Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Form Checksheet Absensi & Kesehatan Driver
Tensi & Suhu
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Nama Driver :
*
Your answer
Lokasi Area Kerja :
*
Choose
WFO (HO)
WFO (STR 1)
WFO (STR 2)
WFO (KRW Plant #1 & #2)
WFO (KRW Plant #3)
WFO (TIKO)
TRAVELLING OUTSIDE
HOME/LIBUR
Pilih Lokasi Poliklinik :
Choose
HO
STR 1
STR 2
KRW Plant #1 & #2
KRW Plant #3
Masukan Hasil Cek Tensi di Poliklinik :
Contoh : 100/70
Your answer
Masukan Hasil Cek Suhu di Poliklinik :
Contoh : 36,5
Your answer
Masukan Hasil Cek Berat Badan di Poliklinik :
*
Contoh : 80 Kg
Your answer
Masukan Hasil Cek Tinggi Badan di Poliklinik :
*
Contoh : 170 cm
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report