QUALITY CONTROL INSPECTION CHECKLIST

HULS TRANSMISSION SDN BHD

Doc. no.
PROJECT : PROJEK PMU DAM ROAD 275kV
Rev. 0
Date JULY 2023
Construction Process : FIRST AID BOX CHECK LIST
Page of 1

Location: PMU DAM ROAD STORE

Date of Inspection: 1. CONTRACT NO: KETSA/T12/2020-PPKBES
2. MOS REF NO: HULS/MOS/LLIM/1001/SESB(T)
ITEM DESCRIPTION STATUS REMARKS
ANTISEPTIC Quantity OK Not OK
a) Acriflavine Solution
1 b) Alcohol Swabs
c) Antiseptic lotion

OTC Medicine OK Not OK

a) Paracetamol 500mg
2
b) Medicated Oil

First Aid Instrument OK Not OK

a) General First Aid Guide
b) Usage Card
c) CPR Face Shield
3
d) Plastic Tweezers
e) Safety Pin 12's
f) Scissors

Dressing & Bandage OK Not OK

a) Plast Aid 1.25cm x 1 m
b) Plaster Strips
c) Cotton Balls
d) Cotton Buds
4
e) Gauze Swabs 5cm x 5cm x 8's
f) Non-Woven Triangular Bandage
g) W.O.W bandage 5.0cm x 5 m
h) Elastic Gauze Bandage 8cm x 4m
i) Lint Dressing No.8
Reason for Failure/Re-inspection

ALLOWED to proceed with the next stage of work NOT ALLOWED to proceed with the next stage of work
YES NO
Non-Conformance Report Raised NCR no.:

Inspected By :
Name/Signature of Designation: Date:
HULS TRANSMISSION Name :

Checked By :
Name/Signature Designation: Date:
PENULAJU SDN BHD Name :

Verified By :
Name/Signature Designation: Date:
SESB Name :