INITIAL AUDIT REPORT (STAGE 182) FOR PT. GLOBAL TRI JAYA KPM CERTIFICATION SERVICE Date(s): August, 12 2017 Standard(s): 180 9001:2015f™. KPM A STAGE 1 AUDIT KPM No: 001-17013-Q | F.16/f __ 1. CLRNT NAME PT. GLOBAL TRIJAYA ‘Deans | aa Works Adee Bi Woks Adare Way ‘Postal Adres [aitorent an ‘Asters | 11 Proklamas No, 68 ~Jakarta Pusat ‘Gey Jakarta Fin Gade cate Prominent kandinar 9 1h o0aH HOT 7. AUDIT OBJECTIVES: To review he ergntaton's management ocunertaton sym (agsine! he relevant rt, eaton and ute-epecic conditions and check the of erantaton fer Stage 2 aut and rencurces rogues To eobect Tearang te veope of thw managerrt syst and rlvint suRtry ant raguitory equwmerc and eval naral ut and recess. a. SCOPE OF CERTIFICATION 8. coe m= General Contractor and General Trading (Fishing Gear and Mechanical Electrical) ae 3. MAIN PRODUCTION SERVICE PROVISION PROCESSES General Contractor 30. OLFTSOUNCED PROCESSES FAN. 11, WEEKLY OFF AY :_Suncoy__ locaton wie ‘AUDIT DATE(S) : 12.08 2017 raat ‘Stage 1 Audit Report QMS Page 20t 5| STAGE 2 AUDIT | KPMNo.:004-17014E —F.17/c o™ KPM WF CARS CLASSIFICATION “ASPECT i ASPECT | 1 Operations: NEXT VISIT TYPE pp went Z : ‘ptr trier No. 1_[<] System Recertcaton [_] conectve Acton [_] Specs uct [_] Audit Team Leader Acknowledgement by Client's Representative Signature + Teguh Setigawan Signature : Iatanto ate stagagor al = xeog.ze1r DISCLAIMER STATEMENT This audit was based on a sampling process and sampling of the available information and that consequently there will aways be an element af uncertainty present in auditing evidence. Therefore, nonconformities may exist that have not been identified in this report FAME ‘Stage 2 Audit Report EMS Page 405j STAGE 1 AUDIT KPM No: 001-17013-Q | F.16/f ADEQUACY OF QMS DOCUMENTATION TO ISO 9001:20015 180 9001:2015 Documentation Requirements ‘a | SES | Remarks / Concem No. ‘Yes, Quality comely with and the: seats ie heeeen he or the ec hewon r \atertop nanagemont has tarvent of Cutty Pte? y vv | S,Se naan uty ‘Gosered 1 oierert roo ort company ‘2 | Whether documented GQuaity Potcy. ¥ ¥ ‘Yeu, Objectives are in SMART method ')_ i appropriate to the purpose of rpanizaion ¥ “¥_| fopeaic Mecmuntte scttotio 'b) includes ‘commitment to comply win requrames wd | y | ee ee continaalysrprow eflociveress of OMS te sgt SE 100% preoct molamertaton on te ‘as sche ard coneoe yoar (PIC c) provides tramewont for y Y 100% project implementation without See ani ene maintenance acivty / yeor (PIC Project) uty ctecores are nase wh he ‘quality polcy, customer satisfaction and [s ‘Yes. the organization has made the je. iter op manager hs sane of Gut Opctven at | vy | Se Seep bee 7 a Yes. Ton maragamon! fos the purpone ta att Scene manna dcr | y |e cet ase re Yer the operate hie rade | ner Manual indudes the scape of tne GMS, Including detals of ond uatction fr ny exchuaions’? ¥ ye ee Yes, Al dosuants required by Fs GUS tr operator es Cone of docurents? y || aero, aoe aoe iw organzaten w ‘Yes. The organization has planned and developed. the processes ‘naeded fo" oat reaketon The ott of the \Whaterorganzation has prosuctrazaton? Y ¥: | renounce oom peralon. Risk aaseesmen Yor prot ‘eatzabon nasa fen cone A ‘Sabla wel wf ‘You. The pertained ‘he monitonng and measizerent tbe ‘rderauen and the" montesng and iaaeirng eaupmert nescas to roe Wntnar crgaizaton haa daarmined mortorrg and | y y__| fdence st cnlormty process 10 sasturonect ‘ntomined roqurements nchsing. the eed. to Calta momorng ond ‘meawunng ‘0 venaire Atyectve menor and reenter press ‘SUMMARY OF CONCERN(S) RELATED TO QMS DOCUMENTATION Concern No. Description of Concem (ues ta et rd ‘Stage 1 Aut Report MS Poye 30t5i | He if ff i il l i : 001-17013-Q | F.16/f ‘Remarks /Concem No. hil ill Ha leds Page dot 5 Epo cle oapaeet enpenyn va pdeet gai STAGE 1 AUDIT COMMENTS ON PREPAREDNESS FOR STAGE 2 AUDIT ol ey PertormencaDbiectives & (Wnty A Y ‘Stage 1 Audit Report GMS ‘Any other areas) audited FerSTAGE1AUDIT _| KPM No: 001-17013-Q | F.16/f o™. KPM A ‘SUMMARY OF CONCERN(S) RELATED TO PREPAREDNESS FOR STAGE 2 AUDIT GoncemNo _ Description of Concer © = 4 | Orpantaation’s level of implementation and documented ‘against the requirements of 150 9001 is Q _satetactory and hence recommended to proceed to Stage 2 of Iii Certfiction Audit 1b | Organtzation's level of implementation and documented MS against the requirements of 150 8001 le ‘Ststectory and oot substation a readieas for Stage Y mud. Organiaton not recommended to Dreceedfor Stage 2 f ital CortBeation Audit | | Whether organization Islip for multe sampieg? Covee Bone Tentative date agreed with Client (in case of ‘a’ sbove) for Stage 2 Audit (© | Any reduction of increase in Stage 2 audit man-days proposed oO a Acknowledgement by Client's Representative ‘Sanature :Intanto ‘Date stoner DISCLAIMER STATEMENT This audit was based on @ sampling process and sampling of the avaiable information and that consequently {there will always be an element of uncertainty present in auditing avidence. Therefore, nonconformities may exist that have not been identified in this report aan Stage 1 Audit Report QS. Page Sot 5e™. KPM ZY | STAGE 2AUDIT | KPMNo.: 001-17013-Q_—_| F.17/c (CLIENT DETAILS PT. GLOBAL TRIJAYA 210M ec Prep Fr)Partwntip os outa [Ju ce [Ju [ ont ne [Tm ort], 2. CONTACT PERSON ETA ‘i Comme Far Mr. Ianto MR (021.3005081 DETALS | Ga Wort Aidan ‘ets hai “Ee Foal ts 0 art an conta compliance ching | Secure wd legal equremerta tvough performance monring eating reeoring ad reviewing gata! key arfrmance obecve i wt 1. score oF CeRTPACATION BEACOOE | General Contractor and General Trading (Fishing Gear and Mecanical Electrical) =a ‘8. MAN PRODUCTION SERVICE PROVISION PROCESSES. FAT ‘Stage 2 Audit Report OMS Page totKPM WZ |__ STAGE 2AUDIT | KPMNo. 001-17013-Q | F.17/c 1. INTRODUCTION (ovvcrpson oir atten, competve eg, aarduecepiton. sleet kmprvarnant rm ta ale) PF Globo! Tri Joye ls © company engaged in Construction. Into @ wustworthy, trustworthy and reliable Construction Company | {nd partipate in the development of the united republic of Indonesia through o construction coat, providing services with professional attitudes ond meeting quality management standerds. That is the wsion and mission of the company. The ‘ergonization has documented the management system in occordance withthe requirements and hes clearly defined the scope af the certification. 2 aes FROM LAST AUDIT VISIT, IF ANY (scope of catication.changesdiition of ste significant sues impacting sud programme (Scope changed MoC) [Yes], New Seope: | ] (ites changedinded"? | Wo | Yes [1 Now Site() ‘Any significant suse [Nol |You [J], COMMENTS : Impacting wat programme? 4._ ISSUES FROM LAST REPORT (Le. any outstanding area of concern or CARS etc.) Ma $day | Avy, Tayo 206) om ‘On progress Prredoces | Avg 7S untend of 2006 Anteral Audit Frequency :Qncein Year Last eral Aut Date:0605.2017 Hoof NCu:S © Cloved:5 Open: ‘Al the processes audited as per Plan? Yes) No), COMMENTS : | Commetion & Corrective Actin(s) adequats? Yes | No! ‘Auk process effective? — | YesD3)_| No], COMMENTS: | MANAGEMENT REVIEW | Management Review Frequency : Once in Year [ Last Review Date 68.062097 "Raa by MR In (acto Mt (Me, Daag Open | Rite mandatory INPUTS discussed? | Yer) | No(-], COMMENTS Review OUTPUT | You GJ, Give Ex: Services ‘No, COMMENTS : adequate? | 7.__NONCONFORMANCE, CORRECTIVE & PREVENTIVE ACTION | ‘Non conformity occurrence in the environmental management system implementation has been considered by Organization, procedure for ceaing wah actual non cnformity ana potential nan conjormsy 8, CUSTOMER SATISFACTION AND COMPLAINTS STATUS: | During the interaction with top management is evident that the customer satisfaction is prime focus of the arganization, which shall be monitored through various activities of the process le, Competitive Cost, On time project schedule and quality. Quality ‘System Wil Emerge With The Implementation Of Statistical Data Analysis Methods is. Statistical Materials Are Made By The ‘Manogement Representative There is no any customer complaints till date 9. CONTROL OF DOCUMENTS & RECORDS: | Document control activities Including document review. approval, change, withdrawal, disposal and xo contol regarding | external document. Aspect controlied including identification, storege, protection, retrieval retention and disposal. Somple of records shall be maintained such es complaint record, training, Inspection, etc. | Fate Stage 2 Audit Report Cis, Page 20t 6HP STAGE 2AUDIT | KPMNo.:001-17013-Q | F.17/c 10. COMPETENCE, TRAINING AND AWARENESS To ensure high competence persaanel, Training end awareness also was planned i the organization. One of planned training during this year was internal audit of environmental management system. ‘11. INFRASTRUCTURE & WORK ENVIRONMENT Work environment has been set to achieve conformity, fire extinguisher are installed at some area and first aid bax available {or emergency situation. Lighting, Naje and ergonomic work station arrangement. Evacuation plan and route also In place at oll ploces. Warehouse for raw material and equipment at project site Waste handling ond storage All the same machines ond equipment were marked by the unique no. €.x, Welding machine : LAS.14,001; Grinding ‘GRN.6.001; Drilling Machine :B08.31.008 Last Maintenance done date: 05-07. 12 2016 for welding machine. grinding, drilling machine. 412. DETERMINATION & REVIEW OF CUSTOMER REQUIREMENTS ———————— a> Customer commadequate? | Yes | No], COMMENTS : Sencconnicnne a ProductServie Read. ‘SPK-CIZE/RMAMARGA. | BINAMARGA Prov. Om ond ov TH smaruparg Pro, DYPR-TARDIS Ordarroview process adequate? Yes(_| No], COMMENTS : 13. COMPLIANCE WITH PRODUCT RELATED LEGAL REQUIREMENTS Legal requirements splicable? | No] | Yee]. COMMENTS: Legal Requirement ality Date UU ro. 18 year 1999 (Construction Services) mnt P no. 28 year 2000 (Operation of Construction Services) UU no. 38 year 2004 (Construction of Road) UU no. 19 Year 1993 ( Labour Social Security/ JAMSOSTEK) UU No.2 Year 1970 (Government Health and safety regulation for all commercial activities) 14, COMMUNICATION ‘Compony hes Comunication for internal and externa. Telephone, Email, Bulletin Board, Meeting are being provide for intemal ‘comunication. Visitor and interested parties are informed policy of the Organization trought natice boards and buletins. Press release advertisments, Website Email are being employed by the company for external communication. 15. DESIGN & DEVELOPMENT All design activity hes been provided by project owner (Drawing road — Hev.00-GBROOS-TBSTPNG-2016) 16, SUPPLIER EVALUATION & PURCHASING INFORMATION Ruch Orerton [RaneePronie | ecto [serra PT.Aremix Panindo | Asphalt 07.12.16 | 10.12.16 | 45 Drum@155Kq | Process adequate? | Yes) | No], COMMENTS: ‘7. CONTROL OF PRODUCTION & SERVICE PROVISION Project has been executed as planned arrangement. Control of project activities have been carried out from materials and ‘Project activities by provide work instruction and other operational procedure at project site also available at site project Control Plon - Gathered back drum asphalt thot is empty to be retumed to the supplier 18. VALIDATION OF SPECIAL PROCESSES Validation process in this kind of project hos been determined by orgonization ratte ‘Stage 2 Audit Report CAs Page sotKPM ZY STAGE 2 AUDIT KPM No.: 001-17013-Q_—_F.17/c 19. IDENTIFICATION & TRACEABILITY | Project activity traceabilty s contralled through work order information: work arder numer, rame of project owner, nome of project. project daly progress report which describes type of activity dane, penion In chorge, equiment used, row Matera, verider and erherl of ecceptence. Thi octMity ose hes raintined with daly, weekly ond monthly project report. Record also | | well managed as conformance evidence for each project step. 20, CONTROL ON CUSTOMER PROPERTY Customer Property such as Project Specification and some equipment. Ex project speofication (drawing), PPE and work equipment. ‘It was found list of PPE from project owner, Evident 21. PRESERVATION OF PRODUCT | The company preserved the conformity of product during project realization. Inthe project activity this is usually performed from row material that will be supptied/ used for project activity, progress of project, final hand over and maintenance activity after final hand over. Company has considered product and material protection by providing proper place in site project. 22 MONITORING & MEASUREMENT OF PRODUCT Calibration were done by outside agency Agency Nome : Caltesys Jakarta ‘Theodolite has been calibrated (Meck: Schneider Calibration valid upto 05.12.2017 A. CONTROL OF MONITORING & MEASURING EQUIPMENT | Mus acuity controling? | Yow | Wo CJ, COMMRNTS Company has obi __ MMR, del alton a gv below ~— Caltrain Crticats Mo. va amar | | este arrusno%s oxraaots | wz « Waterpass wranswer ostza016 | 0612.7 CI (24. ANALYSIS OF DATA ‘The organization analyzes data results from audits, customer survey, and process performance and supplier evaluation. Result | of the analysis has been discussed during the management review. 25,_ANY DEVIATION FROM THE AUDIT PLAN ANO THEIR REASONS WA Fate ‘Stage 2 Audit Report CMs Page dot 6o™. KPM Zw STAGE 2 AUDIT KPM No.: 001-17013-0 F.A7le _NEXT VISIT TYPE tine NEXT VISIT DATE | syste Revew e152] sytem Recerenion [-] comet Acton [] Spec aust] [12.08.2018 | | siguture = Tegan Settigasman Signature: Tada 2002017 ‘Date Date ES DISCLAIMER STATEMENT This auctt was based on a sampling process and sampling of the available information and that consequently there will always be an element of uncertainity prasent in auditing evidence. Therefore, ‘nonconformities may exist that have not been identified in this report. Fate ‘Stage 2 Audit Report QMS Page Sof 6J F.ATIc [KPM No: 004-47013-0 STAGE 2 AUDIT AUDIT | o™. KPM ! SAt 12082018 a ee ‘TARGETED AREAS ‘TENTATWE AUOMT CATES TEROUAL AUDITS ‘OF OBECTINS USE OF MARKS RESPONSIBLITY, AUTHORITY & COMMUNICATION ‘CONTROL OF DOCUMENTS (CONTROL OF RECORDS ‘COMPETENCE, ANARENESS A TRANING WORK DeSGN a ‘CONTROL OF PRODUCTION AND SERVICE PROMI VALIDATION OF SPECIAL PROCESEES ‘PRODUCT IENTICATION AND TRACEABILITY PRESERVATION OF PRODUCT CONTROL CF Me's WONTTORONG & MEASUREMENT OF PROCESSES MONITORING & MEASUREMENT OF PRODUCT CONTROL OF NONCOMFORSEING PRODUCT ANALYSIS OF DATA ‘Stage 2 Audit Report Cats Page 6 ot FATieFem | SORRECTIVE bea jm No.; 001-17013-Q | F.14/a | initial ‘Audit [42.08.2017 180 9001:2015 “oan (az3 | Operation [Mor] Minor ae secevaseer Major[_] Minor [7] | aes aay = = | Major] Minor[] _ Hajor[] Minor) Sa a = once Moor]. aaewunan Maier) | i a eS Major] Minor] a a = Mr, Teguh Setiyawan Me. rtanto| = siextwwy aenvoicoute | lemaiags yppmrconge meee MOSSISSY AB GalINZA NOLLDY BALDZHNOD ‘ST0z saquiaydas ssaufoud y2 yuD3s}su03U Puno} SEA 3 siseu| Pista O-CLOLI-100"ON Wd |