1 Akta Pernyataan Keputusan para Pemegang Saham 23 Uji Riksa Instalasi Alarm

2 Akta Pendirian Perseroan Terbatas 24 Uji Riksa Instalasi Fire Extinguisher (APAR)

3 Nomor Induk Berusaha (NIB) 1243000202446 25 Uji Riksa Instalasi APAR Thermatic

4 Izin Usaha Industri (IUI) 26 Uji Riksa Instalasi Sprinkler

5 Izin Lokasi 27 Uji Riksa Instalasi Penyalur Petir

6 Surat Keterangan Domisili 28 Uji Riksa Forklift

7 Nomor Pokok Wajib Pajak (NPWP) 41.570.974.0-508.000 29 Uji Riksa Scissor Lift

8 Surat Keputusan Pengesahan Peraturan Perusahaan 30 Uji Riksa Lift Barang

9 Peraturan Perusahaan 31 Uji Riksa Kompresor

10 Surat Keputusan Upah Minimum 2023 32 Layout Factory dan Peta Evakuasi

11 Sertifikat Kepesertaan BPJS Kesehatan dan Ketenagakerjaan 33 List Inventory Fire Safety Equipment

12 Struktur Organisasi dan Jobdesc SMP Department 34 List Inventory Kotak P3K

13 Struktur Organisasi dan Jobdesc HR Department 35 List Inventory Toilet

14 Struktur, Pendaftaran, dan Pelaporan LKS Bipartit 36 List Inventory Air Minum

15 Struktur, Pendaftaran, dan Pelaporan P2K3 37 Hazard Identification Risk Assessment Control (HIRAC)

16 Surat Penunjukan Sekretaris P2K3 38 Hasil Uji Kelayakan Air Minum

17 Surat Keterangan Penunjukan SMP Representatif 39 Izin Klinik

18 Laporan Hasil Investigasi Kecelakaan Kerja 40 MoU Klinik

Persetujuan Teknis Pemenuhan Baku Mutu Air Limbah untuk

19 Sertifikat Laik Operasi (SLO) 7222.0.P.C.428.3328.E23 41 Pemanfaatan Aplikasi ke Tanah sebagai Penyiraman dan
Pencucian

20 Nomor Identitas Instalasi Tenaga Listrik (NIDI) I.05.2023.LN67 42 MoU Pengelolaan Limbah B3

21 SKK Damkar 43 MoU Pengelolaan Limbah Non B3

22 Uji Riksa Instalasi Hydrant 44 List Penggunaan Bahan Kimia dan MSDS
1 Time Records 12 Business License

2 Payroll and Payment Records 13 Business License

3 List of Employee 14 Tax Payer Numbers

4 List and Permits of Foreigner Workers 15 Custom Permits & C-TPAT

Overtime Records, Voluntary Overtime Registration/Application

5 Forms 16 Social & Health Insurance Registration & Payment Records

Certified Environment Protection Commitment/ Environment

6 Company Profile 17 Impact Evaluation Report/ Hazardous waste disposal/
Wastewater discharge permits

7 Minimum Wages 2023 18 Company Rules / Collective Bargaining Agreement

Structure and Registration of Bipartite Committee / Union

8 Bonus and Incentive (2023) 19 Workers (Regular Meeting, Reports, Agreement and etc.)

9 Personnel Files 20 Structure and Certificate of Health and Safety Management

(Regular Meeting, Reports and etc.)

Building Permits/Machine Permits/Inspection (Uji Riksa) and

10 Factory’s Layout & Evacuation Maps 21 Certificates of Fire Safety, Special Machinery/ Operators; Boiler
Machine, Generator, Electrical, Lift and Forklift

Health and Safety Training Records; Fire drill, Firefighting, First-

11 Building Certificate / Permits 22 Aid, Chemicals, AIDS, Machine and etc.

23 Hospital/clinic
Medical Staff
agreement, Certificates of Doctor/ Nurse/ 34 Documents for Foreign Workers (Visa, RPTKA, KITAS, STM, SKTT)

Canteen Hygiene and Safety Certificate, Food Hygiene and

HIRAC (Hazard Identification Risk Assessment Control) &
24 Safety Training Certificate, Special Health Examination Records 35 Structure Organization of HR & SMP Dept.
of Canteen Staff

25 Hygiene Certificate / Drinking Water Test Results 36 Expert Certificate

26 List
and Area of Fire Equipment, First Aid box, Suggestion Box
and etc.

27 Accident/ Work-Related Injury Records & Reports

28 Annual Health Check-Up Records & Reports

29 Chemical list & Material Safety Data Sheets (MSDS)

30 Company Policy

31 Company Procedure

32 Production
Process Diagram, Work Instruction, Machine
Checklist

33 Sub Contractos / Outsourcing List

1 Form Daftar Hadir 1 Form Daftar Hadir

2 Form Serah Terima Barang 2 Form Serah Terima Barang

3 Form Material Requesition 3 Form Material Requesition

4 Form Manporwer Requesition 4 Form Manporwer Requesition

5 Form Inspeksi K3L 5 Form Inspeksi K3L

6 Form Checklist Audit Document & NSSP Preparation 6 Form Checklist Audit Document & NSSP Preparation

7 Form Checklist Pemeriksaan Kotak P3K 7 Form Checklist Pemeriksaan Kotak P3K

8 Form Checklist Pemeriksaan Panel Listrik 8 Form Checklist Pemeriksaan Panel Listrik

9 Form Checklist Pemeriksaan Hydrant Box & Hydrant Pump Room 9 Form Checklist Pemeriksaan Hydrant Box & Hydrant Pump Room

10 Form Checklist Pemeriksaan APAR 10 Form Checklist Pemeriksaan APAR

11 Form Checklist Pemeriksaan Emergency Light & EXIT Sign 11 Form Checklist Pemeriksaan Emergency Light & EXIT Sign

12 Form Checklist Eyewash 12 Form Checklist Eyewash

13 Form Checklist Pemeriksaan Lift Barang 13 Form Checklist Pemeriksaan Lift Barang

14 Form Checklist Pemeriksaan Forklift 14 Form Checklist Pemeriksaan Forklift

15 Form Checklist Pemeriksaan Alarm 15 Form Checklist Pemeriksaan Alarm

16 Instruksi Kerja STP, WWTP, Limbah Padat, & Limbah B3 16 Instruksi Kerja STP, WWTP, Limbah Padat, & Limbah B3

17 Instruksi Kerja Hydrant Box & Pump Room 17 Instruksi Kerja Hydrant Box & Pump Room

18 Instruksi Kerja Penggunaan Kotak P3K 18 Instruksi Kerja Penggunaan Kotak P3K

19 Instruksi Kerja Penggunaan Eyewash 19 Instruksi Kerja Penggunaan Eyewash

20 Instruksi Kerja Penggunaan Lift Barang & Forklift 20 Instruksi Kerja Penggunaan Lift Barang & Forklift