3903石化监理表格

1、SH/T3903-A.1工程开工/复工报常表WorksCommencement/ResumptionApprovalRequest工程名称WorksTitle：编号ItemNo：致濮阳中油工程管理有限公司(监理单位)To(CS/CMC)我单位承担的-工程,已完成了一下各项工作，具备了开工/口复工条件，特此申请施工，请核查并签发开工/口复工指令。Wehavefulfilledthefollowingactivitiesfortheworkcontractedbyus,theworkscommencement/worksresumptionconditionsareavailable,theref

2、oretheconstructionisappliedhereby,pleasereviewandissueworkscommencement/worksresumptionorders.附Attached:1 开工报告CommencementReport;2 证明文件Supportingdocuments。承包单位(章)Contractor(Chop)项目经理ProjectManager日期Date审查意见ReviewComments：总监理工程师ChiefSupervisionEngineer项目监理机构日期一CS/CMCDateSH/T3903-A.2施工组织设计（方案）报常表Const

3、ructionOrganizationDesignApprovalRequest工程名称WorksTitle：编号ItemNo：致濮阳中油工程管理有限公司（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。Accordingtotherelatedregulationsoftheconstructioncontract,wehavecompletedthepreparationoftheconstructionorganizationdesign,andithasbeenreviewedandappro

4、vedbythetechnicalresponsiblepeopleofourcompany,pleasereviewit.附Attached口施工组织设计/施工方案。ConstructionOrganizationDesign/ConstructionPlan项目经理ProjectManager承包单位（章）日期Contractor（Chop）Date专业监理工程师审查意见Reviewcommentsfromdisciplinesupervisionengineer:工业监理工程师DisciplineSupervisionEngineer日期Date总监理工程师审核意见Reviewcomme

5、ntsfromchiefsupervisionengineer总监理工程师ChiefSupervisionEngineer项目监理机构日期CS/CMCDateSH/T3903-A.3分包单位资格报审表SubcontractorQualificationApprovalRequest工程名称WorksTitle：编号ItemNo：致濮阳中油工程管理有限公司(监理单位)To(CS/CMC)经考察，我方认为拟选定的具有承担下歹0工程的施工资质和施工能力，可以保证本工程项目核:合同的规正进仃施工。分包后，我方仍承担承包合同的全部责任。请予以审查和批准。Afterinvestigation,wethin

6、ktheproposed(subcontractor)hasthequalificationandcapabilityforcontractingthewingworks,andcanassurethatthiswokswillbeconstructedasperthecontractregulations.Aftersubcontractingthisworks,westillholdthewholeresponsibilitiesofthelumpsumcontractor.Pleasereviewandapproveit.附Attached1 分包单位资质材料SubcontractorQ

7、ualificationDocument2 分包单位业绩材料SubcontractorPerformanceDocuments分包工程名城(部位)Subcontractedworks(location)工程数量WorksQuantity拟分包工程明合同额ContractPriceofproposedsubcontractedworks分包工程占全部工程Percentageofsubcontractedworks合计Totals项目经理ProjectManager承包单位(章)日期Contractor(Chop)Date专业监理工程师审查意见Reviewcommentsfromdisciplin

8、esupervisionengineer:工业监理工程师DisciplineSupervisionEngineer日期Date总监理工程师审核意见Reviewcommentsfromchiefsupervisionengineer总监理工程师ChiefSupervisionEngine项目监理机构日期CS/CMCDate'SH/T3903-A.4报验申请表InspectionRequest编号ItemNo：致濮阳中油工程管理有限公司(监理单位)To(CS/CMC)我已完成了作，经自检合格，先报上该工程报验申请表，请予以审查和验收。Wehavecompletedtheworks,afte

9、rselfinspection,theworksisonspec,nowwesubmittheinspectionrequestforthisworks,pleaseandaccept.附Attached:项目经理ProjectManager承包单位(章)日期Contractor(Chop)Date审查意见ReviewComments：项目监理机构CS/CMC总/专业监理工程师Chief/disciplinesupervisionengineer日期DateSH/T3903-A.5工程款支付申请表WorkspaymentRequest编号ItemNo：致濮阳中油工程管理有限公司(监理单位)To

10、(CS/CMC)我方已完成了一工作，丽工承包合同的规定，建设单位应在_年月日前支付该项工程款共(大写)小),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。WehavecompletedtheWorks,accordingtothecontractregulations,theownershouldmakethepaymentoftotalof(amountinworks),(say)forthisworksbefore.NowwesubmittheWorksPaymentRequest,pleasereviewandissuetheworkspaymentcertificate.附件A

11、ttached:1 工程量活单QuantityList:2 计算方法CalculationMethods：承包单位(章)Contractor(Chop)项目经理ProjectManager日期DateSH/T3903-A.6监理工程帅通知回复单CorrespondencetoSupervisionEngineerNotice工程名称WorksTitle：编号ItemNo：致濮阳中油工程管理有限公司(监理单位)To(CS/CMC)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，请予以复查。Afterwereceivedthesupervisionengineernoticeof,w

12、ehavecompletedthejobs,nowwesubmitit,pleaserecheck.详细内容Detailedcontents：项目经理ProjectManager承包单位(章)日期Contractor(Chop)Date复查意见Recheckcomments总/专业监理工程师Chief/disciplinesupervisionengineer项目监理机构日期CS/CMCDateSH/T3903-A.7工程临时延期申请表WorksTemporaryDelayRequest编号ItemNo：致濮阳中油工程管理有限公司(监理单位)To(CS/CMC)根据合同条款条的规定，由丁原因，

13、我方申请工程延期，请予以批准。Accordingtoclausesoftheconstructioncontractclauses,duetothreasons,werequesttheworksdelay,pleaseapproveit.合同交工日期ContractAsBuildDate：申请延长交工日期DelayedAsBuildDate：附件Attached:1工程延期的依据及工期计算Worksdelaybasisandworkingperiodcalculation2证明材料Supportingdocuments承包单位(章)Contractor(Chop)项目经理ProjectMan

14、ager日期DateWorksTitle:SH/T3903-A.8费用索赔申请表CostClaimRequest编号ItemNo：致濮阳中油工程管理有限公司(监理单位)To(CS/CMC)根据承包合同条款条的规定，由丁的原因，我方要求索赔金额(大,请予以批准。Accordingtoclauseoftheconstructioncontract,duetothereasons,werequestthecostclaimof(amountinwords),Pleaseapproveit.索赔的详细理由及经过Detailedcauseandcourseoftheclaim索赔金额的计算Calcula

15、tionofclaimedamount：附Attached:证明材料Supportingdocuments项目经理ProjectManager承包单位(章)Contractor(Chop)日期DateSH/T3903-A.9工程材料/构配件/设备报审表编号ItemNo：WorksMaterials/Components/EquipmentInspectionRequest致濮阳中油工程管理有限公司(监理单位)To一(CS/CMC)我方于_年月一日进场的工程口材料/构配件/口设备数量如下(见附件)。现将质量证明文件及自检结果报上,拟用丁下述部位：请予以审核。Wehavemobilizedthef

16、ollowingmaterials/components/equipmentfortheworksonitsquantityislistedbelow(seetheattachments)Now,wesubmitthqualitydocumentsandourselfinspectionresults,TheproposedlocationsforuseasfollowsPleasereviewit.附件Attached:1 数量活单QuantityList;2 质量证明文件QualityDocuments；自检结果SelfInspectionResults项目经理ProjectManager

17、承包单位(章)日期Contractor(Chop)Date审查意见ReviewComments：经检查上述工程材料/构配件/口设备，口符合/不符合设计文件和规范的要求，口准许/不准许进场，口同意/不同意适用丁拟定部位。Aftertheinspection,theabov©materials/DcomponentsequipmentmeeDdonotmeettherequirementsofthedesigndocumentsandspecifications.sitemobilizationisallowed/Dsitemobilizationisnotallowed.usefort

18、heproposedlocationsisallowedOnotallowed.总/专业监理工程师Chief/disciplinesupervisionengineer项目监理机构日期CS/CMCDateSH/T3903-A.10工程竣工报验单编号ItemNo：WorksCompletionInspectionRequest致濮阳中油工程管理有限公司(监理单位)To(CS/CMC)我方已合同要求完成了工程，经自检合格，请予以检查和验收。Wehavecompletedtheworksaccordingtotherequirementsofthecontract,aftertheselfcheck

19、,itisonspec,pleaseinspectandaccept.附Attached:项目经理ProjectManager承包单位(章)日期Contractor(Chop)Date审查意见ReviewComments：经初步验收，该工程：Afterthepreliminaryinspectionandacceptance,thisworks 口符合/不符合我国现行法律、法规要求；meet但notmeettherequirementsofthecurrentstatelawsandregulations 口符合/不符合我国现行工程建设标准；meet但notmeettherequirement

20、softhecurrentnationalstandards 口符合/不符合设计文件要求；meet但notmeettherequirementsofthedesigndocuments1 口符合/不符合施工合同要求。 meet/口notmeettherequirementsoftheconstructioncontract.综上所述，该工程初步验收口合格/口不合格，口可以/口不可以组织正式验收。Basedontheabovepoints,thepreliminaryinspectionandacceptanceofthisworksisonspecDoffspec,formalinspecti

21、onandacceptancecanbeDcannotbeorganized.总监理工程师ChiefSupervisionEngineer项目监理机构日期CS/CMCDateSH/T3903-A.11施工进度计划报常表编号ItemNo：ConstructionScheduleApprovalReques致濮阳中油工程管理有限公司(监理单位)To(CS/CMC)我方已根据承包合同的有关规定编制完成了月_日至年_月_户的：Wehavecompletedthepreparationsofthefollowingschedulesfromtoaccordingtotherelatedregulatio

22、nsoftheconstructioncontract1 口工程施工总进度计划ProjectConstructionOverallSchedule2 口工程施工月进度计划ProjectConstruction3 口工程施工周进度计划ProjectConstruction4 _计戈UProjectConstruction并经丽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计划组织施工。附Attached:图表、说明书共。Drawingsandcharts,instructionbook,totallyinpages.项目经理ProjectManager承包单位(章)日期Co

23、ntractor(Chop)Date审查意见ReviewComments：同意此计划。 Approvedthisschedule.口不同意此计划，请按以下要求修改再报。 Notapprovedthisschedule,pleasemodifyitaccordingtothefollowingrequirements,andresubmitit:专业监理工程师DisciplineSupervisionEngineer日期Date审查意见ReviewComments：总监理工程师Chiefsupervisionengineer项目监理机构日期CS/CMCDate-工程质量事故处理方案报审表SH/T

24、3903-A.12WorksQualityIncidentSolutionApprovalRequest编号ItemNo：致濮阳中油工程管理有限公司(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奇事故报告(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,at(workslocation),therewasworksqualityincident,theworksqualityincidentreport(itemNo)hasbeenissuedon,afterweinvestigated,analyzed

25、ancStudiedit,nowwesubmitthedetailsandsolutiontoyou,pleasereview.附Attached事故详情及处理方案。IncidentDetailsandSolution.承包单位(章)Contractor(Chop)项目经理ProjectManager日期Date审核意见Reviewcomments：同意此事处理方案 Approvedthesolutionforthisincident.口不同意此事处理方案，修改后再报。 Notapprovedthesolutionforthisincident,pleasemodifyinandresubmi

26、t.口按以下意见修改后执行： Toimplementitaftermodifiedasperthefollowingcomments.项目监理机构CS/CMC总监理工程师Chiefsupervisionengineer日期DateSH/T3903-A.13主要施工设备进场报常表工程名称WOrkS旭：MajorConstructionEquipmentMobilizationApprovalRequest编号ItemNo：致濮阳中油工程管理有限公司(监理单位)To_(CS/CMC)我单位承担的工程，按合同规定的主要施工设备、机具及检测设备、工具拟进场，并经自荐合格，请查验。Wecontracte

27、dtheworks,wearegoingtomobilizethemajorconstructionequipmentandtoolsaswellastheinspectionequipmentandtoolsspecifiedbythecontract,afterselfinspection,theyareonspec,pleaseinspect.附Attached:项目经理ProjectManager承包单位(章)Contractor(Chop)日期Date审查意见Reviewcomments经检查上述施工设备、机具及检测设备、工具，口符合/不符合施工组织设计文件和相关要求，准许/不准许进

28、场。Accordingtoinspection,theaboveequipment,toolsandtheinspectionequipmentandtoolsDmeet但donotmeettherequirementsoftheconstructionorganizationdesigndocumentsandotherules,sitemobilizationallowed/sitemobilizationnotallowed.不准许进场原因如下：Thereasonsfornotallowingsitemobilizationarelistedbelow.总/专业监理工程师Chief/di

29、sciplinesupervisionengineer项目监理机构CS/CMC日期DateSH/T3903-A.14单机试车申请表Pre-commissioningRequest编号ItemNo：致濮阳中油工程管理有限公司(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,并准予试车。Wehavecompletedthecommissioningpreparationsaccordingtothecontractrequirements,aftertheselfcheck,thepreparationsareonspec,pleasecheckanda

30、pprovethepre-commissioningtest.附Attached:承包单位(章)Contractor(Chop)审查意见Reviewcomments项目经理ProjectManager日期DateSH/T3903-A.15勘察/设计费用支付报常表编号ItemNo：Geotech/DesignPaymentApprovalRequest致濮阳中油工程管理有限公司(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。AccordingtoclausesoftheEntrustedDesignCont

31、ract,wehavesubmittedthedesigndocumentson,Ownershouldmakethepaymentof(amountinwords)(say)forgeotech仁design,pleasereview.附Attached项目经理ProjectManager勘察/设计单位(章)日期Geotech/DesignUnit(Chop)Date审核意见Reviewcomments经审核同意按合同第条款支付口勘察/设计费共(大写)0Afterreview,thetotalpaymentof(amountinwords)(say:)forgeotechCdesignfee

32、sareapprovedtobemadeasperclauseoftheContract.总监理工程师Chiefsupervisionengineer项目监理机构日期CS/CMC_DateSH/T3903-A.16勘察/设计进度调整报常表Geotech/DesignScheduleChangeApprovaRequest工程名称WorksTitle：编号ItemNo：致濮阳中油工程管理:To我单位承担的细工程设计原定_Geotech/BED/theworkscontracisrescheduledtocom调整原因Chang勘察/设计单位（章:Geotech/DesignUn有限公司（监理单位

33、）（CS/CMC）工程的口勘察/创出工程设计/详兀成，现拟调整至U兀成,清r以审批。DEDof)tedbyuswasscheduledtobecompletedonNowpletedon,pleasereviewandapproveit.ereasons计划工程师Planningengineer项目经理ProjectManager)日期it(Chop)Date审查意见ReviewComments：同意调整。 Changeapproved.口不同意调整。 Changenotapproved.根据下列要求调整： Tobechangedasperthefollowingrequirements总监理

34、工程师Chiefsupervisionengineer项目监理机构日期CS/CMCDate编号ItemNo：SupervisionEngineerNotice致(承包单位)To(Contractor-)事由Subject:内容Contents：SH/T3903-B.2WorksSuspensionOrder编号ItemNo：致(承包单位)To(CS/CMC)由丁原因，现通知你方必须丁年月日时起，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：Dueto,weNotifyyounowtostoptheconstructiononthelocations(jobs)offorthis

35、works,Pleasedothejobsasperthefollowingrequirements.总监理工程师Chiefsupervisionengineer项目监理机构日期CS/CMC-DateSH/T3903-B.3工程款支付证书编号ItemNo：WorksPaymentCertificate致（建设单位）To（CS/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。Accordingtothecontractregulations,afterreviewedthepaymentrequestand

36、reportingtablesanddeductedtherelatedcosts,weagreewiththepaymentof(amountinworks)(say：)。Pleasemakethepaymentperthecontractinatimelymanner.其中Amongwhich:1 承包单位申报款为：Therequestedpaymentofcontractor2 经审核承包单位应得款为：Thereviewedpaymentofcontractor3 本期应扣款为：Thedeductedpayment4 本期应付款为：Theduepayment附件Attached:1承包单

37、位的工程付款申请表及附件ContractorWorksPaymentRequestandAttachments2项目监理机构审查记录CS/CMCReviewRecords总监理工程师Chiefsupervisionengineer项目监理机构日期CS/CMC一Date工程临时延期常批表SH/T3903-B.4工程名称WorksTitle：WorksDelayTemporaryApproval编号ItemNo：致（承包单位）To（Contractor-）根据承包合同条款条的规定，我方对你方提出的丁程延期申请（第号）要求延长工期日历天的要求，经过审核评估:Accordingtoclausesoft

38、hecontract,wereviewedyourWorksDelayRequest（No）offorthedurationsofcalendardays口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U年月日。请你方执行。Delayofcalendardaysapprovedtemporarily,whichwilldelaytheasbuilddate（includedtheinstructeddelayedworkingperiodfromtoPleasefollowit.口不同意延长工期，请按约定交工日期组织施工。 Delaynotapproved,please

39、organizetheconstructionaspertheagreedasbuiltdate.说明Notes：总监理工程师Chiefsupervisionengineer_项目监理机构日期CS/CMCDateSH/T3903-B.5工程最终延期申请表编号ItemNo：WorksDelayFinalApproval致（承包单位）To（Contractor-）根据承也合同条款条的规定，我方对你方提出的丁程延期申请（第号）要求延长工期日历天的要求，经过审核评估:Accordingtoclausesofthecontract,wereviewedyourWorksDelayRequest（No）o

40、fforthedurationsofcalendardays口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U年月日。请你方执行。Delayofcalendardaysapprovedtemporarily,whichwilldelaytheasbuilddate（includedtheinstructeddelayedworkingperiodfromtoPleasefollowit.口不同意延长工期，请按约定交工日期组织施工。 Delaynotapproved,pleaseorganizetheconstructionaspertheagreedasbuiltdate.说明Notes：总监理工程师Chiefsupervisionengineer项目监理机构日期CS/CMCDateSH/T3903-B.6费用索赔常批表Cost