吊装作业安全技术方案报审表.doc

洛阳石化工程建设监理公司Louyang Petrochemical Engineering and Construction Supervision Company（LPECSC）监理附表 supervision sheet丽东芳烃项目LIDONG AROMATIC COMPLEX PROJECT单项(单元)工程：Work Item (Unit):施工质量规则附表目录(一)PR-00-CIJ-QU-0002Construction Quality Rules Annexed Table Index (I)项目编号：Project No.:表号Table No.表格名称Table Title备注 Remarks -A01a工程开工报审表Review Request on Commencement of Work -A01b工 程 复 工 报 审 表Review Request for Resume of Work -A02施工组织总设计报审表Review Request on Overall Construction Organization Design -A02a工程技术管理文件报审表Review Request on Engineering Technical Management Document -A03 分包单位资格报审表Review Request on Qualification of Subcontractors -A03a( )资质报审表Review Request on Qualification -A04质量控制点核报审表 Review Request on Quality Control Point Inspection -A05工程款支付申请表Application for Project Payment -A06监理工程师通知回复单 Supervision Engineer Notice Response -A07工程临时延期申请表Application for Temporarily Postponement of Project -A08费用索赔申请表Application For Claim on Cost -A09材料/构配件/设备报审表 Material/Component/Equipment Review Request -A10工程交工报验单Construction Takeover Inspection Request -A11质量控制点检验通知Quality Control Point Inspection Notice -A12主 要 施 工 设 备 进 场 报 审 表 -B01监理工程师通知单 Supervision Engineer Notice -B02工程暂停令 Work Suspension Order -B03工程款支付证书Project Payment Certificate -B04工程临时延期审批表Approval for Postponement of Project Temporarily -B05工程最终延期审批表Approval for Final Postponement of Project -B06费用索赔审批表Approval For Claim on Cost -B07会 议 纪 要（一）Minutes of Meeting (I) -C01监理工作联系单 Supervision Correspondence -C02工程变更单Variation Order -C03工程承包单位及承包内容Construction Contractor Info. And Scope of Contract丽东芳烃项目LIDONG AROMATIC COMPLEX PROJECT A01a单项(单元)工程：Work Item (Unit)单位工程开工报审表Review Request on Commencement of Work Unit 项目编号：Project No.:编号：No.致（监理单位）To(Supervision Company)： 我方承担的 工程，已完成了开工前的各项准备工作，计划于 年 月 日开工，请审批。We contracted work of and completed items of preparation work prior to commencement. We planned to commence the work at (Day) (Month) (Year), please review and approve.附：Attachment:1. 图纸会审、设计交底 Design countercheck and clarification records2. 施工组织设计（方案）审批文件（含主要管理人员及特殊工种资格证明）Construction management design (proposal) review and approval document (including main management personnel and special trade qualification certificate)3. 施工机具与检测试验设备检查 Construction machinery and inspection & testing equipment inspected.4. 工序质量控制点报审 Work procedure quality control point review request.5. 施工测量放线 Construction surveying and setting out work completed6. 主要人员、材料、设备进场 Major personnel, material and equipment mobilized7. 施工现场道路、水、电、通讯等已达到开工条件 Access road, water, power and communications etc for construction are ready on site for commencing the work.8. 承包单位（盖章）： 项目经理（签字）： 日期： Construction Contractor(Chop) Project manager (Signature) Date审查意见Review remarks：专业监理工程师（签字）： 日期： Discipline supervision engineer (Signature) Date审批结论Review conclusion： 同意 Approve 不同意 Not approve项目监理机构（章）： 总监理工程师（签字）： 日期： Supervision Com. (Chop Chief supervision engineer (Signature Date 本表由承包单位填报，一式三份，经监理单位审批后，业主单位、监理单位、承包单位各存一份。This table shall be filled up and submitted by the contractor in three copies, once it being reviewed and approved by the supervision company, each of the Owner, Supervision Company and Contractor shall hold one copy.丽东芳烃项目LIDONG AROMATIC COMPLEX PROJECT A01b单项(单元)工程：Work Item (Unit):工 程 复 工 报 审 表Review Request for Resume of Work项目编号：Project No.:编号：No. 致（监理单位）To (Supervision Company： 我方承担的 工程，由总监理工程师签发的第 号工程暂停令指出的原因已清除，经检查已具备了复工条件，请予以审核并批准复工。The reason resulting in Work Suspension Order No. issued by the chief supervision engineer for the work contracted by us has been eliminated, its proven that the conditions for resumption of work has been made ready. Please review and approve. 附：具备复工条件的详细说明Attachment: Detail statement of reasons for resuming the work。. 承包单位（盖章）： 项目经理（签字）： 日期： Contractor (Chop ) Project manager (Signature) Date审批意见Review/approval remarks： 审批结论：Review/approval conclusion具备复工条件，同意复工。 Conditions for resuming work are ready and agree to resume work.不具备复工条件，暂不同意复工。Conditions for resuming work are not ready and not agree to resume work now. 项目监理机构（章）： 总监理工程师（签字）： 日期： Project supervision company (Chop) Chief supervision engineer (Signature) Date 本表由承包单位填报，一式三份，经监理单位审批后，业主单位、监理单位、承包单位各存一份。This table shall be filled up and submitted by the contractor in three copies, once it being reviewed by the supervision company, each of the Owners Representative, Supervision Company and Contractor shall hold one copy.丽东芳烃项目LIDONG AROMATIC COMPLEX PROJECT A02单项(单元)工程：公用工程Work Item (Unit):UTILITY施工组织设计/施工方案 报审表Review Request on Overall Construction Organization Design/ ConstructionProject 项目编号：LDA03/7S04/812041Project No.:编号:No. 致(监理单位) To (Supervision Company)： 洛阳石化工程建设监理公司 我方已根据施工合同的有关规定完成了 丽东芳烃项目 UT区FLARE区安装工程吊装作业安全技术方案 的编制，并经我单位上级技术负责人审查批准，请予以审查。Weve completed overall construction organization design/ ConstructionProject for works of as per related requirements as specified in the Construction Contract, which has been reviewed and approved by competent technical leader in our company, we hereby submit it for your review.附Attachment： UT区FLARE区安装工程吊装作业安全技术方案 承包单位(章)： 湖南大和设备安装有限公司 项目经理（签字）： 日期： Contractor(Chop) Project manager(Signature): Date: 总监理工程师审查意见：Review remarks of Chief Supervision Engineer: 审查结论Review conclusion： 同意Approve 修改后再报To be resubmitted after revision 重新编制To be compiled again项目监理机构（章）： 总监理工程师（签字）： 日期： Project supervision company(Chop): Chief supervision engineer (Signature): Date:业主项目经理审批意见Review remarks of the Owners project manager： 审查结论Review conclusion： 同意Approve 修改后再报To be resubmitted after revision 重新编制To be compiled again业主管理机构（章）： 项目经理（代表）： 日期： Owners management level (chop): Project manager (Representative): Date: 注：施工组织总设计/方案审批意见中，特指的重大施工方案须经业主审批。Note: Major construction method especially specified in review and approval remarks on overall construction organization design / ConstructionProject shall be also reviewed and approved by the Owner. 本表由承包单位填报，一式三份，经监理单位审查，业主代表批准后，业主单位、监理单位、承包单位各存一份。This table shall be filled up and submitted by the contractor in three copies, once it being reviewed by the supervision company and approved by the Owners representative, each of the Owners Representative, Supervision Company and Contractor shall hold one copy.丽东芳烃项目LIDONG AROMATIC COMPLEX PROJECT A02a单项(单元)工程：公用工程Work Item (Unit): Utility工程技术管理文件报审表Review Request on Engineering Technical Management Document项目编号：LDA03/7S04/812041Project No.:编号：No. 致（监理单位）To (Supervision Company)：洛阳石化工程建设监理公司 现报上关于 丽东芳烃项目UT区、FLARE区安装工程施工组织设计 工程技术管理文件，请予以审定。The technical management document of works of is hereby submitted for review and approval.序号No.类别Category编制人Prepared by:册数Volume(s):页数Page(s)1单位工程施工组织设计Construction Organization Design of Single Unit of Work2施工方案Construction Method34编制单位（章）： 技术负责人（签字）： 申报人（签字）： Prepared by(chop): Technical leader (Signature): Submitted by (Signature): 承包单位意见Contractors remark：有 Yes /无 No 附页 Annexed pages承包单位（章）： 技术负责人(签字) ： 日期： Contractor (chop) : Technical leader (Signature): Date:监理机构审核意见Review and approval remarks of the Supervision Company： 审定结论Review conclusion： 同意Approve 修改后再报To be resubmitted after revision 重新编制To be compiled again 专业监理工程师（签字）： 日期： Discipline supervision engineer (Signature): Date:项目监理机构（章）： 总监理工程师（签字）： 日期： Project Supervision Com.(Chop): Chief supervision engineer (Signature): Date:业主项目经理审批意见Review remarks of the Owners project manager：业主管理机构（章）： 项目经理（代表）： 日期： Owners management level (chop): Project manager (Representative): Date: 本表由承包单位填报，一式三份，经监理单位审查，业主代表批准后，业主单位、监理单位、承包单位各存一份。This table shall be filled up and submitted by the contractor in three copies, once it being reviewed by the supervision company and approved by the Owners representative, each of the Owners Representative, Supervision Company and Contractor shall hold one copy.丽东芳烃项目LIDONG AROMATIC COMPLEX PROJECT A03单项(单元)工程：Work Item (Unit):分包单位资格报审表Review Request on Qualification of Subcontractors项目编号：Project No.: 编号：No. 致（监理单位）To (Supervision Company)： 经考察，我方认为拟选择的 （分包单位）具有承担下列工程的施工资质和施工能力，可以保证本工程项目按合同的规定进行施工。分包后，我方仍然承担总承包单位的全部责任。请予以审查和批准。After investigation, we believe the selected Subcontractor, has construction qualification and construction capability required for following work and can ensure to complete construction of the project as per contract requirements. Upon subcontracting the work, we will still bear all responsibility as a General Contractor. Please review and approve.附件Attachment：1、分包单位资质材料Qualification information of the Subcontractor； 2、分包单位业绩材料Achievement information of the Subcontractor。分包工程名称（部位）Subcontracted work description (Location)工程数量Work amount拟分包工程合同额Proposed subcontract value分包工程占全部工程Subcontracted amount /Total work amount 合 计(Total) 承包单位（章）： 项目经理（签字）： 日期： Contractor (Chop): Project manager (Signature): Date: 专业监理工程师审查意见Review remarks of discipline supervision engineer：专业监理工程师（签字）： 日期： Discipline supervision engineer (signature): Date:总监理工程师审核意见Review remarks of the chief supervision engineer：项目监理机构（章）： 总监理工程师（签字）： 日期： Project Supervision Company (chop) Chief supervision engineer (Signature) Date本表由承包单位填报，一式三份，经监理单位审批后，业主单位、监理单位、承包单位各存一份。This table shall be filled up and submitted by the contractor in three copies, once it being reviewed by the supervision company, each of the Owners Representative, Supervision Company and Contractor shall hold one copy.丽东芳烃项目LIDONG AROMATIC COMPLEX PROJECT A03a单项(单元)工程：公用工程Work Item (Unit)；Utility( 湖南大和公司 )资质报审表Review Request on Qualification项目编号：7S04Project No.编号:No.致（监理单位）To (Supervision Company)：洛阳石化工程建设监理公司 事由Subject:： 现将我公司资质证书等资料报予贵公司，请审核。内容Content:：1、 资质证书一份。2、 营业执照一份。3、 企业法人营业执照一份。4、 组织机构代码证一份。5、 压力管道安装许可证资料一份。提出单位（章）：湖南大和设备安装有限公司 代表人（签字）： 日期： Issued by(Chop) Representative(Signature) Date专业监理工程师审查意见Review remarks of discipline supervision engineer：专业监理工程师（签字）： 日期： Discipline supervision engineer (signature): Date:总监理工程师审核意见Review remarks of the chief supervision engineer：项目监理机构（章）： 总监理工程师（签字）： 日期： Project Supervision Company (chop) Chief supervision engineer (Signature) Date本表由承包单位填报，一式三份，经监理单位审批后，业主单位、监理单位、承包单位各存一份。This table shall be filled up and submitted by the contractor in three copies, once it being reviewed by the supervision company, each of the Owners Representative, Supervision Company and Contractor shall hold one copy.丽东芳烃项目LIDONG AROMATIC COMPLEX PROJECT A04单项(单元)工程：公用工程Work Item (Unit)UTILITY（检验批）分项工程质量报验申请表(Inspection Batch) Work Item Quality Inspection Application 项目编号：LDA03/7S04/812041Project No.:编号：No.致（监理单位）To (Supervision Company)： 洛阳石化工程建设监理公司 我方已完成了 公用工程消防水管道安装 （检验批）分项工程，经我方检验符合设计、规范要求，请予以验收。Weve completed single item of work (inspection batch) of , which has been inspected by us and proven to be in accordance with design and code requirements, please inspect and accept it. 附Attachment： 名称Description 页数Page 编号No.1、 设备、材料、构配件质量证明文件 页 PageEquipment, Material and Components Quality Certificate Document 2、 隐蔽工程检查记录表Concealed Work Inspection Record 页 Page 3、 予检工程检查记录表Pre-inspected Work Inspection Record 页 Page 4、 施工记录Construction Record 页 Page5、 施工试验记录 Construction Test Record, 页 Page6、 工序质量控制点查验认可文件 页 PageWork Procedure Quality Control Point Inspection and Approval Document 7、 分项工程质量检验评定记录 页 PageIndividual Item of Work Quality Inspection and Evaluation Record 专业质量工程师(检查员）（签字）： 日期 Discipline Quality Engineer (Inspector) (Signature Date承包单位（章）： 湖南大和设备安装公司(DC) 技术负责人（签字）： 日期： Construction Contractor (Chop) Technical leader (Signature) Date 审查意见：Review Remarks:审查结论Review conclusion： 合格Qualified 不合格Unqualified项目监理机构（章）： 专业监理工程师（签字） 日期 Supervision Com. (Chop) Discipline supervision engineer (signature) Date本表由承包单位填报，一式三份，经监理单位审批后，业主单位、监理单位、承包单位各存一份。This table shall be filled up and submitted by the contractor in three copies, once it being reviewed and approved by the supervision company, the Owner, Supervision Company and Contractor shall hold one copy.丽东芳烃项目LIDONG AROMATICS COMPLEX PROJECT A05单项(单元)工程：Work Item (Unit):工程款支付申请表Application for Project Payment项目编号：Project No.:编号：No.: 致To： （监理单位Supervision Company）我方已完成了 工作，按施工合同的规定，建设单位应在 年 月 日前支付该项工程款共（大写） （小写） 现报上 工程款申请表请予以审查并开具工程款支付证书。Weve finished work of . According to the rules of the Construction Contract, owner should pay this project payment total (amount in words) (amount in ordinary figures) before . Now we submit application for project payment. Please check up and write out project payment certificate.附件Attchment ：1. 工程量清单;Quantity Bill 2. 计算方法. count method 承包单位（章）： 项目经理（签字）： 日期： Contractor(Seal) Project Manager (Sign) Date本表由承包单位填报，一式三份，经监理单位审批后，业主单位、监理单位、承包单位各存一份。This table shall be filled up and submitted by the construction contractor in three copies. Once it being reviewed and approved by the supervision company, each of the Owner, supervision company and construction contractor shall hold one copy.丽东芳烃项目LIDONG AROMATIC COMPLEX PROJECT A06单项(单元)工程：Work Item (Unit):监理工程师通知回复单Supervision Engineer Notice Response项目编号：Project No.:编号：No.: 致（监理单位）To (Supervision Company)： 我方接到编号为 的监理工程师通知后，已按要求完成了 工作，现报上，请予复查。Upon receiving notice No. which is issued by the supervision engineer, weve completed work of as required. We, hereby, submit it for your inspection. 详细内容：Detail content:承包单位（章）： 项目经理（签字）： 日期： Construction Contractor (Chop) Project Manager (Signature) Date: 复查意见Inspection remarks：项目监理机构（章） 总/专业监理工程师（签字）： 日期： Project supervision company (Chop) Chief/discipline supervision engineer (Signature) Date本表由承包单位填报，一式三份，经监理单位审批后，业主单位、监理单位、承包单位各存一份。This table shall be filled up and submitted by the contractor in three copies, once it being reviewed by the supervision company, each of the Owners Representative, Supervision Company and Contractor shall hold one copy.丽东芳烃项目LIDONG AROMATICS COMPLEX PROJECT A07单项(单元)工程：Work Item (Unit):工程临时延期申请表Application for Temporarily Postponement of Project项目编号：Project No.:编号：No.: 致To ： （监理单位Supervision Company）根据施工合同条款 条的规定，由于 原因，我方申请工程延期，请予以批准。According to the rules of item of construction contract, ou