Checklist Audit External Warehouse

Date
Warehouse

No Checklist poin

1 Safety
2 Quality
3 Delivery
Performance
4 People &
Communication

Total Skor

Skor Pencapaian (%)

Target (%)
t Audit External Warehouse
: 02 January 2023
: Wahana Indah Gemaca

Item Standard

1. Nonconformity finding/complain of Standard safety ( Unsafe Act & Unsafe condition)

a.1 Nonconformity PPE (Safety shoes, Helmet, Safety Glasses, Vest etc.)

a.2 Smoking at restricted area

a.3 Driver Forklift & Driver Truck without license or certificate

a.4 Truck not use Stopper (min : 2 pcs)

a.5 Unavailable Safety sign during process loading/unloading process

a.6 During Loading/unloading Handbreak is set & Key truck keep by Wahana officer

a.7 Forklift must be checked based on Forklift check list daily & Weekly Report by email

a.8 Forklift Operation must Follow WI/SOP SPV

a.9 Stacking Bales/Pulp must follow WI/SOP SPV

a.10 Bales/Pulp blocking Emergency exit

2. Zero Accident/Incident

3. Conduct Periodic Safety briefing Employee (Daily)

4. Regular safety Patrol (Monthly)

5. Periodic maintenance & Check condition of fire protection :Hydrant Box, Pillar Hydrant, APAR, Beam
Detector etc), Monthly Report

6. Periodic Control of forklift & Truck safety and maintenance, Monthly Report

1. Damage, dirty & Wet Fiber & send report if any finding

2. Report & Confirmation Photo Bales condition before loading

3. Damage & dirty container for Fiber Export

4. Customer complain & Wrong Delivery occurrence

5. 5S Implementation ( Warehouse & Forklift)

a.1 Fiber placement is not close to chemicals or other liquids (Penempatan Fiber tidak
berdekatan dengan bahan-bahan kimia atau cairan lainnya.

a.2 Placement of Fiber is in Neat condition & in accordance with the Row that has been
determined (Penempatan Fiber dalam kondisi Rapih & sesuai dengan Row yang telah ditetapkan).

a.3 Warehouse has a clear area indication. (Gudang memiliki indikasi area yang jelas)

a. 4 The warehouse has a clear list of groups or identities per row. (Gudang memiliki daftar
kelompok atau identitas yang jelas per row-nya).

a. 5 The placement of Fiber in the Row is in accordance with the data in the system.
(Penempatan Fiber di row sudah sesuai dengan data di sistem).

a.6 Placement of FSC Fiber in the Row is separated from non-FSC fiber row. (Penempatan Fiber
FSC di Row dipisahkan dari row fiber non FSC)

a.7 Row Fiber FSC is given a special indication in front of the row. (Row Fiber FSC diberikan
indikasi khusus di depan Row).

a.8 Have a marked road area & placement of materials. (Memiliki area jalan & penempatan
material yang sudah di marking)

a.9 Floors must be dry & free from rubbish, foreign matter & dust. (Lantai harus kondisi kering
& bebas dari sampah, benda asing & debu)

a.10 Warehouse must be free from cobwebs, dust & other debris. (Gudang harus bebas dari
sarang laba-laba, debu & kotoran lainnya).

a.11 Have trash bins at every point in the warehouse. (Memiliki Tempat sampah di setiap titik di
gudang)

a.12 Placement of B3 waste bins must be far from Fiber & Pulp storage. (Penempatan Tempat
sampah limbah B3 harus jauh dari penyimpanan Fiber & Pulp)

a.13 Items not related to Fiber & Pulp operations are stored outside the warehouse. (Barang-
barang yang tidak berhubungan dengan operasional Fiber & Pulp disimpan diluar gudang)
 a.14 Placement Bins must be stored outside the warehouse. (Penempatan Tempat sampah
harus disimpan di luar gudang)

a.15 Cleaning picket schedules & Daily hygiene checksheets are available & updated. (Jadwal
piket kebersihan & Daily checksheet kebersihan tersedia & di update)

a.16 Forklifts & vehicles are clean, free from oil, other lubricants (clamps, body, backrest etc.).
(Forklift & vehicle dalam keadaan bersih, bebas dari oli, pelumas lainnya (clamp, body, backrest dll)

a.17 Daily forklift cleaning checksheet available & updated. (Daily checksheet cleaning forklift
tersedia & di update)

a.18 Forklift Spare Batteries are stored outside the warehouse. (Baterai Cadangan Forklift
disimpan di luar gudang)

6. Inventory accuracy (accuracy 100%, 'ZERO" NIG/NIS)

a. Implementation of Warehouse Management System

7. Quality Awarness by Wahana Operator

a.1 Bales Fiber must be clean. (Bales Fiber harus dalam keadaan bersih)

a.2 Bales Fiber NDR must be covered with tarpaulin. (Bales Fiber NDR harus dalam kondisi
tertutup terpal)

a.3 Fiber bales are not damaged/torn. (Bales fiber tidak rusak/sobek)

a.4 Bales fiber strapping straps are not broken. (Tali strapping Bales fiber tidak putus)

a.5 Bales must be cleaned before sending to customers. (Bales harus dibersihkan sebelum
dikirim ke customers).
8. Bulding preventive maintanance ( Roof, Lighting, Wall, Floor, Gate, Loading dock etc)

9. Fly catcher & Pest control available & Weekly Report

1. Loading & unloading time follow SPV standard

2. Report Loading & unloading must be send every 3x /day

3. Ontime suporting data report (photo and check list truck) max.H+1

4. Loading photo must follow SPV Standard

 1. Refresh training Safety (HSSE)

2. Refresh training Fire protection system & Emergency Drill

3. Refresh Training 5S , Fiber & Pulp quality Handling

4. Refresh training Warehouse Management System (Good Warehouse Practice)

4. Regular Internal Audit IMS ( Safety, Quality and 5S)

5. Monthly review & LOP close

ian (%)
 72
Auditor : Adetya Ika Sakti Auditor : Dede Carmana Auditor : Reddy Ridwan Auditor : Acep Yusup
Baik Cukup kurang Baik Cukup kurang Baik Cukup kurang Baik
(3) (1) (0) (3) (1) (0) (3) (1) (0) (3)
2 1 1

3 √
1 √ √
1 √

3 √

3 √

3 √
1 √
0 √
1 √
1 √
1 3 1 3

3 3 3 3

3 3 3 3

3 1 3 3

1 3 3

1 1 1

3 1 1

3 1 1 3
 1 1 1 3

2 1 1

1
3

1 1 3

1 0.5 1

1 1 0

1 1 1

3 3 1

3 1 1 3

3 1 3 3

3 1 1
 1 3 3 3

1 1 1

1 3 3 3

1 3 1

3 1 3

3 3 1

36.26 12.00 0.00 27.00 15.50 0.00 27.00 15.00 0.00 30.00

48.26 42.5 42 45
67% 59% 58% 63%
57%

80% >
Auditor : Acep Yusup Auditor : Ananta Dwihasto Auditor : Dadan Nurhidayat
Cukup kurang Baik Cukup kurang Baik Cukup kurang Remarks
(1) (0) (3) (1) (0) (3) (1) (0)
0.5 1 1

3 3

1 3

0 1

1 2

1 1 2

1 0 1
Not aplicable since the current condition
1 1 1
Not aplicable since the current condition
1 1
Not aplicable since the current condition
 1 1
Not aplicable since the current condition

1 3 1
 0.5 1 1
Not aplicable since the current condition

1 1 1
Not aplicable since the current condition

1 0.5 1

0.5 0 1

1 1 3
Not aplicable since the current condition
1 3
Not aplicable since the current condition
1 3
Not aplicable since the current condition
1 1 3
Not aplicable since the current condition
 1 1

1 1 1

1 2

2 1 2

2 1 2

0.5 0 2

14.00 1.00 6.00 18.50 0.00 30.00 13.00 0.00

45 24.5 43.00
63% 34% 60%
7%

%>
rks

cable since the current condition is still no have fiber bale at Wahana Warehouse

cable since the current condition is still no have fiber bale at Wahana Warehouse

cable since the current condition is still no have fiber bale at Wahana Warehouse
cable since the current condition is still no have fiber bale at Wahana Warehouse
cable since the current condition is still no have fiber bale at Wahana Warehouse

cable since the current condition is still no have fiber bale at Wahana Warehouse

cable since the current condition is still no have fiber bale at Wahana Warehouse

cable since the current condition is still no have fiber bale at Wahana Warehouse

cable since the current condition is still no have fiber bale at Wahana Warehouse

cable since the current condition is still no have fiber bale at Wahana Warehouse
No Checklist poin Item Standard
1 Safety Kriteria (5) Pembelian dan Pengendalian
Produk - PERATURAN PEMERINTAH
REPUBLIK INDONESIA NOMOR 50 TAHUN
2012 TENTANG PENERAPAN SISTEM
MANAJEMEN KESELAMATAN DAN
KESEHATAN KERJA

2 Safety a.3 Driver Forklift , Driver Truck, or other

personal without license or certificate as
per dedicated job (MENTERI TENAGA KERJA
NOMOR : PER-02/MEN/1992 T E N T A N G
TATA CARA PENUNJUKAN KEWAJIBAN DAN
WEWENANG AHLI KESELAMATAN DAN
KESEHATAN KERJA)

3 Safety

4
5

8
9

10

11

12
12

13
14

15

16

17
17

17

18

19 PERATURAN MENTERI TENAGA KERJA DAN

TRANSMIGRASI
REPUBLIK INDONESIA
NOMOR : PER.15/MEN/VIII/2008
TENTANG
PERTOLONGAN PERTAMA PADA
KECELAKAAN DI TEMPAT KERJA
 KECELAKAAN DI TEMPAT KERJA

20 Safety Nonconformity finding/complain of

Standard safety ( Unsafe Act & Unsafe
condition)

Unsafe Condition

21 Safety

Unsafe Condition

22 Safety a.9 Stacking Bales/Pulp must follow WI/SOP

SPV

23 Quality a.8 Have a marked road area & placement

of materials. (Memiliki area jalan &
penempatan material yang sudah di
marking)
24 Quality a.10 Warehouse must be free from
cobwebs, dust & other debris. (Gudang
harus bebas dari sarang laba-laba, debu &
kotoran lainnya).

25 Quality a.18 Forklift Spare Batteries are stored

outside the warehouse. (Baterai Cadangan
Forklift disimpan di luar gudang)

26 Quality 5S Implementation ( Warehouse & Forklift)

27 Quality a.3 Warehouse has a clear area indication.

(Gudang memiliki indikasi area yang jelas)

28 Quality 8. Bulding preventive maintanance ( Roof,

Lighting, Wall, Floor, Gate, Loading dock etc)
Picture
SPV saat ini telah memiliki sertifikat SMK3 PP 50 tahun 2012 dengan Kategori tingkat lanjutan
(166 kriteria). Sehingga menjadi pertimbangan khusus untuk Perusahaan penyedia Barang dan
Jasa : Spesifikasi Pembelian Barang dan Jasa,Sistem Verifikasi Barang dan Jasa Yang Telah
Dibeli,Pengendalian Barang dan Jasa Yang Dipasok Pelanggan,Kemampuan Telusur Produk. (SPV
currently has a PP 50 SMK3 certificate in 2012 with an advanced level category (166 criteria), so it
becomes a special consideration for companies providing goods and services: specifications for
purchasing goods and services, systems for verifying goods and services that have been
purchased, control of goods and services supplied by customers, product traceability)

Safety Officer Telah memiliki komptensi Ahli K3 umum. Namun belum bisa menujukkan bukti
Sertifikat Asli dan Lisensi. (Safety Officer has general K3 Expert competency. However, they have
yet to be able to show proof of Original Certificates and Licenses).
Description Action

Ruang P3K (Klinik Emergency) belum memenuhi

Kriteria . (The First Aid Room (Emergency Clinic) does
not meet the Criteria)

Ruang Genset belum ada Sign Electrical Hazard.

Operator Genset belum bisa menunjukan Lisensi. (The
generator room still needs an Electrical Hazard Sign.
Genset operators have not been able to show a
license).
Terdapat Besi baja yang tidak digunakan di dekat Panel
Electrical. (There is steel that is not used near the
Electrical Panel).

Tempat Parkir Roda 2 belum terpasang Sign Parking

khusus kendaraan Roda 2. (The 2-wheeler parking lot
still needs to be installed with a particular parking sign
for 2-wheeled vehicles).

Terdapat area titik kumpul darurat. Namun sign dan

area titik kumpl darurat tidak jelas. (There is an
emergency rally point area. However, the sign and
emergency assembly point area need to be clarified).

Bendera Indonesia sudah rusak dan Bendera K3 sudah

kotor. (The Indonesian flag is broken, and the K3 flag is
dirty).
Ditemukan korek Api LPG di dekat area B3 dan
Flammable. (Found an LPG lighter near the B3 and
flammable areas).

Mesin pembersih parkir tidak sesuai tempatnya dan

keadaan kotor. (The parking cleaning machine is not in
the right place and is dirty).

Jalur evakuasi Gelap dan Belum ada Sign dibagian Atas.

(The evacuation route is dark, and no sign is at the
top).

Pintu keluar darurat tidak aman dan dalam keadaan

terjal. (The emergency exits are unsafe and in a
precarious state).
Pintu keluar darurat tidak aman dan dalam keadaan
terjal. (The emergency exits are unsafe and in a
precarious state).

Ban Forklift sudah Aus. Belum bisa menujukan hasil Uji

Riksa. (Forklift tires are worn out. Not yet able to show
Riksa Test results).

Oil Hydraulic Bocor. (Leaking Hydraulic Oil).

Kunci Forklift yang tertinggal dan masih menggantung

saat Parking. (The forklift key is still hanging when
Parking).

Terdapat tumpukan Pulp dalam kondisi miring. (There

is a pile of Pulp in a slanted condition).
Valve tidak terakses oleh tangga untuk operational.
(Valve is not accessed by stairs for operation.)

Valve discharge di area Hydran pump tidak menggukan

system standard CSO (Car Seal Open) dan CSC (Car Seal
Close). Istilah Car seal open [CSO] merupakan
pengaman pada valve atau komponen pipa lain untuk
menghindari agar orang yang tak punya kepentingan
membuka atau menutup valve, dalam hal ini (CSO)
valve terkunci pada saat terbuka. Jadi seperti
pengaman atau penahan agar valve / komponen pipa
lain tidak di utak-utik orang lain. (The discharge valve
in the Hydran pump area does not use the standard
CSO (Car Seal Open) and CSC (Car Seal Close) systems.
A car seal open [CSO] safeguards valves or other pipe
components to prevent unauthorized persons from
opening or closing the valve; in this case (CSO), the
valve is locked when it is open. So it's like a safety
barrier so that other valves/pipe components are not
tampered with by other people).

Area B3 kondisinya tidak rapi. (Area B3 is in an untidy

condition).

Pembatas Area Limbah Fammable tidak standard dan

Belum menggunakan Fireproof. (The Flammable Waste
Area Divider is non-standard and not yet Fireproof).
Pembatas Area Limbah Fammable tidak standard dan
Belum menggunakan Fireproof. (The Flammable Waste
Area Divider is non-standard and not yet Fireproof).

Bagian tepi tembok gudang masih terdapat celah yang

terbuka sehingga dapat berpotensi debu, tikus maupun
serangga masuk. (There are still open gaps on the edge
of the warehouse wall so that dust, rats and insects
can potentially enter).

Area Toilet Visitor dalam keadaan kotor. (The Visitor

Toilet area is dirty)

Isi Kotak P3K tidak sesuai standard PERATURAN

MENTERI TENAGA KERJA DAN TRANSMIGRASI
REPUBLIK INDONESIA NOMOR :
PER.15/MEN/VIII/2008
TENTANG PERTOLONGAN PERTAMA PADA
KECELAKAAN DI TEMPAT KERJA. (The contents of the
first aid kit are not up to the standard of REGULATION
OF THE MINISTER of MANPOWER AND
TRANSMIGRATION REPUBLIC OF INDONESIA
NUMBER: :PER.15/MEN/VIII/2008 ABOUT FIRST AID IN
WORKPLACE AID).
first aid kit are not up to the standard of REGULATION
OF THE MINISTER of MANPOWER AND
TRANSMIGRATION REPUBLIC OF INDONESIA
NUMBER: :PER.15/MEN/VIII/2008 ABOUT FIRST AID IN
WORKPLACE AID).

kawat pengikat pulp terlepas, kait APAR yang sudah

tidak terpakai lagi. (The pulp binding wire is detached,
APAR hooks that are no longer in use).

Tiang bendera yang miring berpotensi jatuh, bak drain

control tidak tertutup atau tidak terindikasi saat
dibuka, dockleveler yang disimpan di area sementara
tidak terindikasi berbahaya bagi pejalan kaki. (The
tilted flagpole has the potential to fall, the drain
control tub is not covered or not indicated when
opened, and the dock leveller, which is stored in the
temporary area, is not given an indication that it is
dangerous for pedestrians.).

Penumpukan pulp dalam kondisi miring dan berpotensi

jatuh. (The stacking of the pulp is slanted and has the
potential to fall).

Garis antara jalan forklift & area penyimpanan

pulp/serat masih perlu diperjelas. (The line between
the forklift road & the pulp/fibre storage area needs to
be clarified).
Kami masih menemukan sarang laba-laba dan debu.
(We still found cobwebs & dust).

Baterai Cadangan Forklift & pengisi daya disimpan di

dalam gudang. (Forklift Spare Batteries & chargers are
stored inside the warehouse).

Tempat sampah masih tercampur antara B3 dan

sampah rumah tangga, sampah tidak dibuang di
tempat sampah. (Trash bins are still mixed between B3
and household waste; waste is not disposed of in the
tras).

Indikasi tidak tersedia. (The Indication is unavailable).

Ada beberapa titik masih gelap, lantai rusak, Atap

bocor + lantai rembes (WH#2 & 3) - (There are several
dark spots, floor broken, Roof leakage + seeping floor
at Warehouse 2 & 3).
Due date