Lembar Kerja Investigasi Sederhana

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Lembar Kerja Investigasi Sederhana

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LEMBAR KERJA INVESTIGASI SEDERHANA

Untuk Bands Risiko BIRU / HIJAU

Penyebab Langsung Insiden :

……………………………………………………………………………………………………………………………………………………….

Penyebab yang melatar belakangi/akar masalah insiden :

……………………………………………………………………………………………………………………………………………………….

Rekomendasi : Penanggung Jawab Tanggal :

Tindakan yang akan dilakukan Penanggung Jawab Tanggal :

PJ Unit

Nama : tanggal mulai investigasi :

Tanda Tangan : tanggal selesai investigasi :

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