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NO RUANGAN

B K
Tanggal 28 29 30 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 29 30
1 Loket 0 0 0 0 0 0 0 0
2 Poli Umum 1 1 1 0 3 0 0 0
3 Poli gigi 1 1 1 0 3 0 0 0
4 Laboratorium 1 1 1 0 3 0 0 0
5 Poli Fisioterapi 0 0 0 0 0 0 0 0
6 Poli Konseling 0 0 0 0 0 0 0 0
7 poli akupunktur 0 1 0 0 1 0 0 0
8 Ruang Laktasi 0 0 0 0 0 0 0 0
9 Ruang Tunggu I 0 0 1 0 1 0 0 0
10 Ruang Tunggu II 1 0 1 0 2 0 0 0
11 Ruang Tunggu III 1 0 1 0 2 0 0 0
12 Halaman 1 0 0 0 1 0 0 0
13 Ruang Farmasi 0 0 0 0 0 0 0 0
14 Depan Ruang Farmasi 0 0 0 0 0 0 0 0
15 Poli KIA 1 1 1 0 3 0 0 0
16 Kaber 0 0 0 0 0 0 0 0
17 Lantai 2 (I) 0 0 0 0 0 0 0 0
18 Lantai 2 (II) 0 0 0 0 0 0 0 0
19 Kamar mandi Pasien 0 0 0 0 0 0 0 0
20 Kamar Mandi Karyawan 0 0 0 0 0 0 0 0
21 Kamar Mandi Lantai 2 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAMPAH MEDIS
TB P
31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 29 30 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 29 30 31 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAMPAH NON MEDIS
V B K
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 29 30 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 29 30 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1 0 3
1 1 1 1 4 1 1 1 0 3
1 1 1 1 4 1 1 1 0 3
1 1 1 1 4 1 1 1 0 3
0 0 0 0 0 1 1 1 0 3
0 0 0 0 0 1 1 1 0 3
0 0 0 0 0 1 1 1 0 3
0 0 0 0 0 1 0 1 0 2
0 0 0 0 0 1 1 1 0 3
0 0 0 0 0 1 1 1 0 3
0 0 0 0 0 1 1 1 0 3
0 0 0 0 0 1 1 1 0 3
0 0 0 0 0 1 1 1 0 3
0 0 0 0 0 1 0 1 0 2
0 0 0 0 0 1 1 1 0 3
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1 0 3
0 0 0 0 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 3 3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
MPAH NON MEDIS
K TB
0 0 0 0 0 0 0 28 29 30 31 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 28 29 30 31
0 0 0 0 0 0 0 0 1 1
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 1 1
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 1 1
0 0 0 1 1 0 0 0 0 0
0 0 0 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0 1 1
0 0 0 1 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9
Evaluasi Pengawasan Tempat Sampah Medis dan Non
Kondisi TSMedis Safety Box
NO RUANGAN
B K TB P
Poli Umum 3 1 0 0
Poli gigi 3 1 0 0
Laboratorium 3 0 1 0
Poli Fisioterapi 0 0 0 0
poli akupunktur 1 0 1 0
Ruang Farmasi 0 0 0 0
Poli KIA 3 1 0 0
Kaber 0 1 0 0
Kondisi TS Non Medis
NO RUANGAN Evaluasi
B K TB
1 Loket 3 0 1 75.00%
2 Poli Umum 3 1 0 75.00%
3 Poli gigi 3 1 0 75.00%
4 Laboratorium 3 1 0 75.00%
5 Poli Fisioterapi 3 0 1 75.00%
6 Poli Konseling 3 0 1 75.00%
7 poli akupunktur 3 0 1 75.00%
8 Ruang Laktasi 2 0 0 50.00%
9 Ruang Tunggu I 3 0 1 75.00%
10 Ruang Tunggu II 3 0 1 75.00%
11 Ruang Tunggu III 3 1 0 75.00%
12 Halaman 3 1 0 75.00%
13 Ruang Farmasi 3 1 0 75.00%
14 Depan Ruang Farmasi 2 0 0 50.00%
15 Poli KIA 3 0 1 75.00%
16 Kaber 0 0 1 0.00%
17 Lantai 2 (I) 3 1 0 75.00%
18 Lantai 2 (II) 1 1 0 25.00%
19 Kamar mandi Pasien 0 0 1 0.00%
20 Kamar Mandi Karyawan 0 1 0 0.00%
21 Kamar Mandi Lantai 2 1 0 0 25.00%
###
empat Sampah Medis dan Non Medis Bulan : Januari 2018
Safety Box Evaluasi Tempat Sampah Medis
Keterangan
V Sampah Medis Savety Box
4 75.00% 100.00%
4 75.00% 100.00%
4 75.00% 100.00%
0 0.00% 0.00%
0 25.00% 0.00%
0 0.00% 0.00%
0 75.00% 0.00%
0 0.00% 0.00%
Keterangan
NO RUANGAN
B K
Tanggal 1 4 6 7 8 9 11 13 14 15 18 19 20 21 25 26 27 28 1 0 4 0 6 7 8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0
1 Loket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Poli Umum 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 1 1 1 16 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Poli gigi 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 16 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
4 Laboratorium 0 1 1 1 0 0 0 1 1 1 0 1 1 0 0 0 0 0 8 1 0 0 0 1 1 1 0 0 0 1 0 0 1 1 1 0 1
5 Poli Fisioterapi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Poli Konseling 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 poli akupunktur 1 1 0 0 1 0 1 1 0 1 1 1 0 0 0 0 1 1 10 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
8 Ruang Laktasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ruang Tunggu I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ruang Tunggu II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ruang Tunggu III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
12 Halaman 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
13 Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
14 Depan Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Poli KIA 1 1 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 15 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0
16 Kaber 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 9 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0
17 Lantai 2 (I) 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Lantai 2 (II) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Kamar mandi Pasien 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Kamar Mandi Karyawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kamar Mandi Lantai 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 3 0 5 0 5 5 4 2 4 0 4 2 5 0 5 5 5 4 0 4 4 5 5 0 0 7 0 8 0 0 1 1 2 0 2 1 3 4 0 1 0 0 1 0 2 1 0 1 0
SAMPAH MEDIS
TB P
0 1 0 4 0 6 7 8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7 8 9 11 0 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 0 0 0 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAMPAH NON MEDIS
V B K
8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7 8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7 8 9 0 11 13 14 15 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 5 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 1 0 1 1 1 1 1 1 12 1 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 1 1 0 1 0 1 1 1 9 0 1 1 1 0 1 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 0 1 1 1 1 1 9 1 0 1 1 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 1 1 0 0 0 0 0 5 0 1 0 0 1 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 1 1 1 12 1 1 0 0 0 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 3 0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 1 1 1 0 1 1 1 12 0 1 0 0 0 1 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 1 1 1 1 0 1 1 1 10 1 0 1 0 1 0 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 3 1 0 1 0 1 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 4 1 1 0 1 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 1 0 1 0 0 1 0 0 7 0 1 0 1 0 1 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 1 1 0 0 1 1 1 1 1 11 0 0 0 1 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 12 0 0 1 1 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 1 1 1 1 1 0 1 11 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 1 1 12 1 0 0 0 1 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 5 0 0 1 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 8 0 0 1 0 0 1 1 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 0 0 1 1 1 1 8 0 1 1 1 1 0 1 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 7 0 5 6 7 11 0 10 6 1 4 0 12 12 12 13 0 8 14 15 13 0 0 7 0 7 0 9 7 6 7 0 6 8 7 4 0
MPAH NON MEDIS
K TB
18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7 8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0
0 0 0 0 1 0 0 0 1 0 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 11
0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 1 0 1 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 2
1 0 0 1 1 0 0 0 7 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 4
0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 0 0 0 1 1 1 13
0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 5
0 1 0 0 0 0 0 1 3 0 1 0 1 1 1 1 1 1 0 0 0 1 1 0 1 0 0 10
1 0 0 0 1 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 5 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 11
0 0 0 1 1 0 0 1 8 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 1 0 0 5
0 1 0 1 1 0 1 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 2
0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
1 0 0 0 0 0 1 1 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 1 4 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 5
0 0 0 0 1 0 0 1 5 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 5
0 0 0 0 1 0 0 1 6 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 3
0 1 1 1 0 0 0 1 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 2 4 0 9 0 2 7 0 0 0 0 6 0 3 5 4 3 0 4 7 8 5 0 6 4 5 3 0 3 7 4 5 0 0
NO

NO

Tang
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Evaluasi Pengawasan Tempat Sampah Medis Non Medis Bulan : Februari 2018
Kondisi TSMedis Safety Box Evaluasi Tempat Sampah Medis
RUANGAN Keterangan
B K TB P V Sampah Medis Savety Box
Poli Umum 16 1 1 0 0 320.00% 0.00% baik
Poli gigi 16 2 0 0 0 320.00% 0.00% TSM perlu ditingkatkan
Laboratorium 8 9 0 0 0 160.00% 0.00% TSM perlu ditingkatkan
Poli Fisioterapi 0 1 1 0 0 0.00% 0.00% perlu disediakan TS Medis
poli akupunktur 10 3 2 0 0 200.00% 0.00% TSM perlu ditingkatkan
Ruang Farmasi 0 3 0 0 0 0.00% 0.00% dilengkapi TS Medis Obat Exp
Poli KIA 15 2 0 0 0 300.00% 0.00% TSM perlu ditingkatkan
Kaber 9 5 1 0 0 180.00% 0.00% Perbaikan penanganan SM
Kondisi TS Non Medis
RUANGAN Evaluasi Keterangan
B K TB
0 5 1 11 100.00%
Loket 12 2 1 240.00%
Poli Umum 9 8 0 180.00%
Poli gigi 9 5 2 180.00% Secara umumpenanganan TSNM kurang
Laboratorium 5 7 4 100.00%
Poli Fisioterapi 3 0 13 60.00%
Poli Konseling 12 4 1 240.00%
poli akupunktur 0 0 5 0.00%
Ruang Laktasi 3 3 10 60.00%
Ruang Tunggu I 12 5 0 240.00%
Ruang Tunggu II 10 8 0 200.00%
Ruang Tunggu III 3 5 11 60.00%
Halaman 4 8 5 80.00%
Ruang Farmasi 7 8 1 140.00%
Depan Ruang Farmasi 11 2 2 220.00%
Poli KIA 12 3 1 240.00%
Kaber 11 4 2 220.00%
Lantai 2 (I) 12 4 5 240.00%
Lantai 2 (II) 5 5 5 100.00%
Kamar mandi Pasien 8 6 3 160.00%
Kamar Mandi Karyawan 8 10 0 160.00%
NO RUANGAN
B
Tanggal 1 4 5 6 9 11 12 13 14 15 16 18 19 20 21 22 23 25 26 27 28 29
1 Loket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Poli Umum 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0
3 Poli gigi 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0
4 Laboratorium 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0
5 Poli Fisioterapi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Poli Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 poli akupunktur 0 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ruang Laktasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ruang Tunggu I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ruang Tunggu II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ruang Tunggu III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Halaman 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Depan Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Poli KIA 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0
16 Kaber 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0
17 Lantai 2 (I) 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Lantai 2 (II) 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Kamar mandi Pasien 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Kamar Mandi Karyawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kamar Mandi Lantai 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 4 5 7 5 5 0 6 6 5 5 5 5 0 0 0 0 0 0 0 0 0 0 0
K
1 4 5 6 9 0 11 12 13 14 15 16 0 18 19 20 21 22 23 25 26 27 28 29 0 1 4 5 6 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 1 1
SAMPAH MEDIS
TB P
0 11 12 13 14 15 16 0 18 19 20 21 22 23 25 26 27 28 29 0 1 4 5 6 9 0 11 12 13 14 15 16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P V
0 18 19 20 21 22 23 25 26 27 28 29 0 1 4 5 6 9 0 11 12 13 14 15 16 0 18 19 20 21 22 23
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B
25 26 27 28 29 0 1 4 5 6 9 0 11 12 13 14 15 16 0 18 19 20 21 22 23 25 26 27 28 29 0
0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 17
0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21
0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 22
0 0 0 0 0 0 0 1 1 1 1 1 1 0 1 1 1 0 0 0 1 1 1 1 1 1 1 1 17
0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 1 0 0 1 1 1 0 1 1 1 1 1 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 16
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0 1 1 1 1 1 1 1 13
0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 16
0 0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20
0 0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 18
0 0 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 14
0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 1 0 1 1 1 0 1 1 1 1 1 1 14
0 0 0 0 0 0 0 1 0 1 1 0 1 0 1 1 1 1 0 1 0 1 1 1 1 1 1 1 16
0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 19
0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 21
0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 18
0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21
0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 17
0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 19
0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 19
0 0 0 0 0 0 4 15 11 16 16 0 1 19 17 17 19 20 0 10 11 15 17 17 20 20 20 20 20 20 0
SAMPAH NON MEDIS
K
1 4 5 6 9 0 11 12 13 14 15 16 0 18 19 20 21 22 23 25 26 27 28 29 0 1 4 5 6 9 0 11
0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 3 1 0 1 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1
0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 3 1 1 1 0 1 0
1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
0 0 0 0 1 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 7 0 0 0 0 0 0
1 0 1 1 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 6 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0
1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
12 2 5 2 1 0 3 1 2 3 1 0 0 12 9 1 2 2 0 0 0 0 0 0 0 5 4 5 3 2 0 2
TB
12 13 14 15 16 0 18 19 20 21 22 23 25 26 27 28 29 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
1 1 1 1 1 1 1 1 0 1 0 1 1 0 0 0 15
0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 6
0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 7
0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 1 1 0 2 3 1 1 1 0 1 2 1 1 0 0
Evaluasi Pengawasan Tempa
Kondisi TSMedis
NO RUANGAN
B K
Poli Umum 11 0
Poli gigi 11 0
Laboratorium 5 0
Poli Fisioterapi 0 0
poli akupunktur 7 0
Ruang Farmasi 0 0
Poli KIA 11 0
Kaber 11 0
Kondisi TS Non Medis
NO RUANGAN
B K
1 Loket 17 3
2 Poli Umum 21 1
3 Poli gigi 22 0
4 Laboratorium 17 4
5 Poli Fisioterapi 15 4
6 Poli Konseling 1 1
7 poli akupunktur 16 1
8 Ruang Laktasi 13 1
9 Ruang Tunggu I 16 3
10 Ruang Tunggu II 20 2
11 Ruang Tunggu III 18 3
12 Halaman 14 7
13 Ruang Farmasi 14 6
14 Depan Ruang Farmasi 16 5
15 Poli KIA 19 0
16 Kaber 21 1
17 Lantai 2 (I) 18 4
18 Lantai 2 (II) 21 1
19 Kamar mandi Pasien 17 5
20 Kamar Mandi Karyawan 19 3
21 Kamar Mandi Lantai 2 19 3
uasi Pengawasan Tempat Sampah Medis dan Non Medis Bulan : Maret 2018
Kondisi TSMedis Safety Box Evaluasi Tempat Sampah Medis
Keterangan
TB P V Sampah Medis Savety Box
0 0 0 50.00% 0.00%
0 0 0 50.00% 0.00%
4 0 0 22.73% 0.00%
1 0 0 0.00% 0.00%
1 0 0 31.82% 0.00%
0 0 0 0.00% 0.00%
0 0 0 50.00% 0.00%
0 0 0 50.00% 0.00%
ndisi TS Non Medis
Evaluasi Keterangan
TB
2 77.27%
0 95.45%
0 100.00%
1 77.27%
1 68.18%
15 4.55%
6 72.73%
7 59.09%
6 72.73%
1 90.91%
0 81.82%
0 63.64%
0 63.64%
0 72.73%
0 86.36%
0 95.45%
0 81.82%
0 95.45%
0 77.27%
0 86.36%
0 86.36%
###
NO RUANGAN
B K
Tanggal 1 4 6 7 8 9 11 13 14 15 18 19 20 21 25 26 27 28 1 0 4 0 6 7 8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0
1 Loket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Poli Umum 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 1 1 1 16 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Poli gigi 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 16 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
4 Laboratorium 0 1 1 1 0 0 0 1 1 1 0 1 1 0 0 0 0 0 8 1 0 0 0 1 1 1 0 0 0 1 0 0 1 1 1 0 1
5 Poli Fisioterapi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Poli Konseling 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 poli akupunktur 1 1 0 0 1 0 1 1 0 1 1 1 0 0 0 0 1 1 10 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
8 Ruang Laktasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ruang Tunggu I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ruang Tunggu II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ruang Tunggu III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
12 Halaman 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
13 Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
14 Depan Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Poli KIA 1 1 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 15 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0
16 Kaber 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 9 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0
17 Lantai 2 (I) 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Lantai 2 (II) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Kamar mandi Pasien 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Kamar Mandi Karyawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kamar Mandi Lantai 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 3 0 5 0 5 5 4 2 4 0 4 2 5 0 5 5 5 4 0 4 4 5 5 0 0 7 0 8 0 0 1 1 2 0 2 1 3 4 0 1 0 0 1 0 2 1 0 1 0
SAMPAH MEDIS
TB P
0 1 0 4 0 6 7 8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7 8 9 11 0 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 0 0 0 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAMPAH NON MEDIS
V B K
8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7 8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7 8 9 0 11 13 14 15 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 5 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 1 0 1 1 1 1 1 1 12 1 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 1 1 0 1 0 1 1 1 9 0 1 1 1 0 1 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 0 1 1 1 1 1 9 1 0 1 1 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 1 1 0 0 0 0 0 5 0 1 0 0 1 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 1 1 1 12 1 1 0 0 0 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 3 0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 1 1 1 0 1 1 1 12 0 1 0 0 0 1 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 1 1 1 1 0 1 1 1 10 1 0 1 0 1 0 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 3 1 0 1 0 1 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 4 1 1 0 1 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 1 0 1 0 0 1 0 0 7 0 1 0 1 0 1 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 1 1 0 0 1 1 1 1 1 11 0 0 0 1 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 12 0 0 1 1 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 1 1 1 1 1 0 1 11 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 1 1 12 1 0 0 0 1 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 5 0 0 1 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 8 0 0 1 0 0 1 1 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 0 0 1 1 1 1 8 0 1 1 1 1 0 1 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 7 0 5 6 7 11 0 10 6 1 4 0 12 12 12 13 0 8 14 15 13 0 0 7 0 7 0 9 7 6 7 0 6 8 7 4 0
MPAH NON MEDIS
K TB
18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7 8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0
0 0 0 0 1 0 0 0 1 0 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 11
0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 1 0 1 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 2
1 0 0 1 1 0 0 0 7 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 4
0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 0 0 0 1 1 1 13
0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 5
0 1 0 0 0 0 0 1 3 0 1 0 1 1 1 1 1 1 0 0 0 1 1 0 1 0 0 10
1 0 0 0 1 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 5 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 11
0 0 0 1 1 0 0 1 8 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 1 0 0 5
0 1 0 1 1 0 1 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 2
0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
1 0 0 0 0 0 1 1 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 1 4 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 5
0 0 0 0 1 0 0 1 5 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 5
0 0 0 0 1 0 0 1 6 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 3
0 1 1 1 0 0 0 1 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 2 4 0 9 0 2 7 0 0 0 0 6 0 3 5 4 3 0 4 7 8 5 0 6 4 5 3 0 3 7 4 5 0 0
NO

NO

Tang
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Evaluasi Pengawasan Tempat Sampah Medis Non Medis Bulan :April 2018
Kondisi TSMedis Safety Box Evaluasi Tempat Sampah Medis
RUANGAN Keterangan
B K TB P V Sampah Medis Savety Box
Poli Umum 16 1 1 0 0 320.00% 0.00% baik
Poli gigi 16 2 0 0 0 320.00% 0.00% TSM perlu ditingkatkan
Laboratorium 8 9 0 0 0 160.00% 0.00% TSM perlu ditingkatkan
Poli Fisioterapi 0 1 1 0 0 0.00% 0.00% perlu disediakan TS Medis
poli akupunktur 10 3 2 0 0 200.00% 0.00% TSM perlu ditingkatkan
Ruang Farmasi 0 3 0 0 0 0.00% 0.00% dilengkapi TS Medis Obat Exp
Poli KIA 15 2 0 0 0 300.00% 0.00% TSM perlu ditingkatkan
Kaber 9 5 1 0 0 180.00% 0.00% Perbaikan penanganan SM
Kondisi TS Non Medis
RUANGAN Evaluasi Keterangan
B K TB
0 5 1 11 100.00%
Loket 12 2 1 240.00%
Poli Umum 9 8 0 180.00%
Poli gigi 9 5 2 180.00% Secara umumpenanganan TSNM kurang
Laboratorium 5 7 4 100.00%
Poli Fisioterapi 3 0 13 60.00%
Poli Konseling 12 4 1 240.00%
poli akupunktur 0 0 5 0.00%
Ruang Laktasi 3 3 10 60.00%
Ruang Tunggu I 12 5 0 240.00%
Ruang Tunggu II 10 8 0 200.00%
Ruang Tunggu III 3 5 11 60.00%
Halaman 4 8 5 80.00%
Ruang Farmasi 7 8 1 140.00%
Depan Ruang Farmasi 11 2 2 220.00%
Poli KIA 12 3 1 240.00%
Kaber 11 4 2 220.00%
Lantai 2 (I) 12 4 5 240.00%
Lantai 2 (II) 5 5 5 100.00%
Kamar mandi Pasien 8 6 3 160.00%
Kamar Mandi Karyawan 8 10 0 160.00%
NO RUANGAN
B
Tanggal 15 16 17 18 20 22 23 24 25 26 27 29
1 Loket 0 0 0 0 0 0 0 0 0 0 0 0
2 Poli Umum 1 1 1 1 1 1 1 1 1 1 1 1
3 Poli gigi 1 1 1 1 1 1 1 1 1 1 1 1
4 Laboratorium 1 1 1 1 1 1 1 1 1 1 1 1
5 Poli Fisioterapi 1 1 1 1 1 1 1 0 0 0 0 0
6 Poli Konseling 0 0 0 0 0 0 0 0 0 0 0 0
7 poli akupunktur 0 0 0 0 0 0 0 1 1 1 1 1
8 Ruang Laktasi 0 0 0 0 0 0 0 0 0 0 0 0
9 Ruang Tunggu I 0 0 0 0 0 0 0 0 0 0 0 0
10 Ruang Tunggu II 0 0 0 0 0 0 0 0 0 0 0 0
11 Ruang Tunggu III 0 0 0 0 0 0 0 0 0 0 0 0
12 Halaman 0 0 0 0 0 0 0 0 0 0 0 0
13 Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0
14 Depan Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0
15 Poli KIA 1 1 1 1 1 1 1 1 1 1 1 1
16 Kaber 1 1 1 1 1 1 1 1 1 1 1 1
17 Lantai 2 (I) 0 0 0 0 0 0 0 0 0 0 0 0
18 Lantai 2 (II) 0 0 0 0 0 0 0 0 0 0 0 0
19 Kamar mandi Pasien 0 0 0 0 0 0 0 0 0 0 0 0
20 Kamar Mandi Karyawan 0 0 0 0 0 0 0 0 0 0 0 0
21 Kamar Mandi Lantai 2 0 0 0 0 0 0 0 0 0 0 0 0
Total 0 0 0 0 0 0 0 0 0 0 0 6 6 6 6 6 6 6 6 6 6 6 0
K
0 0 0 0 0 0 0 0 0 0 0 15 16 17 18 20 22 23 24 25 26 27 29 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
12 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAMPAH MEDIS
TB P
0 0 0 0 0 0 15 16 17 18 20 22 23 24 25 26 27 29 0 0 0 0 0 0 0 0 0 0 0 0 0 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P V
16 17 18 20 22 23 24 25 26 27 29 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 17 18 20 22 23 24
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6 6 6 6 6 6 6 6
B
25 26 27 29 0 0 0 0 0 0 0 0 0 0 0 0 0 15 16 17 18 20 22 23 24 25 26 27 29 0 0
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
1 1 1 1 12 1 1 1 1 1 1 1 1 1 1 1 1 12
1 1 1 1 12 1 1 1 1 1 1 1 1 1 1 1 1 12
1 1 1 1 12 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 7 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
1 1 1 1 5 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
1 1 1 1 12 1 1 1 1 1 1 1 1 1 1 1 1 12
1 1 1 1 12 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 12
6 6 6 6 0 0 0 0 0 0 0 0 0 0 0 0 0 21 21 21 21 21 21 21 21 21 21 21 21 0 0
SAMPAH NON MEDIS
K
0 0 0 0 0 0 0 0 0 0 0 15 16 17 18 20 22 23 24 25 26 27 29 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
TB
0 0 0 0 15 16 17 18 20 22 23 24 25 26 27 29 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Evaluasi Pengawasan Temp
Kondisi TSMedis
NO RUANGAN
B K
Poli Umum 12 0
Poli gigi 12 0
Laboratorium 12 0
Poli Fisioterapi 7 0
poli akupunktur 5 0
Ruang Farmasi 0 0
Poli KIA 12 0
Kaber 12 0
Kondisi TS Non Medis
NO RUANGAN
B K
1 Loket 12 0
2 Poli Umum 12 0
3 Poli gigi 12 0
4 Laboratorium 12 0
5 Poli Fisioterapi 12 0
6 Poli Konseling 12 0
7 poli akupunktur 12 0
8 Ruang Laktasi 12 0
9 Ruang Tunggu I 12 0
10 Ruang Tunggu II 12 0
11 Ruang Tunggu III 12 0
12 Halaman 12 0
13 Ruang Farmasi 12 0
14 Depan Ruang Farmasi 12 0
15 Poli KIA 12 0
16 Kaber 12 0
17 Lantai 2 (I) 12 0
18 Lantai 2 (II) 12 0
19 Kamar mandi Pasien 12 0
20 Kamar Mandi Karyawan 12 0
21 Kamar Mandi Lantai 2 12 0
aluasi Pengawasan Tempat Sampah Medis dan Non Medis Bulan : Mei 2018
Kondisi TSMedis Safety Box Evaluasi Tempat Sampah Medis
Keterangan
TB P V Sampah Medis Savety Box
0 0 12 100.00% 100.00%
0 0 12 100.00% 100.00%
0 0 12 100.00% 100.00%
0 0 7 58.33% 58.33%
0 0 5 41.67% 41.67%
0 0 0 0.00% 0.00%
0 0 12 100.00% 100.00%
0 0 12 100.00% 100.00%
ndisi TS Non Medis
Evaluasi Keterangan
TB
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
0 100.00%
###
NO RUANGAN
B
Tanggal 1 4 5 6 9 11 12 13 14 15 16 18 19 20 21 22 23 25 26 27 28 29
1 Loket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Poli Umum 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0
3 Poli gigi 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0
4 Laboratorium 0 0 0 0 0 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0
5 Poli Fisioterapi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Poli Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 poli akupunktur 0 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
8 Ruang Laktasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ruang Tunggu I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ruang Tunggu II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ruang Tunggu III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Halaman 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Depan Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Poli KIA 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0
16 Kaber 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0
17 Lantai 2 (I) 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Lantai 2 (II) 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Kamar mandi Pasien 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Kamar Mandi Karyawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kamar Mandi Lantai 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 4 5 7 5 5 0 6 6 5 5 5 5 0 0 0 0 0 0 0 0 0 0 0
K
1 4 5 6 9 0 11 12 13 14 15 16 0 18 19 20 21 22 23 25 26 27 28 29 0 1 4 5 6 9
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 1 1
SAMPAH MEDIS
TB P
0 11 12 13 14 15 16 0 18 19 20 21 22 23 25 26 27 28 29 0 1 4 5 6 9 0 11 12 13 14 15 16
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P V
0 18 19 20 21 22 23 25 26 27 28 29 0 1 4 5 6 9 0 11 12 13 14 15 16 0 18 19 20 21 22 23
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
B
25 26 27 28 29 0 1 4 5 6 9 0 11 12 13 14 15 16 0 18 19 20 21 22 23 25 26 27 28 29 0
0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 17
0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21
0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 22
0 0 0 0 0 0 0 1 1 1 1 1 1 0 1 1 1 0 0 0 1 1 1 1 1 1 1 1 17
0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 1 0 0 1 1 1 0 1 1 1 1 1 15
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 1 16
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0 1 1 1 1 1 1 1 13
0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 0 1 1 1 1 1 1 1 1 1 16
0 0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20
0 0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 18
0 0 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 14
0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 1 0 1 1 1 0 1 1 1 1 1 1 14
0 0 0 0 0 0 0 1 0 1 1 0 1 0 1 1 1 1 0 1 0 1 1 1 1 1 1 1 16
0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 19
0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 1 21
0 0 0 0 0 0 0 1 1 0 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 1 18
0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21
0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 17
0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 19
0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 19
0 0 0 0 0 0 4 15 11 16 16 0 1 19 17 17 19 20 0 10 11 15 17 17 20 20 20 20 20 20 0
SAMPAH NON MEDIS
K
1 4 5 6 9 0 11 12 13 14 15 16 0 18 19 20 21 22 23 25 26 27 28 29 0 1 4 5 6 9 0 11
0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 3 1 0 1 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1
0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 3 1 1 1 0 1 0
1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
0 0 0 0 1 1 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 7 0 0 0 0 0 0
1 0 1 1 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 6 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 0 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0
1 0 0 1 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
12 2 5 2 1 0 3 1 2 3 1 0 0 12 9 1 2 2 0 0 0 0 0 0 0 5 4 5 3 2 0 2
TB
12 13 14 15 16 0 18 19 20 21 22 23 25 26 27 28 29 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
1 1 1 1 1 1 1 1 0 1 0 1 1 0 0 0 15
0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 6
0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 7
0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 1 1 0 2 3 1 1 1 0 1 2 1 1 0 0
Evaluasi Pengawasan Temp
Kondisi TSMedis
NO RUANGAN
B K
Poli Umum 11 0
Poli gigi 11 0
Laboratorium 5 0
Poli Fisioterapi 0 0
poli akupunktur 7 0
Ruang Farmasi 0 0
Poli KIA 11 0
Kaber 11 0
Kondisi TS Non Medis
NO RUANGAN
B K
1 Loket 17 3
2 Poli Umum 21 1
3 Poli gigi 22 0
4 Laboratorium 17 4
5 Poli Fisioterapi 15 4
6 Poli Konseling 1 1
7 poli akupunktur 16 1
8 Ruang Laktasi 13 1
9 Ruang Tunggu I 16 3
10 Ruang Tunggu II 20 2
11 Ruang Tunggu III 18 3
12 Halaman 14 7
13 Ruang Farmasi 14 6
14 Depan Ruang Farmasi 16 5
15 Poli KIA 19 0
16 Kaber 21 1
17 Lantai 2 (I) 18 4
18 Lantai 2 (II) 21 1
19 Kamar mandi Pasien 17 5
20 Kamar Mandi Karyawan 19 3
21 Kamar Mandi Lantai 2 19 3
aluasi Pengawasan Tempat Sampah Medis dan Non Medis Bulan : Juni 2018
Kondisi TSMedis Safety Box Evaluasi Tempat Sampah Medis
Keterangan
TB P V Sampah Medis Savety Box
0 0 0 50.00% 0.00%
0 0 0 50.00% 0.00%
4 0 0 22.73% 0.00%
1 0 0 0.00% 0.00%
1 0 0 31.82% 0.00%
0 0 0 0.00% 0.00%
0 0 0 50.00% 0.00%
0 0 0 50.00% 0.00%
ndisi TS Non Medis
Evaluasi Keterangan
TB
2 77.27%
0 95.45%
0 100.00%
1 77.27%
1 68.18%
15 4.55%
6 72.73%
7 59.09%
6 72.73%
1 90.91%
0 81.82%
0 63.64%
0 63.64%
0 72.73%
0 86.36%
0 95.45%
0 81.82%
0 95.45%
0 77.27%
0 86.36%
0 86.36%
###
NO RUANGAN
B K
Tanggal 1 4 6 7 8 9 11 13 14 15 18 19 20 21 25 26 27 28 1 0 4 0 6 7 8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0
1 Loket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Poli Umum 1 1 1 1 1 0 1 1 1 1 1 0 1 1 1 1 1 1 16 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 Poli gigi 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 16 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
4 Laboratorium 0 1 1 1 0 0 0 1 1 1 0 1 1 0 0 0 0 0 8 1 0 0 0 1 1 1 0 0 0 1 0 0 1 1 1 0 1
5 Poli Fisioterapi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Poli Konseling 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 poli akupunktur 1 1 0 0 1 0 1 1 0 1 1 1 0 0 0 0 1 1 10 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
8 Ruang Laktasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ruang Tunggu I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ruang Tunggu II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ruang Tunggu III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
12 Halaman 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
13 Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0
14 Depan Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Poli KIA 1 1 1 0 1 1 1 0 0 1 1 1 1 1 1 1 1 1 15 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0
16 Kaber 0 0 1 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 9 0 0 0 0 0 1 1 1 1 1 0 0 0 0 0 0 0 0
17 Lantai 2 (I) 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Lantai 2 (II) 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Kamar mandi Pasien 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Kamar Mandi Karyawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kamar Mandi Lantai 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 3 0 5 0 5 5 4 2 4 0 4 2 5 0 5 5 5 4 0 4 4 5 5 0 0 7 0 8 0 0 1 1 2 0 2 1 3 4 0 1 0 0 1 0 2 1 0 1 0
SAMPAH MEDIS
TB P
0 1 0 4 0 6 7 8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7 8 9 11 0 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
5 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 2 0 0 0 1 0 0 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
SAMPAH NON MEDIS
V B K
8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7 8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7 8 9 0 11 13 14 15 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 5 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 1 0 1 1 1 1 1 1 12 1 0 0 0 0 0 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 1 1 0 1 0 1 1 1 9 0 1 1 1 0 1 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 1 1 0 1 1 1 1 1 9 1 0 1 1 0 1 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 1 1 0 0 0 0 0 5 0 1 0 0 1 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 3 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 0 1 1 1 12 1 1 0 0 0 0 0 1 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 3 0 0 1 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 1 1 1 0 1 1 1 12 0 1 0 0 0 1 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 1 1 1 1 0 1 1 1 10 1 0 1 0 1 0 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 3 1 0 1 0 1 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 1 0 0 0 0 1 0 4 1 1 0 1 0 0 1 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 1 0 1 0 0 1 0 0 7 0 1 0 1 0 1 0 0 1 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 0 1 1 0 0 1 1 1 1 1 11 0 0 0 1 0 0 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 12 0 0 1 1 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 1 1 1 1 1 0 1 11 0 0 0 0 1 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 1 1 1 1 1 1 0 1 1 12 1 0 0 0 1 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 0 0 0 1 1 0 5 0 0 1 0 0 1 0 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 1 8 0 0 1 0 0 1 1 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 1 0 0 0 1 1 1 1 8 0 1 1 1 1 0 1 1 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 5 0 7 0 5 6 7 11 0 10 6 1 4 0 12 12 12 13 0 8 14 15 13 0 0 7 0 7 0 9 7 6 7 0 6 8 7 4 0
MPAH NON MEDIS
K TB
18 19 20 21 0 25 26 27 28 0 0 1 0 4 0 6 7 8 9 0 11 13 14 15 0 18 19 20 21 0 25 26 27 28 0 0
0 0 0 0 1 0 0 0 1 0 1 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 11
0 0 0 0 0 0 0 0 2 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 1 0 1 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 5 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 2
1 0 0 1 1 0 0 0 7 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 4
0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 0 0 0 1 1 1 13
0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 5
0 1 0 0 0 0 0 1 3 0 1 0 1 1 1 1 1 1 0 0 0 1 1 0 1 0 0 10
1 0 0 0 1 0 0 0 5 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 5 0 0 0 1 0 0 1 1 0 0 1 1 1 1 1 1 1 1 11
0 0 0 1 1 0 0 1 8 0 0 0 0 0 0 0 1 1 0 1 0 1 0 0 1 0 0 5
0 1 0 1 1 0 1 0 8 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1
0 0 0 0 0 0 0 0 2 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 2
0 0 0 0 0 0 0 0 3 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
1 0 0 0 0 0 1 1 4 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 1 4 0 1 1 0 0 0 0 1 1 0 0 0 0 0 0 1 0 0 5
0 0 0 0 1 0 0 1 5 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0 5
0 0 0 0 1 0 0 1 6 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 3
0 1 1 1 0 0 0 1 10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
3 3 2 4 0 9 0 2 7 0 0 0 0 6 0 3 5 4 3 0 4 7 8 5 0 6 4 5 3 0 3 7 4 5 0 0
NO

NO

Tang
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Evaluasi Pengawasan Tempat Sampah Medis Non Medis Bulan : Juli 2018
Kondisi TSMedis Safety Box Evaluasi Tempat Sampah Medis
RUANGAN Keterangan
B K TB P V Sampah Medis Savety Box
Poli Umum 16 1 1 0 0 320.00% 0.00% baik
Poli gigi 16 2 0 0 0 320.00% 0.00% TSM perlu ditingkatkan
Laboratorium 8 9 0 0 0 160.00% 0.00% TSM perlu ditingkatkan
Poli Fisioterapi 0 1 1 0 0 0.00% 0.00% perlu disediakan TS Medis
poli akupunktur 10 3 2 0 0 200.00% 0.00% TSM perlu ditingkatkan
Ruang Farmasi 0 3 0 0 0 0.00% 0.00% dilengkapi TS Medis Obat Exp
Poli KIA 15 2 0 0 0 300.00% 0.00% TSM perlu ditingkatkan
Kaber 9 5 1 0 0 180.00% 0.00% Perbaikan penanganan SM
Kondisi TS Non Medis
RUANGAN Evaluasi Keterangan
B K TB
0 5 1 11 100.00%
Loket 12 2 1 240.00%
Poli Umum 9 8 0 180.00%
Poli gigi 9 5 2 180.00% Secara umumpenanganan TSNM kurang
Laboratorium 5 7 4 100.00%
Poli Fisioterapi 3 0 13 60.00%
Poli Konseling 12 4 1 240.00%
poli akupunktur 0 0 5 0.00%
Ruang Laktasi 3 3 10 60.00%
Ruang Tunggu I 12 5 0 240.00%
Ruang Tunggu II 10 8 0 200.00%
Ruang Tunggu III 3 5 11 60.00%
Halaman 4 8 5 80.00%
Ruang Farmasi 7 8 1 140.00%
Depan Ruang Farmasi 11 2 2 220.00%
Poli KIA 12 3 1 240.00%
Kaber 11 4 2 220.00%
Lantai 2 (I) 12 4 5 240.00%
Lantai 2 (II) 5 5 5 100.00%
Kamar mandi Pasien 8 6 3 160.00%
Kamar Mandi Karyawan 8 10 0 160.00%
NO RUANGAN
B
Tanggal 3 4 5 6 10 12 13 14 15 15 17 18 19 20
1 Loket 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Poli Umum 1 1 1 1 1 1 1 1 1 1 0 0 0 0
3 Poli gigi 1 1 1 1 1 1 1 1 1 1 0 0 0 0
4 Laboratorium 0 0 0 0 0 1 1 0 1 1 0 0 0 0
5 Poli Fisioterapi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Poli Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 poli akupunktur 0 1 1 1 1 1 1 1 0 0 0 0 0 0
8 Ruang Laktasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ruang Tunggu I 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ruang Tunggu II 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ruang Tunggu III 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Halaman 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Depan Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Poli KIA 1 1 1 1 1 1 1 1 1 1 0 0 0 0
16 Kaber 1 1 1 1 1 1 1 1 1 1 0 0 0 0
17 Lantai 2 (I) 0 0 1 0 0 0 0 0 0 0 0 0 0 0
18 Lantai 2 (II) 0 0 1 0 0 0 0 0 0 0 0 0 0 0
19 Kamar mandi Pasien 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Kamar Mandi Karyawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kamar Mandi Lantai 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 4 5 7 5 5 0 6 6 5 5 5 0 0 0 0 0 0 0 0 0 0 0 0
K
3 4 5 6 10 0 12 13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0 3 4 5 6 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 1 1
SAMPAH MEDIS
TB P
0 12 13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0 3 4 5 6 10 0 12 13 14 15 15 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
P V
0 17 18 19 20 0 0 0 0 0 0 0 0 3 4 5 6 10 0 12 13 14 15 15 0 0 17 18 19 20 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 3 3 3 0 3 3 3 3 3 0 0 3 3 3 3 0 0
B
0 0 0 0 0 0 3 4 5 6 10 0 12 13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0
0 0 1 0 1 1 0 1 1 1 1 0 0 1 1 9
14 0 1 1 1 1 1 1 1 1 1 1 1 1 1 13
14 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14
14 0 1 1 1 1 1 1 0 1 1 0 0 0 1 9
0 0 1 0 1 1 0 1 1 1 0 0 0 1 1 8
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1 1 1 1 0 1 0 1 8
0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 5
0 0 0 0 1 1 0 1 1 0 1 1 0 1 1 8
0 0 1 1 1 1 0 1 1 1 1 1 1 1 1 12
0 0 1 1 1 1 0 1 1 1 1 0 0 1 1 10
0 1 1 1 1 0 0 0 0 1 1 1 0 0 0 7
0 0 1 0 0 0 0 1 1 0 1 0 1 1 1 7
0 0 1 0 1 1 0 1 0 1 1 1 0 1 0 8
0 1 1 1 1 0 0 1 1 1 1 1 1 0 1 11
0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14
0 0 1 1 0 1 1 1 1 0 1 0 1 1 1 10
0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 13
0 0 0 0 1 1 1 1 1 1 1 0 0 1 1 9
0 0 1 1 1 1 1 1 1 1 1 0 0 1 1 11
0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 11
0 0 0 0 0 0 4 15 11 16 16 0 1 19 17 17 19 0 0 10 11 15 17 0 0 0 0 0 0 0 0
SAMPAH NON MEDIS
K
3 4 5 6 10 0 12 13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0 3 4 5 6 10 0 12
0 0 0 0 0 1 0 0 0 0 1 1 0 0 3 1 0 1 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 1 0 0 0 1 1 0 4 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 1 1 1 0 0 4 1 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1
1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 1
0 0 0 0 0 0 0 0 1 0 1 1 0 0 3 1 1 1 0 1 0
1 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 1 0 0 0 0
1 0 0 0 0 0 0 0 0 0 1 1 0 0 3 0 0 0 0 0 0
0 0 0 0 1 1 1 1 0 0 1 1 0 1 7 0 0 0 0 0 0
1 0 1 1 0 0 0 0 1 0 1 0 0 0 5 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0 0 1 1 0 1 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 0 0 1 0 1 0 0 0 4 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 1 1 0 0 5 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 1 1 0 0 3 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
12 2 5 2 1 0 3 1 2 3 1 0 0 12 9 1 2 0 0 0 0 0 0 0 0 5 4 5 3 2 0 2
TB
13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 1
1 1 1 1 1 1 1 0 11
0 0 0 0 0 0 0 1 5
0 0 0 0 0 1 0 0 6
0 0 0 0 0 1 0 0 5
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 1 0 0 2 3 1 1 0 0 0 0 0 0 0 0
Evaluasi Pengawasan Tempat
Kondisi TSMedis
NO RUANGAN
B K
Poli Umum 10 0
Poli gigi 10 0
Laboratorium 4 0
Poli Fisioterapi 0 0
poli akupunktur 7 0
Ruang Farmasi 0 0
Poli KIA 10 0
Kaber 10 0
Kondisi TS Non Medis
NO RUANGAN
B K
1 Loket 9 3
2 Poli Umum 13 1
3 Poli gigi 14 0
4 Laboratorium 9 4
5 Poli Fisioterapi 8 4
6 Poli Konseling 0 1
7 poli akupunktur 8 1
8 Ruang Laktasi 5 1
9 Ruang Tunggu I 8 3
10 Ruang Tunggu II 12 2
11 Ruang Tunggu III 10 3
12 Halaman 7 7
13 Ruang Farmasi 7 5
14 Depan Ruang Farmasi 8 5
15 Poli KIA 11 0
16 Kaber 14 0
17 Lantai 2 (I) 10 4
18 Lantai 2 (II) 13 1
19 Kamar mandi Pasien 9 5
20 Kamar Mandi Karyawan 11 3
21 Kamar Mandi Lantai 2 11 3
uasi Pengawasan Tempat Sampah Medis dan Non Medis Bulan : Agustus 2018
Kondisi TSMedis Safety Box Evaluasi Tempat Sampah Medis
Keterangan
TB P V Sampah Medis Savety Box
0 0 14 71.43% 100.00%
0 0 14 71.43% 100.00%
4 0 14 28.57% 100.00%
1 0 0 0.00% 0.00%
1 0 0 50.00% 0.00%
0 0 0 0.00% 0.00%
0 1 0 71.43% 0.00%
0 0 0 71.43% 0.00%
ndisi TS Non Medis
Evaluasi Keterangan
TB
2 64.29%
0 92.86%
0 100.00%
1 64.29%
1 57.14%
11 0.00%
5 57.14%
6 35.71%
5 57.14%
1 85.71%
0 71.43%
0 50.00%
0 50.00%
0 57.14%
0 78.57%
0 100.00%
0 71.43%
0 92.86%
0 64.29%
0 78.57%
0 78.57%
###
NO RUANGAN
B
Tanggal 3 4 5 6 10 12 13 14 15 15 17 18 19 20
1 Loket 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Poli Umum 1 1 1 1 1 1 1 1 1 1 0 0 0 0
3 Poli gigi 1 1 1 1 1 1 1 1 1 1 0 0 0 0
4 Laboratorium 0 0 0 0 0 1 1 0 1 1 0 0 0 0
5 Poli Fisioterapi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Poli Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 poli akupunktur 0 1 1 1 1 1 1 1 0 0 0 0 0 0
8 Ruang Laktasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ruang Tunggu I 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ruang Tunggu II 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ruang Tunggu III 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Halaman 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Depan Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Poli KIA 1 1 1 1 1 1 1 1 1 1 0 0 0 0
16 Kaber 1 1 1 1 1 1 1 1 1 1 0 0 0 0
17 Lantai 2 (I) 0 0 1 0 0 0 0 0 0 0 0 0 0 0
18 Lantai 2 (II) 0 0 1 0 0 0 0 0 0 0 0 0 0 0
19 Kamar mandi Pasien 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Kamar Mandi Karyawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kamar Mandi Lantai 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 4 5 7 5 5 0 6 6 5 5 5 0 0 0 0 0 0 0 0 0 0 0 0
K
3 4 5 6 10 0 12 13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0 3 4 5 6 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 1 1
SAMPAH MEDIS
TB P
0 12 13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0 3 4 5 6 10 0 12 13 14 15 15 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
P V
0 17 18 19 20 0 0 0 0 0 0 0 0 3 4 5 6 10 0 12 13 14 15 15 0 0 17 18 19 20 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 3 3 3 0 3 3 3 3 3 0 0 3 3 3 3 0 0
B
0 0 0 0 0 0 3 4 5 6 10 0 12 13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0
0 0 1 0 1 1 0 1 1 1 1 0 0 1 1 9
14 0 1 1 1 1 1 1 1 1 1 1 1 1 1 13
14 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14
14 0 1 1 1 1 1 1 0 1 1 0 0 0 1 9
0 0 1 0 1 1 0 1 1 1 0 0 0 1 1 8
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1 1 1 1 0 1 0 1 8
0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 5
0 0 0 0 1 1 0 1 1 0 1 1 0 1 1 8
0 0 1 1 1 1 0 1 1 1 1 1 1 1 1 12
0 0 1 1 1 1 0 1 1 1 1 0 0 1 1 10
0 1 1 1 1 0 0 0 0 1 1 1 0 0 0 7
0 0 1 0 0 0 0 1 1 0 1 0 1 1 1 7
0 0 1 0 1 1 0 1 0 1 1 1 0 1 0 8
0 1 1 1 1 0 0 1 1 1 1 1 1 0 1 11
0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14
0 0 1 1 0 1 1 1 1 0 1 0 1 1 1 10
0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 13
0 0 0 0 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 16
0 0 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 18
0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 19
0 0 0 0 0 0 4 15 11 16 16 0 1 19 17 17 19 1 0 10 11 15 17 3 3 3 3 3 3 3 0
SAMPAH NON MEDIS
K
3 4 5 6 10 0 12 13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0 3 4 5 6 10 0 12
0 0 0 0 0 1 0 0 0 0 1 1 0 0 3 1 0 1 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 1 0 0 0 1 1 0 4 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 1 1 1 0 0 4 1 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1
1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 1
0 0 0 0 0 0 0 0 1 0 1 1 0 0 3 1 1 1 0 1 0
1 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 1 0 0 0 0
1 0 0 0 0 0 0 0 0 0 1 1 0 0 3 0 0 0 0 0 0
0 0 0 0 1 1 1 1 0 0 1 1 0 1 7 0 0 0 0 0 0
1 0 1 1 0 0 0 0 1 0 1 0 0 0 5 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0 0 1 1 0 1 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 0 0 1 0 1 0 0 0 4 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 1 1 0 0 5 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 3 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
12 2 5 2 1 0 3 1 2 3 1 0 0 12 9 1 2 0 0 0 0 0 0 0 0 5 4 5 3 2 0 2
TB
13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 1
1 1 1 1 1 1 1 0 11
0 0 0 0 0 0 0 1 5
0 0 0 0 0 1 0 0 6
0 0 0 0 0 1 0 0 5
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 1 0 0 2 3 1 1 0 0 0 0 0 0 0 0
Evaluasi Pengawasan Tempat S
Kondisi TSMedis
NO RUANGAN
B K
Poli Umum 10 0
Poli gigi 10 0
Laboratorium 4 0
Poli Fisioterapi 0 0
poli akupunktur 7 0
Ruang Farmasi 0 0
Poli KIA 10 0
Kaber 10 0
Kondisi TS Non Medis
NO RUANGAN
B K
1 Loket 9 3
2 Poli Umum 13 1
3 Poli gigi 14 0
4 Laboratorium 9 4
5 Poli Fisioterapi 8 4
6 Poli Konseling 0 1
7 poli akupunktur 8 1
8 Ruang Laktasi 5 1
9 Ruang Tunggu I 8 3
10 Ruang Tunggu II 12 2
11 Ruang Tunggu III 10 3
12 Halaman 7 7
13 Ruang Farmasi 7 5
14 Depan Ruang Farmasi 8 5
15 Poli KIA 11 0
16 Kaber 14 0
17 Lantai 2 (I) 10 4
18 Lantai 2 (II) 13 1
19 Kamar mandi Pasien 16 5
20 Kamar Mandi Karyawan 18 3
21 Kamar Mandi Lantai 2 19 3
si Pengawasan Tempat Sampah Medis dan Non Medis Bulan : September 2018
Kondisi TSMedis Safety Box Evaluasi Tempat Sampah Medis
Keterangan
TB P V Sampah Medis Savety Box
0 0 14 71.43% 100.00%
0 0 14 71.43% 100.00%
4 0 14 28.57% 100.00%
1 0 0 0.00% 0.00%
1 0 0 50.00% 0.00%
0 0 0 0.00% 0.00%
0 1 0 71.43% 0.00%
0 0 0 71.43% 0.00%
ndisi TS Non Medis
Evaluasi Keterangan
TB
2 64.29%
0 92.86%
0 100.00%
1 64.29%
1 57.14%
11 0.00%
5 57.14%
6 35.71%
5 57.14%
1 85.71%
0 71.43%
0 50.00%
0 50.00%
0 57.14%
0 78.57%
0 100.00%
0 71.43%
0 92.86%
0 114.29%
0 128.57%
0 135.71%
###
NO RUANGAN
B
Tanggal 1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26
1 Loket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Poli Umum 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0
3 Poli gigi 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0
4 Laboratorium 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
5 Poli Fisioterapi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Poli Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 poli akupunktur 0 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0
8 Ruang Laktasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ruang Tunggu I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ruang Tunggu II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ruang Tunggu III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Halaman 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Depan Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Poli KIA 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0
16 Kaber 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0
17 Lantai 2 (I) 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Lantai 2 (II) 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Kamar mandi Pasien 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Kamar Mandi Karyawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kamar Mandi Lantai 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 4 5 7 5 5 0 6 6 5 5 5 0 0 0 0 0 0 0 0 0 0 0 0
K
1 2 3 4 5 0 8 9 10 11 12 0 0 15 16 17 18 19 22 23 24 25 26 0 0 1 2 3 4 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 1 1
SAMPAH MEDIS
TB P
0 8 9 10 11 12 0 0 15 16 17 18 19 22 23 24 25 26 0 0 1 2 3 4 5 0 8 9 10 11 12 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P V
0 15 16 17 18 19 22 23 24 25 26 0 0 1 2 3 4 5 0 8 9 10 11 12 0 0 15 16 17 18 19 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 6 4 4 4 4 1 4 4 4 4 4 1 1 4 4 4 4 4 4
B
23 24 25 26 0 0 1 2 3 4 5 0 8 9 10 11 12 0 0 15 16 17 18 19 22 23 24 25 26 0 0
0 0 0 0 0 0 1 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 16
1 1 1 1 23 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20
0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21
0 0 0 0 1 0 1 1 1 1 1 1 0 1 1 1 0 0 0 1 1 1 1 1 1 1 16
0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 1 0 0 1 1 1 0 1 1 1 1 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1
1 1 1 1 20 0 0 0 0 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 15
0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0 1 1 1 1 1 1 12
0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 0 1 1 1 1 1 1 1 1 15
0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 19
0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 17
0 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 13
0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 1 0 1 1 1 0 1 1 1 1 1 13
0 0 0 0 0 0 1 0 1 1 0 1 0 1 1 1 1 0 1 0 1 1 1 1 1 1 15
1 1 1 1 20 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 18
1 1 1 1 20 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 20
0 0 0 0 0 0 1 1 0 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 17
0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20
0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 16
0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 18
0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 18
4 4 4 4 0 0 4 15 11 16 16 0 1 19 17 17 19 20 0 10 11 15 17 17 20 20 20 20 20 0 0
SAMPAH NON MEDIS
K
1 2 3 4 5 0 8 9 10 11 12 0 0 15 16 17 18 19 22 23 24 25 26 0 0 1 2 3 4 5 0 8
0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 3 1 0 1 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 4 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1
0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 3 1 1 1 0 1 0
1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0
1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
0 0 0 0 1 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 7 0 0 0 0 0 0
1 0 1 1 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 6 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
1 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
12 2 5 2 1 0 3 1 2 3 1 0 0 12 9 1 2 2 0 0 0 0 0 0 0 5 4 5 3 2 0 2
TB
9 10 11 12 0 0 15 16 17 18 19 22 23 24 25 26 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
1 1 1 1 1 1 1 0 1 0 1 1 0 0 14
0 0 0 0 0 0 0 1 0 0 0 0 1 0 6
0 0 0 0 0 1 0 0 0 0 0 1 0 0 7
0 0 0 0 0 1 0 0 0 0 0 0 0 1 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 1 0 0 2 3 1 1 1 0 1 2 1 1 0 0
Evaluasi Pengawasan Tempat
Kondisi TSMedis
NO RUANGAN
B K
Poli Umum 10 0
Poli gigi 10 0
Laboratorium 4 0
Poli Fisioterapi 0 0
poli akupunktur 7 0
Ruang Farmasi 0 0
Poli KIA 10 0
Kaber 10 0
Kondisi TS Non Medis
NO RUANGAN
B K
1 Loket 16 3
2 Poli Umum 20 1
3 Poli gigi 21 0
4 Laboratorium 16 4
5 Poli Fisioterapi 14 4
6 Poli Konseling 1 1
7 poli akupunktur 15 1
8 Ruang Laktasi 12 1
9 Ruang Tunggu I 15 3
10 Ruang Tunggu II 19 2
11 Ruang Tunggu III 17 3
12 Halaman 13 7
13 Ruang Farmasi 13 6
14 Depan Ruang Farmasi 15 5
15 Poli KIA 18 0
16 Kaber 20 1
17 Lantai 2 (I) 17 4
18 Lantai 2 (II) 20 1
19 Kamar mandi Pasien 16 5
20 Kamar Mandi Karyawan 18 3
21 Kamar Mandi Lantai 2 18 3
uasi Pengawasan Tempat Sampah Medis dan Non Medis Bulan : Oktober 2018
Kondisi TSMedis Safety Box Evaluasi Tempat Sampah Medis
Keterangan
TB P V Sampah Medis Savety Box
0 0 23 50.00% 115.00%
0 0 1 50.00% 5.00%
4 0 1 20.00% 5.00%
1 0 0 0.00% 0.00%
1 0 20 35.00% 100.00%
0 0 0 0.00% 0.00%
0 0 20 50.00% 100.00%
0 0 20 50.00% 100.00%
ndisi TS Non Medis
Evaluasi Keterangan
TB
2 80.00%
0 100.00%
0 105.00%
1 80.00%
1 70.00%
14 5.00%
6 75.00%
7 60.00%
6 75.00%
1 95.00%
0 85.00%
0 65.00%
0 65.00%
0 75.00%
0 90.00%
0 100.00%
0 85.00%
0 100.00%
0 80.00%
0 90.00%
0 90.00%
###
NO RUANGAN
B
Tanggal 3 4 5 6 10 12 13 14 15 15 17 18 19 20
1 Loket 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Poli Umum 1 1 1 1 1 1 1 1 1 1 0 0 0 0
3 Poli gigi 1 1 1 1 1 1 1 1 1 1 0 0 0 0
4 Laboratorium 0 0 0 0 0 1 1 0 1 1 0 0 0 0
5 Poli Fisioterapi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Poli Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 poli akupunktur 0 1 1 1 1 1 1 1 0 0 0 0 0 0
8 Ruang Laktasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ruang Tunggu I 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ruang Tunggu II 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ruang Tunggu III 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Halaman 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Depan Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Poli KIA 1 1 1 1 1 1 1 1 1 1 0 0 0 0
16 Kaber 1 1 1 1 1 1 1 1 1 1 0 0 0 0
17 Lantai 2 (I) 0 0 1 0 0 0 0 0 0 0 0 0 0 0
18 Lantai 2 (II) 0 0 1 0 0 0 0 0 0 0 0 0 0 0
19 Kamar mandi Pasien 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Kamar Mandi Karyawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kamar Mandi Lantai 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 4 5 7 5 5 0 6 6 5 5 5 0 0 0 0 0 0 0 0 0 0 0 0
K
3 4 5 6 10 0 12 13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0 3 4 5 6 10
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 1 1
SAMPAH MEDIS
TB P
0 12 13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0 3 4 5 6 10 0 12 13 14 15 15 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
P V
0 17 18 19 20 0 0 0 0 0 0 0 0 3 4 5 6 10 0 12 13 14 15 15 0 0 17 18 19 20 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 3 3 3 3 3 0 3 3 3 3 3 0 0 3 3 3 3 0 0
B
0 0 0 0 0 0 3 4 5 6 10 0 12 13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0
0 0 1 0 1 1 0 1 1 1 1 0 0 1 1 9
14 0 1 1 1 1 1 1 1 1 1 1 1 1 1 13
14 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14
14 0 1 1 1 1 1 1 0 1 1 0 0 0 1 9
0 0 1 0 1 1 0 1 1 1 0 0 0 1 1 8
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 1 1 1 1 1 1 0 1 0 1 8
0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 5
0 0 0 0 1 1 0 1 1 0 1 1 0 1 1 8
0 0 1 1 1 1 0 1 1 1 1 1 1 1 1 12
0 0 1 1 1 1 0 1 1 1 1 0 0 1 1 10
0 1 1 1 1 0 0 0 0 1 1 1 0 0 0 7
0 0 1 0 0 0 0 1 1 0 1 0 1 1 1 7
0 0 1 0 1 1 0 1 0 1 1 1 0 1 0 8
0 1 1 1 1 0 0 1 1 1 1 1 1 0 1 11
0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 14
0 0 1 1 0 1 1 1 1 0 1 0 1 1 1 10
0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 13
0 0 0 0 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 16
0 0 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 18
0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 19
0 0 0 0 0 0 4 15 11 16 16 0 1 19 17 17 19 1 0 10 11 15 17 3 3 3 3 3 3 3 0
SAMPAH NON MEDIS
K
3 4 5 6 10 0 12 13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0 3 4 5 6 10 0 12
0 0 0 0 0 1 0 0 0 0 1 1 0 0 3 1 0 1 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 1 0 0 0 1 1 0 4 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 1 1 1 0 0 4 1 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1
1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 1 1 0 1
0 0 0 0 0 0 0 0 1 0 1 1 0 0 3 1 1 1 0 1 0
1 0 0 0 0 0 0 0 0 0 1 0 0 0 2 0 1 0 0 0 0
1 0 0 0 0 0 0 0 0 0 1 1 0 0 3 0 0 0 0 0 0
0 0 0 0 1 1 1 1 0 0 1 1 0 1 7 0 0 0 0 0 0
1 0 1 1 0 0 0 0 1 0 1 0 0 0 5 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0 0 1 1 0 1 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 1 0 0 0 0 1 0 1 0 0 0 4 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 1 1 0 0 5 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 3 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
12 2 5 2 1 0 3 1 2 3 1 0 0 12 9 1 2 0 0 0 0 0 0 0 0 5 4 5 3 2 0 2
TB
13 14 15 15 0 0 17 18 19 20 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 1
0 0 0 0 0 0 0 0 1
1 1 1 1 1 1 1 0 11
0 0 0 0 0 0 0 1 5
0 0 0 0 0 1 0 0 6
0 0 0 0 0 1 0 0 5
0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 1 0 0 2 3 1 1 0 0 0 0 0 0 0 0
Evaluasi Pengawasan Tempat S
Kondisi TSMedis
NO RUANGAN
B K
Poli Umum 10 0
Poli gigi 10 0
Laboratorium 4 0
Poli Fisioterapi 0 0
poli akupunktur 7 0
Ruang Farmasi 0 0
Poli KIA 10 0
Kaber 10 0
Kondisi TS Non Medis
NO RUANGAN
B K
1 Loket 9 3
2 Poli Umum 13 1
3 Poli gigi 14 0
4 Laboratorium 9 4
5 Poli Fisioterapi 8 4
6 Poli Konseling 0 1
7 poli akupunktur 8 1
8 Ruang Laktasi 5 1
9 Ruang Tunggu I 8 3
10 Ruang Tunggu II 12 2
11 Ruang Tunggu III 10 3
12 Halaman 7 7
13 Ruang Farmasi 7 5
14 Depan Ruang Farmasi 8 5
15 Poli KIA 11 0
16 Kaber 14 0
17 Lantai 2 (I) 10 4
18 Lantai 2 (II) 13 1
19 Kamar mandi Pasien 16 5
20 Kamar Mandi Karyawan 18 3
21 Kamar Mandi Lantai 2 19 3
asi Pengawasan Tempat Sampah Medis dan Non Medis Bulan : November 2018
Kondisi TSMedis Safety Box Evaluasi Tempat Sampah Medis
Keterangan
TB P V Sampah Medis Savety Box
0 0 14 71.43% 100.00%
0 0 14 71.43% 100.00%
4 0 14 28.57% 100.00%
1 0 0 0.00% 0.00%
1 0 0 50.00% 0.00%
0 0 0 0.00% 0.00%
0 1 0 71.43% 0.00%
0 0 0 71.43% 0.00%
ndisi TS Non Medis
Evaluasi Keterangan
TB
2 64.29%
0 92.86%
0 100.00%
1 64.29%
1 57.14%
11 0.00%
5 57.14%
6 35.71%
5 57.14%
1 85.71%
0 71.43%
0 50.00%
0 50.00%
0 57.14%
0 78.57%
0 100.00%
0 71.43%
0 92.86%
0 114.29%
0 128.57%
0 135.71%
###
NO RUANGAN
B
Tanggal 1 2 3 4 5 8 9 10 11 12 15 16 17 18 19 22 23 24 25 26
1 Loket 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
2 Poli Umum 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0
3 Poli gigi 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0
4 Laboratorium 0 0 0 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0
5 Poli Fisioterapi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
6 Poli Konseling 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 poli akupunktur 0 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0
8 Ruang Laktasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
9 Ruang Tunggu I 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 Ruang Tunggu II 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
11 Ruang Tunggu III 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
12 Halaman 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
13 Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
14 Depan Ruang Farmasi 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
15 Poli KIA 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0
16 Kaber 1 1 1 1 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0
17 Lantai 2 (I) 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
18 Lantai 2 (II) 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
19 Kamar mandi Pasien 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
20 Kamar Mandi Karyawan 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
21 Kamar Mandi Lantai 2 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
Total 4 5 7 5 5 0 6 6 5 5 5 0 0 0 0 0 0 0 0 0 0 0 0
K
1 2 3 4 5 0 8 9 10 11 12 0 0 15 16 17 18 19 22 23 24 25 26 0 0 1 2 3 4 5
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
4 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
7 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
10 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2 1 1 1 1
SAMPAH MEDIS
TB P
0 8 9 10 11 12 0 0 15 16 17 18 19 22 23 24 25 26 0 0 1 2 3 4 5 0 8 9 10 11 12 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
P V
0 15 16 17 18 19 22 23 24 25 26 0 0 1 2 3 4 5 0 8 9 10 11 12 0 0 15 16 17 18 19 22
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 6 4 4 4 4 0 4 4 4 4 4 0 0 4 4 4 4 4 4
B
23 24 25 26 0 0 1 2 3 4 5 0 8 9 10 11 12 0 0 15 16 17 18 19 22 23 24 25 26 0 0
0 0 0 0 0 0 1 0 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 16
1 1 1 1 20 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20
0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 21
0 0 0 0 1 0 1 1 1 1 1 1 0 1 1 1 0 0 0 1 1 1 1 1 1 1 16
0 0 0 0 0 0 1 0 1 1 0 1 1 1 0 1 0 0 1 1 1 0 1 1 1 1 14
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1
1 1 1 1 20 0 0 0 0 1 1 1 1 1 1 1 0 1 0 1 1 1 1 1 1 1 15
0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1 0 0 1 1 1 1 1 1 12
0 0 0 0 0 0 0 0 1 1 0 1 1 0 1 1 1 0 1 1 1 1 1 1 1 1 15
0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 19
0 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 17
0 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 13
0 0 0 0 0 0 1 0 0 0 0 1 1 0 1 1 0 1 1 1 0 1 1 1 1 1 13
0 0 0 0 0 0 1 0 1 1 0 1 0 1 1 1 1 0 1 0 1 1 1 1 1 1 15
1 1 1 1 20 1 1 1 1 0 0 1 1 1 1 1 1 1 0 1 1 1 1 1 1 1 18
1 1 1 1 20 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 0 1 1 1 1 1 20
0 0 0 0 0 0 1 1 0 1 1 1 1 0 1 1 0 1 1 1 1 1 1 1 1 1 17
0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 20
0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 16
0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 18
0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 18
4 4 4 4 0 0 4 15 11 16 16 0 1 19 17 17 19 20 0 10 11 15 17 17 20 20 20 20 20 0 0
SAMPAH NON MEDIS
K
1 2 3 4 5 0 8 9 10 11 12 0 0 15 16 17 18 19 22 23 24 25 26 0 0 1 2 3 4 5 0 8
0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 3 1 0 1 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 4 0 0 0 0 0 0
0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 4 1 0 0 0 0 0
0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 1 0 1
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0
0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 1
0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 3 1 1 1 0 1 0
1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 2 0 1 0 0 0 0
1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
0 0 0 0 1 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 7 0 0 0 0 0 0
1 0 1 1 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 6 0 0 0 0 0 0
1 0 1 0 0 0 0 0 0 0 1 1 0 1 0 0 0 0 0 0 5 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0
1 0 0 1 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 4 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 5 0 0 0 0 0 0
1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3 0 0 0 0 0 0
12 2 5 2 1 0 3 1 2 3 1 0 0 12 9 1 2 2 0 0 0 0 0 0 0 5 4 5 3 2 0 2
TB
9 10 11 12 0 0 15 16 17 18 19 22 23 24 25 26 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 2
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 1 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
1 1 1 1 1 1 1 0 1 0 1 1 0 0 14
0 0 0 0 0 0 0 1 0 0 0 0 1 0 6
0 0 0 0 0 1 0 0 0 0 0 1 0 0 7
0 0 0 0 0 1 0 0 0 0 0 0 0 1 6
0 0 0 0 0 0 0 0 0 0 0 0 0 0 1
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
0 0 0 0 0 0 0 0 0 0 0 0 0 0 0
1 1 1 1 0 0 2 3 1 1 1 0 1 2 1 1 0 0
Evaluasi Pengawasan Tempat S
Kondisi TSMedis
NO RUANGAN
B K
Poli Umum 10 0
Poli gigi 10 0
Laboratorium 4 0
Poli Fisioterapi 0 0
poli akupunktur 7 0
Ruang Farmasi 0 0
Poli KIA 10 0
Kaber 10 0
Kondisi TS Non Medis
NO RUANGAN
B K
1 Loket 16 3
2 Poli Umum 20 1
3 Poli gigi 21 0
4 Laboratorium 16 4
5 Poli Fisioterapi 14 4
6 Poli Konseling 1 1
7 poli akupunktur 15 1
8 Ruang Laktasi 12 1
9 Ruang Tunggu I 15 3
10 Ruang Tunggu II 19 2
11 Ruang Tunggu III 17 3
12 Halaman 13 7
13 Ruang Farmasi 13 6
14 Depan Ruang Farmasi 15 5
15 Poli KIA 18 0
16 Kaber 20 1
17 Lantai 2 (I) 17 4
18 Lantai 2 (II) 20 1
19 Kamar mandi Pasien 16 5
20 Kamar Mandi Karyawan 18 3
21 Kamar Mandi Lantai 2 18 3
asi Pengawasan Tempat Sampah Medis dan Non Medis Bulan : Desember 2018
Kondisi TSMedis Safety Box Evaluasi Tempat Sampah Medis
Keterangan
TB P V Sampah Medis Savety Box
0 0 20 50.00% 100.00%
0 0 1 50.00% 5.00%
4 0 1 20.00% 5.00%
1 0 0 0.00% 0.00%
1 0 20 35.00% 100.00%
0 0 0 0.00% 0.00%
0 0 20 50.00% 100.00%
0 0 20 50.00% 100.00%
ndisi TS Non Medis
Evaluasi Keterangan
TB
2 80.00%
0 100.00%
0 105.00%
1 80.00%
1 70.00%
14 5.00%
6 75.00%
7 60.00%
6 75.00%
1 95.00%
0 85.00%
0 65.00%
0 65.00%
0 75.00%
0 90.00%
0 100.00%
0 85.00%
0 100.00%
0 80.00%
0 90.00%
0 90.00%
###

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