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高大模板工程专项施工方案
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危险性较大的分部分项工程安全专项方案审批表
工程名称：×××××× 编号： 方案名称 高大模板工程专项施工方案 编制人 技术部门审核意见： 部门负责人： 日 期： 安全管理部门审核意见： 部门负责人： 日 期： 质量管理部门审核意见： 部门负责人： 日 期： 公司技术负责人审批意见： 公司技术负责人： 日 期： ×××××××××××公司（章） 注：依照《危险性较大的分部分项工程安全管理办法》（建质[2009]87）号制定本表。
危险性较大的分部分项工程安全专项方案报审表
工程名称： 编号： 方案名称 编制人 致：（监理公司） 我方已根据施工合同的有关规定完成了 专项施工方案的编制，并经我单位上级技术负责人审查批准，请予以审查。附： 专项施工方案 承包单位： 项目经理： 日 期： 专业监理工程师审查意见： 专业监理工程师： 日 期： 项目总监审核意见： 项目监理机构： （公司章） 项目总监： 日 期： 注：依照《危险性较大的分部分项工程安全管理办法》（建质[2009]87）号制定本表。
目 录
第一章 编制依据 ····································································································· 1
1. 法律、法规 ··················································································· 1 2. 主要规范、规程 ············································································· 1 3. 施工合同 ······················································································ 1 4. 施工图纸 ······················································································ 1 5. 施工组织设计 ················································································ 1 6. 参考资料 ······················································································ 1 7. 其他 ···························································································· 1 第二章 工程概况 ····································································································· 1
1. 工程建设概况 ················································································ 1 2. 工程设计概况 ················································································ 1 3. 现场环境 ······················································································ 1 4. 工程特点 ······················································································ 1 5. 施工平面布置 ················································································ 1 6. 施工要求和技术保证条件 ································································· 1 第三章 施工安排···································································································· 1
1. 组织机构及岗位职责 ······································································· 1 2. 工程施工目标 ················································································ 1 3. 工程施工流水段及施工顺序 ······························································ 1 3. 工程的重点、难点及对应措施 ··························································· 2 第四章 施工计划···································································································· 2
1. 施工进度计划 ················································································ 2 2. 材料计划 ······················································································ 2 3. 设备计划 ······················································································ 2 4. 劳动力计划 ··················································································· 2 第五章 施工工艺技术 ···························································································· 2
1. 技术参数 ······················································································ 2 2. 工艺流程 ······················································································ 2 3. 施工方法 ······················································································ 2
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4. 检查验收 ······················································································ 3 5. 质量控制措施 ················································································ 3 6. 质量记录 ······················································································ 3 第六章 施工安全保证措施 ····················································································· 3
1. 组织保证措施 ················································································ 3 2. 技术保证措施 ················································································ 3 3. 监测监控 ······················································································ 4 4. 应急预案 ······················································································ 4 第七章 文明施工要求 ···························································································· 5 第八章 计算书及相关图纸 ····················································································· 5
1. 计算书 ························································································· 5 2. 相关图纸 ······················································································ 5
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第一章 编制依据
1. 法律、法规 2. 主要规范、规程 3. 施工合同 4. 施工图纸 5. 施工组织设计 6. 参考资料 7. 其他
第二章 工程概况
1. 工程建设概况
2. 工程设计概况（与高大模板工程相关的工程设计概况） 3. 现场环境 4. 工程特点 5. 施工平面布置
6. 施工要求和技术保证条件 6.1 施工要求 6.2 技术保证条件
第三章 施工安排
1. 组织机构及岗位职责 2. 工程施工目标 2.1 工期目标 2.2 质量目标 2.3 安全目标 2.4 环境目标 2.5 成本目标
3. 工程施工流水段及施工顺序 3.1 施工流水段 3.2 施工顺序 3.3 穿插作业的组织
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3. 工程的重点、难点及对应措施
第四章 施工计划
1. 施工进度计划 2. 材料计划 3. 设备计划 4. 劳动力计划
第五章 施工工艺技术
1. 技术参数 1.1 设计总体思路 1.2 方案选择
1.3 模板支撑系统设计
1.3.1 模板支撑系统结构选型及架体相关技术参数 1.3.2 支撑系统架体材料相关技术参数 1.3.3 模板支撑系统构造措施 （1）立柱 （2）扫地杆 （3）U型顶托 （4）水平杆 （5）剪刀撑 1.3.4 地基处理 1.4 梁模板设计 1.5 板模板设计 2. 工艺流程 3. 施工方法
3.1 模板施工统一要求 3.2 满堂支撑架施工 3.3 模板施工
3.4 梁板模板施工时注意事项 3.5 模板使用管理
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3.6 对混凝土的浇筑要求 4. 检查验收 4.1 验收要求 4.2 验收时间
4.3 满堂支撑架的检查验收 4.3.1 满堂支撑架的验收依据 4.3.2 验收的内容
4.3.3 满堂支撑架的材质要求 4.3.4 构配件允许偏差
4.3.5 脚手架搭设的允许偏差和检验方法 4.3.6 扣件拧紧抽样检查数目及质量判定标准 4.4 模板的检查验收 4.4.1 主控项目 4.4.2 一般项目
4.4.3 木胶合板的材质要求 4.4.4 现浇结构模板安装的偏差 4.4.5 模板垂直度控制 4.4.6 顶板模板标高控制 4.4.7 模板的变形控制 4.4.8 模板的拼缝、接头 4.4.9 与安装配合 5. 质量控制措施
5.1 模板工程质量控制程序 5.2 脱模剂及模板堆放、维修 5.3 质量通病及预防措施 5.4 成品保护 6. 质量记录
第六章 施工安全保证措施
1. 组织保证措施 2. 技术保证措施
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2.1 满堂支撑架搭设技术保证措施 2.1.1 材质及其使用的安全技术措施 2.1.2 满堂支撑架搭设的安全技术措施 2.1.3 满堂支撑架上施工作业的安全技术措施 2.1.4 满堂支撑架拆除的安全技术措施 2.2 模板安装技术保证措施 2.2.1 模板安装的技术保证措施 2.2.2 模板拆除的技术保证措施 2.2.3 模板施工的安全管理措施 3. 监测监控 3.1 日常检查、巡查 3.2 灾后检查 3.3 监测 3.3.1 监测项目 3.3.2 仪器设备配置 3.3.3 监测频率
3.3.4 监测的方法与工具 3.3.5 监测点的设置 3.3.6 监测报警值 4. 应急预案
4.1 应急处理组织机构及职责 4.1.1 应急处理组织机构
姓名
岗位 组长 副组长 通讯联络 技术支持 保卫 抢险抢修 医疗救护 后勤保障 4
联系电话 4.1.2 应急组织的职责 4.2 应急资源准备 4.3 抢险教育、训练 4.4 应急救援通讯 4.5 应急救援预案 4.5.1 应急响应 4.5.2 应急救援装备 4.5.3 应急救援演练 4.5.4 应急救援措施
第七章 文明施工要求 第八章 计算书及相关图纸
1. 计算书 2. 相关图纸 2.1 相关建筑图 2.2 模板施工图
2.2.1 支撑架立杆平面布置图 2.2.2 支撑架剪刀撑平面布置图 2.2.3 支撑架剖面图 2.2.4 梁模板大样图 2.2.5 监测点布设平面图
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