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Of 507 KOS Nomor Psa ha ae Kea: (glshan atviter Yang alka) Mara gerrela. telok off lotubon ent fe evel sfek operaror ‘Depron: (siaakgn prianu berenio) EM ee sean men ge “Seagb lan renga pray erator) ‘aba lsan mena pera baresvoGanatany Lupe memeribse ‘Saran Soil gar poral Bees ro TAN eran “ara aT age pera Brena bern egcons Resanggunan mneoba) encoba esanggipan meneoba Pe emaritlean retin (essnaavn J a pea OT Tuma OO Tar Stoipennutersnst G7 © Task Ectgspettubweete? Ye OT Pertahuseamat: Fuanienid © Sinionmne On! Peahsseimat © tain/Ement © sraintan © Tebmegin! Teds stein commie? — Ove Ore Tider steing Commie? OQ. Ya_O re eriana Barone (APRA) eraka Beretta CRIT Nomor Perats at tael: 02 / $087 ROL enor erat pt eet: Ketjg lesan akties Yang aia) etka: laskan atvtas Yang se ntnSealeh ‘ean petan pally bees] 5 ‘Demons [elarKan periaka bores ko) Bieencpen barang —bargra yore ticbk eae (ar ben ke Aer jarcdite ‘ebge ptsanmengaps pera bees akon) Seba asa Ta PTR Berea RTA] “Dekers ene, bonmok “Saran oa agar peak bret TaK berang)7 “ara ta aga eGR bere WARK Baad engoba Hesangguegn menos} Mencobe (esegaepen merc “impor Bareng pode temporn Tanpwcmaat OO Zapeemmnat OO Tae Sc pa reso? mG tes Studvpeitubwestet =O Ye Tet Petiahu selamat: (%sansenbee —Q suarvoneut © Rehan Periatuselarat: © Mutsh/Erwed © saer/Deue OFS MNGEN Trek siningConmines? Ove Oreak ‘Thetnkt Suing Comite’? —_O Ya _O et Perla Berean (ACR, Feriaku Bereaiko[APRRR) Nomer ertawutnattbeh; 02/80 / Eps Nomor Pera ht abel eta: Jelaskan sivas yang dakgkan) etka (Jlaskan ative Yang aTakoKan} ‘ipyrans (elaskan parla bareikay Seberne- opermrer Klal ppreneg uefa Ps one Ore eta (avon mergaps pl bees aan) ‘aba Aasan megapa peak Brel GaRaR) “Gorehan eb Senas {toner APD cle Bo tr pra bre TSE Doar ‘arn ota ape pera brea Tak berangT Mencaba hesanggupen mencda Mencoba(esanggopan mene} Taaia pei? Ow Tear Tape O_O Tae Seti pestsreshon, OY Ye Tek Seip brekot «Ye Tek Peviahuseamat: CMautonierabed Q) Saari Ott iguueae Pertakuselamat: Qmuniemtke © varronen ORME! ‘Tindak lanjut Steering Committee? O ve DS tah Tindak lant Steering Committee? Ow O tix Komentar Umum: Komentar Umum: DT OR Daa LA Ted T bearer Sto Manager PT. 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Crean ss90% 69.7, Mencen Terpnan 2_|Pestpan Kereian Tuna [see eeneer nde at) = Treo Kelerangan? NAMA "Sat Jumih peat aa eran yang art TANPA MENYALAHKAN “Ae Jun pera aman yrg ar SEMBUNY! - SEMBUNYI Prenertase yan idsostanberdzaran peungan da Sale Behavior index: MEMATA - MATAL PT Kelega Ow Semesta Paget O terest "Be dengan Sle Bev nder2 35% © Kategori “Cukap" dengan Sale evr den CON = 4.9% © seg rng dean Sale Bhar Inder 58.0% P1401 FORA SHE WORK OBSERIATIONKomentar Pengamatan Komentar Pengamatan Perla Bareiko (ACh) Perlloku Borosiko(ACRIek) Nomor Peak iat tbe Nomoe Peta fh ae) Katia: (etskan akties Yang aanaran) ‘ikemakans(Jtaakan paraku boroaoy ‘iamakan:(elaakan pola boresizoy ‘aba (ara engapa pea oreo aT aan angapspaia basi aiakuta) ‘ara (San agar pela beresto Hak boo arn otal gar pra breino ak bora] MencobaKesanggupn menesbs) Mencoba Kesanggupan mencob): Tanpeamnapa? 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NAMA “Sah Dia psa hj ran yg ama TANPA MENYALAHKAN “Avtialt Jurmlah pertahu her ik aman yang ciamati SEMBUNY!I - SEMBUNY! ‘Presentase yang didapatkan berdasarkan perhitungan dari Safe Behavior Index : MEMATA - MATAL (& katagon “Baik dengan Safe Behavior Index 2 85 PT. Kolega Dwi Semesta Paget © ate cata eran Sate anv OX 86.09 © ‘ets rag nan Sale Bahar ner 380% Fen 2101 FORMA EIFE WORK OBSENATONKomentar Pengamatan Komentar Pengamatan Perllku Beresiko (At-Risk) Nonorerahu tattabs:_OL/ COL OS Perllku Boresiko (ALRisK) aca tn lilskukan) ‘ifemokan:(Jelaakan porjaku beresiko) v Nor x sel “Berenaet terbepe, bel tye sehvigs SP armen ean ae ‘ba (nsan mengaps pariah bereavo anuany Teak 7 Fe “arn Son aarp eno Wak DeTINTT aan (ona oar pela area Wa boaanahT Gacciecoenneioussn encod Kesanggopan mencaba) Melate ea Sd SanpmepaT Oe ae ‘ap peavea? OY Game Seu persuderehor YEO The seul perntabeeno? Yo ame Pein mina fGaanstaeet © ouwrionon fmt pennants Cusnitmint aumromn © Teibegn! Tindaklat Stenting Commitee? Ova Tink ‘Tindaklanjt Seeing Commitee? —_O_Ya_O Tit eraku Bereso (ACI) Forte Beresino (ARR) ‘Nomor Perilaku (ihat tabel: O2-/ SWO/ ERS ‘Nomor Perilaku (linat tabel): Ketjasdelaskanaktiits yang Gakuen) Ketka: lolaskan skits Yang Taka) rene erent ‘agnakan:(elaskan pak bereai) ‘itemukan: (elaakan poriaka beresino) "Boones Dercahaysor bomen dad +1 Vox i Tapeh: laranmngapa prin eres avatar) ener ang parame Toran Sauna peraha bees aK Parana) {Baa aga para basta WERK Bana mene encoba Kesanggupan mencob} area Nan ian Oe Taupo? Ove Tae Sauce maser ew oar Set een tO nO ta Perish seat Qn vemine O si/Onak ° ke Peta namat: Qua renes Q surronan OME tancinusteingcomnineer yO ree Thcskindasteingconmiee? Ora O rae Porta Bersiko (ACRBK) eau Bresio (Av Risk) NomorPestiaku (hat tbe); 0 /SW6/ le-OS ‘NomoePesisku hat tabel: eis: nan ves ya a) etka: Jelaskan aktivitas yang aaRuKan) doanis tx ‘itemakaps(elaskan poraku Boropta) ‘itemakan:(elaskan pari beresko} ec. wi, Skala lei _lecompor-er- Eder et: plksn mergaps paral efoto avalon ‘aba (ava mengap peta bavesto daa) lr aa aan ot agar perl bares WK brary ara lal agar posh Bea WER Baan NencobsKezangpupan mqncoba): Mencob Kesanggupan mencobs) corre ban Tapia Oe 0 War Rana Oe OR Setuuperiohu desir? Gta Tite Setuupetishuberesino? = Ya Q Tee Paiakuselomat: ©) wutn ened) Sula oit oe Perak selamat; Oide/enties © stacsdane OMI! Tindakant tering Commitee? —_O Ya OF Tidek Tindsklanjut Steering Commitee? © Ya_O Task omentar Umum Komentar Umum DaaaTOT — Tel T Sto Manager PT Kolega Dwi Semesta ‘Rem ra4or FORMA AE WORK OBCERATIN