CERTIFICATE This is to certify that the Environmental Management System of: PT. SARDO MITRA SEJATI Komplek Perkantoran Simpang Klender JI. I Gusti Ngurah Rai No. 4/35A RT 015/002 Kel. Klender, Kec. Duren Sawit Jakarta Timur 13470, DKI Jakarta — Indonesia Has been assessed and approved to the requirements of standard : ISO 14001:2015 The Environmental Management System applies to : General Construction and Maintenance Services for Civil, Building, Architecture, Mechanical and Electrical Works Certificate Registration No. SM/1417087 Date of initial certification 2017.03.10 Date of certification 2017.03.13 Date of expire certificate 2018.03.09 For UNIGLOBAL Certification ie Certification Director This erate remains the pro Reese uit saben UNIGLOBAL Crafton Pood of eieion The eruieate may be verified a 9 ASIA UNIGLOBAL, DBS Bank Towe Sao Ko 3, Jaa 1240, nesa SOF OS SO XSASIA UNIGLOBAL INDONESIA CERTIFICATION BODY EMS Management System Audit Report, Base on Standard ISO 14001:2015 PT. SARDO MITRA SEUATL = Komplek Perkantoran Simpang Sejati dl. | Gusti Ngurah Rai No. 4/35A RT.O15/002 Kel. Klender, Kec. Duren Sawit, dakarta Timur - Indonesia Audit Report No. : 1417087 Doc. No: AULEEM-12 Date: 18.08.2014 Revision No: CONFIDENTIAL@ UNIGLOBALCERT AUDIT REPORT No. : 417087 Table of Contents GENERAL AUDIT REPORT... AUDIT CRITERIA AND AUDIT OBJECTIVES. ORGANIZATIONS CONTEXT .. AUDIT PERFORMANCE .... PREVIOUS AUDIT RESULT... CHANGE OF THE MANAGEMENT SYSTEM SINCE LAST AUDIT...... SUMMARY AND FORMAL REVIEW ONSITE THE ORGANIZATION MANAGEMENT SYSTEM..... 8. AUDITOR NOTES: significant audit trails. 9. AUDIT OUTCOME..... NOoOeRoONoa Doc. No: AU-F-CM -12 Date: 18.08.2014 Revision No: 0 Pagel /15 ‘This report is content and letrbutton elite to the aut tam, the company and the UNIGLOBAL-CERT officeUNIGLOBALCERT AUDIT REPORT No. : 1417087 Company Information | Company Name _| PT. SARDO MITRA SEJATI ares Komplek Perkantoran Simpang Klender, JI, | Gusti Ngurah Rai No. 4/35A RT.015/002 Kel. Klender, Kec. Duren Sawit, Jakarta Timur - Indonesia Other Site(s) : | Phone 021-86613374 Fax No] | Website address | - Contact & Audit Information Contact Person | - Phone No. |- | Email addess : | ‘Audit Standard(s) _|1SO 14001:2015 | EA Code 28 | No.of Employee | 10 No of Shifts |- Initial (Certification stage 2) audit Recertification audit sencilla oO i « tage 2) audit [_] Recertification auc [el 1* surveillance audit Special audit Det Date of audit start | 24-02-2017 Date of audit end | 24-02-2017 Date of next audit [23-02-2018 Duration of aucit | 1 Man-day(s) Auditor Information Lead Auditor Mr. Heri Fitriyadi | ‘Auditor(s) - Expert | _ | Summary of audit findings | Number of Non conformities raised Major | 0 Minor | 0 | es YIN | Follow up audit start date g | - davis) | ‘Actual follow up date(s) | Start: - | End: - | Follow-up audit remarks: ‘Scope of Certification jeneral Construction and Maintenance Services for Civil, Building, Architecture, Mechanical and Electrical Works Doc. No: AU-F-CM -12 Date: 18.08.2014 Revision No: 0 Page? /15 ‘This report is confidential and detrbution smite o the aul team, the company and the UNIGLOBAL-CERT officeUNIGLOBALCERT AUDIT REPORT No. : 1417087 Recomendation of the audit team Accreditation 0 |asce Dd | others ‘Standard [| 1s0.9001:2016 / 180 14001:2015 / OHSAS-18001-2007 DJ | Certincate (tesue,Continuance, Change-oF Revision) Recommendation | [_] | Not Recommended (| Suspend certificate | Ofte review and NC closed by actin plan | | wanerawn cortcate Statement of Consultancy and Conflict of Interest “The auditors confirm that they have nol performed any management system consultancy to the audited ‘organization during the previous 2 years and that they will not perform any consultancy during the period of certification and 2 years after. The auditors also confirm that there was no conflict of interest present during the certification process. 24-02-2017 Mr. Heri Fitriyadi Bate Toad Ruder, Auditor) (Names, Signatures) Signatures io wet or lactone signature format oc. No: AUL-F-CM -12 Date: 18.08.2014 Revision No: 0 03/15 This report ic confidential and detrbuton sited othe ual tam, the company and the UNIGLOBAL-CERT officeUNIGLOBALCERT AUDIT REPORT No. : 1417087 4. 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 opportunites. ‘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. ORGANIZATIONS CONTEXT Issue Eksternal Issue Internal Asosiasi Kontraktor terkait SKA, SKT dan SBU, 2. LPJK Provinsi DKI Jakarta terkait SKA, SKT dan SBU. 3. LPJK Nasional terkait SKA, SKT dan SBU PU Prov DKI Jakarta dan PU Pusat 5. Pemkot DKI Jakarta Peraturan Perusahaan ‘Sumber Daya Karyawan ‘Sumber Daya Peralatan hone ‘Sumber Daya Keuangan 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. Doc. No: AUI-F-CM -12 Date: 18.08.2014 Revision No: 0 Pages /15 ‘This report is contents! and etrbution smite othe alt team, the company and the UNIGLOBAL-CERT officeUNIGLOBALCERT | AUDIT REPORT No, : 417087 | 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 No. of nonconformities from previous audit Major [= Minor |= No. of nonconformities closed Major | ~ Minor | ~ No. of nonconformities re-raised Major | ~ Minor | = This review has concluded that: NA CD any nonconformity identified during previous audits has been corrected and the corrective action Continues to be effective Ci 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 Changes: NA Note: ‘Changes which have influence on the vality of certification must be verfed during the auc or, if necessary, in an adslionel extension / verification audit. Examples of Such changes have been explained in the closing meeting and the certification contract. 7. SUMMARY AND FORMAL REVIEW ONSITE THE ORGANIZATION MANAGEMENT SYSTEM: Result of verification Requirement Yes | No | NA Corrective action on previous action was reviewed a ‘Measures taken by the company were found to be implemented and effective. Use of the accreditation and certification marks and the certification by the ‘organisation was reviewed. Reference fo certification is made without inference that |X it applies to products. ‘Changes to the management System thal could affect conformity were evaluated during the audit. There were no apparent adverse effects to the management) —X system. | ‘Complaints against the management system (e.g. customer complaints) and their |. hhandiing were reviewed. The complaint handling is effectively implemented. ‘The manual and documented procedures were evaluated prior to the on-site audit, | y. | _and a report of this review was established and submitted to the client. [he management system documentation contains a policy statement, measurable | | abjectives and documented methods for their achievement oc. No: AUI-F-CM -12 Date: 18.08.2014 Revision No: 0 Pages /15 This report le confidential and detrbution 1s lnited 0 the aval team, dhe company and the UNIGLOBAL-CERT officeUNIGLOBALCERT AUDIT REPORT No. : 417087 Result of verification Requirement Yes | No | NA ‘The relabilly of the system's management processes and their abilly to achieve the Policy and objectives (adequacy and effectiveness of the management system) is] ™ satisfactory. Performance monitoring, measuring, reporting and reviewing against the objectives | and targets is done on a regular basis and satisfactory. 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. ‘The system's effectiveness in notifying management of breaches of the system is| Satisfactory. The degree of implementation and performance is reviewed regularly. Upper management determines customer requirements with the aim of increasing | ‘customer salistaction (customer orientation) [QMS only} The organisation has a method to collect (customer) feedback, including] complaints Data is evaluated and corrective or preventive action is taker Continual system improvement activities progress and customer satistaction are | ensured by measurement, analysis and action. ‘Authorities, responsibilties and position of the employee's encountered were| defined and identifiable. ‘The auditors are convinced of the competence of the staff encountered and those | whose records were reviewed during this audit ‘The audited management system is capable of systematically meeting agreed | requirements of the MS standard and customers [of its products/services). Multisite Certification (N/A for single site) Result of verification Requirement Yes | No | NIA “There were no changes to the structure of the organisation that affect the validity of | the sampling scheme or the eligibility criteria for multisite certification. “The central management review agenda requires reviewing internal audit results| from all locations. Internal audits ofall locations were included in this audit ‘The criteria and conditions for multisite certification are fulfilled. Detailed audit findings, samples taken, audit trails followed etc. are included in the attached auditor notes (Audit Trail). The conduct and coverage of the audit is defined in the audit plan and the attendance list. Doe. No: AUI--CM -12 Date: 18.08.2014 Revision No: 0 Pages /15 This report is confidential and distribution Is lied tothe auc tam, the company and the UNIGLOBAL-CERT officeUNIGLOBALCERT AUDIT REPORT No. : 1417087 8, AUDITOR NOTES: significant audit trails DATE: ‘AUDITOR: a AUDITOR DEPARTMENT: Top Management pas = CLAUSES [47 4243,44, 51, 52,53 61,62 PROCESS OWNER | Top Management leouassitllietascastins PROCESS Enviconmental Policy, Management Review | ‘4.4 General requirements Yes | No | Partial Ts the scope of the management system the same as the one stated on the cover page of this report? (if not then describe the differences in the General Comments section of | Y this report Procedures/Working Instruction/Records Checked: = Procedure of Identification and evaluation of SM Sects/impacts (Pros-EMS-DA-01) = Procedure of Legal and other requirements (PM- SM -EMS-02) = Procedure of Communication (Pros-EMS- SM -03) Procedure of Consultation (Pros-EMS- SM -04) Procedure of Emergency and Preparedness Response (Pros-EMS- SM -05) = Procedure monitoring and measurement (Pros-EMS- SM -06) ‘4.2 Environmental policy Yes | No | Partial {s environmental policy documented, implemented and maintained? Y | Procedures/Working Instruction/Records Checked: Environmental Manual No. 1.0 ~ 9.0 & A-H Rev. 00 date August 07" 2013 4.8 Management Review Yes | No | Partial Has the top management of the organization reviewed the management system at | planned intervals to ensure its continuing suitabilty, adequacy and effectiveness? ‘Are records of the management reviews retained? Y Procedures/Working Instruction/Records Checked: Procedure of Management Review : PM- SM-WM-06 Invitation Letter (FM- SM -WM-08-01) Attendance List (FM- SM -WM-08-02) Minutes of Meeting (FM- SM -WM-06-03) Distribution of Minutes Meeting (FM- SM-WM-06-04) Risks and opportunities that need to be addressed: 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 on February 10” 2017. Attendance list and minutes of meeting had been recorded. Doc. No: AUL-F-CM -12 Date: 18.08.2014 Revision No: 0 Page? /15 Tis report ls confidential and dstroutlon 1s limited othe aut tam, the company and the UNIGLOBAL-CERT officeUNIGLOBALCERT AUDIT REPORT No. : 1417087 rag OATE ‘AUDITOR: DEPARTMENT: Represeiave, peaE3017 tienen ya Representa TTanageient Represrtae, eral | CLAUSES aaa PROCESS owneR | VansueTent Repose CAUSES Ta 73,74,75, 92,983,102, 108 PROCESS? es documentation and implemen, rer! Aud Ta Ens dosameneson Yes [ No Pa ‘Does ihe environmental managerTent system documentalan wide "ine environmental poly, objectives and targets, B. descipton af he scope of he envfonmental management system, @ SSzctoton othe mam elements ofthe environmental management system and | | | ther interaction, and reference to related documents, Y 4. documents, including records, required by this Inemational Standard, and document, inauaing recor, determined bythe organization tobe necessary to ensure tho effective planning operaion and conrl of procesees that relate to is significant envfonmentl SM saci? | Procedures/Working Instniction/Records Checked: tBrocedur of intemal Aud (PM. SM SWM03) 1 Rnwuol intemal Aut Soneduo (FM- SMAVM-09-01) {Note of intemal Aud (PM: SM W032) " Intemal Audit Checklst FM- SM -WM-05-08) 1 Reques for Comectwe and Preventive Action (FM. SM WM.03-04) ~ Observation of Internal Audit (FM- SM -WM-03-05) | «Summary of ntarnal Au (EM SM SWN-03-06) “£A.SContol of documents Yeo | No | Partai ‘Are documented procedures established, implemented and maintained to control | Situations whore telr absence could lead to dewation from the environmental poly, | Y objectives and tagets? ProceduresiWorking insiniction/Records Checked "Prosedure Cont! ot Document (PM SM- Wht D1) 48.4Contol of records Yeo | No] Partai ‘Does @ procedure exist for the ideniification, storage, protection, retrieval, retention and | disposal of records? Procedures/Working Instruction/Records Checked: = Procedure Record of Document (PM- SM.WM-02) ‘45.internal Audit Yes | No | Partial ‘Are internal audits conducted at planned intervals to determine whether the EMS '2) Conforms to planned arrangements for environmental management including the requirements of this Intemational Standard, and y | b) has been properly implemented and is maintained, and provide information on the results of audits to management? ‘Does the internal audit program take into consideration the environmental importance of the operation(s) concerned and the results of previous audits? | Procedures/Working Instruction/Records Checked: = Procedure of Internal Audit (PM- SM -WM-04) = Annual internal Audit Schedule (FM- SM -WM-03-01) = Notice of Internal Audit (FM- SM -WM-03-02) Internal Audit Checklist (FM- SM -WM-03-03) = Request for Corrective and Preventive Action (FM- SM -WM-03-04) = Observation of Internal Audit (FM- SM -WM-03-05) = Summary of Internal Audit (FM- SM -WM-03-06) Risks and opportunities that need to be addressed: Risks Distribution of important dokumen may not submited to relevant department ; Internal auditor may not have enough competency to do the intemal audit Date: 18.08.2014 Revision No: 0 Pages /15 This report ls confidential and detrouton is limited othe aut tam, the company and the UNIGLOBAL-CERT officeUNIGLOBALCERT AUDIT REPORT No. : 1417087 ‘Opportunities : Management Review have @ chance fo make sure the updated information and document relevan to environmental issues ; Internal auditor can u SMrade their skill trough intemal training RESULT: ‘The basis of this audit was the Environment Manual and procedures related to each department other associated documentations and records. Internal audit has undertaken as per audit plan on January 272017. Internal auditor hhad been trained and have certificate. DATE: ‘AUDITOR: "Office administration 24-02-2017 Mr. Heri Fitryadi DEPARTMENT: & Marketing PROCESS T ‘CLAUSES Tnieal | HRD & Marketing Manager Cicer | 74:3,75,43.3,44.1, 442 | PROCESS/ | 1 Sone | Offices and Adminstration | 43.1 Environmental SMSects Yes_| No is there an established, implemented and maintained procedure for identifying environmental SM Sects and determining those SM Sects that have a significant impact | Y fon the environment? Procedures/Working Instruction/Records Checked: = Procedure of Identification and evaluation of DA Sects/impacts (Pros-EMS- DA -01) = List of environmental SM Sect (FM-Pros-EMS- SM -01-01) = Determination of significant environmental impact evaluation criteria (FM-PROS-EMS-1-02) = Programme, Objective, Policy Environmental Management System (FM-PROS-EMS-1-03) 4.3.3 Objectives, Targets and Program(s) Yes | No | Partial ‘Are documented environmental objectives and targets established, implemented and|y | | maintained at relevant functions and levels within the organization? Procedures/Working Instruction/Records Checke’ = _ Objective & programme (FM-PROS-EMS-01-03) 4.4.1 Resources, roles, responsibility and authority Yes | No | Partial ‘Are roles, responsibilities and authorities defined, documented and communicated? Y Has @ specific management representative been appointed by top management who i has the responsibilty and authority for | a) ensuring the EMS is established, implemented and maintained; Y b) reporting to top management on the performance of the EMS for review, including recommendations for improvement? Procedures/Working Instruction/Records Checked: = _ Job Description “44.2 Competence, training and awareness Yes | No | Partial Doss the organization ensure that any person(@) performing tasks for it or on its behalf that have the potential to cause a significant environmental impaci(s) identified by the | y, organization is (are) competent on the basis of appropriate education, training or experience? Procedures/Working Instruction/Records Checked: = _ Procedure of Training: PM- SM -PRS-03 Risks and opportunities that need to be addressed: Risks Competencies of Environmental issue may not not sufficient to HRD & Marketing staf. Opportunities : HRD &Marketing staff have chance to improve their skill elated to environment issue by doing their ‘own intemal training, RESULT: “The organization has set environmental targets and always objectively measured and evaluated periodically Training activity is done effectively - Revi Doc. No: AU-F-CM -12 No: 0 Paged /15 ‘This report is confidential and dlstrbution fe lmited to the aut team, the company and the UNIGLOBAL-CERT officeUNIGLOBALCERT AUDIT REPORT No. : 1417087 DATE: ‘AUDITOR: i 24-02-2017 Mr. Heri Fitriyadi DEPARTMENT: GA CLAUSES, PROCESS OWNER | GA CAUSES | 4.3.1,4.32, 443,447,452 PROCESS a | EMS Operation and implementation; Legal Compliance 43.1 Environmental SMSects ‘Yes No_| Partial Ts there an established, implemented and maintained procedure for identifying T ‘environmental SM Sects and determining those SM Sects that have a significant impact | ¥ | ‘on the environment? Procedures/Working Instruction/Records Checked: = Procedure of Identification and evaluation of SM Sects/impacts (Pros-EMS- SM-O1) “4.3.2 Legal and Other requirements. Yes | No | Partial ‘Does a procedure exist to identify and access applicable legal requirements and to | y determine how these legal requirements apply to the environmental SM Sects? i Procedures/Working Instruction/Records Checked: =___ Procedure of Legal and other requirements (PM- SM-EMS-02) ‘4.4.7 Emergency preparedness and response Yes_| No | Partial Does a procedure exist to identify potential emergency situations and potential accidents | that can have an impact(s) on the environment and how to respond to them? ProceduresiWorking Instruction/Records Checked: = Procedure of Hazzard Identification, Risk Assesment (PM- SM-EMS-01) ‘4.5.2 Evaluation of compliance Yes | No | Partial is there an established, implemented and maintained procedure for periodically | y evaluating compliance fo applicable legal requirements and other requirements? Procedures/Working Instruction/Records Check = Legal and other requirements (PM-SM-EMS-02) Risks and opportunities that need to be addressed: Risks ‘GA staff may don't have knowledge of environmental matter during doing their actvty Opportunities : GA staff have chance to improve their skill related to environment issue by doing their own internal training. RESULT: All appiicable legal and other requirements for environment has been assessed by Safety Supervisor every the end of project. Record of legal and other requirements checked DATE: AUDITOR: 5 2022017 Ii He Feyac DEPARTMENT: Project Engneetng cLausES PROCESS OWNER | Project manager&Maininance | CLAUSES T 41,49, 440,453 PROCESS? | ys operation and implementation in (Maintenance) 7.31 Enironmental SMSecte Yes No | Paria is there an established, implemented and maintained procedure for identifying environmental SM Sects and determining those SM Sects that have a significant impact | ¥ fon the environment? Procedures/Working Instruction/Records Checked: = Procedure of Identification and evaluation of DA Sects/impacts (Pros-EMS- SM -01) 433.3 Objectives, Targets and Programme(s) Yes [No | Partial ‘Are documented environmental objectives and targets established, implemented and | y ‘maintained at relevant functions and levels within the organization? Procedures/Working Instruction/Records Checked: = Porcedure of Objective & Programmee ‘4.4.6 Operational Control Yes [No | Partial ‘Has the operating criteria been stipulated for those operations thal are associated with | the identified significant SMSects? Doc. No: AUL-F-CM -12 Date: 12.08.2014 Revision No: 0 Pagei0 /15 {This report ls confidential and dietrbution le Hmited to the alt tam, the company and the UNIGLOBAL-CERT officeUNIGLOBALCERT | AUDIT REPORT No. : 1417087 Ae procedures established, implemented and mainlained related to the ‘dented ] significant 8M Sects of goods and services used by the organization and communicating | Y Applicable procedures and requirements to suppliers, including contractors? | Procedures/Working Instruction/Records Checked: = Procedure of Identification and evaluation of SM Sectslimpacts (Pros-EMS- DA -01) = Procedure of Legal and other requirements (PM- SM -EMS-02) = Procedure of Communication (Pros-EMS- SM-03) = Procedure of Consultation (Pros-EMS- SM -04) ~ Procedure of Emergency and Preparedness Response (Pros-EMS-SM -05) = Procedure monitoring and measurement ((Pros-EMS- SM -06) 45.3 Nonconformity, corrective action and preventive action Yes [No | Partial Ts there an estabished, Implemented and maintained procedure for dealing with actual | y and potential nonconformity(ies) and for taking corrective action and preventive action? Procedures/Working Instruction/Records Checked: =___ Procedure of Nonconforming Product (PM-EMS- SM -04) [ RESULT: Risks and opportunities that need to be addressed: Risks ‘During their activity Eng and Mic 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 will be violanced, {All of the non conformity to the environment, has been controlled and ensured in control processes accordance with the procedures of Environment DATE: ~~ AUDITOR: \RTMENT: (24-02-2017 (Mr. Heri Fitriyadi: ee arene CLAUSES PROCESS OWNER | ENS CLAUSES T3455 440, 481,459,454 BROCESS7 | eavronmertl mantoing and Measurement = Plant Tour 4.3.1 Environmental Secs Yer [wo Pa Ts there an established, implemented and maintained procedure for identifying ‘environmental SM Sects and determining those SM Sects that have a significant impact | ¥ | ‘on the environment? 1 Procedures/Working Instruction/Records Checkei = Procedure of Identification and evaluation of SM Sects/impacts (Pros-EMS- SM -01) ‘4.3.3 Objectives, Targets and Programme(s) Yes | No | Partial ‘Are documented environmental objectives and targets established, implemented and | y ‘maintained at relevant functions and levels within the organization? Procedurea/Working Instruction/Records Checke: = Programme and Objective Environmental Management System ‘4.4.6 Operational Control Yes [No | Partial Has the operating criteria been stipulated for those operalions that are associated wih | the identified significant SM Sects? ‘Are procedures established, implemented and maintained related to the identified significant SM Sects of goods and services used by the organization and communicating | Y applicable procedures and requirements to suppliers, including contractors? Procedures/Working Instruction/Records Checked: = Procedure of Internal Audit (PM- SM -WM-04) = Annual Internal Audit Schedule (FM- SM -WM-03-01) = Notice of internal Audit (FM- SM -WM-03-02) = Internal Audit Checklist (FM- SM -WM-03-03) = Request for Corrective and Preventive Action (FM- SM -WM-03-04) = Observation of Internal Audit (FM- SM -WM-03-05) = Summary of Internal Audit (FM- SM -WM-03-06) Doc. No: AUL--CM -12 Date: 18.08.2014 Revision No: 0 Pagel /15 “Ths report is confident! and dstrbution fs limited to the auct tom, the company and the UNIGLOBAL-CERT officeUNIGLOBALCERT AUDIT REPORT No. : 1417087 4.5.1 Monitoring and Measurement Yes [No | Partial Ts there an established, implemented and maintained procedure for monitoring and measuring, on a regular basis, key characteristics of operations that can have a | signincant environmental impact? Procedures/Working Instruction/Records Checked: = __ Inspection and Evaluation ‘3 Nonconformity, corrective action and preventive action Yes [No | Partial Ts there an established, implemented and maintained procedure for dealing with actual ‘and potential nonconformity(es) and for taking corrective action and preventive action? Procedures/Working Instruction/Records Checked: = _ Procedure of Noncomformity Product (PM- SM -04) “45.4Control of records No__| Partial Does a procedure exist for the identification, storage, protection, retrieval, retention and disposal of records? Procedures/Working Instruction/Records Checked: - Procedure of Document Control (PM- SM -02) Risks and opportunities that need to be addressed: Risks Environmental team may be lack in upd environmet issues. ‘Opportunities. : Environmental t and upgrade the regulation and statutory that related to sm have opportunity 1o update d and upgrade their knowledge and skill by monitor the environmental matter by experience exchange or benchmarking with similar company in teh region. RESULT: ‘All documented effectively Doe. No: AUI--CM -12 Date: 18.08.2014 Revision No: 0 12/15 ‘The roport le content and strbution elite to the aut team, the company and the UNIGLOBAL-CERT officeUNIGLOBALCERT AUDIT REPORT No. : 1417087 MATRIX - AUDIT SUMMARY REPORT FOR ISO 14001:2015 Company Site: Processes PT. SARDO MITRA SEJATI T[zysTapsisl7 [eyes porn ‘Auditor T Mr. Heri Fitriyadi ° : } lels 3 A = afl |2io/8lulé 5 Date: 24-02-2017 Ss Z| SEE Zl 2 4.1 | General Requirements 42 _| Environmenta policy x | 43 _| Planning 43.1 _| Environmental SM Sects x |x| x[x 432 _| Legal and other requirements asa | eae ee x x | x 44 _| Implementation aa | RESeUc® 1s, resposibios Fi dao | Ceara eee Se |x 443 | Communication LI 444 | Documentation x 44 _| Control of documents x x 4.46 _| Operational contro! x x a on x x 45 _| Checking 45.1 _| Monitoring and Measurement x ‘452 _| Evaluation of compliance x | cso. [Soy ome axle] 45.4 _ | Control of records x x | x 455 _| Internal audit 46 | Management review x |x | Use of CB logo NA TOTALS | Doc. NO: AU-ECM-12 Date: 18.08.2014 Revision No:0 Pagen3 /15, ‘This report is content! and dletrbution fe lnited to te aut ream, the company and the UNIGLOBAL-CERT officeUNIGLOBALCERT AUDIT REPORT No. : 1417087 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 @ system to meet a requirement. (6.9 Calibration system not in place, no system for supplier evaluation, efc.). Solution: Corrective actions have to be done within 90 days and re- audit (on-site. Minor Nonconformity: A single observed lapse in @ requirement, any unsystematicfailure, (e.g. twolthree calipers not calibrated, supplier evaluation not updated according to procedures, etc.) Solution: root cause analysis and definition of corrective actions within 30 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 aucit. 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; and Action Plans, where plans for corrective action and its implementation/verification are reviewed and approved, and the effectiveness are reviewed during the following audi OF! are not mandatory elements to be addressed by the company, however itis 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, OF! may turn into NC during later audits. Doc. No: AUI-F-CM -12 Date: 18.08.2014 Revision No: 0 Pagen4 /15 ‘Thie report is confidential and dlstrbution fs lite to the aut team, the company and the UNIGLOBAL-CERT ofceUNIGLOBALCERT AUDIT REPORT No, : 1417087 AUDIT FINDING HIGH CONFORMANCE AREAS 1 Top management has showned his commitment to implement the environment management sistem NO OBSERVATION AREAS New employee, especially in project should be introduced to company environmental policy. 2 Environmental marks should be put in strategic place in such way that can be easily to seen. NON-CONFORMITY SITUATION MAJOR! DESCRIPTION MINOR Doc. No: AUL-F-CM 12 Date: 18.08.2014 Revision No: 0 Pagel5 /15 ‘This report is confdentat and distribution is limited othe aul tam, the company and the UNIGLOBAL-CERT office