoring

Saran pembimbing institusi pasangan

....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................

......................., ..........................
Diketahui
Pembimbing Industri Pembimbing Sekolah

___________________________ ________________________
NIP.

18
SMKN 1MAKASSAR
 Panitia Prakerin
2018/2019

LOKASI I
LEMBAR MONITORING PEMBIMBING I

No. Catatan hasil monitoring

Catatan pembimbing sekolah

....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................

No. Catatan hasil monitoring

Saran pembimbing institusi pasangan

....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................
....................................................................................................................

......................., ..........................
Diketahui
Pembimbing Industri Pembimbing Sekolah

___________________________ ________________________
NIP.

18
SMKN 1MAKASSAR