公路工程监理使用表格
目 录
1、总体施工组织设计报审表················································A-10 2、分项（分部、单位）工程开工申请批复单··································A-11 3、施工放样报验单························································A-12 4、原材料报验单··························································A-13 5、分项工程施工主要人员报验单············································A-14 6、进场设备报验单························································A-15 7、施工方案及主要工艺报审表··············································A-16 8、专项安全、文明（环保）施工方案报批单··································A-17 9、检验申请批复单························································A-18 10、工序检查报验单·······················································A-19 11、下承层检验申请批复单·················································A-20 12、混凝土浇筑申请报告单·················································A-21 13、施工单位月工作计划报告单·············································A-22 14、施工单位每周工作计划·················································A-23 15、监理巡视 记录························································A-24 16、监理旁站记录·························································A-25 17、监理日志·····························································A-26 18、监理日巡视、旁站、抽捡安排表·········································A-27 19、工地会议记要·························································A-28 20、监理指令·····························································A-29 21、工程暂时停工指令·····················································A-30 22、复工申请·····························································A-31 23、复工指令·····························································A-32 24、施工日志·····························································A-33 25、工程质量（安全）事故处理报告单·······································A-34 26、中间交工证书·························································A-35 27、公路工程（ 施工段）交工验收证书··································A-36 28、工程缺陷责任期终止证书···············································A-37
总体施工组织设计报审表
施工单位： 合同号： 施工段号： 监理单位： 编号：A-10- 致 （驻地监理工程师） ： （总监理工程师） ： 现报上 工程的实施性总体施工组织设计及附件，请予审查和批准。 附件： 施工组织设计 施工单位签字： 日期： 驻地监理工程师意见： 驻地监理工程师签字： 日期： 总监理工程师意见： 总监理工程师签字： 日期： □□□-□□□□
分项（分部、单位）工程开工申请批复单
施工单位： 合同号： 施工段号： 监理单位： 编号：A-11-致监理工程师： 根据合同要求，我们已经准备好 工程（桩号 ）开工前的一切准备工作，现申请该项工程正式开工，请予批准。 建议开工日期： 计划完工日期： 此项工程现场负责人： 附件：1、施工测量放线报验单 2、工程原材料报验单 3、混合料配合比批复文件（通用函件） 4、施工组织及人员报验单 5、 进场设备报验单 6、施工方案及主要工艺报审表 施工单位签字： 日期： 专业监理工程师意见： 专业监理工程师签字： 日期： 驻地监理工程师意见： 驻地监理工程师签字： 日期： 总监理工程师意见：（分项开工无，分部、单位工程开工申请增加此栏） 总监理工程师签字： 日期： □□□-□□□□
施 工 放 样 报 验 单
施工单位： 合同号： 施工段号： 监理单位： 编号：A-12-致测量监理工程师： 根据合同要求，我们已完成 （起讫桩号或工程部位名称）施工放样，清单如下，请予查验。 施工单位签字： 日期： 桩号或位置 附件：测量及放样资料 工程或部位名称 放 样 内 容 备 注 □□□-□□□□
测量监理工程师意见： 测量监理工程师签字： 日期：