1. DAFTAR ISI
COVER
DAFTAR ISI
PENETAPAN
BAB I PENDAHULUAN ............................................................................................... 1
A. Latar Belakang ........................................................................................................ 1
B. Maksud & Tujuan...................................................................................................... 1
C. Sasaran .................................................................................................................... 1
D. Azas ......................................................................................................................... 2
E. Ruang Lingkup ........................................................................................................ 2
F. Pengertian Umum .................................................................................................... 2
BAB II JENIS DAN FORMAT TATA NASKAH REGULASI .................................... 4
A. Jenis Naskah ............................................................................................................ 4
B. Tata Naskah yang bersifat arahan ............................................................................ 6
1. Tata Naskah Pengaturan .................................................................................... 6
Format Naskah Peraturan Direktur ............................................................... 6
Format Naskah Pedoman .............................................................................. 12
Format Naskah Panduan ............................................................................... 13
Format Naskah Standar Prosedur Operasional ............................................. 19
Format Surat Edaran ..................................................................................... 21
2. Tata Naskah Penetapan (Keputusan) ................................................................. 22
Format Naskah Surat Keputusan Direktur .................................................... 24
3. Tata Naskah Penugasan (surat perintah/surat tugas) ......................................... 25
Format Naskah Surat Tugas dari Sekretariat/Direktur .................................. 26
Format Naskah Surat Tugas dari untuk Pendidikan dan Pelatihan yang
dilengkapi dengan Surat Perintah Perjalanan Dinas (SPPD) ............................ 27
Surat perintah perjalanan Dinas (SPPD) ....................................................... 28
C. Tata Naskah Korespondensi Internal ....................................................................... 29
1. Surat Disposisi ................................................................................................... 29
Lembar Disposisi terdiri atas ........................................................................ 30
2. Surat Undangan Intern ....................................................................................... 30
D. Tata Naskah Khusus ................................................................................................ 33
1. Perjanjian Kerjasama ......................................................................................... 33
Format Naskah Perjanjian ............................................................................. 34
2. Surat Kuasa ........................................................................................................ 35
Format Naskah Surat Kuasa .......................................................................... 36
3. Berita Acara ....................................................................................................... 37
Format Berita Acara ...................................................................................... 38
4. Surat Keterangan ............................................................................................... 39
Format Surat Keterangan .............................................................................. 40
2. 5. Surat Pengantar .................................................................................................. 41
Format Surat Pengantar ................................................................................. 42
E. Tata Naskah yang dirumuskan dalam Bentuk Surat ................................................ 43
1. Surat Biasa ......................................................................................................... 43
Format Naskah Surat Biasa ........................................................................... 44
2. Surat Cuti ........................................................................................................... 44
Format Naskah Surat Cuti ............................................................................. 46
3. Notulen .............................................................................................................. 47
Format Notulen ............................................................................................. 47
4. Cover ................................................................................................................. 48
Format Cover ................................................................................................ 49
5. Surat Rekomendasi ............................................................................................ 50
Format Surat Rekomendasi ........................................................................... 51
6. Surat Pernyataan ................................................................................................ 52
Format Surat Pernyataan ............................................................................... 53
7. Surat Terima Alih Tugas dan Tanggung Jawab ................................................ 54
Format Surat Pelimpahan Tugas ................................................................... 55
8. Memo Direktur .................................................................................................. 56
Format Memo Direktur ................................................................................. 57
9. Sertifikat Pelatihan ............................................................................................ 58
Format Sertifikat yang dikeluarkan oleh kepanitiaan ................................... 59
Format Sertifikat Kompetensi ....................................................................... 60
Format Sertifikat Pendidikan dan Pelatihan ................................................. 62
Format tanda tamat Pendidikan dan Pelatihan (STTPL) .............................. 64
10. Piagam Penghargaan ......................................................................................... 66
Format Piagam Penghargaan ........................................................................ 67
11. Daftar Hadir ....................................................................................................... 68
Format Daftar Hadir Sosialisasi .................................................................... 69
Absensi Rapat Rumah Sakit Dirgahayu Samarinda ...................................... 70
Absensi Pendidikan & Pelatihan Rumah Sakit Dirgahayu Samarinda ......... 71
12. Tanda Terima ..................................................................................................... 71
Format Tanda Terima .................................................................................... 72
F. Laporan Kerja .......................................................................................................... 72
G. Telaah Staf ............................................................................................................... 73
Format Telaah Staf ........................................................................................ 75
BAB III PEMBUATAN NASKAH REGULASI ........................................................... 76
A. Persyaratan Naskah Regulasi .................................................................................. 76
B. Penomoran Naskah .................................................................................................. 76
C. Penggunaan Kertas, Amplop, dan Tinta Penyusunan Naskah ................................ 78
D. Ketentuan Jarak Spasi, Jenis dan Ukuran Huruf, serta kata penyambung .............. 80
3. E. Penentuan Batas/Ruang Tepi .................................................................................. 80
F. Nomor Halaman ...................................................................................................... 81
G. Tembusan ................................................................................................................ 81
H. Lampiran ................................................................................................................. 81
I. Penggunaan Logo dan Kop Surat Rumah Sakit Dirgahayu Samarinda .................. 81
J. Pengaturan Paraf Naskah dan Penggunaan Cap ...................................................... 82
K. Penggunaan Stempel atau Cap Rumah Sakit Dirgahayu Samarinda ...................... 82
L. Perubahan, Pencabutan, Pembatalan, dan Ralat Naskah ......................................... 83
BAB IV PENGAMANAN NASKAH ........................................................................... 85
A. Penentuan Kategori Klasifikasi Keamanan ............................................................. 85
B. Perlakuan Terhadap Naskah Dinas Berdasarkan Klasifikasi Keamanan Akses ..... 85
BAB V KEWENANGAN PENANDATANGANAN.................................................... 86
A. Penggunaan Garis Kewenangan .............................................................................. 86
B. Tanggung Jawab ...................................................................................................... 86
C. Penandatanganan ..................................................................................................... 86
D. Kewenangan Penandatanganan/Pengesahan Naskah .............................................. 87
BAB VI PENGENDALIAN NASKAH DINAS............................................................ 89
A. Naskah Masuk ......................................................................................................... 89
B. Naskah Keluar ......................................................................................................... 90
C. Pemeliharaan Dokumen ........................................................................................... 91
D. Identifikasi Naskah Rumah Sakit ............................................................................ 91
E. Penggandaan Dan Pendistribusian .......................................................................... 92
F. Perubahan Dokumen ............................................................................................... 93
G. Pemusnahan Dokumen ............................................................................................ 92
H. Monitoring Dan Evaluasi Dokumen Perjanjian ...................................................... 93
I. Formulir Yang Digunakan ....................................................................................... 94
