3903石化监理表格

SH/T3903-A.1/复工报审表工程开工WorksCommencement/ResumptionApprovalRequestWorksTitle：工程名称ItemNo:编号濮阳中油工程管理有限公司(监理单位)致CS/CMC)(To工程，已完成了一下各项工作，具我单位承担的□复工指令。/□复工条件，特此申请施工，请核查并签发□开工/备了□开工contractedbyWehavefulfilledthefollowingactivitiesfortheworkisconstructionavailable,thereforethe□worksresumptionconditionsareus,the□workscommencement/worksresumptionorders.□appliedhereby,pleasereviewandissue□workscommencement/附:Attached开工报告1；CommencementReport。Supportingdocuments2证明文件项目经理ProjectManager期日承包单位(章)DateContractor(Chop):审查意见ReviewComments总监理工程师ChiefSupervisionEngineer期日项目监理机构DateCS/CMC专业文档供参考，如有帮助请下载SH/T3903-A.2施工组织设计（ 方案 气瓶 现场处置方案 .pdf气瓶 现场处置方案 .doc见习基地管理方案.doc关于群访事件的化解方案建筑工地扬尘治理专项方案下载 ）报审表ConstructionOrganizationDesignApprovalRequest:WorksTitle工程名称：ItemNo编号濮阳中油工程管理有限公司（监理单位）致CS/CMC）（To工程施工组织设计我方已根据施工承包 合同 劳动合同范本免费下载装修合同范本免费下载租赁合同免费下载房屋买卖合同下载劳务合同范本下载 的有关规定完成了（方案）的编制，并经我单位技术负责人审查批准，请予以审查。ofcompletedthepreparationregulationsoftheconstructioncontract,wehaveAccordingtotherelatedandhasbeenreviewed,andittheconstructionorganizationdesignapprovedbythetechnicalresponsiblepeopleofourcompany,pleasereviewit.附Attached/□施工方案。□施工组织设计□ConstructionPlanConstructionOrganizationDesign/□项目经理ProjectManager期日承包单位（章）DateContractor（Chop）Reviewcommentsfromdisciplinesupervisionengineer:专业监理工程师审查意见专业监理工程师DisciplineSupervisionEngineer期日DateReviewcommentsfromchiefsupervisionenginee:总监理工程师审核意见总监理工程师ChiefSupervisionEngineer期日项目监理机构DateCS/CMC专业文档供参考，如有帮助请下载SH/T3903-A.3分包单位资格报审表SubcontractorQualificationApprovalRequest:WorksTitle工程名称：ItemNo编号濮阳中油工程管理有限公司（监理单位）致）（CS/CMCTo（分包单位）具有承经考察，我方认为拟选定的担下列工程的施工资质和施工能力，可以保证本工程项目按合同的规定进行施工。分包后，我方仍承担承包合同的全部责任。请丁以审查和批准。（subcontractor）Afterinvestigation,wethinktheproposedbewokswillcanassurethatthisthewingworks，andqualificationhastheandcapabilityforcontractingwholeholdthethisworks,westillasperthecontractregulations.Aftersubcontractingconstructedresponsibilitiesofthelumpsumcontractor.Pleasereviewandapproveit.Attached附SubcontractorQualificationDocuments分包单位资质材料1SubcontractorPerformaneeDocuments分包单位业绩材料2(部位)分包工程名城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计Totals合项目经理ProjectManager日期承包单位(章)DateContractor(Chop)Reviewcommentsfromdisciplinesupervisionengineer:专业监理工程师审查意见专业监理工程师DisciplineSupervisionEngineer日期Date:Reviewcommentsfromchiefsupervisionenginee总监理工程师审核意见总监理工程师ChiefSupervisionEngineer期日项目监理机构DateCS/CMC专业文档供参考，如有帮助请下载SH/T3903-A.4报验申请表InspectionRequestWorksTitle:工程名称ItemNo:编号濮阳中油工程管理有限公司（监理单位）致）（CS/CMCTo先报经自检合格，工作，我已完成了上该工程报验申请表，请予以审查和验收。selfafterworks,Wehavecompletedtheinspection,theworksisonspec,nowwesubmittheinspectionrequestforthisworks,pleaseandaccept.:附Attached项目经理ProjectManager期日承包单位（章）DateContractor（Chop）ReviewComments审查意见/专业监理工程师总Chief/disciplinesupervisionengineer期日项目监理机构DateCS/CMCSH/T3903-A.5工程款支付申请表WorkspaymentRequest:工程名称WorksTitle:编号ItemNo濮阳中油工程管理有限公司(监理单位)致)(CS/CMCTo我方已完成了工作，日前支付该项工程款共（大写）年月按施工承包合同的规定，建设单位应在），现报上（小写工程付款申请表，请予以审查并开具工程款支付证书。WehavecompletedtheWorks,accordingtothecontractregulations,theownershouldmakethepaymentoftotalof）forthis（amountinworks）,（sayPaymentWorkssubmitthe.NowweworksbeforeRequest,pleasereviewandissuetheworkspaymentcertificate.:Attached附件QuantityList:1工程量清单CalculationMethods：计算方法2项目经理ProjectManager期日承包单位（章）DateContractor（Chop）专业文档供参考，如有帮助请下载SH/T3903-A.6监理工程师通知回复单CorrespondencetoSupervisionEngineerNotice:工程名称WorksTitle:编号ItemNo濮阳中油工程管理有限公司(监理单位)致)(CS/CMCTo了按要求完成监理工程师通知后，已编我方接到号为的工作，现报上，请予以复查。,wehavecompletedtheAfterwereceivedthesupervisionengineernoticeofjobs,nowwesubmitit,pleaserecheck.:Detailedcontents详细内容项目经理ProjectManager期日承包单位(章)DateContractor(Chop)Recheckcomments复查意见/专业监理工程师总Chief/disciplinesupervisionengineer期日项目监理机构DateCS/CMC专业文档供参考，如有帮助请下载SH/T3903-A.7工程临时延期申请表Works:WorksTitle工程名称：ItemNo编号TemporaryDelayRequest濮阳中油工程管理有限公司(监理单位)致CS/CMC)(To原因，条的规定，由于根据合同条款我方申请工程延期，请予以批准。oftheconstructioncontractclauses,duetotheAccordingtoclausesreasons,werequesttheworksdelay,pleaseapproveit.:ContractAsBuildDate合同交工日期:DelayedAsBuildDate申请延长交工日期:Attached附件:工程延期的依据及工期计算Worksdelaybasisandworkingperiodcalculation1Supportingdocuments证明材料2项目经理ProjectManager期日承包单位(章)DateContractor(Chop)SH/T3903-A.8:工程名称WorksTitle:ItemNo编号费用索赔申请表CostClaimRequest濮阳中油工程管理有限公司(监理单位)致)(CS/CMCTo的原因，条的规定，由于根据承包合同条款，请予以批准。我方要求索赔金额(大写)oftheconstructioncontract,duetotheAccordingtoclause,reasons,werequestthecostclaimof(amountinwords)Pleaseapproveit.:Detailedcauseandcourseoftheclaim索赔的详细理由及经过Calculationofclaimedamount：索赔金额的计算Attached:附Supportingdocuments证明材料项目经理ProjectManager期日承包单位(章)DateContractor(Chop)专业文档供参考，如有帮助请下载SH/T3903-A.9工程材料/构配件/设备报审表WorksMaterials/Components/EquipmentInspectionRequestWorksTitle：工程名称ItemNo:编号濮阳中油工程管理有限公司（监理单位）致）（CS/CMCTo。□设备数量如下（见附件）/□构配件/日进场的工程□材料年月我方于现将质量证明文件及自检结果报上，拟用于下述部位：请予以审核。Wehavemobilizedthefollowingmaterials/components尼quipmentfortheworksonitsquantityislistedbelow（seetheattachments）Now,wesubmitthe:qualitydocumentsandourselfinspectionresults,TheproposedlocationsforuseasfollowsPleasereviewit.:Attached附件；QuantityList1数量清单；QualityDocuments2质量证明文件。SelfInspectionResults3自检结果项目经理ProjectManager期日承包单位（章）DateContractor（Chop）:ReviewComments审查意见□不符合设计文件和 规范 编程规范下载gsp规范下载钢格栅规范下载警徽规范下载建设厅规范下载 的要求，□准〃□设备，□符合经检查上述工程□材料/□构配件□不同意适用于拟定部位。□不准许进场，□同意/许/donotmeetthemeeH□□componentsOequipment.Aftertheinspection,theabove!materials/siteallowed/口口sitemobilizationisrequirementsofthedesigndocumentsandspecifications.notallowed.usefortheproposedlocationsisallowecOmobilizationisnotallowed.□/专业监理工程师总Chief/disciplinesupervisionengineer期日项目监理机构DateCS/CMC专业文档供参考，如有帮助请下载SH/T3903-A.10工程竣工报验单WorksCompletionInspectionRequestWorksTitle：工程名称ItemNo:编号濮阳中油工程管理有限公司(监理单位)致CS/CMC)(To工程，经自检合格，请予我方已合同要求完成了以检杳和验收。thetoworksaccordingWehavecompletedtherequirementsofthecontract,aftertheselfcheck,itisonspec,pleaseinspectandaccept.:附Attached项目经理ProjectManager期日承包单位(章)DateContractor(Chop)ReviewComments：审查意见经初步验收，该工程：Afterthepreliminaryinspectionandacceptanee,thisworks/□不符合我国现行法律、法规要求；□符合1notmeettherequirementsofthecurrentstatlawsandregulations□meetO□不符合我国现行工程建设标准；□符合2/；meet/Onotmeettherequirementsofthecurrentnationalstandards□□不符合设计文件要求；□符合/3;meetOnotmeettherequirementsofthedesigndocuments□□不符合施工合同要求。□符合/4notmeettherequirementsoftheconstructioncontract.□meetO□不可以组织正式验收。□不合格，□可以/综上所述，该工程初步验收□合格/onis□acceptanceofthisworksBasedontheabovepoints,thepreliminaryinspectionandcannotbeorganized.□□offspec,formalinspectionandacceptanceOcanbe/spec/总监理工程师ChiefSupervisionEngineer期日项目监理机构DateCS/CMC专业文档供参考，如有帮助请下载SH/T3903-A.11施工进度 计划 项目进度计划表范例计划下载计划下载计划下载课程教学计划下载 报审表ConstructionScheduleApprovalRequestWorksTitle：工程名称ItemNo:编号濮阳中油工程管理有限公司(监理单位)致CS/CMC)(To日的：月年年月日至我方已根据承包合同的有关规定编制完成了toWehavecompletedthepreparationsofthefollowingschedulesfromaccordingtotherelatedregulationsoftheconstructioncontractProjectConstructionOverallSchedule□工程施工总进度计划1ProjectConstruction2□工程施工月进度计划ProjectConstruction3□工程施工周进度计划ProjectConstruction计划□4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计划组织施工。:附Attached页。图表、说明书共Drawingsandcharts,instructionbook,totallyinpages.项目经理ProjectManager期日承包单位(章)DateContractor(Chop)ReviewComments：审查意见□同意此计划。□Approvedthisschedule.□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期日DateReviewComments：审查意见总监理工程师Chiefsupervisionengineer期日项目监理机构DateCS/CMCSH/T3903-A.12工程质量事故处理方案报审表WorksQualityIncidentSolutionApprovalRequestWorksTitle：工程名称ItemNo:编号濮阳中油工程管理有限公司(监理单位)致CS/CMC)(To(工程部位)发生年月日在日发出工程质量事故报告(编月工程质量事故，已于，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)号：方案报上，请审查。location),(works,atOnworksqualityincident,theworksqualityincidentreporttherewas,afterweinvestigated,analyzedand(itemNo)hasbeenissuedonpleasereview.Studiedit,nowwesubmitthedetailsandsolutiontoyou,Attached:附事故详情及处理方案。IncidentDetailsandSolution.项目经理ProjectManager期日承包单位(章)DateContractor(Chop)Reviewcomments：审核意见□同意此事处理方案Approvedthesolutionforthisincident.□□不同意此事处理方案，修改后再报。Notapprovedthesolutionforthisincident,pleasemodifyinandresubmit.□□按以下意见修改后执行：Toimplementitaftermodifiedasperthefollowingcomments.□总监理工程师Chiefsupervisionengineer期日项目监理机构DateCS/CMC专业文档供参考，如有帮助请下载SH/T3903-A.13主要施工设备进场报审表MajorConstructionEquipmentMobilizationApprovalRequest:工程名称WorksTitle:编号ItemNo濮阳中油工程管理有限公司(监理单位)致)(CS/CMCTo工程，按合同规定的主要施工设备、机具我单位承担的及检测设备、工具拟进场，并经自荐合格，请查验。thetomobilizeworks,wearegoingtheWecontractedmajorconstructionequipmentandtoolsaswellastheinspectionequipmentandtoolsspecifiedbythecontract,afterselfinspection,theyareonspec,pleaseinspect.Attached:附项目经理ProjectManager期日承包单位(章)DateContractor(Chop)Reviewcomments审查意见□不符合施工组织设计文件和相/经检查上述施工设备、机具及检测设备、工具，□符合□不准许进场。关要求，□□准许/□Accordingtoinspection,theaboveequipment,toolsandtheinspectionequipmentandtoolsdonotmeettherequirementsoftheconstructionorganizationdesigndocumentsandothermeiet/sitemobilizationnotallowed.sitemobilizationallowed/□rules,□不准许进场原因如下：Thereasonsfornotallowingsitemobilizationarelistedbelow./专业监理工程师总Chief/disciplinesupervisionengineer期日项目监理机构DateCS/CMC专业文档供参考，如有帮助请下载SH/T3903-A.14单机试车申请表Pre-commissioningRequest:工程名称WorksTitle:编号ItemNo濮阳中油工程管理有限公司(监理单位)致)(CS/CMCTo请经自检合格，试车准备工作，我方已按合同要求完成了予以检查，并准予试车。preparationscommissioningWehavecompletedthepleaseonspec,check,thepreparationsareaccordingtothecontractrequirements,aftertheselfcheckandapprovetheprecommissioningtest.Attached:附项目经理ProjectManager期日承包单位(章)DateContractor(Chop)Reviewcomments审查意见/专业监理工程师总Chief/disciplinesupervisionengineer期日项目监理机构DateCS/CMCSH/T3903-A.15设计费用支付报审表勘察/Geotech/DesignPaymentApprovalRequest:工程名称WorksTitle:编号ItemNo濮阳中油工程管理有限公司（监理单位）致）（CS/CMCTo日交付月条款，我单位已于年根据委托设计合同第□设计费共（大设计文件，建设单位应支付该项□勘察/），请予以审核。（小写：写）oftheEntrustedDesignContract,wehaveAccordingtoclausesdocumentsdesignsubmittedthe,0wnershouldmakethepaymentof（amountinwords）ondesign,pleasereview.□）for□geotech/（sayAttached附项目经理ProjectManager期日勘察/设计单位（章）DateGeotech/DesignUnit（Chop）Reviewcomments审核意见/□设计费共（大写）条款支付□勘察经审核同意按合同第。）（小写：）（say：Afterreview,thetotalpaymentof（amountinwords）ofthefor□geotechOdesignfeesareapprovedtobemadeasperclauseContract.总监理工程师Chiefsupervisionengineer期日项目监理机构DateCS/CMC专业文档供参考，如有帮助请下载SH/T3903-A.16/设计进度调整报审表勘察Geotech/DesignScheduleChangeApprovalRequestWorksTitle：工程名称ItemNo：编号濮阳中油工程管理有限公司(监理单位)致CS/CMC)(To详/工程的□勘察/□基础工程设计我单位承担的完成，请予以审批。完成，现拟调整到细工程设计原定DEDof□Geotech/□BEDNowtheworkscontractedbyuswasscheduledtobecompletedon,pleasereviewandapproveit.isrescheduledtocompletedon；Changereason调整原因计戈U工程师Planningengineer项目经理ProjectManager期日勘察/设计单位(章)DateGeotech/DesignUnit(Chop):ReviewComments审查意见□同意调整。□Changeapproved.□不同意调整。□Changenotapproved.□根据下列要求调整：□Tobechangedasperthefollowingrequirements总监理工程师Chiefsupervisionengineer期日项目监理机构DateCS/CMCSH/T3903-B.1监理工程师通知单WorksTitle：工程名称ItemNo:编号SupervisionEngineerNotice（承包单位）致）（ContractorToSubject事由Contents:内容CS/CMC/专业监理工程师总Chief/disciplinesupervisionengineer期日项目监理机构Date专业文档供参考，如有帮助请下载SH/T3903-B.2工程暂停令WorksSuspensionOrder:WorksTitle工程名称：ItemNo编号TOC\o"1-5"\h\z(承包单位)致CS/CMC)(To由于时起，对本工程年月日原因，现通知你方必须于部位(工作)实施暂停施工，并按下述要求做好各项工作：的Dueto,weforthisworks,Notifyyounowtostoptheconstructiononthelocations(jobs)ofPleasedothejobsasperthefollowingrequirements.总监理工程师Chiefsupervisionengineer期日项目监理机构DateCS/CMCSH/T3903-B.3工程款支付证书WorksPaymentCertificate:工程名称WorksTitle:编号ItemNo（建设单位）致）（CS/CMCTo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。请按）（小写：支付工程款共（大写）合同规定及时付款。Accordingtothecontractregulations,afterreviewedthepaymentrequestarreportingtablesanddeductedtherelatedcosts,weagreewiththepaymentof（amountinworks）Pleasemake。）（say：thepaymentperthecontractinatimelymanner.:其中Amongwhich承包单位申报款为：1:Therequestedpaymentofcontractor经审核承包单位应得款为：2:Thereviewedpaymentofcontractor本期应扣款为：3:Thedeductedpayment本期应付款为：4:Theduepayment:Attached附件；ContractorWorksPaymentRequestandAttachments承包单位的工程付款申请表及附件CS/CMCReviewRecords。2项目监理机构审查 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总监理工程师Chiefsupervisionengineer期日项目监理机构DateCS/CMC专业文档供参考，如有帮助请下载SH/T3903-B.4工程临时延期审批表WorksDelayTemporaryApprovalWorksTitle：工程名称ItemNo:编号（承包单位）致）（ContractorTo条的规定，我方对你方提出的根据承包合同条款日历天的要号）要求延长工期工程延期申请（第求，经过审核评估：ofthecontract,wereviewedyourWorksDelayAccordingtoclausesforthedurationsofRequest（No.）ofcalendardays从原来使交工日起（包括已指令延长的工期）日历天。□暂时同意工期延长日。请你方执行。年月的年月日延迟到calendardaysapprovedtemporarily,whichwilldelaytheasbuilddate（included□DelayoftoworkinginstructeddelayedperiodfromthePleasefollowit.□不同意延长工期，请按约定交工日期组织施工。Delaynotapproved,pleaseorganizetheconstructionaspertheagreedasbuiltdate^Notes：说明总监理工程师Chiefsupervisionengineer期日项目监理机构DateCS/CMCSH/T3903-B.5工程最终延期申请表WorksDelayFinalApprovalWorksTitle：工程名称ItemNo:编号（承包单位）致）（ContractorTo条的规定，我方对你方提出的日历天的要号）要求延长工期根据承包合同条款工程延期申请（第求，经过审核评估：ofthecontract,wereviewedyourWorksDelayAccordingtoclausesforthedurationsof）ofRequest（No.calendardays从原来使交工日起（包括已指令延长的工期）日历天。□最终同意工期延长日。请你方执行。年月的年月日延迟到calendardaysapprovedtemporarily,whichwilldelaytheasbuilddate(included□DelayoftodelayedworkingperiodfromtheinstructedPleasefollowit.□不同意延长工期，请按约定交工日期组织施工。Delaynotapproved,pleaseorganizetheconstructionaspertheagreedasbuiltdate^Notes：说明总监理工程师Chiefsupervisionengineer期日项目监理机构DateCS/CMC专业文档供参考，如有帮助请下载SH/T3903-B.6费用索赔审批表CostClaimApprovalWorksTitle：工程名称ItemNo:编号(承包单位)致)(ContractorTo出的定，你方提条的约包根据承合同条款,费用索赔申请(第号)，索赔(大写)经我防审核评估：ofthecontract,wehavereviewedandassessedyouAccordingtoclausescostclaimrequest(No.)withsumof(amountinwords)不同意此项索赔。Thisclaimnotapproved.。同以此项索赔，金额为(大写)Thisclaimapproved,thesum(amountinworks):Reasons理由Calculationoftheclaimsum：索赔金额的计算总监理工程师Chiefsupervisionengineer期日项目监理机构DateCS/CMCSH/T3903-B.7监理备忘录SupervisionMemorandumWorksTitle：工程名称ItemNo:编号致ToReportedto抄报:CC抄送总监理工程师Chiefsupervisionengineer期日项目监理机构DateCS/CMC专业文档供参考，如有帮助请下载SH/T3903-B.8志监理日SupervisionDailyLogWorksTitle：工程名称ItemNo:编号年月日YearMonthDate天气Weather温气TemperatureC最咼thehighestCthelowest最低:施工承包方当天施工内谷Constructioncontentofthecontractor监理人员当天工作内谷、发现冋题及处理结果：sworkingcontents,issuesidentifiedandsolutions':Supervisor:Otherissues其它事宜：/监理工程师监理员Supervisionengineer/supervisor专业文档供参考，如有帮助请下载SH/T3903-C.1监理工作联系单SupervisionWorkLiaisonSheetWorksTitle：工程名称ItemNo:编号致ToSubject:事由:Contents内容人负责Responsiblepeople期日单DateUnitSH/T3903-C.2工程变更单WorkschangeorderWorksTitle：工程名称ItemNo:编号(监理单位)致CS/CMC)(To原因，兹提出由于，请予以审批。工程变更(内容见附件)JDuetoreasonsWerequestherebyWorksChangeOrder(foritscontents,seetheattachments),pleaseapproveit.Attached:附人表代Representative期日提出单位DateRequestedbyconsistentcomments—致意见签字)建设单位代表(Ownerrepresentative(Signature)日期Date签字)(设计单位代表designrepresentative(Signature)日期Date(签字)项目监理机构代表ProjectCS/CMC(Signature)日期Date(签字)承包单位代表CCrepresentative(Signature)日期Date专业文档供参考，如有帮助请下载专业文档供参考，如有帮助请下载