中英文-作业票-早会签到单-log sheet - 总汇

中英文-作业票-早会签到单-logsheet-总汇PermitNumber序号:_________________Oxy氧气_______LEL爆炸性气体_______%PermitNumber:_________________PermitNumber序号:__________开挖作业票Location(UnitProjectNumber)地点 SpecificArea详细区域:Contractor总包: DateStart:起始日期CompetentPerson合格人员: DateEnd结束日期:A.SpecificLocationandDescriptionofWork详细描述: B.SketchofLocationAttached?图纸Yes是 No否  C.SizeofTrenchorExcavation尺寸:Feet/CmLongx长Feet/CmWide宽D.LinesinVicinityofWork:临近的管线  a.Electrical电线  e.Steam蒸汽  i.Other其他 b.Telephone电话线  f.Alarm警报    c.Water饮用水  g.Drain排水    d.Sewer下水道  h.Process物料 (Specify)  Contactlocalauthorities?联系区域负责人了没有No否 Yes是 who?谁？ When?何时 Ifno,whynot?如果没有，为什么没有？ E.OtherKnownObstructions其他已知的障碍:  a.Footings基础 c.ConcreteEncasements混凝土 e. b.Pilings桩 d.Other其他 (Specify)F.PrecautionstobeTaken预防措施:  a.De-EnergizeLines断电 c.InsulateOperator隔离操作手 e. b.GroundTools工具接地 d.HandExcavate人工开挖 f.G.PrecautionstobeTaken土质类型:  TypeA  TypeC   TypeB  SolidRock   Teststobeusedtodetermineclass:确定土质的测试 H.ProtectiveSystem防护系统:   Sloping放坡 Vertical(m)垂直 Horizontal(m)水平  Benching VerticalCut(m)   Shoring,Type支护，类型:   Shield,Type:  I.DrawingNumberUsedforReference参考用图纸号: THEABOVEDATAHASBEENCHECKEDWITHBLUEPRINTSONFILE.WHENCLOSECLEARANCESAREINDICATED,HANDEXCAVATIONMUSTBEUSEDTODETERMINETHEEXACTLOCATION.EXISTINGLINESANDINTERFERENCESINTHEVICINITYOFWORKMUSTBEMARKEDBYSTAKESINDICATINGLOCATIONANDDEPTHPRIORTOEXCAVATION.    PermitReceiverSignature办票员Date HSESub-Contractor分包安全员DateTRGHSERepresentativeTRGConstruction/PermitIssuerCONTRACTORPermitIssuerSignatureTR签票员Date CONTRACTORHSETR安全DateEXCAVATIONSAFETYCHECKLIST开挖安全检查表JOBSITE现场情况YESNON/AEXCAVATION开挖YESNON/A1.Priortostartingthejob,wereutilitiesnotifiedandundergroundserviceslocated?作业开始前，各公共设施和地下管线定位了么？1.Havethesupervisorsandworkersbeentrainedinexcavationsafetylawsandprocedures?作业前，技术员和工人是否经过 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2.Wereoverheadtransmissionlinesnotedandprecautionstakentoensurethatequipmentdidnotcomeincontactwiththem?头顶的管线注意了么？是否采取措施避免设备碰触？2.Havebuildings,utilitypoles,trees,andanyothersurfaceencumbrancesordestabilizingforcesbeentakenintoconsideration?建筑物、电线杆、树以及其他任何表面妨碍物都考虑到了么？3.Haveadequatesignsbeenpostedandbarricadesprovided?是否张贴了足够的标识牌，设置了足够的围护？3.Hassoilclassificationbeendone?土质分类了么？4.Arethevehicles,equipment,andsoilpilescorrectlyplacedtoallowforthesafepassageoftrafficandtheprogressofconstruction?车辆、设备和土堆是否正确放置，保证交通安全和正常施工4.Hastheappropriatemeansofsafeguardingtheexcavationbyrequirementsbeendetermined?是否决定了使用哪种护坡方式？5.HasHSErepresentativebeennotifiedoftrafficobstructions?影响交通时是否通知了安全部？5.Forexcavations1.2meterdeepormore,areladders,steps,orrampsavailablewithin7.5metersoflateraltravel?通道是否设置合适（每15米）6.Istheappropriatesafetygearonsite?安全装置到位6.Aresoilpilesatleast1meterfromedgeoftheexcavationandproperlysloped?土堆是否离沟边最少1米，且合理堆放    7.Haveconfinedspaceatmospherichazardsbeenconsidered?受限空间内的有害气体是否考虑到？    8.Haveunderminedstructuresbeenshored,braced,orunderpinnedorhasaregisteredprofessionalengineerdeterminedthatsuchmeasuresarenotnecessary?临近结构的底部是否有支护、斜撑或支撑，又或者有注册合格的工程师计算认为没必要？    9.Dobridgesandwalkwayshavestandardguardrails?过桥和通道是否有 标准 excel标准偏差excel标准偏差函数exl标准差函数国标检验抽样标准表免费下载红头文件格式标准下载 的护栏？    10.Areutilitiescrossingtheexcavationsupportedfromabove,anddoesprotectionfromfallingmaterialsexist?穿过开挖的地下设施底部是否有支撑，防护防止材料坠落    11.Havemeansbeenprovidedtoremovewaterfromtheexcavation?是否有排水措施？    12.Areallopenpitsorshaftseithercoveredorbarricaded?是否所有的坑或井被盖好或围好？Signature签名:         (CivilEngineer–ExcavationCompetentPerson)土建工程师        PermitNumber:____________12.1.ATTACHMENTG:CRANELIFTINGPERMITPermitNumber序号:____________吊装作业票Contractor总包 Date日期 DescriptionofLoad载重描述 CraneModel吊车型号 WeightofLoad载重量 BoomLength主杆长度 WeightofRiggingandCraneBlock钩头重量 JibLength副杆长度 TotalErectionLoad总重量 MaximumRadiusofLift吊装半径 PercentCraneCapacity负载百分比 CapacityatMaximumRadius载重量 RIGGINGGEARREQUIRED–SIZEANDCAPACITY吊索具尺寸LiftingTackles卡扣 Spreader平衡梁 Slings吊带 TailingHook-Up吊钩或倒链 LOADANDLIFTINGLUG1.Hastheweightoftheloadbeendocumentedoraccuratelycalculated?载重量已 记录 混凝土 养护记录下载土方回填监理旁站记录免费下载集备记录下载集备记录下载集备记录下载 和精确计算过吗？ 2.Areallitemsthatwillbeliftedwiththeequipmentincludedintheweight?所有将要吊装的部件都算在重量内了吗？ 3.Havetheliftinglugsthatwillbeusedtolifttheloadbeendesignedforthatpurpose?使用的吊耳是否是 设计 领导形象设计圆作业设计ao工艺污水处理厂设计附属工程施工组织设计清扫机器人结构设计 好的？ 4.Willtheliftinglugsbeusedwiththecorrectshackle?是否使用正确的卡扣来连接吊耳？ 5.Willtheliftinglugsbeloadedonlyinthestrongdirection(s)ofthelug?是否正确使用吊耳进行吊装？ 6.Aretheliftinglugsvisiblyfreeofdefectsordamage?所有的吊耳是否无磨损？ 7.Hastheloadbeencheckedforlooseorunsecureditems,whichmightfalloffduringthelift?是否检查过吊物无松动，防止吊装中掉落 8.Foraone-craneliftwillthecranehookbeoverthecenterofgravityattheinitialpick?起钩时，吊钩是否在吊物重心上 RIGGINGGEAR9.Havethecapacitiesoftheslingsandshacklesbeencheckedfortheload?吊带和卡扣的载重量是否符合吊物？ 10.Havetheslingsandshacklesbeenvisuallyinspectedfordefectsordamage?吊带和卡扣是否无磨损？ 11.Havetheslinganglesbeenconsideredwhencheckingthecapacityoftheslingsandshackles?是否考虑了吊带的角度？ 12.Hasthecenterofgravitybeenconsideredwhencheckingthecapacitiesoftheslingandshackles?根据重心位置选择吊带 CRANE13.Foracranethathasaload-indicatingdevicewithoverloadcut-off,isthetotalloadlessthan90%oftheallowablecranecapacity?对于有LMI的吊车，总载重量是否少于90% 14.ForacranethatdoesNOThavealoadindicatingdevicewithoverloadcut-off,isthetotalloadlessthan80%oftheallowablecranecapacity?对于无LMI的吊车，总载重量是否少于80%1.15.Hasthecranereceivedadailyinspectionandoperationalcheckbytheoperator?是否每天对吊车进行检查 18.Isthecranesetupaccordingtothemanufacturer’sspecifications?吊车是否根据说明 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进行展开3.17.Isthecranesupportedbyapprovedcranemats?吊车垫板合适吗 21.Iftheliftinvolvesmorethanonecrane,canitbemadewithoutanypossibilityofoneofthecranesbeingoverloaded?双台吊时是否能避免其中一台超重？5.22.Hasthesoilbeeninspectedanddeterminedtobeadequate?地面是否检查过，并足够坚固？ LIFT20.Hastheradiusoftheliftbeencheckedbyatapemeasure?作业半径是否用尺子量过？ 21.Istheliftareafreeofoperatingprocessequipment,piping,orliveelectricallines?作业区域内是否没有设备或电缆 22.Hastheareaundertheliftbeenbarricadedoreveryonewarnedtostayaway?作业区域是否有维护，警告所有人远离 23.Isthewindlessthan20milesperhour?风速是否小于32Km/h 24.Ifthereisapossibilityforboomorequipmentinterference,hasarigginglayoutorclearancestudybeenmade?如果有设备或其他吊车臂干扰的可能，起重工是否做好了测量？ 25.Hasonepersonbeendesignated“Signalman-in-Charge”forthelift?是否有人被制定为发指令起重工？ NOTE!Allquestionsshouldbeansweredyes,no,orN/A(notapplicable).TheRiggingSuperintendentmustapproveanychecklistitemansweredby“no”._______________________________________            ________________________________________    RiggingSuperintendent (Date)吊装主管FieldRiggerResponsibleforLift(Date)起重工  CONTRACTORPermitIssuerTR签票员CONTRACTORHSERepresentativeTR安全员_______________________________________            ________________________________________PermitNumber:____________吊篮作业票DATEOFPERSONNELPLATFORM(MANBASKET)LIFT日期:FROM(DATE&TIME)起始时间:TO(DATE&TIME):结束时间CRANE#吊车号:MODEL#型号:CRANECAPACITY吨位:TOTALLOADWEIGHT(PERSONNELPLATFORM[MANBASKET],MEN,&TOOLS)吊篮总重（包括人员，机具材料）:lbs/kgs磅/公斤SPECIFICLIFTLOCATION具体作业位置:JOBTOBEPERFORMED作业内容:ISTHEREANYSAFERMETHODOFPERFORMINGTHISJOB有没有其他比吊篮更安全的施工方案？YES有________NO无_______IFTHEANSWERIS“YES”,DONOTPERFORMTHEPERSONNELPLATFORM(MANBASKET)LIFT!!!如果有比吊篮更安全稳妥的方案，请停止使用吊篮！！！ IFTHEANSWERIS“NO”,COMPLETETHEFOLLOWINGCHECKLIST**:如果只能使用吊篮，请填好下面这个检查表。YES是NO否1.Jointsiteinspectionmadebytheusersupervisor,craneoperator,andrigger?吊车司机、起重工以及施工主管是否检查了现场作业条件？  2.Craneandpersonnelplatform(manbasket)havevalidinspectionstickers?吊车和吊篮是否有合格有效的第三方检验证明？  3.Slingsandshacklesingoodconditionandproperlymarkedwiththeirsafeworkingloads(SWL)?Shacklessafetywiredorboltedandpinned?Cranehooksafetylatchworkingproperly?吊索具的吨位挑选和检查？卸扣的安全卡是否良好？吊车钩子的安全卡是否良好？  4.Workersafetylanyardsandtaglinesproperlyattachedandingoodcondition?人员安全带和溜绳？  5.Trialliftperformed?正式作业前，是否会进行试吊？  6.Windspeedwithinthe25km/h(15mph–13knots–7meters/second)mandatorylimitsCranemanufacturer’srecommendations?遵守吊篮高处作业25公里每小时风速的限制？  7.Anti-twoblockdeviceortwo-blockdamagepreventionfeatureoperational?抗双阻挡装置？  8.Craneoperator3rdpartycertifiedforpersonnelplatforms(manbaskets)lifts?对于人员吊篮的吊装，吊车司机是否具备该类作业的第三方认证？  9.Methodsofcommunication,includinghandsignals,havebeenestablished?沟通及手势信号?  10.Mandatorypre-liftsafetymeetingconducted?吊装开始之前，必须开班前会？  11.Approvedworkpermit,ifrequired,issued?其他要求的作业票已经办理？  12.Approvedcriticalliftplanonsite?有无批准的吊装方案？  13.Allhazardscontrolled(i.e.Power-lines,wind,excavations,etc.)?危险识别并控制？例如高空电源线、风力、开挖等？  **Note:IFANY“NO”ANSWERINQUESTIONS1-13ABOVE,THENTHEPERSONNELPLATFORM(MANBASKET)LIFTCANNOTPROCEED.如果以上13个问题有出现“否”的答案，不得进行该作业。_______________________________________            ________________________________________RiggingSuperintendent (Date)吊装负责人（日期）FieldRiggerResponsibleforLift(Date)现场起重工（日期）  CONTRACTORPermitIssuer总包施工部签字CONTRACTORHSERepresentative总包安全签字_______________________________________            ________________________________________PermitNumber:____________升降车作业DATEOFPERSONNELPLATFORMMANLIFTTOBEUSED日期:FROM(DATE&TIME开始时间):TO(DATE&TIME)结束时间:TOTALLOADWEIGHT(MEN,&TOOLS)升降机平台总承重:lbs磅/kgs公斤SPECIFICLIFTLOCATION具体作业位置:JOBTOBEPERFORMED作业内容: COMPLETETHISCHECKLISTBEFOREOPERATINGAMANLIFT.完成以下检查表YES是NO否1.Loadlimitsfortheboomandbasketshallarenotexceeded?升降车承重和伸臂不会过度使用？  2.Manliftwillbepositionedinsuchawayastoallowtheboomandbasketafullrangeofmotioninsidetheworkareaandnottocrossbetweenstructuresoranyobstruction?升降车站位良好，高空和地面没有阻碍？  3.Tasktobedonedoesnotrequireworkersfromextendingtheirupperbodyoutsideofthebasket.作业中工人不会爬出升降车或者过多伸出身体去干活？  4.Operatoriscertifiedtooperatethemanlift?操作手/司机是经过认证培训的？  5.Nocrackweldsorstructuraldefects,leaksinhydraulic,damagedcontrolcables,loosewires,orbadtires.升降车经过检查，没有破损影响到使用？比如液压，控制盘，电线，或轮胎？  6.Brakes,lightsandotherautomotiveoperatingaccessoriessuchashornsandwarningdevicesareingoodoperatingcondition.其他部分运行良好？比如喇叭，刹车，灯，警报音？  7.Pathoftravelorworkingsurfacewheremanliftwilloperateisfirmandlevel?路面情况平稳良好？  8.Guardrailsontheplatformareinstalledcorrectly,andthegatesoropeningsareclosed?升降车平台的门和护栏经过检查是良好的？  9.Manliftisequippedwithportablefireextinguisher?是否配置了灭火器？  10.Manliftworkingplatformisfreefromanyunwantedmaterials?平台上没有放多余的材料或工具等？  11.Windspeedwithinthe25km/h(15mph–13knots–7meters/second)mandatorylimitsManliftmanufacturer’srecommendations?升降车高处作业是否遵守遵守风力时速不超过25公里的不要求？  12.Approvedworkpermit,ifrequired,issued?有无其他要求的作业票？  13.Allhazardscontrolled(i.e.Power-lines,wind,excavations,etc.)?风险识别和控制？（例如高空电缆，风力，开挖，等）  14.Operatorsreceivetrainingontheproperuseoffallprotectionequipment?作业人员是否经过高处防坠的培训？对于安全带和工具材料高空防坠措施是否明白怎么使用和应对？  _______________________________________            ________________________________________ForemaninChargeofWork:施工队长或主管 ManliftOperator升降车司机  _______________________________________            ________________________________________SubcontractorHSESuperviso分包安全CONTRACTORSafetyRepresentative总包安全  PermitNumber:____________受限空间作业票Project项目/区域: Site位置: Date/TimeofEntry进入时间:  PermitExpires作业票过期日期: LocationofConfinedSpace作业地点:  Contractor总包: Tank罐: Pipe管道: Manhole人孔: Tunnel隧道: Vault地下室: Other其他: WorkDescription/PurposeofEntry作业描述/进入的目的:   Verification确认: Date日期 Supervisor’sSignature签字Tagout/Lockout(electrical,agitators,valves)挂牌上锁    Purged,Cleaned,andDrained吹扫干净    EmployeesBriefedonSafetyProcedures员工知道安全要求     Mandatory?要求  Mandatory?要求SpecialRequirements特殊要求:Yes No  Yes NoNotifyPlantControlRoom通知控制室    FireExtinguisher灭火器   SafetyDepartmentNotified通知安全部    Lifelines生命绳   AdequateAccess足够的通道    SafetyHarness安全带   LightingAdequate(lowvoltage)照明充足    Respirators/Dustmasks防尘口罩   AttendantRequiredOutside监护人    AirSuppliedRespirator呼吸器   WarningSignsPostedatAccess标识牌    ProtectiveClothing防护服   VentilationRequired通风    RadioCommunication无线电通讯   PersonnelEntry/ExitLogatAccess进出通道    SignalingAirHorns气喇叭   RescueEquipmentatAccessPoint救援设备    TripodEmergencyEscapeUnit三脚架救援设施   DailyMonitoring日常监控    EmployeeTraining/Indoctrination人员经过培训        (includeT/Irecordonback)   OtherRequirements其他: AtmosphereCheckforOxygen,Combustibles,andGas/Vapor气体测试（氧气、可燃气体、有毒气体）InstrumentType仪器类型:SerialNo序列号.AtmosphereCheckedBy谁做的测试:   Pre-EntryReading A.M. P.M. PermissibleExposureLevel允许暴露等级 Oxygen氧气      20percentto23.5percent（20%-23.5%） CombustibleGases可燃气      10.0percentorless（少于10%） ToxicGases有毒气体      CO+35ppm,SO22ppm,H2S10ppmIncaseofemergency,call紧急情况，请联系: Thefollowingauthorizingsignaturesindicatetheaboverequirementshavebeenmet签字确认以上要求已达到:ForemaninChargeofWork主管队长:  Date日期: SubcontractorHSESupervisor分包安全员  Date日期: PermitIssuedBy/ContractorRepresentative:TR签票员  Date日期: CONTRACTORHSERepresentativeTR安全  Date日期: CONFINEDSPACEENTRYLOG受限空间登记表ConfinedSpaceEntryLog受限空间进入登记表 AuthorizedEntrantsName进入人Initial/TimeSign签字AuthorizedEntrantsName进入人Initial/TimeSign签字#In进Out出In进Out出1.        2.        3.        4.        5.        6.        7.        8.        9.        10.        11.        12.        13.        14.        15.        16.        17.        DATE日期:________________________CONFINEDSPACEENTRYCHECKLIST受限空间进入检查表Page1of2PermitNumber序号:____________“TobeattachedConfinedSpacePermitNumber”CONFINEDSPACEFORSAFEENTRYCHECKLIST UsethefollowingchecklisttoevaluatetheConfinedSpace.DonotenteraConfinedSpaceuntilyouhaveconsideredeveryquestionandhavedeterminedthespacetobesafe.YES是No否 Isentrynecessary?是否有必要进入？  TESTINGAretheinstrumentsusedinatmospherictestingproperlycalibrated?气体测试仪检验过吗？Wastheatmosphereintheconfinedspacetested?受限空间做过气体测试吗？Wastheoxygenatleast19.5percentandnotmorethan23.5percent?氧气浓度在19.5%-23.5%吗？Weretoxic,flammable,oroxygendisplacinggases/vaporspresent?存在有毒、易燃、氧气置换气体么？-HydrogenSulfideH2S-CarbonMonoxideCO-Methane甲烷CH4-CarbonDioxideCO2-Other(list)其他   MONITORINGWilltheatmosphereinthespacebemonitoredwhileworkisgoingon?作业时是否有人监视Continuously?连续作业？Periodically?周期性作业(Ifyes,giveinterval具体时间: )Remember–Atmosphericchangesmayoccurduetotheworkprocedureortheproductstored.记住-由于作业过程或者受限空间内的物质，气体环境可能发生改变。  CLEANINGHasthespacebeencleanedbeforeentryismade?进入前清理过受限空间吗？Wasthespacesteamed?有蒸汽吗？Ifso,wasitallowedtocool?能否降温？  VENTILATIONHasthespacebeenventilatedbeforeentry?进入前通风了吗？Willventilationbecontinuedduringentry?进入时继续通风吗？Istheairintakefortheventilationsystemlocatedinanareathatisfreeofcombustibledustsandvaporsandtoxicsubstances?进风口的通风设施要远离可燃粉尘、气体和有毒物质Ifatmospherewasfoundunacceptableandthenventilated,wasitretestedbeforeentry?如果气体测试失败了，通风后，重新测试，通过后再进入。  ISOLATIONHasthespacebeenisolatedfromothersystems?受限空间是否和其他系统隔离开？Haselectricalequipmentbeenlockedout?电气设备已上锁Havedisconnectsbeenusedwherepossible?需要的地方已断电Hasmechanicalequipmentbeenblocked,chocked,anddisengagedwherenecessary?需要的地方机械设备停止作业Havelinesunderpressurebeenblankedandbled?压力管线已泄压？CONFINEDSPACEENTRYCHECKLIST受限空间进入检查表Page2of2“TobeattachedConfinedSpacePermitNumber”PermitNumber:____________YESNOCLOTHING/EQUIPMENT防护/设备Isspecialclothingrequired(boots,chemicalsuits,glasses,etc.)?是否使用到特殊劳保（靴子，化学品防护服，眼镜等）？  Ifso,specify如果使用:请标明 Isspecialequipmentrequired(rescueequipment,respirators,communicationsequipment,etc.)?特殊设备  Ifso,specify说明: