PEMERINTAH KABUPATEN CILACAP DINAS KESEHATAN

UPT PUSAT KESEHATAN MASYARAKAT ADIPALA I

=o'on A$mo& >oni Nm( 14 Te'epn 0282 246244
Wei*e: p)m1o&ipo'o#'gp*#m Emoi': +p*p+)emoo&ipo'o1i'oop@gmoi'#m
ADIPALA
K&e P 3271

SURAT KEPUTUSAN KEPALA UPT PUSKESMAS ADIPALA I

NOMOR : 800 / / XI / 2017

TENTANG

TIM AUDIT INTERNAL UPT PUSKESMAS ADIPALA I

KABUPATEN CILACAP
TAHUN 2017

KEPALA PUSKESMAS ADIPALA I,

Menimong : o# o$wo  &o'om (ong)o mening)o*)on m+*+ o)(e&i*oi &i P+)emo A&ipo'o I, mo)o
&ipon&ong pe('+ memen*+) Tim A+&i* In*e(no' P+)emo A&ipo'o I .
# o$wo e(&oo()on pe(*imongon eogoimono &imo)+& &o'om +*i( o &i o*o, mo)o
pe('+ mene*op)on S+(o* Kep+*+on Kepo'o P+)emo A&ipo'o I *en*ong
Pemen*+)on Tim A+&i* In*e(no' P+)emo A&ipo'o I

Mengingo* : 1# Un&ongUn&ong R ep+'i) I n&neio N m( 3 4 To$+n 2 005 * en*ong Kee$o*on

Lemo(on Nego(o Rep+'i) In&neio To$+n 2005 Nm( 166, Tomo$on
Lemo(on Nego(o Rep+'i) In&neio Nm( 043.
2# Pe(o*+(on Men*e(i Kee$o*on Rep+'i) In&neio Nm( 63 To$+n 2014 *en*ong
S*on&o( Pe'oonon Minimo' Bi&ong Kee$o*on &i Ko+po*en/ K*o.
3# Pe(o*+(on Men*e(i Kee$o*on Rep+'i) In&neio Nm( 571 To$+n 2005
*en*ong S*on&o( Kmpe*eni Pe9oo* *(+)*+(o' Kee$o*on.
6# Pe(o*+(on Doe(o$ Ko+po*en Ci'oop Nm( 10 To$+n 20## Ten*ong Pe(+o$on
 A*o Pe(o*+(on De(o$ Ko+po*en Ci'oop Nm( ## To$+n #### *en*ong O(gonioi
Pe(ong)o* Doe(o$ Peme(in*o$ Ko+po*en Ci'oop  Lemo(on Doe(o$ .
# Pe(o*+(on B+po*i Ci'oop Nm( ## To$+n #### *en*ong S*(+)*+( O(gonioi,
pen9oo(on T+go P)) &on ;+ngi, e(*o To*o Ke(9o Dino Kee$o*on Lemo(on
Doe(o$.

MEMUTUSKAN

Mene*op)on : SURAT KEPUTUSAN KEPALA UPT PUSKESMAS ADIPALA I TENTAN< TIM

AUDIT INTERNAL UPT PUSKESMAS ADIPALA I

Keo*+ : Mene*op)on U(oion T+go Tim A+&i* In*e(no' P+)emo A&ipo'o I &on e(*ongg+ng
 9owo *e($o&op o+&i* &)+men A)(e&i*oi ong &i++n 'e$ Tim A)(e&i*oi P+)emo
 A&ipo'o I, *e(on*+m &o'om 'ompi(on )ep+*+on ini
Ke&+o : Kep+*+on ini m+'oi e('o)+ e9o) *onggo' &i*e*op)onno &engon ) e*en*+on opoi'o
&i)em+&ion $o(i *e(&opo* )e)e'i(+on &o'om )ep+*+on ini o)on &io&o)on pe(oi)on
eogoimono me*ino#

Di*e*op)on &i: A&ipo'o

Po&o *onggo': 13 Neme( 2017

P'*# KEPALA UPT PUSKESMAS ADIPALA I,

DWI ED> KUNCORO

Pemino
NIP# 15700627 200212 1 003
 Lompi(on : S+(o* Kep+*+on Kepo'o UPT P+)emo A&ipo'o I
 Ten*ong Tim A+&i*
In*e(no' Nm( : 800 / / XI
/ 2017 Tonggo' : 13 Neme( 2017

BAB I

SUSUNAN TIM AUDIT INTERNAL UPT PUSKESMAS ADIPALA I

1# A+&i* In*e(no'

o# Ke*+o : & (g# L eni M o('ino

b. Se)e(*o(i : R i) A (ion&oni, S # K m

C.  Angg*o : T+( B+&i$o(io*i, SST

- Re*n S+(ip*, AMK

- E*i Mo(*ioningi$ , Am&#Ke

- Hen&( K+(niowon, AMK

- Dwi Inoeni, Am&#Ke

BAB II

URAIAN TUGAS

TIM AUDIT INTERNAL PUSKESMAS ADIPALA I

2# T+go Tim A+&i* In*e(no' :

o# Mene(op)on &on meme'i$o(o Si*em Mono9emen M+*+ P+)emo
# Memo*i)on o$wo pe(o(o*on +m+m, )ei9o)on &o'om pe'o)onoon Si*em Mono9emen M+*+
P+)emo &imenge(*i &on &i'o)ono)on 'e$ e'+(+$ S*o P+)emo#
# Me'o)+)on peni'oion *e($o&op pe'o)onoon Si*em Mono9emen M+*+ P+)emo e(&oo()on S*on&o( 
 A)(e&i*oi P+)emo#
&# Me'o)+)on *e'oo$ +'onon *e($o&op pene'enggo(oon )egio*on &on $oi' ong &iopoi P+)emo,
&ion&ing)on &engon (enono &on *on&o( pe'oonon#
e# Me'o)+)on Te'oo$ e)*e(no' o)ni *e'oo$ *(iw+'on *e($o&op $oi' ong &iopoi 'e$ o(ono pe'oonon

)ee$o*on *ing)o* pe(*omo 'oinno e(*o e)*( 'oin *e()oi* ong o&o &i wi'oo$ )e(9o p+)emo# Te'oo$
*(iw+'on ini &i'o)+)on &o'om L)o)o(o Mini T(iw+'on p+)emo eo(o 'in*o e)*(#

Di*e*op)on &i: A&ipo'o

Po&o *onggo': 13 Neme( 2017

P'*# KEPALA UPT PUSKESMAS ADIPALA I,

DWI EPDe>m
KUinNoCORO NIP#
15700627 200212 1 003