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Checklist Ambulance

Contoh Checklist ambulance Pertamina hulu rokan

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debi
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45 views4 pages

Checklist Ambulance

Contoh Checklist ambulance Pertamina hulu rokan

Uploaded by

debi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF or read online on Scribd
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IHC P B [ Ambulance Operasional CHECKLIST PEMERIKSAAN KENDARAAN x B® PERTAMINA HULU ROKAN, RS PERTAMINA PRABUMULIH Tanggal KONDISI KENDARAAN Tam. Pr lat Kendaraan ITEM - ITEM YANG DL CHECK Ada Tidak ‘Ada Tidak Baik Baik | Kurang | Rusak Bersih Kotor [Kondisi Ban (terpasang) Vv [Kondisi Ban (cadangan) Vv v Baut Roda [Wiper + Air Wiper + Karet Wiper Ws [Bumper (depan) Air Radiator Bateray 1 2 4 5 [Kaca Spion 6 7 8 9 Rem + Minyak Rem [Lampu Besar Lampu Rem 12 [Lampu Sen [Lampu Mundur [Lampu Kabut WINS dts} sts} [sts] § STINK [Masa Berlaku= += 10 - 2B Sistem Stir IKtakson. qs [Air Conditioner Dongkrak & Stang [Kunci Roda [Segi Tiga Pengaman YW Sisii [Alat Pemadam Api Ringan (APAR) [Kotak P3K + 1si [Sabuk Pengaman [Oli Mesin NN [Sim Pengemudi (A/B1/B2) > CL 82] [Masa Berlaku 05-05-2627 [Kesehatan Pengemudi Tidak Fit|( [Luar dan Dalam Mobil wv [Angka KM ‘Angka Penggantian Oli Kembali ‘Check Tambahan Khusus Ambulance 30 [Sirene 7 31 [Lampu Bar Ambulance v 32 [Brankar v4 33 [Oksigen INS) [SSNS 9} Js 34 [Section Pump 35 [Ambu Bag. 36 [Tensi q 37 [Stetoskop 38 [Lampu Penerangan dalam Mobil 39 [Kunci Pas/Kunci Inggris \<\<|s 40 [Wastafel Sd < 41 [Tandu q 42 [Kotak Sampah 7 Nama Pengemudi Diketahui Oleh [oops Produksi Bg MAE Peau Mengetah aN HSSE JIRAK SPU2 Ket HRGL REUELIE SAAN D494 Peaweren Unie OaLae OVI Bae ean Pane 2). SURAT IZIN MENGEMUD! BI eo 1417-9705-000847 1: HARIS GUNAVJAN pPRABUMULIH) 24-05-4897 3. Q-PRIA 4. JLBUKIT LEP AR 45 NO18MAJASARL © PRABUMULIH SWASTA 6. SUMSEL 09-05-2027 & TS, KEPOLISIAN NEGARA REPUBLIK INDONESIA a No: 44855337 .G toes rede ses. +F 9918GH ORME as + SUHANDI " s = KP CINANGKA RT 03 RW 09 DS TUGUJAYA KE! C pees > MITSUBISHI y TRITON 2.5L SC HDK- (4X4) WT KENDARAAN KHUSUS

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