廣東省房屋建筑工程竣工驗(yàn)收技術(shù)資料

統(tǒng)一用表

（2024版）

2024年1月

目錄

第一章工程建設(shè)前期主要法定基建程序文件（A類表）..................................................................................20

工程建設(shè)立項(xiàng)審批、核準(zhǔn)或備案文件............................................................................................................21

固定資產(chǎn)投資項(xiàng)目節(jié)能審查意見或登記備案文件.......................................................................................22

建設(shè)用地批準(zhǔn)書或土地使用證........................................................................................................................23

建設(shè)用地規(guī)劃許可證........................................................................................................................................24

建設(shè)工程規(guī)劃許可證........................................................................................................................................25

特殊建設(shè)工程消防設(shè)計(jì)審查文件....................................................................................................................26

環(huán)境影響報(bào)告書或環(huán)境影響報(bào)告表或環(huán)境影響登記表...............................................................................27

民用建筑項(xiàng)目人防工程審批文件....................................................................................................................28

超限高層建筑工程抗震設(shè)防專項(xiàng)審查意見書................................................................................................29

雷電防護(hù)裝置設(shè)計(jì)審核意見書........................................................................................................................30

施工圖設(shè)計(jì)文件審查合格書............................................................................................................................31

勘察、設(shè)計(jì)、施工、監(jiān)理中標(biāo)通知書............................................................................................................32

勘察、設(shè)計(jì)、施工、監(jiān)理合同（含施工專業(yè)、勞務(wù)分包）.......................................................................33

質(zhì)量、安全監(jiān)督登記表....................................................................................................................................34

建筑工程施工許可證或開工報(bào)告....................................................................................................................35

工程建設(shè)前期法定基建程序文件核查表........................................................................................................36

法定代表人授權(quán)書............................................................................................................................................37

工程質(zhì)量終身責(zé)任承諾書................................................................................................................................38

第二章工程質(zhì)量監(jiān)理用表（B類表）...................................................................................................................39

總監(jiān)理工程師任命書........................................................................................................................................40

項(xiàng)目總監(jiān)理工程師變更申請(qǐng)書........................................................................................................................41

總監(jiān)理工程師代表授權(quán)書................................................................................................................................42

項(xiàng)目監(jiān)理機(jī)構(gòu)印章使用授權(quán)書........................................................................................................................43

項(xiàng)目監(jiān)理機(jī)構(gòu)駐場(chǎng)監(jiān)理人員通知書................................................................................................................44

項(xiàng)目監(jiān)理機(jī)構(gòu)駐場(chǎng)監(jiān)理人員調(diào)整通知書........................................................................................................45

___________工程項(xiàng)目監(jiān)理規(guī)劃......................................................................................................................46

___________工程項(xiàng)目（專業(yè)工程名稱）監(jiān)理實(shí)施細(xì)則.............................................................................48

項(xiàng)目監(jiān)理機(jī)構(gòu)審查表........................................................................................................................................50

工程開工令........................................................................................................................................................51

工程暫停令........................................................................................................................................................52

旁站記錄............................................................................................................................................................53

平行檢查記錄....................................................................................................................................................54

巡視記錄............................................................................................................................................................55

監(jiān)理通知單........................................................................................................................................................56

監(jiān)理通知回復(fù)單................................................................................................................................................57

會(huì)議紀(jì)要............................................................................................................................................................58

工程變更管理臺(tái)賬............................................................................................................................................60

工程材料／構(gòu)配件／設(shè)備管理臺(tái)賬................................................................................................................61

監(jiān)理日志............................................................................................................................................................62

（工程項(xiàng)目名稱）監(jiān)理月報(bào)......................................................................................................................63

工程質(zhì)量事故監(jiān)理報(bào)告....................................................................................................................................71

監(jiān)理工作聯(lián)系單................................................................................................................................................72

工程監(jiān)理檔案移交目錄....................................................................................................................................73

（工程項(xiàng)目名稱）監(jiān)理工作總結(jié)....................................................................................................................74

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第三章施工管理和技術(shù)文件資料用表(C1類表).................................................................................................76

第一節(jié)施工項(xiàng)目管理文件資料通用表..................................................................................................................77

項(xiàng)目經(jīng)理和項(xiàng)目主要管理人員職務(wù)任命及授權(quán)簽字通知書.......................................................................77

工程項(xiàng)目啟用印章通知書................................................................................................................................78

工程項(xiàng)目管理人員變更通知書........................................................................................................................79

專業(yè)分包施工單位報(bào)審表................................................................................................................................80

施工現(xiàn)場(chǎng)質(zhì)量管理檢查記錄............................................................................................................................81

單位（專業(yè)分包）工程開工報(bào)審表................................................................................................................82

施工日志............................................................................................................................................................83

分部(子分部)工程施工小結(jié)(無(wú)表式)..............................................................................................................84

工程質(zhì)量事故調(diào)查處理報(bào)告............................................................................................................................85

工程復(fù)工申請(qǐng)/批復(fù)書.......................................................................................................................................86

第二節(jié)施工技術(shù)文件資料通用表..........................................................................................................................87

設(shè)計(jì)交底記錄（一）........................................................................................................................................87

施工圖設(shè)計(jì)文件會(huì)審記錄（一）....................................................................................................................89

施工圖設(shè)計(jì)文件變更（洽商）記錄................................................................................................................91

設(shè)計(jì)變更通知單匯總表....................................................................................................................................92

施工組織設(shè)計(jì)（施工方案）匯總目錄............................................................................................................93

施工組織設(shè)計(jì)(施工方案).........................................................................................................................94

__________分包專業(yè)施工方案........................................................................................................................95

施工組織設(shè)計(jì)(施工方案)報(bào)審表...........................................................................................................96

工程測(cè)試器具(設(shè)備)配備核查表.....................................................................................................................97

_____________分項(xiàng)工程施工技術(shù)交底記錄..................................................................................................98

分項(xiàng)工程質(zhì)量樣板驗(yàn)收記錄..........................................................................................................................100

單位工程驗(yàn)收批次劃分方案..........................................................................................................................101

檢驗(yàn)批質(zhì)量驗(yàn)收抽樣檢驗(yàn)計(jì)劃方案..............................................................................................................102

建筑（室外）工程竣工概況表......................................................................................................................103

混凝土工程澆灌審批表..................................................................................................................................104

第三節(jié)土建施工過(guò)程階段性質(zhì)量匯總（統(tǒng)計(jì)）用表.......................................................................................105

標(biāo)準(zhǔn)養(yǎng)護(hù)混凝土/同條件養(yǎng)護(hù)混凝土/砂漿試塊試驗(yàn)結(jié)果匯總表...............................................................105

混凝土抗壓強(qiáng)度計(jì)算表..................................................................................................................................106

砂漿抗壓強(qiáng)度計(jì)算表......................................................................................................................................107

鋼筋連接接頭檢驗(yàn)報(bào)告匯總表......................................................................................................................108

第四節(jié)進(jìn)場(chǎng)施工物資質(zhì)量控制、證明和驗(yàn)收文件通用表...............................................................................109

施工物資產(chǎn)品合格證收集整理表..................................................................................................................109

施工物資產(chǎn)品質(zhì)量證明文件匯總核查表......................................................................................................110

□進(jìn)場(chǎng)產(chǎn)品/□現(xiàn)場(chǎng)試件檢驗(yàn)（復(fù)驗(yàn)）計(jì)劃表.............................................................................................111

重要施工物資進(jìn)場(chǎng)（開箱）檢查驗(yàn)收記錄..................................................................................................112

裝配式混凝土預(yù)制構(gòu)件出廠合格證（工廠用表）......................................................................................113

材料設(shè)備送樣定板報(bào)審表..............................................................................................................................115

工程材料、構(gòu)配件、設(shè)備報(bào)審表..................................................................................................................116

第四章施工過(guò)程記錄（C2類表）......................................................................................................................117

第一節(jié)建筑工程施工記錄通用表........................................................................................................................118

一綜合類施工記錄通用表..................................................................................................................................118

隱蔽工程驗(yàn)收記錄..........................................................................................................................................118

專業(yè)分包工程交接記錄..................................................................................................................................119

檢驗(yàn)批現(xiàn)場(chǎng)驗(yàn)收檢查測(cè)試原始記錄..............................................................................................................120

現(xiàn)場(chǎng)觀感質(zhì)量檢查評(píng)定記錄..........................................................................................................................121

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____________施工記錄表（通用表）..........................................................................................................122

二土建工程施工記錄通用表..............................................................................................................................123

混凝土坍落度檢測(cè)記錄..................................................................................................................................123

施工層基線復(fù)核記錄......................................................................................................................................124

單位工程坐標(biāo)定位測(cè)量記錄..........................................................................................................................125

挖填前/后原地形測(cè)量記錄網(wǎng)格圖.................................................................................................................126

垂直度、標(biāo)高、全高測(cè)量記錄......................................................................................................................127

建筑物沉降觀測(cè)記錄表..................................................................................................................................128

建筑物沉降觀測(cè)測(cè)量匯總表..........................................................................................................................129

三建筑設(shè)備安裝工程施工記錄通用表..............................................................................................................130

設(shè)備安裝檢查記錄..........................................................................................................................................130

閥門/配件安裝前檢查試驗(yàn)記錄.....................................................................................................................131

管道/管件現(xiàn)場(chǎng)焊接（熔接）檢查記錄........................................................................................................133

管道系統(tǒng)沖洗（吹掃）記錄..........................................................................................................................135

調(diào)壓閥（裝置）調(diào)試記錄..............................................................................................................................136

管道系統(tǒng)壓力試驗(yàn)記錄..................................................................................................................................138

非密閉水箱(罐)滿水試驗(yàn)記錄.......................................................................................................................140

密閉水箱（罐）水壓試驗(yàn)記錄......................................................................................................................141

熱水/蒸汽鍋爐、熱交換器及其系統(tǒng)安裝工程資料冊(cè)封面........................................................................142

給水管道系統(tǒng)通水試驗(yàn)記錄..........................................................................................................................143

離心式水泵安裝檢測(cè)記錄..............................................................................................................................144

水泵試運(yùn)轉(zhuǎn)測(cè)試記錄......................................................................................................................................145

線路/設(shè)備/裝置/器具絕緣電阻測(cè)試記錄......................................................................................................146

供配電線路絕緣電阻測(cè)試記錄......................................................................................................................148

接地電阻測(cè)試記錄..........................................................................................................................................150

線路（裝置）直流電阻測(cè)試記錄..................................................................................................................152

電氣裝置送電檢測(cè)調(diào)試記錄..........................................................................................................................154

不間斷電源(UPS)/應(yīng)急電源(EPS)機(jī)組運(yùn)行試驗(yàn)記錄.................................................................................155

機(jī)組單臺(tái)或并機(jī)投切轉(zhuǎn)換及聯(lián)鎖控制調(diào)試記錄.........................................................................................157

電氣設(shè)備交接試驗(yàn)記錄..................................................................................................................................158

電氣照明系統(tǒng)運(yùn)行試驗(yàn)記錄..........................................................................................................................159

建筑設(shè)備能耗監(jiān)測(cè)系統(tǒng)功能及性能測(cè)評(píng)記錄.............................................................................................164

建筑設(shè)備監(jiān)控系統(tǒng)功能及性能測(cè)評(píng)記錄......................................................................................................165

智能建筑機(jī)房工程質(zhì)量檢測(cè)記錄..................................................................................................................166

智能建筑____________系統(tǒng)（設(shè)備）單元單體檢測(cè)調(diào)試記錄.................................................................168

智能建筑____________系統(tǒng)工程聯(lián)合調(diào)試記錄.........................................................................................169

智能建筑分部工程檢測(cè)記錄匯總表..............................................................................................................170

智能建筑工程驗(yàn)收資料審查記錄..................................................................................................................171

風(fēng)管及配件加工制作工藝性測(cè)試記錄..........................................................................................................173

風(fēng)管系統(tǒng)安裝后嚴(yán)密性測(cè)試記錄..................................................................................................................175

通風(fēng)空調(diào)系統(tǒng)總風(fēng)量測(cè)試記錄......................................................................................................................177

風(fēng)口風(fēng)量調(diào)試記錄..........................................................................................................................................179

空調(diào)水系統(tǒng)流量測(cè)試記錄..............................................................................................................................182

空調(diào)室內(nèi)空氣/環(huán)境參數(shù)測(cè)試記錄.................................................................................................................184

設(shè)備（系統(tǒng)）運(yùn)行試驗(yàn)記錄..........................................................................................................................193

調(diào)試（檢測(cè)）記錄..........................................................................................................................................194

第二節(jié)地基與基礎(chǔ)分部施工記錄表....................................................................................................................196

錨桿（土釘）隱蔽工程質(zhì)量驗(yàn)收記錄..........................................................................................................196

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土方回填隱蔽工程質(zhì)量驗(yàn)收記錄..................................................................................................................197

灌注樁鋼筋籠安裝隱蔽驗(yàn)收記錄..................................................................................................................198

灌注樁隱蔽驗(yàn)收記錄......................................................................................................................................199

地下連續(xù)墻隱蔽驗(yàn)收記錄..............................................................................................................................200

地基基坑(槽)開挖、施工檢查記錄...............................................................................................................201

輕型動(dòng)力觸探記錄..........................................................................................................................................202

地基基坑（槽）回填施工檢查記錄..............................................................................................................203

強(qiáng)夯施工記錄..................................................................................................................................................204

注漿地基施工記錄..........................................................................................................................................205

袋裝砂井/塑料排水板施工記錄.....................................................................................................................206

預(yù)壓地基施工記錄..........................................................................................................................................207

砂石樁復(fù)合地基施工記錄..............................................................................................................................208

旋噴樁施工記錄..............................................................................................................................................209

水泥土攪拌樁施工記錄表..............................................................................................................................210

水泥土攪拌樁供灰記錄..................................................................................................................................211

水泥土攪拌樁施工記錄匯總表......................................................................................................................212

水泥土攪拌樁輕便觸探檢驗(yàn)記錄..................................................................................................................213

土和灰土擠密樁/夯實(shí)水泥土樁施工記錄....................................................................................................214

水泥粉煤灰碎石樁施工記錄..........................................................................................................................215

錘擊沉管混凝土灌注樁施工工藝試驗(yàn)記錄..................................................................................................216

錘擊沉管混凝土灌注樁施工記錄..................................................................................................................217

振動(dòng)沉管灌注樁施工工藝試驗(yàn)記錄..............................................................................................................218

振動(dòng)沉管灌注樁施工記錄..............................................................................................................................219

錘擊混凝土預(yù)制樁（鋼樁）施工工藝試驗(yàn)記錄.........................................................................................220

錘擊混凝土預(yù)制樁（鋼樁）施工記錄..........................................................................................................221

靜壓混凝土預(yù)制樁、鋼樁施工工藝試驗(yàn)記錄.............................................................................................222

靜壓混凝土預(yù)制樁（鋼樁）施工記錄..........................................................................................................223

挖孔樁成孔檢查記錄......................................................................................................................................224

人工挖孔灌注樁施工資料匯總表..................................................................................................................225

泥漿護(hù)壁成孔灌注樁施工工藝試驗(yàn)記錄......................................................................................................226

泥漿護(hù)壁成孔灌注樁施工記錄......................................................................................................................227

護(hù)壁泥漿質(zhì)量檢查記錄..................................................................................................................................228

干作業(yè)成孔灌注樁施工記錄..........................................................................................................................229

長(zhǎng)螺旋成孔灌注樁施工記錄..........................................................................................................................230

灌注樁施工資料匯總表..................................................................................................................................231

錨桿(土釘)施工記錄.......................................................................................................................................232

錨桿張拉施工記錄..............................................................................................................