SHT_3902004石化規(guī)范表格A、B、C三類

1、SH/T3903-2004附錄AAttachment A表SH/T3903A.1A.14給出了施工階段監(jiān)理工作承包單位用表格式:SH/T 3903-A.1工程開(kāi)工/復(fù)工報(bào)審表SH/T 3903-A.2施工組織設(shè)計(jì)（方案）報(bào)審表SH/T 3903-A.3分包單位資格報(bào)審表SH/T 3903-A.4（工序）報(bào)驗(yàn)申請(qǐng)表SH/T 3903-A.5工程款支付申請(qǐng)表SH/T 3903-A.6監(jiān)理工程師通知回復(fù)單SH/T 3903-A.7工程臨時(shí)延期申請(qǐng)表SH/T 3903A.8費(fèi)用索賠申請(qǐng)表SH/T 3903A.9工程材料/構(gòu)配件/設(shè)備報(bào)審表SH/T 3903-A.10工程竣工報(bào)驗(yàn)單SH/T 3903-A

2、.11施工進(jìn)度計(jì)劃報(bào)審表SH/T 3903-A.12工程質(zhì)量事故處理方案報(bào)審表SH/T 3903-A.13主要施工設(shè)備進(jìn)場(chǎng)報(bào)審表SH/T 3903-A.14單機(jī)試車申請(qǐng)表表SH/T3903A.15A.16給出了勘察/設(shè)計(jì)階段監(jiān)理工作承包單位用表格式:SH/T 3903-A.15勘察/設(shè)計(jì)費(fèi)用支付報(bào)審表SH/T 3903-A.16勘察/設(shè)計(jì)進(jìn)度調(diào)整報(bào)審表附錄BAttachment B表SH/T3903B.1B.8給出了施工階段監(jiān)理單位用表格式:SH/T 3903 B.1SH/T 3903 B.2SH/T 3903 B.3SH/T 3903 B.4SH/T 3903 B.5SH/T 3903 B.

3、6SH/T 3903 B.7SH/T 3903 B.8監(jiān)理工程師通知單；工程暫停令；工程款支付證書(shū)；工程臨時(shí)延期審批表;工程最終延期審批表;費(fèi)用索賠審批表；監(jiān)理備忘錄；監(jiān)理日志。表SH/T3903- B.9.1B.9.6 給出了施工階段監(jiān)理月報(bào)用表格式:SH/T 3903 B.9.1監(jiān)理月報(bào)封面;SH/T 3903 B.9.2 月工程情況概要;SH/T 3903 - B.9.3月工程質(zhì)量控制情況評(píng)析;SH/T 3903 B.9.4月工程進(jìn)度控制情況評(píng)析;SH/T3903-2004SH/T 3903 - B,9.5 月HSE管理情況評(píng)析；SH/T 3903 B.9.6月工程費(fèi)用控制情況評(píng)析。附錄

4、CAttachment C三、 表SH/T3903-C.1、表SH/T3903-C.2給出了監(jiān)理工作各方用表格式:SH/T 3903 C.1監(jiān)理工作聯(lián)系單SH/T 3903 C.2 工程變更單SH/T3903-2004SH/T 3903-A.1工程開(kāi)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(kāi)工/復(fù)工條件，特此申請(qǐng)施工，請(qǐng)核查并簽發(fā) 開(kāi)工/復(fù)工指令。We have fulfilled the

5、 following activities for the workcontracted by us, the | | workscommencement/1 1works resumption conditions are available , therefore the construction is applied hereby, please review and issue | |works commencement/1 |works resumption orders.附 Attached :開(kāi)工報(bào)告commencement Report;證明文件Supporting docum

6、ents。項(xiàng)目經(jīng)理Project Manage承包單位(章)日期Contractor (Chop)Date審查意見(jiàn) 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/CMCDateSH/T3903-2004SH/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

7、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 completed the preparation ofthe construction organization design, and it has been reviewed and approved by the technicalresponsible people of our company, please review it.附 Attached :口施工組織設(shè)計(jì)/ 施工方案。Constructi

8、on Organization Design / Construction Plan。承包單位(章)Contractor (Chop)項(xiàng)目經(jīng)理Project Manager 日期Date專業(yè)監(jiān)理工程師審查意見(jiàn)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(jiàn)L/aieReview comments from chief supervision engineer :總監(jiān)理工程師Chief Supervision Engineer

9、Date項(xiàng)目監(jiān)理機(jī)構(gòu)日 期CS/CMCSH/T3903-2004SH/T 3903-A.3分包單位資格報(bào)審表Subcontractor Qualification Approval Request工程名稱 Works 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)卜列工程的施工資質(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 qu

10、alification andcapability for contracting the following works, and can assure that this works will be constructed 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 :分包單位資質(zhì)材料Su

11、bcontractor Qualification Documents ;分包單位業(yè)績(jī)材料Subcontractor Performance Documents。分包工程名稱(部位)Subcontracted 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

12、師審查意見(jiàn)Review comments from discipline supervision engineer :專業(yè)監(jiān)理工程師Discipline Supervision Engineer 日 期Date總監(jiān)理工程審核意見(jiàn)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/CMCDateSH/T3903-2004工程名稱 Works Title :SH/T 3903-A.4報(bào)驗(yàn)中請(qǐng)表Inspection Request編號(hào) Item No :致(監(jiān)理單位)T

13、o(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 theworks, after the self inspection, the works is on spec, now wesubmit the inspection request for this works, please inspect and accept.項(xiàng)目經(jīng)理Project Manager 日期Date附 Attached :承包單位(章)Contractor (Chop)審查意見(jiàn) Review comments :總/專業(yè)監(jiān)理工程師Chief

14、/discipline supervision engineerDate項(xiàng)目監(jiān)理機(jī)構(gòu)日 期CS/CMCSH/T3903-2004工程名稱 Works Title :SH/T 3903-A.5工程款支付申請(qǐng)表Works Payment Request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(xiě))(小寫(xiě))，現(xiàn)報(bào)上工程付款申請(qǐng)表，請(qǐng),以審查并開(kāi)具工程款支付證書(shū)。We have completed theWorks, according to the contract regulations, the

15、 owner shouldmake the payment of total of(amount in words ) , (say) for this works before.Now we submit the Works PaymentRequest, please review and issue the works payment certificate.附件 Attached :工程量清單 Quantity List ;計(jì)算方法 Calculation Methods 。承包單位(章)Contractor (Chop)項(xiàng)目經(jīng)理Project Manager日 期DateSH/T39

16、03-2004SH/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 Title :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 thejobs, now we submit it , please recheck.詳細(xì)內(nèi)容 Detailed contents :項(xiàng)

17、目經(jīng)理Project manager承包單位(章)日期Contractor (Chop)Date復(fù)查意見(jiàn)Recheck 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/CMCDateSH/T3903-2004SH/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

18、 the construction contract clauses , due to thereasons, we requestthe works delay, 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 :工程延期的依據(jù)及工期計(jì)算Works delay basis and working period calculation :證明材料Supporting documents。項(xiàng)目經(jīng)理Project manager承包單位(章)Contractor

19、 (Chop)日 期DateSH/T3903-2004工程名稱 Works Title :SH/T 3903-A.8費(fèi)用索賠申請(qǐng)表Cost Claim Request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(xiě)),請(qǐng)予以批準(zhǔn)。According to clausesof the construction contract ,due to thereasons, werequest the cost claim of (amount in words), please approve it.索賠的詳細(xì)理由及經(jīng)過(guò)Detai

20、led cause and course of the claim :索賠金額的計(jì)算Calculation of claimed amount :附 Attached :證明材料 Supporting documents承包單位(章)Contractor (Chop)項(xiàng)目經(jīng)理Project manager日 期DateSH/T3903-2004SH/T 3903-A.9工程材料/構(gòu)配件/設(shè)備報(bào)審表Works Materials/Components/Equipment Inspection Request工程名稱 Works Title :編號(hào) Item No :致(監(jiān)理單位)To(CS/CM

21、C)我方十年 月日進(jìn)場(chǎng)的工程 口材料/構(gòu)配件/設(shè)備數(shù)量如下(見(jiàn)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：，請(qǐng)予以審核。We have mobilized the following I |materials/r-lcomponents/r-lequipment for the works onits quantity is listed below (see the attachments) .Now, we submit the quality documents and our self inspection results, The proposed locations f

22、or use as follows :, Please review it.附件 Attached :數(shù)量1#單 Quantity List ;2質(zhì)里證明文件 Quality Documents ;自檢結(jié)果 Self Inspection Results o承包單位(章)Contractor (Chop)項(xiàng)目經(jīng)理Project manager日期Date審查意見(jiàn) Review comments :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)，口同意/ 不同意使用于擬定部位。After the inspection, the above Omateri

23、als / components/口equipment, meetC do not meet the requirements of the design documents and specifications. Osite mobilization is allowed/ site mobilization is not allowed, Duse for the proposed locations is allowed / Onot allowed.項(xiàng)目監(jiān)理機(jī)構(gòu)CS/CMC總/專業(yè)監(jiān)理工程師Chief/discipline supervision engineer 日期DateSH/T

24、3903-2004工程名稱 Works Title :SH/T 3903-A.10工程竣工報(bào)驗(yàn)單Works Completion Inspection Request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 theworks according to the requirements of the contract , after the selfcheck, it is on spec, please inspect and accept.附 Attached :項(xiàng)目經(jīng)理Projec

25、t manager承包單位(章)日期Contractor (Chop)Date審查意見(jiàn) Review comments :經(jīng)初步驗(yàn)收，該工程：after the preliminary inspection and acceptance, this works:口符合/不符合我國(guó)現(xiàn)行法律、法規(guī)要求；meet/Dnot meet the requirements of the current state laws and regulations.口待合/ 不符合我國(guó)現(xiàn)行工程建設(shè)標(biāo)準(zhǔn)；Omeet/ Onot meet the requirements of the current national

26、 standards.口將合/ 口樂(lè)符合設(shè)計(jì)文件要求；Qmeet/ Qnot meet the requirements of the design documents.口將合/ 不符合施工合同要求。Meet/Dnot meet the requirements of the construction contract.綜上所述，該工程初步驗(yàn)收亡|合格/口不合格，可以/不可以組織正式驗(yàn)收。Based on the above points, the preliminary inspection and acceptance of this works is 口 on spec匚I off sp

27、ec, formal inspection and acceptance EUcan be/Ocan not be organized .總監(jiān)理工程師Chief supervision engineerDate項(xiàng)目監(jiān)理機(jī)構(gòu)日 期CS/CMCSH/T3903-2004工程名稱 Works Title :SH/T 3903-A.11施工進(jìn)度計(jì)劃報(bào)審表編號(hào) Item No :toConstruction Schedule Approval Request(監(jiān)理單位)To(CS/CMC )年 月 日至年我方已根據(jù)承包合同的有關(guān)規(guī)定編制完成了 日的：We have completed the prepa

28、rations of the following schedules from工程施工總進(jìn)度計(jì)劃工程施工月進(jìn)度計(jì)劃工程施工周進(jìn)度計(jì)劃I |計(jì)劃according to the related regulations of the construction contractProject Construction Overall Schedule ;Project Construction Monthly Schedule ;Project Construction Weekly Schedule ;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(guò)的進(jìn)度計(jì)

29、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(shuō)明書(shū)共頁(yè)。Drawings and charts, instruction books, totally inpages.項(xiàng)目經(jīng)理Project manager承包單位(章)日期

30、Contractor (Chop)Date審查意見(jiàn)Review comments :I I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Discipline supervision engineer 日 期Date審核意見(jiàn)Review comments :總監(jiān)理工程師Chief supervision engineerDate

31、項(xiàng)目監(jiān)理機(jī)構(gòu)日 期CS/CMCSH/T3903-2004SH/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 wasworks qualtity incident, theworks qual

32、ity 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 Details and Solution 。項(xiàng)目經(jīng)理Project manager承包單位(章)日期Contractor (Chop)Date審核意見(jiàn)Review comments :同意此事故處理方案。Approved t

33、he solution for this incident.口東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.口按以卜意見(jiàn)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(xiàng)目監(jiān)理機(jī)構(gòu)日期CS/CMCDateSH/T3903-2004SH/T 3903-A.13主要施工設(shè)備進(jìn)場(chǎng)報(bào)審表Major Constructio

34、n 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 theworks, we are going to mobilize the major construction equipment andtools as well as the inspection equipment and tools specified by the contract, a

35、fter 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(jiàn) 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， 口符合/ 口不符合施工組織設(shè)計(jì)文件和相關(guān)要求， 口惟許/ 口/準(zhǔn)許進(jìn)場(chǎng)。According to our inspection, the above equipment, tools and the inspection equipment and tools I I m

36、eet/ do not meet the requirements of the construction organization design documents and other rules, I site mobilization allowed / I_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)理工程師項(xiàng)目監(jiān)理機(jī)構(gòu)Chief/discipline supervision engineer 日 期SH/T39

37、03-2004SH/T 3903-A.14單機(jī)試車申請(qǐng)表Pre-commissioning 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試車準(zhǔn)備工作，經(jīng)自檢合格，請(qǐng)予以檢查，并準(zhǔn)予試車。We have completed thecommissionig preparations according to the contract requiremetns,after the self check, the preparations are on spec, please check and approve

38、the Pre-commissioning test.項(xiàng)目經(jīng)理Project manager日 期Date附 Attached :承包單位（章）Contractor （、Chop）審核意見(jiàn) Review comments :總/專業(yè)監(jiān)理工程師項(xiàng)目監(jiān)理機(jī)構(gòu)CS/CMCChief/discipline supervision engineer 日 期DateSH/T3903-2004SH/T 3903-A.15勘察/設(shè)計(jì)費(fèi)用支付報(bào)審表Geotech/Design Payment Approval Request編pItem No :致（監(jiān)理單位）To（CS/CMC）根據(jù)委托設(shè)計(jì)合同第條款，我單位已

39、于年文件，建設(shè)單位應(yīng)支付該項(xiàng)口勘察/ 口設(shè)計(jì)費(fèi)共（大寫(xiě)）（小寫(xiě)According to clausesof the Entrusted Design Contract, wedesign documents on,Owner should make the payment of（say：） for geotech/1 |design, please review.附 Attached :月日交付）,請(qǐng)予以審核。have submitted the（amount in words ）設(shè)計(jì)工程名稱 Works Title :項(xiàng)目經(jīng)理Project manager勘察/設(shè)計(jì)單位（章）日期Geotec

40、h/Design Unit （Chop）Date審核意見(jiàn)Review comments :經(jīng)審核同意按合同第條款支付 口勘察/ 口設(shè)計(jì)費(fèi)共（大寫(xiě)）。After reviewed, the total payment of （amount in words）（say：/ _design fees are approved to be made as per clauseof the contract.（小寫(xiě):）for 口 geotech項(xiàng)目監(jiān)理機(jī)構(gòu)CS/CMC總監(jiān)理工程師Chief supervision engineer日 期DateSH/T3903-2004SH/T 3903-A.16勘察/

41、設(shè)計(jì)進(jìn)度調(diào)整報(bào)審表Geotech/Design Schedule Change ApprovalRequest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)的工程的勘察/基礎(chǔ)工程設(shè)計(jì)/ 詳細(xì)工程設(shè)計(jì)原定完成，現(xiàn)擬調(diào)整到完成，請(qǐng)予以審批。Geotech/ BED/DdED ofthe works contracted by us was scheduled to becompleted on, Now is rescheduled to completed on,Please review and approve it.調(diào)整原因Chang

42、e reasons：計(jì)劃工程師Planning engineer項(xiàng)目經(jīng)理勘察/設(shè)計(jì)單位(章)Geotech/Design Unit (Chop)Project manager 日 期Date審查意見(jiàn)Review comments :同意調(diào)整。一Change approved.年同意調(diào)整.I一Change not approved.根據(jù)下列要求調(diào)整:To be changed as per the following requirements總監(jiān)理工程師Chief supervision engineerDate項(xiàng)目監(jiān)理機(jī)構(gòu)日 期CS/CMCSH/T3903-2004SH/T 3903-B.1監(jiān)

43、理工程師通知單Supervision Engineer Notice工程名稱 Works Title :編號(hào) Item No :致(承包單位)To(Contractor)事由 Subject:內(nèi)容 Contents:總/專業(yè)監(jiān)理工程師Chief/discipline supervision engineerDate項(xiàng)目監(jiān)理機(jī)構(gòu)日 期CS/CMCSH/T3903-2004SH/T 3903-B.2工程暫停令Works Suspension Order工程名稱 Works Title :編號(hào) Item No :致(承包單位)To(CS/CMC)由于原因，現(xiàn)通知你方必須于年 月日時(shí)起，對(duì)本工程的部位

44、(工作)實(shí)施暫停施工，并按下述要求做好各項(xiàng)工作：Due to,we notify you now to stop the construction on the locations (jobs) offor this works, please do the jobs as per the following requirements.項(xiàng)目監(jiān)理機(jī)構(gòu)CS/CMC總監(jiān)理工程師Chief supervision engineer日期DateSH/T3903-2004SH/T 3903-B.3工程款支付證書(shū)Works Payment Certificate工程名稱 Works Title :編號(hào) It

45、em No :致（建設(shè)單位）To（CS/CMC）根據(jù)承包合同的規(guī)定，經(jīng)審核承包單位的付款申請(qǐng)和報(bào)表，并扣除有關(guān)款項(xiàng)，同意本期支付工程 款共（大寫(xiě)）（小寫(xiě)：）。請(qǐng)按合同規(guī)定及時(shí)付款。According to the contract regulations, after reviewed the payment request and reporting tables and deducted the related costs, we agree with the payment of （amount in words ）（say：）。Please make the payment per t

46、he contract in a timely manner.其中 Among which :1承包單位申報(bào)款為：The requested payment of contractor ：2經(jīng)審核承包單位應(yīng)得款為：The reviewed payment of contractor :3本期應(yīng)扣款為：The deducted payment:4本期應(yīng)付款為：The due payment:附件 Attached :承包單位的工程付款申請(qǐng)表及附件Contractor Works Payment Request and Attachments ;項(xiàng)目監(jiān)理機(jī)構(gòu)審查記錄CS/CMC Review Re

47、cords o總監(jiān)理工程師Chief supervision engineer項(xiàng)目監(jiān)理機(jī)構(gòu)日期CS/CMCDateSH/T3903-2004工程名稱 Works Title :SH/T 3903-B.4工程臨時(shí)延期審批表Works Delay Temporary Approval編號(hào) Item No :（承包單位）To（Contractor）根據(jù)承包合同條款號(hào)）要求延長(zhǎng)工期條的規(guī)定，我方對(duì)你方提出的日歷天的要求，經(jīng)過(guò)審核評(píng)估:工程延期申請(qǐng)（第According to clausesof the contract, we reviewed your Works Delay Request ( N

48、o.）offor the durations ofcalendar days:暫時(shí)同意工期延長(zhǎng)日歷天。使交工日期（包括已指令延長(zhǎng)的工期）從原來(lái)的年 月 日延遲到年 月 日。請(qǐng)你方執(zhí)行。calendar days approved temporarily , which will delay the as build date(included the instructed delayed working period) fromtoPlease follow it. 不同意延長(zhǎng)工期，請(qǐng)按約定交工日期組織施工。| Delay not approved, please organize the c

49、onstruction as per the agreed as built date.說(shuō)明Notes:總監(jiān)理工程師項(xiàng)目監(jiān)理機(jī)構(gòu)Chief supervision engineerCS/CMC日 期DateSH/T3903-2004工程名稱 Works Title :SH/T 3903-B.5工程最終延期審批表Works Delay Final Approval編號(hào) Item No :（承包單位）工程延期申請(qǐng)（第To（Contractor）根據(jù)施工合同條款號(hào)）要求延長(zhǎng)工期條的規(guī)定，我方對(duì)你方提出的 日歷天的要求，經(jīng)過(guò)審核評(píng)估:According to clausesof the contrac

50、t , we reviewed your Works Delay Request (No.)offor the durations of二|最終同意工期延長(zhǎng)calendar days：日歷天。使交工日期（包括已指令延長(zhǎng)的工期）從原來(lái)的Delay ofinstructed delayed working period) fromtoPlease follow it.日延遲到日。請(qǐng)你方執(zhí)行。calendar days approved finally, which will delay the as build date (included the口 不同意延長(zhǎng)工期，請(qǐng)按約定交工日期組織施工。|_

51、 Delay not approved, please organize the construction as per the agreed as built date.說(shuō)明Notes:總監(jiān)理工程師Chief supervision engineer項(xiàng)目監(jiān)理機(jī)構(gòu)Date日 期CS/CMCSH/T3903-2004SH/T 3903-B.6費(fèi)用索賠審批表Cost Claim Approval工程名稱 Works Title :編號(hào) Item No :致(承包單位)To(Contractor)根據(jù)承包合同條款條的規(guī)定，你方提出的費(fèi)用索賠申請(qǐng)(第號(hào))，索賠(大寫(xiě))，經(jīng)我方審核評(píng)估：Accordin

52、g to clausesof the contract, we have reviewed and assessed your cost claimrequest (No.) with sum of(amount in words):不同意此項(xiàng)索賠。I This claim not approved同意此項(xiàng)索賠，金額為(大寫(xiě))。I This claim approved, the sum (amount in words)理由 Reasons：索賠金額的計(jì)算 Calculation of the claim sum :總監(jiān)理工程師Chief supervision engineerDate項(xiàng)目

53、監(jiān)理機(jī)構(gòu)日 期CS/CMCSH/T3903-2004SH/T 3903-B.7監(jiān)理備忘錄Supervision Memorandum工程名稱 Works Title編號(hào) Item No :To抄報(bào) Reported to :抄送CC:總監(jiān)理工程師項(xiàng)目監(jiān)理機(jī)構(gòu)DateChief supervision engineer 日 期CS/CMCSH/T3903-2004SH/T 3903-B.8監(jiān)理日志Supervision Daily Log工程名稱 Works Title年 月日Year MonthDate天氣Weather氣溫Temperature最高 the highestC最低 the lo

54、westC施工承包方施工內(nèi)谷Construction content of the contractor :監(jiān)理人員當(dāng)天工作內(nèi)容、發(fā)現(xiàn)問(wèn)題及處理結(jié)果：Supervisor s working contents, issues identified and solutions其他事宜：Other issues：監(jiān)理工程師/監(jiān)理員Supervision engineer/supervisorSH/T3903-2004SH/T 3903-B.9.1封 面Cover工程名稱 Works Title :編號(hào) Item No :監(jiān)理月報(bào)Supervision Monthly Report第期Edition

55、 No :年 Year 月 Month項(xiàng)目監(jiān)理機(jī)構(gòu)CS/CMC總監(jiān)理工程師Chief supervision engineer編 制 人Prepared by日 期DateSH/T3903-2004SH/T 3903-B.9.2月工程情況概要Monthly Works Condition Summary工程名稱 Works title :編號(hào) Item No :相關(guān)情況登記 Register of related information合同編號(hào)Contract No.本月日歷天Calendar days of this month天 days工程變更Change order份 copy實(shí)際工作

56、日Actual working days天 days監(jiān)理通知單Supervision notice份 copy建設(shè)單位指令Owner order份 copy監(jiān)理備忘錄Supervision memorandum份 copy監(jiān)理聯(lián)系單Supervision liaison sheet份 copy專題會(huì)議紀(jì)要Memos of subject meetings份 copy例會(huì)會(huì)議紀(jì)要Routine meeting memos份 copy本月工程情況綜述Overview of the works conditions of this month :SH/T3903-2004SH/T 3903-B.9.

57、3月工程質(zhì)量控制情況評(píng)析Monthly Works Quality Control Assessment工程名稱 Works title :編號(hào) Item No :本月質(zhì)量控制情況登記Register of monthly quality control本月共檢項(xiàng)目項(xiàng)數(shù)Total monthly inspection items項(xiàng) item共檢項(xiàng)目不合格項(xiàng)數(shù)Off spec items項(xiàng) item本月抽查試驗(yàn)次數(shù)Total monthly random tests次 time試驗(yàn)結(jié)果不合格次數(shù)Off spec tests次 time本月檢查分項(xiàng)工程Item works inspected monthly項(xiàng) item , 其中 among which 合格 on spec項(xiàng) item本月焊接質(zhì)量Monthly welding quality拍片總數(shù)Total films,合格片數(shù) On spec,一次合格率 One time quality rate%工程質(zhì)量情況簡(jiǎn)析(文字或圖表)Brief of works quality condition (descriptions or charts)下月工程質(zhì)重重點(diǎn)和目標(biāo)Next month works key points and targe