Scribd
Upload
47 views2 pages

Checklist Perawatan Ambulance RS PKU

This checklist is used by ambulance staff at the Muhammadiyah PKU Blora Hospital to track the condition of various ambulance components each month, including the engine, horn, lights, tires, brakes, fuel, medical equipment, and oxygen supply. Staff provide status updates by checking or crossing off boxes to indicate whether each component is in good or poor condition.

Uploaded by

HDPKUBLORA RSPKUMUHBLORA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
47 views2 pages

Checklist Perawatan Ambulance RS PKU

This checklist is used by ambulance staff at the Muhammadiyah PKU Blora Hospital to track the condition of various ambulance components each month, including the engine, horn, lights, tires, brakes, fuel, medical equipment, and oxygen supply. Staff provide status updates by checking or crossing off boxes to indicate whether each component is in good or poor condition.

Uploaded by

HDPKUBLORA RSPKUMUHBLORA
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as XLSX, PDF, TXT or read online on Scribd
You are on page 1/ 2

CHECKLIST PERAWATAN AMBULANCE RS PKU MUHAMMADIYAH BLORA

PETUGAS
BULAN
NO PENILAIAN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31

KONDISI
1 MESIN

KLAKSON/
2
SIRINE

LAMPU/
3
ROTATOR

4 KONDISI BAN

5 KONDISI REM

6 KONDISI BBM

KONDISI
7
BRANKART

EMERGENCY
8
KYT
9 ALKES
10 BHP
11 OKSIGEN
TANDA TANGAN
KET : Beri tanda centang bila kondisi baik
beri tanda
silang bila
kondisi
kurang baik

You might also like