Professional Documents
Culture Documents
ISSUE 1 REV.9
Please complete and return this questionnaire to the address indicated below.
To : SGS Indonesia
Cilandak Commercial Estate #108 C Jl. Raya Cilandak KKO Jakarta 12560
Phone : (62-21) 781 8111
Fax : (62-21) 780 7914
E-mail : karina.primalia@sgs.com
Website : www.sgs.co.id
Please fill in this questionnaire in detail and attach any relevant supporting information describing the Company’s scope of operation, e.g.
Company brochures or publicity material. On receipt of the completed questionnaire, SGS Indonesia will prepare and submit a formal
proposal on assessment cost.
A.GENERAL INFORMATION
1. Company Name : PT VARIA USAHA BAHARI
5. Website : www.silog.co.id
Scope :
2) Please describe the products, processes and /or services, which is intended to include within the scope of registration.
IMPORTANT: The information provided would be used to define your Company’s scope of registration and will appear n the
- Product ………………………………………………………........................................................................
- Process / or Company : Operating Process (Sales of Port Service, Port Pilotage, Cargodoring Operation, Stevedoring
Operation)
Holding (SILOG) : Purchasing, Human Resource Management, Accounting, finance, Legal,
Maintenance
- Service : Port Pilotage Service, Stevedoring Service, & Cargodoring Service
Note : The scope of registration is directed for operation process in the head office, include for branch office
.
PT. SGS INDONESIA Systems & Services Certification Cilandak Commercial Estate # 108C, Jl. Raya Cilandak KKO. Jakarta 12560
Total Employee 28
Employee in Shift 12
Employee non Shift 16
No of Shift -
Shift 1 -
Shift 2 -
Shift 3 -
Skill Empl (Engineer, QA,QC dll) -
Unskill Empl (Cutting, packing dll) -
Total Employee -
Employee in Shift -
Employee non Shift -
No of Shift -
Shift 1 -
Shift 2 -
Shift 3 -
Skill Empl (Engineer, QA,QC dll) -
Unskill Empl (Cutting, packing dll) -
5) Where multiple locations / site will be included into your scope of certification, please indicate total and detail
locations.
If additional sites, please provide details; Products or activities # of staff Documentation at this
site/company name and address. site same as the main
office? .same
system ?
1 Central office : Sales of Port Service, Port 7 Documentation as the
171 A Veteran, Gresik,East Java Pilotage, Cargodoring Operation, main office
Stevedoring, Operation,
Maintenance of Heavy
Equipment & Truck
2 Branch office : Sales of Port Service, Port 21 Documentation as the
171 A Veteran, Gresik,East Java Pilotage, Cargodoring Operation, main office
Stevedoring, Operation,
Maintenance of Heavy
Equipment & Truck
6) Is there any specialist operations or services carried out by a sub contractor / outsource?
Please describe : ……………………………………………………….......................................................................
……………………………………………………….......................................................................................................
7) Is there any consultant use in establishing / implementing / maintaining / evaluating of management system?
Please describe :……………………………………………………….......................................................................
……………………………………………………….........................................................................................................
Emissions to air from combustion of fossil fuels (energy use / vehicle use)
Emissions to air - SOx, NOx, COx from large scale combustion processes
Emissions to air - other emissions for example mercaptans, amines, metals, (including Hg, Cd)
H2S, halogens, Dioxins & furans etc
B. Water Pollution
Discharge of 'domestic' waste water to sewer
C. Waste Management
Handling, storage and off site disposal of non-hazardous waste
Handling storage and off site disposal of hazardous waste (low hazard, low concentration, small
volumes) e.g. waste oil / oil contaminated materials, WEEE, Fluorescent tubes
Packaging waste
Hazardous Wastes - Other chemical wastes such as sulphur & phosphorus compounds , organo-
chlorines, organo-metallics pesticides etc
Waste – asbestos
Waste - radioactive
D. Land Contamination
Soil contamination airsing from minor oil / chemical spillages
Soil erosion
Land contamination
F. Other
Visual impact
Odour
Noise - aircraft