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No.

Laporan

01/SMT_V/D3_HIP/

INT_AUDIT_SMK3

/XII/2015

LAPORAN INTERNAL

AUDIT SISTEM

MANAEMEN

KESELAMATAN DAN

KESEHATAN KERA

PT. !MSTI

Ha"a#an 1 $ar% &

T'".

Laporan

31 DESEM!ER

2015

A($%) *+/

D%,)r%-(,%

No.

P+*+raan001 LAPORAN UMUM A($%)or

To)o* A%

N('roo

9. DAFTAR KRITERIA AUDIT DAN PEMENUHANNYA

No.No#or

Kr%)+r%aKRITERIA T!

PEMENUHAN

KSKETIDAKSESUAIAN

MN 1 MN 2 M 1 M 2

1. 1.1.1 T+r$apa) *+-%a*an K3

an' )+r)("%, -+r)an''a"

$%)an$a)an'an% o"+

p+n'(,aa a)a( p+n'(r(,

,+ara +"a, #+na)a*an

)((an $an ,a,aran K3

,+r)a *o#%)#+n )+ra$ap

p+n%n'*a)an K3.

2. 1.1.3 P+r(,aaan

#+n'*o#(n%*a,%*an

*+-%a*an K3 *+pa$a

,+"(r( )+na'a *+ra

)a#( *on)ra*)or

p+"an''an $an p+#a,o*

$+n'an )a)a ara an')+pa).

3. 1.2.2 P+n(n(*an p+nan''(n'

a4a- K3 ar(, ,+,(a%

p+ra)(ran p+r(n$an'

(n$an'an.

6. 1.2.6 P+n'(,aa a)a( p+n'(r(,

-+r)an''(n' a4a-

,+ara p+n( (n)(*

#+na#%n p+"a*,anaan

SMK3.

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5. 1.2.5 P+)('a, an'

-+r)an''(n' a4a- (n)(*

p+nan'anan *+a$aan

$ar(ra) )+"a $%)+)ap*an

$an #+n$apa)*an

p+"a)%an.

7. 1.2.7 P+r(,aaan #+n$apa)*an

,aran,aran $ar% para a"%

$% -%$an' K3 an'

-+ra,a" $ar% $a"a#

$an/a)a( "(ar p+r(,aaan.

&. 1.3.3 P+n'(r(, ar(, #+n%na(("an' p+"a*,anaan SMK3

,+ara -+r*a"a (n)(*

#+n%"a% *+,+,(a%an $an

+8+*)%9%)a, SMK3.

:. 1.6.1 K+)+r"%-a)an $an

p+na$4a"an *on,(")a,%

)+na'a *+ra $+n'an

4a*%" p+r(,aaan

$%$o*(#+n)a,%*an $an

$%,+-ar"(a,*an *+

,+"(r( )+na'a *+ra.

;. 1.6.3 P+r(,aaan )+"a

#+#-+n)(* P2K3 S+,(a%

$+n'an p+ra)(ran

p+r(n$an'(n$an'an.

10. 1.6.6 K+)(a P2K3 a$a"a

p%#p%nan p(na* a)a(

p+n'(r(,.

11. 1.6.5 S+*r+)ar%, P2K3 a$a"a

a"% K3 ,+,(a% $+n'an

p+ra)(ran p+r(n$an'

(n$an'an.

12. 1.6.7 P2K3 #+n%)%*-+ra)*an

*+'%a)an pa$a

p+n'+#-an'an *+-%a*an

$an pro,+$(r

#+n'+n$a"%*an r%,%*o.

13. 1.6.& S(,(nan p+n'(r(, P2K3

$%$o*(#+n)a,%*an $an

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$%%n8or#a,%*an *+pa$a

)+na'a *+ra.

16. 1.6.: P2K3 #+n'a$a*an

p+r)+#(an ,+ara )+ra)(r

$an a,%"na

$%,+-ar"(a,*an $% )+#pa)

*+ra.

15. 1.6.; P2K3 #+"apor*an

*+'%a)anna ,+ara

)+ra)(r ,+,(a% $+n'an

p+ra)(ran p+r(n$an'

(n$an'an.17. 2.1.1 T+r$apa) pro,+$(r

)+r$o*(#+n)a,% (n)(*

%$+n)%8%*a,% po)+n,%

-aaa p+n%"a%an $an

p+n'+n$a"%an r%,%*o K3.

1&. 2.6.1 In8or#a,% an'

$%-()(*an #+n'+na%

*+'%a)an K3

$%,+-ar"(a,*an ,+ara

,%,)+#a)%, *+pa$a ,+"(r()+na'a *+ra )a#(

*on)ra*)or p+"an''an

$an p+#a,o*.

1:. 3.1.1 Pro,+$(r an'

)+r$o*(#+n)a,%

#+#p+r)%#-an'*an

%$+n)%8%*a,% po)+n,%

-aaa p+n%"a%an $an

p+n'+n$a"%an r%,%*o an'$%"a*(*an pa$a )aap

p+ranan'an $an

#o$%8%*a,%.

1;. 3.2.2 I$+n)%8%*a,% -aaa $an

p+n%"a%an r%,%*o

$%"a*(*an pa$a )%na(an

*on)ra* o"+ p+)('a,

an' -+r*o#p+)+n.

20. 6.1.1 Do*(#+n K3

#+#p(na% %$+n)%8%*a,%

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,)a)(, 4+4+nan'

)an''a" p+n'+"(aran $an

)an''a" #o$%8%*a,%.

21. 5.1.1 T+r$apa) pro,+$(r an'

)+r$o*(#+n)a,% an'

$apa) #+na#%n -a4a

,p+,%8%*a,% )+*n%* $an

%n8or#a,% "a%n an'

r+"+9an $+n'an K3 )+"a

$%p+r%*,a ,+-+"(#

*+p()(,an (n)(*

#+#-+"%.22. 5.1.2 Sp+,%8%*a,% p+#-+"%an

(n)(* ,+)%ap ,arana

pro$(*,%

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$%'(na*an $%pa,)%*an

)+"a $%na)a*an "aa*

pa*a% ,+,(a% $+n'an

,)an$ar $an/a)a(

p+ra)(ran p+r(n$an'

(n$an'an an' -+r"a*(.

2:. 7.2.1 D%"a*(*an p+n'a4a,an

(n)(* #+na#%n -a4a

,+)%ap p+*+raan

$%"a*,ana*an $+n'an

a#an $an #+n'%*()%

pro,+$(r $an p+)(n(**+ra an' )+"a

$%)+n)(*an.

2;. 7.3.1 P+r,ara)an )('a,

)+r)+n)( )+r#a,(*

p+r,ara)an *+,+a)an

$%%$+n)%8%*a,% $an $%pa*a%

(n)(* #+n+"+*,% $an

#+n+#pa)*an )+na'a

*+ra.

30. 7.3.2 P+n('a,an p+*+raan

ar(, -+r$a,ar*an

*+#a#p(an $an

*+)+ra#p%"an ,+r)a

*+4+nan'an an'

$%#%"%*%.

31. 7.6.1 P+n'(,aa a)a( p+n'(r(,

#+"a*(*an p+n%"a%an

r%,%*o "%n'*(n'an *+ra

(n)(* #+n'+)a(%

$a+ra$a+ra an'#+#+r"(*an p+#-a)a,an

%

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36. 7.6.6 Ra#-(ra#-( K3 ar(,

$%pa,an' ,+,(a% $+n'an

,)an$ar $an p+$o#an

)+*n%,.

35. 7.5.2 S+#(a a)a)an an'

#+#(a) $a)a ,+ara r%n%

$ar% *+'%a)an

p+#+r%*,aan

p+#+"%araan p+r-a%*an

$an p+r(-aan an'

$%"a*(*an a)a, ,arana $an

p+ra"a)an pro$(*,% ar(,$%,%#pan $an $%p+"%ara.

37. 7.5.3 Sarana $an p+ra"a)an

pro$(*,% #+#%"%*%

,+r)%8%*a) an' #a,%

-+r"a*( ,+,(a% $+n'an

p+r,ara)an p+ra)(ran

p+r(n$an'(n$an'an $an

,)an$ar.

3&. 7.5.6 P+#+r%*,aan

p+#+"%araan p+ra4a)anp+r-a%*an $an ,+)%ap

p+r(-aan ar(,

$%"a*(*an p+)('a, an'

*o#p+)+n $an

-+r4+nan'.

3:. 7.5.& T+r$apa) ,%,)+# (n)(*

p+nan$aan -a'% p+ra"a)an

an' ,($a )%$a* a#an

"a'% (n)(* $%'(na*an

a)a( ,($a )%$a*

$%'(na*an.

3;. 7.5.: Apa-%"a $%p+r"(*an

$%"a*(*an p+n+rapan

,%,)+# p+n'(n%an

p+n'op+ra,%an ="o* o()

,,)+#> (n)(* #+n+'a

a'ar ,arana pro$(*,%

)%$a* $%%$(p*an

,+-+"(# ,aa)na.

60. 7.5.; T+r$apa) pro,+$(r an'

$apa) #+na#%n

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*+,+"a#a)an $an

*+,+a)an )+na'a *+ra

a)a( oran' "a%n an'-+ra$a $%$+*a) ,arana

$an p+ra"a)an pro$(*,%

pa$a ,aa) pro,+,

p+#+r%*,aan

p+#+"%araan p+r-a%*an

$an p+r(-aan.

61. 7.&.6 P+)('a, p+nan'anan

*+a$aan $ar(ra)

$%)+)ap*an $an $%-+r%*an

p+"a)%an *(,(, ,+r)a

$%%n8or#a,%*an *+pa$a,+"(r( oran' an' a$a

$% )+#pa) *+ra.

62. 7.&.7 P+ra"a)an $an ,%,)+#

)an$a -aaa *+a$aan

$ar(ra) $%,+$%a*an

$%p+r%*,a $%(% $an

$%p+"%ara ,+ara -+r*a"a

,+,(a% $+n'an p+ra)(ran

p+r(n$an'(n$an'an

,)an$ar $an p+$o#an)+*n%, an' r+"+9an.

63. 7.:.1 P+r(,aaan )+"a

#+n'+9a"(a,% a"a) P3K

$an #+na#%n -a4a

,%,)+# P3K an' a$a

#+#+n(% p+ra)(ran

p+r(n$an'(n$an'an

,)an$ar $an p+$o#an

)+*n%,.

66. 7.:.2 P+)('a, P3K )+"a $%"a)%

$an $%)(n(* ,+,(a%$+n'an p+ra)(ran

p+r(n$an'an(n$an'an.

65. &.1.1 P+#+r%*,aan/%n,p+*,%

)+ra$ap )+#pa) *+ra

$an ara *+ra

$%"a*,ana*an ,+ara

)+ra)(r.

67. &.2.1 P+#an)a(an/p+n'(*(ran

"%n'*(n'an *+ra

$%"a*,ana*an ,+ara

)+ra)(r $an a,%"na

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$%$o*(#+n)a,%*an

$%p+"%ara $an $%'(na*an

(n)(* p+n%"a%an $anp+n'+n$a"%an r%,%*o.

6&. &.2.2 P+#an)a(an/p+n'(*(ran

"%n'*(n'an *+ra

#+"%p()% 8a*)or 8%,%*

*%#%a -%o"o'% +r'ono#%

$an p,%*o"o'%.

6:. &.2.3 P+#an)a(an/p+n'(*(ran

"%n'*(n'an *+ra

$%"a*(*an o"+ p+)('a,

a)a( p%a* an'

-+r*o#p+)+n $an

-+r4+nan' $ar% $a"a#

$an/a)a( "(ar p+r(,aaan.

6;. &.6.1 D%"a*(*an p+#an)a(an

*+,+a)an )+na'a *+ra

an' -+*+ra pa$a )+#pa)

*+ra an' #+n'an$(n'

po)+n,% -aaa )%n''%

,+,(a% $+n'an p+ra)(ran

p+r(n$an'(n$an'an.

50. &.6.3 P+#+r%*,aan *+,+a)an)+na'a *+ra $%"a*(*an

o"+ $o*)+r p+#+r%*,a

an' $%)(n(* ,+,(a%

p+ra)(ran p+r(n$an'

(n$an'an.

51. &.6.6 P+r(,aaan #+n+$%a*an

p+"aanan *+,+a)an

*+ra ,+,(a% p+ra)(ran

p+r(n$an'(n$an'an.

52. &.6.5 ?a)a)an #+n'+na%

p+#an)a(an *+,+a)an)+na'a *+ra $%-(a) ,+,(a%

$+n'an p+ra)(ran

p+r(n$an'(n$an'an.

53. :.3.1 T+#pa) *+ra/p+r(,aaan

#+#p(na% pro,+$(r

p+#+r%*,aan $an

p+n'*a%an *++"a*aan

*+ra $an p+na*%) a*%-a)

*+ra.

56. ;.1.1 T+r$apa) pro,+$(r (n)(*

#+n'%$+n)%8%*a,% po)+n,%

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-aaa $an #+n%"a% r%,%*o

an' -+r(-(n'an

$+n'an p+nan'anan,+ara #an(a" $an

#+*an%,.

55. ;.1.2 I$+n)%8%*a,% -aaa $an

p+n%"a%an r%,%*o

$%"a*,ana*an o"+

p+)('a, an'

-+r*o#p+)+n $an

-+r4+nan'.

57. ;.2.1 T+r$apa) pro,+$(r an'

#+na#%n -a4a -aan

$%,%#pan $an

$%p%n$a*an $+n'an ara

an' a#an ,+,(a% $+n'an

p+ra)(ran p+r(n$an'

(n$an'an.

5&. ;.2.3 T+r$apa) pro,+$(r an'

#+na#%n -a4a -aan

$%-(an' $+n'an ara

an' a#an ,+,(a% $+n'an

p+ra)(ran p+r(n$an'

(n$an'an.5:. ;.3.1 P+r(,aaan )+"a

#+n$o*(#+n)a,%*an $an

#+n+rap*an pro,+$(r

#+n'+na% p+n%#panan

p+nan'anan $an

p+#%n$aan !K! ,+,(a%

$+n'an p+r,ara)an

p+ra)(ran p+r(n$an'

(n$an'an ,)an$ar $an

p+$o#an )+*n%, an'

r+"+9an.5;. ;.3.3 T+r$apa) ,%,)+# (n)(*

#+n'%$+n)%8%*a,% $an

p+#-+r%an "a-+" ,+ara

+"a, pa$a -aan *%#%a

-+r-aaa.

70. ;.3.6 Ra#-( p+r%n'a)an

-aaa )+rpa,an' ,+,(a%

$+n'an p+r,ara)an

p+ra)(ran p+r(n$an'

(n$an'an $an/a)a(

,)an$ar an' r+"+9an.

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71. 12.2.1 An''o)a #ana+#+n

+*,+*()%8 $an p+n'(r(,

-+rp+ran ,+r)a $a"a#p+"a)%an an' #+na*(p

p+n+"a,an )+n)an'

*+4a%-an (*(# $an

pr%n,%ppr%n,%p ,+r)a

p+"a*,anaan K3.

72. 12.2.2 Mana+r $an

p+n'a4a,/p+n+"%a

#+n+r%#a p+"a)%an an'

,+,(a% $+n'an p+ran $an

)an''(n' a4a- #+r+*a.

73. 12.3.1 P+"a)%an $%-+r%*an

*+pa$a ,+#(a )+na'a

*+ra )+r#a,(* )+na'a

*+ra -ar( $an an'

$%p%n$a*an a'ar #+r+*a

$apa) #+"a*,ana*an

)('a,na ,+ara a#an.

76. 12.5.1 P+r(,aaan #+#p(na%

,%,)+# an' #+na#%n

*+pa)(an )+ra$ap

p+r,ara)an "%,+n,% a)a(*(a"%8%*a,% ,+,(a% $+n'an

p+ra)(ran p+r(n$an'an

(n)(* #+"a*,ana*an

)('a, *(,(,

#+"a*,ana*an p+*+raan

a)a( #+n'op+ra,%*an

p+ra"a)an.

TOTAL

K+)+ran'an @1. T! @ T%$a* !+r"a*(

2. KS @ K+,+,(a%an

3. MN 1 @ K+)%$a*,+,(a%an M%nor 1

6. MN 2 @ K+)%$a*,+,(a%an M%nor 2

5. M 1 @ K+)%$a*,+,(a%an Maor 1

7. M 2 @ K+)%$a*,+,(a%an Maor 2

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