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Toilet Inspection Checklist Card

The document is an inspection card for a toilet at RS. Medirossa located in Cikarang Selatan - Bekasi, Indonesia. It contains a table with columns for date, time, odor, floor condition, wall condition, trash, glass, sink, soap, toilet, inspector, and signature. The table is used to record the cleanliness, damage, or other conditions found during inspections of the toilet over time.

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janah
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156 views1 page

Toilet Inspection Checklist Card

The document is an inspection card for a toilet at RS. Medirossa located in Cikarang Selatan - Bekasi, Indonesia. It contains a table with columns for date, time, odor, floor condition, wall condition, trash, glass, sink, soap, toilet, inspector, and signature. The table is used to record the cleanliness, damage, or other conditions found during inspections of the toilet over time.

Uploaded by

janah
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd

RS. MEDIROSSA RS.

MEDIROSSA
Jl. Industri Tegal Gede No.09 Jl. Industri Tegal Gede No.09
Cikarang Selatan - Bekasi Cikarang Selatan - Bekasi
KARTU INSPEKSI KARTU INSPEKSI
TOILET : TOILET :
TEMPAT TEMPAT
TGL JAM BAU LANTAI DINDING SAMPAH KACA WASTAFEL SABUN KLOSET PETUGAS TTD TGL JAM BAU LANTAI DINDING SAMPAH KACA WASTAFEL SABUN KLOSET PETUGAS TTD

NOTE √ : BERSIH X: KOTOR XX : RUSAK NOTE √ : BERSIH X:KOTOR XX : RUSAK

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