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KTM-F-QMS-15-R3 DEPARTEMEN QSE \ KTD CORRECTIVE ACTION REQUEST TINDAKAN PERBAIKAN DAN PENCEGAHAN Reg. No. 2 A9/SAL-UXIV2012 Date 11-19 Dec 2012 Department / > M&C. Nonconformance ISO 14001 Area Resource OHSAS 18001 (© Conformity Tl Non-Conformity TJ Opportunity for Improvement Detail Of Nonconformance/Rincian Ketidaksesuaian KLAUSUL: The storage extension project was monitored and inspected by the Civil. It was noted that inspection has been performed which include quantity and specification of materials referring to construction drawing. However, the structure of inspection report was not clear, e.g. not dated, not signed off by the inspector and not indicating the actual measurement and just stating OK. The certificate of material as required by the technical requirements of the tender document was not available (e.g. steel rod). Prepared, ‘Acknowledged, fe : (Wariyanto) (Sigit Yulianto) Auditee | Auditor! Inspector Root Cause/Akar Penyebab: Corrective Action Taken To Prevent Recurrence/Tindakan Perbaikan Yang Diambil untuk Menghindari Terjadinya Kasus Yang Sama: Due Date/Tgl Penyelesaian: Comment Re-evaluated, Prepared, Checked, (Wariyanto) (Sek Khongsawat.) (Sigit Yulianto) (Sigit Yulianto) Auditee M&C Manager Auditor/ Inspector Auditor/ Inspector Date: Date: Date: Date:

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