Laporan Pengaduan / Complaint Report

Whistleblowing System - PT PLN (Persero)
Identitas Pelapor
Komunikasi
Laporan Dugaan Pelanggaran
  1. Kejadian apa yang ingin dilaporkan? (Penjelasan lengkap)
    What incident do you want to report? (Full explanation)
  2. Kapan kejadian itu terjadi?
    When did the incident occurred?
  3. Informasi tambahan untuk waktu kejadian :
    Additional information regarding the time of the incident:
  4. Dimana kejadian itu terjadi?
    Where did the incident occurred?
  5. Di unit manakah terlapor berada ?
    Where did the incident occurred?
  6. Siapa nama dan jabatan terlapor?
    What is the name and position of the reported person?
  7. Apakah ada orang lain yang terlibat? Jika ya, sebutkan nama/jabatannya.
    Are there other people getting involved? If yes, please state their name/position.
  8. Bagaimana kejadian ini terjadi? (proses/langkah-langkah)
    How did this incident occur? (process/steps)
  9. Apakah kejadian ini mengakibatkan kerugian secara finansial terhadap perusahaan? (Jika ada perkiraan besarannya)
    Did this incident result in a financial loss to the company? (If there is an estimated amount)
  10. Apakah kejadian ini pernah terjadi sebelumnya? Jika ya, kapan?
    Has this incident happened before? If yes, when?
  11. Apakah anda telah melaporkan kejadian tersebut kepada pihak lain/pihak berwajib? Jika ya, kemana anda melaporkan?
    Have you reported the incident to other parties/authorities? If yes, where did you report it?
  12. Apakah anda sudah berbicara dengan terlapor? Jika sudah, apa komentar/alasan dari terlapor?
    Have you spoken to the reported party? If so, what were the comments/reasons from the reported party?
  13. Menurut anda apakah pelanggaran tersebut akan berulang kembali? Jika ya, jelaskan.
    Do you think the violation will repeat itself? If yes, please explain.
  14. Apakah tindakan lanjut akan mengidentifikasikan anda sebagai orang yang melaporkan kejadian tersebut? Jika ya, jelaskan.
    Would further action identify you as the person who reported the incident? If yes, explain.
  15. Apakah anda memerlukan perlindungan hukum?
    Would you need legal protection? (Yes/ No)

  16. Apa alasan anda memerlukan perlindungan hukum?
    What are your concerns about the need for legal protection?
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