INTERNATIONAL QUALITY CERTIFICATION

AUDIT REPORT NO. AR-EMS-190188

Table of Contents

1. GENERAL AUDIT REPORT ................................................................................................................... 4

2. AUDIT CRITERIA AND AUDIT OBJECTIVES ........................................................................................ 4

3. ORGANIZATIONS CONTEXT ................................................................................................................ 4

4. AUDIT PERFORMANCE ........................................................................................................................ 4

5. PREVIOUS AUDIT RESULT .................................................................................................................. 4

6. CHANGE OF THE MANAGEMENT SYSTEM SINCE LAST AUDIT ..................................................... 5

7. SUMMARY AND FORMAL REVIEW ONSITE THE ORGANIZATION MANAGEMENT SYSTEM ...... 5

8. AUDITOR NOTES: significant audit trails .............................................................................................. 7

9. AUDIT OUTCOME ............................................................................................................................... 12

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Company Information
Company Name PT. GARIAND NIAGATAMA
Address Gedung Graha Anugrah Lantai 2.04.Jl. Raya Pasar Minggu No. 17A Rt.007
Rw.002. Kel. Pancoran
Other Sites As above
Phone 021-7944348 Fax No 021-
Website

Contact & Audit Information

Contact Person 0217944348 Phone No -
Email Address -
Audit Standard(s) ISO 14001 :2015
EA Code EA 28
No of Employee 10 No of Shifts 1
Initial Audit Recertification audit Etc
Type of Audit
Surveillance audit Special audit
Date of Audit Start 11/03/2019 Date of Audit End 11/03/2019
Date of Next Audit 11/03/2020 Duration of Audit 1.0 Man/Days

Auditor Information
Lead Auditor Hera Limaya
Auditor(s) - Expert -

Summary of Audit
Number of Non
0 Major 0 Minor 0
Conformities
Is a Follow up Audit Date of Follow
Yes No -
Required ? up Audit
Actual Follow up Date -

Follow-up audit
-
remarks:

Scope of Certification

Provision of General Contractor for Civil, Mechanical and Electrical Services

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Recomendation of the Audit Team

Accreditation Status Accreditation Non Accreditation

Standard ISO 14001:2015

Certificate Issued Suspend Certificate

Recommendation Not Recommended Withdrawn Certificate

Off-site Review and NC Closed by Action Plan Review

11/03/2019 Hera Limaya

Date Lead Auditor, Auditor(s) (Names, Signatures)

Signatures in wet or electronic signature format

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 INTERNATIONAL QUALITY CERTIFICATION
AUDIT REPORT NO. AR-EMS-190188

1. GENERAL AUDIT REPORT

The findings in this report represent only a sample of the actual management system
in place at the company and do not exclude any further deviations that may still be present.
The audit does not absolve the company from continuing the internal audit regime,
maintaining the system and further looking for continuous improvement opportunities.
The management has been informed of the decision of the audit team during the closing
meeting.

2. AUDIT CRITERIA AND AUDIT OBJECTIVES

- Related Auditing Standard and Customer Management system documentation created by
and defined processes;
- Reviewing the appropriateness of the standard requirements and deficiencies,
reporting on opportunities for improvement;
- To ensure that the organisation has effectively implemented its planned arrangements;
- To ensure that the management system is capable of achieving the organisation’s
policies objectives.

3. LIST of ENVIRONMENTAL ISSUES, ENVIRONMENTAL PERMITS AND

COMPLIANCES
COMPL
ENVIRONMENTAL ISSUES ENVIRONMENTAL PERMITS
(Y/N)
Indonesian Government Regulation Number 41
Emissions to air Of 1999 Air Pollution Control of The President Of Y
The Republic of Indonesia
Indonesian Government Regulation No. 42 of
Emissions to water 2008. On Water Resources Management Y
Government Regulation No. 150 of 2000 on Land
Soil / land contamination Degradation Control For Biomass Production. Y
Minister of Trade Regulation No. 02 of 2007 on
Solid & Other Waste the Prohibition of Export of sand, soil, and top soil Y
(including land shoots or humus)
Indonesian Government Regulation No. 101 2014
Hazardous material use / waste Waste Management Of Hazardous And Toxic Y
Indonesian Government Regulation No 68 1998
Habitat / natural environment On Asylum Natural Area and Conservation Areas Y
The President Of The Republic Of Indonesia,

Resource use (e.g. water, energy or raw material) Y

Facility location (remote / near population /
environmentally sensitive area)
Y

Special impacts, determined on case-by- case basis. Government Regulation No.11 of 1973
Examples: radiation, land use, noise, odor, littering, Concerning the Regulation and Supervision of Y
vibration on a large scale or in sensitive environment Work in the Field of Mining.

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4. AUDIT PERFORMANCE
The practical implementation of the standard(s) was evaluated and compared with the
management system manual and supporting documents. The audit was conducted
through discussions and interviews with personnel at various locations and functions
throughout the facility.

The audit covered relevant processes, areas of the organisation in order to obtain an overall
picture of the degree of management system implementation. Although performed to
reasonable depth, not every detail of the complete management system could be checked.

The processes and their associated areas of the organisation were checked in
accordance with the attached pre-agreed schedule.

5. PREVIOUS AUDIT RESULT

The results of the last audit of this system have been reviewed, in particular to
assure appropriate correction and corrective action has been implemented to address any
nonconformity identified.

Number of Non Conformities from Previous Audit Major Nil Minor Nil

Number of Non Conformities Closed Major Nil Minor Nil

Number of Non Conformities Re-raised Major Nil Minor Nil

This review has concluded that:

Any nonconformity identified during previous audits has been corrected and the
corrective action continues to be effective.
The management system has not adequately addressed nonconformity identified
during previous audit activities and the specific issue has been re-defined in the
nonconformity section of this report.

6. CHANGE OF THE MANAGEMENT SYSTEM SINCE LAST AUDIT

Description of
N/A
Changes :

Note:
Changes which have influence on the validity of certification must be verified during the audit or, if necessary, in an additional extension
/ verification audit. Examples of such changes have been explained in the closing meeting and the certification contract

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7. SUMMARY AND FORMAL REVIEW ONSITE THE ORGANIZATION

MANAGEMENT SYSTEM
Result of Verification
Requirement
Yes No N/A
Corrective action on previous action was reviewed. Measures taken by the company were found to
be implemented and effective. X
Use of the accreditation and certification marks and the certification by the organisation was
reviewed. Reference to certification is made without inference that it applies to products. X
Changes to the management system that could affect conformity were evaluated during the
audit.There were no apparent adverse effects to the management system. X
Complaints against the management system (e.g. customer complaints) and their handling
were reviewed. The complaint handling is effectively implemented. X
The manual and documented procedures were evaluated prior to the on-site audit, and a
report of this review was established and submitted to the client. X
The management system documentation contains a policy statement, measurable objectives
anddocumented methods for their achievement. X
The reliability of the system’s management processes and their ability to achieve the Policy and
objectives (adequacy and effectiveness of the management system) is satisfactory. X
Performance monitoring, measuring, reporting and reviewing against the objectives and
targets is done on a regular basis and satisfactory. X
A (central) management review is performed at least every 12 months. X
An internal audit is conducted at least every 12 months. X
Internal audit results are followed-up and corrective action is properly; implemented by the
organisation and reported in management review. X
The system’s effectiveness in notifying management of breaches of the system is
satisfactory. The degree of implementation and performance is reviewed regularly. X
Upper management determines customer requirements with the aim of increasing customer
satisfaction (customer orientation) [QMS only]. X
The organisation has a method to collect (customer) feedback, including complaints.Data is
evaluated and corrective or preventive action is taken. X

Continual system improvement activities progress and customer satisfaction are ensured by
measurement, analysis and action. X

Authorities, responsibilities and position of the employee’s encountered were defined and
identifiable. X

The auditors are convinced of the competence of the staff encountered and those whose
records were reviewed during this audit. X

The audited management system is capable of systematically meeting agreed requirements

of the MS standard and customers [of its products/services]. X

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8. AUDITOR NOTES: significant audit trails

DATE NAME OF AUDITOR DEPARTMENT
11/03/2019 Hera Limaya Top Management
CLAUSES 4.1, 4.2, 4.3, 4.4, 5.1, 5.2, 5.3, 6.1, 6.2,
AUDITEE President Director, QMR
ISO-14001 7.1, 9.3, 10.2, 10.3
PROCESS / Organization Context, Leadership, Environmental Policy, Risk and opportunities, Environmental Aspect,
ACTIVITY Resources, Management Review and Improvement

INPUTS OUTPUTS
Company business plan; Vision, Mission and Policy of The effectiveness of management system implementation and the
organization; Review inputs, Company environmental objectives benefit, and profit, review output, Company environmental
and targets. objectives and targets.

Procedures/Work Instruction/Records Checked:

- Procedure of Management Review : PM-06 - Minutes of Meeting (FM-06-03)
- Invitation Letter (FM-06-01) - Distribution of Minutes Meeting (FM-06-04)
- Attendance List (FM-06-02)

Risks and opportunities of process:

Risks : Environmental Policy shoud be established carefully so that can covered all currenty environment issues.
Opportunities : Management Review have a chance to overlooks, updated and improve all environmental issues.

Result :
The Company has established an Environmental Policy in Manual and has been disseminated to all employees. Last Management review
was conducted. Attendance list and minutes of meeting had been recorded.

DATE NAME OF AUDITOR DEPARTMENT

11/03/2019 Hera Limaya MR, Internal Audit Doc.Controller
CLAUSES
AUDITEE MR, Internal Audit Doc.Controller 4.4, 7.3, 7.4, 7.5, 9.2, 9.3, 10.2, 10.3
ISO-14001
PROCESS / EMS Management System, Awareness, Communication, documentation and Implementation; Internal
ACTIVITY Audit, Nonconformity and corrective action, Improvement

INPUTS
Company business plan; Vision, Mission and Policy of
organization; Review inputs Company quality objectives and
targets, Internal audit schedule, audit program, audit checklists,
qualified internal auditor
OUTPUTS
The effectiveness of management system implementation and the
benefit and profit, Review outputs (ISO 14001 clause 5.6.3);
Company Environment objectives and targets, Internal audit
schedule, audit program, audit, qualified internal auditor.

Procedures/Work Instruction/Records Checked:

- Procedure of Internal Audit (PM-02) - Request for Corrective and Preventive Action (FM-02-04)
- Annual Internal Audit Schedule (FM-02-01) - Observation of Internal Audit (FM-02-05)
- Notice of Internal Audit (FM-02-02) - Summary of Internal Audit (FM-02-06)
- Internal Audit Checklist (FM-02-03)

Risks and opportunities of process:

Risk : Distribution of important document may not submitted to relevant department ; Internal auditor may not have enough competency to
do the internal audit.
Opportunities : Management Review have a chance to make sure the updated information and document relevan to environmental issues ;
Internal auditor can upgrade their skill trough internal training.

Result :
The basis of this audit was the Environment Manual and procedures. Internal auditor had been trained and have certificate.

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DATE NAME OF AUDITOR DEPARTMENT

11/03/2019 Hera Limaya Project / Production

Project / Production
CLAUSES 6.1, 6.2, 6.3, 7.1, 7.2, 7.3, 7.4, 7.5, 8.1,
AUDITEE 8.2, 8.3, 8.4, 8.5, 9.1, 10.2, 10.3.
ISO-14001
PROCESS / Production of Product – Project Realization
ACTIVITY
INPUTS OUTPUTS
Project schedule, Quality Objectives for Project Department, Material Control, Project Recapitulation by Yearly Plan, Weekly /
Monitoring of Achievement of Quality Objective for Project Monthly Project Plan, Control Realization of Project and Work in
department, Job Description for department of project Quality process and Documentation and Delivery Control realization, Project
objective, Customer Order, Bill of Material Drawing. Planning received refer to Forecast and Capacity Project rate,
Quality Control incoming, Project Monitoring & Inspection, Project
Result reporting by daily, weekly and monthly, Rework project and
Repairing report and Monitoring of Quality Objective Target
including analysis of Root Cause and action Plan for
Improvement, Project planning schedule, Quotation, Purchase Order.

Procedures/Work Instruction/Records Checked:

- Procedure of Planning of Project (PM-03) - Form Tag Finished Project Progress (FM-03-04)
- Procedure of Warehouse (PM-01) - Form Check Sheet Insp. Project Progress
- Procedure of Sub Contract (PM-04) - Form Daily Report Project (FM-03-01)

Risks and opportunities of process:

Risk : The project is not completed on schedule Opportunities: all requirement must be prepared before the project begins and plan extra a
manpower.

Result :
Project was proceed based on project quality plans and found effective. For changing of project quality plans should be confirmed first to
project manager

DATE NAME OF AUDITOR DEPARTMENT

11/03/2019 Hera Limaya HRD & GA
CLAUSES
AUDITEE Manager HRD 5.3, 7.1, 7.2, 7.3, 7.4, 7.5. 9.1.
ISO-14001
PROCESS / Job-Des Employee, Training Plan & GASVD & Personal Competency, Communication, Ducumented
ACTIVITY Informations, Performance Evaluation, Improvements.

INPUTS OUTPUTS
The need of training submitted by user, Training program, Training conducted and certificated acquired, Report of training
Competency. Periodic maintenance schedule and demand conducted, Evaluation of Training Results.
improvements through reports of damage.

Procedures/Work Instruction/Records Checked:

Procedure of Training: PM-09

Risks and opportunities of process:

Risk : The possibility of employees recruitment, selection the outsources company, training result not in accordance with company needs.
Opportunities: competencies/skill of employee can be added with the experts. Many workers around the corporate environment, so there is
no difficulty in recruiting a new employee.

Result :
Company defined job spec for Human Resources and it applies since reqruitment. On the Job training, job description and service level
agreement defined to make sure all job position work in the best performance. Core business process was define in Standard Operating
Procedures. All of staff have a job specification and related competencies. And also job description has been established for each
department.Training schedulle has been defined. Training activity is done effectively.

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DATE NAME OF AUDITOR DEPARTMENT

11/03/2019 Hera Limaya Logistic & Warehouse

Project manager & Maintenance

CLAUSES 5.2, 6.1.2, 6.1.3, 6.1.4, 6.2, 6.2.1, 6.2.2,
AUDITEE 8.0, 8.1, 8.2.,9.0, 9.1,10, 10.2, 10.3
ISO-14001
PROCESS / EMS Operation and Implementation in Maintenance
ACTIVITY
Procedures/Work Instruction/Records Checked:
- Procedure of Nonconforming Product (PM-EMS-04)

Risks and opportunities of process:

Risks : During their activity Eng and Mtc dept may doing something that against the Environmental aspect.
Opportunities : Engineering and Maintenance staff may improve and updated their knowledge in environment aspect in such a way that they
will ensure that during doing their activity no environment aspect willl be violanced.

Result :
All of the nonconformity to the environment, has been controlled and ensured in control processes accordance with the procedures of
Environment.

DATE NAME OF AUDITOR DEPARTMENT

11/03/2019 Hera Limaya Environmental Team

CLAUSES 6.1, 6.2, 8.0,9.0, 9.1, 9.1.1, 9.1.2, 10, 10.1,

AUDITEE Environmental Management System
ISO-14001 10.2, 10.3

PROCESS / Environmental monitoring and Measurement – Plant Tour

ACTIVITY
Procedures/Work Instruction/Records Checked:
- Procedure of Internal Audit (PM-VD-03)
- Annual Internal Audit Schedule (FM-03-01)
- Notice of Internal Audit (FM-03-02)
- Internal Audit Checklist (FM-03-03)
- Request for Corrective and Preventive Action (FM-03-04)
- Observation of Internal Audit (FM-03-05)

Risks and opportunities of process:

Risks : Environmental team may be lack in update and upgrade the regulation and statutory that related to environmet issues.
Opportunities : Environmental team have opportunity to update and upgrade their knowledge and skill by monitor the environmental matter
by experience exchange or benchmarking with similar company in their region.

Result :
Corrective action and preventive measures undertaken and adapted to existing problems.All documented effectively

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MATRIX ISO 14001:2015 REQUIREMENT VS IMPLEMENTATION OF PROCESS

Company / Site : Processes
PT. GARIAND NIAGATAMA 1 2 3 4 5 6
Auditor(s) :
Hera Limaya

Date :
11/03/2019
No. Clausul

4.0 Context of the organization X X X X X

4.1 Understanding the organization X X X X X

4.2 Understanding the needs & X expectation of interested parties X X X X X

4.3 Determining the scope of the EMS X X

4.4 Environmental management system X X

5.0 Leadership X X X

5.1 Leadership and commitment X X

5.2 Environment Policy X X

5.3 Organizational roles, responsibilities and authorities X X X

6.0 Planning X X X

6.1 Actions to address risks and opportunities X X X

6.1.1 General X X X X
6.1.2 Environmental Aspect X X X X

6.1.3 Complince Obligation X X X X

6.1.4 Planning action X X X X

6.2 Environment objectives and planning to achieve them X X X X

6.2.1 Environmental objectives X X X X

6.2.2 Planning action to achive environmental objectives X X X X

7.0 Support X X X

7.1 Resources X X X

7.2 Competence X X X

7.3 Awareness X X X

7.4 Communication X X X
7.4.1 General X X X

7.4.2 Internal communication X X X

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MATRIX ISO 14001:2015 REQUIREMENT VS IMPLEMENTATION OF PROCESS

Processes
No. Clausul
1 2 3 4 5 6 TTL

7.4.3 External communication X X X X

7.5 Documented information X X X X X

7.5.1 General X X X

7.5.2 Creating and updating X X X X

7.5.3 Control of documented Infomation X X X

8.0 Operation X X X X

8.1 Operation planning and control X X X X

8.2 Emergency preparedness and response X X X X

9.0 Performance evaluation X X X X

9.1 Monitoring, measurement, analysis and evaluation X X X X

9.1.1 General X X X X
9.1.2 Evaluation of compliance X X X X X

9.2 Internal audit X X X

9.2.1 General X X X

9.2.2 Internal audit programme X X

9.3 Management review X X

10.0 Improvement X X X X X

10.1 General X X X X
10.2 Nonconformity and corrective action X X X

10.3 Continual improvement X X X X X

Use of the accreditation and certification marks and the
certification by the organization was reviewed
Logo

TOTAL

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9. AUDIT OUTCOME
The significant audit results are grouped in two (2) categories:

Non-conformity (NC), mandatory to be verified before issue or continuance of

certification can be recommended;

Major Nonconformity: The absence or total breakdown of a system to meet a

requirement. (e.g. Calibration system not in place, no system for supplier evaluation, etc.)
Solution: Corrective actions have to be done within 90 days and re- audit (on-site or
off-site).

Minor Nonconformity: A single observed lapse in a requirement, any

unsystematicfailure, (e.g. two/three calipers not calibrated, supplier evaluation not
updated according to procedures, etc.). Solution: root cause analysis and definition
of corrective actions within 90 days and verification of documents (off-site).

Observation : Any potential condition that may become NC on next audit and the auditor
wants to verifiy it in the next audit and does not require immediate action (one work
instruction not updated, qualification matrix incomplete,etc.). Solution: Auditor has to get
the acceptance signature from the customer and verifiy in the next audit.

Follow-up Audit, where evidence of implementation and effectiveness of corrective action

can only be verified on-site.

Off-site Review, where evidence of implementation and effectiveness of corrective action

can be verified off-site by review of documentary evidence.

Action Plans, where plans for corrective action and its implementation/verification
are reviewed and approved, and the effectiveness are reviewed during the following audit.

OFI are not mandatory elements to be addressed by the company, however it is strongly
advised that these are at least analysed for their potential risk to the effectiveness of the
management system and that the results of these analyses are recorded. In case of
degradation of the system, OFI may turn into NC during later audits.

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AUDIT FINDING
NO HIGH CONFORMANCE AREAS

Company has well implemented the environmental management systems through conducting
1.
internal audit, customer satisfaction and management review.

NO OBSERVATION AREAS

NON-CONFORMITY SITUATION
MAJOR /
NC NO. CLAUSE STD / SCHEME DESCRIPTION
MINOR

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