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LAVATORY INSPECTION

Month : Location : MPS Head Office

Week Urinal Closet Toilet Paper Faucet Floor Light


NO. Day
Good Poor Good Poor Good Poor Good Poor Good Poor Good
I II III IV V
Baik Kurang Baik Kurang Baik Kurang Baik Kurang Baik Kurang Baik
Tgl.
1 Senin
Inisial

Tgl.
2 Selasa
Inisial

Tgl.
3 Rabu
Inisial

Tgl.
4 Kamis
Inisial

Tgl.
5 Jumat
Inisial

*Note : Please mark with (V) the appropriate column / silahkan tandai dengan tanda (V) kolom yang dipilih

NOTES:

Inspected by: Nurlaela : ELA


Sulhan : HAN
Sandi : MSG
ORY INSPECTION
MPS Head Office

Light
Poor
Kurang

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