The objective of this study is to perform a thermoluminescent dosimetry (TLD) postal dose quality audit for megavoltage X-ray teletherapy units in Malaysia. This audit is essential to be carried out to ensure adequate precision in the dosimetry of clinical beams before being delivered to the patients. Through this work, participating centres were requested to irradiate three capsules of TLD-100 powder with an absorbed dose to water of 2 Gy for 6MV and10MV photon beams. The International Atomic Energy Agency (IAEA)’s Technical Report Series No. 398 is used as a reference standard for TLD irradiation. Atotal of 22photon beamsfrom ten radiotherapy centres comprising onegovernment hospital and nineprivate medical centres were evaluated. The percentage deviation of user’s measured absorbed dose relative to Secondary Standard Dosimetry Laboratory (SSDL) mean absorbed dose was calculated. The results showed that all photon beams are within the IAEA’s acceptance limit of ± 5% except six photon beams. These centres were followed up with a second round of TLD irradiation which resulted in a better compliance.As a conclusion, regular audits should be performed to ensure consistency of radiotherapy treatment unit performances thus maintaining the accuracy of dose delivered to patients inall radiotherapy centres in Malaysia.