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PEMERINTAH KABUPATEN LAMONGAN
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RUMAH SAKIT UMUM DAERAH KARANGKEMBANG
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Jl. Raya - Jombang Km. 2 Babat, Lamongan, Jawa Timur 62271
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Telepon (0322) 4651378, Faksimile (0322) 4651378,Pos-el rsudkarangkembang@gmail.com
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Laman : www.lamongankab.go.id
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FORMAT AUDIT KEPATUHAN CUCI TANGAN
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Ruang : IKK
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Periode :
Januari 2026
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NoTanggalNama PetugasRuangan5 Momen Cuci Tangan6 Langkah Cuci TanganWaktuNumDenum%
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12345123456Handrub (20 -30 detik)Handwash (40-60 detik)
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11/1/2026Agus Wirahman IKK11100%
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2Sugito IKK11100%
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3SuwignyoIKK11100%
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402/01/2026Agus Wirahman IKK11100%
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5Sugito IKK11100%
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6SuwignyoIKK11100%
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03/01/2026
Agus Wirahman IKK11100%
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8Sugito IKK11100%
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9SuwignyoIKK11100%
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04/01/2026
Agus Wirahman IKK11100%
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11Sugito IKK11100%
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12SuwignyoIKK11100%
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1305/01/2026Agus Wirahman IKK11100%
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14Sugito IKK11100%
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15SuwignyoIKK11100%
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1606/01/2026Agus Wirahman IKK11100%
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17Sugito IKK11100%
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18SuwignyoIKK11100%
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1907/01/2026Agus Wirahman IKK11100%
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20Sugito IKK11100%
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21SuwignyoIKK11100%
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2208/01/2026Agus Wirahman IKK11100%
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23Sugito IKK11100%
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24SuwignyoIKK11100%
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2509/01/2026Agus Wirahman IKK11100%
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26Sugito IKK11100%
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27SuwignyoIKK11100%
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2810/01/2026Agus Wirahman IKK11100%
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29Sugito IKK11100%
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30SuwignyoIKK11100%
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3111/01/2026Agus Wirahman IKK11100%
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32Sugito IKK11100%
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33SuwignyoIKK11100%
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3412/01/2026Agus Wirahman IKK11100%
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35Sugito IKK11100%
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36SuwignyoIKK11100%
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3713/01/2026Agus Wirahman IKK11100%
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38Sugito IKK11100%
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39SuwignyoIKK11100%
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4014/01/2026Agus Wirahman IKK11100%
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41Sugito IKK11100%
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42SuwignyoIKK11100%
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4315/01/2026Agus Wirahman IKK11100%
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44Sugito IKK11100%
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45SuwignyoIKK11100%
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4616/01/2026Agus Wirahman IKK11100%
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47Sugito IKK11100%
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48SuwignyoIKK11100%
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4917/01/2026Agus Wirahman IKK11100%
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50Sugito IKK11100%
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51SuwignyoIKK11100%
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5218/01/2026Agus Wirahman IKK11100%
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53Sugito IKK11100%
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54SuwignyoIKK11100%
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5519/01/2026Agus Wirahman IKK11100%
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56Sugito IKK11100%
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57SuwignyoIKK11100%
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5820/01/2026Agus Wirahman IKK11100%
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59Sugito IKK11100%
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60SuwignyoIKK11100%
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6121/01/2026Agus Wirahman IKK11100%
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62Sugito IKK11100%
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63SuwignyoIKK11100%
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6422/01/2026Agus Wirahman IKK11100%
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65Sugito IKK11100%
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66SuwignyoIKK11100%
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6723/01/2026Agus Wirahman IKK11100%
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68Sugito IKK11100%
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69SuwignyoIKK11100%
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7024/01/2026Agus Wirahman IKK11100%
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71Sugito IKK11100%
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72SuwignyoIKK11100%
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7331/01/2026Agus Wirahman IKK11100%
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74Sugito IKK11100%
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75SuwignyoIKK11100%
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JUMLAH7575100%
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Keterangan :
Auditor
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Jika dilaksanakan beri tanda (√)
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Jika tidak dilaksanakan beri tanda (-)
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Jika tidak ada pelunag beri tanda (x)
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Patuh = 1
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Tidak Patuh = 0
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Kepatuhan Cuci tangan =
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Numerator (Jumlah kepatuhan cuci tangan yang dilaksanakan)X 100%
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Denumerator( Jumlah peluang kegiatan cuci tangan yang diobservasi)
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Target >85%
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perhari 3 orang