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r contractor. 2. The items with mark of “ □” need to be enclosed as supporting documents when submitting the form,the items will be marked with “ √” after supervision anization’s verification and approve. 3. The key verification points of Supervision anization: whether the preparation of starting the work is sufficient。 監(jiān)理基本表式的填寫方式:一般采用打印,建設(shè)單位、項目監(jiān)理機構(gòu)審查意 見采用手寫方式。A (資料性附錄) 電力建設(shè)工程監(jiān)理基本表式 ( 摘抄自 DL/T 5434— 2020 附錄 A) 編制與使用說明 1 《電力建設(shè)工程監(jiān)理基本表式》涵蓋了《建 設(shè)工程監(jiān)理規(guī)范》( GB 50319— 2020)的全部表式,并根據(jù)電力建設(shè)工程特點,增加了部分表式。 4 說明 蓋章:除按填寫要求蓋公司章外,其他蓋章處,一律蓋項目部 /項目監(jiān)理機構(gòu)的章。 The project undertaking by us has finished all preparation works before mencement, we hereby apply to start the work on date of , please verify and approve. ? 1). Construction management plan has been verified and approved. ? 1). 施工組織設(shè)計 ( 項目管理實施規(guī)劃 )已審批; ? 2). All construction management system and corresponding construction scheme has been established and approved. ? 2). 各項施工管理制度和相應的 施工方案 已制定并審查合格 ; ? 3). Construction drawing has been jointinspected. ? 3). 施工圖已會檢 ; ? 4). Technical disclosure has been done. ? 4). 技術(shù)交底已進行 ; ? 5). Quality acceptance and item segregation form have been submitted for verification ? 5). 質(zhì)量驗收及評定項目劃分表已報審 ; ? 6) Project control work survey/routing resurvey documents have been submitted for verification. ? 6) 工程控制網(wǎng)測量 /線路復測資料已審核 ; ? 7) Quality manage system、 safety enviriment manage system are found satisfactory to meet the requirement. ? 7) 質(zhì)量管理體系、安 全環(huán)境管理體系滿足要求 ; ? 8) Special profession /special work personnel can meet the site requirement ? 8) 特殊工種 /特種作業(yè)人員滿足工程需要 ; ? 9) Construction manpower and machinery has been mobilized to site. ? 9) 本工程的施工人力和機械已進場; ? 10) Materials and resources can satify continous construction. ? 10) 物資、材料準備能滿足連續(xù)施工的需要; ? 11) Measuring instrument、 gauges have been verified by legal units. ? 11) 計量器具、儀表經(jīng)法定單位檢驗合格; ? 12) subcontractors’ qualification documents have been submitted for verification. ? 12) 分包單位資格審查文件已報審; ? 13) Experiment (test) units’ qualification documents have been submitted for verification. 試驗(檢測)單位資質(zhì)審查文件已報審; ? 上道工序已完工并驗收合格。 報審中的“ □”作為附件附在報審表后,項目監(jiān)理機構(gòu)審查確認后在框內(nèi)打“ √”。 All suspension elements mentioned in project suspension order with number of have been eliminated for Project. Please kindly arrange for verification and give the permit for work resumption. 附: 整改自查報告 Encl.: rectification and selfexamination report 承包單位(章): Contractor(stamp): 項目經(jīng)理: Project manager: 日 期: Date: 項目監(jiān)理 機構(gòu) 審查意見: Supervision anization’s verification: 項目監(jiān)理 機構(gòu) (章): Supervision anization(stamp) 總監(jiān)理工程師: Chief supervision engineer: 日 期: Date: 建設(shè)單位審批意見: Employer’s verification: 建設(shè)單位(章): Employer(stamp): 項目 代表