(To be completed by the witnessing auditor. Type or clearly print in block letters all entries in black or blue ink.)

Auditor Information:

Auditor Name:Jack Matatula

Auditor’s role in the audit:

Auditor Observer Team Leader Technical Expert

Current certification grade:

Auditor Lead Auditor Associate Auditor Provisional Auditor Business Improvement Auditor

Certification Number (if applicable): QMS 1180808Date Certified in this grade:2000

Witnessing Auditor’s Information:

Witnessing Auditor Name:Shirley Dewi

Title of the Witnessing Auditor:Observer

Witnessing auditor’s role in the audit:

Auditor Observer Team Leader Technical Expert

Current certification grade:

Auditor Lead Auditor Associate Auditor Provisional Auditor Business Improvement Auditor

Certification Number (if applicable):Date Certified in this grade:

Witnessing Date:21 July 2010

Based on my review below, I attest that The auditor, lead auditor and/or technical expert is:

competent in performing audit on behalf of iapmo r&t registration service department

incompetent in performing audit on behalf of iapmo r&t registration service department

Audit Information:

Audit No.:ISO-09-375

Name and address of the organization audited: PT RIFFI BROTHERS & SONS

Jl. Panglima Polim Raya 127/D7

Jakarta, Indonesia

Contact name (if applicable):Mr. Noor Fikri Harakan

Audit standard used (e.g.: ISO 9001:2008):Audit Date(s):21 July 2010

Elements/clauses of the standard audited: 4.2.3, 4.2.4, 5.4.1, 5.4.2, 5.6, 6.2.1, 6.2.2, 7.5.1, 7.5.3, 7.5.4, 7.5.5, 7.6, 8.2.2, 8.4, 8.5.2, 8.5.3

Was the auditor involved in making a judgment on the effectiveness of the complete QMS for this audit?

Yes No

Auditor Evaluation:

Some of the information described below may not apply to all auditors. Individuals in the auditor role may not be required to perform the same functions as a lead auditor or possess the same attributes.
The following attributes are based on the ISO 19011, Guidelines for Quality and Environmental Management Systems Auditing.
Complete the following evaluation as it pertains to the auditor’s ability to perform as an auditor or team leader or technical expert.

Criteria

/ Evaluation of Auditor Performance (including strengths and/or Opportunities for Improvement)
  1. Personal skills:
  • Open-minded and mature.
  • Possess sound judgment, analytical skills and tenacity.
  • The ability to understand complex operations from a broad perspective.
  • Maintain ethical behavior.
/ Jack has a good interpersonal skill. Analytical and persistent. He does not prejudge the customer and consequently puts them at ease as evidenced in his open-mindedness, maturity and ethical behavior. His analytical skills enable his to understand the customer's operations and tenacity in his questions about the operations.
2. Audit skills and techniques:
  • Obtain and assess objective evidence fairly.
  • Remain true to the purpose of the audit.
  • Evaluate the effects of observations and personal interactions.
  • Remain attentive to the audit process without deviating due to distractions.
  • Reach acceptable conclusions based on objective evidence and remain true to conclusion despite pressure to change.
/ Jack utilizes a good auditing technique when asking how a requirement is met and how the organization's processes interact. He verifies the effective implementation of procedures and processes through applicable records while staying true to the audit scope and avoiding distractions. He uses good audit etiquette during interviews of organization members and collecting audit evidence to reach acceptable conclusions.
3.Communication skills; oral and written. / Jack has a good comminucation skill in local languange
4. Effective planning, preparation, and briefing. / Jack's planning, preparation, and briefing are consistent with the audit plan and effective.
5. Participation in team meetings (including opening/closing meeting). / Jack presents himself and all required feedback during entry and exit meetings.
6. Reporting clear and concise. / Jack reported on his initial debrief and findings at the exit meeting in a clear and concise manner.
7. Working as a team player. / Jackworked well with the lead auditor, cooperating with the lead auditor's plan and conduct of the audit as evidenced by no complaints.
8. Audit management capabilities:
  • Coordinate and control meetings.
  • Conduct and audit and delegate responsibility.
  • Manage and audit, keep the audit team within the scope.
  • Control conflict.
  • Make decisions in an intelligent, decisive, and authoritative manner.
  • Assess situations and take appropriate actions.
  • Evaluate performance of audit team members.
  • Effective time management
/ Jackexhibits an organized approach during the conduct of his audit. He manages his time well to ensure successful and effective performance of the audit. He can assess a process and extraordinary situation and take appropriate action as witnessed during this audit when he reported on a potential unsafe practice to the lead auditor and manager who immediately resolved it. He has demonstrated a good decision and diplomatic.
9. Performance of document review. / Jack properly reviews documents.
10. Understands the application of each element of the standard. / Jackdemonstrated a good knowledge of the requirements in ISO 9001:2008 and applied that knowledge effectively during the audit.
11. Handling documents and information in a professional and confidential manner. / Jack ensures that the customer documents are handled in a professional and confidential manner as noted by the lead auditor during the entry and exit meetings.
ISO FORM 027 Issued: 3/30/00Revised: 11/17/08Page 1 of 2