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Roundtable on Sustainable Palm Oil Supply Chain Certification Report Report no.: SCCS-ASA3-14003 Assessment against RSPO Supply Chain Certification Systems [2014] Wilmar International Indonesia PT Wilmar Nabati Indonesia Bagendang Unit Date of 3 rd surveillance audit: January 27 to 28, 2016 Report prepared by: Riki Harpan (SCCS Lead Auditor) Certification decision by: Abdul Qohar (Head of Certification Body of PT TUV Rheinland Indonesia) Certification Body: PT TUV Rheinland Indonesia Menara Karya, 10 th Floor Jl. H.R. Rasuna Said Block X-5 Kav.1-2 Jakarta 12950, Indonesia Tel: +62 21 57944579 Fax: +62 21 57944575 www.tuv.com/id

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Page 1: Roundtable on Sustainable Palm Oil - TÜV Rheinland · 2020-03-01 · Roundtable on Sustainable Palm Oil Supply Chain Certification Report ... open type, size 12 x 4 m2, and can be

Roundtable on Sustainable Palm Oil

Supply Chain Certification Report Report no.: SCCS-ASA3-14003

Assessment against RSPO Supply Chain Certification Systems [2014]

Wilmar International Indonesia PT Wilmar Nabati Indonesia

Bagendang Unit

Date of 3rd surveillance audit:

January 27 to 28, 2016

Report prepared by: Riki Harpan

(SCCS Lead Auditor)

Certification decision by: Abdul Qohar

(Head of Certification Body of PT TUV Rheinland Ind onesia)

Certification Body: PT TUV Rheinland Indonesia

Menara Karya, 10th Floor Jl. H.R. Rasuna Said Block X-5 Kav.1-2

Jakarta 12950, Indonesia Tel: +62 21 57944579 Fax: +62 21 57944575

www.tuv.com/id

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TABLE OF CONTENTS

1.0 SCOPE OF SUPPLY CHAIN CERTIFICATION ASSESSMENT ........................... 3

1.1 Executive Summary and Scope of Assessment .................................................................................... 3 1.2 Certification Details ................................................................................................................................ 3 1.3.Organisational Information / Contact Person ......................................................................................... 4 1.4.Actual received and sold volumes. ........................................................................................................ 4 1.5 Summary of Previous Assessment ........................................................................................................ 5

2.0 ASSESSMENT PROCESS .................................................................................... 5

2.1 Certification Body ................................................................................................................................... 5 2.2 Qualifications of Lead Assessor and Assessment Team ...................................................................... 5 2.3 Surveillance Methodology & Agenda ..................................................................................................... 6

3.0 ASSESSMENT FINDINGS ..................................................................................... 7

3.1 Description of Supply Chain Management System .......................................................................... 7 3.2 Previously Status Identified of RSPO SCCS Requirement Non-conformities .................................... 16 3.3 Identified Non-conformances against RSPO SCCS Requirements, Corrective Actions Taken and Auditors Conclusions .................................................................................................................................. 18 3.4 Conclusion and Recommendation for RSPO Supply Chain Certification ........................................... 20

4.0 CERTIFIED ORGANISATION’S ACKNOWLEDGEMENT OF INT ERNAL

RESPONSIBILITY .................................... ........................................................... 21

4.1 Date of Next Surveillance Visit ............................................................................................................. 21 4.2 Acknowledgements of Internal Responsibility and Formal Sign-Off by Client .................................... 21 Appendix 1: Details of Supply Chain Certification Certificate .................................................................... 22 Appendix 2: List of Abbreviations ............................................................................................................... 24 Appendix 3: Observations and Opportunities for Improvement ................................................................. 24 Appendix 4 : List of supplier and buyer ...................................................................................................... 26 Appendix 5 : List of Certified Customer ..................................................................................................... 26

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RSPO 3rd Annual Surveillance Audit Report PT Wilmar Nabati Indonesia (Bagendang)

Sampit – Central Kalimantan

Page 3 of 26

QMF: RSPO-007c-13 rev.2

1.0 SCOPE OF SUPPLY CHAIN CERTIFICATION ASSESSMENT

1.1 Executive Summary and Scope of Assessment The facility of PT Wilmar Nabati Indonesia (WINA) - Bagendang were assessed against the RSPO Supply Chain Certification Systems (SCCS) document (November 2014). The scope of the Supply Chain Certification System assessment covers the implementation of the Mass Balance (MB) supply chain model for storage in-dependent CPO and PK (received CPO & PK from mills for direct CPO & PK dispatch to buyer or refinery) by PT WINA - Bagendang. This is not a multi-site certification.

The volume of palm oil product was handled by PT Wilmar Nabati Indonesia – Bagendang in year 2015 and projection of sold/dispatch for year 2016.

Product Type Dispatch for year 2015 (MT) Projection of Sold/Dispatch for year 2016 (MT) *)

CPO 31,560.503 17,885,000.00

PK 51,156.30 1,460,000.00

Note:

*). Data from January to December 2015 (the justification based on capacity maximum storage tank for CPO : 49,000 MT x 365 days and PK : 4,000 MT x 365 days)

According to information stated on Decree of Minister of Transportation No. KP 100 year 2012 dated January 31, 2013 regarding the approval of the management of Terminal for privat use to support operations of palm oil In- dustry PT Wilmar Nabati Indonesia in area Sampit Regional Port, the technical specifications are allowed dock open type, size 12 x 4 m2, and can be operated only limited to the activities of ship traffic or loading and unload- ing of goods in the form of raw materials, production and production support equipment for its own sake and not for public.

The Company has obtained a building permit on water (Izin Bangunan Air) in inland waters by decree of the Head of Department Communication and Information Technology – Kota Waringin Timur Regency No. 551.31 / 447 / Dishubkominfo / 2014 dated April 21, 2014, for the purposes of ship mooring / loading & unloading.

The company has a building permit (IMB) by Decree of Regent Kotawaringin Timur 6438/266 / KPPT / IMB / 2011 dated May 2, 2011 for the construction of bulking station and pier function of PT Wilmar Nabati Indonesia.

The 3rd surveillance assessment was carried out on January 27 to 28, 2016 and a total of 5 (five) non-conformities were found during assessment. The 2nd surveillance audit was conducted on January 21, 2015.

1.2 Certification Details The details of RSPO certification of PT Wilmar Nabati Indonesia Bagendang are as per the table below Table 1: RSPO Supply Chain Certification details of PT Wilmar Nabati Indonesia Bagendang

Note : *). Certificate no. 185 0 2266 01 dated 19th February 2013 previously issued by TUV Rheinland Malaysia Sdn. Bhd is no longer valid

Refer to Appendix 1 for further details of the RSPO Supply Chain certificate.

RSPO Membership no.: 2-0017-05-000-00 on behalf Wilmar International Lim-ited

RSPO Supply Chain Certificate no.: 824 503 14003*

Date of RSPO Supply Chain certificate & validity:

June 16, 2014 & 2013-02-19 until 2018-02-18

E-trace No. RSPO_PO1000000493

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RSPO 3rd Annual Surveillance Audit Report PT Wilmar Nabati Indonesia (Bagendang)

Sampit – Central Kalimantan

Page 4 of 26

QMF: RSPO-007c-13 rev.2

1.3. Organisational Information / Contact Person

Contacts details of the company are as follows:

1.4. Actual received and sold volumes.

Table 2 : Records of Material Received/ Purchased year 2015 (January until December)

CPO

Supplier RSPO Certificate

Number

Product

UTZ Number

Volume (MT) Model

PT. Kerry Sawit Indonesia (POM 1)

01 100 117292 CPO RSPO- PO1000000146

31,560.503 MB

PK

Supplier

RSPO Certificate Number

Product

UTZ Number

Volume (MT)

Model

Opening stock 3,612.824 MB

PT. Mustika Sembuluh (POM 1)

01 100 106469 PK RSPO- PO1000000144

15,005.050 MB

PT. Mustika Sembuluh (POM 2)

01 100 106469 PK RSPO- PO1000000144

3,862.760 MB

PT. Kerry Sawit Indonesia (POM 1)

01 100 117292 PK RSPO- PO1000000146

7,202.250 MB

PT. Kerry Sawit Indonesia (POM 2)

01 100 117292 PK RSPO- PO1000000146

5,049.160 MB

PT. Sarana Titian Persada MUTU-RSPO/022 PK RSPO- PO1000001043

8,199.807 MB

PT. Bumi Sawit Kencana SGS-RSPO/PM-MY13/01300

PK RSPO- PO1000000600

4,877.050 MB

PT, Mentaya Sawit Mas MUTU-RSPO/058 PK 3,347.400 MB

Total 51,156.30 MB

Company Name: PT Wilmar Nabati Indonesia

Address: Head Office : Multivision Tower 15rd floor, Jl. Kuningan Mulia Kav. 9B Ja-karta Selatan, Indonesia

Plant: Jl. HM Arsyad KM.20, Bapanggang Raya Village, Mentawa Baru Ketapang Sub District, East Kotawaringin District, Central Kalimantan Prov- ince. 74326

Contact Person: Mr. Ahmad Supiansyah

Position: Management Representative

Telephone: +62 295-299724

Email: [email protected]

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RSPO 3rd Annual Surveillance Audit Report PT Wilmar Nabati Indonesia (Bagendang)

Sampit – Central Kalimantan

Page 5 of 26

QMF: RSPO-007c-13 rev.2

Table 3 : Records of Palm Oil Product Delivered/Sold year 2015

Buyer RSPO Certificate

Number Product UTZ Number Volume (MT)

Status / Model

SC PT Wilmar Nabati Indone-sia - Gresik 1850 2248 001 CPO RSPO-

PO1000000396 31,045.363 MB

PT Wilmar Nabati Indone-sia - Gresik 1850 2248 001 PK RSPO-

PO1000000396 50,056.520 MB

Total

Note : *). Transaction product not sales but transfer

1.5 Summary of Previous Assessment On the last year audit certification of PT Wilmar Nabati Indonesia (Bagendang) there are 4 (four) findings related to the fulfillment of the RSPO SCCS requirement November 2011. The facility was commissioned in year 2012 where during audit that all facilities have finished their construction. Total PK silo are 4 units (total of capacity: 4,000 MT) and CPO storage are 19 units (total of capacity: 49,000 MT). 2.0 ASSESSMENT PROCESS

2.1 Certification Body PT TUV Rheinland Indonesia is member of Group TÜV Rheinland Group, a global leader in independent test-ing and assessment services. The TÜV Rheinland Group was established in 1872 with offices located in over 490 locations in 62 countries on all five continents. PT TUV Rheinland Indonesia offers certification for a wide range of management systems according to established international standards including ISO 9001, ISO 14001, OHSAS 18001, SA 8000, RSPO (RSPO-ACC-013 dated on June 06, 2014), ISPO (LS-P&K-005-ISPO dated on May 10, 2012), ISCC, Timber Legality Verification System (SVLK), as well as CDM Validations and Verifica-tions. PT TUV Rheinland Indonesia’s office is located in Jakarta, Indonesia.

2.2 Qualifications of Lead Assessor and Assessment Team

Name Position Qualifications / Experience

Riki Harpan Lead Auditor (Under Moni-

toring)

Education: 2001 – State University of Jakarta (Universitas Negeri Jakarta) Bachelor degree majoring in Germany language education 2010 – Budi Luhur University (Universitas Budi Luhur) Magisterial Man-agement (not passed). Trainings attended : � January 19 to 20, 2015 – Training for Auditor RSPO Supply Chain Certifi-

cation Standard and Systems from David Ogg and Partners Ltd. � December 12 to 16, 2014 – Training for Auditor CoC PEFC-IFCC from

Indonesian Forestry Certification Cooperation (IFCC) � September 29 until October 9, 2104 – Training for Timber Legality Verifi-

cation (VLK) Auditor Mandatory from Ministry of Forestry � September 28, 2014 – The Introduction of ISO 9001:2008 Workshop with

AJA Academy � November 27, 2013 – FSC/PEFC-Chain of Custody Standard with Jobst

Dustersiek (Lead Auditor QM/FSC/PEFC System LGA InterCert GmbH � August 27 to 28, 2012 - FSC/PEFC-Chain of Custody Standard with

Jobst Dustersiek (Lead Auditor QM/FSC/PEFC System LGA InterCert GmbH

� May 17, 2012 - International Sustainability & Carbon Certification (ISCC) Sales Training with Dr. Rüdiger Meier Product responsible for sustainable

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RSPO 3rd Annual Surveillance Audit Report PT Wilmar Nabati Indonesia (Bagendang)

Sampit – Central Kalimantan

Page 6 of 26

QMF: RSPO-007c-13 rev.2

Biomass and FSC TÜV Rheinland Cert GmbH at PT TUV Rheinland In-donesia

� August 18 to 19, 2011 – The Awareness Training for Health, Safety and Environmental Management Systems at PT TUV Rheinland Indonesia

� 2011 – Training for FSC/PEFC-Chain of Custody Standard with Mr. Klaus Schatt (LGA InterCert Gemany) at PT TUV Rheinland Indonesia

� 2011 – Training for FSC/PEFC-Forest Management Standard with Mr. Klaus Schatt (LGA InterCert Gemany) at PT TUV Rheinland Indonesia

� January 18 to 19, 2011 – Awareness Training Roundtable on Sustainable Palm Oil (RSPO) with Mrs. Dian S. Soeminta (Lead Auditor RSPO of TÜV Rheinland Indonesia) at PT TUV Rheinland Indonesia.

� March 04, 2012 – Pelatihan Pengenalan SNI ISO/IEC 17021:2008 from National Standardization Agency of Indonesia (BSNI)

� November 30 to December 04, 2009 – Training for Quality Management Systems (QMS) Auditor/Lead Auditor at PT TUV Rheinland Indonesia

Working experience: 2007 – 2012 Technical Support Assistance acting as Document controller for Quality Man-agement System (QMS), Forestry Certification and Agriculture Certification Department. 2012 – now VLO Auditor, VLK Trainee Auditor, CoC FSC Auditor, CoC PEFC-IFCC Audi-tor, RSPO SCCS Auditor, V-Legal Inspector and Facilitator Expert Panel I (pre-assessment) for Sustainable Forest Management (PHTL) & Chain of Custody (CoC) LEI certification.

2.3 Surveillance Methodology & Agenda The supply chain 3rd surveillance audit was conducted on January 27 to 28, 2016 as described in the details agenda below. The audit was carried out in accordance PT TUV Rheinland Indonesia’s RSPO audit procedure as well as the RSPO Supply Chain Certification document. An on-site assessment was conducted and the auditor carried out field and document assessments of compli-ance to RSPO Supply Chain Certification System requirements. The company proposed the correction and corrective action for all identified non conformities raised to the cer-tification body 30 days after the closing meeting. Verification of closure of non-conformances was conducted 3 months after the closing meeting of the surveillance audit. The certification assessment agenda is as explained below. Surveillance Audit Agenda.

Date From until Organization Unit Processes Standard

27.01.2016 10.00 12.00 Management Representative RSPO SCC team

Opening meeting Documentation system Purchasing and goods in Outsourcing activities Sales and good out Registration of transaction Training Record keeping Claims Complaints Management review

RSPO SCCS 5.1 RSPO SCCS 5.2 RSPO SCCS 5.3 RSPO SCCS 5.4 RSPO SCCS 5.5 RSPO SCCS 5.6 RSPO SCCS 5.7 RSPO SCCS 5.8 RSPO SCCS 5.9 RPSO SCCS 5.10 RSPO SCCS 5.11 RSPO SCCS 5.12 RSPO SCCS 5.13 General Supply Chain Requirement

27.01.2016 12.00 13.00 Break 27.01.2016 13.00 16.00 RSPO SCC team Continue with general supply

chain requirements

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RSPO 3rd Annual Surveillance Audit Report PT Wilmar Nabati Indonesia (Bagendang)

Sampit – Central Kalimantan

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QMF: RSPO-007c-13 rev.2

27.01.2016 16.00 17.00 RSPO SCC team RSPO SCCS Module C (MB) Record keeping Processing Mass balance system Conversion ratio Yield schemes

RSPO SCCS C.1; C.2 RSPO SCCS C.3 RSPO SCCS C.4; C.5 RSPO SCCS C.6 RSPO SCCS C.7

28.01.2016 08.00 09.00 RSPO SCC team Plant tour 28.01.2016 09.00 09.30 Preparing for clos-

ing meeting

28.01.2016 09.30 10.00 Closing meeting

3.0 ASSESSMENT FINDINGS

3.1 Description of Supply Chain Management System

PT Wilmar Nabati Indonesia (PT WINA) - Bagendang is a bulking station and silo owned by PT Wilmar Nabati Indonesia (PT WINA) where the facility is subsidiary of Wilmar International Limited (the parent company). The facility was commissioned in year 2012 where during audit that facility has CPO storage as much as 19 unit (it capacity are 49,000 MT) and PK silos as much as 4 unit (capacity: 4,000 MT).

In the 3rd surveillance audit PT WINA - Bagendang has received material (CPO) from only one palm oil mills (POM) under Wilmar International Limited that is PT Kerry Sawit Indonesia with amount of 31,560.503 MT. And for palm kernel (PK) has received from several palm oil mills (POM) under Wilmar International Limited (i.e PT Mustika Sembuluh (POM 1 & 2), Kerry Sawit Indonesia (POM 1 & 2), PT Sarana Titian Permata POM, PT Bumi Sawit Kencana POM, PT Mentaya Sawit Mas POM with amount of 47,543.477 MT.

PT Wilmar Nabati Indonesia has a complete standard operation manual and standard operation procedure about supply chain for all strategic operation units. All production process is conducted internally except transport activity (outsourced process).

At the time Company has prepared their SCC system according RSPO SCC standard November 2014 Module C (Mass Balance (MB) model) as defined by management PT WINA - Bagendang in the company’s management system, and has been implemented after getting approval of SCC certification. The following is a description of the company’s supply chain management system according to the RSPO SCCS requirements, including status of compliance of the company and their outsourced third parties to RSPO SCCS requirements:

Section 5: General Chain of Custody System Requirem ents for the Supply Chain

5.1. Applicability of the General Chain of Custody System Requirements for the supply chain

Findings: PT Wilmar Nabati Indonesia (PT WINA) - Bagendang is a bulking station and silo owned by PT Wilmar Nabati Indonesia (PT WINA) - Gresik. PT Wilmar Nabati Indonesia is subsidiary of Wilmar International Limited. The company has applied Mass Balance system (Module C) due to the na-ture of incoming material from company’s supplier are Mass Balance. PT Wilmar Nabati Indonesia - Bagendang is RSPO member under Wilmar International Limited with membership number 2-0017-05-000-00. PT WINA Bagendang has registered number PO-1000000493 in RSPO IT platform (e-Trace) for all transaction of physical shipment. To support implementation of RSPO Supply Chain, PT Wilmar Nabati Indonesia (WINA) Bagendang has a complete standard operation manual and standard operation procedure about supply chain for all strategic operation units. PT WINA – Bagendang is part of PT WINA Gresik some of the proce-dure still refers to the parent company PT WINA Gresik. In the last surveillance audit the company has created some procedures relating to the implementation of the RSPO SCCS such as

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RSPO 3rd Annual Surveillance Audit Report PT Wilmar Nabati Indonesia (Bagendang)

Sampit – Central Kalimantan

Page 8 of 26

QMF: RSPO-007c-13 rev.2

1. Procedure of reception and dispatch of certi f ied raw material CSPO/PK and derivatives prod-ucts (SOP/WINA-OPR-002 Rev.02).

2. Procedure of traceability (SOP/WINA-OPR-003 Rev.00) 3. Procedure of new contractor information (SOP/WINA-OPR-005 Rev.00) Compliance status: Compliance

5.2.Supply chain model

Findings: The company has applied Mass Balance system ( Module C) because all certified material (palm kernel and CPO) came from certified supplier with Mass Balance models and company’s production facilities are not sufficient to implement others supply chain model. Compliance status: Compliance

5.3. Documented procedures

Findings: To support the implementation of RSPO SCC systems, the organization has established procedures re-lated to RSPO SCC, the documentation are General procedures: - Procedure for hygiene (SOP/WINA-OPR-001 Rev. 00) - Procedure for reception and dispatch of raw material CSPO/PK (SOP/WINA-OPR-002 Rev.02) - Procedure for tracebility (SOP/WINA-OPR-003 Rev.1) - Procedure for dispatch and reception of storage and stockpiling of CPO material (SOP/WINA-OPR-

004 Rev.0) - Procedure of new contractor information (SOP/WINA-OPR-005 Rev. 0) - Procedure for reception and dispatch of raw material CPO Segregated RFS – EPA (SOP/WINA-

OPR-006 Rev.0) Procedures for Weigh Bridge : - Procedure for reception and dispatch of raw material from truck (CPO & CSPO) SOP/WINA-

WBG-001 rev 0 - Procedure for dispatch raw material (SOP/WINA-WBG-002 rev 0) - Procedure for weighing CPO & CSPO rev 0

Procedures for shipping/jetty : - Procedure for loading to barge (SOP/WINA-SHP-001 Rev.0) - Procedure for dispatch from ship (SOP/WINA/SHP-002 Rev.0) - Procedures for pigging (SOP/WINA/SHP-003 Rev.0) - Procedures for Jetty & Trestle cleaness (SOP/WINA/SHP-004 Rev.0)

Procedures for Pump House : - Procedure for reception raw material from truck (SOP/WINA-PHE-001) rev 0 - Procedure dispatch raw material by truck (SOP/WINA/PHE-002 Rev.0) - Procedure for pump house cleanliness (SOP/WINA/PHE-003 Rev.0) - Procedures for the cleanliness of working tools (SOP/WINA/PHE-004 Rev.0)

Procedure for stock control: - Procedure for sounding deep tank (SOP/WINA-STC-014 Rev.0)

Procedure for Personalia and General Affair: - Procedure for training (SOP/WNA-PGA-001 Rev.0) - Procedure for document and data control (QP/WINA-001 Rev.0)

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RSPO 3rd Annual Surveillance Audit Report PT Wilmar Nabati Indonesia (Bagendang)

Sampit – Central Kalimantan

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QMF: RSPO-007c-13 rev.2

Top management assigned Mr. Ahmad Supiansyah as RSPO SCCS management representative through letter of assignment from head of bulk No. SKEP-001/HRGA/VI/2012 dated June 06, 2012, similar jobdescription explain on the letter for SCC implementation. During the audit time, Mr. Ahmad Supiansyah has good knowledge and able to demonstrate awareness of the facility’s procedures. The company has created matrix training in 2015 and identified the training needed in 2016 including the awareness training for RSPO SCC. The last training for RSPO SCC has been conducted on May 05, 2015 attended by 40 persons and trained by Mr. Ahmad Supiansyah as MR. All training documentations are well documented and can be traced. Compliance status: Compliance

5.4. Purchasing and goods in

Findings: PT WINA - Bagendang has mechanism to control the received of certified material (SOP/WINA-OPR-002 Rev.2). The document to be verified from certified sources are delivery note including wet stamp from the origin estate, the estate name in the certified supplier list, certified code. The com-pany assigned Mr. Senopatli as person in charge to check and ensure the certified material both qual-ity and quantity as per purchase documents or delivery document and he will check the validity of supplier’s certificate with checking certificate from period time of certificate and checked via the list of RSPO SCC facilities on the RSPO website (www.rspo.org) or the RSPO IT system within a reasona-ble timeframe. As described in table 2 records of Material Received/ Purchased year 2015 (from January until De-cember) the company has purchased certified CPO with MB claims from single supplier PT. Kerry Sawit Indonesia for amount 31,560.503 MT and certified PK with MB claims from several supsplier under Wilmar Group such as PT Mustika Sembuluh, PT Kerry Sawit Indonesia, PT Sarana Titian Per-sada, PT Bumi Sawit Kencana dan PT Mentaya Sawit Mas for amount 47,543.477 MT. To control the receiving of RSPO certified material, weighbridge operators will verify the claimed cate-gory of the material under mass balance system, supplier supply chain certification number, quality and quantity of products, buyer name & address, seller name & address, and document date in DO & WB Ticket document. If there are non-conforming material/documents so weighbridge operators will inform to bulking manager to discuss the decision of the material or documentation, if needed the manager will make confirmation to supplier about the material status. The mechanism process related to non-conforming material handling has decribed on the procedure of reception and dispatch of raw material (SOP/WINA-OPR-002 Rev.2) point 6.1. The documentation of certified material delivery are 1. Delivery Order from supplier to PT WINA Bagendang 2. Weighbridge ticket from supplier 3. Internal weighbridge ticket WINA Bagendang. 4. WINA Bagendang Vehicle Control Form (F/WINA-SEC-005 Rev.2) that informed about docu-

mentation verification from security, the quantity verification and certified marks and the com-pleteness of documentation from weighbridge, the quality testing result from quality assurance, pump house and PK plant process, inspection seal checking and unloading and storage loca-tion in tankfarm

The sample of delivery documentation for Palm Kernel are

a. DO No. 4152124900 date 25.02.2015 from PT Kerry Sawit Indonesia with following infor-mation - Product type : CPO FFA 3.5.5 (RSPO Mass Balance) - Quantity : 400 MT (has separated into several delivery) - Sales Order No. 4132101515 dated 05.01.2015 - PO No. 8101061946 - Contract No. 4131101309 - Destination : PT WINA Bagendang

b. Weighbridge ticket from PT Kerry Sawit Indonesia with following information

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RSPO 3rd Annual Surveillance Audit Report PT Wilmar Nabati Indonesia (Bagendang)

Sampit – Central Kalimantan

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- Date : 26.02.2015 - DO No. 4152124900 - Contract No. 4131101309 - Commodity : CPO - Destination : WINA Bagendang - Stamped with CPO M/B and RSPO certificate number - Quantity: 7,250 Kg.

c. Internal Weighbridge ticket WINA Bagendang with following information - Date : 26.02.2015 - DO No. 4152124900 - Contract No. 4131101309 - Shipper/Relation : PT Kerry Sawit Indonesia - Commodity : CPO - Description RSPO MB - Stamped with CPO/MB and RSPO certificate number - Quantity: 7,270 Kg.

d. Vehicle Control Form No. 080077 dated 26.02.2015 with RSPO MB stamp. For record and control, weighbridge (WB) ticket will be submitted to the logistic head section every day to ensure the counter checking and record on the correct tonnage received from product supplier (POM) in material balance records. The facility will communicate with buyer/trading section in head office about quantity dispatched as part of the monitoring process for dispatch of product. Compliance status: Compliance

5.5. Outsourcing activities

Findings:

PT WINA Bagendang using outsourcing process for transportation of delivery raw material and finished goods. The company only acts as user of the transportation services but all related policies and deci-sions of the transportation supplier are made by the holding company. The facility has ensured that the independent third party complies with RSPO SCCS requirements and does have a list of transportation companies used for transport of the facility’s final products. In the company’s procedure for information of new contractor (SOP/WINA-OPR-005), it is stated that if there is a new contractor/transporter, the facility will inform the certification body (CB) by email or fax. The transporter categorized in two for PK and CPO.

List of transporter PK (Ship and Truck) TRANSPORTER

NAME PIC ADDRESS EMAIL CONTACT NO

PT. USDA SEROJA

JAYA

HARRY JOHAN

MARPAUNG

JLN. RAYA SENDOLAS, PULAU

GELANG - RENGAT INDRA GIRI HULU [email protected] 81372589387

CV. PUTRA

MENTAYA JAYA ROBI

JL. KEMBALI PERUM PANCA SETIA

SAMPIT [email protected] 81349021835

CV. MOLADA LOE DARLAN JL. JAYA WIJAYA I NO. 69 SAMPIT [email protected] 0531-31868

CV. USAHA KARYA

MANDIRI KARIONO

JL. ANTANG BARAT 3 GG. MURAI NO.

83

ud_karyamandiri21@yaho

o.com

82154405460

CV. DANAU RAYA ACHMAD JL. TIDAR BARU BLOK E JALUR 1 NO. 9

SAMPIT [email protected] 81332116170

CV. THATA

INDOTRANS

RONI EKO

PURWANTO

JL. MT. HARYONO KOMP. TERMINAL

KODIM KAV. NO.6/7 SAMPIT [email protected] 8125090106

List of transporter CPO TRANSPORTER

NAME PIC ADDRESS EMAIL CONTACT NO

PT. MARGA

DINAMIK PERKASA HENDRY

JL. JENDRAL SUDIRMAN KM. 02 NO.

99

[email protected]

o.id 0852 -

46942888

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PT. USDA SEROJA

JAYA

HARRY JOHAN

MARPAUNG

JLN. RAYA SENDOLAS, PULAU

GELANG - RENGAT INDRA GIRI HULU [email protected]

081 372

589387

During document verification the site has no agreement or contract covering the outsourced process with each contractor through a signed and enforceable agreement with the contractor, the company only pro-vided self-declaration for all transporters which stated that the company is willing and able to meet all standard requirements to meet the RSPO SCCS verification. In Self-declaration and also procedure relat-ed to subcontractor (SOP/WINA-OPR-005) still not ensure that certification bodies have access to the outsourcing contractor if an audit is deemed necessary.

Compliance status: Non-Compliance NCR 2016-01 of 05 In the procedure related to subcontractor (SOP/WINA-OPR-005) and self-declaration statements still not ensure that certification bodies have access to the outsourcing contractor if an audit is deemed necessary. NCR 2016-02 of 05 The company has no agreement or contract covering the outsourced process with each contractor through a signed and enforceable agreement with the contractor, the site only provided self-declaration for all transporters which stated that the company is willing and able to meet all standard require-ments to meet the RSPO SCCS verification.

5.6. Sales and goods out

Findings: During period January until December 2015, the company has delivered certified PK and CPO to sin-gle supplier PT WINA Gresik with amount CPO 31,045.363 MT and PK 50,056.520 MT. The sales and goods out mechanism has described in procedure of reception and dispatch of raw material (SOP/WINA-OPR-002 Rev.2). All records for outgoing RSPO certified product will be rec-orded in several type of records depending on the transfer method used such as :

- Barges/vessels: shipment detail export; shipment loading report; declaration of taking and analysis sample; share sounding report for loading; sealing report; declaration of dis-patch; Bill of Lading (B/L); manifest and surveyor report.

- Truck: Sales Order (SO); Delivery Order (DO), Certificate of Analysis, Weighbridge Ticket, and delivery notes.

All records of products (certified product) dispatched to buyer has information at the top of the doc-ument which includes reference number, date of issued document, Delivery Order number, Contract Number, buyer name including the address of buyer, seller name including the address of seller, de-scription of product (include supply chain model in the form of wet stamp), loading date, the quantity of the products delivered and reference to related transport documentation. The document of shipment detail export, bill of lading (B/L) and shipping instruction stamped certified prod- uct (company name, product name, supply chain model and RSPO SC certified number) is used as identifi-cation of those products as certified product. The company has implemented this system for their regular product while company will include certi-fied product claim and SCC certificate number on each delivery document i.e. “Mass Balance” All information required for following information of RSPO certified product can be found and available in all sales delivery documentation. Compliance status: Compliance

5.7. Registration of transactions

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Findings: The company has received certified CPO with MB claims from single supplier PT. Kerry Sawit Indo-nesia for amount 31,560.503 MT and certified PK with MB claims from several suppliers under Wilmar Group such as PT Mustika Sembuluh, PT Kerry Sawit Indonesia, PT Sarana Titian Persada, PT Bumi Sawit Kencana dan PT Mentaya Sawit Mas for amount 47,543.477 MT and with remainding last year stock of PK 3,612.824 MT. The site also already delivered certified CPO dan certified PK with MB claims to PT WINA Gresik with amount CPO 31,045.363 MT and PK 50,056.520 MT. However dur-ingverification in RSPO IT Platform, the site still not registered the receipt and dispatch of certified CPO and PK in e-trace at the time of physical shipment as required by the rules set by RSPO clause 5.7.1. Compliance status: Non-Compliance NCR 2016-03 of 05 The site still not registered the receipt and dispatch of certified CPO and PK in e-trace at the time of physical shipment as required by the rules set by RSPO clause 5.7.1. .

5.8. Training

Findings: The company has conducted the training related to the RSPO SCC on 2015 for all persons in charge in RSPO SCC systems. The last training conducted on May 05, 2015 trained by internal trainer Mr. Ahmad Supiansyah acting as MR. The training attended by 10 person representative from all process. The company also has identified the training needed in Matrix Training 2016 (F/WINA-PGA-001) in-cluding the training for RSPO SCC that will be held on March 2016. The training program has regulated in training procedure (SOP/WINA-PGA-001 Rev.0) dated June 01, 2012. According to the procedure, Personnel and General Affair (pga) Department submit an an-nual training program (training matrix) to head of bulking for approval. The facility has an matrix of training program for year 2015 and 2016 which prepared by PGA Department and approved by Head of Bulk. Compliance status: Compliance

5.9. Record keeping

Findings: The company has created procedures and work instruction related to RSPO SCC system that already covered all aspect of RSPO SCC requirements. All documented procedure will be evaluated and monitored every year through internal audit process that will be conduct every year. The last internal audit by Internal Auditor conducted on June 31, 2015 and the last internal audit by Sustainability audi-tor from HO Jakarta conducted on January 19, 2015 as a part of PT WINA Gresik internal audit. The company has defined the person in charge to control the RSPO SCCS implementation including RSPO traceability organizational structure. The site has been created documented procedure that covered for general operational, weighbridge process, pump house process, and shipping/jetty pro-cess including the SOP for Sounding deep tank, training, document control and outsourcing process. All records associated with RSPO SCC systems and implementation, including training records and mate-rial balance calculation will be kept at least for two (2) years. Compliance status: Compliance

5.10. Conversion factors

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Findings: The bulking process of PT WINA Bagendang only receipt and dispatch of material CPO and PK, so there are no continuing process that can reduce or mixing raw material. The conversion rate is 100% because the amout of certified output is actually same with the associated inputs. Compliance status: Compliance

5.11. Claims

Findings: During 3rd surveillance audit, the company has claimed certified CPO and PK under RSPO scheme where the facility has compliance with RSPO Rule on Communication & Claims (general terms, role on corporate communication and general rules on product-related communication).

The evidence that verified as claimed material are contract, purchased order, delivery order and weighbridge ticket where all documents it no display the RSPO trademark and no state anything that can lead consumers to believe that RSPO membership implies the selling of RSPO-certified palm products. Until last audit the site still not RSPO trademark and communication claims on pack or product-related communication in general. Compliance status: Compliance

5.12. Complaints

Findings: In the last surveillance audit, the company informed that there are no complaints received regarding RSPO SCC systems. Eventhougt there are no complaints received from third parties, the site should prepare documented procedure to record all complaint including the handling process of all com-plaints received. Compliance status: Non-Compliance NCR 2016-04 of 05 The company don’t have documented procedures for collecting and resolving stakeholder complaints. .

5.13. Management review

Findings: The company still not conducted internal management review meeting appropriate to the scale and nature of the activities undertaken Compliance status: Non-Compliance NCR 2016-05 of 05 There are no evidences that the company already conducted regularly management review.

Section 6: Supply chain models - Modular Requiremen ts: Module C – Mass Balance

C.1. Definition

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Findings: PT Wilmar Nabati Indonesia (PT WINA) - Bagendang is a bulking station and silo owned by PT Wilmar Nabati Indonesia (PT WINA) - Gresik. PT Wilmar Nabati Indonesia is subsidiary of Wilmar International Limited. The company has applied Mass Balance system (Module C) due to the na-ture of incoming material from company’s supplier are Mass Balance. PT Wilmar Nabati Indonesia - Bagendang is RSPO member under Wilmar International Limited with membership number 2-0017-05-000-00. PT WINA Bagendang has registered number PO-1000000493 in RSPO IT platform (e-Trace) for all transaction of physical shipment. To support implementation of RSPO Supply Chain, PT Wilmar Nabati Indonesia (WINA) Bagendang has a complete standard operation manual and standard operation procedure about supply chain for all strategic operation units. PT WINA – Bagendang is part of PT WINA Gresik some of the proce-dure still refers to the parent company PT WINA Gresik. Compliance status: Compliance

C.2. Supply chain requirements

Findings: During surveillance audit, the company still applied Mass Balance system ( Module C) due to the na-ture of incoming material from company’s supplier are Mass Balance and company’s production facili-ties are not sufficient to implement others supply chain model. The company did not separate the storing or controls in the production process, however in the doc-umentation for product received and product delivery the company will use RSPO-Mass Balance stamp to distinguish between certified and non-certified products. The retention time for all records and reports for certified material and product has been defined for at least for ten (10) years stated in Procedure for reception and dispatch of raw material CSPO/PK (SOP/WINA-OPR-002 Rev.02 and procedure traceability SOP/WINA-OPR-003 rev. 1, dated January 01, 2014. The storage and maintainance of documents is the responsibility of the Man-agement Representative. The facility will clearly indicate the supply chain model used with trade names in relevant documents, e.g. WB ticket, shipment detail export and bill of lading with *product name*/MB or Mass Balance and certificate number. Compliance status: Compliance

C.3. Processing

Findings: The company is is a bulking station and silo owned by PT Wilmar Nabati Indonesia (PT WINA) - Gresik. PT Wilmar Nabati Indonesia is subsidiary of Wilmar International Limited. The company has applied Mass Balance system (Module C) due to the nature of incoming material from compa-ny’s supplier are Mass Balance. The company received certified CPO and PK from several certified CPO and PK with MB claims from several palm oil mills (POM) under Wilmar International Limited that already certified also for MB. The next process is company delivered the certified material to PT Wilmar Nabati Indo-nesia (PT WINA) – Gresik. The company has created recapitulation of receipt and dispatch of certified and non-certified material every month and annually to control the Mass Balance Calculation with using fixed inventory periods. Compliance status: Compliance

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C.4. Continuous accounting system

Findings: In Procedure of Traceability for RSPO SCCS procedure (SOP/WINA-OPR-003) Rev. 00 dated June 01, 2012 in point 11 Mass Balance Calculation the company mentioned and described about the fixed inventory periods record system for mass balance material record. Compliance status: Not applicable C.5. Fixed inventory periods Findings: In point 11 of Traceability procedure (SOP/WINA-OPR-003) the company has defined the Mass Bal-ance Calculation with using fixed inventory periods. During period January until December 2015, the company has received certified CPO with MB claims from single supplier PT. Kerry Sawit Indonesia for amount 31,560.503 MT and certified PK with MB claims from several suppliers under Wilmar Group such as PT Mustika Sembuluh, PT Kerry Sawit Indonesia, PT Sarana Titian Persada, PT Bumi Sawit Kencana dan PT Mentaya Sawit Mas for amount 47,543.477 MT and still have stock for last year with amount 3,612.824 MT. The site also already delivered certified CPO dan certified PK with MB claims to PT WINA Gresik with amount CPO 31,045.363 MT and PK 50,056.520 MT. Compliance status: Compliance C.6. Conversion ratios Findings: The bulking process of PT WINA Bagendang only receipt and dispatch of material CPO and PK, so there are no continuing process that can reduce or mixing raw material. The conversion rate is 100% because the amout of certified output is actually same with the associated inputs. Compliance status: Compliance C.7. Yield Schemes Findings: The company has ensured that quantity of receipt of material and dispatch of product records at the physical site are monitored on daily basis. The material balance can show delivery of product sales/transfer from a positive stock. Data in the material accounting system year 2015 are valid and always be valid from receive material (input) until dispatch to buyer. Volume of receive material (input) has matches with the volume of dispatch (output) and facility has been allocated mass balance claims to products going out. In mass balance report, all volumes of palm oil and PK product that are delivered are deducted from the internal material accounting system. In year 2015, the facility not purchasing segregated sustain-able palm oil and palm kernel product Compliance status: Compliance

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3.2 Previously Status Identified of RSPO SCCS Requi rement Non-conformities

NCR No. 2015-01 of 04 Procedure for reception and dispatch of raw material CSPO/PK (SOP/WINA-OPR-002 Rev.02) but not include mechanism of handling/receiving material with “tolling” status. Corrections : The facility has revised the procedure of receive & dispatch material (no. SOP/WNA-OPR-002 rev.2) which regulated the mechanism of handling/receiving material with “tolling” status. Corrective Action : The company has conduct communication and coordination regulary related to tolling process. Verification result:

The company has revised the procedure of receive & dispatch material (no. SOP/WNA-OPR-002 rev.2) which regulated the mechanism of handling/receiving material with “tolling” status and conducted sociali-zation about the revised procedure. The company also will make regularly communication and coordina-tion for handling material with “tolling” status and also separated the recording systems. Auditor Conclusions: Closed

NCR No. 2015-02 of 04

There are inconsistencies in SCCS implementation i.e :

a. Some PK receipt samples on January 7, 2014 as certified in mass balance report but there is not wet stamp “certified” on weighbridge (WB) ticket’s PT WINA Bagendang and weighbridge (WB) ticket’s mill. Some PK receipt samples on January 7, 2014 are WB ticket’s PT WINA Ba-gendang: no.NIBGD10013760, NIBGD10013693, NIBGD10013651, NIBGD10013763 and WB ticket’s mill: no. KSA20140100618, KSA20140100586, KSA20140100585, KSA20140100617

b. PK receipt dated on 11-12 July 2014 from PT Bumi Sawit Kencana (PT BSK) as tolling status but there is wet stamp “certified” on WB ticket from PT WINA Bagendang and WB ticket from mill. In the mass balance report has stated as non-certified category.

c. PK receipt in July 2014 (exclude dated on 11-12 July 2014) from PT BSK as tolling status but there is wet stamp “certified” on WB ticket from PT WINA Bagendang and mill and in mass bal-ance report as certified category.

d. Wet stamp “certified” for PK receipt dated on December 30, 2014 from PT Sarana Titian Permata (PT STP) with WB ticket no. SJTJ0028329 not available but there is wet stamp “certified” on WB ticket’s PT WINA Bagendang

Correction : The company has revised all WB tickets and released statement letter as evidence of the correction of WB tickets

The company informed that Delivery Order (DO) No. 4252105288 will be use to identified the certified and non-certified material. Corrective Action : The company will ensure the status of material whether certified or non-certified by using delivery order number and will conduct regular coordination and communication to supplier regarding the toling process and material status will be claimed as non-certified material. Verification result :

The company has revised the WB tickets and regulated about the tolling status and process, the evidence submitted are

- The company provided Statement letter dated on 16 February 2015 from PT BSK POM that some PK receipt samples (KSA20140100586, KSA20140100617 & KSA20140100618) on January 7-8,

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2014 from PT BSK as RSPO certified and PK on behalf PT Karunia Kencana Permai (PT KKP) with number reference BYDS0003513-3514 as RSPO non-certified (tolling status).

- PK receipt from PT BSK with tolling status as RSPO non-certified so that all PK receipt in July 2014 as RSPO non-certified

- Statement letter dated on 16 February 2015 from PT BSK POM that delivery order no. 3952116254 as RSPO certified

- Revision of mass balance records that informed all transaction of tolling status from PT BSK as RSPO non-certified

- WB ticket no. SJTJ0028329 has available RSPO certified wet stamp (PK/MB) Auditor Conclusions: Closed NCR No. 2015-03 of 04 There is no decision from bulking manager / management representative related to the handling of non- conforming on verifier 5.3.1 a. Handling of non-conforming material/documents in the field not appropri- ate with procedure have been developed. Corrections : The company added information in form signature of Bulking manager/MR on statement letter and on statement letter revision Corrective Action : The company ensure that all condition regarding non-conforming material should be communicate with MR/bulking head and all records for handling non- conformity must available Verification result: The facility has provided WB ticket, delivery order and statement letter for condition in above (NCR no.2015-02 of 04) where there are has information about signature/paraf of MR/bulking head in wb ticket, delivery order and statement letter. Auditor Conclusions: Closed

NCR No. 2015-04 of 04 Delivery Order (DO) or Purchasing Order (PO) (for condition above i.e indicator 5.3.1.a) which was de- scribed requirement/category of product not available in workstation/bulking Correction : The facility will request to head office (trading dept) for each material receive plan Corrective Action : The company will conduct regular communication and coordination between head office team (logistic and trading dept) that delivery order can receive by bulking Verification result : The facility has provided one of delivery order i.e no. 4252105488 (Sales order no. 4232100894 and PO no. 8101061488 and contrct no. 4231100820) dated on 26 December 2014 for Palm Kernel certified (MB) from PT Sarana Titian Permai. Auditor Conclusions: Closed

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3.3 Identified Non-conformances against RSPO SCCS R equirements, Corrective Actions Taken and Auditors Conclusions

SCCS Non-conformance 2016 - 01 of 05: In the procedure related to subcontractor (SOP/WINA-OPR-005) and self-declaration statements still not ensure that certification bodies have access to the outsourcing contractor if an audit is deemed necessary. Correction: The company has added the information that the outsourcing contractor willing to be audited by certifi-cation body if necessary on the letter of commitment. Corrective Action: The organization will informed to all transporter by official letter or email if there are changes or re-quirements that must be met by subcontractors regarding RSPO SCC systems and standard. Auditor Conclusions: Closed Date of closure: February 01, 2016 Verification Result: The organization has provided sample of letter of commitment from transporter CV. Molada that al-ready stated in point 4 that the transporter are ready to be audited by certification body if needed. SCCS Non-conformance 2016 - 02 of 05: The company has no agreement or contract covering the outsourced process with each contractor through a signed and enforceable agreement with the contractor, the site only provided self-declaration for all transporters which stated that the company is willing and able to meet all standard requirements to meet the RSPO SCCS verification. Correction: The company has created the declaration letter form that covered and regulated that the transporter should fulfil all requirements of RSPO SCC systems and standard and will be signed by two parties Corrective Action: The company will communicate to head office regarding the requirements for RSPO SCC systems that should be completed and fulfilled by transporter Auditor Conclusions: Closed Date of closure: April 22, 2016 Verification Result: The organization has sent sample of declaration letter for CV. Molada that already declared all re-quirements of RSPO SCC systems and has signed by both parties on March 31, 2016. From CV. Mo-lada represented by Mr. Loe Darlan ad Director on April 02, 2016 and from PT WINA Bagendang rep-resented by Hasyim As’ari as Head of Bulking signed on April 02, 2016. SCCS Non-conformance 2016 - 03 of 05: The site still not registered the receipt and dispatch of certified CPO and PK in e-trace at the time of physical shipment as required by the rules set by RSPO clause 5.7.1. Correction: The company has started to registered and announced the transaction on e-trace for transaction ID TR-1bffc27c-b128 fir delivery of Palm Kernel with Mass Balance claims for amout 2,654.18 MT on 27 February 2016.

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Corrective Action: The company will communicate with all suppliers to register the transaction in e-trace and informed to PT WINA Bagendang for delivery of certified material to make registration in e-trace systems. Auditor Conclusions: Closed Date of closure: March 07, 2016 Verification Result: The organization has started to register the transaction in e-trace for transaction ID TR-1bffc27c-b128 fir delivery of Palm Kernel with Mass Balance claims for amout 2,654.18 MT on 27 February 2016. And for next transaction the company will communicate with all suppliers to register the transaction in e-trace and informed to PT WINA Bagendang for delivery of certified material to make registration in e-trace systems. SCCS Non-conformance 2016 - 04 of 05: The company don’t have documented procedures for collecting and resolving stakeholder complaints. Correction: The company has created quality procedure to handling complaints from third parties Doc. No. QP/WINA-PGA-004 Rev.0 issued on Oktober 2014 and appointed MR as the person in charge to han-dling all complaints withHead of Department. Corrective Action: The company will ensured that all complaint receipt will be handled in accordance with the quality pro-cedure of handling complaints. Auditor Conclusions: Closed Date of closure: March 07, 2016 Verification Result: The organization has created handling complaint procedure and appointed MR as the person in charge to handling complaint. The procedure described about 1. Scope of complaint (including internal and external complaint) 2. Definition of internal and external complaint 3. Handling complaint process

- Complaint receipt by email and will be handled by MR - MR will evaluated the complaint receipt, whether should be follow up or not - If needed, MR will conducted internal audit to solve the complaint. - MR and Head of Department will investigate and evaluate the complaint and make corrective

and preventive action SCCS Non-conformance 2016 - 05 of 05: There are no evidences that the company already conducted regularly management review. Correction: The company still not conducted the management review because the process of the organization is simple and not so complex, so review process of all problem occurred will conducted situationally. The company plan to conducted regular management review started in May 2016. Corrective Action: In 2016 the company will start to conducted management review regularly Auditor Conclusions: Closed. Date of closure: March 07, 2016

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Verification Result: The organization has identified the missing of evidence for management review that should be con-ducted annually during internal audit in May 06, 2015 and the site has planned to conducted manage-ment review in May 2016. The management review result in 2016 will be reviewed in the next surveil-lance audit.

3.4 Conclusion and Recommendation for RSPO Supply C hain Certification The audit team has confirmed through the audit process that PT Wilmar Nabati Indonesia Bagendang has maintained their system to ensure compliance with the RSPO Supply Chain Certification requirements (dated November 2014). PT TUV Rheinland Indonesia recommends that PT Wilmar Nabati Indonesia Bagendang still continue their cer-tification of compliance to the RSPO Supply Chain Certification requirements.

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4.0 CERTIFIED ORGANISATION’S ACKNOWLEDGEMENT OF INT ERNAL RESPONSIBILITY

4.1 Date of Next Surveillance Visit

The next surveillance visit is planned for January, 2017

4.2 Acknowledgements of Internal Responsibility and Formal Sign-Off by Client

It is acknowledged that the assessment visit was carried out as described in this report and we accept the as-sessment findings and report content. Signed on behalf of PT Wilmar Nabati Indonesia -Bagendang …………………………………………. Ahmad Supiansyah Management Representative/Head of Bulking Date: 21 April 2016

Signed on behalf of PT TUV Rheinland Indonesia …………………………………………. Riki Harpan Lead Auditor Date: 21 April 2016

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APPENDICES Appendix 1: Details of Supply Chain Certification C ertificate

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Appendix 2: List of Abbreviations

B/L Bill of Lading CPO Crude Palm Oil CB Certification Body CSPO Certified Sustainable Palm Oil CSPK Certified Sustainable Palm Kernel DO Delivery Order MT Metric Tonnes MB Mass Balance POM Palm Oil Mill PK Palm Kernel RSPO Roundtable on Sustainable Palm Oil SO Sales Order SCCS Supply Chain Certification System SOP Standard Operating Procedure WB Weighbridge WINA Wilmar Nabati Indonesia

Appendix 3: Observations and Opportunities for Impr ovement Not applicable

Appendix 4: Supply Chain Certification Audit Closin g Meeting Summary

Accordance audit result, the facility has prepared well for SCCS implementation, such as procedure, person trained, and also management support. However, there are still 4 findings that still not fullfill the SCCS requirement and all findings has closed by correction and corrective action submitted by facility.

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Appendix 5: List of supplier and buyer

NO SUPPLIER

NAME PIC ADDRESS CONTACT NO RSPO NO

Certifiacte

Expiry

1 PT. MUSTIKA

SEMBULUH

Novriandi

Pardede

Jl. Jend. Sudirman Km. 62 Desa Pondok

Damar, Kecamatan Mentaya Hilir Utara,

Kabupaten Kotawaringin Timur, Kaliman-

tan Tengah, Indonesia

0531-34530 824 502

14009

23

Agustus

2020

2

PT. KERRY

SAWIT

INDONOESIA

Eko

Nugroho

Jl. Jend. Sudirman Km. 62 Sampit-

Pangkalan Bun, Desa Sembuluh 1, Keca-

matan Danau Sembuluh, Kabupaten Se-

ruyan, Kalimantan Tengah - Indonesia

0816-280870 824 502

14013

17 Juni

2016

3

PT. SARANA

TITIAN

PERMATA

Dalwiji

Raharjo

Kecamatan Seruyan Hilir, Kabupaten Se-

ruyan, Kalimantan Tengah - Indonesia

0811-

5209807

MUTU-

RSPO/022

29 No-

vember

2017

4

PT. BUMI

SAWIT

KENCANA

Irvan

Pohan

Jl. Serpatim Km. 34, Desa Tangar, Keca-

matan Mentaya Hulu, Kabupaten Kota-

waringin Timur, Kalimantan Tengah - In-

donesia

0816-280327 824 502

16030

22 Ok-

tober

2018

5 PT.MENTAYA

SAWIT MAS

Nur

Hidayat

Desa Tangar Km. 22, Kecamatan Men-

taya Hulu, Kabupaten Kotawaringin Ti-

mur, Kalimantan Tengah, Indonesia

0853-8767-

3406

MUTU-

RSPO/058

23 April

2020

Appendix 6: List of Certified Customer

NO CONSUMER

NAME PIC ADDRESS CONTACT NO RSPO NO

Certifiacte

Expiry

1

PT. WILMAR

NABATI

INDONESIA

GRESIK

Purnomo

Adi

Jl. Kapten Darmo Sugondo No. 56,

Kel. Indro, Kec. Kebomas, Kab. Gresik,

61124

Telp.

0313989101,

fax

0313978922

824 503

14001

31 Januari

2018