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Page 1: Form SARMUT Kosong.xls

FORM-PK.11000.004/rev 01

SASARAN MUTU

BAGIAN / UNIT : PERIODE :

SASARAN MUTU PIC AKTUAL TARGET Dibuat Oleh Disetujui Oleh

Wakil Manajemen

Relevansi dengan Kebijakan Mutu Batasan/Definisi Operasional

No. Action Plan PICMonitoring (mingguan)

Jan Feb Mar Apr Mei JunKet

1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4

No Sumber / Jenis Data PIC Rekap Hasil Monitoring (Bulanan)

Ket

FTKP No. FTKP No. FTKP No. FTKP No. FTKP No. FTKP No.

Cara Perhitungan / Pengukuran

Bila Sasaran Mutu tidak tercapai saat Monitoring, segera lakukan Analisa dengan menggunakan Form FTKP

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