吊装作业安全技术方案报审表

'监理附表supervisionsheet丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECT单项(单元)工程：WorkItem(Unit):施工质量规那么附表目录(一)PR-00-CIJ-QU-0002ConstructionQualityRulesAnnexedTableIndex(I)工程编号：ProjectNo.:表号TableNo.表格名称TableTitle备注Remarks-A01a工程开工报审表ReviewRequestonCommencementofWork-A01b工程复工报审表ReviewRequestforResumeofWork-A02施工组织总设计报审表ReviewRequestonOverallConstructionOrganizationDesign-A02a工程技术管理文件报审表ReviewRequestonEngineeringTechnicalManagementDocument-A03分包单位资格报审表ReviewRequestonQualificationofSubcontractors-A03a()资质报审表ReviewRequestonQualification-A04质量控制点核报审表ReviewRequestonQualityControlPointInspection-A05工程款支付申请表ApplicationforProjectPayment-A06监理工程师通知回复单SupervisionEngineerNoticeResponse-A07工程临时延期申请表ApplicationforTemporarilyPostponementofProject-A08费用索赔申请表ApplicationForClaimonCost-A09材料/构配件/设备报审表Material/Component/EquipmentReviewRequest-A10工程交工报验单ConstructionTakeoverInspectionRequest-A11质量控制点检验通知QualityControlPointInspectionNotice-A12主要施工设备进场报审表-B01监理工程师通知单SupervisionEngineerNotice-B02工程暂停令WorkSuspensionOrder-B03工程款支付证书ProjectPaymentCertificate-B04工程临时延期审批表ApprovalforPostponementofProjectTemporarily-B05工程最终延期审批表ApprovalforFinalPostponementofProject-B06费用索赔审批表ApprovalForClaimonCost-B07会议纪要〔一〕MinutesofMeeting(I)-C01监理工作联系单SupervisionCorrespondence-C02工程变更单VariationOrder-C03工程承包单位及承包内容ConstructionContractorInfo.AndScopeofContract 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTA—01a单项(单元)工程：WorkItem(Unit)单位工程开工报审表ReviewRequestonCommencementofWorkUnit工程编号：ProjectNo.:编号：No.致〔监理单位〕To(SupervisionCompany)：我方承担的工程，已完成了开工前的各项准备工作，方案于年月日开工，请审批。Wecontractedworkofandcompleteditemsofpreparationworkpriortocommencement.Weplannedtocommencetheworkat(Day)(Month)(Year),pleasereviewandapprove.附：Attachment:1.□图纸会审、设计交底Designcountercheckandclarificationrecords2.□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〕Constructionmanagementdesign(proposal)reviewandapprovaldocument(includingmainmanagementpersonnelandspecialtradequalificationcertificate)3.□施工机具与检测试验设备检查Constructionmachineryandinspection&testingequipmentinspected.4.□工序质量控制点报审Workprocedurequalitycontrolpointreviewrequest.5.□施工测量放线Constructionsurveyingandsettingoutworkcompleted6.□主要人员、材料、设备进场Majorpersonnel,materialandequipmentmobilized7.□施工现场道路、水、电、通讯等已到达开工条件Accessroad,water,powerandcommunicationsetcforconstructionarereadyonsiteforcommencingthework.8.□承包单位〔盖章〕：工程经理〔签字〕：日期：ConstructionContractor(Chop)Projectmanager(Signature)Date审查意见Reviewremarks：专业监理工程师〔签字〕：日期：Disciplinesupervisionengineer(Signature)Date审批结论Reviewconclusion：□同意Approve□不同意Notapprove工程监理机构〔章〕：总监理工程师〔签字〕：日期：SupervisionCom.(ChopChiefsupervisionengineer(SignatureDate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。Thistableshallbefilledupandsubmittedbythecontractorinthreecopies,onceitbeingreviewedandapprovedbythesupervisioncompany,eachoftheOwner,SupervisionCompanyandContractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTA—01b单项(单元)工程：WorkItem(Unit):工程复工报审表ReviewRequestforResumeofWork工程编号：ProjectNo.:编号：No.致〔监理单位〕To(SupervisionCompany：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去除，经检查已具备了复工条件，请予以审核并批准复工。ThereasonresultinginWorkSuspensionOrderNo.issuedbythechiefsupervisionengineerfortheworkcontractedbyushasbeeneliminated,it’sproventhattheconditionsforresumptionofworkhasbeenmadeready.Pleasereviewandapprove.附：具备复工条件的详细说明Attachment:Detailstatementofreasonsforresumingthework。.承包单位〔盖章〕：工程经理〔签字〕：日期：Contractor(Chop)Projectmanager(Signature)Date审批意见Review/approvalremarks：审批结论：Review/approvalconclusion□具备复工条件，同意复工。Conditionsforresumingworkarereadyandagreetoresumework.□不具备复工条件，暂不同意复工。Conditionsforresumingworkarenotreadyandnotagreetoresumeworknow.工程监理机构〔章〕：总监理工程师〔签字〕：日期：Projectsupervisioncompany(Chop)Chiefsupervisionengineer(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。Thistableshallbefilledupandsubmittedbythecontractorinthreecopies,onceitbeingreviewedbythesupervisioncompany,eachoftheOwner’sRepresentative,SupervisionCompanyandContractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTA—02单项(单元)工程：公用工程WorkItem(Unit):UTILITY施工组织设计/施工方案报审表ReviewRequestonOverallConstructionOrganizationDesign/Construction　Project工程编号：LDA03/7S04/812041ProjectNo.:编号:No.致(监理单位)To(SupervisionCompany)：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工程UT区FLARE区安装工程吊装作业平安技术方案的编制，并经我单位上级技术负责人审查批准，请予以审查。We’vecompletedoverallconstructionorganizationdesign/Construction　ProjectforworksofasperrelatedrequirementsasspecifiedintheConstructionContract,whichhasbeenreviewedandapprovedbycompetenttechnicalleaderinourcompany,weherebysubmititforyourreview.附Attachment：UT区FLARE区安装工程吊装作业平安技术方案承包单位(章)：湖南大和设备安装工程经理〔签字〕：日期：Contractor(Chop)Projectmanager(Signature):Date:总监理工程师审查意见：ReviewremarksofChiefSupervisionEngineer:审查结论Reviewconclusion：□同意Approve□修改后再报Toberesubmittedafterrevision□重新编制Tobecompiledagain工程监理机构〔章〕：总监理工程师〔签字〕：日期：Projectsupervisioncompany(Chop):Chiefsupervisionengineer(Signature):Date:业主工程经理审批意见ReviewremarksoftheOwner’sprojectmanager：审查结论Reviewconclusion：□同意Approve□修改后再报Toberesubmittedafterrevision□重新编制Tobecompiledagain业主管理机构〔章〕：工程经理〔代表〕：日期：Owner’smanagementlevel(chop):Projectmanager(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:Majorconstructionmethodespeciallyspecifiedinreviewandapprovalremarksonoverallconstructionorganizationdesign/Construction　ProjectshallbealsoreviewedandapprovedbytheOwner.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。Thistableshallbefilledupandsubmittedbythecontractorinthreecopies,onceitbeingreviewedbythesupervisioncompanyandapprovedbytheOwner’srepresentative,eachoftheOwner’sRepresentative,SupervisionCompanyandContractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTA—02a单项(单元)工程：公用工程WorkItem(Unit):Utility工程技术管理文件报审表ReviewRequestonEngineeringTechnicalManagementDocument工程编号：LDA03/7S04/812041ProjectNo.:编号：No.致〔监理单位〕To(SupervisionCompany)：洛阳石化工程建设监理公司现报上关于丽东芳烃工程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。Thetechnicalmanagementdocumentofworksofisherebysubmittedforreviewandapproval.序号No.类别Category编制人Preparedby:册数Volume(s):页数Page(s)1单位工程施工组织设计ConstructionOrganizationDesignofSingleUnitofWork2施工方案ConstructionMethod34编制单位〔章〕：技术负责人〔签字〕：申报人〔签字〕：Preparedby(chop):Technicalleader(Signature):Submittedby(Signature):承包单位意见Contractor’sremark：□有Yes/□无No附页Annexedpages承包单位〔章〕：技术负责人(签字)：日期：Contractor(chop):Technicalleader(Signature):Date:监理机构审核意见ReviewandapprovalremarksoftheSupervisionCompany：审定结论Reviewconclusion：□同意Approve□修改后再报Toberesubmittedafterrevision□重新编制Tobecompiledagain专业监理工程师〔签字〕：日期：Disciplinesupervisionengineer(Signature):Date:工程监理机构〔章〕：总监理工程师〔签字〕：日期：ProjectSupervisionCom.(Chop):Chiefsupervisionengineer(Signature):Date:业主工程经理审批意见ReviewremarksoftheOwner’sprojectmanager：业主管理机构〔章〕：工程经理〔代表〕：日期：Owner’smanagementlevel(chop):Projectmanager(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。Thistableshallbefilledupandsubmittedbythecontractorinthreecopies,onceitbeingreviewedbythesupervisioncompanyandapprovedbytheOwner’srepresentative,eachoftheOwner’sRepresentative,SupervisionCompanyandContractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTA—03单项(单元)工程：WorkItem(Unit):分包单位资格报审表ReviewRequestonQualificationofSubcontractors工程编号：ProjectNo.:编号：No.致〔监理单位〕To(SupervisionCompany)：经考察，我方认为拟选择的〔分包单位〕具有承担以下工程的施工资质和施工能力，可以保证本工程工程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。Afterinvestigation,webelievetheselectedSubcontractor,hasconstructionqualificationandconstructioncapabilityrequiredforfollowingworkandcanensuretocompleteconstructionoftheprojectaspercontractrequirements.Uponsubcontractingthework,wewillstillbearallresponsibilityasaGeneralContractor.Pleasereviewandapprove.附件Attachment：1、分包单位资质材料QualificationinformationoftheSubcontractor；2、分包单位业绩材料AchievementinformationoftheSubcontractor。分包工程名称〔部位〕Subcontractedworkdescription(Location)工程数量Workamount拟分包工程合同额Proposedsubcontractvalue分包工程占全部工程Subcontractedamount/Totalworkamount合计(Total)承包单位〔章〕：工程经理〔签字〕：日期：Contractor(Chop):Projectmanager(Signature):Date:专业监理工程师审查意见Reviewremarksofdisciplinesupervisionengineer：专业监理工程师〔签字〕：日期：Disciplinesupervisionengineer(signature):Date:总监理工程师审核意见Reviewremarksofthechiefsupervisionengineer：工程监理机构〔章〕：总监理工程师〔签字〕：日期：ProjectSupervisionCompany(chop)Chiefsupervisionengineer(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。Thistableshallbefilledupandsubmittedbythecontractorinthreecopies,onceitbeingreviewedbythesupervisioncompany,eachoftheOwner’sRepresentative,SupervisionCompanyandContractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTA—03a单项(单元)工程：公用工程WorkItem(Unit)；Utility(湖南大和公司)资质报审表ReviewRequestonQualification工程编号：7S04ProjectNo.编号:No.致〔监理单位〕To(SupervisionCompany)：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〕：湖南大和设备安装代表人〔签字〕：日期：Issuedby(Chop)Representative(Signature)Date专业监理工程师审查意见Reviewremarksofdisciplinesupervisionengineer：专业监理工程师〔签字〕：日期：Disciplinesupervisionengineer(signature):Date:总监理工程师审核意见Reviewremarksofthechiefsupervisionengineer：工程监理机构〔章〕：总监理工程师〔签字〕：日期：ProjectSupervisionCompany(chop)Chiefsupervisionengineer(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。Thistableshallbefilledupandsubmittedbythecontractorinthreecopies,onceitbeingreviewedbythesupervisioncompany,eachoftheOwner’sRepresentative,SupervisionCompanyandContractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTA—04单项(单元)工程：公用工程WorkItem(Unit)UTILITY〔检验批〕分项工程质量报验申请表(InspectionBatch)WorkItemQualityInspectionApplication工程编号：LDA03/7S04/812041ProjectNo.:编号：No.致〔监理单位〕To(SupervisionCompany)：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、标准要求，请予以验收。We’vecompletedsingleitemofwork(inspectionbatch)of,whichhasbeeninspectedbyusandproventobeinaccordancewithdesignandcoderequirements,pleaseinspectandacceptit.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,MaterialandComponentsQualityCertificateDocument2、□隐蔽工程检查记录表ConcealedWorkInspectionRecord页Page3、□予检工程检查记录表Pre-inspectedWorkInspectionRecord页Page4、□施工记录ConstructionRecord页Page5、□施工试验记录ConstructionTestRecord,页Page6、□工序质量控制点查验认可文件页PageWorkProcedureQualityControlPointInspectionandApprovalDocument7、□分项工程质量检验评定记录页PageIndividualItemofWorkQualityInspectionandEvaluationRecord专业质量工程师(检查员〕〔签字〕：日期DisciplineQualityEngineer(Inspector)(SignatureDate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：ConstructionContractor(Chop)Technicalleader(Signature)Date审查意见：ReviewRemarks:审查结论Reviewconclusion：□合格Qualified□不合格Unqualified工程监理机构〔章〕：专业监理工程师〔签字〕日期SupervisionCom.(Chop)Disciplinesupervisionengineer(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。Thistableshallbefilledupandsubmittedbythecontractorinthreecopies,onceitbeingreviewedandapprovedbythesupervisioncompany,theOwner,SupervisionCompanyandContractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICSCOMPLEXPROJECTA—05单项(单元)工程：WorkItem(Unit):工程款支付申请表ApplicationforProjectPayment工程编号：ProjectNo.:编号：No.:致To：〔监理单位SupervisionCompany〕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。We’vefinishedworkof.AccordingtotherulesoftheConstructionContract,ownershouldpaythisprojectpaymenttotal(amountinwords)(amountinordinaryfigures)before.Nowwesubmitapplicationforprojectpayment.Pleasecheckupandwriteoutprojectpaymentcertificate.附件Attchment：1.工程量清单;QuantityBill2.计算方法.countmethod承包单位〔章〕：工程经理〔签字〕：日期：Contractor(Seal)ProjectManager(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。Thistableshallbefilledupandsubmittedbytheconstructioncontractorinthreecopies.Onceitbeingreviewedandapprovedbythesupervisioncompany,eachoftheOwner,supervisioncompanyandconstructioncontractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTA—06单项(单元)工程：WorkItem(Unit):监理工程师通知回复单SupervisionEngineerNoticeResponse工程编号：ProjectNo.:编号：No.:致〔监理单位〕To(SupervisionCompany)：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。UponreceivingnoticeNo.whichisissuedbythesupervisionengineer,we’vecompletedworkofasrequired.We,hereby,submititforyourinspection.详细内容：Detailcontent:承包单位〔章〕：工程经理〔签字〕：日期：ConstructionContractor(Chop)ProjectManager(Signature)Date:复查意见Inspectionremarks：工程监理机构〔章〕总/专业监理工程师〔签字〕：日期：Projectsupervisioncompany(Chop)Chief/disciplinesupervisionengineer(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。Thistableshallbefilledupandsubmittedbythecontractorinthreecopies,onceitbeingreviewedbythesupervisioncompany,eachoftheOwner’sRepresentative,SupervisionCompanyandContractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICSCOMPLEXPROJECTA—07单项(单元)工程：WorkItem(Unit):工程临时延期申请表ApplicationforTemporarilyPostponementofProject工程编号：ProjectNo.:编号：No.:致To：〔监理单位SupervisionCompany〕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。Accordingtotherulesofitemofconstructioncontract,oursideapplyprojecttobepostponed,becauseof。Pleasegrantourapplication.附件Attchment：1.工程延期的依据及工期计算Basisofprojecttobepostponedandcounttothetimelimitforaproject合同完工日期contractcompletetime：申请延长完工日期Applycompletetimetobeextend：2.证明材料certificatematerial承包单位〔章〕：工程经理〔签字〕：日期：Ccontractor(Seal)ProjectManager(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。Thistableshallbefilledupandsubmittedbytheconstructioncontractorinthreecopies.Onceitbeingreviewedandapprovedbythesupervisioncompany,eachoftheOwner,supervisioncompanyandconstructioncontractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICSCOMPLEXPROJECTA—08单项(单元)工程：WorkItem(Unit):费用索赔申请表ApplicationForClaimonCost工程编号：ProjectNo.:编号：No.:致To：〔监理单位SupervisionCompany〕根据施工合同条款条的规定，由于的原因，我方要求索赔金额〔大写〕，请予批准。Accordingtotherulesofitemofconstructioncontract,oursidedemandcompensationofmoney(amountinwords),becauseof.Pleasegrantourapplication.索赔的详细理由及经过:detailedclaimreasonandcondition索赔金额的计算：claimmoneycount附：证明材料attch:certificatematerial承包单位〔章〕：工程经理〔签字〕：日期：Contractor(Seal)ProjectManager(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。Thistableshallbefilledupandsubmittedbytheconstructioncontractorinthreecopies.Onceitbeingreviewedandapprovedbythesupervisioncompany,eachoftheOwner,supervisioncompanyandconstructioncontractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTA—09单项(单元)工程：WorkItem(Unit):材料/构配件/设备报审表Material/Component/EquipmentReviewRequest工程编号：ProjectNo.编号：No.致〔监理单位〕To(SupervisionCompany)：现报上工程进场材料/构配件/设备检验记录，该批物资经我方检验符合设计、标准及合同要求，请予以批准使用。Therecordofmaterial,componentandequipmentinspectionformobilizationofworkofissubmittedasbelow.Thisbatchofmaterialhasbeeninspectedbyusandproventomeetrequirementsofdesign,specificationandcontract,pleaseapproveapplicationofthesematerialsinthisproject.序号No.物资名称Materialdescription主要规格Mainspec.单位Unit数量Quantity选择审报表编号ReviewRequestTableNo.使用部位Applicationlocation附：Attachment1、□出厂合格证Ex-workscertificateofcompliance页Page编号No2、□厂家质量检验报告Qualityinspectionreportofthevendor页Page编号No.3、□厂家质量保证书Qualityguaranteeofthevendor页Page编号No.4、□监检、监造文件Documentofmanufacturingsupervisionbyresidinginfactory页Page编号No.5、□商检证Commodityinspectioncertificate页Page编号No.6、□进场检查记录Mobilizationinspectionrecord页Page编号No.7、□进场复试报告Mobilizationretestreport页Page编号No.8、□备案情况Putonrecord页Page编号No.承包单位〔章〕：技术负责人〔签字〕：日期：Constructioncontractor(Chop)Technicalleader(Signature)Date:审查意见Reviewremarks：□同意使用Approvetobeapplied□补报资料Supplementaryinformationtobesubmitted□重新检验Inspectiontoberedone□退场demobilization工程监理机构〔章〕：总/专业监理工程师〔签字〕：日期：Projectsupervisioncompany(Chop)Chief/Disciplinesupervisionengineer(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。Thistableshallbefilledupandsubmittedbytheconstructioncontractorinthreecopies.Onceitbeingreviewedandapprovedbythesupervisioncompany,eachoftheOwner,supervisioncompanyandconstructioncontractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTA—10单项(单元)工程：WorkItem(Unit):工程交工报验单ConstructionTakeoverInspectionRequest工程编号：ProjectNo.:编号：No.:致〔监理单位〕To(SupervisionCompany)：我方已按合同要求完成了工程，经自检合格，请予以检查和验收。We’vecompletedworkofaspercontractrequirement,whichhasbeenproventobeacceptableuponself-inspection,pleaseinspectandacceptit.附：交工申请、工程实物量清单、交工技术文件。Attachment:Takeoverapplication,BillsofQuantities,TakeoverTechnicalDeliverables.承包单位〔章〕：工程经理〔签字〕：日期ConstructionContractor(Chop)ProjectManager(Signature)Date:审查意见Reviewremarks:经初步验收，该工程Uponinitialinspection,thisworkis1、□符合□不符合我国现行法律、法规要求；In/notinconformancewithcurrentlawandrulerequirementsofthenation.2、□符合□不符合我国现行工程建设标准；In/notinconformancewithcurrentconstructionstandardsofthenation.3、□符合□不符合设计文件要求；In/notinconformancewithrequirementsofthedesigndocument.4、□符合□不符合施工合同要求。In/notinconformancewithrequirementsofconstructioncontract.综上所述，该工程予验收结论Aboveall,throughinspection,thisprojectshallbeconcludedas：□合格Qualified□不合格Unqualified；可否组织正式交工验收Isitpropertoorganizefinaltakeoverinspectionandacceptance：□可Yes□否No。工程监理机构〔章〕总监理工程师〔签字〕：日期SupervisionCompany(chop)Chiefsupervisionengineer(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。Thistableshallbefilledupandsubmittedbythecontractorinthreecopies,onceitbeingreviewedandapprovedbythesupervisioncompany,eachoftheOwner,SupervisionCompanyandContractorshallholdonecopy. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTA—11单项(单元)工程：公用工程WorkItem(Unit):UTILITY工序质量控制点检验通知WorkProcedureQualityControlPointInspectionNotice工程编号：ProjectNo.:LDA03/7S04/812041编号：No.:8107致〔监理单位〕To(SupervisionCompany)：洛阳石化工程建设监理公司按照施工质量控制程序的规定，我方已完成以下工序质量控制点的施工，并经自检合格，特报请核查确认。〔请通知业主专业工程师参加A级质量控制点核查〕Asperregulationsofconstructionqualitycontrolprocedure,we’vecompletedconstructionoffollowingworkprocedurequalitycontrolpoints,whichhavebeenproventobeacceptableafterself-inspection.Pleasebenotedtoinspectandapprove.(PleaseinformdisciplineengineeroftheOwnertoattendinspectionofClassAqualitycontrolpoints)附Attachment：自检资料Self-inspectioninformation。单位工程Workunit：青岛丽东芳烃UTU消防管道安装工程质量控制点名称/〔级别〕Description/Classofqualitycontrolpoint管道试压、A级具体部位Specificlocation131-FW-干线检验内容Contentofinspection试验压力、保压时间、过程检查、管道复位、填写记录检验标准〔依据〕Inspectionstandard(Basis)GB50235-97要求到场检验时间Requiredarrivetimeforattendinginspection年月日承包单位〔章〕：湖南大和设备安装公司(DC)(签字〕：日期：Constructioncontractor(Chop)Technicalleader(Signature)Date专业监理工程师签收Singedforconfirmationbythedisciplinesupervisionengineer：定于年月日按要求到现场检验。It’sconfirmedtoarriveonsiteonDayMonthYearasrequiredforattendinginspection.监理机构〔章〕：专业监理工程师〔签字〕：日期：SupervisionCompany(Chop)Disciplinesupervisionengineer(Signature)Date本表由承包单位填报，一式3~4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。其中A级质量控制点应提供业主一份。Thistableshallbefilledupandsubmittedbythecontractorinthreetofourcopies,onceitbeingreviewedandapprovedbythesupervisioncompany,eachoftheOwner,SupervisionCompanyandContractorshallholdonecopy.Amongwhich,onecopyofdocumentregardingtoClassAqualitycontrolpointshallbesubmittedtotheOwner. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTA—11单项(单元)工程：公用工程WorkItem(Unit):UTILITY工序质量控制点检验通知WorkProcedureQualityControlPointInspectionNotice工程编号：ProjectNo.:LDA03/7S04/812041编号：No.:8107致〔监理单位〕To(SupervisionCompany)：洛阳石化工程建设监理公司按照施工质量控制程序的规定，我方已完成以下工序质量控制点的施工，并经自检合格，特报请核查确认。〔请通知业主专业工程师参加A级质量控制点核查〕Asperregulationsofconstructionqualitycontrolprocedure,we’vecompletedconstructionoffollowingworkprocedurequalitycontrolpoints,whichhavebeenproventobeacceptableafterself-inspection.Pleasebenotedtoinspectandapprove.(PleaseinformdisciplineengineeroftheOwnertoattendinspectionofClassAqualitycontrolpoints)附Attachment：自检资料Self-inspectioninformation。单位工程Workunit：青岛丽东芳烃UTU消防管道安装工程质量控制点名称/〔级别〕Description/Classofqualitycontrolpoint管道试压、A级具体部位Specificlocation131-FW-干线检验内容Contentofinspection试验压力、保压时间、过程检查、管道复位、填写记录检验标准〔依据〕Inspectionstandard(Basis)GB50235-97要求到场检验时间Requiredarrivetimeforattendinginspection年月日承包单位〔章〕：湖南大和设备安装公司(DC)(签字〕：日期：Constructioncontractor(Chop)Technicalleader(Signature)Date专业监理工程师签收Singedforconfirmationbythedisciplinesupervisionengineer：定于年月日按要求到现场检验。It’sconfirmedtoarriveonsiteonDayMonthYearasrequiredforattendinginspection.监理机构〔章〕：专业监理工程师〔签字〕：日期：SupervisionCompany(Chop)Disciplinesupervisionengineer(Signature)Date本表由承包单位填报，一式3~4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。其中A级质量控制点应提供业主一份。Thistableshallbefilledupandsubmittedbythecontractorinthreetofourcopies,onceitbeingreviewedandapprovedbythesupervisioncompany,eachoftheOwner,SupervisionCompanyandContractorshallholdonecopy.Amongwhich,onecopyofdocumentregardingtoClassAqualitycontrolpointshallbesubmittedtotheOwner.丽东芳烃工程LIDONGAROMATICSCOMPLEXPROJECTA—12 单项(单元)工程：WorkItem(Unit):主要施工设备进场报审表MainconstructionequipmententerthefieldReviewRequest工程编号：ProjectNo.:编号：No.:工程名称合同编号致〔监理单位〕To(SupervisionCompany)：我单位承担的工程的以下主要施工用设备、机具及检测设备、工具已按合同规定进场，请查验，准予使用。Mainconstructionequipment,machine,inspectequipmentandtoolthatshouldbeusebycontractoralreadyarrive,pleaseinspectandapprove.1.主要施工设备、机具Mainequipment,machine序号设备名称equipmentname规格型号spectype数量number制造厂Manufactory技术性能Techniquefunction进场日期dateenter拟用日期plantousedate拟用何处where2.主要检测设备、工具inspectequipmentandtool序号设备名称equipmentname规格型号spectype数量number制造厂Manufactory校核日期periodofcheck有效期periodofvalidity附：详细清单页。Add:list施工工程经理部〔章〕：Projectmanager"sdepartment(chop)工程经理：日期：Projectmanager:date:监理单位审核意见：remark:同意上述设备、机具进场。以下设备、机具能力或数量不能满足施工需要，请尽快按施工进度要求配足后进场：序号设备名称进场技术性能应配技术性能进场数量应配数量工程监理机构〔章〕：Supervision(chop):总监理工程师：日期：监理工程师/监理员：日期：Chiefsupervisor:datesupervisor:date 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTB—01单项(单元)工程：WorkItem(Unit)监理工程师通知单SupervisionEngineerNotice工程编号：ProjectNo.编号：No.致To:事由Subject:内容Content：工程监理机构〔章〕：总/专业监理工程师〔签字〕日期：SupervisionCompany(Chop)Chief/DisciplineProjectSupervisionengineer(Signature)Date注：重要监理通知应由总监理工程师签署，监理单位、业主及有关单位各存一份。Note:Importantnoticefromthesupervisioncompanyshallbesignedbythechiefsupervisionengineer.Supervisioncompany,Ownerandrelatedcompanyshalleachkeeponecopy. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTB—02单项(单元)工程WorkItem(Unit)工程暂停令WorkSuspensionOrder工程编号：ProjectNo.:编号：No致To：〔承包单位〕(Constructioncontractor)由于的原因，现通知你必须于年月日时起，对本工程的部位〔工序〕实施暂停施工，并按下述要求做好各项工作：Duetothereasonof,weherebyinformyoutosuspendworkatlocation(ofworkprocedure)ofsinceHourDayMonthYearandimplementitemsofworkasperfollowingrequirements.工程监理机构〔章〕总监理工程师〔签字〕：日期：Projectsupervisioncompany(Chop)Chiefsupervisionengineer(Signature)Date注：本表由监理单位签发，签发前应征得业主工程经理同意；业主、监理单位、承包单位各存一份。Note:ThistableshallbeissuedbythesupervisioncompanywhomustobtainconsentoftheOwner’sprojectmanagerpriortoissuance.EachoftheOwner,supervisioncompanyandconstructioncontractorshallkeeponecopy. 丽东芳烃工程LIDONGAROMATICSCOMPLEXPROJECTB—03单项(单元)工程WorkItem(Unit)工程款支付证书ProjectPaymentCertificate工程编号：ProjectNo.编号：No.致to：根据施工合同的规定，经审核施工单位的付款申请和报表，并扣除有关款项，同意本期支付共〔大写〕〔小写〕请按合同规定及时付款。Aftercheckuptheapplicationforpaymentandreportform,deductingrelatedasumofmoney,weagreetopaythisperiod,total(amountinwords)(amountinordinaryfigures)accordingtotherulesoftheConstructionContract.PleasepayontimeaccordingtotherulesofContract.其中thereinto：1.承包单位申报款为：contractordeclaredpayment2.本期应扣款为：paymenttobedeductedthisperiod3.应付款为：paymentthatshouldbepaid附件Attchment：1.承包单位的工程付款申请表及附件ApplicationforProjectPaymentandAttchment2.工程监理机构审查记录ProjectSupervisionCom.Examinationnote工程监理机构〔章〕：总监理工程师〔签字〕：日期：ProjectSupervisionCom.(Seal):ChiefSupervisionEngineer(Sign):Date:注：本表由监理单位签发，签发前应征得业主工程经理同意；业主、监理单位、承包单位各存一份。Note:ThistableshallbeissuedbythesupervisioncompanywhomustobtainconsentoftheOwner’sprojectmanagerpriortoissuance.EachoftheOwner,supervisioncompanyandconstructioncontractorshallkeeponecopy. 丽东芳烃工程LIDONGAROMATICSCOMPLEXPROJECTB—04单项(单元)工程WorkItem(Unit)工程临时延期审批表ApprovalforPostponementofProjectTemporarily工程编号：ProjectNo.编号：No.致to：根据施工合同条款条的规定，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，经过审核评估：Accordingtotherulesofitemofconstructioncontract,oursidecheckupandevaluateonApplication(No.)forpostponementofprojecttemporarilytodemandextendingtimelimitforaprojectdaybyyoursidesubmited.¨暂时同意工期延长日历天。使竣工日期〔包括已指令延长的工期〕从原来的年月日延迟到年月日。请你方执行。Agreedwithtemporarilytimelimitforaprojecttobeextendday.Completedate(includethetimelimitthathadbeendictatedextending)willdelayfromto.Pleaseexecutethisinstruction.¨不同意延长工期，请按约定竣工日期组织施工。Disagreedwithtimelimitforaprojecttobeextend.PleaseexecuteconstructionaccordingtoappointedCompleteDate.说明:explanation工程监理机构〔章〕：总监理工程师〔签字〕：日期：ProjectSupervisionCom.(Seal):ChiefSupervisionEngineer(Sign):Date:注：本表由监理单位签发，签发前应征得业主工程经理同意；业主、监理单位、承包单位各存一份。Note:ThistableshallbeissuedbythesupervisioncompanywhomustobtainconsentoftheOwner’sprojectmanagerpriortoissuance.EachoftheOwner,supervisioncompanyandconstructioncontractorshallkeeponecopy. 丽东芳烃工程LIDONGAROMATICSCOMPLEXPROJECTB—05单项(单元)工程WorkItem(Unit)工程最终延期审批表ApprovalforFinalPostponementofProject工程编号：ProjectNo.编号：No.致to：根据施工合同条款条的规定，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，经过审核评估：Accordingtotherulesofitemofconstructioncontract,oursidecheckupandevaluateonApplication(No.)forpostponementofprojecttemporarilytodemandextendingtimelimitforaprojectdaybyyoursidesubmited.¨最终同意工期延长日历天。使竣工日期〔包括已指令延长的工期〕从原来的年月日延迟到年月日。请你方执行。Agreedwithfinallytimelimitforaprojecttobeextendday.Completedate(includethetimelimitthathadbeendictatedextending)willdelayfromto.Pleaseexecutethisinstruction.¨不同意延长工期，请按约定竣工日期组织施工。Disagreedwithtimelimitforaprojecttobeextend.PleaseexecuteconstructionaccordingtoappointedCompleteDate.说明:explanation工程监理机构〔章〕：总监理工程师〔签字〕：日期：ProjectSupervisionCom.(Seal):ChiefSupervisionEngineer(Sign):Date:注：本表由监理单位签发，签发前应征得业主工程经理同意；业主、监理单位、承包单位各存一份。Note:ThistableshallbeissuedbythesupervisioncompanywhomustobtainconsentoftheOwner’sprojectmanagerpriortoissuance.EachoftheOwner,supervisioncompanyandconstructioncontractorshallkeeponecopy. 丽东芳烃工程LIDONGAROMATICSCOMPLEXPROJECTB—06单项(单元)工程：WorkItem(Unit):费用索赔审批表ApprovalForClaimonCost工程编号：ProjectNo.:编号：No.:致To：〔承包单位Constructioncontractor〕根据施工合同条款条的规定，你方提出的费用索赔申请〔第号〕索赔〔大写〕经我方审核评估：Accordingtotherulesofitemofconstructioncontract,oursidecheckupandevaluateonApplication(No.)ForClaimonCostclaiming(amountinwords)byyoursidesubmitted.¨不同意此项索赔。Disagreedwiththisclaim.¨同意此项索赔，金额为〔大写〕Agreedwiththisclaim.Themoney(amountinwords)同意/不同意索赔的理由：reasonthatweagreewith/disagreewithclaim索赔金额的计算：aboutclaimmaneycount承包单位〔章〕：工程经理〔签字〕：日期：Contractor(Seal)ProjectManager(Sign)Date注：本表由监理单位签发，签发前应征得业主工程经理同意；业主、监理单位、承包单位各存一份。Note:ThistableshallbeissuedbythesupervisioncompanywhomustobtainconsentoftheOwner’sprojectmanagerpriortoissuance.EachoftheOwner,supervisioncompanyandconstructioncontractorshallkeeponecopy. 丽东芳烃工程工程LIDONGAROMATICCOMPLEXPROJECTB—07单项(单元)工程WorkItem(Unit)会议纪要〔一〕MinutesofMeeting(I)工程编号ProjectNo.:编号:第1页共页No.:Page1of会议主题：Subjectofmeeting时间Time：地点Address：主持人Sponsor：记录人Recorder：出席人Attendee讨论事项和有关决定Issuesdiscussedanddecisionsmade:纪要发送单位〔或个人〕及份数FollowingcopiesofMOMweredistributedtoparties(orpersons)listedasbelow:整理Collatedby:校核Checkedby:签发Issuedby:注：各有关单位各存一份；涉及设计变更〔或偏差〕内容，尚须由有关单位和人员出具书面的设计变更〔或指示〕文件。Note:Allrelatedpartiesshallkeeponecopy.Relatedpartiesandpersonsshallissuedesignchange(orinstruction)documentinwrittenformforanycontentinvolvingdesignchanges(ordiscrepancies)intheMOM. 丽东芳烃工程工程LIDONGAROMATICCOMPLEXPROJECTB—07单项(单元)工程WorkItem(Unit)会议纪要〔二〕MinutesofMeeting(2)工程编号：ProjectNo.:编号:第页共页No.:Pageof 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTC--01单项(单元)工程：WorkItem(Unit)监理工作联系单SupervisionCorrespondence工程编号：ProjectNo.编号:No.致To：〔单位〕(Company)：事由Subject:：内容Content:：提出单位〔章〕：代表人〔签字〕：日期：Issuedby(Chop)Representative(Signature)Date注：相关单位各存一份。Note:Partiesinvolvedshalleachkeeponecopy. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTC–02单项(单元)工程：WorkItem(Unit)工程变更单VariationOrder工程编号：ProjectNo.编号:No.致To：〔监理单位〕(SupervisionCompany)：由于原因，兹提出工程变更〔内容详见附件〕，请予以审批。Duetoreasonsof,we,hereby,issuedvariationorderforworkof(Seeattachmentfordetailcontent),pleasereviewandapproveit.附件Attachment：提出单位〔章〕：负责人〔签字〕：日期：Issuedby(Chop)Responsibleperson(Signature)Date一致意见Agreement：　建设单位代表设计单位代表工程监理机构Owner’sRepresentativeDesigner’sRepresentativeSupervisionOrganization签字：签字：签字：Signature:Signature:Signature:日期：日期：日期：Date:Date:Date注：本表由提出单位填报，有关单位会签，并各存一份；涉及设计变更，尚须由有关单位和人员出具书面的设计变更〔或指示〕文件。Note:Thistableshallbefilledupandsubmittedbythepartywhoissuesitandcountersignedbyrelatedparties,allpartiesshallkeeponecopy.Incaseanydesignchangesareinvolved,relatedpartyandpersonshallissuedocumentofdesignchange(orinstruction)inwrittenform. 丽东芳烃工程LIDONGAROMATICCOMPLEXPROJECTC--03单项〔单元〕工程：WorkItem(Unit):工程承包单位及承包内容ConstructionContractorInfo.AndScopeofContract工程编号：ProjectNo.第页共页Pageof总承包商GeneralContractor承包商名称ContractorName承包合同号ContractNo.承包内容ScopeofContract:分承包商Subcontractor分承包商〔1〕名称Subcontractor(1)Name工程经理及资质/上岗证编号Projectmanager,itsqualification/postcertificateno.分包内容：ScopeofSubcontract:分承包商〔2〕名称Subcontractor(2)Name工程经理及资质/上岗证编号Projectmanager,itsqualification/postcertificateno.承包内容：Scopeofcontract:'