You are on page 1of 1

PETROCHINA INTERNATIONAL JABUNG LTD

Corrective Action Request (CAR)


Permintaan Tindakan Perbaikan
PCID/J/F-1/HSE/EHSMS/10.2/06
To: CAR Reference No:HSE/IA/IX/2022/01
Kepada HSE Department No Referensi
Requested By : Tim Auditor/Pengusul
Attn: Diminta Oleh
Tertanda Shadiq/A Tasriq Requested Date : 06 September 2022
Tanggal permintaan
Problem raised during Audit / Non-Conformance observed:
Masalah yang timbul selama Audit / Ketidak sesuaian yang didapatkan :
Description of problem(s):
Deskripsi Masalah-masalah yang timbul :

Std.Clause ISO. Regulation. PP No.50/ Kriteria.


PCJL/J/P?HSE/
EHSMS/8.1/43 ISO
45001 Klausul 8.1

Effective Date belum ter update.

Auditor : Haris (sign) Auditee : Shadiq/Tasriq (sign)

Root Cause(s):
Akar masalah:

Auditee :
Corrective Action(s) Taken:
Tindakan Perbaikan yang diambil :

No. Description Expected Date Of Verified By


Deskripsi Completion Auditor/Inisiator
Tanggal penyelesaian Di verifikasi Oleh
yang diharapkan Auditor
1.

Prepared By Acknowledged by
Disiapkan Oleh Diketahui Oleh
Head of Department Management Representative
Kepala Departemen Wakil Manajemen
Signature
Tanda Tangan
Date
Tanggal
Kesimpulan : Masalah selesai/ Terbitkan CAR baru

You might also like