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Malaysia's Occupational Safety and Health Act 1994 (Act 514), applied through DOSH guidelines, requires employers to appoint enough trained first-aiders — at least 1 per 50 employees in low-risk workplaces and 1 per 20 in high-risk ones — available on every shift. Designated first-aiders must hold a DOSH-recognised Occupational First Aid certificate covering first aid, CPR and AED.

Under the Child Care Centre Act 1984 (Act 308) and the TASKA Regulations 2012 (Reg. 54), every operator, manager, supervisor and caregiver at a registered childcare centre must pass the recognised PERMATA Childcare Course — which includes a first aid module — within 12 months of employment. The Department of Social Welfare (JKM) oversees the requirement, and online courses are accepted.

Malaysia has no Good Samaritan law in force and follows Commonwealth common-law principles, under which there is no general duty to rescue and a rescuer can in principle be sued for negligence if they worsen a victim's condition. In late 2024 the Ministry of Health announced its intention to introduce such a law, but it remains a proposal.

Nurses in Malaysia must earn continuing professional development (CPD) points under the Nurses Act 1985 to renew their Annual Practising Certificate with the Nursing Board Malaysia, and a BLS or CPR course from a recognised provider can count toward that total. For care roles such as elderly-care worker, a valid first-aid and CPR certificate is the credential employers expect.

Elderly-care centres regulated under the Care Centre Act 1993 must have carers holding SKM-3 (Sijil Kemahiran Malaysia Level 3) in elderly care, while home-based care where SKM-3 is not required relies on standalone CPR and first-aid certificates. A recognised, up-to-date certificate meets this expectation and must be renewed periodically, typically every 2 years.

Foster care in Malaysia is governed by the Children Act 2001 and overseen by the Department of Social Welfare (JKM), which assesses applicants on health, family stability and home safety. Holding a current first-aid and CPR certificate is strongly encouraged as an additional preparation step, and carers must report any injury within 24 hours.

Online CPR and first aid training is recognized in Malaysia, with online theory permitted and the mandatory hands-on skills assessment completed in person with a recognized provider — a blended model standard for the statutory workplace first-aider certificate. Certification is valid for 3 years.