Form No.

: TRID-F-025
JADWAL AUDIT Form Title
Rev. No
: Jadwal Audit
:6
(Audit Plan) Issue date
Page
: 2013.12.11
: 1 of 3

Informasi Pelanggan (Clients information)

Order Number: 130321xxxx No. Standar SNI : SNI ISO 9001:2008 SNI 0098:2012 SNI 0099:2012
SNI 0100:2012 SNI 0101:2012 SNI 6700:2012
Regulation: Minister of Industry no. 76/M-IND/PER/9/2015
Director General IKTA no. 07/IKTA/PER/3/2016
Nama Pelanggan / Perusahaan: PT Arami Jaya
(Clients/ Company Name)
Lokasi / Site / Unit: Jl. Daendels Deas/Kel. Harjobinangun. Kec. Grabag, Kab. Purworejo
(Location)
No Nama Perusahaan & Alamat Nama Produk Nama dagang
. (Company Name & Address) (Product(s) Name) (Brand name)
1 PT Arami Jaya Inner Tube (Butyl) DUNLOP
Jl. Daendels Deas/Kel. Harjobinangun. Kec. Grabag, Kab. Purworejo
Nama & Lokasi Lab. Uji : PPK Bogor or PPMB Ciracas
(Name&Location of Test Lab)

Rincian Team yang ditugaskan (Team detail)

Auditor Kepala Benito Madethen (BM)
(Lead Auditor) :
(System Auditor)
Auditor/Inspektor Purwanto (PP) Bahasa yang digunakan : Indonesia
(Auditor) (Language use)
PPC Purwanto (PP) Jadwal dikirim tgl : 14 July 2017
(Sampling officer) (Audit plan send date)

Tanggal/Jam Unit Organisasi/Proses Auditor Auditee Pasal yang diaudit

(Date)/(Time) (Organizational Unit/ Processes) (Auditor) (Auditee) (Clausal standard)
2017-Jul-17 Travel from Jakarta to Purworejo
2017-Jul-17 Certification audit according fail test in the previous Surveillance
Top Management,
Management
08:30 Opening Meeting BM, PP Representative, Clients Company Profile Presentation
Related Managers
4.1 general requirement
4.2 documentation requirement
5.1 management commitment
5.2 customer focus
5.3 quality policy
5.4 planning
Top Management,
Management Process 5.5 responsible, authority & comm.
Management
09:00 Documentation system of ISO BM, PP
Representative (MR) &
5.6 management review
implementation (see annex.1) 8.2 monitoring and measurement
ISO team
8.4 analysis of data
8.5 Improvement
Verify Quality Manual, Procedure or
Other related documents as evidence
ISO 9001 Implementation.
Preparing sampling documents
Sample specimen preparation for
09:30 PP QMR SNI and Government regulation
surveillance and witness at place
6.3 infrastructure
6.4 work environment
7.5 Production and service provision
Incoming raw material
7.6 control of monitoring device and
Inspection
Production dept. head, measurement
Material warehouse handling
10:30 BM QC in-process and 8.2 monitoring measurement
process
final dept. head 8.3 control of nonconforming product
Production Process (mixing- 8.4 analyse of data
extruding-cutting-topping-curing) 8.5 Improvement
SNI requirements & government
regulation
12:00 Break ---
13:00 Sample selection and witness test PP FG Warehouse Head SNI and Government regulation
 Form No. : TRID-F-025
JADWAL AUDIT Form Title
Rev. No
: Jadwal Audit
:6
(Audit Plan) Issue date
Page
: 2013.12.11
: 2 of 3

Tanggal/Jam Unit Organisasi/Proses Auditor Auditee Pasal yang diaudit

(Date)/(Time) (Organizational Unit/ Processes) (Auditor) (Auditee) (Clausal standard)
In process inspection 6.3 infrastructure
Control of nonconforming 6.4 work environment
product 7.5 Production and service provision
Final Inspection 7.6 control of monitoring device and
Indoor testing facilities measurement
Testing Laboratory Verification Production dept. head, 8.2 monitoring measurement
13:00
and witness test BM, YP QC in-process and 8.3 control of nonconforming product
New model validation final dept. head 8.4 analyse of data
Production and testing test 8.5 Improvement
maintenance SNI requirements & government
Control of measuring regulation
equipment
calibration/verification
16:15 Review finding BM, YP N/A
17:00 Closing Meeting BM, YP All needed auditee Presentation of findings & Clarification
17:30 End of audit

Daftar Distribusi (Distribution List)

Client, auditor team

Disahkan oleh Lead Auditor (Authorisation by Lead Auditor)

Benito Madethen
 Form No. : TRID-F-025
JADWAL AUDIT Form Title
Rev. No
: Jadwal Audit
:6
(Audit Plan) Issue date
Page
: 2013.12.11
: 3 of 3

Annex.1 Minimum requirements of Documents/Record for Verification

Nr Document Clause
1 Management review meeting 5.6.2
-Result of Audit: 8.2.2
-Customer feedback 8.2.1
-Process Performance and product conformity 8.2.3/8.2.4
-status of preventive and corrective action 8.5.1/8.5.2
-follow up action from previous management reviews 4.2.4
-changes that could affect the QMS 4.1
-recommendation for improvement 8.5.3
2 Quality manual 4.2.2
3. Quality policy 5.3
3. Quality objective (stated in Quality manual) 5.4.1
4. Last Organization chart, showing the position of QMR 5.5
5. Job description of Quality control 6.2
6. List of appointed supplier 7.4.1
7. Monitoring supplier performance report (performance of 7.4.3
quality, cost, delivery) supplier selection
8. Training plan 6.2.2
9. Training record (schedule, training evaluation) 4.2.4
10. Document external control (regulation related product) 4.2.3.f
11. Control plan / production quality chart 7.1
12 Monitoring internal testing Laboratory 8.2.4
13 Control of measuring devices (calibration schedule and 7.6
sample report)
14 Schedule maintenance of production machine 7.5.1
15 Design & product realization (APQP) for new product ( or 7.3.1
change)
16 Customer claim report 7.2.3.c
17 Sample of test report from internal Lab according to SNI 7.2.1.c
standard or equivalent standard.
18 Labeling system (optional) Reg.