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D. Certified Organization’s Acknowledgement of Internal Responsibility
D. 1. Formal Sign-Off of the Assessment Findings
I the undersigned, being the legal representative of the inspected company, agree with the contents of this report and accept the liability in execution of the instructions given in the report.
Name Tjandra Karya Hermanto
Position Director
Signature
Date February, 10
th
2014
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D.2. Statement by the Certifier Body on Behalf of PT. Sucofindo SBU-SICS
We, the undersigned declare that the information and conclusions included in this report have been prepared in accordance with rule and st andard of RSPO, PC, and that the certification
decision has been based upon this information. Verified and Reviewed by:
Name Warsid Sumarlin
Position SLA LA Auditor
Signature
Date February, 8
th
2014 Approval:
Name Triyan M. Aidilfitri
Position HSE Audit and Certification Department Head
Signature
Date February, 25
th
2014
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List of Abbreviation
ADRT Anggaran Dasar Rumah Tangga
BKSDA Badan Konservasi Sumber Daya Alam
BOD Bio Oxygen Demand
BPD Badan Pertanahan Daerah
BVP Bacs Pressure Nessel
CLA Collective Labour Agreement
COD Chemical Oxygen Demand
CPO Crude Palm Oil
CSR Corporate Social Responsibility
DOE Department of Environment
EFB Empty Fruit Bunch
EIA Environment Impact Assessment
FFA Free Fat Acid
FFB Fresh Fruit Bunch
FFB Fresh Fruit Bunches
FSMS Food Safety Management System
GBSM Gawi Bahandep Sawit Mekar
GMP Good Manufacturing Practice
GPS Global Positioning System
HACCP Hazard Analysis and Critical Control Point
HCV High Conservation Value
HCVA High Conservation Value Areas
HGU Hak Guna Usaha
IEMA Institute of Environmental Management and Assessment
IPM Integrated Pest Management
IRCA International Register of Certified Auditor
IUP Ijin Usaha Perkebunan
JHT Jaminan Hari Tua
JK Jaminana Keselamatan
JKK Jaminan Kecelakaan Kerja
KAN Komite Akreditasi Nasional
KT Karyawan Tetap
KTU Kepala Tata Usaha
LCC Legume Cover Crop
LKS Lembaga Kerja Serikat
MOU Memo of Understanding
MOU Memorandum of Understanding
MSDS Material Safety Data Sheet
NA Not Applicable
NC Non Conformity
NCR Non Conformity Register
OPT Organisme Pengganggu Tanaman
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OSH Occupational Safety and Health
OSHAS Occupational Safety and Health Assessment Scheme
PC Principle and Criteria
PICA Problem Identification Corrective Action
PK Palm Kernel
PKO Palm Kernel Oil
POM Palm Oil Mill
POME Palm Oil Mill Effluent
PPE Personal Protective Equipment
PUP Penilaian Usaha Perkebunan
RILO Representative Indonesia License Office
RSPO Roundtable on Sustainable Palm Oil
RSPO NI Roundtable on Sustainable Palm Oil National Interpretation
SA8000 Social Accountability 8000
SBU-SICS Strategic Business Unit - Sucofindo International Certification
Services SEM
Senior Estate Manager SHE
Safety, Health, Environment SIA
Social Impact Assessment SIO
Surat Izin Operator SOP
Standard Operating Procedure SPK
Surat Perjanjian Kerja TAP
Triputra Agro Persada Tandan Buah Segar
TKTD Tim Kesiapsiagaan Tanggap Darurat
TSS Total Suspended Solid
UKL Upaya Pengelolaan Lingkungan
UPL Upaya Pemantauan Lingkungan
WHO World Health Organization
WWTP Waste Water Treatment Plant
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APPENDIX
PT. GAWI BAHANDEP SAWIT MEKAR RSPO SUPPLY CHAIN CHECKLIST - MASS BALANCE MODUL
PT. Gawi Bahandep Sawit Mekar is implemented the supply chain system procedures as required in the RSPO certification. The company has set the supply chain system
categorized as Mass Balance scheme.
A. Documented Procedures