3903石化监理表格

1、实用标准SH/T 3903-A.1工程开工/复工报审表Works Comme nceme nt/Resumptio n ApprovalRequest工程名称Works Title : 编号 Item No :致濮阳中油工程治理监理单位To CS/CMC我单位承当的工程,已完成了一下各项工作,具备了开工/复工条件,特此申请施工,请核查并签发开工/复工指令.Wehavefulfilledthefollowi ngactivitiesfortheworkcontractedby us, the works commencement/ works resumption conditionsare a

2、vailable,therefore the con struct ion is applied hereby, please review and issue works comme nceme nt/ works resumpti on orders.附 Attached :1 开工报告 Comme nceme nt Report ；2 证实文件 Support ing docume nts.工程经理Project Man ager承包单位章日期Con tractorChopDate审查意见 Review Comme nts：总监理工程师Chief Supervisi on Engin e

3、er工程监理机构日 期CS/CMCDateSH/T 3903-A.2施工组织设计方案报审表Con structi on Orga ni zati on Desig n Approval Request工程名称Works Title :编号 Item No :致濮阳中油工程治理监理单位To CS/CMC我方已根据施工承包合同的有关规定完成了工程施工组织设计方案的编制,并经我单位技术负责人审查批准,请予以审查.Accord ing to the related regulati ons of the con struct ion con tract, we have completed the p

4、reparation of theconstructionorganizationdesign,and it has beenreviewed andapprovedby the technicalresponsiblepeople of our company, please reviewit.附 Attached施工组织设计/施工方案. Con structi on Organi zatio n Desig n/ Con struct ion Plan工程经理Project Man ager承包单位章日期Con tractorChopDate专业监理工程师审查意见 Review comme

5、 nts from discipli ne supervisi on engin eer: 专业监理工程师Discipli ne Supervisi on Engin eer日期Date文档大全实用标准专业监理工程师审查意见 Review comme nts from discipli ne supervisi on engin eer:总监理工程师Chief Supervisi on Engin eer工程监理机构日 期CS/CMCDateSH/T 3903-A.3分包单位资格报审表Subc on tractorQualificati onApprovalRequest工程名称Works T

6、itle :编号 Item No :致濮阳中油工程治理监理单位To CS/CMC经考察,我方认为拟选定的分包单位具有承担以下工程的施工资质和施工水平,可以保证本工程工程按合同的规疋进仃施工.分包后, 我方仍承当承包合同的全部责任.请予以审查和批准.Afterin vestigatio n,wethinktheproposedsubc on tractor hasthe qualificatio nand capability for con tract ing the wi ngworks , and canassure that this woks will be con structeda

7、s per the con tractregulati ons.After subc on tract ingthis works, we still hold the whole resp on sibilities of the lump sum con tractor. Please review and approve it.附 Attached1 分包单位资质材料Subco ntractor Qualificatio n Docume nts;2 分包单位业绩材料Subc on tractor Performa nee Docume nts.分包工程名城部位Subcontracted

8、 workslocati on工程数量Works Qua ntity拟分包工程明合同额Con tract Price of proposed subc on tracted works分包工程占全部工程Perce ntage of subc on tracted works合 计Totals工程经理Project Man ager承包单位章日期Con tractorChopDate专业监理工程师Discipli ne Supervisi on Engin eer日期Date总监理工程师审核意见 Review comme nts from chief supervisi on engineer总

9、监理工程师Chief Supervisi on Engin eer工程监理机构日期DateCS/CMCSH/T 3903-A.4报验申请表In specti on Request工程名称Works Title : 编号 Item No :致濮阳中油工程治理监理单位To CS/CMC我已完成了工作,经自检合格,先报上该工程报验申请表,请予以审查和验收.We have completed theworks, after selfinspection, the works is on spec, now wesubmit the inspection request for this works,

10、please and accept.附 Attached :工程经理Project Man ager承包单位章日 期Con tractorChopDate文档大全实用标准审查意见 Review Comme nts：总/专业监理工程师Chief /discipli ne supervisi on engin eer 工程监理机构日 期CS/CMCDateSH/T 3903-A.5工程款支付申请表Works payme nt Request工程名称Works Title : 编号 Item No :文档大全致 濮阳中油工程治理(监理单位)To (CS/CMC我方已完成了工作, 按施工承包合同的规定

11、,建设单位应在年 月日前支付该项工程款共(大写) 小 ),现报上 工程付款申请表请予以审查并开具工程款支付证书.We have completed theWorks,accord ing to the con tract regulati ons, the owner should make the payme nt of total of(amount in works),(say )for this works before.Nowwe submit the Works PaymentRequest, please review and issue the works payme nt c

12、ertificate.附件 Attached :1 工程量清单Quantity List:2 计算方法 Calculatio n Methods :工程经理Project Man ager承包单位(章)日 期Con tractor(Chop)DateSH/T 3903-A.6监理工程师通知回复单工程名称Works Title :Corresp ondence to Supervisi on Engin eerNotice编号 Item No :致 濮阳中油工程治理监理单位ToCS/CMC我方接到编号为的监理工程师通知后,已按要求完成了 报上,请予以复查.After we received th

13、e supervisi on engin eer no tice of,we havecompleted the jobs, now we submit it, please recheck.详细内容 Detailed contents工程经理Project Man ager承包单位(章)日 期Con tractor(Chop)Date复查意见 Recheck comme nts总/专业监理工程师Chief /discipli ne supervisi on engin eer 工程监理机构日期CS/CMCDateSH/T 3903-A.7工程临时延期申请表Works Temporary De

14、lay Request工程名称Works Title : 编号 Item No :致 濮阳中油工程治理监理单位ToCS/CMC根据合同条款条的规定,由于 原因,我方申请工程延Accordi ng to clausesofthe con structi on con tract clauses,due to the reas ons, we request the works delay, please approve it.合同交工日期 Con tract As Build Date :申请延长交工日期 Delayed As Build Date :附件 Attached :1 工程延期的依据

15、及工期计算 Works delay basis and working period calculation2 证实材料 Support ing docume nts .工程经理Project Man ager承包单位章日 期Con tractorChopDateSH/T 3903-A.8费用索赔申请表Cost Claim Request工程名称Works Title : 编号 Item No :致 濮阳中油工程治理(监理单位)To(CS/CMC根据承包合同条款条的规定,由于的原因,我方要求索赔金额(大,iAccordi ng to clauseof the con structi on co

16、n tract,due to the reas ons, we request the cost claim of(am ountinwords),Please approve it.索赔的详细理由及经过Detailed cause and course of the claim:索赔金额的计算 Calculatio n of claimed amou nt附 Attached :证实材料 Support ing docume nts承包单位(章)Con tractor(Chop)工程经理Project Man ager日期DateSH/T 3903-A.9工程材料/构配件/设备报审表Work

17、s Materials/Comp onen ts/Equipme ntIn spect ion Request工程名称Works Title编号 Item No :致濮阳中油工程治理监理单位To CS/CMC我方于年 月 日进场的工程材料/ 构配件/ 设备数量如下见附件现将质量证实文件及自检结果报上,拟用于下述部位: 请予以审核.Wehave mobilized the followingmaterials/components/equipmentfor the works on quantity is listed below(see the attachments)Now, we subm

18、it the quality documents and our self inspection results, The proposed locations for use as follows :Please review it.附件 Attached :1 数量清单 Qua ntity List；2 质量证实文件Quality Documents ；3 自检结果 Self In spection Results工程经理Project Man ager承包单位(章)日 期Con tractor(Chop)Date审查意见 Review Comme nts：经检查上述工程材料/ 构配件/

19、设备,符合/ 不符合设计文件和标准的要求,准 许/ 不准许进场,同意/ 不同意适用于拟定部位.After the inspection, the above materials/ components/ equipment, meetdonot meet the requirements of the design documents and specifications. site mobilizatio n is allowed/ site mobilizatio n is not allowed. use for the proposedlocati ons is allowed/ n

20、ot allowed.总/专业监理工程师Chief /discipli ne supervisi on engin eer工程监理机构日期CS/CMCDateSH/T 3903-A.10工程竣工报验单Works Completion Inspection Request工程名称Works Title : 编号 Item No :致濮阳中油工程治理监理单位To CS/CMC我方已合同要求完成了工程,经自检合格,请予以检杳和验收.We have completed theworks accordi ng to therequireme nts of the con tract, after the

21、 self check, it is on spec, please in spect and accept.附 Attached :工程经理Project Man ager承包单位章日期Con tractorChopDate审查意见 Review Comme nts：经初步验收,该工程：After the prelimi nary in spect ion and accepta nee, this works:1 符合/ 不符合我国现行法律、法规要求； meet/ not meet the requireme nts of the curre nt state laws and regul

22、atio ns；2 符合/ 不符合我国现行工程建设标准； meet/ not meet the requireme nts of the curre nt n ati onal sta ndards；3 符合/ 不符合设计文件要求； meet/ not meet the requireme nts of the desig n docume nts；4 符合/ 不符合施工合同要求. meet/ not meet the requireme nts of the con struct ion con tract.综上所述,该工程初步验收合格/ 不合格,可以/ 不可以组织正式验收.Based on

23、 the above points, the preliminary inspection and acceptanee of this works is on spec/ off spec, formal inspection and acceptanee can be/ can not beorga ni zed.总监理工程师Chief Supervisi on Engin eer工程监理机构日 期工程名称Works Title 编号 Item No :CS/CMCDateSH/T 3903-A.11施工进度方案报审表Con structio n Schedule ApprovalRequ

24、est致 濮阳中油工程治理监理单位ToCS/CMC我方已根据承包合同的有关规定编制完成了年 月 日至 年 月 日的：We have completed the preparationsof the followingschedules fromto accord ing to the related regulati ons of the con structi on con tract:1 工程施工总进度方案 Project Co nstruction Overall Schedule2 工程施工月进度方案 Project Co nstruction3 工程施工周进度方案 Project C

25、o nstruction4 方案 Project Construction并经我单位技术负责人审查批准,先报上,请予以审查.我们将严格按审查通过的进度 方案组织施工.附 Attached :图表、说明书共页.Draw ings and charts, in struct ion book, totally inpages.工程经理Project Man ager承包单位章日期Con tractor(Chop)Date审查意见 Review Comments :同意此方案. Approved this schedule.不同意此方案,请按以下要求修改再报. Not approved this s

26、chedule, please modify it accord ing to the follow ing requireme nts, and resubmit it:专业监理工程师Discipli ne Supervisi on Engin eer_日期一Date审查意见 Review Comme nts：总监理工程师Chief supervisi on engin eer工程监理机构日 期CS/CMC Date_SH/T 3903-A.12工程质量事故处理方案报审表Works QualityIn cide nt Soluti onApprovalRequest工程名称Works Tit

27、le编号 Item No :致 濮阳中油工程治理监理单位 To CS/CMC年 月 日在工程部位发生工程质量事故,已于 月日发出工程质量事故报告编号：,经我方组织对该质量事故进行详细调查、分析和研究,现将详情及处理方案报上,请审查.On,atworkslocati on, there wasworks quality in cide nt, the worksquality in cide nt reportitem No has bee n issued on tigated,an alyzed andStudied it, now we submit the details and sol

28、uti on to you, please review.附 Attached :事故详情及处理方案.In cide nt Details and Soluti on.工程经理Project Man ager承包单位(章)日 期Con tractor(Chop)Date审核意见 Review comments :同意此事处理方案 Approved the soluti on for this in cide nt.不同意此事处理方案,修改后再报. Not approved the soluti on for this in cide nt, please modify in and resub

29、mit. 按以下意见修改后执行： To impleme nt it after modified as per the followi ng comme nts.总监理工程师Chief supervisi on engin eer工程监理机构日 期CS/CMCDateSH/T 3903-A.13主要施工设备进场报审表Major Con struct ion Equipme nt Mobilizatio nApproval Request工程名称Works Title : 编号 Item No :致濮阳中油工程治理监理单位To CS/CMC我单位承当的工程,按合同规定的主要施工设备、机具及检测设

30、备、工具拟进场,并经自荐合格,请查验.Wecontracted theworks,we are going to mobilize themajor construction equipment and tools as well as the inspection equipment and tools specified by the con tract, after self in specti on, they areon spec, please in spect.附 Attached :工程经理Project Man ager承包单位章日期Con tractorChopDate审查

31、意见 Review comme nts经检查上述施工设备、机具及检测设备、工具,符合/不符合施工组织设计文件和相关要求,准许/ 不准许进场.According to inspection,the above equipment, tools and the inspection equipmentand tools meet/ do not meet the requireme nts of the con struct ion orga ni zati ondesig n docume nts and other rules, site mobilizati on allowed/ site

32、 mobilizati onnot allowed.不准许进场原因如下：The reasons for not allowing site mobilization are listed below.总/专业监理工程师Chief /discipli ne supervisi on engin eer工程监理机构日期CS/CMCDateSH/T 3903-A.14单机试车申请表Pre-commissio ning Request工程名称Works Title : 编号 Item No :致濮阳中油工程治理监理单位To CS/CMC我方已按合同要求完成了试车准备工作,经自检合格,请予以检查,并准予

33、试车.We have completed thecommissi oning preparatio nsaccord ing to the con tract requireme nts, after the self check, the preparati ons are on spec, please check and approve the pre-commissi oning test.附 Attached :工程经理Project Man ager承包单位章日期Con tractorChopDate审查意见 Review comme nts总/专业监理工程师Chief /disc

34、ipli ne supervisi on engin eer 工程监理机构日 期CS/CMCDateSH/T 3903-A.15勘察/设计费用支付报审表Geotech/Desig n Payme nt Approval Request工程名称Works Title编号 Item No :致濮阳中油工程治理监理单位To CS/CMC根据委托设计合同第条款,我单位已于年 月 日交付 单位应支付该项勘察/设计费共大 写小写：,请予以审核.Accordi ng to clausesofthe En trusted Desig n Con tract,we havesubmitted the desig

35、ndocume nts on,Ow ner should make the payme nt of am ount in wordssay for geotech/ design, pleasereview.附 Attached工程经理Project Man ager勘察/设计单位章日 期Geotech/Desig n Uni tChopDate审核意见 Review comme nts经审核同意按合同第条款支付勘察/ 设计费共大写小写：Afterreview,the(say:)for geotech/ desig ntotalpayme ntfees are approvedof(am ou

36、ntinto be made as perwords) clauseof the Con tract.总监理工程师Chief supervisi on engin eer工程监理机构日期CS/CMC _DateSH/T 3903-A.16勘察/设计进度调整报审表Geotech/Desig n Schedule Change ApprovalRequest工程名称Works Title :编号 Item No :致濮阳中油工程治理监理单位To CS/CMC我单位承当的工程的勘察/ 根底工程设计/详细工程设计原定完成,现拟调整到 完成,请予以审批.Geotech/ BEDO DED ofthe w

37、orks con tractedby us was scheduled to be completed onNowis rescheduled to completed on,pleasereview andapprove it.调整原因 Change reasons ;方案工程师Pla nning engin eer工程经理Project Man ager勘察/设计单位(章)日 期Geotech/Desig n Uni t(Chop)Date审查意见 Review Comments :同意调整. Change approved.不同意调整. Change not approved.根据以下要

38、求调整： To be cha nged as per the followi ng requireme nts总监理工程师Chief supervisi on engin eer工程监理机构日期CS/CMCDateSH/T 3903-B.1监理工程师通知单Supervisi on Engin eer Notice工程名称Works Title : 编号 Item No :致(承包单位)To(Con tractor )事由 Subject :内容 Contents :总/专业监理工程师Chief /discipli ne supervisi on engin eer工程监理机构日期CS/CMCD

39、ate工程暂停令工程名称Works Title:SH/T 3903-B.2Works Suspe nsion Order编号 Item No :致承包单位To CS/CMC由于原因,现通知你方必须于年 月 日时起,对本工程的部位工作实施暂停施工,并按下述要求做好各项工作：Due to,weNotify you now to stop the construction on the locationsjobsofforthis works,Please do the jobs as per the followi ng requireme nts.总监理工程师Chief supervisi on

40、 engin eer工程监理机构日 期CS/CMC DateSH/T 3903-B.3工程款支付证书Works Payme nt Certificate工程名称Works Title 编号 Item No :致建设单位ToCS/CMC根据承包合同的规定,经审核承包单位的付款申请和报表,并扣除有关款项,同意本期 支付工程款共大写小写： .请按合同规定及时付款.Accordi ng to the con tract regulati ons, after reviewed the payme nt request and reporting tables and deducted the rela

41、ted costs, we agree with the payment of amount in workssay_: o Please make the payme nt per the con tract in a timely manner.其中 Among which：1 承包单位申报款为：The requested payme nt of con tractor:2 经审核承包单位应得款为： The reviewed payme nt of con tractor :3 本期应扣款为： The deducted payment :4 本期应付款为：The due payment :

42、附件 Attached :1承包单位的工 程付款 申请表及附件 Con tractor Works Payme nt Request and Attachments ;2工程监理机构审查记录 CS/CMC Review Records o总监理工程师 Chief supervisi on engin eer工程监理机构CS/CMC日 期Date SH/T 3903-B.4工程临时延期审批表Works Delay Temporary Approval工程名称Works Title 编号 Item No :致承包单位To Con tractor 根据承包合同条款条的规定,我方对你方提出的J程延期申

43、请第号要求延长工期日历天的要 求,经过审核评估：Accord ing to clausesofthe con tract,wereviewed your WorksDelay Request No. offor theduratio ns of cale ndar days:暂时同意工期延长 日历天.使交工日起包括已指令延长的工期从原来 延迟至y 年 月 日.请你方执行. Delay of cale ndar days approved temporarily, which will delay the as builddatei ncludedthein structeddelayedwor

44、ki ngperiod fromto Please follow it.不同意延长工期,请按约定交工日期组织施工. Delay not approved, please organize the constructionas per the agreed as builtdate.说明Notes :总监理工程师Chief supervisi on engin eer工程监理机构日期实用标准SH/T 3903-B.5工程最终延期申请表Works Delay Fi nal Approval工程名称Works Title : 编号 Item No :致承包单位ToCon tractor 根据承包合同

45、条款条的规定,我方对你方提出的工程延期申请第号要求延长工期日历天的要求经过审核评Accord ing to clausesofthe con tract,wereviewed your WorksDelay Reque of for theduratio ns of cale ndar days:最终同意工期延 日历天.使交工日起包括已指令延长的工期从原来 延迟至y年 月日.请你方执行. Delay of cale ndar days approved temporarily, which will delay the as builddatei ncludedthe in structeddelayedworki ngperiod fromto Please follow it.不同意延长工期,请按约定交工日期组织施工. Delay not approved, please organize the constructionas per the agreed as builtdate.说明Notes :总监理工程师Chief supervisi on engin eer工程监理机构日期CS/CMCDateSH/T 3903-B.6费用索赔审批表Cost Claim Approval工程名称Works T