建筑业绿色施工管理过程检查记录用表1.doc

中国核工业第二二建设有限公司 西安分公司 秦汉新城渭柳佳苑二期C标段项目部 附录4：陕西省建筑业绿色施工管理过程检查记录用表目 录1、附表H-001绿色施工交底记录表································32、附表H-002工地噪声测量记录表································43、附表H-003绿色施工培训计划表································54、附表H-004培训记录············································· 65、附表H-005 卫生间清洁检查标准······························· 7 施工现场及办公生活区环境保护检查标准·······76、附表H-006 卫生间清洁检查记录表·····························87、附表H-007施工现场及办公生活区环境保护检查记录表····108、附表H-008 施工层扬尘检查记录表····························129、附表H-009现场道路扬尘检查记录表························1310、附表H-010办公及生活区垃圾记录表························ 1411、附表H-011生活垃圾清运记录表······························1512、附表H-012 建筑垃圾清运记录······························· 1613、附表H-013 污水排放检查记录表···························· 1714、附表H-014 沉淀池、隔离池、化粪池清理记录表·········· 1815、附表C-001 限额领料单······································· 1916、附表C-002对讲机发放回收记录表··········· ·············· 2017、附表C-003机械保养记录表····································2118、附表 C-004塔吊保养记录表···································2219、附表C-005施工电梯保养记录表······························ 2320、附表C-006危险品材料进出场记录台帐······················ 2421、附表C-007材料进出场记录台帐······························ 2522、附表C-008砂浆管理记录表··································· 2623、附表C-009砖、砌体管理记录表····································2724、附表C-010 塑料管理记录表···································2825、附表C-011 包装材料管理记录表······························ 2926、附表 C-012 装修材料管理记录表····························· 3027、附表C-013钢材用料处理记录表······························· 3128、附表C-014方木模板回收利用记录表························· 3229、附表C-015混凝土余料使用记录表···························· 3330、附表C-016废料出售记录表···································· 3431、附表D-001回填土记录表······································· 3532、附表D-002项目部土地使用变更表···························· 3633、附表N-001办公区用电记录表································· 3734、附表N-002生活区用电记录表··································3835、附表N-003塔吊耗能记录······································· 3936、附表N-004钢筋棚耗能记录···································· 4037、附表N-005施工电梯耗能记录··································4138、附表N-006单体耗电记录······································· 4239、附表N-07用电记录汇总表······································4340、附表S-001项目部临时用水消耗记录··························4441、附表S-002雨水回收记录表···································· 4542、附表S-003雨水使用记录表·····································4643、附表S-004地下水使用记录表·································· 47附表：H-001 绿色施工交底记录表工程名称渭柳佳苑安居小区二期工程C标段方案名称交底人交底时间交底对象参加人员签名交底内容：说明：绿色交底应按工序， 在施工全过程中所有的技术交底和安全交底中，必须有独立的绿色施工交底条款内容，按时间、要素分类，每道工序开始前必须交底。

交底的效果可通过考试的形式进行检查、巩固附表：H-002 工地噪声测量记录表（昼间）工地名称渭柳佳苑安居小区二期工程C标段施工阶段地 点测试时间测量仪器型号TDJ-814天气测量人测量地点测量值（DB）平均值标准值测点A 70dB测点B70dB测点C70dB测点D70dB测点E70dB测点F70dB 组长：注:1、根据现场实际情况，制定测量时间，浇筑混凝土必须进行测量； 2、夜间测量时间为晚22:00～次日06:00；昼间测量时间为早06:00～晚22:00； 3、测量点布置应在临近居民楼、生活区等噪音敏感区域； 4、每月要对测量数据进行分析对比附表：H-003绿色施工培训计划表序号培训时间培训地点培训形式培训内容培训对象培训人数授课人培训效果采用的评价方式培训编号说明：培训计划可按工期或是按施工阶段制定，应以覆盖施工全过程、全员、培训形式多样培训效果最佳为原则；计划制定后相关责任人要负责落实执行，在培训过程中认真填写《绿色施工培训记录表》，同时留取培训过程中的影像资料，培训效果资料。

附表：H-004培 训 记 录工程名称渭柳佳苑安居小区二期工程C标段培训时间培训人培训地点培训对象记录人内容：参加人员： 组长： 注：1、每一道工序开始时，需要有绿色施工培训； 2、培训完成后要有检验培训效果措施附表：H-005 卫生间清洁检查标准序号检查时间处罚金额13天检查一次不合格项罚当日清洁人10元21天检查一次不合格项罚当日清洁人10元31天检查一次不合格项罚当日清洁人10元43天检查一次不合格项罚当日清洁人10元51天检查一次不合格项罚当日清洁人10元61天检查一次不合格项罚当日清洁人10元77天检查一次不合格项罚当日清洁人10元81天检查一次不合格项罚当日清洁人10元91天检查一次不合格项罚当日清洁人10元103天检查一次不合格项罚当日清洁人10元备注：合格√ 不合格×施工现场及办公生活区环境保护检查标准序号检查时间处罚金额11天检查一次不合格项罚当日清洁人10元2夏天每天洒水2次，冬天不洒水不合格项罚当日清洁人10元31天检查一次不合格项罚当日清洁人10元41天检查一次不合格项罚当日清洁人10元57天检查一次不合格项罚当日清洁人10元61天检查一次不合格项罚当日清洁人10元71天检查一次不合格项罚当日清洁人10元81天检查一次不合格项罚当日清洁人10元91天检查一次不合格项罚当日清洁人10元107天检查一次不合格项罚当日清洁人10元备注：合格√ 不合格×附表：H-006 卫生间清洁检查记录表 年____ 月 检查人：____________序号时间 完成情况卫生标。