SHT39032004★石油化工建設(shè)工程項(xiàng)目監(jiān)理規(guī)范監(jiān)理用表格部分表與行業(yè)規(guī)定不同步

1、SH/T 39032004SH/T 3903-A.1工程開工/復(fù)工報(bào)審表Works Commencement/Resumption Approval Request工程名稱 Works Title：編號(hào) Item No： 致 （監(jiān)理單位） To （CS/CMC） 我單位承擔(dān)的 工程，已完成了以下各項(xiàng)工作，具備了開工/復(fù)工條件，特此申請(qǐng)施工，請(qǐng)核查并簽發(fā)開工/復(fù)工指令。 We have fulfilled the following activities for the work contracted by us, the works commencement/works resumption

2、conditions are available，therefore the construction is applied hereby, please review and issue works commencement/works resumption orders.附Attached：1 開工報(bào)告 commencement Report；2 證明文件 Supporting documents。項(xiàng)目經(jīng)理 Project Manager 承包單位（章） 日 期 Contractor（Chop） Date 審查意見Review Comments： 總監(jiān)理工程師 Chief Supervis

3、ion Engineer 項(xiàng)目監(jiān)理機(jī)構(gòu) 日 期 CS/CMC Date SH/T 3903-A.2施工組織設(shè)計(jì)（方案）報(bào)審表Construction Organization Design Approval Request工程名稱 Works Title：編號(hào) Item No： 致 （監(jiān)理單位） To （CS/CMC）我方已根據(jù)施工承包合同的有關(guān)規(guī)定完成了 工程施工組織設(shè)計(jì)（方案）的編制，并經(jīng)我單位技術(shù)負(fù)責(zé)人審查批準(zhǔn)，請(qǐng)予以審查。According to the related regulations of the construction contract, we have complete

4、d the preparation of the construction organization design , and it has been reviewed and approved by the technical responsible people of our company, please review it.附Attached：施工組織設(shè)計(jì)/施工方案。Construction Organization Design /Construction Plan。項(xiàng)目經(jīng)理 Project Manager 承包單位（章） 日 期 Contractor（Chop） Date 專業(yè)監(jiān)理

5、工程師審查意見 Review comments from discipline supervision engineer：專業(yè)監(jiān)理工程師 Discipline Supervision Engineer 日 期 Date 總監(jiān)理工程師審核意見 Review comments from chief supervision engineer：總監(jiān)理工程師 Chief Supervision Engineer 項(xiàng)目監(jiān)理機(jī)構(gòu) 日 期 CS/CMC Date SH/T 3903-A.3分包單位資格報(bào)審表Subcontractor Qualification Approval Request工程名稱 Wor

6、ks Title：編號(hào) Item No： 致 （監(jiān)理單位） To （CS/CMC）經(jīng)考察，我方認(rèn)為擬選擇的 （分包單位）具有承擔(dān)下列工程的施工資質(zhì)和施工能力，可以保證本工程項(xiàng)目按合同的規(guī)定進(jìn)行施工。分包后，我方仍承擔(dān)承包合同的全部責(zé)任。請(qǐng)予以審查和批準(zhǔn)。After investigation, we think the proposed (subcontractor) has the qualification and capability for contracting the following works, and can assure that this works will be c

7、onstructed as per the contract regulations. After subcontracting this works, we still hold the whole responsibilities of the lump sum contractor. Please review and approve it.附Attached：1 分包單位資質(zhì)材料 Subcontractor Qualification Documents；2 分包單位業(yè)績(jī)材料 Subcontractor Performance Documents。分包工程名稱（部位）Subcontra

8、cted works（Location）工程數(shù)量Works Quantity擬分包工程合同額Contract price of proposed subcontracted works分包工程占全部工程Percentage of subcontracted works合 計(jì) Totals 項(xiàng)目經(jīng)理 Project manager 承包單位（章） 日 期 Contractor （Chop） Date 專業(yè)監(jiān)理工程師審查意見 Review comments from discipline supervision engineer：專業(yè)監(jiān)理工程師 Discipline Supervision Eng

9、ineer 日 期 Date 總監(jiān)理工程師審核意見 Review comments from chief supervision engineer： 總監(jiān)理工程師 Chief Supervision Engineer 項(xiàng)目監(jiān)理機(jī)構(gòu) 日 期 CS/CMC Date SH/T 3903-A.4 報(bào)驗(yàn)申請(qǐng)表 Inspection Request工程名稱 Works Title：編號(hào) Item No： 致 （監(jiān)理單位） To （CS/CMC）我單位已完成了 工作，經(jīng)自檢合格,現(xiàn)報(bào)上該工程報(bào)驗(yàn)申請(qǐng)表，請(qǐng)予以審查和驗(yàn)收。We have completed the works, after the self

10、 inspection, the works is on spec, now we submit the inspection request for this works, please inspect and accept.附Attached： 項(xiàng)目經(jīng)理 Project Manager 承包單位（章） 日 期 Contractor （Chop） Date 審查意見 Review comments： 總/專業(yè)監(jiān)理工程師 Chief/discipline supervision engineer 項(xiàng)目監(jiān)理機(jī)構(gòu) 日 期 CS/CMC Date SH/T 3903-A.5工程款支付申請(qǐng)表Works

11、 Payment Request工程名稱 Works Title：編號(hào) Item No： 致 （監(jiān)理單位）To （CS/CMC）我方已完成了 工作，按施工承包合同的規(guī)定，建設(shè)單位應(yīng)在 年 月 日前支付該項(xiàng)工程款共（大寫） （小寫 ），現(xiàn)報(bào)上 工程付款申請(qǐng)表，請(qǐng)予以審查并開具工程款支付證書。We have completed the Works, according to the contract regulations, the owner should make the payment of total of （amount in words）, (say ) for this works

12、before . Now we submit the Works Payment Request, please review and issue the works payment certificate.附件Attached：1 工程量清單 Quantity List；2 計(jì)算方法 Calculation Methods。 項(xiàng)目經(jīng)理 Project Manager 承包單位（章） 日 期 Contractor（Chop） Date SH/T 3903-A.6監(jiān)理工程師通知回復(fù)單Correspondence to Supervision Engineer Notice工程名稱 Works T

13、itle：編號(hào) Item No： 致 （監(jiān)理單位）To （CS/CMC）我方接到編號(hào)為 的監(jiān)理工程師通知后，已按要求完成了 工作，現(xiàn)報(bào)上，請(qǐng)予以復(fù)查。After we received the supervision engineer notice of , we have completed the jobs，now we submit it , please recheck.詳細(xì)內(nèi)容 Detailed contents： 項(xiàng)目經(jīng)理 Project manager 承包單位（章） 日 期 Contractor（Chop） Date 復(fù)查意見 Recheck comments： 總/專業(yè)監(jiān)理工

14、程師 Chief/discipline supervision engineer 項(xiàng)目監(jiān)理機(jī)構(gòu) 日 期 CS/CMC Date SH/T 3903-A.7工程臨時(shí)延期申請(qǐng)表Works Temporary Delay Request工程名稱 Works Title：編號(hào) Item No： 致 （監(jiān)理單位）To (CS/CMC)根據(jù)承包合同條款 條的規(guī)定，由于 原因，我方申請(qǐng)工程延期，請(qǐng)予以批準(zhǔn)。According to clauses of the construction contract clauses , due to the reasons, we request the works d

15、elay, please approve it.合同交工日期： Contract As Build Date：申請(qǐng)延長(zhǎng)交工日期： Delayed As Build Date：附件Attached：1 工程延期的依據(jù)及工期計(jì)算 Works delay basis and working period calculation：2 證明材料 Supporting documents。 項(xiàng)目經(jīng)理 Project manager 承包單位（章） 日 期 Contractor（Chop） Date SH/T 3903-A.8費(fèi)用索賠申請(qǐng)表Cost Claim Request工程名稱 Works Title

16、：編號(hào) Item No： 致 （監(jiān)理單位）To （CS/CMC）根據(jù)承包合同條款 條的規(guī)定，由于 的原因，我方要求索賠金額（大寫） ，請(qǐng)予以批準(zhǔn)。According to clauses of the construction contract ,due to the reasons, we request the cost claim of (amount in words) ，please approve it.索賠的詳細(xì)理由及經(jīng)過 Detailed cause and course of the claim：索賠金額的計(jì)算 Calculation of claimed amount：附A

17、ttached：證明材料 Supporting documents 項(xiàng)目經(jīng)理 Project manager 承包單位（章） 日 期 Contractor（Chop） Date 7SH/T 3903-A.9工程材料/構(gòu)配件/設(shè)備報(bào)審表工程名稱 ：淄博聯(lián)碳化學(xué)有限公司3噸/年深加工裝置改造項(xiàng)目編號(hào) ： 致 青島越洋工程咨詢有限公司 （監(jiān)理單位）我方于 2011 年 8 月 8 日進(jìn)場(chǎng)的工程材料/構(gòu)配件/設(shè)備數(shù)量如下（見附件）?，F(xiàn)將質(zhì)量證明文件及自檢結(jié)果報(bào)上，擬用于下述部位：加氫分溜單元及醚化反應(yīng)單元鋼結(jié)構(gòu)的梁、柱和平臺(tái) 請(qǐng)予以審核。附件：1 數(shù)量清單 ；1份2 質(zhì)量證明文件；15份3 自檢結(jié)果；

18、合格 項(xiàng)目經(jīng)理 日 期 承包單位（章） 審查意見：經(jīng)檢查上述工程材料/構(gòu)配件/設(shè)備，符合/不符合設(shè)計(jì)文件和規(guī)范的要求，準(zhǔn)許/不準(zhǔn)許進(jìn)場(chǎng)，同意/不同意使用于擬定部位?？?專業(yè)監(jiān)理工程師 項(xiàng)目監(jiān)理機(jī)構(gòu) 日 期 SH/T 3903-A.10工程竣工報(bào)驗(yàn)單Works Completion Inspection Request工程名稱 Works Title：編號(hào) Item No： 致 （監(jiān)理單位）To (CS/CMC)我方已按合同要求完成了 工程，經(jīng)自檢合格，請(qǐng)予以檢查和驗(yàn)收。We have completed the works according to the requirements of th

19、e contract，after the self check, it is on spec, please inspect and accept.附Attached： 項(xiàng)目經(jīng)理 Project manager 承包單位（章） 日 期 Contractor（Chop） Date 審查意見Review comments：經(jīng)初步驗(yàn)收，該工程：after the preliminary inspection and acceptance, this works:1 符合/不符合我國現(xiàn)行法律、法規(guī)要求；meet/not meet the requirements of the current stat

20、e laws and regulations.2 符合/不符合我國現(xiàn)行工程建設(shè)標(biāo)準(zhǔn)；meet/not meet the requirements of the current national standards.3 符合/不符合設(shè)計(jì)文件要求；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.綜上所述，該工程初步驗(yàn)收合格/不合格，可以/不可以組織正式驗(yàn)收。Based on the abo

21、ve points, the preliminary inspection and acceptance of this works is on spec/off spec, formal inspection and acceptance can be/can not be organized . 總監(jiān)理工程師 Chief supervision engineer 項(xiàng)目監(jiān)理機(jī)構(gòu) 日 期 CS/CMC Date SH/T 3903-A.11施工進(jìn)度計(jì)劃報(bào)審表Construction Schedule Approval Request工程名稱 Works Title：編號(hào) Item No： 致

22、（監(jiān)理單位）To （CS/CMC）我方已根據(jù)承包合同的有關(guān)規(guī)定編制完成了 年 月 日 至 年 月 日的：We have completed the preparations of the following schedules from to according to the related regulations of the construction contract：1 工程施工總進(jìn)度計(jì)劃 Project Construction Overall Schedule；2 工程施工月進(jìn)度計(jì)劃 Project Construction Monthly Schedule；3 工程施工周進(jìn)度計(jì)劃

23、Project Construction Weekly Schedule；4 計(jì)劃 schedule。并經(jīng)我單位技術(shù)負(fù)責(zé)人審查批準(zhǔn)，現(xiàn)報(bào)上，請(qǐng)予以審查。我們將嚴(yán)格按審查通過的進(jìn)度計(jì)劃組織施工。It has been reviewed and approved by our technical responsible people. Now we submit it to you, please review. We will organize the construction by strictly following the approved schedule.附Attached：圖表、說明

24、書共 頁。Drawings and charts, instruction books, totally in pages.項(xiàng)目經(jīng)理 Project manager 承包單位（章） 日 期 Contractor（Chop） Date 審查意見 Review comments：同意此進(jìn)度計(jì)劃。Approved this schedule.不同意此進(jìn)度計(jì)劃，請(qǐng)按以下要求修改再報(bào)：Not approved this schedule, please modify it according to the following requirements, and resubmit it.專業(yè)監(jiān)理工程師 D

25、iscipline supervision engineer 日 期 Date 審核意見 Review comments： 總監(jiān)理工程師 Chief supervision engineer 項(xiàng)目監(jiān)理機(jī)構(gòu) 日 期 CS/CMC Date SH/T 3903-A.12工程質(zhì)量事故處理方案報(bào)審表Works Quality Incident Solution Approval Request工程名稱 Works Title：編號(hào) Item No： 致 （監(jiān)理單位）To (CS/CMC) 年 月 日 在 （工程部位）發(fā)生 工程質(zhì)量事故，已于 月 日發(fā)出工程質(zhì)量事故報(bào)告（編號(hào)： ），經(jīng)我方組織對(duì)該質(zhì)量事

26、故進(jìn)行詳細(xì)調(diào)查、分析和研究，現(xiàn)將詳情及處理方案報(bào)上，請(qǐng)審查。On , at (works location), there was works qualtity incident, the works quality incident report (item No. ) has been issued on , after we investigated, analyzed and studied it, now we submit the details and solution to you, please review. 附Attached： 事故詳情及處理方案 Incident De

27、tails and Solution。 項(xiàng)目經(jīng)理 Project manager 承包單位（章） 日 期 Contractor（Chop） Date 審核意見 Review comments：同意此事故處理方案。Approved the solution for this incident.不同意此事故處理方案，修改后再報(bào)。Not approved the solution for this incident,please modify it and resubmit.按以下意見修改后執(zhí)行：To implement it after modified as per the following

28、comments. 總監(jiān)理工程師 Chief supervision engineer 項(xiàng)目監(jiān)理機(jī)構(gòu) 日 期 CS/CMC Date SH/T 3903-A.13主要施工設(shè)備進(jìn)場(chǎng)報(bào)審表Major Construction Equipment Mobilization Approval Request工程名稱 Works Title：編號(hào) Item No： 致 （監(jiān)理單位）To （CS/CMC）我方承擔(dān)的 工程，按合同規(guī)定的主要施工設(shè)備、機(jī)具及檢測(cè)設(shè)備、工具擬進(jìn)場(chǎng)，并經(jīng)自檢合格，請(qǐng)查驗(yàn)。We contracted the works, we are going to mobilize the m

29、ajor construction equipment and tools as well as the inspection equipment and tools specified by the contract, after the self inspection, they are on spec, please inspect.附Attached： 項(xiàng)目經(jīng)理 Project manager 承包單位（章） 日 期 Contractor（Chop） Date 審查意見 Review comments：經(jīng)檢查上述施工設(shè)備、機(jī)具及檢測(cè)設(shè)備、工具，符合/不符合施工組織設(shè)計(jì)文件和相關(guān)要求，準(zhǔn)

30、許/不準(zhǔn)許進(jìn)場(chǎng)。According to our inspection, the above equipment, tools and the inspection equipment and tools meet/do not meet the requirements of the construction organization design documents and other rules, site mobilization allowed /site mobilization not allowed.不準(zhǔn)許進(jìn)場(chǎng)原因如下：The reasons for not allowing site mobilization are listed below： 總/專業(yè)監(jiān)理工程師 Chief/discipline supervision engineer 項(xiàng)目監(jiān)理機(jī)構(gòu) 日 期 CS/CMC Date SH/T 3903-A.14單機(jī)試車申請(qǐng)