Site Survey Report for construction proceed Bo co nh gi Iu kin khi cng cng trnh

Document Title: BC-VNA-AF018 Revision No. :01 Effective Date : 01.01.2006 Page : 1 of 4

Owner/Ch u t: Address/a ch: Contact/lin h: Project/D n: Project type/loi hnh d n: Construction site/a im thi cng: Main Contractor/Nh thu thi cng chnh: Address/a ch:

Contact/lin h: Cng ty c phn t vn thit k v g..x.d sao vit 466 Nguyn Vn Linh L Chn- Hi Phng Tel: 84.031.624.191 Fax: 84.031.624.193

Consultor/Nh thu gim st Address/a ch: Contact/lin h: Type/loi hnh: Order No./S Order: Objectives/mc ch:

PS/ nh gi s b

Date(s)/ngy:

20.06.06

Language: Vietnamese & English Thng nht nh gi thc hin Qun l Gim st xy dng d n Lut XD s 16/2003/QH11 Quc Hi VN ban hnh ngy 26/11/2003, v Ngh nh s 209/2004/ND-CP Chnh Ph ban hnh ngy 16/12/2004 v vic qun l Cht lng CTXD Ngh nh s 16/2005/ND-CP Chnh Ph ban hnh ngy 07/3/2005 v vic qun l u t Xy dng Thng t s 12/2005/TT-BXD B Xy dng ban hnh ngy15/7/2005 v vic Qun l cht lng CTXD Yu cu ca Ch u t.

Criteria/tiu ch:

A- Cc iu kin cn cho vic khi cng xy dng cng trnh M t F NF NA Ghi ch

Cc loi giy php do c quan qun l nh nc Giy php xy dng Tho thun u ni in Tho thun u ni nc Tho thun u ni nc thi
Rev. 5 / 02.2006 page 1 of 4

Bo co nh gi iu kin khi cng

Site Survey Report for construction proceed Bo co nh gi Iu kin khi cng cng trnh
Document Title: BC-VNA-AF018 Revision No. :01 Effective Date Page : 01.01.2006 : 2 of 4

A- Cc iu kin cn cho vic khi cng xy dng cng trnh M t F NF NA Ghi ch

Tho thun u ni nc mt hoc c quan c Tho thun PCCC lin quan ........ Bo co kho st a cht Thit k c s c ph duyt Thit k thi cng (nu l thit k 2 bc) c ph duyt Thuyt minh thit k Kt qu thm tra, thm nh D ton c thm tra, thm nh v ph duyt Hp ng xy dng Hp ng t vn gim st Bin bn bn bn giao mt bng S t chc trn cng trng ca nh thu, T vn gim st, ch u t Bin php thi cng ca nh thu c ph duyt Bin php an ton lao ng c ph duyt Bin php an ton v sinh mI trng c ph duyt Tng tin thi cng cng trnh c ph duyt Tin thi cng chi tit ca tng hng mc c ph duyt Bin hiu trn cng trng Nht k cng trng Nht k t vn gim st Tho thun u ni giao thng

Nhim v Kho st a cht

Bo co nh gi iu kin khi cng

Rev. 5 / 02.2006

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Site Survey Report for construction proceed Bo co nh gi Iu kin khi cng cng trnh
Document Title: BC-VNA-AF018 Revision No. :01 Effective Date Page : 01.01.2006 : 3 of 4

A- Cc iu kin cn cho vic khi cng xy dng cng trnh M t F NF NA Ghi ch

Cc H thng bin bn nghim thu, phiu ngh nghim thu Ghi ch: F: hon chnh , NF: Cha honh chnh, NA: Khng p dng

B1- kin nh gi ca Ch u t

B2- kin nh gi ca Nh thu

B3- kin nh gi ca Nh thu Gim st

Bo co nh gi iu kin khi cng

Rev. 5 / 02.2006

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Site Survey Report for construction proceed Bo co nh gi Iu kin khi cng cng trnh
Document Title: BC-VNA-AF018 Revision No. :01 Effective Date Page : 01.01.2006 : 4 of 4

Cc bn thng nht k tn Ch u t

Nh thu

Nh thu Gim st

Bo co nh gi iu kin khi cng

Rev. 5 / 02.2006

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