Nonconformity Report

Client

Certification No.

PT. Pertamina Patra Niaga

NAZN

Type of audit

Standard (s)

Accreditation

Page

Baseline TBBM Rewulu

Checklist SMKTD

NA

1 of 4

Management Representative

Audit Team Leader

Rohmat Handoko

Auditor(s)/Expert/Sampling officer

Rohmat Handoko

Audit Date

Rohmad Handoko
Date

Audit Team Leader

Client sign & stamp

Management Representative

The client is required to analyse the root cause of the nonconformities. This results and the correction(s) and corrective action(s) has (have) to
be described in the nonconformity report and has (have) to be forwarded to the audit team leader rapidly. Documents, which prove the
elimination of the nonconformities have to be submitted before
(day / month / year )

Correction(s) and corrective action(s) are appropriate. Correction(s) has (have) been verified, including documents submitted later.
A re-audit was performed.
Remarks under proof:D = submit documents; NA = Not Applicable
Pilar 1: Pengemudi / 2: Manajemen Resiko Perjalanan / 3: Kendaraan&Peralatan
Pilar 4: HSE / 5: Manajemen Kontraktor

Form No.
Form Title
Rev. No.
Issue Date

: TRID-F-027
: NCR
:2
: 2011.06.01

Nonconformity Report
Client

Certification No.

PT. Pertamina Patra Niaga

NAZN

Type of audit

Standard (s)

Accreditation

Page

Baseline TBBM Rewulu

Checklist SMKTD

NA

2 of 4

Remarks under proof:D = submit documents; NA = Not Applicable

Pilar 1: Pengemudi / 2: Manajemen Resiko Perjalanan / 3: Kendaraan&Peralatan
Pilar 4: HSE / 5: Manajemen Kontraktor

Form No.
Form Title
Rev. No.
Issue Date

: TRID-F-027
: NCR
:2
: 2011.06.01

Nonconformity Report

No Pilar/
Clause

Client

Certification No.

PT. Pertamina Patra Niaga

NAZN

Type of audit

Standard (s)

Accreditation

Page

Baseline TBBM Rewulu

Checklist SMKTD

NA

3 of 4

Nonconformity

proof

Cause analysis

1.1 Discussed with:

Mrs. Sarah & Mr. Sugito
Pilar :
Manajemen Pengemudi
Description:
a. Pendaftar
dengan
ijasah SD lolos pada
seleksi
administrasi,
sementara disyaratkan
minimal SLTA sederajat

Responsible person:

3.4 Discussed with:

Mrs. Sarah& Mr. Sugito
Pilar :
Manajemen Pengemudi
Description:

Responsible person:

Corrections and Corrective Action

Completion
date

Responsible Person.:
Completion
Date:
Correction:
Calon pelamar yang berijasah SD
Cause Analysis:
tersebut gagal dalam test interview
Adanya kekurangtelitian saatdan langsung dinyatakan gagal.
proses
seleksi
administrasi
sehingga
mengakibatkan
terjadinya hal tersebut.
Responsible person.:
Completion
Corrective Action:
Date:
Seleksi Administrasi dilakukan 2
tahap, yaitu :
1. Seleksi pertama oleh labour
supplay
2. Seleksi ke dua dilakukan pihak
Patra Niaga

Cause Analysis:

Remarks under proof:D = submit documents; NA = Not Applicable

Pilar 1: Pengemudi / 2: Manajemen Resiko Perjalanan / 3: Kendaraan&Peralatan

Pilar 4: HSE / 5: Manajemen Kontraktor

Responsible Person.:
Completion
Date:
Correction:
Meminta Berkas Test Tertulis, Test
kemampuan analitik dan wawancara
kepada Admin Pusat PT. Esa Garda
Form No.
Form Title
Rev. No.
Issue Date

: TRID-F-027
: NCR
:2
: 2011.06.01

Nonconformity Report

No Pilar/
Clause
1

Client

Certification No.

PT. Pertamina Patra Niaga

NAZN

Type of audit

Standard (s)

Accreditation

Page

Baseline TBBM Rewulu

Checklist SMKTD

NA

4 of 4

Nonconformity

1.1 Discussed with:

Mrs. Sarah & Mr. Sugito
Pilar :
Manajemen Pengemudi
Description:
a. Pendaftar
dengan
ijasah SD lolos pada
seleksi
administrasi,
sementara disyaratkan
minimal SLTA sederajat

proof
D

Cause analysis

Corrections and Corrective Action

Completion
date

Responsible person:

Responsible Person.:
Completion
Date:
Correction:
Calon pelamar yang berijasah SD
Cause Analysis:
tersebut gagal dalam test interview
Adanya kekurangtelitian saatdan langsung dinyatakan gagal.
proses
seleksi
administrasi
sehingga
mengakibatkan
terjadinya hal tersebut.
Responsible person.:
Completion
Corrective Action:
Date:
Seleksi Administrasi dilakukan 2
tahap, yaitu :
1. Seleksi pertama oleh labour
supplay
2. Seleksi ke dua dilakukan pihak
Patra Niaga

Positive Observation:
-

Remarks under proof:D = submit documents; NA = Not Applicable

Pilar 1: Pengemudi / 2: Manajemen Resiko Perjalanan / 3: Kendaraan&Peralatan
Pilar 4: HSE / 5: Manajemen Kontraktor

Form No.
Form Title
Rev. No.
Issue Date

: TRID-F-027
: NCR
:2
: 2011.06.01