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    Checklist

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    Yunianto Dwi Nugroho
    The document is a checklist for a pre-employment medical examination of an individual named Robbiyanto who is applying for a position as a carpenter. The checklist details 10 parameters to be examined including physical exams, vision tests, laboratory tests, lipid profiles, and drug screening. The conclusion will determine if the individual is fit, fit with notes, temporarily unfit, or unfit for the position. The examiner will then comment on whether the individual passes to the next stage, is pending more documentation, or is not recommended for the role.

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    Checklist

    Uploaded by

    Yunianto Dwi Nugroho
    7 views1 page
    The document is a checklist for a pre-employment medical examination of an individual named Robbiyanto who is applying for a position as a carpenter. The checklist details 10 parameters to be examined including physical exams, vision tests, laboratory tests, lipid profiles, and drug screening. The conclusion will determine if the individual is fit, fit with notes, temporarily unfit, or unfit for the position. The examiner will then comment on whether the individual passes to the next stage, is pending more documentation, or is not recommended for the role.

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    Medical check up

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    The document is a checklist for a pre-employment medical examination of an individual named Robbiyanto who is applying for a position as a carpenter. The checklist details 10 parameters to be examined including physical exams, vision tests, laboratory tests, lipid profiles, and drug screening. The conclusion will determine if the individual is fit, fit with notes, temporarily unfit, or unfit for the position. The examiner will then comment on whether the individual passes to the next stage, is pending more documentation, or is not recommended for the role.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    7 views1 page

    Checklist

    Uploaded by

    Yunianto Dwi Nugroho
    The document is a checklist for a pre-employment medical examination of an individual named Robbiyanto who is applying for a position as a carpenter. The checklist details 10 parameters to be examined including physical exams, vision tests, laboratory tests, lipid profiles, and drug screening. The conclusion will determine if the individual is fit, fit with notes, temporarily unfit, or unfit for the position. The examiner will then comment on whether the individual passes to the next stage, is pending more documentation, or is not recommended for the role.

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    © All Rights Reserved
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    of 1

    BIB-HSE-PPO-FRM-000-000

    CHECKLIST PEMERIKSAAN MCU

    NAMA : ROBBIYANTO POSISI: CARPENTER PERUSAHAAN : PT. MULTI ARDECON

    NO PARAMETER LINGKUP PARAMETER CHECKLIST

    (1) (2) (3) (4)

    1 PEMERIKSAAN FISIK Berat Badan, Tinggi Badan, Tekanan Darah, Gigi & Mulut, Fisik Lengkap ✓

    2 PEMERIKSAAN MATA Refraksi Visus, Ishihara Test ✓

    3 PEMERIKSAAN LABORATORIUM Darah Rutin, Glukosa, Urid Acid ✓

    4 PROFIL LIPID Total Colesterol, Trigliserida ✓

    5 GINJAL Kreatinin ✓

    6 SEROLOGI HEPATITIS HbsAg ✓

    7 PEMERIKSAAN PENUNJANG THORAX A/P ✓

    8 PEMERIKSAAN PENUNJANG EKG 12 Lead ✓

    9 DRUG SCREENING Metamphetamine & Alkohol ✓

    10 PEMERIKSAAN TAMBAHAN APABILA ADA

    KESIMPULAN HASIL MCU :

    FIT

    FIT WITH NOTE

    TEMPORARY UNFIT

    UNFIT

    BERKAS BELUM LENGKAP

    ADA PARAMETER YG BELUM DI PERIKSA

    KOMENTAR TERKAIT MCU :

    KARYAWAN INI LULUS KE TAHAP SELANJUTNYA

    PENDING UNTUK MENUNGGU BERKAS

    TIDAK DI REKOMENDASIKAN

    VERIFIKATOR MCU PT, PPA VALIDATOR MCU PT,BIB

    Muhammad Dliyaul Haq Dokter PT, PPA NAMA HSE PT, BIB

    11/08/2023 SIGN

    √ Apabila DI Lakukan Pemeriksaan & X Apabila TIDAK di lakukan pemeriksaan

    Aug2018OH-YTO Page 1 of 1

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