C o R R e C T I V e A C T I o N R e Q U e S T C A R 1 o F 3

Please complete the Action Plan of (all) CAR(s) and Sent not more than 5 work days send
to joko.sumpono@sgs.com and
faridah@sgs.com, sukma.mitria@sgs.com
Corrective Action Request

CAR 1 of 3
Major Minor
Organization: PT. Bahagia Jaya Sejahtera
Site(s) audited: Jl. Mayjen HE Sukma No. 58 Date(s) of audit(s): 28 April 2016
Ciawi Bogor Jawa Barat
Auditor(s): Mr. Joko Sumpono
Standard(s): ISO 9001 : 2008
Organization Mr. Agus Duriat (081287633882)
Representative:
Area / Depart- MR
ment / Process:
Document Ref.: QM –BEJE-MR-PM-001 Standard Ref.: 5.4.1 and 5.4.2

Issue/Rev. Status: 01 date 1 January 2014 CAR Close out date: Next Visit
Details of Non-Conformity:
Top management shall ensure that the planning of the quality management system is carried out in order to
meet the requirements given in 4.1, as well as the quality objectives.
 Seen planning (activity plan) has not established to reach desired target (Quality Objective)
 Quality objective for Purchasing FY 2015 has been eliminated however New Target (Quality
Objective) FY 2016 has not determined yet.
Organization Mr. Agus Duriat (081287633882) Auditor: Mr. Joko Sumpono

Representative:
Cause Analysis and Corrective Action taken to prevent recurrence:
Root Cause Analysis :
Why 1 :
Why 2 :
Why 3 :
Corrective Action :
Organization Date:
Representative:
Acceptance of Corrective Action / Comments (use additional sheets if necessary):
Auditor: Date:
Response required (in months) Major Minor

Corrective Action must be addressed within time frame stated. Verification of Define Close Out Define Close Out
Job / Cert. n°: ID-4985 Visit Type: Surveillance Visit n°: 3

Document: GS0401 Issue n°: 5 Page n°: 1 of 4
Please complete the Action Plan of (all) CAR(s) and Sent not more than 5 work days send to joko.sumpono@sgs.com and
action will occur at next visit. Additional follow up may be required as

indicated.

CAR 2 of 3
Major Minor
Representative:
Area / Depart- Material Control
ment / Process:
Document Ref.: BEJE-MR-PK-013 Standard Ref.: 7.5.5

Issue/Rev. Status: Rev.00 Date 01/7/13 CAR Close out date: Next Visit
The material stock has not controlled properly as seen It was found that discrepancy number of stock in
Stock card and Data stock harian i.e. Motor electro actual 5 PCs but in daily control is stated 4 PCs. and
Van Belt B56 actual 2 PCs but in daily control is stated 1 PCs.

Representative:

Why 1 :
Why 2 :
Why 3 :
Corrective Action :
Organization Date:
Representative:
Auditor: Date:

indicated.

CAR 3 of 3
Major Minor
Representative:
Area / Depart- MR
ment / Process:
Document Ref.: BEJE-MR-PK-010 Standard Ref.: 7.4.1

Issue/Rev. Status: rev.0 date 01 June 2013. CAR Close out date: Next Visit
Lack of evidence that Purchase order was released based on requisition (Form permintaan pengadaan
barang) as required by procedure however in fact form permintaan pengadaan barang does not always
create prior to purchase order sheet released to supplier i.e Kawat las RD260/2.6mm
It was found identification number of Purchase order has not applied properly seen there is 2 Purchase
order sheet with same identification number i.e. PO No. 018/Purch/BJS/IV/16 dated 2/3/16 address to TB
Sari Agung and PO No. 018/Purch/BJS/IV/16 dated 21/4/16 address to Makmur diesel
Supplier evaluation was not performed consistently example TB. Sari Agung as Material Supplier has not
evaluated yet
Representative:

Why 1 :
Why 2 :
Why 3 :
Corrective Action :
Organization Date:
Representative:

Auditor: Date:

indicated.


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Please complete the Action Plan of (all) CAR(s) and Sent not more than 5 work days send

Corrective Action Request

Organization: PT. Bahagia Jaya Sejahtera

Document Ref.: QM –BEJE-MR-PM-001 Standard Ref.: 5.4.1 and 5.4.2

Organization Mr. Agus Duriat (081287633882) Auditor: Mr. Joko Sumpono

Acceptance of Corrective Action / Comments (use additional sheets if necessary):

Response required (in months) Major Minor

Job / Cert. n°: ID-4985 Visit Type: Surveillance Visit n°: 3

action will occur at next visit. Additional follow up may be required as

Corrective Action Request

Organization: PT. Bahagia Jaya Sejahtera

Document Ref.: BEJE-MR-PK-013 Standard Ref.: 7.5.5

Organization Mr. Agus Duriat (081287633882) Auditor: Mr. Joko Sumpono

Cause Analysis and Corrective Action taken to prevent recurrence:

Acceptance of Corrective Action / Comments (use additional sheets if necessary):

Response required (in months) Major Minor

Job / Cert. n°: ID-4985 Visit Type: Surveillance Visit n°: 3

Corrective Action Request

Organization: PT. Bahagia Jaya Sejahtera

Document Ref.: BEJE-MR-PK-010 Standard Ref.: 7.4.1

Cause Analysis and Corrective Action taken to prevent recurrence:

Acceptance of Corrective Action / Comments (use additional sheets if necessary):

Job / Cert. n°: ID-4985 Visit Type: Surveillance Visit n°: 3

Response required (in months) Major Minor

Job / Cert. n°: ID-4985 Visit Type: Surveillance Visit n°: 3

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