登高施工申请单
登高作业许可证 Climbing Operation License 申请部门 Application dept.作业地点 location 起讫日期 Start and end date 登高作业类型2 Climbing operation type: □ 一级(2-5m)□ 二级(5-15m)□ 三级(15-30m)□ 特殊(≥30m)□其它:
Level I(2-5m)level II(5-15m)level III(15-30m)Special(≥30m)Other:
作业内容:
Work content: 安全措施:
Safety measures: 作业人员姓名 Names of operators 岗位或技术等级 Post or technical level 监护人员姓名 Guardian name 岗位或技术等级 Post or technical level 申请人意见/Applicant comment: 签名(Signature):
监护人意见/Guardian comment: 签名(Signature):
审批人意见3 :
Approver comment: 签名,日期(Signature, date): 审核人意见4 Auditor comment: 签名,日期(Signature, date): 备注 Remark:
1.本许可证一式四份,白色-申请人、蓝色-监护人、黄色-审批人、红色-审核人,分别需存档 1 年并备案登记;The license has quadruplication: white-applicant, blue-guardian, yellow-approver ,red-auditor, Each should be archived for 1 year and be registed 2.一般登高与特殊登高审批权限不同(见备注 3&4),一般登高指一级、二级、三级登高作业类型; General and special climbing operation approved differently(remark 3&4).General climbing operation refers to level I/ II/ III type 3.审批人:对于一般登高,指车间 K2 部门经理(或指定负责人),在建项目由施工经理或规划(TM)项目经理审批;对于特殊登高,指工厂 K1/R1 部门经理(或指定负责人); General climbing operation: approved by K2 Dept.Mgr.of workshop(or designated person in charge), for project in construction, approved by construction mgr.or TM project mgr;Special climbing operation: approved by K1/R1 Dept.Mgr.of Car Plant(or designated person in charge).4.审核人:对于一般登高,指工厂安全员(或指定人员);对于特殊登高,指安全管理职能部门部门经理(K2):安亭地区(包括 S条线)为消防与安全(HSF),沪外工厂为行政管理/安全保障(TF_D/TFHF)。
General climbing operation: audited by the Car plant security officer(or designated person);Special climbing operation: audited by K2 Dept.Mgr.of management dept., which refers to HSF in Anting region(including S branch), and TF_D/TFHF in FOS
