GF035

Audit Plan
Revision 8 (April 2020)

Audit Plan Type: Surveillance Audit 1(ISO45001:2018) , Surveillance 2 (ISO9001:2015, ISO14001:2015) Report (SMO) Number & plan Rev No : TBD

Client PT ANUGERAH PERKASA KONSTRUKSI PLUS

Address and locations Jl. Lingkar Timur, RT.014 RW.004, Pergudangan Platinum Blok C No. 9, RT.014 RW.004, Siwalan Panji, Buduran
Sidoarjo 61252, Jawa Timur, Indonesia
Audit Criteria (policies, ISO 14001:2015, ISO 9001:2015, ISO 45001:2018
procedures or requirements including
applicable certification standards and
regulatory requirements

Audit Scope The provision of engineering and project management for civil, steel structure (fabrication), mechanical and electrical works
The objective of the assessment is to conduct a surveillance assessment and look for positive evidence to ensure the elements of the scope of
Audit Objective
certification and the requirements of the management standard are effectively addressed by the organisation's management system and that
the system is demonstrating the ability to support the achievement of statutory, regulatory and contractual requirements and the organisations
specified objectives, as applicable with regard to the scope of the management standard, and to confirm the on-going achievement and
applicability of the forward strategic plan.

Opening Meeting Date / 25 Nov.2021 / 08.30 BSI Team and accompanying personnel:
Time
Closing Meeting Date / 26 Nov. 2021 / 16.00 Leader Sulaksono Sutrisno (A)
Time
Company Representative Mr. Hardi Member(s) Satriyo Budiawan (B)
Date Plan submitted to 18/11/2021 Others 3 md ; Client T-Code : T04
Client
Audit Language Bahasa Translation Arrangements: N/A

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 GF035
Audit Plan
Revision 8 (April 2020)

Remote auditing techniques used (e.g. email, phone,

web-call, screen share, client system, client video,
smart glasses)
(add/delete as appropriate). Areas covered by
remote auditing:
- Audit preparation re: personnel and
documentation required according to audit plan
i.e. All relevant and needed documentation will
be informed to PIC for availability
ICT used, including client IT
- Submission of information / documentation in
Remote Audit ☐ Full ☐ Partial (Specify in plan) security / confidentiality
advance via agreed transfer mechanism (e-
measures
mail, FTP, encryption) in accordance with the
agreed information security arrangement
i.e All relevant documents will be transferred
using Email
- Access to client management system,
documented information and records using
client defined access control in accordance with
client information security policy
i.e : using Zoom, Ms Teams; for virtual Site tour
using CCTV and Video Call by Zoom / Ms Teams

Date Time Auditor/ Process (include if ICT used) Clause

Auditee
25/11/2021 08.30 All Opening meeting
09.00 A Top Management & HSE 4, 5, 6, 7, 8, 9, 10

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 GF035
Audit Plan
Revision 8 (April 2020)

Date Time Auditor/ Process (include if ICT used) Clause

Auditee
Issue Internal & Issue External, Policy, Risk & Opportunity (Quality, Environmental, Occupational
Health and Safety), Evaluation Compliance, Sasaran QHSE & Monitoring, Documented
Information (Pengendalian Dokumen dan Arsip), Emergency Respond/Tanggap Darurat,
Pemantauan & Pengukuran (HSE), Neraca Limbah B3, Manifest Limbah B3, Pelaporan UKL UPL
(atau sejenis), Rapat P2K3, Ijin Kerja Aman, Internal Audit, Tinjauan Manajemen, Corrective
Action & Incident Investigation
12.00 A Break & Lunch
13.00 A HSE – Continue & Site tour /field observation
17.00 All End 1st day audit
26/11/2021 09.00 A Logistic (include expedition) 4, 6, 7, 8.1.1-8.1.1.2, 9.1.1,
- Risk & Opportunity, Laporan Penerimaan Barang, Surat Jalan, Kartu Stock. 10
- Pengiriman Produk Jadi : Purchase Order, Surat Jalan, Pemeriksaan Truck, Stock
Opname
09.00 B Purchasing (include Finance & Accounting) 6, 7, 8.1.1-8.1.1.2, 8.1.1.4,
-Risk & Opportunity, Seleksi Evaluasi Supplier, Purchase Order, Surat Jalan. 9.1.1, 10
-AR/Account Receive able & Account Payable
10.30 A Maintenance (include calibration) 6, 7, 8.1.1-8.1.1.2, 9.1.1, 10
-Risk & Opportunity, Maintence Schedule, Checklist Pemeliharaan dan infrastruktur, Daftar Alat
Ukur , Kalibrasi & sertifikat
10.30 B QC 6, 7, 8.1.1-8.1.1.2, 9.1.1, 10
-Risk & Opportunity, Inspeksi Bahan Baku, Inspeksi In-Proses Produksi, Inspeksi Produk Jadi
12.00 All Break & Lunch
13.00 A Maintenance (include calibration) - Continue 6, 7, 8.1.1-8.1.1.2, 9.1.1, 10
13.00 B QC - Continue 6, 7, 8.1.1-8.1.1.2, 9.1.1, 10
16.00 All Report preparation
16.30 All Closing meeting
17.00 All End of audit

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 GF035
Audit Plan
Revision 8 (April 2020)

Remote auditing, translation and multiple auditor streams: Client confirmation that the above multiple auditor streams and/or audit language / translation
arrangements and/or remote auditing arrangements are accepted and can be supported with client resources/IT infrastructure:
Information security measures agreed with client:

Client Representative Name: Mr Hardi Client signature/email: hardi.joewono@apkplus.co.id Date : TBA

This audit may be conducted in English/Local language but would be reported in English unless otherwise stated. BSI maintains strict confidentiality concerning all information gained from undertaking its business (A copy of the auditors
confidentiality statement is available upon request).

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