采油六厂工程建设项目工程报审报验监理表格.doc

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1、采 油 六 厂 工 程 建 设 项 目工程报审报验监监理理表表格格石油化工建立工程工程监理 SH/T 3903-2004濮中油工程理工 程理 六 站ST/T 3903-2004SH/T 3903-A.1工程开工工程开工/复工报审表复工报审表Works mencement/Resumption ApprovalRequest工程名称工程名称 Works Title：编编 Item No：致 濮中油工程理监理ToCS/CMC我承当的采油六厂马厂结合站防洪排涝 工程已完成了以下各项工作具备了开工/复工条件特此申请施工请核查并签发开工/复工指。We have fulfilled the followi

2、ng activities for the workcontracted by us,the works mencement/works resumption conditions are available,therefore the construction is appliedhereby,please review and issue works mencement/works resumption orders.附Attaed：1开工mencement Report；2证明Sporting documents。工程经理Project Manager承包章日Contractor(op)

3、Date审查 Review ments：总监理工程师ief Servision Engineer工程监理机构：工程理六站日CS/CMCDateST/T 3903-2004SH/T 3903-A.2施工组织设计方案报审表施工组织设计方案报审表Construction Organization Design ApprovalRequest工程名称工程名称 Works Title：编编 Item No：致 濮中油工程理监理ToCS/CMC我方已根据施工承包合同的有关规定完成了采油六厂马厂结合站防洪排涝工程施工组织设计方案的编制并经我技术负责人审查批准请予以审查。According to the re

4、gulations of the construction contract,we have pleted the preparation of theconstruction organization design,and it has been reviewed and approvedby the tenical responsible people of our pany,please review it.附 Attaed施工组织设计/施工方案。Construction Organization Design/Construction Plan工程经理Project Manager承包

5、章日Contractor(op)Date专业监理工程师审查专业监理工程师Discipline Servision Engineer日Date总监理工程师审核 Review ments from ief servision engineer：总监理工程师ief Servision Engineer工程监理机构：工程理六站日CS/CMCDateST/T 3903-2004SH/T 3903-A.3分包资格报审表分包资格报审表Subcontractor QualificationApproval Request工程名称工程名称 Works Title：编编 Item No：致 濮中油工程理监理ToC

6、S/CMC经考察我方认为拟选定的 菏泽方明集团 分包具有承当以下工程的施工资质和施工才能可以保证本工程工程按合同的规定进展施工。分包后我方仍承当承包合同的全部责任。请予以审查和批准。After investigation,we think the proposed(subcontractor)has thequalification and capability for contracting the fallowing works,and can assure that this woks willbe constructed as per the contract regulations.

7、After subcontracting this works,we still hold thewhole responsibilities of the lump sum contractor.Please review and approve it.附 Attaed1分包资质材料Subcontractor Qualification Documents；2分包业绩材料Subcontractor Performance Documents。分包工程名称部位Subcontracted works(location)工程数量Works Quantity拟分包工程合同额Contract Pric

8、e of proposedsubcontracted works分包工程占全部工程Percentage ofsubcontracted works合计 Totals工程经理Project Manager承包章日Contractor(op)Date专业监理工程师审查专业监理工程师Discipline Servision Engineer日Date总监理工程师审核 Review ments from ief servision engineer：总监理工程师ief Servision Engineer工程监理机构：工程理六站日CS/CMCDateST/T 3903-2004SH/T 3903-A.

9、4隐蔽记录隐蔽记录报验申请表报验申请表Inspection Request工程名称工程名称 Works Title：采油六厂马厂结合站防洪排涝工程编编 Item No：致 濮中油工程理监理ToCS/CMC我已完成了采油六厂马厂结合站防洪排涝工程之电缆的隐蔽工作经自检合格先报上该工程报验申请表请予以审查。We have pleted theworks,after self inspection,theworks is on spec,now we submit the inspection request for this works,please inspect and accept.附 At

10、taed：工程经理Project Manager承包章日Contractor(op)Date审查 Review ments：总/专业监理工程师ief/discipline servision engineer工程监理机构：工程理六站日CS/CMCDateST/T 3903-2004SH/T 3903-A.5工程款支付申请表工程款支付申请表Works payment Request工程名称工程名称 Works Title：编编 Item No：致 濮中油工程理监理ToCS/CMC我方已完成了采油六厂马厂结合站防洪排涝工程工作按施工承包合同的规定建立应在年月日前支付该项工程款共大写小写现报上工程付

11、款申请表请予以审查并开具工程款支付证书。We have pleted theWorks,according to the contract regulations,the owner should make the payment of total of(amount in works),(say)forthis works before.Now we submit the Works PaymentRequest,please review and issue the works payment certificate.附件 Attaed：1工程量 Quantity List；2计算Calc

12、ulation Methods：工程经理Project Manager承包章日Contractor(op)DateST/T 3903-2004SH/T 3903-A.9工程材料工程材料/构配件构配件/设备报审表设备报审表Works Materials/ponents/EquipmentInspection Request工程名称工程名称 Works Title：采油六厂马厂结合站防洪排涝工程编编 Item No：致 濮中油工程理监理ToCS/CMC我方于年月日进场的工程材料/构配件/设备数量如下见附件。现将质量证明及自检结果报上拟用于下述部位：采油六厂马厂结合站防洪排涝工程集水池的施工请予以审

13、核。We have mobilized the following materials/ponents/equipment for the works onIts quantity is listed below(see the attaments)Now,wesubmit the quality documents and our self inspection results,The proposed locations for use asfollows：Please review it.附件 Attaed：1数量 Quantity List；2质量证明 Quality Document

14、s；3自检结果Self Inspection Results。工程经理Project Manager承包章日Contractor(op)Date审查 Review ments：经检查上述工程材料/构配件/设备符合/不符合设计和的要求准许/不准许进场同意/不同意适用于拟定部位。After the inspection,the abovematerials/ponents/equipment,meet do not meet therequirements of the design documents and specifications.site mobilization is allowed

15、/sitemobilization is not allowed.use for the proposed locations is allowed/not allowed.总/专业监理工程师ief/discipline servision engineer工程监理机构：工程理六站日CS/CMCDateST/T 3903-2004SH/T 3903-A.10工程开工报验单工程开工报验单Works pletion Inspection Request工程名称工程名称 Works Title：编编 Item No：致 濮中油工程理监理ToCS/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

16、收。We have pleted theworks according to the requirements ofthe contract,after the self eck,it is on spec,please inspect and accept.附 Attaed：工程经理Project Manager承包章日Contractor(op)Date审查 Review ments：经初步验收该工程：After the preliminary inspection and acceptance,this works：1符合/不符合我国现行法律、法规要求；meet/not meet the

17、 requirements of the current state laws and regulations；2符合/不符合我国现行工程建立；meet/not meet the requirements of the current national standards；3符合/不符合设计要求；meet/not meet the requirements of the design documents；4符合/不符合施工合同要求。meet/not meet the requirements of the construction contract.综上所述该工程初步验收合格/不合格可以/不可

18、以组织正式验收。Based on the above points,the preliminary inspection and acceptance ofthis works is onspec/off spec,formal inspection and acceptance can be/can not be organized.总监理工程师ief Servision Engineer工程监理机构：工程理六站日CS/CMCDateST/T 3903-2004SH/T 3903-A.11施工进度方案报审表施工进度方案报审表Construction SeduleApproval Reques

19、t工程名称工程名称 Works Title：编编 Item No：致 濮中油工程理监理ToCS/CMC我方已根据承包合同的有关规定编制完成了采油六厂马厂结合站防洪排涝工程施工进度方案We have pleted the preparations of the following sedules fromtoaccording to the related regulations of the construction contract：1工程施工总进度方案 Project Construction Overall Sedule2工程施工月进度方案 Project Construction3工程

20、施工周进度方案 Project Construction4方案 Project Construction并经我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方案组织施工。附 Attaed：图表、说明书共1页。Drawings and arts,instruction book,totally inpages.工程经理Project Manager承包章日Contractor(op)Date审查Review ments：同意此方案。Approved this sedule.不同意此方案请按以下要求修改再报。Not approved this sedule,please modif

21、y it according to the following requirements,and resubmit it:专业监理工程师Discipline Servision Engineer日Date审查 Review ments：总监理工程师ief servision engineer工程监理机构：工程理六站日CS/CMCDateST/T 3903-2004SH/T 3903-A.13主要施工设备进场报审表主要施工设备进场报审表Major Construction EquipmentMobilizationApproval Request工程名称工程名称 Works Title：采油六厂

22、马厂结合站防洪排涝工程编编 Item No：致 濮中油工程理监理ToCS/CMC我承当的 采油六厂马厂结合站防洪排涝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。We contracted theworks,we are going to mobilize themajor construction equipment and tools as well as the inspection equipment and tools specified bythe contract,after the self inspection,they are on spec,

23、please inspect.附 Attaed：工程经理Project Manager承包章日Contractor(op)Date审查 Review ments经检查上述施工设备、机具及检测设备、工具符合/不符合施工组织设计和相关要求准许/不准许进场。According to inspection,the above equipment,tools and the inspection equipment and tools meet/do not meet the requirements of the construction organization design documents a

24、nd otherrules,site mobilization allowed/site mobilization not allowed.不准许进场原因如下：The reasons for not allowing site mobilization are listed below.总/专业监理工程师ief/discipline servision engineer工程监理机构：工程理六站日CS/CMCDateST/T 3903-2004SH/T 3903-C.2工程变更单工程变更单Works ange Order工程名称工程名称 Works Title：编编 Item No：致 濮中油工

25、程理监理ToCS/CMC由于原因兹提出工程变更内容见附件请予以审批。Due the reasons,Werequest hereby the Works ange Order(for its contents,see the attaments),please approve it.代表人Representative提出日Requested byDate一致 consistent ments：建立代表签字Owner representative(Signature)日Date设计代表签字Design unit representative(Signature)日Date工程监理机构代表签字Pr

26、oject CS/CMC(Signature)日Date承包代表签字CC representative(Signature)日DateST/T 3903-2004SH/T 3903-A.2施工组织设计方案报审表施工组织设计方案报审表Construction Organization Design ApprovalRequest工程名称工程名称 Works Title：采油六厂马厂结合站防洪排涝工程编编 Item No：致 濮中油工程理监理ToCS/CMC我方已根据施工承包合同的有关规定完成了采油六厂马厂结合站防洪排涝工程灯架运输及吊装方案的编制并经我技术负责人审查批准请予以审查。Accordi

27、ng to the regulations of the construction contract,we have pleted the preparation of theconstruction organization design,and it has been reviewed and approvedby the tenical responsible people of our pany,please review it.附 Attaed施工组织设计/施工方案。Construction Organization Design/Construction Plan工程经理Proje

28、ct Manager承包章日Contractor(op)Date专业监理工程师审查专业监理工程师Discipline Servision Engineer日Date总监理工程师审核 Review ments from ief servision engineer：总监理工程师ief Servision Engineer工程监理机构：工程理六站日CS/CMCDateST/T 3903-2004SH/T 3903-A.2施工组织设计方案报审表施工组织设计方案报审表Construction Organization Design ApprovalRequest工程名称工程名称 Works Title

29、：采油六厂马厂结合站防洪排涝工程编编 Item No：致 濮中油工程理监理ToCS/CMC我方已根据施工承包合同的有关规定完成了采油六厂马厂结合站防洪排涝工程质量检验方案的编制并经我技术负责人审查批准请予以审查。According to the regulations of the construction contract,we have pleted the preparation of theconstruction organization design,and it has been reviewed and approvedby the tenical responsible pe

30、ople of our pany,please review it.附 Attaed施工组织设计/施工方案。Construction Organization Design/Construction Plan工程经理Project Manager承包章日Contractor(op)Date专业监理工程师审查专业监理工程师Discipline Servision Engineer日Date总监理工程师审核 Review ments from ief servision engineer：总监理工程师ief Servision Engineer工程监理机构：工程理六站日CS/CMCDateST/T 3903-2004