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ANALISIS RISIKO & KEGIATAN PENGENDALIAN
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UNIT ORGANISASI
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BAGIAN/BIDANG/UNIT
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KEGIATAN
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TUJUAN KEGIATAN
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Pernyataan Risiko
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Pemilik Risiko/Penaggungjawab
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Penyebab
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Dampak pada Capaian Tujuan
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Level Risiko
1 Sangat Rendah
2 Rendah
3 Sedang
4 Tinggi
5 Sangat Tinggi
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Pengendalian yang sudah ada
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Efektif/ Kurang Efektif
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Pengendalian yang Harus ada (Mitigai Risiko)
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Anggaran
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Waktu Pelaksanaan
MM
/
DD
/
YYYY
Pemantaun Realisasi Mitigasi
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Keterangan
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