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Instrumen Self Assessment Resiko COVID-19
Demi kesehatan dan keselamatan bersama di tempat kerja, Anda harus JUJUR dalam menjawab pertanyaan di bawah ini.
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Nama
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Nomor Daftar Hadir (NDH)
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contoh: 01, 04, 25, 40, dsb.
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NIK (No. KTP)
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Your answer
NIP
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Satuan Kerja / Bagian / Divisi
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Tanggal mengisi form
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