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CERTIFIED ORGANISATION'S ACKNOWLEDGEMENT OF INTERNAL RESPONSIBILITY

PHP 2 ESTATE

4.0 CERTIFIED ORGANISATION'S ACKNOWLEDGEMENT OF INTERNAL RESPONSIBILITY

4.1 Formal Sign-off of Assessment Findings

Hereunder sign by management representative from inspected company to acknowledge a field assessment and agree for all content explained in this assessment report, included of non-compliance findings.

Signed on behalf of:

PT Gersindo Minang Plantation &

PT Permata Hijau Pasaman Mutuagung Lestari

Group Estate Manager Lead Auditor

Indra Arman Moh Arif Yusni

18 May 2019 18 May 2019

RSPO – 4006a/1.0/27062018 Page 79 Prepared by Mutuagung Lestari for GMP POM – PT Gersindo Minang Plantation (Wilmar International Limited)

No Institution/NGO/Community Address Phone/Email Form of

Communication

Date of Contact

Response

Yes No

1 Plantation Agency Pasaman Barat Regency,

Sumatra Barat Province - Interview February

25, 2019 

2 National Land Agency , West Pasaman

Pasaman Barat Regency,

Sumatra Barat Province - Interview February

25, 2019

 3 Environmental Agency Pasaman Barat Regency,

Sumatra Barat Province - Interview February

25, 2019 

4 Labour Agency Pasaman Barat Regency,

Sumatra Barat Province - Interview February

25, 2019 

5 Social & Environment NGO of WAMPEL

Pasaman Barat Regency,

Sumatra Barat Province - Interview February

26, 2019 

6 Sawit Watch Indonesia info@sawitwatc

h.or.id

Questionnaire February 20 2019

7 WALHI Indonesia informasi@wal

hi.or.id

Questionnaire February 20 2019

8 Forest People Programme Indonesia info@forestpeo

ples.org

Questionnaire February 20 2019

9 AMAN Indonesia rumahaman@c

bn.net.id

Questionnaire February 20 2019

 10 Gender Committee PT. GMP Pasaman Barat Regency,

Sumatra Barat Province

- Interview February

28, 2019

 11 Gender Committee PT. PHP Pasaman Barat Regency,

Sumatra Barat Province

- Interview February

28, 2019

 12 Employee Cooperative of PT.

PHP

Pasaman Barat District.

Sumatra Barat Province Interview February

27, 2019

 13 Serikat Buruh Perkebunan

Indonesia / SERBUNDO (Labor Union) of PT GMP

Pasaman Barat Regency,

Sumatra Barat Province Interview

February 28, 2019

14 Serikat Buruh Perkebunan Indonesia / SERBUNDO (Labor Union) of PT PHP

Pasaman Barat Regency,

Sumatra Barat Province Interview

February 28, 2019

15 Serikat Pekerja Seluruh Indonesia / SPSI (Labor Union) of PT PHP

Pasaman Barat Regency,

Sumatra Barat Province Interview

February 27, 2019

16 Serikat Pekerja Seluruh Indonesia / SPSI (Labor Union) of PT GMP

Pasaman Barat Regency,

Sumatra Barat Province Interview

February 26, 2019

17 Local contractor PT. GMP POM (FFB Supplier)

Pasaman Barat District.

Sumatra Barat Province

- Interview February

26, 2019

 18 Local Contractor (FFB

supplier and hardening road) of CV Nia Mustika – PT PHP

Pasaman Barat Regency, Sumatra Barat Province

-

Interview

February 28, 2019

19 Local Contractor (FFB supplier and hardening road) of CV Risq Rizalio – PT GMP

Pasaman Barat Regency, Sumatra Barat Province

-

Interview

February 28, 2019

 Appendix 1. List of Stakeholder Contacted in the RSPO Certification Process

RSPO – 4006a/1.0/27062018 Page 80 Prepared by Mutuagung Lestari for GMP POM – PT Gersindo Minang Plantation (Wilmar International Limited) 20 Plasma Cooperative of Unit

Bina Tani Sejahtera - Plasma of PT GMP

Pasaman Barat Regency,

Sumatra Barat Province Interview

February 28, 2019

21 Plasma Cooperative of Rantau Pasaman Sasak – PT PHP

(Noncertified RSPO)

Pasaman Barat Regency, Sumatra Barat Province

-

Interview

February 27, 2019

22 Plasma Cooperative of Kapa – PT PHP

(Noncertified RSPO)

Pasaman Barat Regency, Sumatra Barat Province

-

Interview

February 27, 2019

23 Plasma Cooperative of Lingkuang Aua II – Plasma of PT

Pasaman Barat Regency, Sumatra Barat Province

-

Interview

February 26, 2019

24 Community Leader (Ninik Mamak) of Jorong Tanjuang Pangka – Nagari Lingkuang Aua

Pasaman Barat Regency, Sumatra Barat Province

-

Interview

February 26, 2019

25 Sub-district Head of Nagari Persiapan Maligi – PT PHP

Pasaman Barat Regency, Sumatra Barat Province

-

Interview

February 26, 2019

26 Community Leader (Ninik Mamak and Datuk) of Nagari Kapa

Pasaman Barat Regency, Sumatra Barat Province

-

Interview

February 27, 2019

27 Community Leader (Ninik Mamak, Datuk and Kerapatan Adat Nagari/KAN) of Nagari Kapa

Pasaman Barat Regency, Sumatra Barat Province

-

Interview

February 27, 2019

28 Community Leader (Ninik Mamak, Datuk and Kerapatan Adat Nagari/KAN) of Nagari

Pasaman Barat Regency, Sumatra Barat Province

-

Interview

February 27, 2019

29 Community Leader (Ninik Mamak) of Nagari Persiapan Maligi (not willing to be interviewed

Pasaman Barat Regency, Sumatra Barat Province

-

Interview

February 28, 2019

30 GMP Palm Oil Mill

- 1 worker – Security officer - 1 worker – engine station

labor.

- 1 worker – workshop.

- 1 worker - grading station labor.

- 2 workers - boiler station labor.

- 1 worker – sterilizer operator.

- 2 workers – press operator.

Pasaman Barat District.

Sumatra Barat Province

Interview

February, 26 2019

RSPO – 4006a/1.0/27062018 Page 81 Prepared by Mutuagung Lestari for GMP POM – PT Gersindo Minang Plantation (Wilmar International Limited)

- 2 worker – weighbridge operator

- 3 worker – fire fighting simulation (hydrant test) - 1 worker WTP

- 1 worker WWTP

1 worker chemical warehouse 31 GMP Estate

- 1 worker – Nursery officer.

- 4 workers - Spraying Labors.

- 3 workers - Harvesting Labor.

- 2 workers – EFB Application contract worker

- 2 workers – employee housing care

- 1 worker HCV monitoring - 1 worker peat

management

- 4 people in housing area 10 worker in workshop and warehouse complex

Pasaman Barat District.

Sumatra Barat Province

Interview

February, 28 2019

32 PHP I Estate

- 3 workers - Harvesting Labor.

- 5 workers - Spraying Labors.

- 6 workers – housing communities

- 6 worker in workshop and warehouse complex

Pasaman Barat District.

Sumatra Barat Province

Interview

February, 27 2019

33 PHP II Estate

1 worker of HGU monitoring

Pasaman Barat District.

Sumatra Barat Province Interview February,

27 2019

RSPO – 4006a/1.0/27062018 Page 82 Prepared by Mutuagung Lestari for GMP POM – PT Gersindo Minang Plantation (Wilmar International Limited)

DATE / 25 February – 02 March 2019

PLANNED TIME PROCESSES / CLAUSES TO BE AUDITED

AUDITOR

Monday, 25 February 2019

06.00 – 07.30 08.00 – 14.00

JAKARTA  Padang

Padang  PT. Gersindo Minang Plantation MAY / AFS / AFF

13.00 – 14.00 Stakeholders consultation to related agencies in Pasaman Barat Regency RPJ / WYN 14.30 – 15.30 Opening meeting

 Auditee Speech (Introduction of PIC, Profile of Certified Management Unit)

 Auditor Team Speech (Introduction, Audit Objective, Audit Scope, Audit Plan Discussion, Determine of Audit Sample, Transparency and Confidentiality Clarification)

MAY / AFS

15.30 – 17.00 Review of previous assessment findings Verification of Basic Information Mill and Estate

Confirmation of Time Bound Plan

MAY / AFS

Tuesday, 26 February 2019

08.00 – 12.00 Stakeholder consultation to affected communities surrounding the plantations and

previous land owner MAY / AFS

08.00 – 12.00 Field observation to GMP POM :

 FFB Receiving, Weighbridge, FFB Sorting, Processing Activity, Despatch CPO)

 Occupational Health & Safety Aspect (Inspection to Chemical Storage, Hazardous Waste Storage, Fire Control Simulation, POME Pond)

 RPJ

 AFF / WYN

12.00 – 14.00 Break

14.00 – 17.00 Verification of stakeholder consultation result and field visit.

Document review and completing audit checklist.

Interview with Gender Committee, Worker’s Union, Worker’s Cooperative (if any), Local Contractor (for Mill and Estate), Third Party Supplier

All Auditor

Wednesday, 27 February 2019

08.00 – 12.00 Stakeholder consultation to affected communities surrounding the plantations and

previous land owner MAY / AFS

08.00 – 12.00 Field observation to PT PHP `1:

 Implementation of Agronomy Aspect (Harvesting & Transportation, Manuring, Pesticides Application, Road Maintenance, Biological Control Monitoring, EFB Application)

 Implementation of Environmental, Conservation and Waste Management Aspect (Inspection to Chemical Storage, Fertilizer Storage, Hazardous Waste Storage, Fire Control Facilities, Waste Management, HCV Area)

RPJ / AFF/ WYN Appendix 2. Assessment Program

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