工程復(fù)工報(bào)審表(模板)

工程復(fù)工報(bào)審表(模板)工程名稱:____________________________________________________工程地址:____________________________________________________施工單位:____________________________________________________監(jiān)理單位:____________________________________________________項(xiàng)目負(fù)責(zé)人:____________________________________________________聯(lián)系方式:____________________________________________________一、工程概況1.工程概況:____________________________________________________2.工程進(jìn)度:____________________________________________________3.工程質(zhì)量:____________________________________________________4.工程安全:____________________________________________________二、停工原因1.停工原因:____________________________________________________2.停工時(shí)間:____________________________________________________3.停工影響:____________________________________________________三、復(fù)工措施1.復(fù)工計(jì)劃:____________________________________________________2.復(fù)工時(shí)間:____________________________________________________3.復(fù)工措施:____________________________________________________四、監(jiān)理意見1.監(jiān)理單位意見:____________________________________________________2.監(jiān)理單位負(fù)責(zé)人簽字:____________________________________________________3.監(jiān)理單位聯(lián)系方式:____________________________________________________五、審批意見1.審批單位意見:____________________________________________________2.審批單位負(fù)責(zé)人簽字:____________________________________________________3.審批單位聯(lián)系方式:____________________________________________________工程復(fù)工報(bào)審表(模板)工程名稱:____________________________________________________工程地址:____________________________________________________施工單位:____________________________________________________監(jiān)理單位:____________________________________________________項(xiàng)目負(fù)責(zé)人:____________________________________________________聯(lián)系方式:____________________________________________________一、工程概況1.工程概況:____________________________________________________2.工程進(jìn)度:____________________________________________________3.工程質(zhì)量:____________________________________________________4.工程安全:____________________________________________________二、停工原因1.停工原因:____________________________________________________2.停工時(shí)間:____________________________________________________3.停工影響:____________________________________________________三、復(fù)工措施1.復(fù)工計(jì)劃:____________________________________________________2.復(fù)工時(shí)間:____________________________________________________3.復(fù)工措施:____________________________________________________四、監(jiān)理意見1.監(jiān)理單位意見:____________________________________________________2.監(jiān)理單位負(fù)責(zé)人簽字:____________________________________________________3.監(jiān)理單位聯(lián)系方式:____________________________________________________五、審批意見1.審批單位意見:____________________________________________________2.審批單位負(fù)責(zé)人簽字:____________________________________________________3.審批單位聯(lián)系方式:____________________________________________________六、復(fù)工條件1.復(fù)工條件:____________________________________________________2.復(fù)工驗(yàn)收:____________________________________________________3.復(fù)工驗(yàn)收標(biāo)準(zhǔn):____________________________________________________七、后續(xù)保障1.安全保障措施:____________________________________________________2.質(zhì)量保障措施:____________________________________________________3.環(huán)保保障措施:____________________________________________________八、其他事項(xiàng)1.其他需要說明的事項(xiàng):____________________________________________________2.相關(guān)附件:____________________________________________________工程復(fù)工報(bào)審表(模板)工程名稱:____________________________________________________工程地址:____________________________________________________施工單位:____________________________________________________監(jiān)理單位:____________________________________________________項(xiàng)目負(fù)責(zé)人:____________________________________________________聯(lián)系方式:____________________________________________________一、工程概況1.工程概況:____________________________________________________2.工程進(jìn)度:____________________________________________________3.工程質(zhì)量:____________________________________________________4.工程安全:____________________________________________________二、停工原因1.停工原因:____________________________________________________2.停工時(shí)間:____________________________________________________3.停工影響:____________________________________________________三、復(fù)工措施1.復(fù)工計(jì)劃:____________________________________________________2.復(fù)工時(shí)間:____________________________________________________3.復(fù)工措施:____________________________________________________四、監(jiān)理意見1.監(jiān)理單位意見:____________________________________________________2.監(jiān)理單位負(fù)責(zé)人簽字:____________________________________________________3.監(jiān)理單位聯(lián)系方式:____________________________________________________五、審批意見1.審批單位意見:____________________________________________________2.審批單位負(fù)責(zé)人簽字:____________________________________________________3.審批單位聯(lián)系方式:____________________________________________________六、復(fù)工條件1.復(fù)工條件:____________________________________________________2.復(fù)工驗(yàn)收:____________________________________________________3.復(fù)工驗(yàn)收標(biāo)準(zhǔn):____________________________________________________七、后續(xù)保障1.安全保障措施:___________________________________________________