Ohsas 18001 Checklist Audit-Jan 2015 For PT Delimax Indonesia

INTERNAL AUDIT REPORT
OHSAS 18001 & ISO 14001
Name of Organization
PT. DELIMAX INDONESIA

Date of Audit
Mon, 19 January 2015

Auditor
Marthinus A. Lodo, Fendy Achmad
1
OHSAS 18001 & ISO 14001 Audit Checklist/Record
OHSAS 18001 & ISO 14001
1. General Requirements (4.1)

Has the organisation ensured that all the systems Guidance
required by OHSAS 18001 have been fully implemented This section may be best
and are maintained? answered at the end of the
Assessment Review report to
ensure that all aspects of the
requirements have been fully
implemented.
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OHSAS 18001 & ISO 14001
1. General Requirements (4.1)

(Explain how you meet this requirement in this space)
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OHSAS 18001 & ISO 14001
2. OH&S Policy (4.2)

Have you an appropriate and documented OH&S Policy Guidance
that has been authorised by top management and Your OH&S policy (statement
communicated to all personnel and includes the of your commitment to OH&S
following statements: matters) will need to meet the
requirements stated but you
Overall health & Safety Objectives (4.2)
should also try to ensure it
Commitment to continual improvement (4.2.b) reflects what you want to tell
Commitment to comply with relevant OH&S your customers about your
legislation and regulations (4.2.c) commitment to them.
It will need to be the

“springboard” for your
commitment to your OH&S
objectives.

HSE Policy already have; MD-HSE-01 (approved on 1 Jan 2015)
Communication of HSE Policy for PT. DELIMAX INDONESIA (Internal) – no evidence
Is the policy made available to all interested parties? Guidance

(4.2.f) Your OH&S policy must be
made available. Consider your
website.
Communication of HSE Policy and Objective for PT. DELIMAX INDONESIA (External)
- stated on Corporate Profile (dated on 28th Nov 2014)
Is the policy reviewed periodically to ensure that it Guidance

remains relevant and appropriate to the organisation? Your OH&S policy must be
(4.2.g) reviewed by top management.
Management Reviewed will be planned on 21 Jan 2015.
Agenda MR;
- Belum ada (harus dibuat dan didistribusikan sebelum pelaksanaan)
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OHSAS 18001 & ISO 14001
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OHSAS 18001 & ISO 14001
3. Planning (4.3)
Has the organisation ensured that they have established Guidance
and maintained procedures for the ongoing identification Can you identify procedure to
of hazards, the assessment of risks and the address all the areas?
implementation of necessary control measures?
The above must include:
 Routine & non-routine activities
 Activities of all people with access to the
workplace
 All facilities at the workplace
(4.3.1)
HSE Objective & Target has been made on 1 Jan 2015
Data monitoring Year 2014;
- 100% legal compliance (monitoring was not yet conducted) - correction
- Less than 3 reportable incidents per year (available data)
- Zero accidents (available data)
- 1 EHS Campaign per year (monitoring was not yet conducted and have not
conducted)
The results of assessments and the effects of controls Guidance

taken must be considered when setting the OH&S
objectives. (These shall be documented and maintained
current) (4.3.1)
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OHSAS 18001 & ISO 14001
3. Planning (4.3)
Data monitoring Year 2014 belum ada.

- 100% legal compliance (monitoring was not yet conducted)
- Less than 3 reportable incidents per year
- Zero accidents
- 1 EHS Campaign per year (monitoring was not yet conducted and have not
conducted)
Has the methodology for hazard identification and risk Guidance

assessment:
 Been defined with respect to its scope, nature
and timing to ensure it is proactive.
 Provided for the classification of risks and
identification or those that are to be eliminated or
controlled by measures such as objectives or
programmes etc.
 Been consistent with operating experience and
the capability of risk control measures used
 Provided input into the choice of facility
requirements, the identification of training needs
and / or the development of operational controls
 Provided for the monitoring of actions to ensure
effectiveness and timeliness of their
implementation.
(4.3.1)
DLX-MP-HSE-07 (1 Jan 2015)
Records are available (13 processes).
Action plan was made for the risk score >= 4 points. No action taken for score < 4 ;point.
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OHSAS 18001 & ISO 14001
3. Planning (4.3)
Has a procedure been established and maintained to Guidance
show how legal and other OH&S requirements are Consider preparing a register
relevant to the organisation. Are legal and other OH&S of legislation and regulation
requirements kept current and made known to all that are relevant and add
relevant parties. (4.3.2) information to explain how
each one should be considered
and affects the organisation.
DLX-MP-HSE-08 (1 Jan 2015)
Identification and compliance monitoring has been done.
Outstanding items would be monitored.
Has the organisation established and documented OH&S Guidance

objectives which are aligned with the OH&S Policy, are Consider the stated ambitions
quantifiable where possible, to be used for continual of the OH&S Policy and
improvement purposes. define how these can be
translated into measurable
Note: When considering objectives the organisation
(qualitative / quantitative)
must have considered the legal and other requirements,
objectives and the action
hazards and risks, technological options, financial,
required to achieve them
operational and business requirements as well as the
together with responsibilities
views of interested parties. (4.3.3)
and timescales.

- 100% legal compliance (monitoring was not yet conducted)
Has the organisation devised an OH&S programme that Guidance

is reviewed regularly to identify the actions and Is there an overall programme
designated responsibilities for achieving its OH&S of activity defined (perhaps
objectives within a defined timescale. (4.3.4) with sub-programmes where
required)
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OHSAS 18001 & ISO 14001
3. Planning (4.3)
Not established yet for the four objectives & target in PT. DELIMAX INDONESIA
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OHSAS 18001 & ISO 14001
4. Implementation & Operation (4.4)

Has the organisation ensured that the roles, Guidance
responsibilities and authorities of personnel who These could be separately
manage, perform and verify activities with respect to defined of may be part of the
OH&S been documented and communicated? (4.4.1) procedures / manuals.
(Please explain how you meet this in this space)
Have management provided sufficient resources to Guidance

ensure the effective implementation and improvement This is a judgement based
of the OH&S management system? (4.4.1) upon the ability of the
organisation to meet its
obligations successfully.
Have management appointed a OH&S representative Guidance

who is responsible for ensuring the OH&S Who reports directly to
management system is fully implemented in management regarding
accordance with OHSAS 18001 (in respect of this OH&S / ISO 19001
assessment review) and do he/she report OH&S perfoemance?
performance to top management? (4.4.1)
Appointment letter as MR for Mr. Wunna has not been issued yet.
Do management personnel, at all levels, demonstrate Guidance

their commitment to the continual improvement of the A judgement is required? Do
OHSAS management system? (4.4.1) management demonstrate
this?
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OHSAS 18001 & ISO 14001

Are personnel competent by virtue of having the Guidance

appropriate education, training and / or experience to Have there been any
perform tasks in the workplace? (4.4.2) competence survey /
appraisals undertaken?
Has the organisation established procedures to ensure Guidance

that its employees are aware of the following: How are these
 The importance of conforming to the OH&S communicated?
policy, procedures and requirements
 The potential and actual consequences of their
work activities and the OH&S benefits of
improved personal performance
 Their roles and responsibilities to meet the
requirements of the OH&S policy, procedures and
other OH&S management system requirements
including emergency preparedness and response
requirements.
(4.4.2)
TNA 2014 has not been developed yet.
TNA 2015 has not been developed yet.
Specific Training for Electrical Safety Specialist has not been found yet.
Training Records are available. All certificates are kept properly.
Do training procedures take into account differing Guidance

levels of responsibility, ability, literacy and risk?
(4.4.2)
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OHSAS 18001 & ISO 14001

Have you procedures to ensure that pertinent OH&S Guidance

information is communicated to and from employees Has this been incorporated
and other interested parties? (4.4.3) into a procedure? Use of
newsletter, emails, briefing
etc.
DLX-MP-HSE-11
Both internal & external
Are employees involved and consulted with and the Guidance

arrangements documented as well as interested parties Is the involvement of the
informed with respect to OH&S? (4.4.3) H&S Representatives from
the workforce documented?
Tool Box Meeting – daily (year 2014)
P2K3 Meeting- monthly
HSE Induction – SOC (safety orientation course)
Is it ensured that employees are: Guidance

 Involved in the development and review of
policies and procedures to manage risks.
 Consulted with regard to changes in workplace
and health & safety
 Informed as to who their OH&S
representatives are.
(4.4.3)
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OHSAS 18001 & ISO 14001

HSE Committee Meeting discussion agenda
- HSE policy (not yet)
- Impact/Risk Management (not yet)
Has the organisation prepared documentation that Guidance

describes the core elements of the management system
Describe the system or
and the interaction of the core elements as well as
consider a flowchart showing
providing direction to other related documentation?
the overall process of the
(4.4.4) OH&S. Consider the
elements required by this
Assessment Review Report
for inclusion. E.g.
communication, corrective
action etc.
Control of Document DLX-MP-HSE-01 Control of Document
Document Structure;
- HSE Manual (DLX-HSE-M)
- Management Document (MD)
- Management Procedure (MP)
- Safe Work Practice (SWP)/Environmental Control procedure (ECP)
- External Regulatory/ Statutory Documents
- External Drawings
HSE Document registration list has been prepared (awaiting approval from Bpk/ IK
Hen as Director)
External Regulatory Document List was not available and not kept the
document.
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OHSAS 18001 & ISO 14001

Has the organisation implemented procedures to Guidance
control documents, data and records required by the Procedures required for all
OHSAS 18001 (specifically required by this the areas listed.
Assessment Review)? Specifically does this ensure:
 They can be located
 Periodically reviewed and approved for
adequacy by authorised personnel
 Current versions are made available where
required
 Obsolete are controlled to avoid inadvertent
use
 Archived documentation is retained and
identified
(4.4.5)
DLX-MP-HSE-02 Control of record
HSE Record List is available. Retention time is three years.
Has the organisation planned activities to include Guidance

control measures which are identified with operations
and activities associated with risks?
Specifically this must include:

 Ensuring documented procedures, including
operating criteria, are implemented where their
absence might lead to deviations from the
OH&S policy and objectives
 Ensuring documented procedures related to
risks of purchased goods, equipment and
services and communicating relevant
procedures to suppliers and contractors
 Ensuring documented procedures for the
design of workface, processes, installations,
machinery, operating procedures and work
organisation. (Including adaptation to human
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OHSAS 18001 & ISO 14001

capabilities to reduce OH&S risks at their
source).
(4.4.6)
Has the organisation ensured that plans and Guidance

procedures are available to identify actions to be taken
in response to incidents and emergency situations and
the steps to be taken to mitigate illness and injury?
(4.4.7)
DLX-MP-HSE-09
Potential emergency ;
- Fire
- Injury
- Chemical
- Vehicle Accident (outside of working area)
Does the organisation ensure that it has reviewed Guidance

(including periodic testing) its emergency
preparedness, response plans and procedures
(especially after occurrence of an incident or
emergency situation). (4.4.7)
Fire Drill conducted on 15 Aug 2014.
ERT;
- Cipto, Putra, dll
- Certificates of all personnel in ERT are available (colpleted)
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OHSAS 18001 & ISO 14001
5. Checking & Corrective Action (4.5)

Has the organisation established and maintained Guidance
procedures to monitor and measure the performance Procedures required.
of the OH&S on a regular basis including the
following aspects:
 Consider qualitative (High, Medium, Low)
and quantitative (actual number)
measurements.
 The organisations success in meeting its
OH&S objectives.
 The performance of the OH&S management
programme, operational criteria and meeting
legislation and regulatory requirements.
 Accidents, ill health, incidents (including near
misses) and other historical OH&S
performance.
 The recording of data and results to assist with
providing corrective and preventive action
analysis.
 The calibration and maintenance of
equipments required for any measurements
applicable and retention of the records of
calibration.
(4.5.1)
No experience
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OHSAS 18001 & ISO 14001

procedures for defining responsibility and authority Procedures required.
for the following aspects:
 The handling and investigation of accidents,
incidents and non-conformances
 Taking action to mitigate any consequences of
accidents, incidents and non-conformances.
 Confirming the effectiveness of the corrective
and preventive actions taken.
Does the organisation review these through risk
assessment: and implement and record any changes in
documented procedures?
(4.5.2)
CONTROL OF NON-CONFORMANCE In HSE (DLX-MP-HSE-03)
(1) EHS Accidents/ Accidents

(2) EHS Emergency
(3) External ‘partie’s’ feedback
(4) Statutory feedback/ Summon/Fine.
(5) Vendor Performance

procedures for the identification, maintenance, The OHSAS records must be
archive periods and disposal of OH&S records to legible, identifiable and
prove conformance to OHSAS 18001 (as per this traceable to the activities
assessment review report) including audits and involved.
reviews? (4.5.3) They must be stored to
ensure that they are available
and protected.
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OHSAS 18001 & ISO 14001

You must ensure that you have procedures for internal Guidance
auditing. Internal audits must be planned and executed You must undertake internal
to verify compliance of your systems with the audits. The number or
requirements of OHSAS 18001. You must comply frequency is your decision
with the following (4.5.4): but should be sufficient to
enable you to be satisfied the
 The audit frequencies will be dependent on the system is operating to the
likelihood of those areas being problematic i.e. a requirements of OHSAS
risk assessment of the relevant activities. 18001.
 The Internal Auditor undertaking the audits will
be competently trained and independent of the
activities being audited.
 Audit Reports must be produced identifying any
non-conformances detected and those managers
responsible must take action to correct the
problems and their causes.
 Audit problems that are deleted must be followed-
up to ensure that they are properly dealt with.
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OHSAS 18001 & ISO 14001

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OHSAS 18001 & ISO 14001
6. Management Review (4.6)

A regular (minimum annually) minuted OH&S Guidance
management review meeting must be undertaken to You must undertake a
discuss and define any actions required in a minuted meeting of management to
meeting (4.6). The agenda must as a minimum cover discuss the agenda of the
the following issues but must be comprehensive to Management Review
address all relevant factors relating to the suitability, Meeting and keep minutes of
adequacy and effectiveness of the system: the meeting including any
 Review of OH&S Policy (4.2.g, 4.6) actions that must be
 Review and resetting of OH&S Objectives completed (with dates).
against targets and commitment to continual
improvement (4.6)
 Review of Internal Audit findings (4.6)
 Review of all necessary actions and
responsibilities within the OH&S programme
to ensure compliance with the standard.
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OHSAS 18001 & ISO 14001
21

Ohsas 18001 Checklist Audit-Jan 2015 For PT Delimax Indonesia

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INTERNAL AUDIT REPORT

OHSAS 18001 & ISO 14001

PT. DELIMAX INDONESIA

Mon, 19 January 2015

Marthinus A. Lodo, Fendy Achmad

OHSAS 18001 & ISO 14001

1. General Requirements (4.1)

OHSAS 18001 & ISO 14001

1. General Requirements (4.1)

OHSAS 18001 & ISO 14001

2. OH&S Policy (4.2)

It will need to be the

(Explain how you meet this requirement in this space)

Is the policy made available to all interested parties? Guidance

Is the policy reviewed periodically to ensure that it Guidance

OHSAS 18001 & ISO 14001

OHSAS 18001 & ISO 14001

The results of assessments and the effects of controls Guidance

OHSAS 18001 & ISO 14001

Data monitoring Year 2014 belum ada.

Has the methodology for hazard identification and risk Guidance

OHSAS 18001 & ISO 14001

Has the organisation established and documented OH&S Guidance

(Explain how you meet this requirement in this space)

Has the organisation devised an OH&S programme that Guidance

OHSAS 18001 & ISO 14001

OHSAS 18001 & ISO 14001

4. Implementation & Operation (4.4)

Have management provided sufficient resources to Guidance

Have management appointed a OH&S representative Guidance

Do management personnel, at all levels, demonstrate Guidance

OHSAS 18001 & ISO 14001

4. Implementation & Operation (4.4)

Are personnel competent by virtue of having the Guidance

Has the organisation established procedures to ensure Guidance

Training Records are available. All certificates are kept properly.

Do training procedures take into account differing Guidance

OHSAS 18001 & ISO 14001

4. Implementation & Operation (4.4)

Have you procedures to ensure that pertinent OH&S Guidance

Are employees involved and consulted with and the Guidance

Is it ensured that employees are: Guidance

OHSAS 18001 & ISO 14001

4. Implementation & Operation (4.4)

Has the organisation prepared documentation that Guidance

OHSAS 18001 & ISO 14001

4. Implementation & Operation (4.4)

HSE Record List is available. Retention time is three years.

Has the organisation planned activities to include Guidance

Specifically this must include:

OHSAS 18001 & ISO 14001

4. Implementation & Operation (4.4)

(Please explain how you meet this in this space)

Has the organisation ensured that plans and Guidance

Does the organisation ensure that it has reviewed Guidance

Fire Drill conducted on 15 Aug 2014.

OHSAS 18001 & ISO 14001

5. Checking & Corrective Action (4.5)

OHSAS 18001 & ISO 14001

5. Checking & Corrective Action (4.5)

(Please explain how you meet this in this space)

CONTROL OF NON-CONFORMANCE In HSE (DLX-MP-HSE-03)