1、3903石化监理表格SH/T 3903-A.1工程开工/复工报审表Works Commencement/Resumption Approval Request工程名称 Works Title:编号 Item No:致 濮阳中油工程管理有限公司(监理单位)To (CS/CMC) 我单位承担的 工程,已完成了一下各项工作,具备了开工/复工条件,特此申请施工,请核查并签发开工/复工指令。We have fulfilled the following activities for the work contracted by us, the works commencement/works resum
2、ption conditions are available, therefore the construction is applied hereby, please review and issue works commencement/works resumption orders.附Attached:1 开工报告 Commencement Report;2 证明文件 Supporting documents。 项目经理 Project Manager承包单位(章) 日 期Contractor(Chop) Date审查意见 Review Comments: 总监理工程师 Chief Su
3、pervision Engineer项目监理机构 日 期CS/CMC DateSH/T 3903-A.2施工组织设计(方案)报审表Construction Organization Design Approval Request工程名称 Works Title:编号 Item No:致 濮阳中油工程管理有限公司(监理单位)To (CS/CMC) 我方已根据施工承包合同的有关规定完成了 工程施工组织设计(方案)的编制,并经我单位技术负责人审查批准,请予以审查。According to the related regulations of the construction contract, we
4、 have completed 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施工组织设计/施工方案。Construction Organization Design/Construction Plan项目经理 Project Manager承包单位(章) 日 期Contractor(Chop)
5、Date专业监理工程师审查意见 Review comments from discipline supervision engineer: 专业监理工程师 Discipline Supervision Engineer 日 期 Date总监理工程师审核意见 Review comments from chief supervision engineer:总监理工程师 Chief Supervision Engineer项目监理机构 日 期CS/CMC DateSH/T 3903-A.3分包单位资格报审表Subcontractor Qualification Approval Request工程名
6、称 Works Title:编号 Item No:致 濮阳中油工程管理有限公司(监理单位)To (CS/CMC) 经考察,我方认为拟选定的 (分包单位)具有承担下列工程的施工资质和施工能力,可以保证本工程项目按合同的规定进行施工。分包后,我方仍承担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 the qualification and capability for contracting the wing works,and can assure that this woks
7、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Attached1 分包单位资质材料 Subcontractor Qualification Documents;2 分包单位业绩材料 Subcontractor Performance Documents。分包工程名城(部位)S
8、ubcontracted works(location)工程数量Works Quantity拟分包工程明合同额Contract Price of proposed subcontracted works分包工程占全部工程Percentage of subcontracted works 合 计 Totals项目经理 Project Manager承包单位(章) 日 期Contractor(Chop) Date专业监理工程师审查意见Review comments from discipline supervision engineer: 专业监理工程师 Discipline Supervisio
9、n Engineer 日 期 Date总监理工程师审核意见 Review comments from chief supervision engineer:总监理工程师 Chief Supervision Engineer项目监理机构 日 期CS/CMC DateSH/T 3903-A.4 报验申请表 Inspection Request工程名称 Works Title:编号 Item No:致 濮阳中油工程管理有限公司(监理单位)To (CS/CMC) 我已完成了 工作,经自检合格,先报上该工程报验申请表,请予以审查和验收。We have completed the works, after
10、 self inspection, the works is on spec, now we submit the inspection request for this works, please and accept.附Attached:项目经理 Project Manager承包单位(章) 日 期Contractor(Chop) Date审查意见 Review Comments: 总/专业监理工程师 Chief /discipline supervision engineer项目监理机构 日 期CS/CMC DateSH/T 3903-A.5工程款支付申请表Works payment R
11、equest工程名称 Works Title:编号 Item No:致 濮阳中油工程管理有限公司(监理单位)To (CS/CMC) 我方已完成了 工作,按施工承包合同的规定,建设单位应在 年 月 日前支付该项工程款共(大写) (小写 ),现报上 工程付款申请表,请予以审查并开具工程款支付证书。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
12、before . Now we submit the Works Payment Request, please review and issue the works payment certificate.附件 Attached:1 工程量清单 Quantity List:2 计算方法 Calculation Methods:项目经理 Project Manager承包单位(章) 日 期Contractor(Chop) DateSH/T 3903-A.6监理工程师通知回复单Correspondence to Supervision Engineer Notice工程名称 Works Titl
13、e:编号 Item No:致 濮阳中油工程管理有限公司(监理单位)To (CS/CMC) 我方接到编号为 的监理工程师通知后,已按要求完成了 工作,现报上,请予以复查。After we received the supervision engineer notice of ,we have completed the jobs, now we submit it, please recheck.详细内容 Detailed contents:项目经理 Project Manager承包单位(章) 日 期Contractor(Chop) Date复查意见 Recheck comments 总/专业
14、监理工程师 Chief /discipline supervision engineer项目监理机构 日 期CS/CMC DateSH/T 3903-A.7工程临时延期申请表Works Temporary Delay Request工程名称 Works Title:编号 Item No:致 濮阳中油工程管理有限公司(监理单位)To (CS/CMC) 根据合同条款 条的规定,由于 原因,我方申请工程延期,请予以批准。According to clauses of the construction contract clauses, due to the reasons, we request t
15、he works delay, please approve it. 合同交工日期 Contract As Build Date:申请延长交工日期 Delayed As Build Date:附件 Attached:1 工程延期的依据及工期计算Works delay basis and working period calculation:2 证明材料 Supporting documents。项目经理 Project Manager承包单位(章) 日 期Contractor(Chop) DateSH/T 3903-A.8费用索赔申请表Cost Claim Request工程名称 Works
16、Title:编号 Item No:致 濮阳中油工程管理有限公司(监理单位)To (CS/CMC) 根据承包合同条款 条的规定,由于 的原因,我方要求索赔金额(大写) ,请予以批准。According to clause of the construction contract, due to the reasons, we request the cost claim of (amount in words) ,Please approve it.索赔的详细理由及经过 Detailed cause and course of the claim:索赔金额的计算 Calculation of c
17、laimed amount:附 Attached:证明材料 Supporting documents项目经理 Project Manager承包单位(章) 日 期Contractor(Chop) DateSH/T 3903-A.9工程材料/构配件/设备报审表Works Materials/Components/Equipment Inspection Request工程名称 Works Title:编号 Item No:致 濮阳中油工程管理有限公司(监理单位)To (CS/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)。现将质量证明文件及自检结果报上,拟用于下述部位
18、:请予以审核。We 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 数量清单 Quantity List;2
19、 质量证明文件 Quality Documents;3 自检结果 Self Inspection Results。项目经理 Project Manager承包单位(章) 日 期 Contractor(Chop) Date审查意见 Review Comments: 经检查上述工程材料/构配件/设备,符合/不符合设计文件和规范的要求,准许/不准许进场,同意/不同意适用于拟定部位。 After the inspection, the abovematerials/components/equipment,meetdo not meet the requirements of the design d
20、ocuments and specifications. site mobilization is allowed/site mobilization is not allowed. use for the proposed locations is allowed/not allowed.总/专业监理工程师 Chief /discipline supervision engineer项目监理机构 日 期CS/CMC DateSH/T 3903-A.10工程竣工报验单Works Completion Inspection Request工程名称 Works Title:编号 Item No:致
21、 濮阳中油工程管理有限公司(监理单位)To (CS/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:项目经理 Project Manager承包单位(章) 日 期 Contractor(Chop) Date审查意见 Review Comments: 经初步验收,该工程: After
22、 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 requirements of the current state laws and regulations;2 符合/不符合我国现行工程建设标准; meet/not meet the requirements of the current national standards;3 符合/不符合设计文件要求; meet/not meet the requirements of the design docume
23、nts;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/不可以组织正式验收。 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.总监理工程师 Chief Supervi
24、sion Engineer项目监理机构 日 期CS/CMC DateSH/T 3903-A.11施工进度计划报审表Construction Schedule Approval Request工程名称 Works Title:编号 Item No:致 濮阳中油工程管理有限公司(监理单位)To (CS/CMC) 我方已根据承包合同的有关规定编制完成了 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 t
25、he construction contract:1 工程施工总进度计划 Project Construction Overall Schedule2 工程施工月进度计划Project Construction 3 工程施工周进度计划Project Construction4 计划Project Construction并经我单位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计划组织施工。附Attached:图表、说明书共 页。Drawings and charts, instruction book, totally in pages.项目经理 Project Manag
26、er承包单位(章) 日 期 Contractor(Chop) Date审查意见 Review Comments:同意此计划。Approved this schedule.不同意此计划,请按以下要求修改再报。Not approved this schedule, please modify it according to the following requirements, and resubmit it:专业监理工程师 Discipline Supervision Engineer 日 期 Date审查意见 Review Comments:总监理工程师 Chief supervision e
27、ngineer项目监理机构 日 期CS/CMC DateSH/T 3903-A.12工程质量事故处理方案报审表Works Quality Incident Solution ApprovalRequest工程名称 Works Title:编号 Item No:致 濮阳中油工程管理有限公司(监理单位)To (CS/CMC) 年 月 日 在 (工程部位)发生 工程质量事故,已于 月 日发出工程质量事故报告(编号: ),经我方组织对该质量事故进行详细调查、分析和研究,现将详情及处理方案报上,请审查。On ,at (works location), there was works quality in
28、cident, the 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:事故详情及处理方案。Incident Details and Solution.项目经理 Project Manager承包单位(章) 日 期 Contractor(Chop) Date审核意见 Review comme
29、nts:同意此事处理方案Approved the solution for this incident.不同意此事处理方案,修改后再报。Not approved the solution for this incident, please modify in and resubmit.按以下意见修改后执行:To implement it after modified as per the following comments.总监理工程师 Chief supervision engineer项目监理机构 日 期CS/CMC Date SH/T 3903-A.13主要施工设备进场报审表Major
30、 Construction Equipment Mobilization Approval Request工程名称 Works Title:编号 Item No:致 濮阳中油工程管理有限公司(监理单位)To (CS/CMC) 我单位承担的 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 the works, we are going to mobilize the major construction equipment and tools as well as the inspection equipment and tools speci
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