登高施工申请单

1、第 PAGE4 页 共 NUMPAGES4 页登高施工申请单登高作业许可证 Climbing Operation License 申请部门 Application dept.作业地点 location 起讫日期 Start and end date 登高作业类型2 Climbing operation type: 一级(2-5m) 二级(5-15m) 三级(15-30m) 特殊(30m) 其它：Level I (2-5m) level II (5-15m) level III (15-30m) Special(30m) Other：作业内容：Work content: 安全措施：Safety

2、measures: 作业人员姓名 Names of operators 岗位或技术等级 Post or technical level 监护人员姓名 Guardian name 岗位或技术等级 Post or technical level 申请人意见/Applicant ment: 签名_（Signature）：监护人意见/Guardian ment: 签名_（Signature）：审批人意见3 ：Approver ment: 签名_，日期 (Signature, date): 审核人意见4 Auditor ment: 签名_，日期 (Signature, date): 备注 Remark：

3、1.本许可证一式四份，白色-申请人、蓝色-监护人、黄色-审批人、红色-审核人，分别需存档 1 年并备案登记；The license has quadruplication: white-applicant, blue- guardian, yellow- approver ,red- auditor, Each should be archived for 1 year and be registed 2.一般登高与特殊登高审批权限不同(见备注 3&4)，一般登高指一级、二级、三级登高作业类型； General and special climbing operation approved d

4、ifferently(remark 3&4).General climbing operation refers to level I/ II/ III type 3.审批人：对于一般登高，指车间 K2 部门经理(或指定负责人) ，在建项目由施工经理或规划(TM)项目经理审批；对于特殊登高，指工厂 K1/R1 部门经理（或指定负责人）； General climbing operation: approved by K2 Dept.Mgr.of workshop (or designated person in charge), for project in construction, app

5、roved by construction mgr.or TM project mgr; Special climbing operation: approved by K1/R1 Dept.Mgr.of Car Plant (or designated person in charge).4.审核人：对于一般登高，指工厂安全员（或指定人员）；对于特殊登高，指安全管理职能部门部门经理(K2)：安亭地区（包括 S条线）为消防与安全(HSF)，沪外工厂为行政管理/安全保障(TF_D/TFHF)。General climbing operation: audited by the Car plant security officer (or designated person); Special climbing operation: audited by K2 Dept.Mgr.of management dept., which refers to HSF in