BKDS- 1

BORANG KETIDAKAKURAN DATA SAPS

(Diisi oleh Lokasi dan diberikan kepada Pegawai Meja SAPS)
Ketidakakuran : 1 / 2 / 3
Nama Lokasi

Nama Program

Tarikh Semakan

31

Berdasarkan Semakan Data, didapati:

Bil
1

MAKLUM BALAS KETIDAKAKURAN

TINDAKAN PEMBETULAN
a) Punca
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

b) Tindakan Bagi Selesai Punca

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
* Sila gunakan lampiran jika ruangan tidak mencukupi

TINDAKAN PENCEGAHAN (elak daripada punca berulang)

__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
* Sila gunakan lampiran jika ruangan tidak mencukupi

Disediakan Oleh

Disemak Oleh

Tarikh : 1.4.2014

Tarikh