A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_URI::$config is deprecated

Filename: core/URI.php

Line Number: 101

Backtrace:

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Router::$uri is deprecated

Filename: core/Router.php

Line Number: 127

Backtrace:

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$benchmark is deprecated

Filename: core/Controller.php

Line Number: 75

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$hooks is deprecated

Filename: core/Controller.php

Line Number: 75

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$config is deprecated

Filename: core/Controller.php

Line Number: 75

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$log is deprecated

Filename: core/Controller.php

Line Number: 75

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$utf8 is deprecated

Filename: core/Controller.php

Line Number: 75

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$uri is deprecated

Filename: core/Controller.php

Line Number: 75

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$exceptions is deprecated

Filename: core/Controller.php

Line Number: 75

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$router is deprecated

Filename: core/Controller.php

Line Number: 75

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$output is deprecated

Filename: core/Controller.php

Line Number: 75

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$security is deprecated

Filename: core/Controller.php

Line Number: 75

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$input is deprecated

Filename: core/Controller.php

Line Number: 75

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$lang is deprecated

Filename: core/Controller.php

Line Number: 75

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$load is deprecated

Filename: core/Controller.php

Line Number: 78

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$db is deprecated

Filename: core/Loader.php

Line Number: 396

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_DB_mysqli_driver::$failover is deprecated

Filename: database/DB_driver.php

Line Number: 371

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$email is deprecated

Filename: core/Loader.php

Line Number: 1283

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Return type of CI_Session_files_driver::open($save_path, $name) should either be compatible with SessionHandlerInterface::open(string $path, string $name): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice

Filename: drivers/Session_files_driver.php

Line Number: 132

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Return type of CI_Session_files_driver::close() should either be compatible with SessionHandlerInterface::close(): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice

Filename: drivers/Session_files_driver.php

Line Number: 292

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Return type of CI_Session_files_driver::read($session_id) should either be compatible with SessionHandlerInterface::read(string $id): string|false, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice

Filename: drivers/Session_files_driver.php

Line Number: 166

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Return type of CI_Session_files_driver::write($session_id, $session_data) should either be compatible with SessionHandlerInterface::write(string $id, string $data): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice

Filename: drivers/Session_files_driver.php

Line Number: 235

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Return type of CI_Session_files_driver::destroy($session_id) should either be compatible with SessionHandlerInterface::destroy(string $id): bool, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice

Filename: drivers/Session_files_driver.php

Line Number: 315

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Return type of CI_Session_files_driver::gc($maxlifetime) should either be compatible with SessionHandlerInterface::gc(int $max_lifetime): int|false, or the #[\ReturnTypeWillChange] attribute should be used to temporarily suppress the notice

Filename: drivers/Session_files_driver.php

Line Number: 356

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$session is deprecated

Filename: core/Loader.php

Line Number: 1283

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$form_validation is deprecated

Filename: core/Loader.php

Line Number: 1283

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$cart is deprecated

Filename: core/Loader.php

Line Number: 1283

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$template is deprecated

Filename: core/Loader.php

Line Number: 1283

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 8
Function: __construct

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property Input::$encryption is deprecated

Filename: core/Loader.php

Line Number: 1283

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 9
Function: library

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$benchmark is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$hooks is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$config is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$log is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$utf8 is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$uri is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$exceptions is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$router is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$output is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$security is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$input is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$lang is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$load is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$db is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$email is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$session is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$form_validation is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$cart is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$template is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

A PHP Error was encountered

Severity: 8192

Message: Creation of dynamic property CI_Loader::$encryption is deprecated

Filename: core/Loader.php

Line Number: 931

Backtrace:

File: /home/u7341632/public_html/lapor/application/controllers/Input.php
Line: 23
Function: view

File: /home/u7341632/public_html/lapor/index.php
Line: 315
Function: require_once

FORMULIR LAPORAN PAPARAN BENDA TAJAM

FORMULIR LAPORAN PAPARAN BENDA TAJAM

DAN SUBSTANSI TUBUH

FORMULIR LAPORAN KECELAKAAN KERJA MEDIS

TERTUSUK BENDA TAJAM INFEKSIUS ATAU

TERPAPAR DARAH ATAU CAIRAN TUBUH LAINNYA


1. Nama Korban :
2. Tanggal Kejadian :
Jam Kejadian :
3. Kategori Pekerjaan Korban :
4. Unit / Lokasi Kecelakaan Korban :
5. Apakah Sumber Paparan / Penderita teridentifikasi ?
Bila sumber paparan/penderita menderita HIV/AIDS
Kadar CD 4 :
Riwayat Pengobatan Penderita



6. Cairan tubuh apakah yang menyebabkan paparan :
Apakah sumber cairan tubuh tersebut tercampur dengan darah :
7. Bagian tubuh pekerja yang terpapar :
8. Apakah darah atau cairan tubuh tersebut :
9. Alat pelindung diri yang digunakan saat terpapar darah atau cairan tubuh : (Bisa pilih lebih dari 1 jawaban)
10. Paparan Tersebut akibat dari :
11. Tipe dan Merek alat medis yang terkait :
12. Berapa lama darah atau cairan tubuh tersebut kontak dengan kulit atau mukosa :
13. Berapa jumlah darah atau cairan tubuh yang kontak dengan kulit atau mukosa :
14. Lokasi luka pada tubuh :
15. Jelaskan keadaan yang menyebabkan terjadinya kecelakaan kerja :

Pelapor :
Tanggal Laporan :
Jam Laporan :
Paraf Pelapor
(Goresan Paraf Dikotak bawah Wajib Mengenai Tanggal Yang berwarna merah)

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Unfortunately, your browser is currently unsupported by our web application. We are sorry for the inconvenience. Please use one of the supported browsers listed below, or fill out a paper Signature release.

Supported browsers:
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