Form Title : FEn-TNI-011

Certification Audit Report Revision No. : 00

Effective Date : 30.01.2015
stage 1 Page : 1 of 9
PT. TÜV NORD Indonesia

Audit Information
ID Number Standards applied Certificate No.
ISO 50001:2011
Company Name EAC scope
PT. AMERTA INDAH OTSUKA – SITE SUKABUMI & KEJAYAAN 03
Single site, Multi site Location(s):
Head Office :Wisma Pondok Indah, Room 701 Jl. Sultan Iskandar Muda Kav. V-TA Lt. VII Pondok Indah Jakarta,
12310

Factory 1 : Jl. Raya Siliwangi km. 28 Ds. Kutajaya Kec. Cicurug Kab. Sukabumi
Factory 2 : Jl. Raya Pasuruan – Malang Km. 11, Desa Pacarkeling, Kecamatan Kejayan, Kab. Pasuruan
67172 - Indonesia
Precise Description of the Scope of Certification as agreed with the Organisation:

Production of Isotonic Water and Powder Sachet including its support facilities at Sukabumi & Kejayan Factory

Energy sources : Government Electrical, Natural Gas, HSD /solar (3 energy sources)
Date of Audit Audit Representative
23-25.05.2018 Mr. Mugiyono
Lead Auditor Registration No Auditor(s) Registration No.
Setiawan Tarigan 15 16 036,
15 08 033
Number of employee 700 Kejayaan Plant : 267 Sukabumi Plant: 433

Company information:

1. Confirmation the scope and boundaries of EnMS:

Scope : Production Area of Isotonic Water and Powder Sachet including its support facilities at Sukabumi &
Kejayan Factory.
Boundaries : Utility & Process Equipment : Boiler, Chiller, Electrical Substation, GenSet, Air Compressor, Blow
Machine, Injection Machine, HVAC System,RUPS, Transport Conveyor. Multiple Sites
Total employee : ± 700 person (Kejayaan Plant : 267 & Sukabumi Plant: 433)
Total Energy team ± 38 person (Kejayaan Plant : 19 & Sukabumi Plant: 19)
2. Company profile, facilities, equipment anad general process description for the scope and boundaries identified :
Pabrik PT. Amerta Indah Otsuka berlokasi di daerah yang strategis di kaki gunung Salak, tepatnya di desa Kutajaya,
Sukabumi, Jawa Barat dan di Kejayan, Pasuruan, Jawa Timur, dimana tersedia sumber air bersih yang berasal dari mata
air pegunungan dengan beberapa fasilitas untuk produksi, utility, dan perlengkapan lainnya.
Selain menggunakan pasokan air bersih, agar dapat menghasilkan produk dengan kualitas terbaik, PT. Amerta Indah
Otsuka senantiasa melakukan pemantauan dan pemeriksaan kualitas secara berkala, sesuai dengan ketentuan ISO
9001:2015,FSSC 22000, OHSAS 18001:2007, ISO 14001:2015, SMK3, ISO 50001:2011 dan Cara Pembuatan Obat
Tradisional yang Baik mulai dari bahan baku, proses produksi, hingga hasil akhir yang siap untuk didistribusikan. Sejarah
berdirinya PT. Amerta Indah Otsuka sebagai berikut :
1989 : POCARI SWEAT kaleng 330mL mulai diproduksi.
1990 : Melakukan kontrak packing (tool manufacturing) dengan Pabrik PT. Otsuka Indonesia.
1999 : POCARI SWEAT mulai dijual atas nama PT. Amerta Indah Otsuka.
2001 : POCARI SWEAT sachet 15gr mulai diproduksi.
2004 : Produksi POCARI SWEAT mulai dilakukan di pabrik sendiridi Sukabumi Jawa Barat.
2009 : Produksi POCARI SWEAT dengan sistem aseptik mulai dilakukan di Kejayan, Pasuruan, Jawa Timur.
2013 : Produksi POCARI SWEAT dengan sistem aseptik mulai dilakukan di Sukabumi, Jawa Barat.
2015 : Produksi POCARI SWEAT IONESSENCE dengan sistem aseptik mulai dilakukan di Sukabumi,
Jawa Barat.

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 Form Title : FEn-TNI-011
Certification Audit Report Revision No. : 00
Effective Date : 30.01.2015
stage 1 Page : 2 of 9
PT. TÜV NORD Indonesia

2017 : produksi Oronamin C dilakukan di Sukabumi, Jawa Barat

2018 : Produksi SOYJOY mulai dilakukan di Kejayan, Pasuruan, Jawa Timur dengan varian Raisin Almond, Almond &
Chocolate, Almond & Chocolate 80kCal, Strawberry, Banana.

Kantor pusat PT Amerta Indah Otsuka berlokasi di :

Wisma Pondok Indah, Room 701
Jl. Sultan Iskandar Muda Kav. V-TA Lt. VII
Pondok Indah Jakarta, 12310

Pabrik PT Amerta Indah Otsuka berlokasi di :

1. Jl. Siliwangi Km. 28
Kampung Sindangresmi Rt. 07/ Rw. 04, Desa Kutajaya
Cicurug, Sukabumi 43359
Jawa Barat – Indonesia

2. Jl. Raya Pasuruan – Malang km 11

Desa Pacarkeling Kecamatan Kejayan
Kab Pasuruan 67172
Jawa Timur – Indonesia

ENERGY PROFILE

Energy Sources & SEUs

LNG(Liquid Natural Gas).

3
Di AIO Sukabumi, kapasitas terpasang LNG = 650.000 nM /bln. LNG digunakan untuk pembangkit listrik di unit Turbin
Gas (+/- 99%) dan untuk back-up operasional Boiler (+/- 1%). Sedangkan listrik yang merupakan output dari proses
Turbin Gas digunakan untuk keperluan Utility (+/- 70% teridiri dari HAVAC = 60% dan Kompresor = 30% dan
Auxillary = 10%) dan untuk keperluan proses produksi (+/- 30%). Seluruh output dari Utility digunakan untuk
3
kepentingan proses produksi. Di AIO Kejayan, kapasitas terpasang LNG = 1.147.000 nM /bln dengan skema SEUs
sama dengan AIO Sukabumi.

Listrik PLN.
Kapasitas terpasang:
- Sukabumi = 5,4 MW dengan dua gardu, dipakai untuk Utility (+/- 50%) dan untuk Produksi (+/- 40%) dan
Office + Building (+/-10%).
- Kejayan = 5,5 MW dengan satu gardu. Skema SEUs-nya sama dengan AIO Sukabumi.

Solar.
Solar dipakai untuk keperluan forklift dan back-up Boiler, Genset dan Gas Turbin. Namun demikian, penggunaan
solar tidak signifikan.

Energy Performance Indicators (EnPIs).

AIO = GJ/KL Product.

3
Gas Turbin = nM /KWH.
3
Boiler = nM /KgSteam.
Kompresor = KWH/LcompressedAir.
HVAC = KWH/SquareM.
Produksi = KWH/Btl ekv 350cc atau KWH/KL ekv 350cc.

Pengembangan diarahkan ke segenap aspek untuk mempertahankan serta meningkatkan mutu dan keamanan
produk dan berkonsentrasi untuk menuju dan melaksanakan nihil kecelakaan, kelestarian lingkungan hidup serta
effisiensi energi.
Profile perusahaan dapat dilihat dalam website : www.aio.co.id

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 Form Title : FEn-TNI-011
Certification Audit Report Revision No. : 00
Effective Date : 30.01.2015
stage 1 Page : 3 of 9
PT. TÜV NORD Indonesia

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 Form Title : FEn-TNI-011
Certification Audit Report Revision No. : 00
Effective Date : 30.01.2015
stage 1 Page : 4 of 9
PT. TÜV NORD Indonesia

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 Form Title : FEn-TNI-011
Certification Audit Report Revision No. : 00
Effective Date : 30.01.2015
stage 1 Page : 5 of 9
PT. TÜV NORD Indonesia

Production Process can be described as below:

3. Date of establishing of Energy policy:

Company has establsihed and documented the Energy Policy on 03.06.2016. Company has socialized the policy
to the employee by brifing, e-mail, and notification board. During the audit, auditor sampling of employee and they
understand the policy.

4. Management System is established since:

Company has establsihed and documented the management system based on ISO 50001:2011 on 03.06.2015.
Company has distributed and socialized the documented management system to the employee by training,
notification board and document distribution in the work place. During the audit, auditor sampling of some
documents and they are understood and inplemented. Company has integrated management system such as ISO
9001, ISO 14001, ISO 22000, SMK3 PP 50/2012, and ISO 50001.
5. Management review was performed:
…. Auditor observed that management review meeting is conducted on 15.05.2018 according to agenda of
management review. Input and output has been recorded in the attachment of minutes of meeting. The review
covers all of agenda that were stated in the standards.

6. Information about the results of the site trip

During plant visit at Kejayan Factory, auditor observed overall processes and facilities within the organization
especially the plant related to the energy program. For this Business Year 2018, SEU has been determined for
utility area especially for Natural Gas.

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 Form Title : FEn-TNI-011
Certification Audit Report Revision No. : 00
Effective Date : 30.01.2015
stage 1 Page : 6 of 9
PT. TÜV NORD Indonesia

7. Information internal audit :

… Auditor observed that the last Internal audit conducted on 17-19 Apr. 2018 as seen in “Internal Audit Schedule”,
based on internal audit procedure. During internal audit there is a Minor noncormities was recorded, however, the
finding still in process. The review of the internal audit system and the results of corrective and preventive action
indicates that the current frequency and extent of surveillance audits is adequate. Internal audit was required at least
a time per year to evaluate the compliance and effectiveness of EnMS implementation. The internal audit covering all
functions was conducted by qualified Internal auditor. The auditor observed that the internal audit is sufficient.
8. Confirmation of the effective number of EnMS personnel, source of energy, significant energy use (SEU), annual
energy consumption :
EnMS personnel 38 (Kejayaan Plant : 19 persons + Sukabumi Plant: 19 persons)
Energy consumption Kejayaan Plant :
FY 20016: 577.767 GJ
FY 20017: 508.560 GJ
Saving: 12 %
Energy consumption Sukabumi Plant :
FY 20016: 345.867 GJ
FY 20017: 206.924 GJ
Saving: 40,2 %

Energy sources : LNG(Liquid Natural Gas) - PGN, Listrik PLN, HSD/Solar

Significant energy use : LNG (68%) at Utility area.

9. Review of the documentation of energy planning process :

Based on ISP Procedure Energy Planning, Energy Review And Evaluation Energy Performance Indicator
(ISP/ENG/007). see review of document

10. Review of the opportunities to improve energy performance, objectives, targets and action plans
During implementation of Energy Management System, starting from June 03, 2016, The company has conducted :
- Maping of energy use.
- Calculate the energy consumption for all energy use.
- Evalute the significant energy use dan determine the baseline and performance indicator
- Determine the objective and program to improve the energy efficiency
- Monitoring program and achievement of the result
Best Line is refer to En Consumption Otsuka word wide = 1.6 GJ/Kilo Liter Product.
Register of Opportunity Program (ROOP) FY 2018:
a) Rotary UPS (optimize Power PLN), Estimated Saving cost (IDR) : 7.793.351.630
b) Close loop System HVAC OC-1, Estimated Saving cost (IDR) : 266.812.440
c) Installation secondary receiver tank to stabilize pressure compressor 40 BAR, Estimated Saving cost (IDR) :
60.921.181
d) Install cable nuetral PP Prod OC-1, Estimated Saving cost (IDR) : 86.432.246
e) Close loop System HVAC OC-2, Estimated Saving cost (IDR) : 67.569.384
f) Replacement of assist air packing area with blower water removal system, Estimated Saving cost (IDR) :
93.454.426

11. Date of certification audit was finally agreed with the company: June 2018

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 Form Title : FEn-TNI-011
Certification Audit Report Revision No. : 00
Effective Date : 30.01.2015
stage 1 Page : 7 of 9
PT. TÜV NORD Indonesia

Legal requirements and other requirements  ISO 50001:2011

Legal Requirement, Regulation etc. Violation / Complaint?
Undang-Undang No 30Tahun 2007 tentang Energi complied

PP No. 70/2009 konservasi energi complied

Kep menakertrans no:75 tahun 2002, tentang PUIL 2000 complied

PERMEN ESDM no 14/2012 Manajemen Energi complied

Compliance with legal and regulatory and other requirements

The organization has identified clearly and adopted applicable legal regulation and applicable other requirements in
registered legal and other requirements list, including compliance evaluation of applicable legal and other requirements.

Summary and Findings of certification audit stage 1

Detailed results

The evaluation of the audit results basically follows the scheme shown below:

Stage Classification Meaning

NC A Nonconformity A 1. Non-fulfillment of one or several requirements of the management
system standard or
2. A situation which gives rise to considerable doubt as to the capability
of the customer's management system to achieve the desired results
NC B Nonconformity B All other nonconformities
PI Potential for Items which would allow optimisation of the management system in
improvement relation to the requirements of the relevant standard. It is
recommended that the company implements these items.
GP Positive Positive aspects of the management system worthy of special
aspects/ mention (see also point 4.3 if applicable)
Good Practice
CM Comments Special situation and information to be traced in next audit

Follow-up action(*): after-audit, audit documents, action plan, or Next audit

Notes: Nonconformity Report provided separately

Area / Follow-up
No. NC A Standard:clause Set date
Process action *
--

Follow-
Area / Standard:
No. NC B up action Set date
Process clause
*
--

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 Form Title : FEn-TNI-011
Certification Audit Report Revision No. : 00
Effective Date : 30.01.2015
stage 1 Page : 8 of 9
PT. TÜV NORD Indonesia

No. PI Area / Process Standard:clause

1 Klasifikasi temuan Positive, Minor, Opportunity MR 4.6.3
of Improvement yang tercatat pada
pelaksanaan Internal Audit tanggal 17-19 Apr.
2018 belum tertera pada ISP Audit Internal
(ISP/MR/002, rev. 08, 10 Jun. 2016).
Saat ini mereferensi kepada dokumen
External yang dikeluarkan oleh Badan
sertifikasi.
2 a. Agar PT. Amerta Indah Otsuka (AIO) MR 4.5.3
menentapkan dan mengimplementasikan
suatu proses, dimana orang yang bekerja
untuk perusahaan atau atas nama
perusahaan dapat emberikan komentar atau
saran perbaikan untuk EnMS.
Ref. ISP Komunikasi, Partisipasi, dan Konsultasi
(ISP/MR/004, rev.06, 10 May 2018 belum tertera)
b. Agar ditetapkan keputusan bahwa energy
policy, EnMS dan energy performance
dikomunikasikan external atau tidak. Jika
keputusan dikomunikasikan external
supaya di tetapkan metoda external
komunikasinya
3 Identifikasi & Evaluasi Pemenuhan Peraturan Energi team 4.4.2, 4.6.2
Perundang-undangan dan Persyaratan lain ,
yang tertera pada Formulir Ringkasan Peraturan
dan evaluasi kesesuaian tanggal 01 Feb. 2018,
agar direview daftar kelengkapan dan
pemenuhannya.
Misalnya:
 PERMEN ESDM no 13/2012 penghematan
pemakaian tenaga listrik
 Instruksi Presiden 13/2011 penghematan
energi dan air
 PERMEN RI no 79/2014 kebijakan energi
Nasional
 Kepmenakertrans RI nomor 614 tahun 2012
SKKNI …Auditor Energi Industri dan
Bangunan Gedung
4 Top Management telah membuat statement of MR 4.3
Energy Policy sesuai dengan ISO 50001 klausal
4.3 (digabung pada Kebijakan AIO tanggal
09.05. 2018). Sebaiknya juga
mempertimbangkan 4.3 e) dan 4.3 h) yakni:
 e) kerangka kerja untuk setting dan review
objectives dan target
 h) direview secara regular, ditentukan
interval waktunya (apakah setiap 6 bulan,
setahun, dst)
5 Management Review telah dilakukan tanggal 4.7.3
15.05.2018, sebaiknya Rekomendasi untuk MR
iprovement (berupa output) hasil Management
Review tersebut dilengkapi dengan tanggal
estimasi implementasi (ECD).

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 Form Title : FEn-TNI-011
Certification Audit Report Revision No. : 00
Effective Date : 30.01.2015
stage 1 Page : 9 of 9
PT. TÜV NORD Indonesia

No. PI Area / Process Standard:clause

6 Sebaiknya pada ISP Perbaikan, Tindakan 4.5.4.2
Perbaikan, dan Pencegahan (ISP/MR/003, rev. MR
06, 29 Apr 2015) diupdate untuk mengakomodasi
keterkaitan dengan EnMS (ISO 5001:2011)

Recommendation of the Audit Team

Stage Two Audit recommended.
Stage Two Audit recommended after access arrangements for confidential or sensitive records.
Stage Two Audit recommended after correction of the issues identified in the attachment.

Stage Two Audit not recommended.

25-05-2018 Setiawan Tarigan
Date Lead Auditor / Reviewer (Name, Signature)

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