TALLY SHEET

IN / OUT

Tally No. TS-001/12/2022

Shipper PT TSM Total

Quantity of Unit
Client PT ABC Packing

EMKL / No. Truck B 123 CDE Tonnage

Measr

Sertifikat Halal Nomor:

Jenis Armada CDDL
Seal No. :
Sim/Stnk

Qty &
Desription of Goods BATCH#/LOT# Tally
Loc
Coklat Cadburry 125 Gram A123 Unit 50 50
Loc P001 P002
Mentega Sachet 25 Gram B456 Unit 100 100
Loc P003 P004
Susu Coklat Kaleng 75 Gram C789 Unit 120 120 60
Loc P005 P006 P007
Unit
Loc
Unit
Loc
Unit
Loc
Unit
Loc
Unit
Loc
Unit
Loc

Checker, Supervisor,
( Jon Snow ) ( Renly Baratheon )
 IN / OUT

-001/12/2022

Total Condition
600 UNIT Good :
CARTON Damage :

: Short :

15,35 m3 Others :

Sertifikat Halal dari Negara: :

Stuffing Plan Date :
Warehouse Location SURABAYA
Destination :

Measurement in cm Total of Total measurement

Tally
Length Breadth Height Package in Cubic Metres
45 75 15 100 5 m3

40 30 30 200 3,6 m3

45 50 30 300 6,75 m3

Jakarta, ………. ………. ………..

Admin Input System,

( Stannis Baratheon )
0,45*0,75*0,15*100
 PUTAWAY FORM

JOB# PF-001/12/2022
DATE 12/18/2022

NO. PRODUCT CODE PRODUCT NAME BATCH# QTY UOM

1 CLTCB125G Coklat Cadburry 125 gram A123 50 CARTON
2 CLTCB125G Coklat Cadburry 125 gram A123 50 CARTON
3 MTGSCT25G Mentega Sachet 25 gram B456 100 CARTON
4 MTGSCT25G Mentega Sachet 25 gram B456 100 CARTON
5 SCK75G Susu Coklat Kaleng 75 gram C789 120 CARTON
6 SCK75G Susu Coklat Kaleng 75 gram C789 120 CARTON
7 SCK75G Susu Coklat Kaleng 75 gram C789 60 CARTON

WAREHOUSEMAN SUPERVISOR

TTD TTD
( Robb Stark ) ( Renly Baratheon )
 PALLET ID DESTINATION BIN LOC REMARKS
P001 A-0101 TS-001
P002 A-0102 TS-001
P003 A-0303 TS-001
P004 A-0304 TS-001
P005 A-0305 TS-001
P006 A-0306 TS-001
P007 A-0307 TS-001

ADMIN WAREHOUSE

TTD
( Serr Jorah )
Level 04 01 02

Level 03 01 02 05 06

Level 02 01 02

Level 01 01 02 03 04 05 06

Gang A

Penentuan Bin Location: Kalau dalam 1 lokasi ada lebih dari 1 gudang, maka kita berikan
A Gang/Aisle kode lokasi gudang dengan A - B - C - D dst
01 Level
01 Pallet Location Contoh lokasinya di gudang A, maka bin locationnya:

Contoh: A-A-01-02
A-01-02
A-A-03-05
A-03-05
A-A-04-08
A-04-08

Kalau lokasi gudangnya ada di B, maka bin locationnya:

B-A-01-02

B-A-03-05

B-A-04-08
 10
11
10
07 08 Level 04

09
12
09
Level 03

08
13
08

07
14
07

06
15
06
Level 02

05
16
05
07 08 Level 01

04
17
04

03
18
03

02
19
02

A
01
20
01

h dari 1 gudang, maka kita berikan

- B - C - D dst

A, maka bin locationnya:

i B, maka bin locationnya: A B

IN OUT IN OUT
11 12 13 14 15 16 17 18 19 20

OUT
10 09 08 07 06 05 04 03 02 01

C
11 12 13 14 15 16 17 18 19 20

IN
B

OUT
B
 REPLACEMENT FORM

JOB# RF-001/12/2022
DATE 12/18/2022

NO. PRODUCT CODE PRODUCT NAME BATCH# QTY UOM

1 SCK75G Susu Coklat Kaleng 75 gram C789 60 CARTON

WAREHOUSEMAN SUPERVISOR

ttd ttd

( Robb Stark ) ( Renly Baratheon )

LACEMENT FORM

PALLET ID ORIGIN BIN LOC DESTINATION BIN LOC REMARKS

P007 A-0307 A-0305 Meninggikan level rak

ADMIN WAREHOUSE

ttd

( Serr Jorah )
 PICKING LIST

ORDER# : PL-001/12/2022
DATE : 12/18/2022

NO. LOCATION PRODUCT# PRODUCT NAME

1 A-0101 CLTCB125G Coklat Cadburry 125 gram
2 A-0305 SCK75G Susu Coklat Kaleng 75 gram

TOTAL

PICKER, CHECKER,

TTD TTD

( Joffrey Baratheon ) ( Jon Snow )

LIST

CUSTOMER : PT XYZ ORDER# P: L 007/XII/2022

CUSTOMER ORDER# : DO-001/12/2022 DATE : 18-Dec-22

PAGE: 01
BATCH# QTY UOM REMARKS NO. LOCATION
A123 10 CARTON KIRIM KE TOKO BERKAH 1 A-0303
C789 50 CARTON KIRIM KE TOKO BERKAH 2 A-0101
3 A-0305

60

SUPERVISOR, ADMIN INPUT SYSTEM, PICKER,

TTD TTD

( Renly Baratheon ) ( Stannis Bratheon ) ( Joffrey Baratheon )

 PICKING LIST

007/XII/2022 CUSTOMER :
CUSTOMER OR

PRODUCT# PRODUCT NAME BATCH# QTY

MTGSCT25G Mentega Sachet 25 gram A123 50
CLTCB125G Coklat Cadbury 125 gram B456 25
SCK75G Susu Cokelat 75 gram C789 125

TOTAL 200

CHECKER, SUPERVISOR,

offrey Baratheon ) ( Jon Snow ) ( Renly Baratheon )

 PT ABC
DO#/XII/2022

PAGE: 2
UOM REMARKS
Carton Kirim ke toko Berkah
Carton Kirim ke toko Berkah
Carton Kirim ke toko Berkah

PERVISOR, ADMIN INPUT SYSTEM,

enly Baratheon ) ( Stannis Baratheon )

 KARTU STOK

Nama Produk: Coklat Cadburry 125 gram Lokasi Gudang: SURABAYA

Kode Produk: CLTCB125G
Kemasan: CARTON
UOM: CARTON
Bin Location: A-0101 Bulan: DESEMBER

Tanggal Aktivitas In Out Balance

18-Dec-22 TS-001/12/2022 50 50
18-Dec-22 DO-001 PT XYZ 10 40
18-Dec-22 DO-002 PT ABC 25 15

31-Dec-22 Sisa Stock Akhir Bulan 15

Penanggung Jawab Stock, Supervisor,

TTD TTD

( Theon Greyjoy ) ( Renly Baratheon )

 KARTU STOK

Nama Produk: Mentega Sachet 25 gram Lokasi Gudang: SURABAYA

Kode Produk: MTGSCT25G
Kemasan: CARTON
UOM: CARTON
Bin Location: A-0303 Bulan: DESEMBER

Tanggal Aktivitas In Out Balance

18-Dec-22 TS-001/12/2022 100 100
18-Dec-22 DO-001 PT ABC 50 50

31-Dec-22 Sisa Stock Akhir Bulan 50

Penanggung Jawab Stock, Supervisor,

TTD TTD

( Theon Greyjoy ) ( Renly Baratheon )

 KARTU STOK

Nama Produk: Susu Coklat Kaleng Lokasi Gudang: SURABAYA

Kode Produk: SCK75G
Kemasan: CARTON
UOM: CARTON
Bin Location: A-0305 Bulan: DESEMBER

Tanggal Aktivitas In Out Balance

18-Dec-22 TS-001/12/2022 120 120 0
18-Dec-22 DO-001 PT XYZ 50 70
18-Dec-22 REPLACEMENT 60 130
18-Dec-22 DO-002 PT ABC 125 5

31-Dec-22 Sisa Stock Akhir Bulan 5

Penanggung Jawab Stock, Supervisor,

TTD TTD

( Theon Greyjoy ) ( Renly Baratheon )

 PACKING LIST

JOB# : DATE:
CUSTOMER : DEPARTED FROM:
DELIVERY : ADDRESS:

PIC : PIC :
PHONE# : PHONE# :

NO. PRODUCT CODE PRODUCT NAME LOT#/BATCH# QTY

TOTAL

DISPATCHER, SUPERVISOR,

(….........................) (….........................)
 PACKING LIST

JOB# :
PARTED FROM: CUSTOMER :
DELIVERY :

PIC :
PHONE# :

PAGE:
UOM REMARKS NO. PRODUCT CODE

PERVISOR, DISPATCHER,

.........................) (….........................)
 PACKING LIST

DATE:
DEPARTED FROM:
ADDRESS:

PIC :
PHONE# :

PRODUCT NAME LOT#/BATCH# QTY UOM

TOTAL

SUPERVISOR,

(….........................)
PAGE:
REMARKS
 VEHICLE INSPECTION & LOADING CHECKL

FORM DAFTAR PEMERIKSAAN KENDARAAN & PRO

Date - Tanggal Type / Capasity - Tipe / Kapasitas
Time - Waktu KM Record - Catatan KM
Driver Name Location
Pengemudi Lokasi
Driver License Expiry date
Jenis SIM Masa Berlaku
Vehicle Reg & Tax Expiry date License No
STNK & Pajak Masa Berlaku No. Polisi
Condition
Description (Kondisi) REMARK Description
No No
Deskripsi Keterangan Deskripsi
Y N
Any contamination of Najis Hand Brake & Brake (*)
1 Najis berat/sedang/ringan 14
Adanya kontaminasi Najis Rem Tangan & Kaki
Radiator Horn (*)
2 15
Radiator Klakson
Battery Reversing Beep (**)
3 16
Batere Alarm Mundur
Windscreen Wiper (*) Reclining Seat
4 17
Kipas Kaca Tempat Duduk
Front Glass & Eye Sight Seat Belt (*)
5 18
Kaca Besar & Pintu Sabuk Pengaman
Mirror/Rear View (*) Exhaust
6 19
Kaca Spion Knalpot
Rotary Lamp Bumper
7 20
Lampu Rotary Bemper
Cabin Lamp Tire & Wheel Rim (*)
8 21
Lampu Kabin Ban & Velg
Front Lamps (*) Coupling & Transmission (*)
9 22
Lampu Depan Kopling & Transmisi
Back Lamps & Reverse (*) Steering (*)
10 23
Lampu Belakang & Mundur Kemudi
Fuel Level Oil Level
11 24
Tingkat Bahan Bakar Tingkat Oli
Sign Lamps Left&Right (*) Air Conditioner
12 25
Lampu Sign Kiri & Kanan Pendingin Udara
Flat Bed/Box Condition Engine Condition (*)
13 26
Kondisi Bak/Box Kondisi mesin
Lashing-Wire, Rope, Stopper (**) Fire Extinguisher (*)
26 31
Pengikat Alat Pemadam Kebakaran
Terpaulin (**) ReflectingTriangle (*)
27 32
Terpal Segitiga Pengaman
Hydraulic Jack, Handle (*) First Aid Kit Box (*)
28 33
Dongkrak & Handle Kotak P3K
Wrench to open wheel (*) Spare Tire (*)
29 34
Kunci Roda Ban Cadangan
Tire Cradle (**) Standard Tools (*)
30 35
Balok Ganjal Ban Kunci-kunci Standar
Safety Hat (*) Safety Shoes (*)
36 38
Helm Safety Sepatu Safety
Safety Glass Hand Gloves
37 39
Kacamata Safety Sarung Tangan
 Lashing Point / Titik Lashing
Top View / Tampak Atas Side

Condition of Unit / Kondisi Armada Lashing & Loading

Remarks /
DAMAGE CODE / CATATAN KERUSAKAN Y N Lashin
Keterangan
1 Dented / Penyok Rope/ Chain/
2 Broken / Pecah Tambang Rantai

3 Cut / Terpotong
4 Scratch / Tergores
Forklift
5 Torn / Robek

Condition of Driver / Kondisi Supir

Good/ Fair/ Bad/

Physical / Fisik Rest Time / Waktu Istirahat :
Baik Cukup Buruk

Note / Catatan : Y = Safe, Bagus N=Unsafe, Rusak/tidak aman NA=Not Available/ Tidak Tersedia
(*) = Deskripsi harus terisi / Tidak boleh dikosongkan
(**) = Deskripsi disesuaikan dengan jenis kendaraan yang digunakan / pada kondisi tertentu
PASS = Jika semua deskripsi yang bertanda (*/**) terisi Y berarti Kendaraan Diperbolehkan untuk melakukan perja
REJECT = Jika ada deskripsi yang bertanda (*/**) terisi N/tidak terisi berarti Kendaraan Tidak Diperbolehkan untuk

SAFETY AUDIT / HASIL INSPEKSI Remarks / Keterangan

PASS REJECT
 LOADING CHECKLIST

KENDARAAN & PROSES MUAT "UU 33/2014"

apasity - Tipe / Kapasitas

rd - Catatan KM

Vendor Vehicle
Kendaraan Vendor

Nama Vendor :

Condition
Description (Kondisi) REMARK
Deskripsi Keterangan
Y N
nd Brake & Brake (*)
m Tangan & Kaki

versing Beep (**)

m Mundur
clining Seat
mpat Duduk
t Belt (*)
uk Pengaman
haust
lpot
mper
mper
e & Wheel Rim (*)
& Velg
upling & Transmission (*)
ling & Transmisi
ering (*)
mudi
Level
gkat Oli
Conditioner
dingin Udara
ine Condition (*)
disi mesin
e Extinguisher (*)
Pemadam Kebakaran
lectingTriangle (*)
itiga Pengaman
st Aid Kit Box (*)
ak P3K
are Tire (*)

ndard Tools (*)

ci-kunci Standar
ety Shoes (*)
atu Safety
nd Gloves
ung Tangan
ashing
Side View / Tampak Samping

Lashing & Loading Equipment / Peralatan Lashing & Loading

Lashing Equipment / Peralatan Lashing

pe/ Chain/ Terpaulin/ Wire Sling/ Trackbelt/

mbang Rantai Terpal Kawat Sling Spanset

Loading Equipment /

Crane Jacking Rolling Chain Block

disi Supir

e / Waktu Istirahat : Hour / Jam Day / Hari

kan untuk melakukan perjalanan

Tidak Diperbolehkan untuk melakukan perjalanan

DEWATA CUSTOMER SUPIR

 CYCLE COUNT

Nama Gudang: …........................... Product Code: …...........................

Periode: …........................... Product Name: …...........................
Pelaksana: 1. …...............................
2. …................................

System Physical Goods

Location
Qty Batch# ED Qty Batch# ED

PELAKSANA, INPUT SYSTEM,

PENGHITUNG PENCATAT ADMIN GUDANG

 Differences
Qty Batch# ED

DIKETAHUI OLEH,

SUPERVISOR
 STOCK OPNAME

FORM# :
PERIOD :
YEAR :
WAREHOUSE :

LOCATION PRODUCT CODE PRODUCT NAME BATCH#/LOT#

TOTAL

PENGHITUNG PENCATAT VERIFIKATOR SUPERVISOR

(…...................) (…...................) (…...................) (…...................)

NAME

PENGHITUNG: …...........................
PENCATAT: …...........................
VERIFIKATOR: …...........................

QTY UOM REMARKS

DMIN MANAGER

(…...................) (…...................)