E.4 Purchasing and goods in .1
3. Implementation of Certificate and trademark is not used on product X or√
3.5 Identification of Findings, Corrective Action, Observations, Opportunity for Improvement and Noteworthy Positive Components
3.5.1 Identification of Findings, Corrective Actions and Observations at ST-2 Assessment
NCR No. : 2018. 01 Issued by : Sofyan Hadi Lubis
Date Issued : 8 June 2018 Time Limit : ASA 1
NC Grade : Minor Date of Closing :
Standard Ref. &
Requirement
: 1.1.1.
List of information related to criterion 1.2 that can be accessed by relevant stakeholders shall be available.
Non-Conformance Description & Evidence observed (filled by auditor):
The company has a list of information that is accessible by the stakeholders, but based on document review and interviews with stakeholders, it is known that there is no evidence of socialization for a list of company information that accessible by stakeholders including mechanisms to access the information.
Root Cause Analysis (filled by organization audited):
Correction (filled by organization audited):
Corrective Action (filled by organization audited):
Assessor Evaluation and Conclusion (filled by auditor):
Verified by :
NCR No. : 2018. 02 Issued by : Arif Faisal Simatupang
Date Issued : 8 June 2018 Time Limit : ASA 1
NC Grade : Minor Date of Closing :
Standard Ref. &
Requirement
: 2.1.4
A system for tracking any changes in the law shall be available and implemented Non-Conformance Description & Evidence observed (filled by auditor):
Based on a review of the List of Regulations Regarding the Implementation of RSPO-ISPO dated 20 March 2018, it is known that not yet fully legal regulations have been identified, namely not yet containing but not limited to :
- Government Regulation No. 37 of 2014 concerning soil and water conservation.
- Government Regulation No. 44 of 2015 concerning the implementation of accident insurance programs and death insurance.
- Government Regulation No. 45 of 2015 concerning the implementation of a pension guarantee program.
- Government Regulation No. 46 of 2015 concerning old age insurance.
- Minister of Agrarian and Spatial Planning Regulation No. 7 of 2017 concerning procedures for determining HGU.
- Minister of Manpower Regulation No. 38 of 2016 concerning OHS of power and production machinery.
- Minister of Manpower Regulation No. 5 of 2018 regarding OHS on the work environment.
- Minister of Health Regulation No. 416 of 1990 concerning water quality requirements and supervision.
- Decree of the Governor of North Sumatra No. 188.44/575/KPTS concerning the North Sumatra Province minimum wage in 2018.
Root Cause Analysis (filled by organization audited):
Correction (filled by organization audited):
Corrective Action (filled by organization audited):
Assessor Evaluation and Conclusion (filled by auditor):
Verified by :
NCR No. : 2018. 03 Issued by : Asystasya Aishah Silalahi
Date Issued : 8 June 2018 Time Limit : ASA 1
NC Grade : Minor Date of Closing :
Standard Ref. &
Requirement
: 4.4.1
A water management plan must be provided.
Non-Conformance Description & Evidence observed (filled by auditor):
Can be shown the report of surface water quality test (upstream and downstream of river Hesa), for example test report of semester 2 year 2017 done by accredited laboratory, the reference used is Permenkes RI No. 416 / MENKES / PER / IX / 1990 (has been expired), its not yet appropriate where the surface water quality testing shall be conducted in accordance with Government Regulation 82/2001 (class 1 standard - water utilized by the community), and there were some of paremeter not tested such as TDS, TSS, total coliform and fecal coliform, besides there are test results that are not in accordance with the quality threshold such as BOD in upstream of 4.25 and downstream of 7.12 (BOD quality standard is 2).
Root Cause Analysis (filled by organization audited):
Correction (filled by organization audited):
Corrective Action (filled by organization audited):
Assessor Evaluation and Conclusion (filled by auditor):
Verified by :
NCR No. : 2018. 04 Issued by : Asystasya Aishah Silalahi
Date Issued : 8 June 2018 Time Limit : 8 June 2019
NC Grade : MAJOR Date of Closing : 18 July 2018 Standard Ref. &
Requirement
: 4.7.2
Risk assessments must be available, documented and records of implementation Non-Conformance Description & Evidence observed (filled by auditor):
The company has the identification of hazards and risk sources for estate and mill listed in the Risk Management document for the 2017.
However, based on the document review and field observations it is known that not all operational activities have identified the sources of hazards, for example (but not limited to):
Estate: mixing chemicals, office work, EFB application, land applications, activities in the warehouse of chemicals, storage of harvest equipment, transport of FFB from estate to mill, global telling census.
Mill: activities in hazardous waste storage, activities in the office, empty bunch area.
Root Cause Analysis (filled by organization audited):
Insufficient understanding from the officer about functions of identifying and controlling risks for all operational activities so that there are still activities that do not have HIRAC documents. Because the officer appointed is not the special officer in arrange of risk management for operational activities.
Correction (filled by organization audited):
Arrange HIRAC documents for estate operational activities that have not been assessed by OHS general officer.
Corrective Action (filled by organization audited):
‐ Make monitoring of risk assessment documents for all estate operational activities by OHS officer
‐ Providing socialization about risk management documents / HIRAC to officers who are responsible for making these documents
Assessor Evaluation and Conclusion (filled by auditor):
Verification on 18 July 2018
Company showed correction evidence of Risk Management document for activities that have not been identified as hazard sources and risk controls, for example
1. Activities in Hazardous Waste Storage 2. Office activities
3. Activities in empty bunch area 4. Activities in land application
5. Activities in chemical material storage 6. Activities in harvesting tool storage 7. Activities in global telling census
8. Activities of FFB transport from estate to mill 9. Activities of spreading empty bunch 10. Activities of chemical mixing
Based on root cause analysis, correction evidence, and corrective action provided, the non conformity no 2018. 04
is closed.
Verified by : Asystasya Aishah Silalahi
NCR No. : 2018. 05 Issued by : Asystasya Aishah Silalahi
Date Issued : 8 June 2018 Time Limit : 8 June 2019
NC Grade : MAJOR Date of Closing : 18 April 2019
Standard Ref. &
Requirement
: 4.7.4
Officers responsible for safety and health programs must be identified and records of regular meetings are available to discuss occupational health and safety issues
Non-Conformance Description & Evidence observed (filled by auditor):
Company could not showed evidence that OHS committee has been approved by Manpower Agency.
Root Cause Analysis (filled by organization audited):
There is no appointed PIC for RSPO document control.
Correction (filled by organization audited):
Showed OHS committee team that approved by Manpower Agency Corrective Action (filled by organization audited):
Monitored required document related to implementation of RSPO principle and criteria by document control officer Assessor Evaluation and Conclusion (filled by auditor):