No.

Submission Checksheet (MSA) Status Comments

1 Relevant page(s) of contract Specification, BoQ and Drawing NA

2 Specification compliance statement, endorsed by vendor/supplier NA

3 Company profile, valid trade license(s), list of relevant past projects

4 Catalogue (subject product to be clearly highlighted)

5 Valid ISO certificate NA

6 Valid product certificate issued by relevant authorities (e.g. SPAN…etc) NA

7 Product testing/documents NA

8 Material datasheet NA

9 Safety datasheet NA

10 Technical datasheet NA

11 Product specification

12 Product drawings NA

13 List of spare parts (if applicable)

14 Applicator’s method statement (where applicable)

15 Sample(s) provided? (as applicable) NA

16 Other enclosure (if any) NA

Checked by : Reviewed by :

Nur Nadia Zakaria Syerifaizal Hj. Mustapha

QAQC Engineer QAQC Manager
 RASAU INTAKE AND PUMP STATION
INTAKE PLANT

PENGURUSAN AIR SELANGOR

SDN BHD
MATERIAL SUBMISSION FOR APPROVAL

MATERIAL SUBMISSION FOR

SCAFFOLDING
(HUATRACO SCAFFOLD SDN BHD)

Reference No : RWTP-GB-CNS-MSA-000126

Revision : 00

Date : 17th April 2024

Action Name Designation Signature

Approved by Khor Thiam Chay Project Director

Approved by Tan Jin Soon Lead Consultant

Joshua Entol Construction

Reviewed by
Manager

Reviewed by Syerifaizal QAQC Manager

Prepared by Mujana Project Engineer

RWTP-GB-C&S-MSA-000126-00