AUDIT DOCUMENT CHECKLIST REVIEW
‐‐ Sample ‐‐
No# Document Review Yes No No# Document Review Yes No
1 Employee time record, hanya utk karyawan dipilih periode ... 40 Steam boiler certificate
2 Payroll record and/or pays stub, hanya utk karyawan dipilih periode … 41 Steam boiler operator certificate
3 Employee personnel record, hanya utk karyawan dipilih 42 Ijin forklift
4 Payslip (slip gaji) 43 Forklift operator certificate
5 Bank transfer for wages 44 Ijin lift
6 Company business license, ijin usaha industri 45 List operator certificate
7 Social insurance (BPJS TK) and payment slip 46 Ijin listrik
8 Health care security (BPJS Kesehatan) and payment slip 47 Ijin petir
9 Healt & Safety training record (evacuation, fire drill, firstaid, etc) 48 Ijin diesel
10 Chemical, waste handling training (if needed) 49 Ijin kompresor
11 PPE (Personal Protective Equipment) training 50 Safety committee (P2K3) + laporan safety committee
12 Factory layout (denah pabrik) 51 Flow of production process
13 Needle control record (catatan jarum patah) 52 Annual medical check
14 Employee handbook (KKB atau Peraturan Perusahaan) 53 UKL/UPL document or SPPLH (non UKLUPL), laporan per 6 bulan
15 Company profiles 54 Onsite clinic, hyperkes certificate
16 Production capacity, total production lines 55 Chemical list
17 SK UMK previous year & current 56 Total fire extinguishers, firstaid box, fire alarm, hydrant, fire exit door,
emergency light, splinker and installation permit, smoke detector
18 Export approval (ijin export), (MoU for export) or Bonded zone permit 57 Canteen facility (total, staff, recommendation layak hygiene, medical
examination canteen staff)
19 Jumlah karyawan per bulan, latest 3 months 58 Written records of inspection fire alarm, emergency lights, fire
extinguishers, machinery
20 Produksi 59 Written emergency response plan, if needed
21 Non produksi 60 Labour union (name, meeting, registration)
22 TK Asing 61 Ijin pembuangan limbah cair
23 Hinder Ordonantie Permit (HO / Ijin gangguan) or if no PDKB 62 Ijin penyimpanan sementara limbah B3
24 Domicilie letter (ijin domisili) 63 Manivest pembuangan limbah B3 terakhir
25 Tax payer number (NPWP) 64 Testing limbah cair
26 Company registration number (Tanda Daftar Perusahaan /TDP) 65 Luas Dormitory
27 Drinking water test (report analisis air minum) 66 Suggestion box
28 Daftar mesin 67 Hiring procedure
29 Daftar kecelakaan kerja 68 Meal & transportation especially for night shift (if any)
AUDIT DOCUMENT CHECKLIST REVIEW
‐‐ Sample ‐‐
No# Document Review Yes No No# Document Review Yes No
30 Jumlah toilet 69 Outsourcing (company business license, registration, report)
31 Contoh product (client) 70 Wajib lapor document (if any)
32 Struktur organisasi Bipartit, & laporan per 6 bulan Bipartit 71 GHG and carbon emission reduction
33 Pembayaran THR 72 Energy consumption monitoring
34 List karyawan cuti melahirkan & pembayaran cuti melahirkan 73 Drainage layout
35 Legal leave record and payment 74 Building inspection
36 Early leave record (if any) 75 Ijin mendirikan bangunan (IMB)
37 Termination process (severance payment sample) 76 SIPA (ijin Pemanfaatan air tanah)
38 Surat perintah lembur (SPL) 77 Policy and Procedure
39 Meal for OT up to 3 months 78 etc
