INTERNAL AUDIT CHECK LIST

PT. BSI INDONUSA

SECTION NO. : DATE OF AUDIT :

AUDITOR : AREA AUDITED :
AUDITEE :

Nr. CHECKLIST YES NO REMARKS

* : Mandatory FM-IQA-003, Rev.0, P1/2
Nr. CHECKLIST YES NO REMARKS

* : Mandatory FM-IQA-003, Rev.0, P2/2

 PT. BATTERY POWER SOLUTIONS INTERNATIONAL
INTERNAL AUDIT CHECK LIST/
DAFTAR PERIKSA AUDIT INTERNAL

SECTION NO. : DATE OF AUDIT :

AUDITOR : AREA AUDITED :
AUDITEE :

Nr. CHECKLIST YES NO REMARKS

* : Mandatory FM-IQA-003, Rev.01, P1/2

Nr. CHECKLIST YES NO REMARKS

* : Mandatory FM-IQA-003, Rev.01, P2/2

 PT. BATTERY POWER SOLUTIONS INTERNATIONAL
INTERNAL AUDIT CHECK LIST/
DAFTAR PERIKSA AUDIT INTERNAL

SECTION NO. : DATE OF AUDIT :

AUDITOR : AREA AUDITED : QA / QC
AUDITEE :

No. CHECKLIST YES NO REMARKS

Do you have a documented procedure to control, calibrate and maintain

the measuring, inspection and testing equipment? /Adakah prosedur
1
terdokumentasi untuk mengendalikan, mengkalibrasi dan memelihara dan
memelihara alat ukur, inspeksi dan uji ?

Does the size of specification and frequency has been established for
control, maintain the measuring, inspection and testing
2
equipment?/Apakah ukuran spesifikasi dan frequensi pengecekan telah
ditetapkan untuk pengendalian, pemeliharaan alat ukur, inspeksi dan uji ?

Is there any documented procedure to control the measuring, inspection

and testing equipment if there is a deviation?/Apakah ada prosedur
3
terdokumentasi penanganan terhadap peralatan ukur inspeksi dan uji bila
terjadi penyimpangan ?

Do you maintain the records of measuring, inpection and testing

4 equipment?/ Apakah catatan kalibrasi alat ukur, inspeksi dan uji telah
dipelihara?

Does all the measuring, inspection and testing equipment calibrated on the
certain time period with the equipment certified by national or
5 international?/Apakah semua alat ukur, inspeksi dan uji telah dikalibrasi
kembali pada periode waktu tertentu dengan alat yg disertifikasi standar
nasional atau internasional yang diakui ?

FM-IQA-003, Rev.01, P2/3

 If you any find measuring or inspection and testing equipment has been
pass the calibration due date, is there any particular treatment carried
6
out?/Jika ditemukan alat ukur/inspeksi dan uji telah melewati masa
kalibrasi apakah dilaksanakan perlakukan tertentu ?

Does the environmental condition for calibration location

7 compatible?/Apakah kondisi lingkungan tempat dilakukan kalibrasi,
inspeksi dan pengujian telah sesuai?

Does the measuring, inspection and testing equipment handling, maintain

8 and storage has been guaranteed? /Apakah penanganan, penjagaan dan
penyimpanan alat ukur, inspeksi dan uji telah dijamin?

Does all calibrated measuring, inspection and testing equipment has been
put register label as required? /Apakah semua alat ukur, inspeksi dan uji
9
telah dikalibrasi maupun tidak diberikan label registrasi sesuai dengan
ketentuan ?

Does the master use and sample standard has been controlled as
10 required? /Apakah pengguna master dan standar sampel telah dikontrol
sesuai dengan ketentuan yang diterapkan ?

OP 8.4-01

Is the analysis procedure documented?/ Apakah prosedur analysis data

1
terdokumentasi ?

Is the need of statistical technique to control and verify related matters

with production process has been implemented?/Apakah kebutuhan akan
2
teknik statistik untuk mengontrol dan verifikasi hal-hal yang berhubungan
dengan proses produksi telah diimplementasikan?

Are the related data or documents with the activity documented and are
the data has been evaluated?/Apakah data atau dokumen yang berkaitan
3
dengan aktivitas didokumentasikan dan apakah data tersebut sudah
dievaluasi?

Does the evaluation and analysis result has been informed to the related
4 department?/ Apakah hasil evaluasi dan analysis data sudah
diinformasikan kepada departement yang berkaitan ?
 Does the monitoring conducted from the data of analysis evaluation
5
result?/Apakah dilakukan monitoring dari hasil evaluasi analysis data ?

* : Mandatory FM-IQA-003, Rev.01, P3/3

 PT. BATTERY POWER SOLUTIONS INTERNATIONAL
INTERNAL AUDIT CHECK LIST/
DAFTAR PERIKSA AUDIT INTERNAL

SECTION NO. : DATE OF AUDIT :

AUDITOR : AREA AUDITED : GA&P
AUDITEE :

No. CHECKLIST YES NO REMARKS

Are the employee training procedure that effect to the product quality
documented? Is the procedure update, reviewed and implemented?
1 /Apakah prosedur training karyawan yang berpengaruh terhadap mutu
didokumentasikan? Apakah prosedur tersebut update, direview dan
diimplementasikan ?

Are the empployee competence and skill monitored and reviewed

periodically? Is there the employee skill matrix available? /Apakah
2
kompetensi dan skill karyawan dimonitor dan direview secara periodik?
Adakah skill matrix karyawan

Is there any training requisition from each department and

3 documented? /Apakah ada pengajuan kebutuhan training dari setiap
bagian/departement dan didokumentasikan

Does the training plan reviewed and documented?/Apakah rencana

4
training plan, direview dan didokumentasikan ?
Is there any evaluation to the trained employee? /Apakah dilakukan
5
evaluasi pada karyawan yang telah ditraining?
Is there a job description for the employee and dcoumented?/Adakah job
6
des setiap karyawan dan didokumentasikan

Does the training schedule (internal and external) for employee has been
7 monitored and documented?/Apakah training schedule (internal dan
eksternal) untuk karyawan dimonitor dan didokumentasikan
 Is the record related to the training, education, skill and others
8 maintained? /Apakah record berhubungan dengan training, pendidikan dan
skill dan lain-lain dipelihara ?

Are the new employee has been trained based on their position and their
9 job description/Apakah karyawan baru telah diberikan training sesuai
dengan posisi dan job deskripsinya?

Is there any reward for the employee (recognition and appreciation) to

them who finish their work and task with good achievement to improve
their motivation/Apakah ada program reward untuk karyawan
10
(penghargaan dan pengakuan) untuk mereka yang melakukan pekerjaan
dan tugas dengan pencapaian yang baik untuk meningkatkan motivasi
mereka

11 Is there a quality objective for GA&P?/Adakah sasaran mutu GA & P?

* : Mandatory FM-IQA-003, Rev.01, P2/2
 PT. BATTERY POWER SOLUTIONS INTERNATIONAL
INTERNAL AUDIT CHECK LIST/
DAFTAR PERIKSA AUDIT INTERNAL

SECTION NO. : DATE OF AUDIT :

AUDITOR : AREA AUDITED : Workshop
AUDITEE :

No. CHECKLIST YES NO REMARKS

Does all procedure which related to the workshop activity
1 documented? /Apakah semua prosedur berhubungan dengan kegiatan
workshop didokumentasikan

Does the procedure or work instruction which related to the process has
2 been distributed?/Apakah prosedur atau work instruction yang
berhubungan dengan proses telah didistribusikan ?

Does the planning process which related to all activity has been prepared
and the implementation in production rpocess controlled?/Apakah rencana
3
proses yang berhubungan dengan semua kegiatan telah disiapkan dan
implementasi dalam proses produksi dikendalikan?

Does all equipment used to support the process activity compatible to the
4 capability? /Apakah peralatan yang digunakan untuk support aktivitas
proses memadai sesuai dengan kapability?

All measuring, inspection and testing equipment used to all production

activity have the calibration certificate and schedule?/Apakah kalibrasi
5
pada alat-alat ukur yang digunakan pada semua kegiatan produksi dan
jadwal kalibrasi alat ukur, serta periksa sertifikat kalibrasi?
FM-IQA-003, Rev.01, P1/3
 Is there a special personnel to monitor the chemical used and is there a
competences to do their job?/Apakah personel khusus untuk monitor
6
chemical yang digunakan dan apakah memiliki kompetensi untuk
melakukan pekerjaan tersebut ?

Is there a schedule to control and check the chemical

7 composition?/Adakah schedule untuk control dan check komposisi
chemical?

Is there a control to the chemical vailidity period /Adakah pengontrolan

8
masa berlakuknya larutan kimia?

* : Mandatory FM-IQA-003, Rev.01, P2/3

No. CHECKLIST YES NO REMARKS

Workshop Maintenance, planning of Product Realization, and Process

Check the maintenance record of machine and quipment at

1 workshop?/Check dokumentasi maintenance of machine and equipment at
workshop ?

Check the reocrds to plan the Product Realization Process/Cek records

2
untuk planning for Product Realization Process?

Check the records from control process, such as shop routerm check list,
process sheet and quality plan including validation for the special
3
process?/Cek records dari process control, seperti shop router, check list,
process sheet & quality plan termasuk validation for special process?

* : Mandatory FM-IQA-003, Rev.01, P3/3

 PT. BATTERY POWER SOLUTIONS INTERNATIONAL
INTERNAL AUDIT CHECK LIST/
DAFTAR PERIKSA AUDIT INTERNAL

SECTION NO. : DATE OF AUDIT :

AUDITOR : AREA AUDITED : Purchasing
AUDITEE :

No. CHECKLIST YES NO REMARKS

Is the purchasing procedure documented?/Apakah prosedur purchasing
1
terdokumentasi?

Is the criteria for supplier selection identified?/Apakah kriteria pemilihan

2
supplier sudah diidentifikasi?

Does the qualified supplier completed with the supplier evaluation

3 questionnaire?/Apakah qualified supplier dilengkapi dengan supplier
evaluation questioner?

Does the Qualified Supplier List has been implemented &

4 documented?/Apakah Qualified Supplier list telah dilakukan dan
didokumentasikan
Does the competent supplier monitored and evaluated periodically based
on company requirements?/Apakah supplier yang berkompeten
5
dimonitoring dan secara periodik dievaluasi sesuai persyaratan
perusahaan ?
Does the purchasing process has been done based on the operating
6 procedure?/Apakah proses purchasing dilakukan sesuai dengan operating
procedurnya ?
FM-IQA-003, Rev.01, P2/2
 During create the Purchase Order, does all necessary has been identified?
And before issued PO, is it reviewed and approved by the authority party?
Does all the PO's information completed?/Dalam proses pembuatan
7
Purchase Order apakan semua kebutuhan telah diidentifikasi? Dan sebelum
dikeluarkan PO apakah sudah direview dan disetujui oleh orang
berwenang? Apakah rincian informasi PO sudah memadai ?

Does all purchased product has been identified and has a traceability? And
if there is NC product has been separated or returned?/Apakah semua
8
produk yang dibeli telah diidentifikasi dan dapat memiliki mampu telusur?
Dan Apakah produk yang tidak sesuai dipisahkan atau dikembalikan ?

Is it the verification of purchased product comply to the requirements

9 acceptance criteria?/Apakah verifikasi produk yang dibeli sesuai dengan
kriteria penerimaan persyaratan?

Is there a quality objective for Purchasing?/Adakah Quality objective

10
Purchasing dept ?

* : Mandatory FM-IQA-003, Rev.01, P2/2

 PT. BATTERY POWER SOLUTIONS INTERNATIONAL
INTERNAL AUDIT CHECK LIST/
DAFTAR PERIKSA AUDIT INTERNAL

SECTION NO. : DATE OF AUDIT :

AUDITOR : AREA AUDITED : MR
AUDITEE :

No. CHECKLIST YES NO REMARKS

Is there any documented procedure to describe the quality
1 records?/Apakah ada prosedur terdokumentasi yang menjelaskan tentang
catatan mutu ?

Does the quality records has been maintained based on the

2 requirements? /Apakah rekaman mutu telah dipelihara sesuai dengan
persyaratan yang telah ditentukan?

Does the quality records kept and separate based on the type?/Apakah
3
catatan mutu telah disimpan dan dibedakan menurut jenisnya?
Have each type of quality records has been identified for easy use?
4 /Apakah tiap jenis catatan mutu telah diidentifikasi untuk memudahkan
penggunaan ?

Does the quality records has been kept separate from un-use document or
obsolete?/Apakah catatan mutu telah disimpan secara terpisah dari
5
dokumen yang tidak berhubungan atau dokumen yang sudah tidak berlaku
lagi?

Is there any retention period for the quality records?/Apakah telah ada
6
penetapan masa simpan rekaman mutu?

Are the quality records procedure not use anymore? /Apakah prosedur
7
terdokumentasi untuk catatan mutu tidak digunakan lagi ?
FM-IQA-003, Rev.01, P1/3
 Are the quality records can be copied based on the necessary?/Apakah
8
catatan mutu dapat diperbanyak sesuai kebutuhan?
OP 5.1-01, OP 5.5-01, OP 5.6-01
Are the BPSI Executive Management has been defined the quality
1 policy? /Apakah manajemen eksekutif BPSI telah mendefinisikan
kebijakan mutu?

Are the quality policy relevant to the customer expectation &

2 requirements?/Apakah kebijakan mutu relevan dengan harapan dan
kebutuhan pelanggan ?

Does BPSI Management can be sure that quality policy understand at all
3 level in the organization?/Apakah manajemen BPSI dapat memastikan
bahwa kebijakan mutu dipahami oleh semua level organisasi?

Are the responcibility and authority between personnel who work and give
impact to the product quality has been confirmed? /Apakah
4
tanggungjawab dan wewenang hubungan antar personil yang
melaksanakan kerja dan dapat mempengaruhi mutu telah dipastikan ?

Is there a resonsible & authorize personnel to maintain the quality

5 system? /Apakah telah ada personil yang bertanggungjawab dan
berwenang untuk mempertahankan sistem mutu telah ada?

Is there a personnel who has authorize to make a decision related to the

6 quality?/Apakah telah ada personil yang ditetapkan untuk mengambil
keputusan yang berhubungan dengan mutu?

Are the task and authorization of Management Representative has been

7 defined?/Apakah tugas dan wewenang perwakilan manajemen telah
didefinisikan dengan jelas?

Are the Management Representative can be sure the quality system has
8 been established and maintained?/Apakah perwakilan manajemen bisa
memastikan sistem mutu telah ditetapkan dan dipelihara?

FM-IQA-003, Rev.01, P2/3

 Are the Management Representative report the quality system
performance to the SWIS as a reviewe and basic to imrpove the
9 quality?/Apakah perwakilan manajemen melaporkan kinerja dari sistem
mutu pada manajemen SWIS untuk peninjauan dan sebagai dasar untuk
perbaikan mutu?

Are the human resources procedure has been described?/Apakah prosedur

10
untuk persyaratan sumber daya manuasia telah didefinisikan dengan jelas

Are the management review records has been maintained?/Apakah catatan

11
tinjauan manajemen mutu telah dipelihara?

Is there a quality objective for GA&P?/Pemantauan quality objective

12
setiap department ?

OP 8.2-02
Does the quality audit has been planned?/Apakah telah dibuat jadwal
1
rencana untuk pelaksanaan audit mutu?

Has the company make an auditor team in the quality audit?/Apakah telah
2
dibentuk suatu tim audit yang bertindak sebagai auditor?

Does the requirements for an auditor has been established?/Apakah telah

3
ditetapkan persyaratan untuk menjadi seorang auditor?

Does the auditor is not responsible to the audit activity? / Apakah auditor
4 merupakan personil yang tidak memiliki tanggungjawab langsung
terhadap kegiatan yang diaudit?

Does before the audit started, the opening meeting is implement by audit
5 team with the auditee? / Apakah sebelum audit dimulai, dilaksanakan rapat
pembukaan oleh tim audit dengan departement yang akan diaudit?

Does all monitoring or observation during audit is documented? / Apakah

6
semua pengamatan / temuan selama audit telah didokumentasikan ?

FM-IQA-003, Rev.01, P2/2

No. CHECKLIST YES NO REMARKS
Do the non-conformance founded has been reported to the responsible
personnel to the department auditee? / Apakah ketidaksesuaian yang
7
ditemukan telah dilaporkan ke personil yang bertanggungjawab pada
departement yang diaudit?

Does the closing meeting has been implement after audit? / Apakah
8
setelah audit dilaksanakan rapat penutupan ?

Does the effectiveness of the corrective action has been taken after
9 verification? / Apakah keefektifan tindakan koreksi yang diambil telah
diverifikasi?

FM-IQA-003, Rev.01, P2/2

 PT. BATTERY POWER SOLUTIONS INTERNATIONAL
INTERNAL AUDIT CHECK LIST/
DAFTAR PERIKSA AUDIT INTERNAL

SECTION NO. : DATE OF AUDIT :

AUDITOR : AREA AUDITED : Sales Dept
AUDITEE :

No. CHECKLIST YES NO REMARKS

Order review
Is there any documented procedure for order review and sales inquiry,
quotation and order processing? / Apakah telah ada prosedur
1
terdokumentasi mengenai order review dan sales inquiry, quotation and
order processing?

Does the requirements from customers (customer request) has been

understood before sign the order? / Apakah persyaratan dari pelanggan /
2
customer ( customer request) telah sepenuhnya dimengerti sebelum order
ditandatangani?

Does before execute the order, the department head shall ensure the
capability to fullfilled the contract? / Apakah sebelum pelaksanaan order /
3
kontrak, pimpinan department mampu memastikan kesanggupan untuk
memenuhi persyaratan kontrak?

The order has been review ? Record and maintained properly? / Apakah
4
setiap order telah direview, dicatat dan disimpan dengan baik?

Does the comparison has been execute between PO and quotation after
receive the Purchase Order (PO) from customer or sales inquiry ? Apakah
5
setelah menerima permintaan pembelian (PO) dari pelanggan / sales
inquiry selalu dilakukan perbandingan dengan quotation?

Is the quotation for each product has been described clearly about the
scope of work and the price? / Apakah quotation untuk setiap produk
6
sudah menjabarkan secara jelas mengenai lingkup kerjaan dan harga yang
ditetapkan?
FM-IQA-003, Rev.01, P1/2
 Check the conformity between the quotation and PO from customer, does
the discrepancy noted has been made? Is this matter recorded and
maintained as a reference and history? / Periksa kesesuaian antara
7
quotation dengan PO dari pelanggan, Apakah dibuat Discrepancy Noted?
Apakah hal ini dicatat dan disimpan untuk acuan referensi serta sejarah
kejadian/history?

Is there the quality objective of sales department available? / Apakah

8
quality objective departemen sales tersedia ?

Is there any changes to the customer's data and information, is there any
documentation described the changes? Does the change documented and
9 maintained properly? / Apakah terdapat perubahan data dan informasi dari
pelanggan, apakah ada dokumen yang menjabarkan konfirmasi
perubahan? Apakah hal ini didokumentasikan dan disimpan dengan baik?

Is there any procedure about customer complaint? Is it documented &

maintained properly? Does the Field NCR report has been implement
based on the procedure? / Apakah sudah ada prosedur mengenai customer
10 complain/keluhan pelanggan? Apakah hal ini didokumentasikan dan
disimpan dengan baik? Apakah laporan mengenai ketidaksesuaian
dilapangan ( Field NCR) atau customer complaint ini sudah dilaksanakan
sesuai prosedur?

Is there any procedure about customer feedback? Is it documented and

implemented? Is it recorded and maintained properly? /Apakah sudah ada
11 prosedur mengenai umpan balik dari pelanggan / customer Feedback ?
Apakah hal ini didokumentasikan dan diimpelmentasikan? Apakah catatan
mengenai hal ini disimpan dengan baik?

* : Mandatory FM-IQA-003, Rev.01, P2/2