JKT6048396 Ar 3685360 9398317 202106170255

Surveillance 1
Report for:
PT Second Best Packing
LR reference: JKT6048396 / 3685360

Assessment dates: 14-June-2021 - 15-June-2021
Reporting date: 17-June-2021
Client address: Blok G1-G1A,Kawasan Berikat Nusantara,
Ngoro Industri Persada,Mojokerto 61385,ID
Assessment criteria: ISO 14001:2015
Assessment team: Septyadi Wardyono
LR Client Facing Office: JKT Indonesia OU
Lloyd's Register Group Limited, its affiliates and subsidiaries, including Lloyd's Register Quality Assurance Limited (LRQA), and
their respective officers, employees or agents are, individually and collectively, referred to in this clause as 'Lloyd's Register'.Lloyd's
Register assumes no responsibility and shall not be liable to any person for any loss, damage or expense caused by reliance on the
information or advice in this document or howsoever provided, unless that person has signed a contract with the relevant Lloyd's
Register entity for the provision of this information or advice and in that case any responsibility or liability is exclusively on the terms
and conditions set out in that contract.
HIDDEN TEXT TO MARK THE BEGINNING OF THE TABLE OF CONTENTS
Contents Page
01. Executive report 3

02. Assessment findings 4
03. Assessment summary 17
04. Next visit details 24
05. Appendix 25
Attachments:
JKT6048396_APP_EMS SV1.doc
This report was presented to and accepted by:
Name: Ms. Tjong Suiling

Job title: Vice President
01. Executive report
Assessment outcome:
This visit was to assess the compliance of the management system of PT Second Best Packing against ISO
14001:2015 as defined in the audit planning documentation. The outcome of the visit is recorded below.
Some minor finding and observation were raised against ISO 14001:2015 during the assessment this does not
pose a threat to the integrity of the system, to Environmental prevention integrity or to legal requirement
The Assessment Team Leader confirms the contractual arrangements for ISO 14001:2015 are correct. This
includes any changes required as a result of the outcome of the Stage 1 visit (including changes to the scope of
assessment, duration of the Stage 2 visit, and duration of subsequent surveillance visits).
Continual improvement:
There is no compliant from surrounding related with Environmental issue as well as monitoring was consistently
conducted for fulfilment of government regulation requirements.
Mandatory Element, such as Internal audit, Management Review, and handling of customer complain are reported
and found updated.
Commitment of Top Management, staff and employee are demonstrated in this assessment.
Areas for senior management attention:
Top management should pay attention to some minor non-conformity note issue which has been detailed in the
finding log of this report.
Due to minor non-conformity note issued, company has to make the action plan and has to submit to LRQA within
90 days from closing meeting.
The action plan consists of investigation root of cause and corrective and or preventive action to be taken
Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 3

02. Assessment findings
Where scheme requirement differs to the standard definition below, the scheme definition will take preference
Major Nonconformity
The absence of, or the failure to implement and maintain, one or more management system elements, or a situation which would, on the basis of the available
objective evidence, raise significant doubt of the management to achieve: The policy, objectives or public commitments of the organisation, compliance with the
applicable regulatory requirements, conformance to applicable customer requirements, conformance with the audit criteria deliverables.
Minor Nonconformity
A finding indicative of a weakness in the implemented and maintained system, which has not significantly impacted on the capability of the management system or
put at risk the system deliverables, but needs to be addressed to assure the future capability of the system.
Reference 3059178_JKAKWZ01 Assessment Criteria ISO 14001:2015 ( 6.1.2 )

number (Clause)
Grade Minor NC Issue Date 06-September-2019
Status Closed Process / Aspect Aspect and Impact identification
Location(s) Blok G1-G1A,Mojokerto,ID
Statement of Non Conformity Control incoming material related to significant aspect to

environment such FSC , REACH has been conducted, however
identification in aspect of activity was not included, moreover
identification aspect shall not be conducted to identify material in
general term, each material has diference condition, difference
severity and probability.
.
Requirement ISO 14001:2015 clause 6.1.2
.
Evidence List of aspect and Impact
.
Proposed correction, corrective action Identification aspect incoming material will be reviewed and updated
and timescales .
Surveillance Visit 1
Correction .
Corrective Action Review with detail evidence
Root Cause analysis ..
Miss interpretation
Corrective action The significant environment aspects under process.
As seen inside EMS FRM.06.04.01: Identification Aspects and
impacts for Office (FSC and REACH Supplier)
LR has reviewed and verified the Date of closure 16-June-2021
implementation of actions taken.

Reference 3059178_JKAKWZ02 Assessment Criteria ISO 14001:2015 ( 6.2.2 )
number (Clause)
Status Closed Process / Aspect Environmental Objective & Program
Statement of Non Conformity Objective target decrease Electricity consumption, Re-used Reject
Material, Reduces paperver been determined however the the
organization has not determine:
what will be done, what resources will be required, who will be
responsible, when it will be completed, how the results will be
evaluated, including indicators for monitoring progress toward
achievement of its measurable environmental objectives
.
Requirement ISO 14001:2015 clause 6.2.2
.
Evidence Last Environmental objective and target 2019
.
Proposed correction, corrective action OTP Will be reviewed and updated
and timescales .
Correction .
Root Cause analysis .
Miss interpretation
Corrective action On-going process due to limited personal.
As seen inside form No. EMS FRM 06.04.03: Program and Target
Aspect Lingkungan Y2021.

Reference 3059178_JKAKWZ05 Assessment Criteria ISO 14001:2015 ( 9.3 )
number (Clause)
Status Closed Process / Aspect Management Review Meeting
Statement of Non Conformity Top management has defined periodical management review
meeting in one a year and the last management Review conducted
on 29 January 2019, agenda and records , however based on the
minute of meeting showed that Not all agenda as required by
standard such as nonconformities and corrective actions, monitoring
and measurement results and fulfilment of its compliance obligations
has been reviewed and there no output related to decisions related to
any need for changes to the environmental management system,
including resources and actions, if needed, when environmental
objectives have not been achieved Records of management review
are maintained properly
Requirement ISO 14001:2015 clause 9.3
Evidence Last Minute of Management Review meeting 29 January 2019
Proposed correction, corrective action Next Management review will follow requirement clause 9.3 ISO
and timescales 14001:2015
Correction Assessor Name: Haerul Saleh
CR EMS_June2020 by HSY:
Open. Refer to management review report which was held on 11
December 2019, Agenda of management review still not in line with
ISO 14001:2015 Standard. Several agendas were not included, i.e.
- input agenda: significant environmental aspect, compliance
obligation, resource, complaint
- output agenda: conclusions on the continuing suitability, adequacy
and effectiveness of the EMS, decisions related to continual
improvement opportunities, resources, opportunities to improve
integration of the EMS with other business processes, any
implications for the strategic direction of the organization.
.

Correction Corrective Action Review with detail evidence
Root Cause analysis Assessor Name: Haerul Saleh

Overlooked to include several management review agendas as
required by ISO 14001:2015 Standard.
.
Over looked of management review input
Corrective action Assessor Name: Haerul Saleh
Open. Refer to management review report which was held on 11
December 2019, Agenda of management review still not in line with
ISO 14001:2015 Standard.
.
Last management review meeting in 10 June 2021 with proper
agenda.

Reference 3168118_JKASNW01 Assessment Criteria ISO 14001:2015 ( 5.2 )
number (Clause)
Grade Minor NC Issue Date 05-June-2020
Status Closed Process / Aspect Policy
Statement of Non Conformity Organization has not adequately defined inside the Policy such as
following,
Environmental protection statement instead of environmental
protection associated with environmental impacts considering a life
cycle perspective.
Requirement Clause 5.2
Evidence Document Reviewed, and Interviewed
Proposed correction, corrective action Will review the requirement to include policy procedures to meet the
and timescales requirement of ISO 14001:2015 Standard.
Time target by end of Semester II 2020
Correction .
Miss interpretation
Corrective action .
Policy dated 29/07/2020

Reference 3168118_JKASNW02 Assessment Criteria ISO 14001:2015 ( 6.1.1, 6.1.2, 6.1.4 )
number (Clause)
Status Open Process / Aspect Environmental aspects and impacts
Statement of Non Conformity Organization has identified environmental aspects and impacts
related with material, product, activities and services,
However no significant environmental impacts considering a life cycle
perspective clearly defined and documented.
Requirement Clause 6.1.1;
Clause 6.1.2;
Clause 6.1.4.
Evidence Document reviewed;
Interviewed
Proposed correction, corrective action Will review the requirement to include risks and opportunities,
and timescales environmental Aspect procedures to meet the requirement of ISO
14001:2015 Standard.
Time target by end of Semester II 2020
.
Correction .
.
.
Corrective action .
Proper mechanism are still ongoing process in implementation
LR has reviewed and verified the Date of closure

number (Clause)
Status Open Process / Aspect Purchasing
Statement of Non Conformity Some environmental aspects involving vendors or external parties/
outsourced activities that were not included in consideration of life
cycle to ensure environmental protection and regulations compliance.
Evidence Document reviewed;

Interviewed.
Proposed correction, corrective action Will review the requirement to include purchasing procedures to meet
and timescales the requirement of ISO 14001:2015 Standard.
Time target by end of Semester II 2020.
SV1
Correction .
.
Improper control
Corrective action .
Purchasing process still ongoing process

Reference 3168118_JKAHSY01 Assessment Criteria ISO 14001:2015 ( 5.3, 7.2 )
number (Clause)
Status Open Process / Aspect HRD
Statement of Non Conformity 1. EMS role, responsibility and authority was defined Job description.
However it was not inline with ISO 14001:2015 Standard. Several
items were not included, e.g. establishing of environmental objective
for each function, legal identification & compliance, providing
corrective action in case any nonconformity and continual
improvement.
2. EMS Competency was defined in Training Need Analysis.

However it was not sufficient. Some items were not evidently
provided, i.e. chemical management, waste management (B3 & non
B3), problem solving for corrective action.
.
3. Training Evaluation was not evidently provided for period 2019
and ytd 2020
.
Requirement ISO 14001:2015 Standard clause 5.3 and 7.2
.
Evidence - Job description
- Training Need Analysis
- Training Evaluation for year 2019 and ytd 2020 was not evidently
shown
.
Proposed correction, corrective action Correction and corrective action plan:
and timescales 1. To revise job description related to EMS and ensuring in line with
ISO 14001:2015 Standard.
2. To revise Training Need Analysis and ensuring the competency is
in line with ISO 14001:2015 Standard.
3. Ensuring to provide training evaluation after training
implementation.

Proposed correction, corrective action
and timescales Time scale: August 2020
.
Correction
Root Cause analysis
Corrective action HRD under process for revision and correction


Reference 3168118_JKAHSY02 Assessment Criteria ISO 14001:2015 ( 6.1.2 )
number (Clause)
Status Closed Process / Aspect Environmental Aspect - General Area
Statement of Non Conformity Refer to environmental aspect for General area which described in
Identifikasi dan Evaluasi Aspek Dampak Lingkungan serta Bahaya
dan Risiko K3, some activities which has affect to environment were
not evidently identified, e.g. domestic waste water, used cartridge/
toner for photo copy/ printer, electronic/ electric waste.
.
Requirement ISO 14001:2015 Standard clause 6.1.2
.
Evidence Identifikasi dan Evaluasi Aspek Dampak Lingkungan
.
and timescales To include domestic waste water, used cartridge/ toner for photo
copy/ printer, electronic/ electric waste in environmental aspect
(Identifikasi dan Evaluasi Aspek Dampak Lingkungan) and ensuring
all activities which affect to environment will be identified in
environmental aspect.
Time scale: August 2020
.
Root Cause analysis Miss interpretation
Corrective action As seen in Form No. EMS FRM.06.04.01: Identification Aspects and
impacts – Office (FSC and REACH Supplier)

Reference 3168118_JKAHSY03 Assessment Criteria ISO 14001:2015 ( 8.2 )
number (Clause)
Status Closed Process / Aspect Emergency Preparedness and

Response
Statement of Non Conformity 1. Organization has program to conduct emergency simulation once
a year. Last simulation on 18 January 2020 regarding Evacuation
Drill.
However simulation for emergency oil/ chemical spillage was not
evidently conducted.
2. Regular inspection/ checking of spill kit was not evidently

conducted.
.
Requirement ISO 14001:2015 Standard clause 8.2
.
Evidence 1. Report of simulation for emergency oil/ chemical spillage was not
evidently shown.
2. Regular inspection/ checking report for spill kit was not evidently
shown.
.
and timescales 1. Ensuring simulation for emergency spillage will be conducted
yearly.
2. Inspection for spill kit will be conducted monthly.
Time scale: August 2020
.

Root Cause analysis Over looked for spill drill
Corrective action Report of simulation for emergency oil/ chemical spillage in

29/02/2021
Regular inspection/ checking report for spill kit, 29/01/2021


number (Clause)
Status New Process / Aspect Communication
Statement of Non Conformity Organization has not adequately implemented the process(es)
needed for internal and external communications relevant to the
environmental management system, including:
a) on what it will communicate e.g. Environmental complaint;
b) when to communicate;
c) with whom to communicate;
d) how to communicate.
Relevant with compliance obligations; ensure that environmental

information communicated is consistent with information generated
within the environmental management system and is reliable.
Evidence Manual para.7.4 Communication
Proposed correction, corrective action Will review the requirement to include relevant procedures to meet
and timescales the requirement of ISO 14001:2015 Standard.
Time target by end of Semester II 2021.
Correction .
Corrective action .


03. Assessment summary
Visit generic objective:

This was a Surveillance 1 visit, conducted against objectives previously notified to the client. The objectives of the
next visit, including any applicable visit specific objective (theme / focus), are confirmed in the audit plan attached
to this report.
Client attendees at the opening and closing meeting:

VP: Ms. Tjong Sui Ling
QA/QC: Mr. Sigit Chandra
PGA: Mr. Arief Wahyudi
Production: Mr. Qoyum
Opening meeting was conducted at 09.00 and Closing meeting was conducted at 16.00
Visit specific objective:

Compliance of ISO 14001:2015, relevant EMS regulations, commitment for Environmental protection and
prevention
Introduction:
Due to pandemic Covid-19 and complying with DKI Jakarta Government regulation regarding area and mobilization
restriction due to Covid-19 pandemic, the assessment was conducted by remote.
Some employees were working from home while others were working some days in the office with arrangement of
on/off schedule for social distancing purpose to prevent Covid-19 potential spread.
The office is running on normal office hours i.e. from 08.00 to 16.00, with normal shift working.
The remote assessment was carried out by teleconference by Microsoft Teams with the organization and by
reviewing submitted document as evidences of implementation, as approved by the Client.

Assessment of: Context of the organization Leadership Assessor: Septyadi Wardyono
Communication incl. Complain management Use of
LR logo
Auditee(s): Tjong Sui Ling

Sigit Chandra
Audit trails and sources of evidence:

Management of change
ESM, Rev.0; Manual Environment Management System, 07/01/2017
Manual para.4. Context of the Organization
Policy, 29/07/2020
Manual para.7.4 Communication
Evaluation and conclusions:

No changes since last audit.
Context of the organization was defined including external, internal issues e.g. customers, industrial estate,
communities, supplier, shareholder, middle management and regulator
Needs and expectations such as compliance Change of Custody, REACH and Customer UEA, Japan and Korea
need Eco friendly handle use Paper Cord, Emission factor, Flux Magnet during shipment by air and use PWC
Material 40%, Certified paper etc.
Top Management commitment thru natural resources conservation, reduce carton boxes used and replaced with
plastic containers that are returnable to suppliers and could be used in longer times, replacement of lamps with
LED type, recycle scraps and used carton boxes, papers etc.
Policy by environmental protection via due diligence program by selection FSC paper supplier (sustainable sources
and legally harvested forest). Also recycling paper by material cord from sustainable resources, Re-filling printer
toner and others.
Communication with no complaint issues.

See assessment finding.
Use of LR logo: Not used in business letters
Areas for attention:

See the Finding Logs

Assessment of: HRD Assessor: Septyadi Wardyono

Sigit Chandra

Organization Chart, 22/01/2019
FRM.06.02.01: Job Description Maintenance, 15/04/2020
Manual para.7.1 Resources
Manual para.7.2 Competence
WP.06.02.01, Rev.01: Procedure Training & Evaluation,
WP.06.02.01 Training & Evaluation Procedure
Training Need Analysis
Manual para.7.3 Awareness

Resource was defined in Corporate Organization Chart, last update on 22 January 2019.
Role, responsibility and authority was described in Job Description for all functions and levels, including related to
EMS
Competence under HRD department has established competency standard and competency evaluation for all
function and level including related to EMS through Training Need Analysis
are still ongoing process for Y2021 included plan with monitoring of implementation..
Awareness training was conducted for new employee and existing employee need to be further improve.

See open Minor NC
Awareness
Need to ensure that mechanism related to environmental policy and significant environmental aspect are well in
place.

Assessment of: Planning Performance Evaluation Assessor: Septyadi Wardyono
Auditee(s): Personalia: Arif Wahyudi

Production Qoyum
Sigit Candra
Tjong Sui Ling

EMS WP.06.02.01: Procedure Identification, Evaluation Aspect Impact LK3 and STP, 17/09/2018
EMS FRM.06.04.01: Identification Aspects and impacts - Production Folding (electronic waste),
EMS FRM.06.04.01: Identification Aspects and impacts – Office (FSC and REACH Supplier)
EMS FRM 06.04.03: Program and Target Aspect Lingkungan Y2021
EMS WP.06.01.02: Procedure Ketaatan Peraturan PerUndangan, 29/12/2018
EMS-WP.04.02.02: Master List Peraturan PerUndangan & Persyaratan K3L and Implementation Peraturan
PerUndangan K3L, Y 2020
660/697/416-203.A/2014: Recommendation Letter UKL and UPL/Environmental Management & Monitoring
Document Gov. Approval, 29/04/2014
188/536/KEP/416-203/2016: Environmental Permit, 07/04/2016
114/LT-GA/NIP-VII/2016: Letter Pengelolaan limbah sampah rumah tangga, domestic waste-water effluent
Standard (Inti-land Ngoro Industrial Park), 22/07/2016
660/0449/TPSLB3/416-115.3/2019: Operational Permit LB3 Dinas PMPTSP KAB Mojokerto, 07/11/2019
EMS FRM 06.04.03: Monitoring form (Pencapaian Target dan Program)

Laporan Hasil Pengujian for Domestic wastewater (MENLH.68/Y2016)
Laporan Hasil Pengujian for Ambient air (PP.41/Y1999)

Risks and opportunities, Environmental aspects and planning actions
As indicated in the table EMS WI 06.03 .01, if total value > 50 will be as significant aspect.
Sample taken from Production for Folding Bags, Box, QC incoming material, after finished good.
Through Identifikasi dan Evaluasi Aspek Dampak Lingkungan serta Bahaya dan Risiko K3.
How-ever some activities were not identified in environmental aspect e.g. how to control domestic wastewater from
toilet/ closet, waste cartridge/ toner from photocopy/ printer, waste electronic electric.
See open assessment finding.
Objective as seen inside Program dan Target untuk Aspek Lingkungan by reduced consumption for Water,
Electricity, Paper, also waste generation from material reject.
Program by replacing lamps with LED for electricity consumption
Compliance obligation such as hazardous substances has been implemented as verified.

This included evidences i.e. compliance of products supplied supported by statement letter, QC analysis report and

external laboratory analysis.
Environmental monitoring was done as per required in the UKL & UPL document.
The monitoring result was fulfilled the requirement report such as air emission plant (down and up wind), air
ambient surrounding factory, domestic wastewater discharge
Achievement of environmental objective and program was reported monthly.

See Open Minor NC
Assessment of: Production (FRB/folded rigid Box) Personal and Assessor: Septyadi Wardyono
General Affair Emergency preparedness and
response
Auditee(s): Production: Qoyum

PGA: Arief Wahyudi
Sigit Candra
Tjong Sui Ling

Manual para 8. Operational and Planning Control, 07/01/2017
DOC.05.03.02: Procedure Chemical and Waste Management
Daftar Limbah PT. Second Best Packing
Logbook Penyimpanan Limbah B3 Unit TPS Limbah B3
Neraca Pengelolaan Limbah B3
WP.07.03.01, Rev.0: Procedure Purchasing, 15/04/2020

EMS WP.06.02.02, Rev.1: Procedure Out-sourcing Pembuangan LB3, 12/12/2018
WI.06.02.01: Working Instruction Emergency Response (Tanggap Darurat), 15/04/2020

Job Description of Emergency Response Team
Berita Acara Latihan Evakuasi Terhadap Kondisi Darurat
Checklist Spill Kit

Operational planning and control including for wastewater and waste management, pollution prevention,
compliance obligation and natural resources conservation:
Waste record, volume of used packaging and metal scraps Y 2020
Water resource was from industrial estate's water treatment plant prior distributed to all tenants at the area.
Wastewater i.e. from general areas such as office and toilets including canteen and pantries, was drained to the
industrial wastewater treatment plant prior discharged to environment.

General Affair includes transport management, office, cleaning service, domestic wastewater, pantry, non-
hazardous waste management, yard/ parking area.
EMS activity in office related to paper saving by 2sided copy & preference soft copy, water saving & energy saving
by posting notice board for employee awareness, used toner/ cartridge for printing and photocopy was returned to
suppliers.

See Open Minor NC
Assessment of: Internal audit Management Review Improvement Assessor: Septyadi Wardyono

Sigit Candra

WP.08.02.02: Procedure Audit, 15/04/2020
FRM.08.02.04: Audit Finding Report (Internal audit program 24 – 28 November 2020)
FRM.08.03.01: CPA Report Internal Audit No. 08/26-11/I-IA/20 at Warehouse-2, 28/11/2020
Manual para 9.3. Management Review

FRM.05.06.01: Management Review Meeting Summary
Manual para 10. Improvement

WP.08.05.01: Procedure Corrective & Preventive Action, 15/04/2020

Internal audit
Last Internal audit was conducted in 13 – 14 January 2020. Findings from internal audit were followed up including
root cause analysis as per records verified.
Nonconformity and corrective action as applied during internal audit.
Management review annually was conducted 11 June 2021.

Refer to management review report, agenda input and output was not in line with ISO 14001:2015 Standard.
Several items of agendas were not included, i.e.
- input agenda: significant environmental aspect, compliance obligation, resource, complaint.
- output agenda: conclusions on the continuing suitability, adequacy and effectiveness of the EMS, decisions
related to continual improvement opportunities, resources, opportunities to improve integration of the EMS with
other business processes, any implications for the strategic direction of the organization. Previous assessment
finding still open.

Continual improvement
Company with continual programs such as electricity and water conservation as seen inside objective and program
with progress on monthly basis.

None

04. Next visit details
Theme(s) for Next Visit
Compliance
Standard(s) / Scheme(s) ISO 14001:2015 Visit type Focus Visit
Audit days 2.00 DAY Visit start / end dates 02-May-2022 / 03-May-2022
Team SNW
Site Audit Delivery Remote Activity codes
days Method Effort
Blok G1-G1A,Mojokerto,ID 2.0 DAY Onsite 0 DAY 210101,415001

05. Appendix

1. Audit Programme/Plan
Both the audit plan and the programme are dynamic and must be in line with the client’s developments. Any
(last minute) changes are possible with valid reasons e.g. organisational changes, processes, management
review results etc. Prior to the closing meeting the audit team should (re)confirm the programme and identify
any changes, E.g. to the management system, extent, time or dates of the audit, competences...
Visit Type CR SV 1 SV 2 CR
Due Date 20/06 21/06 22/06 23/06
Start Date 20/06/4 21/06/14
End Date 20/06/5 21/06/15
Audit Days 3 2 2 TBD
Separate assessment plan? N Y Y/N Y/N
Any change in workforce numbers that may
impact visit duration (if yes add new number)
N N Y/N Y/N
Opening meeting R R  
Closing meeting R R  
Management of Change R R  
Use of Logo
R R  
(LRQA & Accreditation Marks
Internal Audits R R  
Continual Improvement R R  
Management of change R R  
Corrective Preventive Action(3) R R  
Performance against the client management
R R  
system objective
Environmental Committee 
- Environmental aspect and impact
- Compliance Obligation included evaluation
- Performance Monitoring
R R
- Communication
- Documentation Information
Production R R  
Mechanic & E/F Flute R  
QC R 
Waste management R R  
Warehouse Incoming R  
Warehouse Finish Product R  
HR/GA R R 
Purchasing R R 
Office base activity R  
GA (canteen, first aid room, security &
R R
  
Outdoor area)
Emergency preparedness and response R R 
Scope
Any revised scope will be as agreed in formal correspondence between LRQA and the client or defined in
section 4 of the previous LRQA visit report.
Scope Manufacture of paper base packaging bag and box for general products
Exclusion None
MSBSF43015/0 - 0114 Report: JKT Indonesia OUJKT6048396/3685360 - 16-

Page 1 of 4
Audit Programme/Plan 06-2021
Visit start time (approximate) 09.00 Visit end time (approximate) 17.00
The actual start and finish times for the visit will be agreed at the pre-visit contact with the assessor and recorded
in the report introduction.
Additional information
Opportunities for improvement

If we identify opportunities to improve your already compliant system, we will either record them in the
process table applicable to the area being assessed or in the Executive summary of the report if they can
deliver improvement at a strategic level.
Confidentiality
We will treat the contents of this report, together with any notes made during the visit, in the strictest
confidence and will not disclose them to any third party without written client consent, except as required by
the accreditation authorities.
Sampling
The assessment process relies on taking a sample of the activities of the business. This is not statistically
based but uses representative examples. Not all of the detailed nature of a business may be sampled so, if
no issues are raised in a particular process, it does not necessarily mean that there are no issues, and if
issues are raised, it does not necessarily mean that these are the only issues.
Legal entity
The accredited legal entity and client facing office that has provided the assessment service in this report is
referenced in the applicable agreement for this service.
Generic audit objectives and team responsibilities

The generic audit objectives and team responsibilities are included in the Client Information Note
‘Assessment Process’. Any visit specific objectives for the next visit will be recorded in the report of the
previous visit and will be addressed through the visit plan for that visit. The assessment standard and roles
of the audit team are defined in the assessment visit confirmation sent to the client.
Audit Criteria
The audit criteria consist of the assessment standard and the client’s management system processes and
documentation.
Additional observers
Any additional observers will be as formally communicated to the client.

Page 2 of 4
2. Separate Assessment Plan
Note: if the visit involves more than one team member and/or is more than one day duration, an additional
plan detailing the activities of each member of the team on each day will be required.
(Day 1, 14 June 2021)
09:00 Introductory meeting with management to explain the scope of the visit, assessment
methodology, method of reporting and to discuss the company's organisation
(approximately 30 minutes). The Team Leader will agree a time to meet with top
management to discuss policy and objectives for the management system.
09:30 Follow up of previous findings
10:00 Context Organization
Leadership
HR for Resources, roles, responsibility and authority, competence and awareness
Communication incl. complaint Management and Use of Logo
12:00 Break
13:00 Production
General Affairs/ Area (Canteen, Clinic, Security & Outdoor)
15:30 Report writing
16:00 End of day 1
(Day 2, 15 June 2021)

09:00 Actions to address risks and opportunities; Environmental Aspect; Environmental Objectives
and planning to achieve them)
Compliance obligation) with Performance Evaluation (Monitoring, measurement, analysis and
evaluation; evaluation of compliance)
Internal Audit and Management review
12.00 Break
13:00 Emergency preparedness and response
Improvement (Corrective action, Continual improvement)
Purchasing
15:00 Compilation and report writing (cont.), preparation of closing meeting
15:30 Closing meeting with management to present a summary of findings and recommendations
16:00 End of SV Assessment.
Note; Information on the objectives of the various visits can be found in the Client Information included in the
report or on our website www.lrqa.com. Furthermore on the website there are Client Information Notes
available for the various visit types. The audit criteria and team members date and locations are also stated
on the front page of the report. Scope of certification and roles and responsibilities of the audit team
members are expressed in the Audit Program Plan.
3. Report Considerations
LRQA Report considerations

Page 3 of 4
Have there been any deviation from the original Yes/No If yes detail these in the introduction section of the report
assessment plan: along with the reasons for the deviations
Have there been any significant issues impacting Yes/No If yes detail these in the introduction of the report and
on the audit programme: amend the APP
Have there been any significant changes that Yes/No If yes detail these within the executive summary section
affect the management system of the client since of the report
the last audit took place:
Have any unresolved issues been identified during Yes/No If yes detail these within the executive summary section
the assessment: of the report
Was the audit undertaken a combined or Yes/No If yes confirm what type of audit and the standards
integrated audit: covered in the introduction to the report.
Was the organisation effectively controlling the Yes/No If no document within the reporting table covering the
use of the certification documents and marks: mandatory elements
If applicable has the organisation taken effective Yes/No Record outcome in the findings log against the relevant
corrective action regarding previously identified findings.
nonconformities:,
Does the management system of the organisation Yes/No If no details reasons within the executive summary of the
continue to meet the applicable requirements and report
meet the expected outcomes:
Does the scope of certification continue to be Yes/No If no then document the actions necessary in relation to
appropriate to the activities/products/services of the scope in the executive summary of the report and
organisation: amend the APP as required.
Were the objectives of the visit as defined in the Yes/No If no detail the reasons and any necessary actions in the
APP fulfilled during the visit: executive summary of the report and amend/update the
APP

Page 4 of 4

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Surveillance 1

PT Second Best Packing

LR reference: JKT6048396 / 3685360

01. Executive report 3

This report was presented to and accepted by:

Name: Ms. Tjong Suiling

Areas for senior management attention:

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 3

Reference 3059178_JKAKWZ01 Assessment Criteria ISO 14001:2015 ( 6.1.2 )

Status Closed Process / Aspect Aspect and Impact identification

Location(s) Blok G1-G1A,Mojokerto,ID

Statement of Non Conformity Control incoming material related to significant aspect to

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 4

Status Closed Process / Aspect Environmental Objective & Program

Location(s) Blok G1-G1A,Mojokerto,ID

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 5

Status Closed Process / Aspect Management Review Meeting

Location(s) Blok G1-G1A,Mojokerto,ID

Evidence Last Minute of Management Review meeting 29 January 2019

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 6

Root Cause analysis Assessor Name: Haerul Saleh

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 7

Status Closed Process / Aspect Policy

Location(s) Blok G1-G1A,Mojokerto,ID

Evidence Document Reviewed, and Interviewed

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 8

Status Open Process / Aspect Environmental aspects and impacts

Location(s) Blok G1-G1A,Mojokerto,ID

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 9

Status Open Process / Aspect Purchasing

Location(s) Blok G1-G1A,Mojokerto,ID

Evidence Document reviewed;

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 10

Status Open Process / Aspect HRD

Location(s) Blok G1-G1A,Mojokerto,ID

2. EMS Competency was defined in Training Need Analysis.

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 11

Root Cause analysis

Corrective action HRD under process for revision and correction

LR has reviewed and verified the Date of closure

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 12

Status Closed Process / Aspect Environmental Aspect - General Area

Location(s) Blok G1-G1A,Mojokerto,ID

Time scale: August 2020

Root Cause analysis Miss interpretation

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 13

Status Closed Process / Aspect Emergency Preparedness and

2. Regular inspection/ checking of spill kit was not evidently

Time scale: August 2020

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 14

Corrective action Report of simulation for emergency oil/ chemical spillage in

Regular inspection/ checking report for spill kit, 29/01/2021

Form: MSBSF43000_rev01 - MMYY Report Report: JKT6048396/3685360 - 17-June-2021 Page 15

Status New Process / Aspect Communication

Location(s) Blok G1-G1A,Mojokerto,ID

Relevant with compliance obligations; ensure that environmental

Evidence Manual para.7.4 Communication

Root Cause analysis .