3903石化監(jiān)理表格

1、.SH/T 3903-A.1工程開工/復工報審表Works Commencement/Resumption Approval Request工程名稱 Works Title：編號 Item No：致 濮陽中油工程管理有限公司（監(jiān)理單位）To （CS/CMC） 我單位承擔的 工程，已完成了一下各項工作，具備了開工/復工條件，特此申請施工，請核查并簽發(fā)開工/復工指令。We have fulfilled the following activities for the work contracted by us, the works commencement/works resumption con

2、ditions are available, therefore the construction is applied hereby, please review and issue works commencement/works resumption orders.附Attached：1 開工報告 Commencement Report；2 證明文件 Supporting documents。 項目經(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 Supervision

3、 Engineer項目監(jiān)理機構 日 期CS/CMC DateSH/T 3903-A.2施工組織設計（方案）報審表Construction Organization Design Approval Request工程名稱 Works Title：編號 Item No：致 濮陽中油工程管理有限公司（監(jiān)理單位）To （CS/CMC） 我方已根據(jù)施工承包合同的有關規(guī)定完成了 工程施工組織設計（方案）的編制，并經(jīng)我單位技術負責人審查批準，請予以審查。According to the related regulations of the construction contract, we have com

4、pleted 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施工組織設計/施工方案。Construction Organization Design/Construction Plan項目經(jīng)理 Project Manager承包單位（章） 日 期Contractor(Chop) Date專業(yè)監(jiān)理工

5、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項目監(jiān)理機構 日 期CS/CMC DateSH/T 3903-A.3分包單位資格報審表Subcontractor Qualification Approval Request工程名稱 Works T

6、itle：編號 Item No：致 濮陽中油工程管理有限公司（監(jiān)理單位）To （CS/CMC） 經(jīng)考察，我方認為擬選定的 （分包單位）具有承擔下列工程的施工資質(zhì)和施工能力，可以保證本工程項目按合同的規(guī)定進行施工。分包后，我方仍承擔承包合同的全部責任。請予以審查和批準。After investigation, we think the proposed (subcontractor) has the qualification and capability for contracting the wing works，and can assure that this woks 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Attached1 分包單位資質(zhì)材料 Subcontractor Qualification Documents；2 分包單位業(yè)績材料 Subcontractor Performance Documents。分包工程名城（部位）Subcontrac

8、ted works(location)工程數(shù)量Works Quantity擬分包工程明合同額Contract Price of proposed subcontracted works分包工程占全部工程Percentage of subcontracted works 合 計 Totals項目經(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 Enginee

9、r 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項目監(jiān)理機構 日 期CS/CMC DateSH/T 3903-A.4 報驗申請表 Inspection Request工程名稱 Works Title：編號 Item No：致 濮陽中油工程管理有限公司（監(jiān)理單位）To （CS/CMC） 我已完成了 工作，經(jīng)自檢合格，先報上該工程報驗申請表，請予以審查和驗收。We have completed the works, after self ins

10、pection, the works is on spec, now we submit the inspection request for this works, please and accept.附Attached：項目經(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項目監(jiān)理機構 日 期CS/CMC DateSH/T 3903-A.5工程款支付申請表Works payment Request工程名

11、稱 Works Title：編號 Item No：致 濮陽中油工程管理有限公司（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，建設單位應在 年 月 日前支付該項工程款共（大寫） （小寫 ），現(xiàn)報上 工程付款申請表，請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 works),(say ) for this works before .

12、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 計算方法 Calculation Methods：項目經(jīng)理 Project Manager承包單位（章） 日 期Contractor(Chop) DateSH/T 3903-A.6監(jiān)理工程師通知回復單Correspondence to Supervision Engineer Notice工程名稱 Works Title：編號 Item

13、 No：致 濮陽中油工程管理有限公司（監(jiān)理單位）To （CS/CMC） 我方接到編號為 的監(jiān)理工程師通知后，已按要求完成了 工作，現(xiàn)報上，請予以復查。After we received the supervision engineer notice of ,we have completed the jobs, now we submit it, please recheck.詳細內(nèi)容 Detailed contents：項目經(jīng)理 Project Manager承包單位（章） 日 期Contractor(Chop) Date復查意見 Recheck comments 總/專業(yè)監(jiān)理工程師 Chi

14、ef /discipline supervision engineer項目監(jiān)理機構 日 期CS/CMC DateSH/T 3903-A.7工程臨時延期申請表Works Temporary Delay Request工程名稱 Works Title：編號 Item No：致 濮陽中油工程管理有限公司（監(jiān)理單位）To （CS/CMC） 根據(jù)合同條款 條的規(guī)定，由于 原因，我方申請工程延期，請予以批準。According to clauses of the construction contract clauses, due to the reasons, we request the works

15、delay, please approve it. 合同交工日期 Contract As Build Date：申請延長交工日期 Delayed As Build Date：附件 Attached：1 工程延期的依據(jù)及工期計算Works delay basis and working period calculation：2 證明材料 Supporting documents。項目經(jīng)理 Project Manager承包單位（章） 日 期Contractor(Chop) DateSH/T 3903-A.8費用索賠申請表Cost Claim Request工程名稱 Works Title：編號

16、Item No：致 濮陽中油工程管理有限公司（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） ，請予以批準。According to clause of the construction contract, due to the reasons, we request the cost claim of (amount in words) ,Please approve it.索賠的詳細理由及經(jīng)過 Detailed cause and course of the claim：索賠金額的計算 Calculation of claimed am

17、ount：附 Attached：證明材料 Supporting documents項目經(jīng)理 Project Manager承包單位（章） 日 期Contractor(Chop) DateSH/T 3903-A.9工程材料/構配件/設備報審表Works Materials/Components/Equipment Inspection Request工程名稱 Works Title：編號 Item No：致 濮陽中油工程管理有限公司（監(jiān)理單位）To （CS/CMC） 我方于 年 月 日進場的工程材料/構配件/設備數(shù)量如下（見附件）?，F(xiàn)將質(zhì)量證明文件及自檢結果報上，擬用于下述部位：請予以審核。We

18、 have mobilized the following materials/components/equipment for the works on its quantity is listed below(see the attachments)Now, we submit the quality documents and our self inspection results, The proposed locations for use as follows：Please review it. 附件 Attached：1 數(shù)量清單 Quantity List；2 質(zhì)量證明文件 Q

19、uality Documents；3 自檢結果 Self Inspection Results。項目經(jīng)理 Project Manager承包單位（章） 日 期Contractor(Chop) Date審查意見 Review Comments： 經(jīng)檢查上述工程材料/構配件/設備，符合/不符合設計文件和規(guī)范的要求，準許/不準許進場，同意/不同意適用于擬定部位。 After the inspection, the abovematerials/components/equipment,meetdo not meet the requirements of the design documents a

20、nd specifications. site mobilization is allowed/site mobilization is not allowed. use for the proposed locations is allowed/not allowed.總/專業(yè)監(jiān)理工程師 Chief /discipline supervision engineer項目監(jiān)理機構 日 期CS/CMC DateSH/T 3903-A.10工程竣工報驗單Works Completion Inspection Request工程名稱 Works Title：編號 Item No：致 濮陽中油工程管理有

21、限公司（監(jiān)理單位）To （CS/CMC） 我方已合同要求完成了 工程，經(jīng)自檢合格，請予以檢查和驗收。We have completed the works according to the requirements of the contract, after the self check, it is on spec, please inspect and accept.附 Attached：項目經(jīng)理 Project Manager承包單位（章） 日 期Contractor(Chop) Date審查意見 Review Comments： 經(jīng)初步驗收，該工程： After the prelim

22、inary 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 state laws and regulations；2 符合/不符合我國現(xiàn)行工程建設標準； meet/not meet the requirements of the current national standards；3 符合/不符合設計文件要求； meet/not meet the requirements of the design documents；4 符合/不符

23、合施工合同要求。 meet/not meet the requirements of the construction contract. 綜上所述，該工程初步驗收合格/不合格，可以/不可以組織正式驗收。 Based on the above 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 Engine

24、er項目監(jiān)理機構 日 期CS/CMC DateSH/T 3903-A.11施工進度計劃報審表Construction Schedule Approval Request工程名稱 Works Title：編號 Item No：致 濮陽中油工程管理有限公司（監(jiān)理單位）To （CS/CMC） 我方已根據(jù)承包合同的有關規(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 construc

25、tion contract：1 工程施工總進度計劃 Project Construction Overall Schedule2 工程施工月進度計劃Project Construction 3 工程施工周進度計劃Project Construction4 計劃Project Construction并經(jīng)我單位技術負責人審查批準，先報上，請予以審查。我們將嚴格按審查通過的進度計劃組織施工。附Attached：圖表、說明書共 頁。Drawings and charts, instruction book, totally in pages.項目經(jīng)理 Project Manager承包單位（章） 日

26、 期Contractor(Chop) Date審查意見 Review Comments：同意此計劃。Approved this schedule.不同意此計劃，請按以下要求修改再報。Not approved this schedule, please modify it according to the following requirements, and resubmit it:專業(yè)監(jiān)理工程師 Discipline Supervision Engineer 日 期 Date審查意見 Review Comments：總監(jiān)理工程師 Chief supervision engineer項目監(jiān)理機

27、構 日 期CS/CMC DateSH/T 3903-A.12工程質(zhì)量事故處理方案報審表Works Quality Incident Solution ApprovalRequest工程名稱 Works Title：編號 Item No：致 濮陽中油工程管理有限公司（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)量事故報告（編號： ），經(jīng)我方組織對該質(zhì)量事故進行詳細調(diào)查、分析和研究，現(xiàn)將詳情及處理方案報上，請審查。On ,at (works location), there was works quality incident, the

28、works quality incident report(item No ) has been issued on ,after we investigated, analyzed andStudied it, now we submit the details and solution to you, please review.附Attached：事故詳情及處理方案。Incident Details and Solution.項目經(jīng)理 Project Manager承包單位（章） 日 期Contractor(Chop) Date審核意見 Review comments：同意此事處理方案A

29、pproved the solution for this incident.不同意此事處理方案，修改后再報。Not approved the solution for this incident, please modify in and resubmit.按以下意見修改后執(zhí)行：To implement it after modified as per the following comments.總監(jiān)理工程師 Chief supervision engineer項目監(jiān)理機構 日 期CS/CMC Date SH/T 3903-A.13主要施工設備進場報審表Major Construction

30、 Equipment Mobilization Approval Request工程名稱 Works Title：編號 Item No：致 濮陽中油工程管理有限公司（監(jiān)理單位）To （CS/CMC） 我單位承擔的 工程，按合同規(guī)定的主要施工設備、機具及檢測設備、工具擬進場，并經(jīng)自薦合格，請查驗。We contracted the works, we are going to mobilize the major construction equipment and tools as well as the inspection equipment and tools specified by

31、the contract, after self inspection, they are on spec, please inspect.附Attached：項目經(jīng)理 Project Manager承包單位（章） 日 期Contractor(Chop) Date審查意見 Review comments經(jīng)檢查上述施工設備、機具及檢測設備、工具，符合/不符合施工組織設計文件和相關要求，準許/不準許進場。According to inspection, the above equipment, tools and the inspection equipment and tools meet/do

32、 not meet the requirements of the construction organization design documents and other rules, site mobilization allowed/site mobilization not allowed.不準許進場原因如下：The reasons for not allowing site mobilization are listed below.總/專業(yè)監(jiān)理工程師 Chief /discipline supervision engineer項目監(jiān)理機構 日 期CS/CMC DateSH/T 39

33、03-A.14單機試車申請表Pre-commissioning Request工程名稱 Works Title：編號 Item No：致 濮陽中油工程管理有限公司（監(jiān)理單位）To （CS/CMC） 我方已按合同要求完成了 試車準備工作，經(jīng)自檢合格，請予以檢查，并準予試車。We have completed the commissioning preparations according to the contract requirements, after the self check, the preparations are on spec, please check and approv

34、e the pre-commissioning test.附 Attached：項目經(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項目監(jiān)理機構 日 期CS/CMC DateSH/T 3903-A.15勘察/設計費用支付報審表Geotech/Design Payment Approval Request工程名稱 Works Title：編號 Item No：致 濮陽中油工程管理有限公司（監(jiān)理單位）To （CS

35、/CMC） 根據(jù)委托設計合同第 條款，我單位已于 年 月 日交付 設計文件，建設單位應支付該項勘察/設計費共（大寫） （小寫： ），請予以審核。According to clauses of the Entrusted Design Contract, we havesubmitted the design documents on ,Owner should make the payment of (amount in words) (say ) for geotech/design, please review.附 Attached項目經(jīng)理 Project Manager勘察/設計單位（章

36、） 日 期Geotech/Design Unit(Chop) Date 審核意見 Review comments 經(jīng)審核同意按合同第 條款支付勘察/設計費共（大寫） （小寫： ）。 After review, the total payment of (amount in words) (say： )for geotech/design fees are approved to be made as per clause of theContract.總監(jiān)理工程師 Chief supervision engineer項目監(jiān)理機構 日 期CS/CMC DateSH/T 3903-A.16勘察/設計進度調(diào)整報審表Geotech/Design Schedule Change ApprovalRequest工程名稱 Works Title：編號 Item No：致 濮陽中油工程管理有限公司（監(jiān)理單位）To （CS/CMC） 我單位承擔的 工程的勘察/基礎工程設計/詳細工程設計原定 完成，現(xiàn)擬調(diào)整到 完成，請予以審批。 Geotech/BED/DED ofthe works contracted by us was scheduled to be comp