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PT SP Manufacturing 
Rev. 00 
SAFETY HEALTH & ENVIRONMENT ROUTINE AUDIT REPORT 
Item Post/Area Potential Hazard (HI) Potential Risk (RA) Risk Control (DC) Owner Auditor Date Open 
Date 
Closed 
Status Attachment/ Photo Remarks 
1 Store Stacker turn signal/lamp broken Collisions Change Wang Fahrizal N 27-Oct-14 Open 
2 Store Stacker rearview mirror broken 
bumping into others at store 
area 
Change Wang Fahrizal N 27-Oct-14 Open 
Recommendation from Local 
Manpower Auditor 
3 Store 
No Fire extinguisher on stacker 
(required) 
In case of fire in the stacker must be provided Wang Fahrizal N 27-Oct-14 Open - 
4 Store On top of rack boxes over height 
collapse / fall and hit 
someone else 
Max. 1.8M (Safety purpose) Wang Fahrizal N 05-Nov-14 Open 
5 Store Emergency Exit Door Blocking 
slow evacuation in the event 
of an emergency 
free from objects that obstructs Wang Fahrizal N 06-Sep-14 Open 
6 
Eyewash 
Station 
Eyewash liquid production date 
no make sense, received 27 
October'14, while the 
production date is November 
14th ' 
potentially resulting in pain in 
the eyes and skin??? 
Replace to the supplier and 
recommend to find other supplier 
since this fatal error. 
Lusi/Alboin/Is 
man 
Fahrizal N 29-Oct-14 Open 
7 WH Prod. 
Autosplice M/C No. 2 and No. 4 
protective cover is not installed 
Hand pinched, electrical 
shock, etc. 
Install cover Jaliber Fahrizal N 27-Oct-14 Open 
8 Store 
Storeman no use license (SIO) 
on badge when using lifting / 
transport equipment (Stacker). 
used by others store who do 
not have license (SIO) may 
cause damage and 
accidents 
To all storeman that use stacker 
must have licence and paired on a 
badge (licence copy). 
Dian/Wang Fahrizal N 27-Oct-14 Open - 
Requirement by Local 
Manpower. 
9 Facility 
"Air Outlet" at air receiver tank 
loose. 
leaks that may cause an 
explosion 
tensioned 
Ayong/ 
Mega Star 
Fahrizal N 27-Oct-14 Closed Advice by Local Manpower. 
10 Facility Flue pipe damage 
Excess vibration, room 
temperature is higher 
potential for a fire or 
explosion. 
Change Ayong Fahrizal N 27-Oct-14 Open
PT SP Manufacturing 
Rev. 00 
Item Post/Area Potential Hazard (HI) Potential Risk (RA) Risk Control (DC) Owner Auditor Date Open 
Date 
Closed 
Status Attachment/ Photo Remarks 
SAFETY HEALTH & ENVIRONMENT ROUTINE AUDIT REPORT 
11 PCBA Prod. 
Chemical Spillage outside 
washing room. 
environmental damage 
Change Container or build water 
treatment. 
Alboin/ 
Parulian 
Fahrizal N 06-Sep-14 Open 
12 
Maintenance 
Room (WH) 
Many residual dust plywood, 
from cutting & drilling 
it can lead occupational 
diseases 
the cutting and drilling are carried 
out in the area of fasility (outside) 
Jaliber/ 
Burhan/ 
Ayong 
Fahrizal N 06-Nov-14 Open 
13 
PCBA 
Prod./WH 
Prod. 
Some of the operator do not use 
masker properly. 
it can lead occupational 
diseases 
Masker mus be use properly 
(Control by Leader, Spv, Manager) 
Burhan / 
Alboin 
Fahrizal N 06-Oct-14 Closed 
Already provide Safety Alert 
on each line Prod. 
14 
Emergency 
Exit 
Emergency Exit door no open 
outwards (Loc: Prod, Store, 2nd 
floor, lobby) 
slow evacuation in the event 
of an emergency 
Change Direction - Fahrizal N 08-Aug-14 - Outstanding 
Legend : 
: Open Notice : 
: Closed 
: Open with Notice 
- All safety sign and emergency instruction must be used "Dual Languages" in Bahasa Indonesia and English 
- To all H.O.D in order to activate all staff to identify hazards in their respective area.

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ROUTINE SAFETY REPORT 6-11-2014.

  • 1. PT SP Manufacturing Rev. 00 SAFETY HEALTH & ENVIRONMENT ROUTINE AUDIT REPORT Item Post/Area Potential Hazard (HI) Potential Risk (RA) Risk Control (DC) Owner Auditor Date Open Date Closed Status Attachment/ Photo Remarks 1 Store Stacker turn signal/lamp broken Collisions Change Wang Fahrizal N 27-Oct-14 Open 2 Store Stacker rearview mirror broken bumping into others at store area Change Wang Fahrizal N 27-Oct-14 Open Recommendation from Local Manpower Auditor 3 Store No Fire extinguisher on stacker (required) In case of fire in the stacker must be provided Wang Fahrizal N 27-Oct-14 Open - 4 Store On top of rack boxes over height collapse / fall and hit someone else Max. 1.8M (Safety purpose) Wang Fahrizal N 05-Nov-14 Open 5 Store Emergency Exit Door Blocking slow evacuation in the event of an emergency free from objects that obstructs Wang Fahrizal N 06-Sep-14 Open 6 Eyewash Station Eyewash liquid production date no make sense, received 27 October'14, while the production date is November 14th ' potentially resulting in pain in the eyes and skin??? Replace to the supplier and recommend to find other supplier since this fatal error. Lusi/Alboin/Is man Fahrizal N 29-Oct-14 Open 7 WH Prod. Autosplice M/C No. 2 and No. 4 protective cover is not installed Hand pinched, electrical shock, etc. Install cover Jaliber Fahrizal N 27-Oct-14 Open 8 Store Storeman no use license (SIO) on badge when using lifting / transport equipment (Stacker). used by others store who do not have license (SIO) may cause damage and accidents To all storeman that use stacker must have licence and paired on a badge (licence copy). Dian/Wang Fahrizal N 27-Oct-14 Open - Requirement by Local Manpower. 9 Facility "Air Outlet" at air receiver tank loose. leaks that may cause an explosion tensioned Ayong/ Mega Star Fahrizal N 27-Oct-14 Closed Advice by Local Manpower. 10 Facility Flue pipe damage Excess vibration, room temperature is higher potential for a fire or explosion. Change Ayong Fahrizal N 27-Oct-14 Open
  • 2. PT SP Manufacturing Rev. 00 Item Post/Area Potential Hazard (HI) Potential Risk (RA) Risk Control (DC) Owner Auditor Date Open Date Closed Status Attachment/ Photo Remarks SAFETY HEALTH & ENVIRONMENT ROUTINE AUDIT REPORT 11 PCBA Prod. Chemical Spillage outside washing room. environmental damage Change Container or build water treatment. Alboin/ Parulian Fahrizal N 06-Sep-14 Open 12 Maintenance Room (WH) Many residual dust plywood, from cutting & drilling it can lead occupational diseases the cutting and drilling are carried out in the area of fasility (outside) Jaliber/ Burhan/ Ayong Fahrizal N 06-Nov-14 Open 13 PCBA Prod./WH Prod. Some of the operator do not use masker properly. it can lead occupational diseases Masker mus be use properly (Control by Leader, Spv, Manager) Burhan / Alboin Fahrizal N 06-Oct-14 Closed Already provide Safety Alert on each line Prod. 14 Emergency Exit Emergency Exit door no open outwards (Loc: Prod, Store, 2nd floor, lobby) slow evacuation in the event of an emergency Change Direction - Fahrizal N 08-Aug-14 - Outstanding Legend : : Open Notice : : Closed : Open with Notice - All safety sign and emergency instruction must be used "Dual Languages" in Bahasa Indonesia and English - To all H.O.D in order to activate all staff to identify hazards in their respective area.