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国家电网公司变电站工程建设监理工作表式（2009版）国家电网公司基建部二OO九年四月编制与使用说明1、《国家电网公司变电站工程建设监理工作表式（2009版）》其内容涵盖了《建设工程监理规范》（GB50319－2007）》的全部表式，并根据公司现行质量管理制度以及变电站工程特点，增加了部分表式。2、本表式适用公司系统110kV及以上变电站工程项目，每个工程项目可根据工程特点，选用其中的表式。110kV以下项目可参照执行。3、本监理工作表式共分三大类，即：A类表（施工承包单位用表）、B类表（监理单位用表）、C（设计承包单位用表）。其中：A类表14子类46种，B类表20种，C类表6种。A类表子类使用说明如下：A1：有关工程开工的报审A2：有关工程施工策划文件的报审A3：有关工程分包、外委单位资格的报审A4：有关工程施工质量、试验、调试结果等的报验申请A5：有关工程款支付的报审A6：有关监理通知的回复A7：有关工程进度的报审A8：有关费用索赔的申请A9：有关工程材料/构配件/设备的报审A10：有关工程竣工初检的申请A11：有关工程转序的交接验收申请A12：有关工程质量事故的报审A13：有关工作联系的表式4、监理工作表式表号、编号填写格式要求：1)表号由三部分组成：U×××U（工程类型代号）－U×UU××U（子类代号）－U××U（流水号）DJB(变电站)子类编号A、B、C最后的流水号只在A类表中使用。已确定的表式，按规定的表号，不得变更。在使用过程中需要增加表式时，如果在同一子类中增加，则子类代号不变，流水号往上增加；如果增加子类，则子类代号中的编号往上增加，流水号重编。2)表式编号分两部分填写：U×UU××U（单位代号）—U×××U（流水号）单位编号(按进场顺序)拼音字母（SG、T、D、SL、SY、JL、SJL）拼音字母为单位性质的缩写，如：SG:施工单位（包括土建，电气）；T：土建(包括场平、桩基等)施工单位；D：电气安装施工单位；SJ：设计单位；SY：试验单位；JL：监理单位。单位编号用来区别多个同性质单位（如只有一个单位，则单位编号不填写），按照进入现场时间的早晚顺序填写，如场平单位为第一个进场的土建单位，编为T01，主体单位为第二个进场的土建单位，编为T02。流水号用来区分同一种监理表式，统一用三位数字填写，按形成的先后顺序编号，第一份为001，第二份为002，……。5、表式内容填写总使用说明：1)工程名称：以施工图设计文件名为准。2)项目部（施工、监理单位）名称以项目部公章为准。按填写、使用说明要求盖公司章外，所有需要盖公章的，一律盖项目部的章。3)承包单位填写内容部分采用打印方式，项目监理部审查意见、建设管理单位审查意见采用手写方式。4)所有姓名、日期的签署采用手写方式。5)项目监理部审查意见如果在栏内写不下，可附页，并注明“具体意见附后”字样。附页内容采用打印方式，并手写签署姓名、日期，加盖项目监理部章。6、一式多份文件应全部为原件归档。文件的份数根据各参建单位留存和各工程档案归档要求确定。移交归档的文件在移交前由组卷单位负责保管。7、本表式由国家电网公司基建部组织编写，国网建设有限公司、山东诚信工程建设监理有限公司、中国超高压输变电建设公司、湖南省电力建设监理咨询有限责任公司参与修订工作。参与修订人员：黄端秀李琼王跃元王玉明主要审查人员：徐志军王海龙杨棨王菊吟邵志范陈秀王德华张志才陈群钱联徐乔鲁范敏华陈飞林立波变电站工程监理工作表式A类表（施工承包单位用表）1.DJB-A1-01工程开工报审表································0092.DJB-A1-02单位工程开工报审表···························0113.DJB-A1-03工程复工申请表································0134.DJB-A2-01项目管理实施规划报审表························0155.DJB-A2-02管理体系报审表·······························0166.DJB-A2-03安全文明施工二次策划报审表···················0187.DJB-A2-04工程施工创优实施细则报审表···················0208.DJB-A2-05应急预案报审表·······························0229.DJB-A2-06一般施工（调试）方案报审表····················02410.DJB-A2-07特殊施工技术方案（措施）报审表·············02611.DJB-A3-01分包单位资格报审表·························02812.DJB-A3-02试验（检测）单位资质报审表·················03013.DJB-A4-01工程控制网测量报审表·······················03214.DJB-A4-02施工质量验收及工程类别划分报审表···········03415.DJB-A4-03分项工程质量报验申请单·····················03616.DJB-A4-04分部（子分部）工程质量申请单···············03817.DJB-A4-05单位（子单位）工程质量报审表···············04018.DJB-A4-06工程质量中间验收申请表·····················04219.DJB-A4-07试品/试件试验报告报验表····················04420.DJB-A4-08调试报告报审表·····························04621.DJB-A4-09施工管理人员资质报审表·····················04822.DJB-A4-10主要施工机械/工器具/安全用具报审表·········05023.DJB-A4-11特殊工种/特殊作业人员报审表················05224.DJB-A4-12主要测量计量器具/试验设备检验报审表········05425.DJB-A4-13大中型施工机械进场/出场申报表··············05626.DJB-A4-14报审表······················05827.DJB-A5-01工程预付款报审表···························06028.DJB-A5-02工程进度款报审表···························06229.DJB-A5-03工程其他费用付款报审表·····················06430.DJB-A6-01监理工程师通知回复单·······················06531.DJB-A7-01施工进度计划报审表·························06732.DJB-A7-02施工进度调整计划报审表·····················06933.DJB-A7-03变更工期报审表·····························07034.DJB-A8-01费用索赔申请表·····························07235.DJB-A9-01主要材料、构配件及设备供货商资质报审表·····07336.DJB-A9-02工程材料/构配件/设备进场报审表·············07537.DJB-A9-03主要设备开箱申请表·························07738.DJB-A9-04材料/构配件缺陷通知单······················07839.DJB-A9-05材料/构配件缺陷处理报验表··················07940.DJB-A10-01工程初步竣工验收申请单····················08041.DJB-A11-01交付中间验收交接表·······08242.DJB-A12-01工程安全/质量事故报告单···················08343.DJB-A12-02工程安全/质量事故处理方案报审表···········08444.DJB-A12-03工程安全/质量事故处理结果报验表···········08545.DJB-A13-01工作联系单································086B类表（监理单位用表）1.DJB-B1监理工程师通知单·································0872.DJB-B2工程暂停令·······································0883.DJB-B3监理工作联系单···································0894.DJB-B4工程进度一级网络计划报审表·······················0905.DJB-B5监理文件报审表···································0916.DJB-B6工程监理费付款报审表·····························0927.DJB-B7工程质量中间验收申请表···························0938.DJB-B8工程竣工预验收申请表·····························0949.DJB-B9会议纪要·····································096-09710.DJB-B10监理月报·································098-09911.DJB-B11项目监理大事记·······························10112.DJB-B12监理工作日志································103-10413.DJB-B13旁站监理记录表·······························10614.DJB-B14检验批工程质量验收统计表·····················10815.DJB-B15工程验评记录统计报审表·······················10916.DJB-B16工程试验记录汇总表···························11017.DJB-B17发出文件记录·································11118.DJB-B18接收文件登记表·······························11219.DJB-B19工程付款申请汇总表······························11320.DJB-B20设计变更通知单汇总表····························114C类表（设计承包单位用表）1.DJB-C1工程项目设计计划报审表···························1152.DJB-C2施工图交付进度计划报审表·························1163.DJB-C3工程项目设计图纸报检表···························1174.DJB-C4-1设计变更通知单报检表··························1185.DJB-C4-2设计变更通知单报审表···························1206.DJB-C5设计变更通知单汇总报检表·························122工程开工报审表表号：DJB-A1-01工程名称：编号：致项目监理部:我方承担的工程，已完成了开工前的各项准备工作，特申请于年月日开工，请审查。项目管理实施规划（施工组织设计）已审批；施工图会检已进行；