FORM PENGECEKAN HARIAN KARYAWAN DATANG DARI BALIKPAPAN

Tanggal kedatangan
Tanggal pemeriksaan
waktu pemeriksaan
:
:
: Thursday, 16 July 2020
Thursday, 16 July 2020
PAGI
Dokter
Paramedik :
: dr Hikmah
Yoyok
HARI KE :
1
PARAMETER PEMERIKSAAN TANDA TANDA VITAL

NO. NRP NAMA POSISI DEPT. Jam Pemeriksaan KELUHAN LAIN STATUS

DEMAM

RADANG
BATUK

SESAK

TENGGO

NYERI
ROKAN
PILEK

DADA
TD NADI RR SUHU
Spo2 (%)
(MMHG) (x/mnt) (x/mnt) (celcius)

1 61122370 WAHYU NUR FABIANTO SITE GENERAL SERVI 09,33 x x x x x x 120/70 97 20 36,1 98

2 6119052 ALFATH NOTARIIL SITE ENGINEERING 09,45 x x x x x x 130/80 87 16 36,1 98

3 61182249 ILHAM SITE FINANCE & ADMI 09,50 x x x x x x 110/70 78 18 36,3 99

4 6115561 PERES M SITE PLANT 1 09,37 x x x x x x 130/80 83 18 36,1 98

5 6114138 BERLIYANTO SITE ENGINEERING 09,55 x x x x x x 110/70 85 20 36,5 97

6 61182787 SATRIO WIBOWO SITE ENGINEERING 09,38 x x x x x x 120/70 95 20 36,1 98

7 6117718 HARIS WIDYA NUGRAHA SITE ENGINEERING 09,41 x x x x x x 100 80 18 36,2 97

8 61181447 ALEXANDER JULIO CAESAR SITE ENGINEERING 09,35 x x x x x x 120/70 76 16 36,3 99

9 6117922 BINTANG ALFIAN NUR RACHMAN SITE ENGINEERING 09,43 x x x x x x 120/70 96 18 36,2 97

10 6113839 ARIS TANDI TOLANDA CHIEF SURVEYOR 09,53 x x x x x x 120/70 68 20 36,8 96

11 61112211 JAELANI AKBAR SITE OB PRODUCTION 10,05 x x x x x x 130/80 93 16 36,4 98

12 6113111 CHASAN ROHMAD SITE SAFETY, HEALT 10,02 x x x x x x 120/70 70 20 36,2 99

13 61122719 SETIYONO SITE SAFETY, HEALT 09,47 x x x x x x 100 82 16 36,2 98

14 6108815 BUDI CAHYANA OPERATOR 09,57 x x x x x x 120/70 73 18 36,2 96

15 61092252 DWI WIHARTO OPERATOR 09,56 x x x x x x 110/70 75 18 36,2 99

16 6116149 MUHAMAD ARIFIN OPERATOR 09,41 x x x x x x 120/70 66 16 36,2 99

17 6117260 CAHYO MULYONO OPERATOR 10,15 x x x x x x 120/70 71 20 36,1 99

18 6117825 M. AFIF ARFIANSYAH OPERATOR 10,17 x x x x x x 120/70 77 16 36,1 98

19 6111052 NUR RAHMAN SALEH OPERATOR 09,59 x x x x x x 100 70 18 36,2 98

20 6111392 AGUNG WIBOWO OPERATOR 10,06 x v v x x x 100 62 16 36,3 97

21 6115076 YOGA AJI PRABOWO OPERATOR 10,07 x x x x x x 110/70 82 20 36,1 99

22 61091216 SUKIRNO OPERATOR 10,15 x x x x x x 110/70 67 16 36,2 98

23 61091942 ABDUL AZIZ SITE PLANT 1 10,25 x x x x x x 120/70 76 18 36,2 99

24 6118314 SITE TYRE 10,10 x x x x x x 120/70 86 19 36,4 98

ARIF FEDIANTO
25 6108905 GL SPOB
FATKHUR RACHMAN EFFENDI
26 61111626 SITE PIT SERVICE 09,44 x x x x x x 120/70 97 20 36,3 98
DIDI PRATOMO

V Ya
X Tidak

KETERANGAN
1 PASIEN SUDAH KARANTINA DI BALIKPAPAPAN
2 SELAMA DI BALIKPAPAN PASIEN SUDAH DILAKUKAN TINDAKAN SWAB TEST
3 KARYAWAN AKAN DIKARANTINA DI MESS YANG DISEDIAKAN SITE
4 KRITERIA OBSERVASI: JIKA SUHU > 37,3°C, BATUK, PILEK, SESAK, RADANG TENGGOROKAN, NYERI DADA
 HARI 2

FORM PENGECEKAN HARIAN KARYAWAN DATANG DARI BALIKPAPAN

Tanggal kedatangan : Thursday, 16 July 2020 Dokter : dr Hikmah
HARI KE :
Tanggal pemeriksaan : Friday, 17 July 2020 Paramedik: yoyok
waktu pemeriksaan : PAGI

PARAMETER PEMERIKSAAN TANDA TANDA VITAL

Jam
NO. NRP NAMA POSISI DEPT. NOMOR HP KELUHAN LAIN

DEMAM

RADANG
Pemeriksaan

BATUK

SESAK

TENGGO

NYERI
ROKAN
PILEK

DADA
TD NADI RR SUHU
Spo2 (%)
(MMHG) (x/mnt) (x/mnt) (celcius)

1 61122370 WAHYU NUR FABIANTO SITE GENERAL SERVICES 09,15 x x x x x x 110/70 89 17 36,1 98

2 6119052 ALFATH NOTARIIL SITE ENGINEERING 0925 x x x x x x 120/70 85 18 36,2 97

3 61182249 ILHAM SITE FINANCE & ADMINISTRATION 09,33 x x x x x x 110/70 87 20 36,2 98

4 6115561 PERES M SITE PLANT 1 09,11 x x x x x x 110/70 88 19 36,3 97

5 6114138 BERLIYANTO SITE ENGINEERING 09,21 x x x x x x 120/70 64 16 36,3 97

6 61182787 SATRIO WIBOWO SITE ENGINEERING 09,26 x x x x x x 120/70 86 18 36,1 98

7 6117718 HARIS WIDYA NUGRAHA SITE ENGINEERING 09,37 x x x x x x 120/70 85 16 36,3 99

8 61181447 ALEXANDER JULIO CAESAR SITE ENGINEERING 09,41 x x x x x x 120/70 78 18 36,5 99

9 6117922 BINTANG ALFIAN NUR RACHMAN SITE ENGINEERING 09,34 x x x x x x 110/70 83 18 36,2 99

10 6113839 ARIS TANDI TOLANDA CHIEF SURVEYOR 09,27 x x x x x x 120/70 92 20 36,3 99

11 61112211 JAELANI AKBAR SITE OB PRODUCTION AREA 1 9.46 x x x x x x 130/80 82 16 36.2 99

12 6113111 CHASAN ROHMAD SITE SAFETY, HEALTH & ENVIRONMENT 09,55 x x x x x x 110/70 75 16 36,2 98

13 61122719 SETIYONO SITE SAFETY, HEALTH & ENVIRONMENT 09,11 x x x x x x 110/70 71 18 36,2 97

14 6108815 BUDI CAHYANA OPERATOR 11,15 x x x x x x 120/70 80 18 36,3 98

15 61092252 DWI WIHARTO OPERATOR 11,19 x x x x x x 110/70 74 18 36,4 97

16 6116149 MUHAMAD ARIFIN OPERATOR 10,25 x x x x x x 110/70 94 20 36,3 99

17 6117260 CAHYO MULYONO OPERATOR 10,14 x x x x x x 110/70 97 20 36,2 98

18 6117825 M. AFIF ARFIANSYAH OPERATOR 11,05 x x x x x x 110/70 76 16 36,3 96

19 6111052 NUR RAHMAN SALEH OPERATOR 10,43 x x x x x x 110/70 77 16 36,3 96

20 6111392 AGUNG WIBOWO OPERATOR 10,38 x x x x x x 120/70 77 16 36,1 98

21 6115076 YOGA AJI PRABOWO OPERATOR 10,05 x x x x x x 120/70 92 20 36,4 98

22 61091216 SUKIRNO OPERATOR 09,51 x x x x x x 110/70 98 20 36,4 99

23 61091942 ABDUL AZIZ SITE PLANT 1 09,43 x x x x x x 120/70 70 16 36,3 97

24 6118314 ARIF FEDIANTO SITE TYRE 10,03 x x x x x x 110/70 83 18 36,1 99

25 6108905 FATKHUR RACHMAN EFFENDI GL SPOB x x x x x x

26 61111626 DIDI PRATOMO SITE PIT SERVICE 10,17 x x x x x x 120/70 71 16 36,2 98

V Ya
X Tidak

KETERANGAN
1 PASIEN SUDAH KARANTINA DI BALIKPAPAPAN
2 SELAMA DI BALIKPAPAN PASIEN SUDAH DILAKUKAN TINDAKAN SWAB TEST
3 KARYAWAN AKAN DIKARANTINA DI MESS YANG DISEDIAKAN SITE
4 KRITERIA OBSERVASI: JIKA SUHU > 37,3°C, BATUK, PILEK, SESAK, RADANG TENGGOROKAN, NYERI DADA

Page 2
 HARI 2

2
STATUS

Page 3
 HARI 3

FORM PENGECEKAN HARIAN KARYAWAN DATANG DARI BALIKPAPAN

Tanggal kedatangan
Tanggal pemeriksaan
waktu pemeriksaan
: Thursday, 16 July 2020
: Saturday, 18 July 2020
: PAGI
Dokter
Paramedik:
: dr Hikmah
Yoyok
HARI KE :
3
PARAMETER PEMERIKSAAN TANDA TANDA VITAL

NO. NRP NAMA POSISI DEPT. NOMOR HP KAMAR Jam Pemeriksaan KELUHAN LAIN STATUS

DEMAM

RADANG
BATUK

SESAK

TENGGO

NYERI
ROKAN
PILEK

DADA
TD NADI RR SUHU
Spo2 (%)
(MMHG) (x/mnt) (x/mnt) (celcius)

1 61122370 WAHYU NUR FABIANTO SITE GENERAL SERVICES 09,49 X X X X X X 110/70 74 20 36 97 FIT BY dr Bayu Wega

2 6119052 ALFATH NOTARIIL SITE ENGINEERING 09,10 X X X X X X 120/80 98 18 36,2 97 FIT BY dr Bayu Wega

3 61182249 ILHAM SITE FINANCE & ADMINISTRATION 09,54 X X X X X X 120/80 77 20 36 98 FIT BY dr Bayu Wega

4 6115561 PERES M SITE PLANT 1 09,17 X X X X X X 110/70 87 20 36,2 98 FIT BY dr Bayu Wega

5 6114138 BERLIYANTO SITE ENGINEERING 09,23 X X X X X X 110/70 86 18 36,3 99 FIT BY dr Bayu Wega

6 61182787 SATRIO WIBOWO SITE ENGINEERING 09,12 X X X X X X 110/70 90 20 36,1 98 FIT BY dr Bayu Wega

7 6117718 HARIS WIDYA NUGRAHA SITE ENGINEERING 09,19 X X X X X X 110/70 70 20 36,3 99 FIT BY dr Bayu Wega

8 61181447 ALEXANDER JULIO CAESAR SITE ENGINEERING 09,13 X X X X X X 110/70 66 18 36,2 99 FIT BY dr Bayu Wega

9 6117922BINTANG ALFIAN NUR RACHMAN SITE ENGINEERING 09,29 X X X X X X 110/70 82 20 36,2 97 FIT BY dr Bayu Wega

10 6113839 ARIS TANDI TOLANDA CHIEF SURVEYOR 09,21 X X X X X X 120/70 60 20 36,2 98 FIT BY dr Bayu Wega

11 61112211 JAELANI AKBAR SITE OB PRODUCTION AREA 1 9.47 X X X X X X 120/80 81 20 36 97 FIT BY dr Bayu Wega

12 6113111 CHASAN ROHMAD SITE SAFETY, HEALTH & ENVIRONMENT 09,51 X X X X X X 110/70 82 18 36,2 98 FIT BY dr Bayu Wega

13 61122719 SETIYONO SITE SAFETY, HEALTH & ENVIRONMENT 09,53 X X X X X X 120/70 75 20 36,2 97 FIT BY dr Bayu Wega

14 6108815 BUDI CAHYANA OPERATOR 10,40 X X X X X X 110/70 54 18 36,2 98 FIT BY dr Bayu Wega

15 61092252 DWI WIHARTO OPERATOR 10,39 X X X X X X 110/70 66 18 36,3 98 FIT BY dr Bayu Wega

16 6116149 MUHAMAD ARIFIN OPERATOR 10,58 X X X X X X 110/70 66 20 36,1 99 FIT BY dr Bayu Wega

17 6117260 CAHYO MULYONO OPERATOR 10,47 X X X X X X 110/70 94 18 36,2 99 FIT BY dr Bayu Wega

18 6117825 M. AFIF ARFIANSYAH OPERATOR 10,49 X X X X X X 100/70 81 18 36,2 98 FIT BY dr Bayu Wega

19 6111052 NUR RAHMAN SALEH OPERATOR 10,53 X X X X X X 110/70 78 20 36,2 99 FIT BY dr Bayu Wega

20 6111392 AGUNG WIBOWO OPERATOR 10,56 X X X X X X 130/80 94 18 36,2 98 FIT BY dr Bayu Wega

21 6115076 YOGA AJI PRABOWO OPERATOR 10,42 X X X X X X 120/80 80 18 36,2 98 FIT BY dr Bayu Wega

22 61091216 SUKIRNO OPERATOR 10,54 X X X X X X 120/70 96 18 36,3 97 FIT BY dr Bayu Wega

23 61091942 ABDUL AZIZ SITE PLANT 1 09,41 X X X X X X 100/70 80 18 36,3 97 FIT BY dr Bayu Wega

24 6118314 ARIF FEDIANTO SITE TYRE 09,15 X X X X X X 100/70 94 20 36,2 98 FIT BY dr Bayu Wega

FATKHUR RACHMAN
25 6108905 GL SPOB
EFFENDI
26 61111626 DIDI PRATOMO SITE PIT SERVICE 09,05 X X X X X X 110/70 81 18 36,2 95 FIT BY dr Bayu Wega

V Ya
X Tidak

KETERANGAN
1 PASIEN SUDAH KARANTINA DI BALIKPAPAPAN
2 SELAMA DI BALIKPAPAN PASIEN SUDAH DILAKUKAN TINDAKAN SWAB TEST
3 KARYAWAN AKAN DIKARANTINA DI MESS YANG DISEDIAKAN SITE
4 KRITERIA OBSERVASI: JIKA SUHU > 37,3°C, BATUK, PILEK, SESAK, RADANG TENGGOROKAN, NYERI DADA

Page 4
 HARI 4

FORM PENGECEKAN HARIAN KARYAWAN DATANG DARI BALIKPAPAN

Tanggal kedatangan : Thursday, 16 July 2020 Dokter : dr Bayu Wega
HARI KE :
Tanggal pemeriksaan : Sunday, 19 July 2020 Paramedik: Yoyok
waktu pemeriksaan : PAGI

PARAMETER PEMERIKSAAN TANDA TANDA VITAL

KEMBALI KE
NO. NRP NAMA POSISI DEPT. NOMOR HP Jam Pemeriksaan KELUHAN LAIN

DEMAM
SITE

RADANG
BATUK

SESAK

TENGGO

NYERI
ROKAN
PILEK

DADA
TD NADI RR SUHU
Spo2 (%)
(MMHG) (x/mnt) (x/mnt) (celcius)

1 61122370 WAHYU NUR FABIANTO SITE GENERAL SERVICES

2 6119052 ALFATH NOTARIIL SITE ENGINEERING
3 61182249 ILHAM SITE FINANCE & ADMINISTRATION
4 6115561 PERES M SITE PLANT 1
5 6114138 BERLIYANTO SITE ENGINEERING
6 61182787 SATRIO WIBOWO SITE ENGINEERING
7 6117718 HARIS WIDYA NUGRAHA SITE ENGINEERING
8 61181447 ALEXANDER JULIO CAESAR SITE ENGINEERING
9 6117922BINTANG ALFIAN NUR RACHMAN SITE ENGINEERING
10 6113839 ARIS TANDI TOLANDA CHIEF SURVEYOR
11 61112211 JAELANI AKBAR SITE OB PRODUCTION AREA 1
12 6113111 CHASAN ROHMAD SITE SAFETY, HEALTH & ENVIRONMENT
13 61122719 SETIYONO SITE SAFETY, HEALTH & ENVIRONMENT
14 6108815 BUDI CAHYANA OPERATOR
15 61092252 DWI WIHARTO OPERATOR
16 6116149 MUHAMAD ARIFIN OPERATOR
17 6117260 CAHYO MULYONO OPERATOR
18 6117825 M. AFIF ARFIANSYAH OPERATOR
19 6111052 NUR RAHMAN SALEH OPERATOR
20 6111392 AGUNG WIBOWO OPERATOR
21 6115076 YOGA AJI PRABOWO OPERATOR
22 61091216 SUKIRNO OPERATOR
23 61091942 ABDUL AZIZ SITE PLANT 1
24 6118314 ARIF FEDIANTO SITE TYRE
FATKHUR RACHMAN
25 6108905 GL SPOB
EFFENDI
26 61111626 DIDI PRATOMO SITE PIT SERVICE

V Ya
X Tidak

KETERANGAN
1 PASIEN SUDAH KARANTINA DI BALIKPAPAPAN
2 SELAMA DI BALIKPAPAN PASIEN SUDAH DILAKUKAN TINDAKAN SWAB TEST
3 KARYAWAN AKAN DIKARANTINA DI MESS YANG DISEDIAKAN SITE
4 KRITERIA OBSERVASI: JIKA SUHU > 37,3°C, BATUK, PILEK, SESAK, RADANG TENGGOROKAN, NYERI DADA

Page 5
 HARI 4

4
STATUS

Page 6
 HARI 5

FORM PENGECEKAN HARIAN KARYAWAN DATANG DARI BALIKPAPAN

Tanggal kedatangan : Thursday, 16 July 2020 Dokter : dr Bayu Wega
HARI KE :
Tanggal pemeriksaan : Monday, 20 July 2020 Paramedik: Yoyok
waktu pemeriksaan : PAGI

PARAMETER PEMERIKSAAN TANDA TANDA VITAL

KEMBALI KE
NO. NRP NAMA POSISI DEPT. NOMOR HP Jam Pemeriksaan KELUHAN LAIN

DEMAM
SITE

RADANG
BATUK

SESAK

TENGGO

NYERI
PILEK

ROKAN

DADA
TD NADI RR SUHU
Spo2 (%)
(MMHG) (x/mnt) (x/mnt) (celcius)

1 61122370 WAHYU NUR FABIANTO SITE GENERAL SERVICES

2 6119052 ALFATH NOTARIIL SITE ENGINEERING

3 61182249 ILHAM SITE FINANCE & ADMINISTRATION

4 6115561 PERES M SITE PLANT 1
5 6114138 BERLIYANTO SITE ENGINEERING
6 61182787 SATRIO WIBOWO SITE ENGINEERING
7 6117718 HARIS WIDYA NUGRAHA SITE ENGINEERING
8 61181447 ALEXANDER JULIO CAESAR SITE ENGINEERING
9 6117922BINTANG ALFIAN NUR RACHMAN SITE ENGINEERING
10 6113839 ARIS TANDI TOLANDA CHIEF SURVEYOR
11 61112211 JAELANI AKBAR SITE OB PRODUCTION AREA 1
12 6113111 CHASAN ROHMAD SITE SAFETY, HEALTH & ENVIRONMENT
13 61122719 SETIYONO SITE SAFETY, HEALTH & ENVIRONMENT
14 6108815 BUDI CAHYANA OPERATOR
15 61092252 DWI WIHARTO OPERATOR
16 6116149 MUHAMAD ARIFIN OPERATOR
17 6117260 CAHYO MULYONO OPERATOR
18 6117825 M. AFIF ARFIANSYAH OPERATOR
19 6111052 NUR RAHMAN SALEH OPERATOR
20 6111392 AGUNG WIBOWO OPERATOR
21 6115076 YOGA AJI PRABOWO OPERATOR
22 61091216 SUKIRNO OPERATOR
23 61091942 ABDUL AZIZ SITE PLANT 1
24 6118314 ARIF FEDIANTO SITE TYRE
FATKHUR RACHMAN
25 6108905 GL SPOB
EFFENDI
26 61111626 DIDI PRATOMO SITE PIT SERVICE
V Ya
X Tidak

KETERANGAN
1 PASIEN SUDAH KARANTINA DI BALIKPAPAPAN
2 SELAMA DI BALIKPAPAN PASIEN SUDAH DILAKUKAN TINDAKAN SWAB TEST
3 KARYAWAN AKAN DIKARANTINA DI MESS YANG DISEDIAKAN SITE
4 KRITERIA OBSERVASI: JIKA SUHU > 37,3°C, BATUK, PILEK, SESAK, RADANG TENGGOROKAN, NYERI DADA

Page 7
 HARI 5

5
STATUS

Page 8
 HARI 6

FORM PENGECEKAN HARIAN KARYAWAN DATANG DARI BALIKPAPAN

Tanggal kedatangan : Thursday, 16 July 2020 Dokter : dr Bayu Wega
HARI KE :
Tanggal pemeriksaan : Tuesday, 21 July 2020 Paramedik: Yoyok
waktu pemeriksaan : PAGI

PARAMETER PEMERIKSAAN TANDA TANDA VITAL

KEMBALI KE
NO. NRP NAMA POSISI DEPT. NOMOR HP Jam Pemeriksaan KELUHAN LAIN

DEMAM
SITE

RADANG
BATUK

SESAK

TENGGO

NYERI
PILEK

ROKAN

DADA
TD NADI RR SUHU
Spo2 (%)
(MMHG) (x/mnt) (x/mnt) (celcius)

1 61122370 WAHYU NUR FABIANTO SITE GENERAL SERVICES

2 6119052 ALFATH NOTARIIL SITE ENGINEERING

3 61182249 ILHAM SITE FINANCE & ADMINISTRATION

4 6115561 PERES M SITE PLANT 1

5 6114138 BERLIYANTO SITE ENGINEERING
6 61182787 SATRIO WIBOWO SITE ENGINEERING
7 6117718 HARIS WIDYA NUGRAHA SITE ENGINEERING
8 61181447 ALEXANDER JULIO CAESAR SITE ENGINEERING
9 6117922BINTANG ALFIAN NUR RACHMAN SITE ENGINEERING
10 6113839 ARIS TANDI TOLANDA CHIEF SURVEYOR
11 61112211 JAELANI AKBAR SITE OB PRODUCTION AREA 1
12 6113111 CHASAN ROHMAD SITE SAFETY, HEALTH & ENVIRONMENT
13 61122719 SETIYONO SITE SAFETY, HEALTH & ENVIRONMENT
14 6108815 BUDI CAHYANA OPERATOR
15 61092252 DWI WIHARTO OPERATOR
16 6116149 MUHAMAD ARIFIN OPERATOR
17 6117260 CAHYO MULYONO OPERATOR
18 6117825 M. AFIF ARFIANSYAH OPERATOR
19 6111052 NUR RAHMAN SALEH OPERATOR
20 6111392 AGUNG WIBOWO OPERATOR
21 6115076 YOGA AJI PRABOWO OPERATOR
22 61091216 SUKIRNO OPERATOR
23 61091942 ABDUL AZIZ SITE PLANT 1
24 6118314 ARIF FEDIANTO SITE TYRE
FATKHUR RACHMAN
25 6108905 GL SPOB
EFFENDI
26 61111626 DIDI PRATOMO SITE PIT SERVICE
V Ya
X Tidak

KETERANGAN
1 PASIEN SUDAH KARANTINA DI BALIKPAPAPAN
2 SELAMA DI BALIKPAPAN PASIEN SUDAH DILAKUKAN TINDAKAN SWAB TEST
3 KARYAWAN AKAN DIKARANTINA DI MESS YANG DISEDIAKAN SITE
4 KRITERIA OBSERVASI: JIKA SUHU > 37,3°C, BATUK, PILEK, SESAK, RADANG TENGGOROKAN, NYERI DADA

Page 9
 HARI 6

6
STATUS

Page 10
 HARI 7

FORM PENGECEKAN HARIAN KARYAWAN DATANG DARI BALIKPAPAN

Tanggal kedatangan : Thursday, 16 July 2020 Dokter : dr Bayu Wega
HARI KE :
Tanggal pemeriksaan : Wednesday, 22 July 2020 Paramedik: Yoyok
waktu pemeriksaan : PAGI

PARAMETER PEMERIKSAAN TANDA TANDA VITAL

KEMBALI KE
NO. NRP NAMA POSISI DEPT. NOMOR HP Jam Pemeriksaan KELUHAN LAIN

DEMAM
SITE

RADANG
BATUK

SESAK

TENGGO

NYERI
ROKAN
PILEK

DADA
TD NADI RR SUHU
Spo2 (%)
(MMHG) (x/mnt) (x/mnt) (celcius)

1 61122370 WAHYU NUR FABIANTO SITE GENERAL SERVICES

2 6119052 ALFATH NOTARIIL SITE ENGINEERING
3 61182249 ILHAM SITE FINANCE & ADMINISTRATION
4 6115561 PERES M SITE PLANT 1
5 6114138 BERLIYANTO SITE ENGINEERING
6 61182787 SATRIO WIBOWO SITE ENGINEERING
7 6117718 HARIS WIDYA NUGRAHA SITE ENGINEERING
8 61181447 ALEXANDER JULIO CAESAR SITE ENGINEERING
9 6117922BINTANG ALFIAN NUR RACHMAN SITE ENGINEERING
10 6113839 ARIS TANDI TOLANDA CHIEF SURVEYOR
11 61112211 JAELANI AKBAR SITE OB PRODUCTION AREA 1
12 6113111 CHASAN ROHMAD SITE SAFETY, HEALTH & ENVIRONMENT
13 61122719 SETIYONO SITE SAFETY, HEALTH & ENVIRONMENT
14 6108815 BUDI CAHYANA OPERATOR
15 61092252 DWI WIHARTO OPERATOR
16 6116149 MUHAMAD ARIFIN OPERATOR
17 6117260 CAHYO MULYONO OPERATOR
18 6117825 M. AFIF ARFIANSYAH OPERATOR
19 6111052 NUR RAHMAN SALEH OPERATOR
20 6111392 AGUNG WIBOWO OPERATOR
21 6115076 YOGA AJI PRABOWO OPERATOR
22 61091216 SUKIRNO OPERATOR
23 61091942 ABDUL AZIZ SITE PLANT 1
24 6118314 ARIF FEDIANTO SITE TYRE
FATKHUR RACHMAN
25 6108905 GL SPOB
EFFENDI
26 61111626 DIDI PRATOMO SITE PIT SERVICE
V Ya
X Tidak

KETERANGAN
1 PASIEN SUDAH KARANTINA DI BALIKPAPAPAN
2 SELAMA DI BALIKPAPAN PASIEN SUDAH DILAKUKAN TINDAKAN SWAB TEST
3 KARYAWAN AKAN DIKARANTINA DI MESS YANG DISEDIAKAN SITE
4 KRITERIA OBSERVASI: JIKA SUHU > 37,3°C, BATUK, PILEK, SESAK, RADANG TENGGOROKAN, NYERI DADA

Page 11
 HARI 7

7
STATUS

Page 12