PT.

BINTAN BERSATU APPAREL

INVESTIGATION REPORT

Date of Investigation
Date of Incident
Allegation/Issue
Name/Designation of employee
subject to investigation
Name of complainant
(if appropriate)
Investigator(s)

Background / General Information

Executive Summary

Is this the first case or repeated case?

 PT. BINTAN BERSATU APPAREL

SOP / Policy / Procedures related to this allegation (issue)

Risk / Potential Risk for the Company

Corrective and preventive action plan will be taken

Recommendation for disciplinary action will be taken to the Employee (if any)

Investigator, Employee,