1、SH3514 Part 2Comprehensive Assessment Form for Quality of Unit Work P1单位工程质量综合评定表Name of Work: Commencement date Month Day Year工程名称 开工日期: 年 月 日No. of Work: Completion date Month Day Year工程编号 竣工日期: 年 月 日No.项次Item项目Assessment by Construction unit施工单位评定情况Assessment by Employer(Supervision Unit)建设(监理)单位
2、审定情况Check & Ratification by Quality Supervision Station质量监督站核定情况1Summarizing assessment of divisional work分部工程评定汇总Total: divisional works; acceptable works excellent works rate of excellence(%)共计: 分部其中: 合格 分部 优良 分部优良率 %Total: divisional works; acceptable works excellent works rate of excellence(%)共计
3、: 分部其中: 合格 分部 优良 分部优良率 %Total: divisional works; acceptable works excellent works rate of excellence(%)共计: 分部其中: 合格 分部 优良 分部优良率 %2Check of data for quality assurance质量保证资料核查Total: items checked acceptable items共核查 项其中,符合要求 项Total: items checked_acceptable items共核查 项其中,符合要求 项Total: items checked acce
4、ptable items共核查 项其中,符合要求 项3General check result总体检验结果Assessment grade by construction unit施工单位评定等级Project manager:项目经理QA Leader:质检负责人Official stamp公章 year年 month月 Day日 Assessment grade by Employer(Supervision Unit)建设/监理单位审定等级Project manager/ general director:项目经理/项目总监 Official stamp公章 year年 month月 D
5、ay日Check grade by Quality Supervision Station工程质量监督站核定等级Station master:监督站长 Official stamp公章 year年 month月 Day日Check List of QA Data for Unit Work P2单位工程质量保证资料核查表Name of Work工程序号: No. of Work工程编号:No.序号Name of Item项目名称Copy份数Remarks备注1Ex-works certificate of conformity and quality certificate for equip
6、ment and materials 设备、材料出厂合格证和质量证明书2Quality acceptance record and defect handling report for equipment and parts 设备、零部件质量验收记录及缺陷处理报告3Assessment report for welding procedure, certificate of conformity of welding materials and re-inspection report 焊接工艺评定报告、焊材合格证及复验报告4Concealed work record 隐蔽工程记录5Expan
7、sion jointing record, defect, rework record 胀接记录、缺陷、返修记录6Non-destructive inspection report, x-ray inspection typesetting diagram 无损检测报告及射线检验排版图7Baking oven (baking) record 烘炉(烘干)记录8Heat treatment process report 热处理工艺报告9Safety valve adjustment record 安全阀调试记录10Clean up, degreasing, purge and sealing r
8、ecord 清理、脱脂、吹扫、封闭记录11Pressure test report 耐压试验报告12Sedimentation observation record 沉降观察记录13Air tight test report 气密性试验报告14Trial run record for machinery and equipment (Individual machine trial run) 机器设备试运转(单机试车)记录15Quality accident handling record 质量事故处理记录16Design change document 设计变更文件17As-built dr
9、awing 竣工图Construction unit 施工单位: Reviewed by 核查人: Official stamp 公章 year年 month月 Day日 Check result 核查结果Employer (Supervision Unit)建设(监理)单位Reviewed by 核查人: Official stamp公章year年 month月 Day日 Quality supervision station 工程质量监督站Reviewed by 核查人: Official stamp公章year年 month月 Day日 Assessment Form for Quali
10、ty of Divisional Work P3分部工程质量评定表Name of Unit Work 单位工程名称:Name of Divisional Work 分部工程名称:No.序号Name of Divisional Work分项工程名称Grade等级Property性质Remarks备注Acceptable合格Excellent优良Total合计Rate of Excellence %优良率 %Assessment grade评定等级Leader of unit work:单位工程负责人Leader of divisional work:分部工程负责人 year年 month月 Da
11、y日 Ratification Grade核定等级Auditor of quality inspection department:质量检查部门核定人: year年 month月 Day日 Note: “Property” of individual work indicates whether a work is a main work or an ordinary work.注:性质是指该分项工程为主要分项工程还是一般分项工程Quality Inspection and Assessment Form for Individual Work_ P4_分项工程质量检验评定表Name of U
12、nit Work单位工程名称: Name of Equipment设备名称:Name of Divisional Work分部工程名称: Location No. of Equipment设备位号:Standard执行标准: Property of Individual Work分项工程性质:Guaranteed Item保证项目Item Contents项目内容Check Result 检查结果12345Basic Item基本项目Item Contents 项目内容Quality Status 质量情况Grade 等级123456789101234Tolerance Items允许偏差项目Item Contents项目内容Tolerance允许偏差(mm)Actual Deviation (mm) 实测偏差1234567891012345678910Check Result检查结果Guaranteed Item
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