REKAP HASIL AUDIT INTERNAL PUSKESMAS BALEREJO

Pelaksanaan Audit Internal tanggal ................... s/d ....................................

Auditor : .......................................................................................................................................................
...................................................................................................................................
UNIT/BAGIAN AUDI NO
ANALISA/URAIAN KETIDAK STAT. TINDAKAN TGL STATUS
NO & JUDUL TOR LKA PJ
SESUAIAN TEMUAN PERBAIKAN/PENCEGAHAN PENYELESAIAN VERIFIKASI
PROSES

01 Program 01 NC - PJ Prog. Close

KIA/KB KIA/KB
02 Obs PJ Prog. Close
KIA/KB
02 Program ARU 01 NC - PJ Close
Program
ARU

02 NC PJ Close
Program
ARU

03 NC PJ Close
Program
ARU
 REKAP HASIL AUDIT INTERNAL PUSKESMAS BALEREJO
Pelaksanaan Audit Internal tanggal ................... s/d ....................................
Auditor : .......................................................................................................................................................
...................................................................................................................................
UNIT/BAGIAN TGL
AUDI NO STAT. TINDAKAN STATUS
NO & JUDUL ANALISA/URAIAN KETIDAK SESUAIAN PENYELESAI PJ
TOR LKA TEMUAN PERBAIKAN/PENCEGAHAN VERIFIKASI
PROSES AN

03 Program 01 NC PJ prog. Close

Surveilans Survei
lans
02 NC PJ prog. Close
Survei
lans
04 Program P2 01 Obs PJ Prog. Close
Kusta P2 Kusta
02 NC PJ Prog. Close
P2 Kusta
03 NC PJ Prog. Close
P2 Kusta
 REKAP HASIL AUDIT INTERNAL PUSKESMAS BALEREJO
Pelaksanaan Audit Internal tanggal ................... s/d ....................................
Auditor : .......................................................................................................................................................
...................................................................................................................................
UNIT/BAGIAN TGL
AUDI NO STAT. TINDAKAN STATUS
NO & JUDUL ANALISA/URAIAN KETIDAK SESUAIAN PENYELESAI PJ
TOR LKA TEMUAN PERBAIKAN/PENCEGAHAN VERIFIKASI
PROSES AN

05 Program Kesling 01 Obs PJ Prog. close

Kesling
02 NC PJ Prog. close
Kesling
NC PJ Prog. close
Kesling
06 Program 01 NC PJ.Prog. Close
Imunisasi Imunisa
si
02 Obs PJ.Prog. Close
Imunisa
si
03 Obs - PJ.Prog. Close
Imunisa
si
04 NK PJ.Prog. Close
Imunisa
si
 REKAP HASIL AUDIT INTERNAL PUSKESMAS BALEREJO
Pelaksanaan Audit Internal tanggal ................... s/d ....................................
Auditor : .......................................................................................................................................................
...................................................................................................................................
TGL
UNIT/BAGIAN & AUDI NO URAIAN KETIDAK SESUAIAN / STAT. TINDAKAN STATUS
NO PENYELESAI PJ
JUDUL PROSES TOR LKA ANALISIS KETIDAKSESUAIAN TEMUAN PERBAIKAN/PENCEGAHAN VERIFIKASI
AN

07 Program PHN 01 Obs PJ Close

Program
PHN

02 Obs PJ Close
Program
PHN

03 NC PJ Close
Program
PHN

04 Obs - PJ Close
Program
PHN

05 Obs PJ Close
Program
PHN
 REKAP HASIL AUDIT INTERNAL PUSKESMAS BALEREJO
Pelaksanaan Audit Internal tanggal ................... s/d ....................................
Auditor : .......................................................................................................................................................
...................................................................................................................................
STATU
STAT. TGL
UNIT/BAGIAN & AUDI NO URAIAN KETIDAK SESUAIAN / TINDAKAN S
NO TEMUA PENYELESA PJ
JUDUL PROSES TOR LKA ANALISIS KETIDAKSESUAIAN PERBAIKAN/PENCEGAHAN VERIFI
N IAN
KASI

08 Program P2M
DBD

Secara umum
pelayanan di Poli
KIA berjalan baik

09 Program Promkes 01 Obs PJ Program Close

Promkes

10 Program P2M 01 NC PJ Program Close

Diare P2M Diare

02 NC PJ Program Close
P2M Diare

03 NC PJ Prog.P2M Close
Diare
 REKAP HASIL AUDIT INTERNAL PUSKESMAS BALEREJO
Pelaksanaan Audit Internal tanggal ................... s/d ....................................
Auditor : .......................................................................................................................................................
...................................................................................................................................
UNIT/BAGIAN & AUDI NO URAIAN KETIDAK SESUAIAN / STAT. TINDAKAN TGL STAT.
NO PJ
JUDUL PROSES TOR LKA ANALISIS KETIDAKSESUAIAN TEMUAN PERBAIKAN/PENCEGAHAN PENYELESAIAN VERIFIKASI

Lanjutan P2M 04 Obs PJ Prog. Close

Diare P2M
Diare

11 P2M ISPA O1 Obs PJ Prog. Close

P2M ISPA

02 NC - PJ Prog. Close
P2M ISPA

03 NC PJ Prog. Close
P2M ISPA
 REKAP HASIL AUDIT INTERNAL PUSKESMAS BALEREJO
Pelaksanaan Audit Internal tanggal ................... s/d ....................................
Auditor : .......................................................................................................................................................
...................................................................................................................................
UNIT/BAGIAN & AUDI NO URAIAN KETIDAK SESUAIAN / STAT. TINDAKAN TGL STAT.
NO PJ
JUDUL PROSES TOR LKA ANALISIS KETIDAKSESUAIAN TEMUAN PERBAIKAN/PENCEGAHAN PENYELESAIAN VERIFIKASI

12 Program P2M TB 01 Obs PJ Prog. Close

P2M TB

02 Obs PJ Prog. Close

P2M TB

03 Obs PJ Prog. Close

P2M TB

04 Obs - PJ Prog. Close

P2M TB
 REKAP HASIL AUDIT INTERNAL PUSKESMAS BALEREJO
Pelaksanaan Audit Internal tanggal ................... s/d ....................................
Auditor : .......................................................................................................................................................
...................................................................................................................................
STAT.
UNIT/BAGIAN & AUDI NO URAIAN KETIDAK SESUAIAN / STAT. TINDAKAN TGL
NO PJ VERIFIKAS
JUDUL PROSES TOR LKA ANALISIS KETIDAKSESUAIAN TEMUAN PERBAIKAN/PENCEGAHAN PENYELESAIAN
I

13 Program Jiwa 01 NC PJProg. Close

Jiwa

NC PJProg. Close
Jiwa

14 Program P2M 01 - PJ.Prog. Close

HIV/AIDS P2M
HIV/AID
S

15 Program Gizi 01 NC PJ Prog. Close

Gizi

02 Obs PJ Prog. Close

Gizi

03 NC PJ Prog. Close
Gizi
 REKAP HASIL AUDIT INTERNAL PUSKESMAS BALEREJO
Pelaksanaan Audit Internal tanggal ................... s/d ....................................
Auditor : .......................................................................................................................................................
...................................................................................................................................
UNIT/BAGIAN & AUDI NO URAIAN KETIDAK SESUAIAN / STAT. TINDAKAN TGL STAT.
NO PJ
JUDUL PROSES TOR LKA ANALISIS KETIDAKSESUAIAN TEMUAN PERBAIKAN/PENCEGAHAN PENYELESAIAN VERIFIKASI

LanjutaN Program 04 NC PJ Prog. Close

GiZI Gizi

05 NC PJ Prog. Close
Gizi