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Audit Plan Contoh

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Form No F-

AUDIT PLAN Edisi / Revisi 1/0

ORGANIZATION

ADDRESS MEDAN
AUDIT DATE
STANDARD SMK3 PP50/2012
 TINJUAN AWAL
AUDIT STATUS  AUDIT EKSTERNAL  AUDIT INTERNAL  PRA AUDIT
(INITIAL REVIEW)
AUDIT LEVEL  INITIAL (64 KRITERIA)  TRANSITION (122 KRITERIA)  ADVANCE (166 KRITERIA)
LEAD AUDITOR

TEAM MEMBER

Functions / areas / Department / activities to be audited (include related


Date/Time Auditor
requirements)
st
18/04/2017 Day 1
08:00 Opening meeting ALL
08.30 QSHE SU
 OHS Policy (1.1) (MM)
 Objective and Program (2.1),
 Risk management (2.1, 6.1) (Safety Officer)
 Design control (3.1)
 OHS Manual (2.2)
QSHE (Safety Officer)
 Safety Committee (P2K3) (1.4), Involvement and consultation with employee (1.4) WS
 Audit Internal (11.1), EP
 Review Management (1.3),
 Emergency responds & preparedness (include emergency team & First aid) (6.7,
6.8),
12:00 Break
13.00 QSHE (Safety Officer) SU
 Equipment Certification (6.5.3)
Procurement/Purchasing (KTU) EP
 Purchasing process and Control of products (5.1, 5.2, 5.3, 5.4)
 Vendor evaluation (6.6)
QSHE (Safety Officer) WS
 Working permit & Supervision (6.1, 6.2)
 Restricted Area (6.4)
 Inspection, Environment Monitoring & Assessment, Reporting System (7.1, 7.2)
 Incident Investigation & Reporting (8.1, 8.2, 8.3, 8.4)
17:00 End of audit day 1 ALL
19/04/2017 Day 2
08:00 HRGA (KTU) WS
 Training (12.1, 12.2, 12.3, 12.4, 12.5) EP
 Selection and placement of personnel (6.3)
 License (12.5.1)
 Health surveillance (7.4) (Dokter Perusahaan)
 Site visit to fire protection facilites, canteen, clinic, WS, EP
Plant (Ass. Proses) SU
 Risk Management/process safety management (6.1, 6.2, 6.4)
 Record control (10.1, 10.2)
Instrumentation, electrical & mechanical maintenance SU
 Preventive, predictive, Risk based inspection and corrective maintenance (6.5)
 Calibration (7.3) (Ass. Proses)
 Management of Change / design control (3.1) (Ass. Proses)
12:00 Break
FRM 3.12
Issue 04 Rev. 3
1of 2
Form No F-
AUDIT PLAN Edisi / Revisi 1/0

Functions / areas / Department / activities to be audited (include related


Date/Time Auditor
requirements)
13.00 Laboratorium & Warehouse (Asst. Lab & KTU) SU
 Risk management (6.1) EP
 Material handling (9.1, 9.2, 9.3)
Document controller (Safety Officer) WS
 Document control procedure (4.1, 4.2)
 Record control procedure & OSH data analysis (10.1, 10.2)
15:00 Closing meeting preparation SU, WS, EP

16.00 Closing meeting ALL


17:00 End of audit
 Control of OSH records, control of document, achievement of OSH objectives, internal communication,
provision of resources, will be audited at each scheduled area.
 This audit program is subject to changed ( If Necessary)

FRM 3.12
Issue 04 Rev. 3
2of 2

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