Form Apar 2021
Form Apar 2021
Form Apar 2021
Posisi dan Tanggal Badan Selang Pemercik Tekanan Segel & Pin Label
No Lokasi Berat Jumlah Jenis Keterangan
Penomoran Kadaluarsa Baik Rusak Baik Rusak Baik Rusak Baik Rusak Baik Rusak Baik Rusak
1 Pendaftaran IGD Lantai I.1 2,5 kg 1 Powder November 2021
2 Pintu masuk IGD Lantai I.2 2,5 kg 1 Powder November 2021
3 Koridor IGD Lantai I.3 2,5 kg 1 Powder November 2021
4 Laboratorium Lantai I.4 2,5 kg 1 Powder November 2021
5 Radiologi Lantai I.5 2,5 kg 1 Powder November 2021
6 Koridor Pendaftaran Umum Lantai I.6 2,5 kg 1 Powder November 2021
7 Poli Klinik 1 Lantai I.7 2,5 kg 1 Powder November 2021
8 Poli Klinik 2 Lantai I.8 2,5 kg 1 Powder November 2021
9 Farmasi Lantai I.9 2,5 kg 1 Powder November 2021
10 Lobby Utama (1) Lantai I.10 2,5 kg 1 Powder November 2021
11 Lobby Utama (2) Lantai I.11 2,5 kg 1 Powder November 2021
12 Instalasi Gizi Lantai I.12 2,5kg 1 Powder November 2021
13 Cafetaria Lantai I.13 3,5 kg 1 Powder November 2021
14 R. IPSRS Lantai I.14 3 kg 1 CO2 November 2021
15 R. UPS Lantai I.15 2,5 kg 1 Powder November 2021
16 R. Oksigen Lantai I.16 2,5 kg 1 Powder November 2021
17 R. Pompa Lantai I.17 2,5 kg 1 Powder November 2021
18 R. Panel Induk Lantai I.18 2,5 kg 1 Powder November 2021
19 R. Genset Lantai I.19 2,5 kg 1 Powder November 2021
20 R. Trafo Lantai I.20 2,5 kg 1 Powder November 2021
21 TPS LB3 Lantai I.21 2,5 kg 1 Powder November 2021
22 Lobby Lantai 2 Lantai II.22 2,5 kg 1 Powder November 2021
23 HD Lantai 2 Lantai II.23 2,5 kg 1 Powder November 2021
24 R. RO HD Lantai II.24 2,5 kg 1 Powder November 2021
25 Rekam Medis Lantai II.25 2,5 kg 1 Powder November 2021
26 CSSD Lantai II.26 3 kg 1 CO2 November 2021
27 ICU Lantai II.27 2,5 kg 1 Powder November 2021
28 Lobby Lantai 3 Lantai III.28 2,5 kg 1 Powder November 2021
29 Pointsettia Lantai III.29 2,5 kg 1 Powder November 2021
30 Gazania Lantai III.30 2,5 kg 1 Powder November 2021
31 VK Lantai III.31 2,5 kg 1 Powder November 2021
32 Lobby Lantai 5 Lantai V.32 2,5 kg 1 Powder November 2021
33 Sakura Lantai V.33 2,5 kg 1 Powder November 2021
34 Bluebells Lantai V.34 2,5 kg 1 Powder November 2021
35 HD Lantai 5 (1) Lantai V.35 3,5 kg 1 Powder November 2021
36 HD Lantai 5 (2) Lantai V.36 2,5 kg 1 Powder November 2021
37 Lobby Lantai 6 Lantai VI.37 2,5 kg 1 Powder November 2021
38 Tulip Lantai VI.38 2,5 kg 1 Powder November 2021
39 Lavender Lantai VI.39 2,5 kg 1 Powder November 2021
40 Mesin Lift 1 Roof Top 40 2,5 kg 1 Powder November 2021
41 Mesin Lift 2 & 3 Roof Top 41 2,5 kg 1 Powder November 2021
42 Mesin Lift 4 Roof Top 42 2,5 kg 1 Powder November 2021
Pekanbaru, 2021
Diperiksa Oleh, Diketahui Oleh,
Syafrizal Nova Rianty, S. Sos
Karu IPSRS Wadir Umum