BORANG MAKLUM BALAS DAPATAN PEMANTAUAN

(Diisi oleh Lokasi dan berikan kepada Pemantau bersama borang PK03-1)
Nama Lokasi / Program

SEKOLAH KEBANGSAAN SAUJANA INDAH

Tarikh Pemantauan

18 MAC 2013

Berdasarkan borang PK03-1 , didapati :

Bil
1

MAKLUM BALAS
TINDAKAN PEMBETULAN
a)

Punca

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b)

Tindakan Bagi Selesai Punca

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*Sila gunakan lampiran jika ruangan tidak mencukupi
2

TINDAKAN PENCEGAHAN ( elak daripada punca berulang )

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*Sila gunakan lampiran jika ruangan tidak mencukupi
Disediakan Oleh

Disemak Oleh

Tarikh : .

Tarikh : .

Hak Cipta Terpelihara Bahagian Pengurusan Sekolah Harian

1 Februari 2013 Keluaran 01Pindaan 00