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Dhaya Maju Infrastructure (ASIA) Sdn Berhad
WHISTLEBLOWER REPORT FORM
MATERIAL E-FORM
DETAILS:
Title/Activity:
*
Date
*
From Location:
*
To Location:
*
REQUEST:
Agency/Company
*
-
KTMB
MOT
INTERNAL
DMIA
DHAYA MAJU LTAT
SUB CONTRACTOR
Other
Agency/Company
Company Name:
Person Incharge:
Phone No:
Transport No:
*
Type of Transport:
Type of Material:
1. Type of Material:
*
-
Recovery Ballast
MSand
Sand
Subballast
Subsoil Pipe 150mm dia.
Subsoil Pipe 225mm dia.
RC U-Drain 450×450
RC U-Drain 600×600
RC U-Drain 750×750
Geotextile TS65
Geotextile TS20
Duogrid
Goecell
Chainlink Fence
Ballast
Concrete Sleeper
Wooden Sleeper
Junction Rail
Guard Rail Sleeper
Turnout 1:15 (80A)
Turnout 1:12 (80A)
Turnout 1:9 (80A)
Turnout 1:15 (UIC 54)
Turnout 1:12 (UIC 54)
Turnout 1:9 (UIC 54)
Rail UIC 54
Rail 80A
Fishplate (Set)
Nose Block
Base Plate
Dog Spike
Log Spike
Spring Washer
Sleeper Clip ATA 54
Other
1. Type of Material:
Quantity (UOM):
*
Size
*
-
NOS
TAN
UNIT
PCS
KG
METER
GRAM
FEET
Other
Size
Condition:
*
-
Grade A
Grade B
Grade C
New Type
Old Type..
Lost
Broken
2. Type of Material:
-
Recovery Ballast
MSand
Sand
Subballast
Subsoil Pipe 150mm dia.
Subsoil Pipe 225mm dia.
RC U-Drain 450×450
RC U-Drain 600×600
RC U-Drain 750×750
Geotextile TS65
Geotextile TS20
Duogrid
Goecell
Chainlink Fence
Ballast
Concrete Sleeper
Wooden Sleeper
Junction Rail
Guard Rail Sleeper
Turnout 1:15 (80A)
Turnout 1:12 (80A)
Turnout 1:9 (80A)
Turnout 1:15 (UIC 54)
Turnout 1:12 (UIC 54)
Turnout 1:9 (UIC 54)
Rail UIC 54
Rail 80A
Fishplate (Set)
Nose Block
Base Plate
Dog Spike
Log Spike
Spring Washer
Sleeper Clip ATA 54
Other
2. Type of Material:
Quantity (UOM):
Size
-
NOS
TAN
UNIT
PCS
KG
METER
GRAM
FEET
Other
Size
Condition:
*
-
Grade A
Grade B
Grade C
New Type
Old Type..
Lost
Broken
3. Type of Material:
-
Recovery Ballast
MSand
Sand
Subballast
Subsoil Pipe 150mm dia.
Subsoil Pipe 225mm dia.
RC U-Drain 450×450
RC U-Drain 600×600
RC U-Drain 750×750
Geotextile TS65
Geotextile TS20
Duogrid
Goecell
Chainlink Fence
Ballast
Concrete Sleeper
Wooden Sleeper
Junction Rail
Guard Rail Sleeper
Turnout 1:15 (80A)
Turnout 1:12 (80A)
Turnout 1:9 (80A)
Turnout 1:15 (UIC 54)
Turnout 1:12 (UIC 54)
Turnout 1:9 (UIC 54)
Rail UIC 54
Rail 80A
Fishplate (Set)
Nose Block
Base Plate
Dog Spike
Log Spike
Spring Washer
Sleeper Clip ATA 54
Other
3. Type of Material:
Quantity (UOM):
Size
-
NOS
TAN
UNIT
PCS
KG
METER
GRAM
FEET
Other
Size
Condition:
*
-
Grade A
Grade B
Grade C
New Type
Old Type..
Lost
Broken
Please upload photo as evidence, site activity, site view or arrangement
File Upload
*
Drop a file here or click to upload
Choose File
Maximum upload size: 134.22MB
File Upload
*
Drop a file here or click to upload
Choose File
Maximum upload size: 134.22MB
Upload Photo Document
File Upload
Drop a file here or click to upload
Choose File
Maximum upload size: 134.22MB
File Upload
Drop a file here or click to upload
Choose File
Maximum upload size: 134.22MB
Remarks/Comments:
Issue by:
Name:
*
Position:
*
Department:
*
Phone No:
*
Email:
*
Material Received by:
Name:
Position:
Department:
Phone No:
Email:
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