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[null,null,"掛川市営繕工事施工に伴う提出書類一覧表",null,null,null,null,null,"2024-04-01"]
["時期","提　出　書　類",null,"様　式","リンク","摘　要","標準工事","小規模工事","少額工事"]
[null,null,null,null,null,null,"2,000万円以上","250～2,000万円","250万円未満"]
["契約段階","1","工程表","様式第9号",null,"工事執行規則第20条","○","○","○"]
[null,null,null,null,null,"請負契約約款第3条"]
[null,"2","変更工程表","様式第15号",null,"工事執行規則第34条","△","△","△"]
[null,null,null,null,null,"請負契約約款第21条"]
[null,"3","主任技術者等通知書","様式第11号",null,"工事執行規則第22条","○","○","○"]
[null,null,null,null,null,"請負契約約款第10条","4千(8千)万円以上専任技術者"]
[null,"4","下請負人通知書","様式第8号",null,"工事執行規則第15条","△","△"]
[null,null,"再下請負通知書",null,null,"請負契約約款第7条","請負代金額5,000万円を超える建設工事において、下請契約をしたとき"]
[null,"5","火災保険その他損害保険加入届書","参考様式",null,"工事執行規則第59条","△","△"]
[null,null,null,null,null,"請負契約約款第47条"]
[null,"6","工事実績情報の登録\n（確認書）",null,"リンク","標準仕様書1.1.4","提示","提示"]
[null,null,null,null,null,"特記仕様書",null,"500万円以上"]
[null,"7","建設業退職金共済組合","指定様式","リンク","中退金共済法","○","△"]
[null,null,"掛金収納書／理由書",null,null,null,null,"300万円以上"]
[null,"8","建設リサイクル法届出書","指定様式","リンク","建設リサイクル法","△","△"]
[null,null,null,null,null,null,"該当工事","該当工事"]
[null,"9","ＥＭＳ承諾書","別紙2",null,"掛川市ＥＭＳ","△","△"]
[null,null,null,null,null,null,"協力要請","協力要請"]
[null,"10","請負代金内訳書",null,null,"工事執行規則第20条","△","△"]
[null,null,null,null,null,"請負契約約款第3条","監督員請求時","監督員請求時"]
["施工段階","11","総合施工計画書","参考様式",null,"標準仕様書1.2.2","○","○"]
[]
[null,"12","安全訓練等の実施計画書","指定様式",null,"指導","○","○"]
[]
[null,"13","再生資源利用計画書",null,"リンク","指導","○","○","△"]
[null,null,"・促進計画書"]
[null,"14","施工体制台帳","参考様式",null,"建設業法","△","△","△"]
[null,null,"作業員名簿",null,null,null,"下請負契約のある場合","下請負契約のある場合","下請負契約のある場合"]
[null,"15","施工体系図","参考様式",null,"指導","△","△","△"]
[null,null,"施工体制台帳確認一覧表",null,null,null,"下請負契約のある場合","下請負契約のある場合","下請負契約のある場合"]
[null,"16","実施工程表",null,null,"標準仕様書1.2.1","○","○"]
[null,null,null,null,null,"週休2日推進工事実施要領"]
[null,"17","工種別施工計画書",null,null,"標準仕様書1.2.2","○","○"]
[]
[null,"18","使用材料報告書","参考様式",null,"標準仕様書1.4.2","○","○"]
[]
[null,"19","施工図",null,null,"標準仕様書1.2.3","○","△"]
[]
[null,"20","納品仕様書（承認図）",null,null,"標準仕様書1.2.3","○","△"]
[]
[null,"21","指示・承諾・","監督員規定\n様式第１号",null,"請負契約約款第1、9条","○","○","△"]
[null,null,"協議・提出・報告書",null,null,"工事執行規則第10条",null,null,"作成時"]
[null,"22","休日・夜間作業届","様式第5号",null,"標準仕様書1.3.5","△","△"]
[null,null,null,null,null,null,"作業時","作業時"]
[null,"23","工事工程月報","様式第10号",null,"工事執行規則第20条","○","○"]
[null,null,null,null,null,"請負契約約款第3条"]
[null,"24","工期延長請求書","様式第14号",null,"工事執行規則第34条","△","△","△"]
[null,null,null,null,null,"請負契約約款第21条","延長請求時","延長請求時","延長請求時"]
[null,"25","出来形確認請求書","様式第19号",null,"工事執行規則第49条","△","△"]
[null,null,null,null,null,"請負契約約款第37条","部金請求時","部金請求時"]
["完成段階","26","完成届出書","様式第16号",null,"工事執行規則第43条","○","○","○"]
[null,null,"修補完了届書",null,null,"請負契約約款第31条"]
[null,"27","工事記録簿","様式第12号",null,"工事執行規則第23条","提示","提示"]
[null,null,null,null,null,"請負契約約款第11条"]
[null,28,"現場閉所（現場休息）率確認書","様式1",null,"週休2日推進工事(建築工事)","〇","〇"]
[null,null,null,null,null,"実施要領第5条"]
[null,29,"建設業退職金共済証紙","様式第41号","リンク","中退金共済法","△","△"]
[null,null,"受払簿（写）"]
[null,30,"安全訓練等の実施報告書","指定様式",null,"指導","○","○"]
[]
[null,31,"再生資源利用促進実施書",null,"リンク","指導","○","○","△"]
[null,null,"搬入搬出調書"]
[null,32,"創意工夫等報告","県様式№45",null,null,"△","△"]
[]
[null,33,"ＥＭＳチェックシート","様式第1号",null,"掛川市ＥＭＳ","△","△"]
[null,null,null,null,null,null,"協力要請","協力要請"]
[null,34,"材料検査簿","様式第13号",null,"工事執行規則第25条","○","△"]
[null,null,null,null,null,"請負契約約款第13条"]
[null,35,"施工管理",null,null,"標準仕様書1.2.4","○","○"]
[null,null,"　出来形管理"]
[null,null,"　品質管理",null,null,"標準仕様書1.2.4","○","○"]
[]
[null,null,"　写真管理",null,null,"標準仕様書1.2.4","○","○"]
[]
[null,36,"保全に関する資料",null,null,"標準仕様書1.7.3","○","△","△"]
[null,null,null,null,null,null,null,"特記仕様による","特記仕様による"]
[null,37,"完成図",null,null,"標準仕様書1.7.2","○","△","△"]
[null,null,null,null,null,null,null,"特記仕様による","特記仕様による"]
[null,38,"工事写真帳",null,null,"工事執行規則第26条","○","○","○"]
[null,null,null,null,null,"請負契約約款第14条"]
[null,39,"完成検査写真帳",null,null,"工事執行規則第26条","○","○"]
[null,null,null,null,null,"請負契約約款第14条"]
[null,null,"  ※１．本表を標準とし、工事内容に応じ追加、割愛するものとする。"]
[null,null,"　　　　特記仕様書に記載されているもの、又は監督員が特に指示した場合はその指示に従うこと。"]
[null,null,"　※２．施工管理については、施工計画で基準、頻度を定め、チェックシートを作成するなどして管理する。"]
[null,null,"○＝提出　△＝該当時提出"]

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["契約書類関係チェックリスト（建築工事）"]
[null,null,"※提出図書は、図書の種類、提出時期等により整理しファイルする。頁数により分冊、合冊すること。",null,null,null,null,null,null,null,null,{"$f":"一覧表!I1","v":"2024-04-01"}]
[null,"ファイル（１）　契約関係図書　※契約約款等に基づき提出するもの",null,null,null,null,null,null,null,null,null,null,null,"No.1"]
["NO","分類","一覧\n表NO","項　目",null,"細　目","摘　　　　要",null,null,"標準　工事","小規模工事","少額工事","チェック欄"]
[null,null,null,null,null,null,null,null,null,null,null,null,"請負者","監督員"]
[1,"契約書",null,"工事予算執行伺書",null,null,null,null,null,"○","○","○"]
[null,null,null,"契約書",null,null,null,null,null,"○","○","○"]
[null,null,null,"変更工事予算執行伺書",null,null,null,null,null,"△","△","△"]
[null,null,null,"変更契約書",null,null,null,null,null,"△","△","△"]
[null,null,null,"監督員通知書（写）",null,null,"請負金額30万円以上",null,null,"○","○","△"]
[2,"契約時提出図書",1,"工程表",null,"様式第9号","契約後10日以内",null,"契約約款第３条","○","○","○"]
[null,null,2,"変更工程表",null,"様式第15号","変更契約締結後10日以内。変更後の工程を朱書きする。",null,"契約約款第21条","△","△","△"]
[null,null,3,"主任技術者等通知",null,"様式第11号","4,000（建築：8,000）万円以上は専任、下請総額4,500（建築：7,000）万円以上は監理技術者　変更増は該当時点で届出",null,"契約約款第10条","○","○","○"]
[null,null,null,null,"添付資料",null,"技術者資格を証明できる書類を添付すること",null,null,"○","○","○"]
[null,null,4,"下請人通知書",null,"様式第8号","監督員の指示があった場合に提出。",null,"契約約款第７条","△","△"]
[null,null,null,"再下請負通知書",null,"様式3号",null,null,null,"△","△"]
[null,null,5,"火災保険その他損害保険加入届出書",null,null,null,null,"契約約款第47条","△","△"]
[null,null,6,"工事実績情報（工事カルテ）の登録",null,"受注時","請負代金額500万円以上、契約後10日以内",null,null,"提示","提示"]
[null,null,null,null,null,"変更時（工期変更がある場合）","同上。変更時と完了時の間が10日に満たない場合は省略できる",null,null,"提示","提示"]
[null,null,null,null,null,"完了後","請負代金額500万円以上、完成後10日以内",null,null,"提示","提示"]
[null,null,7,"建設業退職金共済組合掛金収納書",null,null,"契約締結時（建退共制度対象者がいない場合は理由書を提出）",null,"中退金共済法","○","○"]
[null,null,8,"建設リサイクル法届出書",null,null,"建設リサイクル法該当工事（解体工事80㎡以上、新増改築500㎡以上、改修等１億円以上）",null,null,"△","△"]
[null,null,9,"ＥＭＳ承諾書",null,null,"掛川市のＥＭＳへ協力要請。受諾する場合は提出",null,null,"△","△"]
[null,null,10,"請負代金内訳書",null,null,"発注者の請求のあった場合、契約締結後10日以内",null,"契約約款第３条","△","△"]
[3,"報告図書",23,"工事工程月報",null,"様式第10号","前月末の進捗を翌月10日までに報告。１ヶ月以内の工事は不要。",null,"契約約款第３条","○","○"]
[null,null,24,"工期延長請求書",null,"様式第14号","請負者の事情により工期を延長する場合",null,"契約約款第21条","△","△","△"]
[null,null,25,"出来形確認請求書",null,"様式第19号","出来形確認を請求する場合",null,"契約約款第37条","△","△","△"]
[null,null,26,"完成届出書",null,"様式第16号","工事完成時",null,"契約約款第31条","○","○","○"]
[]
[null,"ファイル（２）　施工計画関係図書　※施工前に提出するもの（標準仕様書に基づく共通事項）",null,null,null,null,null,null,null,null,null,null,null,"No.2"]
["NO","分類","一覧\n表NO","項　目",null,"細　目","摘　　　　要",null,null,"標準　工事","小規模工事","少額工事","チェック欄"]
[null,null,null,null,null,null,null,null,null,null,null,null,"請負者","監督員"]
[1,"総合施工　　計画",11,"総合施工計画書",null,null,"施工に先立ち提出し、以下の項目を含むこと",null,"標仕1.2.2","○","○"]
[null,null,null,null,null,null,"工事概要・施工条件・工程管理・安全衛生管理体制・緊急時対応体制・自然災害対応体制・防火管理体制・交通安全・警備対策・公害・環境保全"]
[null,null,12,"安全訓練等の実施計画書",null,null,"施工に先立ち提出。月当たり半日以上計画すること",null,null,"○","○"]
[null,null,13,"再生資源利用計画書・同促進計画書",null,null,null,null,null,"○","○","△"]
[null,null,14,"施工体制台帳",null,null,"下請負契約のある場合",null,"建設業法","△","△","△"]
[null,null,null,"施工体制台帳　添付書類　（※下記のなかで該当するものは元請から下請まで全ての添付を必要とする）"]
[null,null,null,"・発注者との請負契約書の写し\n・建設業の許可の写し\n・主任技術者又は監理技術者の資格を有する事を証する書面または写し　及び \n  主任技術者又は監理技術者が作成建設業者と直接的かつ恒常的な雇用関係にあることを\n  証する書面または写し(※専門技術者を置く場合も同様の書類を必要とする)\n・作業員名簿\n・再下請負通知書（※再下請負契約がある場合。）\n・下請負契約書の写し（※下請負契約のある場合。金額、工種、数量を明記。）"]
[]
[]
[]
[]
[]
[null,null,15,"施工体系図",null,null,"下請負契約のある場合"]
[null,null,null,"施工体制台帳確認一覧表",null,null,"下請負契約のある場合"]
[2,"実施工程　　計画",16,"実施工程表",null,null,"工事着手に先立ち作成し、監督員の承諾を受ける。\n週休2日推進工事の対象工事は、現場閉所（現場休息）予定日を記載する",null,"標仕1.2.1\n週休2日推進工事","○","○"]
[]
[null,null,null,"月間工程表",null,null,"監督員との協議により作成した場合",null,null,"△","△"]
[null,null,null,"週間工程表",null,null,"監督員との協議により作成した場合",null,null,"△","△"]
[3,"工種別施工計画書\n\n※施工に先立ち提出し、品質計画に係る部分は監督員の承諾を受ける。",17,"仮設工事",null,null,null,null,"標仕1.2.2","○","○"]
[null,null,null,"土工事",null,null,null,null,null,"○","○"]
[null,null,null,"地業（杭）工事",null,null,null,null,null,"○","○"]
[null,null,null,"コンクリート工事",null,null,null,null,null,"○","○"]
[null,null,null,"型枠工事",null,null,null,null,null,"○","○"]
[null,null,null,"鉄筋工事",null,null,null,null,null,"○","○"]
[null,null,null,"鉄骨工事",null,null,null,null,null,"○","○"]
[null,null,null,"既成ｺﾝｸﾘｰﾄ工事",null,null,"ブロック・ＰＣ版・ＡＬＣ版・押出成形版",null,null,"○","○"]
[null,null,null,"防水工事",null,null,null,null,null,"○","○"]
[null,null,null,"石・タイル工事",null,null,null,null,null,"○","○"]
[null,null,null,"木工事",null,null,null,null,null,"○","○"]
[null,null,null,"屋根（樋）工事",null,null,null,null,null,"○","○"]
[null,null,null,"金属工事",null,null,null,null,null,"○","○"]
[null,null,null,"左官工事",null,null,null,null,null,"○","○"]
[null,null,null,"建具工事",null,null,null,null,null,"○","○"]
[null,null,null,"塗装工事",null,null,null,null,null,"○","○"]
[null,null,null,"内装工事",null,null,null,null,null,"○","○"]
[null,null,null,"外装工事",null,null,null,null,null,"○","○"]
[null,null,null,"仕上げﾕﾆｯﾄ工事",null,null,null,null,null,"○","○"]
[null,null,null,"外構工事",null,null,null,null,null,"○","○"]
[null,null,null,"とりこわし工事",null,null,null,null,null,"○","○"]
[4,"使用材料",18,"使用材料報告書",null,"工種ごと","施工に先立ち提出する。\nＪＩＳ等の規格品以外のものは品質を証明する図書を添付する。",null,"標仕1.4.2","○","○"]
[]
[5,"施工図",19,"施工図",null,null,"必要に応じ作成し、施工に先立ち監督員の承諾を受ける。",null,"標仕1.2.3","○","△"]
[null,null,20,"納品仕様書",null,null,"必要に応じ作成し、施工に先立ち監督員の承諾を受ける。",null,null,"○","△"]
[6,"打合せ簿",21,"指示・協議・承諾書",null,null,null,null,"契約約款第1、9条","○","○","△"]
[null,null,22,"休日・夜間作業届",null,null,"休日、夜間に作業を行った場合",null,"標仕1.3.5","△","△"]
[null,null,null,"打合せ記録簿",null,null,"監督員との協議により作成した場合、工程会議議事録等",null,null,"△","△"]
[null,null,null,"工事月報",null,null,"監督員との協議により作成した場合",null,null,"△","△"]
[null,null,null,"工事週報",null,null,"監督員との協議により作成した場合",null,null,"△","△"]
["完成図書チェックリスト（建築工事）"]
[null,"ファイル（３）　工事管理関係図書　※完成時に提出するもの（工種別・主要なもの）",null,null,null,null,null,null,null,null,null,null,null,"No.3"]
["NO","分類","一覧\n表NO","項　目",null,"細　目","摘　　　　要",null,null,"標準　工事","小規模工事","少額工事","チェック欄"]
[null,null,null,null,null,null,null,null,null,null,null,null,"請負者","監督員"]
[1,"施工関係\n資料",27,"工事記録簿",null,"様式第12号","監督員が請求したときは提示（着手から完成日まで日曜・祝日を明示\n安全訓練・段階確認等の記載及び立会、検査等の監督員の氏名も記載する）",null,"契約約款第11条","提示","提示"]
[null,null,28,"現場閉所（現場休息）率確認書",null,null,"現場閉所（現場休息）の実績がわかる資料添付（工事記録簿等）",null,"週休2日推進工事","〇","〇"]
[null,null,29,"建退共証紙受払簿（写）",null,null,null,null,"中退金共済法","△","△"]
[null,null,null,null,"建退共制度適用現場である標識を掲示した写真を写真帳に添付",null,null,null,null,"○","○"]
[null,null,30,"安全訓練等の実施報告書",null,null,"計画書に実績を朱書きする",null,null,"○","○"]
[null,null,null,null,"添付資料",null,"監督員が請求したときは提示",null,null,"△","△"]
[null,null,31,"再生資源利用実施書・同促進実施書",null,null,"計画書に対する実施状況を記載。",null,null,"○","○","△"]
[null,null,null,"マニフェスト総括表",null,null,"個票は整理して保存、検査時に提示",null,"標仕1.3.8","○","○","○"]
[null,null,null,null,"契約書（写）、許可証（写）",null,null,null,null,"○","○","○"]
[null,null,32,"創意工夫等",null,null,"該当する項目にマークを記入",null,null,"△","△"]
[null,null,null,null,"実施状況（説明資料）",null,"具体的内容の説明として、写真・略図等を整理する。"]
[2,"材料関係　　資料",34,"材料検査簿",null,"様式第13号","主要な工事材料の搬入を確認をするもの。搬入時検収をした者の検印または署名を受ける。（監督員又は現場代理人）",null,"契約約款第13条","○","△"]
[null,null,null,null,null,null,"検収写真、出荷証明書等と数量が対照できるように整理する"]
[null,null,null,"使用機器チェックリスト",null,null,"搬入時に銘板、製造番号等を確認し記録する。\n　材料検査簿にまとめても良い",null,null,"○","○"]
[null,null,null,"使用材料チェックリスト",null,null,"使用材料が多い場合。搬入時に確認し記録する。\n　材料検査簿にまとめても良い",null,null,"○","△"]
[null,null,null,"監督職員検査記録",null,null,"監督員検査を行なった場合。立会写真を添付する。",null,"標仕1.4.4","○","△"]
[null,null,null,"製品検査報告書",null,null,"製造メーカーによる社内検査結果。銘板、製造番号と照合する。",null,null,"○","○"]
[null,null,null,"試験成績書",null,null,"製造メーカーによる試験により品質が証明されるもの",null,"標仕1.4.5","△","△"]
[null,null,null,"品質証明書",null,null,"製造メーカーによる品質証明が必要なもの",null,"標仕1.4.2","△","△"]
[null,null,null,"規格証明書",null,null,"製造メーカーによる規格証明が必要なもの",null,null,"△","△"]
[null,null,null,"出荷伝票／出荷証明書",null,null,"材料検収簿、検収写真等により使用材料の品質の確認が出来ないもの",null,"標仕1.4.3","○","○"]
[3,"検査／試験\n関係資料",null,"検査官検査復命書",null,null,"中間検査、材料検査の復命書　指摘・指示事項の手直し状況報告書も含む",null,null,"○","○"]
[null,null,null,"事務所検査報告書",null,null,"委託事務所等の検査を受けた場合。手直しがあった場合は、手直し完了確認後",null,null,"△","△"]
[null,null,null,"社内検査報告書",null,null,"手直しがあった場合は、手直し完了確認後",null,null,"○","○"]
[null,null,null,"監督職員検査記録",null,null,"立会写真を添付する",null,null,"○","○"]
[null,null,null,"出来形管理記録",null,null,"施工計画に基づく計測記録等。工種毎に整理する。",null,null,"○","○"]
[null,null,null,"品質管理記録",null,null,"施工計画に基づく管理記録等。工種毎に整理する",null,null,"○","○"]
[null,null,null,"試験成績書",null,null,"工種毎に整理する",null,null,"○","○"]
[null,null,null,null,null,"（参考様式）","杭施工成績表、鉄筋品質試験表、ガス圧接品質試験結果表、コンクリート強度試験報告書、畳の品質管理表、ＶＯＣ測定結果"]
[null,null,null,"施工報告書",null,null,"工種毎に整理する",null,null,"○","○"]
[null,null,null,null,null,null,"各種施工報告書　など"]
[4,"保全に関する資料",null,"施工業者リスト",null,null,null,null,"標仕1.7.3","○","○"]
[null,null,null,"主要機材メーカーリスト",null,null,null,null,null,"○","○"]
[null,null,null,"保守に関する説明書",null,null,null,null,null,"○","○","△"]
[null,null,36,"取扱説明書",null,null,null,null,null,"○","○","△"]
[null,null,null,"保証書",null,null,"かし担保期間を超える保証が必要な場合",null,null,"△","△","△"]
[null,null,null,"見本・カタログ",null,null,null,null,null,"△","△"]
[null,null,null,"官公署届出書",null,null,"法令等による届出、手続きを行った場合",null,null,"△","△","△"]
[5,"完成図",37,"完成図",null,null,"特記に指定がある場合、当初設計図書と変更があった場合など",null,"標仕1.7.2","○","△","△"]
[6,"写真",38,"工事写真帳",null,null,"施工計画に基づく写真管理チェックシートを付けるのが望ましい",null,"契約約款第14条","○","○","○"]
[null,null,39,"完成検査写真帳",null,null,"完成検査時に撮影し、写真帳に整理する",null,"契約約款第14条","○","○"]
[null,null,null,null,null,null,null,null,null,"○：提出　△：該当時提出"]
["掛川市建築工事に伴う提出書類一覧表"]
[null,"標準工事",null,"　2,000万円以上",null,null,null,"このチェックリストは標準的なものであり、契約図書・特記仕様書に記載されているもの及び発注者が必要と認めたものについてはこの限りではない。"]
[null,"小規模工事",null,"　250万円以上2,000万円未満"]
[null,"少額工事",null,"　250万円未満"]

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["契約書類関係チェックリスト（電気・機械設備工事）"]
[null,null,"※提出図書は、図書の種類、提出時期等により整理しファイルする。頁数により分冊、合冊すること。",null,null,null,null,null,null,null,null,{"$f":"一覧表!I1","v":"2024-04-01"}]
[null,"ファイル（１）　契約関係図書　※契約約款等に基づき提出するもの",null,null,null,null,null,null,null,null,null,null,null,"No.1"]
["NO","分類","一覧\n表NO","項　目",null,"細　目","摘　　　　要",null,null,"標準　工事","小規模工事","少額工事","チェック欄"]
[null,null,null,null,null,null,null,null,null,null,null,null,"請負者","監督員"]
[1,"契約書",null,"工事予算執行伺書",null,null,null,null,null,"○","○","○"]
[null,null,null,"契約書",null,null,null,null,null,"○","○","○"]
[null,null,null,"変更工事予算執行伺書",null,null,null,null,null,"△","△","△"]
[null,null,null,"変更契約書",null,null,null,null,null,"△","△","△"]
[null,null,null,"監督員通知書（写）",null,null,"請負金額30万円以上",null,null,"○","○","△"]
[2,"契約時提出図書",1,"工程表",null,"様式第9号","契約後10日以内",null,"契約約款第３条","○","○","○"]
[null,null,2,"変更工程表",null,"様式第15号","変更契約締結後10日以内。変更後の工程を朱書きする。",null,"契約約款第21条","△","△","△"]
[null,null,3,"主任技術者等通知",null,"様式第11号","4,000（建築：8,000）万円以上は専任、下請総額4,500（建築：7,000）万円以上は監理技術者　変更増は該当時点で届出",null,"契約約款第10条","○","○","○"]
[null,null,null,null,"添付資料",null,"技術者資格を証明できる書類を添付すること",null,null,"○","○","○"]
[null,null,4,"下請人通知書",null,"様式第8号","監督員の指示があった場合に提出。",null,"契約約款第７条","△","△"]
[null,null,null,"再下請負通知書",null,"様式3号",null,null,null,"△","△"]
[null,null,5,"火災保険その他損害保険加入届出書",null,null,null,null,"契約約款第47条","△","△"]
[null,null,6,"工事実績情報（工事カルテ）の登録",null,"受注時","請負代金額500万円以上、契約後10日以内",null,null,"提示","提示"]
[null,null,null,null,null,"変更時（工期変更がある場合）","同上。変更時と完了時の間が10日に満たない場合は省略できる",null,null,"提示","提示"]
[null,null,null,null,null,"完了後","請負代金額500万円以上、完成後10日以内",null,null,"提示","提示"]
[null,null,7,"建設業退職金共済組合掛金収納書",null,null,"契約締結時（建退共制度対象者がいない場合は理由書を提出）",null,"中退金共済法","○","○"]
[null,null,8,"建設リサイクル法届出書",null,null,"建設リサイクル法該当工事（解体工事80㎡以上、新増改築500㎡以上、改修等１億円以上）",null,null,"△","△"]
[null,null,9,"ＥＭＳ承諾書",null,null,"掛川市のＥＭＳへ協力要請。受諾する場合は提出",null,null,"△","△"]
[null,null,10,"請負代金内訳書",null,null,"発注者の請求のあった場合、契約締結後10日以内",null,"契約約款第３条","△","△"]
[3,"報告図書",23,"工事工程月報",null,"様式第10号","前月末の進捗を翌月10日までに報告。１ヶ月以内の工事は不要。",null,"契約約款第３条","○","○"]
[null,null,24,"工期延長請求書",null,"様式第14号","請負者の事情により工期を延長する場合",null,"契約約款第21条","△","△","△"]
[null,null,25,"出来形確認請求書",null,"様式第19号","出来形確認を請求する場合",null,"契約約款第37条","△","△","△"]
[null,null,26,"完成届出書",null,"様式第16号","工事完成時",null,"契約約款第31条","○","○","○"]
[]
[null,"ファイル（２）　施工計画関係図書　※施工前に提出するもの（標準仕様書に基づく共通事項）",null,null,null,null,null,null,null,null,null,null,null,"No.2"]
["NO","分類","一覧\n表NO","項　目",null,"細　目","摘　　　　要",null,null,"標準　工事","小規模工事","少額工事","チェック欄"]
[null,null,null,null,null,null,null,null,null,null,null,null,"請負者","監督員"]
[1,"総合施工　　計画",11,"総合施工計画書",null,null,"施工に先立ち提出し、以下の項目を含むこと",null,"標仕1.2.2","○","○"]
[null,null,null,null,null,null,"工事概要・施工条件・工程管理・安全衛生管理体制・緊急時対応体制・自然災害対応体制・防火管理体制・交通安全・警備対策・公害・環境保全"]
[null,null,12,"安全訓練等の実施計画書",null,null,"施工に先立ち提出。月当たり半日以上計画すること",null,null,"○","○"]
[null,null,13,"再生資源利用計画書・同促進計画書",null,null,null,null,null,"○","○","△"]
[null,null,14,"施工体制台帳",null,null,"下請負契約のある場合",null,"建設業法","△","△","△"]
[null,null,null,"施工体制台帳　添付書類　（※下記のなかで該当するものは元請から下請まで全ての添付を必要とする）"]
[null,null,null,"・発注者との請負契約書の写し\n・建設業の許可の写し\n・主任技術者又は監理技術者の資格を有する事を証する書面または写し　及び \n  主任技術者又は監理技術者が作成建設業者と直接的かつ恒常的な雇用関係にあることを\n  証する書面または写し(※専門技術者を置く場合も同様の書類を必要とする)\n・作業員名簿\n・再下請負通知書（※再下請負契約がある場合。）\n・下請負契約書の写し（※下請負契約のある場合。金額、工種、数量を明記。）"]
[]
[]
[]
[]
[]
[null,null,15,"施工体系図",null,null,"下請負契約のある場合"]
[null,null,null,"施工体制台帳確認一覧表",null,null,"下請負契約のある場合"]
[2,"実施工程　　計画",16,"実施工程表",null,null,"工事着手に先立ち作成し、監督員の承諾を受ける。\n週休2日推進工事の対象工事は、現場閉所（現場休息）予定日を記載する",null,"標仕1.2.1\n週休2日推進工事","○","○"]
[]
[null,null,null,"月間工程表",null,null,"監督員との協議により作成した場合",null,null,"△","△"]
[null,null,null,"週間工程表",null,null,"監督員との協議により作成した場合",null,null,"△","△"]
[3,"工種別施工計画書\n\n※施工に先立ち提出し、品質計画に係る部分は監督員の承諾を受ける。",17,"電力設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"受変電設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"静止形電源設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"発電設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"通信・情報設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"中央監視制御設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"医療関係設備",null,null,null,null,null,"○","○"]
[null,null,null,"共通工事",null,null,null,null,null,"○","○"]
[null,null,null,"配管工事",null,null,null,null,null,"○","○"]
[null,null,null,"保温、塗装、防錆工事",null,null,null,null,null,"○","○"]
[null,null,null,"空気調和設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"自動制御設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"給排水衛生設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"ガス設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"さく井設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"浄化槽設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"昇降機設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"機械式駐車設備工事",null,null,null,null,null,"○","○"]
[null,null,null,"医療ガス設備工事",null,null,null,null,null,"○","○"]
[4,"使用材料",18,"使用材料報告書",null,"工種ごと","施工に先立ち提出する。\nＪＩＳ等の規格品以外のものは品質を証明する図書を添付する。",null,"標仕1.4.2","○","○"]
[]
[5,"施工図",19,"施工図",null,null,"必要に応じ作成し、施工に先立ち監督員の承諾を受ける。",null,"標仕1.2.3","○","△"]
[null,null,20,"納品仕様書",null,null,"必要に応じ作成し、施工に先立ち監督員の承諾を受ける。",null,null,"○","△"]
[6,"打合せ簿",21,"指示・協議・承諾書",null,null,null,null,"契約約款第1、9条","○","○","△"]
[null,null,22,"休日・夜間作業届",null,null,"休日、夜間に作業を行った場合",null,"標仕1.3.5","△","△"]
[null,null,null,"打合せ記録簿",null,null,"監督員との協議により作成した場合、工程会議議事録等",null,null,"△","△"]
[null,null,null,"工事月報",null,null,"監督員との協議により作成した場合",null,null,"△","△"]
[null,null,null,"工事週報",null,null,"監督員との協議により作成した場合",null,null,"△","△"]
["完成図書チェックリスト（電気・機械設備工事）"]
[null,"ファイル（３）　工事管理関係図書　※完成時に提出するもの（工種別・主要なもの）",null,null,null,null,null,null,null,null,null,null,null,"No.3"]
["NO","分類","一覧\n表NO","項　目",null,"細　目","摘　　　　要",null,null,"標準　工事","小規模工事","少額工事","チェック欄"]
[null,null,null,null,null,null,null,null,null,null,null,null,"請負者","監督員"]
[1,"施工関係\n資料",27,"工事記録簿",null,"様式第12号","監督員が請求したときは提示（着手から完成日まで日曜・祝日を明示\n安全訓練・段階確認等の記載及び立会、検査等の監督員の氏名も記載する）",null,"契約約款第11条","提示","提示"]
[null,null,28,"現場閉所（現場休息）率確認書",null,null,"現場閉所（現場休息）の実績がわかる資料添付（工事記録簿等）",null,"週休2日推進工事","〇","〇"]
[null,null,29,"建退共証紙受払簿（写）",null,null,null,null,"中退金共済法","△","△"]
[null,null,null,null,"建退共制度適用現場である標識を掲示した写真を写真帳に添付",null,null,null,null,"○","○"]
[null,null,30,"安全訓練等の実施報告書",null,null,"計画書に実績を朱書きする",null,null,"○","○"]
[null,null,null,null,"添付資料",null,"監督員が請求したときは提示",null,null,"△","△"]
[null,null,31,"再生資源利用実施書・同促進実施書",null,null,"計画書に対する実施状況を記載。",null,null,"○","○","△"]
[null,null,null,"マニフェスト総括表",null,null,"個票は整理して保存、検査時に提示",null,"標仕1.3.8","○","○","○"]
[null,null,null,null,"契約書（写）、許可証（写）",null,null,null,null,"○","○","○"]
[null,null,32,"創意工夫等",null,null,"該当する項目にマークを記入",null,null,"△","△"]
[null,null,null,null,"実施状況（説明資料）",null,"具体的内容の説明として、写真・略図等を整理する。"]
[2,"材料関係　　資料",34,"材料検査簿",null,"様式第13号","主要な工事材料の搬入を確認をするもの。搬入時検収をした者の検印または署名を受ける。（監督員又は現場代理人）",null,"契約約款第13条","○","△"]
[null,null,null,null,null,null,"検収写真、出荷証明書等と数量が対照できるように整理する"]
[null,null,null,"使用機器チェックリスト",null,null,"搬入時に銘板、製造番号等を確認し記録する。\n　材料検査簿にまとめても良い",null,null,"○","○"]
[null,null,null,"使用材料チェックリスト",null,null,"使用材料が多い場合。搬入時に確認し記録する。\n　材料検査簿にまとめても良い",null,null,"○","△"]
[null,null,null,"監督職員検査記録",null,null,"監督員検査を行なった場合。立会写真を添付する。",null,"標仕1.4.4･5","○","△"]
[null,null,null,"製品検査報告書",null,null,"製造メーカーによる社内検査結果。銘板、製造番号と照合する。",null,null,"○","○"]
[null,null,null,"試験成績書",null,null,"製造メーカーによる試験により品質が証明されるもの",null,"標仕1.4.5･6","△","△"]
[null,null,null,"品質証明書",null,null,"製造メーカーによる品質証明が必要なもの",null,"標仕1.4.2","△","△"]
[null,null,null,"規格証明書",null,null,"製造メーカーによる規格証明が必要なもの",null,null,"△","△"]
[null,null,null,"出荷伝票／出荷証明書",null,null,"材料検収簿、検収写真等により使用材料の品質の確認が出来ないもの",null,"標仕1.4.3･4","○","○"]
[3,"検査／試験\n関係資料",null,"検査官検査復命書",null,null,"中間検査、材料検査の復命書　指摘・指示事項の手直し状況報告書も含む",null,null,"○","○"]
[null,null,null,"事務所検査報告書",null,null,"委託事務所等の検査を受けた場合。手直しがあった場合は、手直し完了確認後",null,null,"△","△"]
[null,null,null,"社内検査報告書",null,null,"手直しがあった場合は、手直し完了確認後",null,null,"○","○"]
[null,null,null,"監督職員検査記録",null,null,"立会写真を添付する",null,null,"○","○"]
[null,null,null,"出来形管理記録",null,null,"施工計画に基づく計測記録等。工種毎に整理する。",null,null,"○","○"]
[null,null,null,"品質管理記録",null,null,"施工計画に基づく管理記録等。工種毎に整理する",null,null,"○","○"]
[null,null,null,"試験成績書",null,null,"工種毎に整理する",null,null,"○","○"]
[null,null,null,null,null,"（参考様式）","空調機器試験成績書、照明機器試験成績書、ポンプ試験成績書、制御盤試験成績書"]
[null,null,null,"施工報告書",null,null,"工種毎に整理する",null,null,"○","○"]
[null,null,null,null,null,null,"各種試運転結果報告書　など"]
[4,"保全に関する資料",null,"施工業者リスト",null,null,null,null,"標仕1.7.3","○","○"]
[null,null,null,"主要機材メーカーリスト",null,null,null,null,null,"○","○"]
[null,null,null,"保守に関する説明書",null,null,null,null,null,"○","○","△"]
[null,null,36,"取扱説明書",null,null,null,null,null,"○","○","△"]
[null,null,null,"保証書",null,null,"かし担保期間を超える保証が必要な場合",null,null,"△","△","△"]
[null,null,null,"見本・カタログ",null,null,null,null,null,"△","△"]
[null,null,null,"官公署届出書",null,null,"法令等による届出、手続きを行った場合",null,null,"△","△","△"]
[5,"完成図",37,"完成図",null,null,"特記に指定がある場合、当初設計図書と変更があった場合など",null,"標仕1.7.2","○","△","△"]
[6,"写真",38,"工事写真帳",null,null,"施工計画に基づく写真管理チェックシートを付けるのが望ましい",null,"契約約款第14条","○","○","○"]
[null,null,39,"完成検査写真帳",null,null,"完成検査時に撮影し、写真帳に整理する",null,"契約約款第14条","○","○"]
[null,null,null,null,null,null,null,null,null,"○：提出　△：該当時提出"]
["掛川市電気・機械設備工事に伴う提出書類一覧表"]
[null,"標準工事",null,"　2,000万円以上",null,null,null,"このチェックリストは標準的なものであり、契約図書・特記仕様書に記載されているもの及び発注者が必要と認めたものについてはこの限りではない。"]
[null,"小規模工事",null,"　250万円以上2,000万円未満"]
[null,"少額工事",null,"　250万円未満"]

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[null,"掛川市建設工事執行規則　様式第９号(第20条関係)"]
[]
[null,"工　　　　　程　　　　　表"]
[]
[null,1,"建設工事名"]
[]
[]
[null,2,"建設工事箇所",null,null,null,"掛川市",null,null,null,null,"地内"]
[]
[null,3,"工期",null,null,null,"着手",null,null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,"完成",null,null,null,null,"年",null,"月",null,"日"]
[]
[]
[null,null,"工種",null,"設計数量",null,null,null,null,"月",null,null,"月",null,null,"月",null,null,"月"]
[null,null,null,null,null,null,null,10,20,30,10,20,30,10,20,30,10,20,30]
[]
[]
[]
[]
[null,null,"通計歩合",null,null,null,"%"]
[]
[]
[null,null,"上記のとおり施工したいので、工程表を提出します。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[]
[]
[null,null,"（あて先）発注者　掛川市長"]
[]
[]
[null,null,null,null,null,null,null,null,null,"住所"]
[null,null,null,null,null,null,null,"請負者",null,"商号"]
[null,null,null,null,null,null,null,null,null,"氏名",null,"(法人にあっては、代表者の氏名)"]

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[]
[null,"掛川市建設工事執行規則　様式第15号(第34条関係)"]
[]
[null,"変　　　更　　　工　　　程　　　表"]
[]
[null,1,"建設工事名"]
[]
[]
[null,2,"建設工事箇所",null,null,null,"掛川市",null,null,null,"地内"]
[]
[null,3,"工期",null,null,null,"着手",null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,"完成",null,null,null,"年",null,"月",null,"日"]
[]
[null,null,"工種",null,"設計数量",null,null,null,null,"月",null,null,"月",null,null,"月",null,null,"月"]
[null,null,null,null,null,null,null,10,20,30,10,20,30,10,20,30,10,20,30]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"通計歩合",null,null,null,"%"]
[]
[]
[null,null,"上記のとおり変更したいので、変更工程表を提出します。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[]
[null,null,"（あて先）発注者　掛川市長"]
[]
[]
[null,null,null,null,null,null,null,null,null,"住所"]
[null,null,null,null,null,null,null,"請負者",null,"商号"]
[null,null,null,null,null,null,null,null,null,"氏名",null,"(法人にあっては、代表者の氏名)"]
[null,"（注）　変更した部分は、朱書きすること。"]

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[]
[null,"掛川市建設工事執行規則　様式第11号(第22条関係)"]
[]
[null,"主　任　技　術　者　等　通　知　書"]
[]
[null,1,"建設工事名"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工事"]
[null,null,"(",null,null,"年",null,"月",null,"日契約締結)"]
[]
[null,2,"主任技術者等の氏名"]
[null,null,"区　　　分",null,null,null,null,"職　名",null,"氏　　名",null,null,"担当工事種類",null,null,"資格区分"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第７条",null,"第15条"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第２号",null,"第２号"]
[null,null,"主任技術者",null,null,null,null,null,null,null,null,null,null,null,null,"イロハ"]
[null,null,"専任の主任技術者",null,null,null,null,null,null,null,null,null,null,null,null,"イロハ"]
[null,null,"監理技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"イロハ"]
[null,null,"監理技術者補佐",null,null,null,null,null,null,null,null,null,null,null,null,"イロハ",null,"イロハ"]
[null,null,"専任の監理技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"イロハ"]
[null,null,"現場代理人"]
[null,null,"専門技術者",null,null,null,null,null,null,null,null,null,null,null,null,"イロハ"]
[]
[null,null,"先に請負契約を締結した建設工事の主任技術者等の氏名等を、上記のとおり通知します。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[]
[]
[null,null,"（あて先）発注者　掛川市長"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"住所"]
[null,null,null,null,null,null,null,null,"請負者",null,"商号"]
[null,null,null,null,null,null,null,null,null,null,"氏名",null,"（法人にあっては、代表者の氏名）"]
[]
[]
[]
[null,"（注）資格区分欄は、建設業法第７条第２号イ、ロ若しくはハ又は第15条第２号イ、ロ若しくは"]
[null,"　　　　","ハのうち、該当するものを○で囲むこと。"]

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[null,"NO.8"]
[null,"掛川市建設工事執行規則　様式第８号(第15条関係)"]
[]
[null,null,"下　請　負　人　通　知　書"]
[]
[null,null,1,"下請負人に関し通知を求められた建設工事"]
[null,null,null,"(1)　建設工事名"]
[null,null,null,"(2)　請負代金額",null,null,null,null,null,null,null,null,"円"]
[null,null,null,"(3)　契約年月日",null,null,null,null,"年",null,"月",null,"日"]
[null,null,null,"(4)　工　　　期",null,"着手",null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,"完成",null,null,"年",null,"月",null,"日"]
[null,null,2,"下請負人に関する事項"]
[null,null,"商号",null,"住所",null,"下請契約の内容",null,null,null,null,null,"請け負った工事に係る建設業の種類並び\nに当該建設業の許可年月日及び許可番号"]
[null,null,null,null,null,null,"工種",null,"数量",null,"金額",null,"種類",null,"許可の年月日",null,null,"許可番号"]
[null,null,null,null,null,null,null,null,null,null,"円",null,null,null,null,null,null,"〔般・特〕第　　号"]
[]
[]
[]
[null,null,"計"]
[null,null,"　下請負人に関する事項を上記のとおり通知します。"]
[]
[null,null,null,null,"年　月　日"]
[]
[null,null,"（あて先）発注者　掛川市長"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"請負者","住　　所"]
[null,null,null,null,null,null,null,null,null,null,null,null,"商　　号"]
[null,null,null,null,null,null,null,null,null,null,null,null,"氏　　名",null,"(法人にあっては、代表者の氏名)"]

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[null,"ＮＯ.９－１",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＮＯ.９－２"]
[null,"静岡県発注建設工事に係る建設生産システム合理化指導要綱の取扱について"]
[null,"様式第３号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　年　　月　　日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"《再下請負関係》",null,null,null,null,null,null,null,null,null,null,"再下請負業者及び再下請負契約関係について次のとおり報告いたします。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社名・\n事業者ID",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名"]
["再　下　請　負　通　知　書"]
[null,"直近上位\n注文者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住　所\n電話番号"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【報告下請負業者】",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工事名称及び\n工事内容"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住　所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工　　期",null,null,null,null,null,null,null,"自",null,"　　　　年　　月　　日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"契約日",null,null,null,null,null,null,null,"　　　　年　　月　　日"]
[null,"元請名称・\n事業者ID",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"至",null,"　　　　年　　月　　日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社名・\n事業者ID"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"建設業の\n許　　可",null,null,null,null,null,null,null,"施工に必要な許可業種",null,null,null,null,null,null,null,null,null,null,null,"許　可　番　号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"許可（更新）年月日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工事業",null,null,null,"大臣",null,null,null,"特定",null,null,null,"第",null,null,null,null,null,null,null,"号",null,"　　　　年　　月　　日"]
[null,"《自社に関する事項》",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"知事",null,null,null,"一般"]
[null,"工事名称及び\n工事内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工事業",null,null,null,"大臣",null,null,null,"特定",null,null,null,"第",null,null,null,null,null,null,null,"号",null,"　　　　年　　月　　日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"知事",null,null,null,"一般"]
[null,"工　　期",null,null,null,null,null,null,null,"自",null,"　　　　年　　月　　日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"注文者との\n契　約　日",null,null,null,null,null,null,null,"　　　　年　　月　　日"]
[null,null,null,null,null,null,null,null,null,"至",null,"　　　　年　　月　　日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険等の\n加入状況",null,null,null,null,null,null,null,"保険加入の\n有無",null,null,null,null,null,null,null,"健康保険",null,null,null,null,null,null,null,null,null,null,null,null,"厚生年金保険",null,null,null,null,null,null,null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加入",null,null,null,null,null,"未加入",null,null,null,null,null,null,"加入",null,null,null,null,null,"未加入",null,null,null,null,null,"加入",null,null,null,null,null,"未加入"]
[null,"建設業の\n許　　可",null,null,null,null,null,null,null,"施工に必要な許可業種",null,null,null,null,null,null,null,null,null,null,null,"許　可　番　号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"許可（更新）年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"適用除外",null,null,null,null,null,null,null,null,null,null,null,null,"適用除外",null,null,null,null,null,null,null,null,null,null,null,"適用除外"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工事業",null,null,null,"大臣",null,null,null,"特定",null,null,null,"第",null,null,null,null,null,null,null,"号",null,"　　　　年　　月　　日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所整理\n記号等",null,null,null,null,null,null,null,"営業所の名称",null,null,null,null,null,null,null,null,null,null,null,null,"健康保険",null,null,null,null,null,null,null,"厚生年金保険",null,null,null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"知事",null,null,null,"一般"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工事業",null,null,null,"大臣",null,null,null,"特定",null,null,null,"第",null,null,null,null,null,null,null,"号",null,"　　　　年　　月　　日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"知事",null,null,null,"一般",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現　　場\n代理人名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生\n責任者名"]
[]
[null,"健康保険等の\n加入状況",null,null,null,null,null,null,null,"保険加入の\n有無",null,null,null,null,null,null,null,"健康保険",null,null,null,null,null,null,null,null,null,null,null,null,"厚生年金保険",null,null,null,null,null,null,null,null,null,null,null,"雇用保険",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"権限及び\n意見申出方法",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生\n推進者名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加入",null,null,null,null,null,"未加入",null,null,null,null,null,null,"加入",null,null,null,null,null,"未加入",null,null,null,null,null,"加入",null,null,null,null,null,"未加入"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"適用除外",null,null,null,null,null,null,null,null,null,null,null,null,"適用除外",null,null,null,null,null,null,null,null,null,null,null,"適用除外",null,null,null,null,null,null,null,null,null,null,null,null,"主　　任\n技術者名",null,null,null,null,null,null,null,"専　任",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"雇用管理\n責任者名"]
[null,null,null,null,null,null,null,null,null,"事業所整理\n記号等",null,null,null,null,null,null,null,"営業所の名称",null,null,null,null,null,null,null,null,null,null,null,null,"健康保険",null,null,null,null,null,null,null,"厚生年金保険",null,null,null,null,null,null,null,"雇用保険",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"非専任"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"専　　門\n技術者名"]
[]
[null,"監督員名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生\n責任者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格内容"]
[]
[null,null,null,"権限及び\n意見申出方法",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生\n推進者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担　　当\n工事内容"]
[]
[null,"現　　場\n代理人名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"雇用管理\n責任者名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一号特定技能外国人の従事の状況(有無)",null,null,null,null,null,null,null,null,null,"有　無",null,null,null,null,null,null,null,"外国人建設就労者の従事の状況(有無)",null,null,null,null,null,null,null,null,null,"有　無",null,null,null,null,null,null,null,"外国人技能実習生の\n従事の状況(有無)",null,null,null,null,null,null,null,null,"有　無"]
[null,null,null,"権限及び\n意見申出方法",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"専　　門\n技術者名"]
[]
[null,"主　　任\n技術者名",null,null,null,null,null,null,null,"専　任",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格内容"]
[null,null,null,null,null,null,null,null,null,"非専任",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※再下請通知書の添付書類（建設業法施行規則第１４条の４第３項）"]
[null,null,null,"資格内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担　　当\n工事内容"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・再下請通知人が再下請人と締結した当初契約及び変更契約の契約書面の写し（公共工事以外の建設工事について締結されるものに係るものは、請負代金の額に係る部分を除く）"]
[]
[null,"一号特定技能外国人の従事の状況(有無)",null,null,null,null,null,null,null,null,null,"有　無",null,null,null,null,null,null,null,"外国人建設就労者の従事の状況(有無)",null,null,null,null,null,null,null,null,null,"有　無",null,null,null,null,null,null,null,"外国人技能実習生の\n従事の状況(有無)",null,null,null,null,null,null,null,null,"有　無"]

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["公共建築工事標準書式　様式-5"]
[]
[null,null,null,null,null,null,null,null,null,"　　  年  月  日"]
[]
[null,"総括監督員"]
[null,null,null,null,"様"]
[]
[null,null,null,null,null,null,null,"住所"]
[null,null,null,null,null,null,"請負者","商号"]
[null,null,null,null,null,null,null,"氏名","（法人にあっては、代表者の氏名）"]
[]
[]
[]
[]
[null,"火災保険等加入状況報告書"]
[]
[]
[]
[]
[null,"　標記について、別紙火災保険等（写）を添えて報告致します。"]
[]
["                                                "]
[]
[null,null,null,null,null,null,"記"]
[]
[]
[]
[null,"工事名",null,null,null,"年度"]
[]
[]
[]
[null,"工期",null,"　　  年  月  日",null,null,"～",null,"　　  年  月  日"]
[]
[]
[]
[]
[null,"請負代金額",null,null,null,null,null,"円"]

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[null,"（契約書添付用）"]
[]
[null,"発注者"]
[null,"（職　名　　　氏　　　名）",null,null,null,"様"]
[]
[]
[]
[null,null,null,null,null,null,null,null,"住  所"]
[null,null,null,null,null,null,null,"請負者","商  号","（契約書記載）"]
[null,null,null,null,null,null,null,null,"氏  名"]
[]
[]
[null,"建設業退職金共済事業証紙購入状況報告書"]
[]
[null,"工事番号\n工 事 名",null,"（契約書記載）"]
[null,"契約年月日",null,"（契約書記載）",null,null,null,null,"契約金額\n（税抜）","（契約書記載）"]
[null,"標　準","建築","契約","×",1.5,null,"（掛金収納書記載）","共済証紙購入額（掛金収納書記載）円"]
[null,null,"工事","金額",null,1000,null,"円","（うち下請人購入額　　　　　円）"]
[null,"購入額","土木","契約","×",2.1,null,"（掛金収納書記載）","購入率","共済証紙購入額","×",1000]
[null,null,"工事","金額",null,1000,null,"円",null,"契約金額"]
[null,"共済証紙購入額が標準購入額を下回った理由"]
[]
[null,"の　り　し　ろ",null,"掛金収納書（発注官公庁等用）貼付欄"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"※設備工事については据付工事費の1000分の1.5"]
[null,"※共済証紙購入額が標準購入額を下回る場合には、「標準購入額」欄に別途額を記載する。"]

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[null,"説　　　明　　　書"]
[null,"発注者",null,null,null,null,null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[null,"（職名　　氏名）",null,null,null,null,null,"様"]
[]
[]
[null,null,null,null,null,"氏　名",null,"(法人にあっては、代表者の氏名)"]
[null,"請負者",null,null,null,"郵便番号",null,null,"－",null,"電話番号",null,null,"－",null,null,"－"]
[null,null,null,null,null,"住　所"]
[]
[]
[null,"　建設工事に係る資材の再資源化等に関する法律第12条第１項の規定により、対象建設"]
[null,"工事の届出に係る事項について下記のとおり説明します。"]
[]
[]
[null,"記"]
[]
[]
[null,"1．説明内容　　添付資料のとおり"]
[]
[null,"2．添付資料"]
[]
[null,null,"① 届出書（様式第一号に必要事項を記載したもの）"]
[]
[null,null,"② 別表（別表１～３のいずれかに必要事項を記載したもの）"]
[]
[null,null,null,null," 別表１（建築物に係る解体工事）"]
[]
[]
[null,null,null,null," 別表２（建築物に係る新築工事等（新築・増築・修繕・模様替））"]
[]
[]
[null,null,null,null," 別表３（建築物以外のものに係る解体工事又は新築工事等（土木工事等））"]
[]
[]
[null,null,"③ その他の別添資料（添付する場合）"]
[]
[null,null,null,null," 案内図"]
[]
[]
[null,null,null,null," 工程表"]

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[]
[null,null,null,null,null,null,"総括監督員","主任監督員","担当監督員"]
[]
[]
[]
[null,"別紙２"]
[]
[null,null,null,null,null,null,null,"　　  年  月  日"]
[]
[null,"ＥＭＳ承諾書"]
[]
[]
[]
[null,null,"工事名"]
[]
[]
[]
[null,"「環境マネジメントシステム運用への取り組みについて」に記載された事項を承諾いたします。 "]
[]
[]
[]
[null,null,null,null,null,"　　  　年  　月　  日"]
[]
[null,null,null,null,null,"住  所"]
[null,null,null,null,"請負者","商　号"]
[null,null,null,null,null,"氏　名","（法人にあっては、代表者の氏名）　"]

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["（№19）"]
[null,null,null,null,null,"令和○○年○○月○○日"]
[]
["総 合 施 工 計 画 書　(作 成 例)"]
[]
["　〇〇市長　○○　○○　様"]
[]
[null,null,null,"受　注　者"]
[null,null,null,"現場代理人"]
[]
[]
[]
[]
[]
["令和○○年度［第○○－○○○○○－○○号］○○○○○○○○○○工事"]
[]
["　標記について、標準仕様書等に基づき提出します。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["目　次"]
[]
["記載項目",null,null,null,null,null,null,null,"ページ",null,"記載すべき内容"]
["１　一般事項",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,1]
["　　１－１　適用図書等",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"工事に適用する設計図書について、優先順位をつけて記載する。工事の施工にあたり、適用を受ける関係法令等を記載し「遵守する」旨を記載する。工事の施工にあたり、参考にする工事監理指針等の図書を記載する。"]
["　　１－２　協議等",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"「監督員への協議･提出･報告･承諾等は書面でもって行い、工事を進める」旨を記載する。\n「特に設計変更に関するものは監督員と協議し、承諾を得てから施工する」旨を記載する。"]
["２　工事概要",null,null,null,"・・・・・・・・・・・・・・・・・"]
["　　２－１　工事概要",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"工事名･工事場所･発注者･監督員･設計者･受注者･請負金額･工期等を記載する。"]
["　　２－２　工事内容",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"建物名称･工事種別･建築面積･延べ面積･階数･高さ･構造等を記載する。"]
["　　２－３　主要工種",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"主要工種の細目･規格･数量等を記載する(数量書の写しでも良い)。"]
["３　工程管理計画",null,null,null,"・・・・・・・・・・・・・・・・・"]
["　　３－１　実施工程表",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"実施工程表はネットワーク･バーチャート等で作成し、各工程の作業開始･終了がわかるように記載する。\n改修工事等で施設を利用しながらの工事については、施設の主要な行事予定を記入し、休工等の対応を記載する。"]
["　　３－２　工程管理方針",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"工程管理の方法について記載する。「追加工事等によってフォローアップが必要な場合は、変更工程表を監督員に提出する」旨を記載する。やむを得ず土曜日･祭日を作業日とする場合、予め総合施工計画書に記載して監督員の承諾を受けることにより、休日作業届を提出しなくて良い。日曜日は原則作業を行わないこととするが、「やむを得ず作業をしなければならないときは、施工体制を十分整えた上で休日作業届を提出し監督員の承諾を得る」旨を記載する。"]
["４　品質計画",null,null,null,"・・・・・・・・・・・・・・・・・"]
["　　４－１　施工体制",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"現場組織表･建設現場連絡表を作成する。施工管理については、それぞれの担当区分･担当者氏名等を記載する。また、本社内に社内検査員等を置く場合は、その氏名等も記載する。"]
["　　４－２　品質目標",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"「使用予定の材料･仕上げ状態･機能･性能･精度について、設計図書及び標準仕様書に定められた基本要求品質を工種別施工計画書に明記する」旨を記載する。"]
["　　４－３　品質管理",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"材料･仕上げ状態･機能･性能･精度及び出来方等の管理方法、工種別施工計画書の作成･提出計画、監督員の検査･立会項目とその予定時期、写真管理計画、重要管理事項(品質管理上重要と思われるもの）について記載する。"]
["５　安全対策",null,null,null,"・・・・・・・・・・・・・・・・・"]
["　　５－１　緊急時の体制及び対応",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"緊急連絡体制表･異常気象時等体制表を作成する。「不慮の事故が発生した場合には、速やかに発注者に連絡するとともに、文書により報告する」旨を記載する。台風･豪雨･地震等に対する防災対策を記載する。"]
["　　５－２　安全対策",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"建築工事における安全計画を立案するための基本となる法律及び標準仕様書等で示されている指針について記載し、安全衛生管理体制表・防火管理組織編成表・作業主任者/有資格者一覧表を作成する。"]
["　　５－３　安全活動",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"安全活動(災害防止協議会･店社パトロール･安全教育･ＫＹ等･新規入場者教育)、仮設備点検(過積載防止･機械車輌の点検整備･足場や支保工の点検)等の具体的な内容や頻度を記載する。"]
["６　環境対策",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"騒音･振動対策、粉塵対策、水質汚濁対策、大気汚染対策(臭気対策を含む)、土壌汚染対策、地盤沈下対策、近隣苦情対応等、現場の状況に応じた対策について検討し、記載する。"]
["７　共通仮設計画",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"仮設計画図等を用いて、仮設建物･資機材仮置場等の配置、資機材搬出入ルート、仮囲い･工事標識･保安施設･防護施設の位置、仮設電気･水道の引き込み方、揚重機の配置計画、足場計画、交通誘導員配置等を具体的に記載する。"]
["８　産業廃棄物の適正処理",null,null,null,"・・・・・・・・・・・・・・・・・"]
["　　８－１　再生資源利用計画書ほか",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"建設副産物の適正処理方法(電子マニュフェスト)、再生資源利用計画･再生資源利用促進計画について計画･記載する。なお、電子マニフェストで確認できる総括表･産廃処理委託契約書(写)･産廃収集運搬業許可証(写)の添付は不要。"]
["　　８－２　産業廃棄物処理フロー図",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"フロー図を作成する(本工事にて発生する産業廃棄物の処理についてのみ記載すること)。"]
["９　その他",null,null,null,"・・・・・・・・・・・・・・・・・"]
["　　９－１　総合評価関係等",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"総合評価がある場合は、総合評価時に提案した施工計画･施工体制について記載する。"]
["　　９－２　関係官公署との調整等",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"関係機関との協議･申請･届出先一覧に書類を提出する予定時期を含め記載する。"]
["　　９－３　その他",null,null,null,"・・・・・・・・・・・・・・・・・",null,null,null,null,null,"その他契約図書及び監督員の指示で、総合施工計画書に記載を必要とするものを記載する。"]
[]
["　以下、「令和５年版静岡県建設工事監督・検査実務要覧【建築・設備工事】」を参照してください。"]

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[null,"定","内    容","1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6"]
[]
[null,"合計時間"]
[]
[null,"     注）実施内容は下記項目の中から当てはまるものに○をつける"]
[null,null,"内容項目","1.安全活動のビデオ等視聴覚資料による安全教育"]
[null,null,null,"2.本工事内容等の周知徹底"]
[null,null,null,"3.本工事安全施工技術指針等の周知徹底"]
[null,null,null,"4.本工事における災害対策訓練"]
[null,null,null,"5.本工事現場で予想される事故対策"]
[null,null,null,"6.その他安全訓練として必要な事項                "]

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["施工体制台帳"]
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[null,"［事業所名・現場ID］"]
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[null,"工事名称\n及び\n工事内容"]
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[null,"発注者名\n及び\n住所"]
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[null,"工期",null,null,null,null,null,"自　　　　　　年　　　月　　　日\n\n至　　　　　　年　　　月　　　日　　　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"契約日",null,null,null,null,null,"年　　　月　　　日　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工事業",null,null,null,null,null,null,null,null,null,"大臣　特定",null,null,null,null,"        第　　　　号",null,null,null,null,null,null,null,null,"　　年　　月　　日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"知事　一般"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険等の加入状況",null,null,null,null,null,"　","保険加入の有無",null,null,null,null,"健康保険",null,null,null,null,null,null,null,null,null,"厚生年金保険",null,null,null,null,null,null,null,null,"雇用保険"]
[null,"契約\n営業所",null,null,null,null,null,"　","区分",null,null,null,null,"名　　　　　　　　　称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住　　　　　　　　　所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"加入　　未加入\n適用除外",null,null,null,null,null,null,null,null,null,"加入　　未加入\n適用除外",null,null,null,null,null,null,null,null,"加入　　未加入\n適用除外"]
[null,null,null,null,null,null,null,null,"元請契約"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所\n整理記号等",null,null,null,null,null,"営業所の名称",null,null,null,null,null,null,"健康保険",null,null,null,null,null,null,null,"厚生年金保険",null,null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,null,null,null,"下請契約"]
[]
[]
[null,"健康保険等の加入状況",null,null,null,null,null,"　","保険加入の有無",null,null,null,null,"健康保険",null,null,null,null,null,null,null,null,null,"厚生年金保険",null,null,null,null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"加入　　未加入\n適用除外",null,null,null,null,null,null,null,null,null,"加入　　未加入\n適用除外",null,null,null,null,null,null,null,null,"加入　　未加入\n適用除外"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"権限及び\n意見申出方法",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生推進者名"]
[null,null,null,null,null,null,null,"事業所\n整理記号等",null,null,null,null,null,"区分",null,null,null,"営業所の名称",null,null,null,null,null,null,"健康保険",null,null,null,null,null,"厚生年金保険",null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主任技術者名",null,null,null,null,null,null,null,null,"専　任\n非専任",null,null,null,null,null,null,null,null,null,null,null,"雇用管理責任者名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"元請契約"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"専門技術者名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"下請契約"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格内容"]
[]
[null,"発注者の\n監督員名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"権限及び意見申出方法",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当工事内容"]
[]
[]
[null,"監督員名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"権限及び意見申出方法",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一号特定技能外国人の従事の\n状況（有無）",null,null,null,null,null,null,null,"有　　無",null,null,null,null,null,null,"外国人技能実習生の従事の状況(有無)",null,null,null,null,null,null,"有　　無"]
[]
[null,"現場\n代理人名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"権限及び意見申出方法"]
[]
[null,"監理技術者名　\n主任技術者名",null,null,null,null,null,"専　任\n非専任",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格内容"]
[]
["監理技術者補佐名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格内容"]
[]
[null,"専門\n技術者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"専門\n技術者名"]
[]
[null,null,"資格内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格内容"]
[]
[null,null,"担当\n工事内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当\n工事内容"]
[]
[]
["一号特定技能外国人の従事の\n状況（有無）",null,null,null,null,null,null,null,"有　　無",null,null,null,null,null,null,"外国人技能実習生の従事の状況(有無)",null,null,null,null,null,null,"有　　無"]

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["様式第６号",null,null,null,null,null,null,null,null,null,null,null,"作　　業　　員　　名　　簿"]
[null,null,null,null,null,null,null,null,null,null,null,null,"（　　年　　月　　日作成)",null,null,null,null,null,null,null,null,"元請\n確認欄"]
["事業所の名称\n・現場ID",null,null,null,null,null,null,null,null,null," 本書面に記載した内容は、作業員名簿として安全衛生管理や労働災害発生時の緊急連絡・対応のために元請負業者に提示することについて、記載者本人は同意しています。"]
["所長名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"提出日　　　　　年　　　月　　　日"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一次会社名\n・事業者ID",null,null,null,null,null,null,"（　次)会社名\n・事業者ID"]
[]
[]
["番号","ふりがな",null,null,null,"職種",null,null,"※","生年月日",null,null,"健康保険",null,"建設業退職金\n共済制度","教　育・資　格・免　許",null,null,null,null,null,null,"入場年月日"]
[]
[null,"氏名",null,null,null,null,null,null,null,null,null,null,"年金保険"]
[null,null,null,null,null,null,null,null,null,"年齢",null,null,null,null,"中小企業退職金\n共済制度","雇入・職長\n特別教育","技能講習",null,null,null,null,"免　許","受入教育\n実施年月日"]
[null,"技能者ID",null,null,null,null,null,null,null,null,null,null,"雇用保険"]
[]
[null,null,null,null,null,null,null,null,null,"年　月　日",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"歳",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"年　月　日",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"歳",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"年　月　日",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"歳",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"年　月　日",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"歳",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"年　月　日",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"歳",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"年　月　日",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"歳",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"年　月　日",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"歳",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"年　月　日",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
[null,null,null,null,null,null,null,null,null,"歳",null,null,null,null,null,null,null,null,null,null,null,null,"年　月　日"]
[]
[]
["（注)１.※印欄には次の記号を入れる。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）３．経験年数は現在担当している仕事の経験年数を記入する。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）４．各社別に作成するのが原則だが、リース機械等の運転者は一緒でもよい。"]
[]
[null," …現場代理人",null,null," …作業主任者（（注）2.)",null,null,null,null,null," …女性作業員",null,"       …18歳未満の作業員",null,null,null,"（注）５．資格・免許等の写しを添付すること。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）６．健康保険欄には、左欄に健康保険の名称（健康保険組合、協会けんぽ、建\n　設国保、国民健康保険）を記載。上記の保険に加入しておらず、後期高齢者である\n　等により、国民健康保険の適用除外である場合には、左欄に「適用除外」と記載。"]
[null," …主任技術者",null,null," …職　長",null,null,null," …安全衛生責任者",null,null," …能力向上教育",null," …危険有害業務・再発防止教育"]
[]
[null," …外国人技能実習生",null,null,null," …１号特定技能外国人",null,null,null,null,null,null,null,null,null,null,"（注）７．年金保険欄には、左欄に年金保険の名称（厚生年金、国民年金）を記載。\n　各年金の受給者である場合は、左欄に「受給者」と記載。"]
[]
["（注）２.作業主任者は作業を直接指揮する義務を負うので、同時に施工されている他の現場や、同一現場においても\n  他の作業個所との作業主任者を兼務することは、法的に認められていないので、複数の選任としなければならない。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）８．雇用保険欄には右欄に被保険者番号の下４けたを記載。（日雇労働被保険\n　者の場合には左欄に「日雇保険」と記載）事業主である等により雇用保険の適用除\n　外である場合には左欄に「適用除外」と記載。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）９．建設業退職金共済制度及び中小企業退職金共済制度への加入の有無につい\n　ては、それぞれの欄に「有」又は「無」と記載。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）１０．安全衛生に関する教育の内容（例：雇入時教育、職長教育、建設用リフ\n　トの運転の業務に係る特別教育）については「雇入・職長特別教育」欄に記載。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）１１．建設工事に係る知識及び技術又は技能に関する資格（例：登録○○基幹\n　技能者、○級○○施工管理技士）を有する場合は、「免許」欄に記載。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）１２．記載事項の一部について、別紙を用いて記載しても差し支えない。"]

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["ＮＯ.１０-１"]
["静岡県発注建設工事に係る建設生産システム合理化指導要綱の取扱について　様式４号"]
["施工体系図"]
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["工 事 名 称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"至","年　　月　　日　"]
[]
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["監 督 員 名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名"]
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["監理技術者補佐名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一般/特定の別",null,null,null,null,null,null,null,null,null,null,null,null,null,"一般/特定の別",null,null,null,null,null,null,null,null,null,null,null,null,null,"一般/特定の別",null,null,null,null,null,null,null,null,null,null,null,null,null,"一般/特定の別"]
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["専門技術者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"元方安全衛生管理者",null,null,null,null,null,null,null,null,null,null,"特定専門工事　の該当",null,null,null,null,null,null,null,null,null,null,null,null,null,"特定専門工事　の該当",null,null,null,null,null,null,null,null,null,null,null,null,null,"特定専門工事　の該当",null,null,null,null,null,null,null,null,null,null,null,null,null,"特定専門工事　の該当"]
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["会　　　長",null,null,null,null,null,"総括安全衛生責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工期",null,"　　年　　月　　日～　　　　年　　月　　日",null,null,null,null,null,null,null,null,null,null,null,"工期",null,"　　年　　月　　日～　　　　年　　月　　日",null,null,null,null,null,null,null,null,null,null,null,"工期",null,"　　年　　月　　日～　　　　年　　月　　日",null,null,null,null,null,null,null,null,null,null,null,"工期",null,"　　年　　月　　日～　　　　年　　月　　日"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,"主任技術者"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特定専門工事　の該当",null,null,null,null,null,null,null,null,null,null,null,null,null,"特定専門工事　の該当",null,null,null,null,null,null,null,null,null,null,null,null,null,"特定専門工事　の該当",null,null,null,null,null,null,null,null,null,null,null,null,null,"特定専門工事　の該当"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手形"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手形"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手形"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手形"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手形"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手形"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手形"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手形"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手形"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手形"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現金"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手形"]
["＊１）見積依頼は、工事見積条件を明確にするため、書面によりその内容を示すことが望ましい。"]
["＊２）契約書等には、工種（切土工、盛土工、型枠工等）ごとに数量が明記され、機械費、材料費が含まれているか否かも明確にすることが必要です。"]
["＊３）本様式の記載内容に変更、追加等があった場合、変更箇所を色文字とし、変更箇所を反映させた施工体系図とともに監督職員に提出する。"]

{"sheet":"18-1","index":18,"n_rows":56,"n_cols":21,"rows_kept":56,"cut":false,"hidden":false,"merged":[[7,4,7,23],[13,2,13,6],[16,2,16,6],[26,20,26,24],[32,6,32,10]]}
[]
[null,"(№20)"]
[null,"（表紙）"]
[]
[]
[]
[]
[null,null,null,null,"使　用　材　料　（機　材）　報　告　書"]
[]
[]
[]
[]
[]
[null,null,"建設工事名"]
[]
[]
[null,null,"建設工事箇所"]
[]
[]
[]
[null,null,null,"本工事の主要な使用材料（機材）について別紙（内訳書）のとおり使用したいので報告いたします。"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年月日"]
[]
[]
[]
[]
[]
[null,null,"発注者",null,null,null,null,null,null,null,null,null,"様"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受注者"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人"]

{"sheet":"18-2","index":19,"n_rows":4,"n_cols":22,"rows_kept":4,"cut":false,"hidden":false,"merged":[[3,1,4,1],[3,3,4,6],[3,9,4,12],[3,15,4,18],[3,21,4,24]]}
[]
[null,"別紙（内訳書）（用紙Ａ４版横型）"]
[]
[null,"工種名",null,"材料（機材）名",null,null,null,null,null,"商品名",null,null,null,null,null,"規格",null,null,null,null,null,"製造会社名"]

{"sheet":"21","index":20,"n_rows":50,"n_cols":41,"rows_kept":50,"cut":false,"hidden":false,"merged":[[4,18,5,40],[5,1,5,6],[6,1,8,6],[6,9,6,10],[6,24,8,29],[6,30,8,39],[6,40,8,40],[9,1,10,6],[9,7,10,9],[9,10,10,10],[9,11,10,20],[9,21,10,23],[9,35,9,36],[9,38,9,39],[10,24,10,26],[10,32,10,33],[10,35,10,36],[10,38,10,39],[9,24,9,26],[9,27,10,29],[9,32,9,33],[11,24,11,29],[11,30,13,39],[11,40,13,40],[48,20,48,21],[48,24,48,29],[13,20,13,21],[13,24,13,29],[12,8,12,12],[12,24,12,29],[13,12,13,13],[13,14,13,15],[13,17,13,18],[46,1,46,6],[46,24,46,29],[46,30,48,39],[46,40,48,40],[47,14,47,15],[47,17,47,18],[47,20,47,21],[47,24,47,29],[48,14,48,15],[48,17,48,18]]}
[null,"NO.5"]
[]
[null,"掛川市建設工事監督員執務規程　様式第１号(第５条関係)"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"指示 ・ 承諾 ・ 協議 ・ 提出 ・ 報告書"]
[null,"工事番号"]
[null,"建設工事名",null,null,null,null,null,null,null,null,null,"年度",null,null,null,null,null,null,null,null,null,null,null,null,"請負代金額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[]
[null,"建設工事箇所",null,null,null,null,null,"掛　川",null,null,"市",null,null,null,null,null,null,null,null,null,null,"地内",null,null,"着手",null,null,"年月日",null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"完成",null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,"　下記のように　",null,null,null,null,null,"指示",null,"承諾",null,"協議",null,"提出",null,"報告",null,null,"する。",null,null,null,null,null,"監督員"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"願いたい。",null,null,null,null,null,"請負者"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日",null,"現場代理人"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"　上記について",null,null,null,null,null,null,"承諾する。　　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監督員",null,null,null,null,null,"※承諾の場合は署名とする"]
[null,null,null,null,null,null,null,null,"受理する。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"請負者"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日",null,"現場代理人"]
[null,"　（注）不要な文字は、＝で消すこと。"]

{"sheet":"22","index":21,"n_rows":28,"n_cols":6,"rows_kept":28,"cut":false,"hidden":false,"merged":[[26,0,26,5],[27,0,27,5],[3,0,3,5],[4,0,4,5],[5,0,5,4],[6,0,7,0],[6,1,7,1],[6,2,7,2],[6,3,7,3],[6,4,7,4],[6,5,7,5]]}
[]
[]
["建設工事監督要領　様式―５　（第6条関係）"]
["休日・夜間作業届"]
[" 工 事 名："]
[" 受注者名： "]
["NO","届出年月日","作業年月日","作業時間","作業内容、作業場所","備　考"]
[]
[1]
[2]
[3]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[11]
[12]
[13]
[14]
[15]
[16]
[17]
[18]
[]
["※　月単位等で、事前にまとめて報告してもよい。（途中、変更があれば修正して提出する。）　　　　　　"]

{"sheet":"23","index":22,"n_rows":33,"n_cols":30,"rows_kept":33,"cut":false,"hidden":false,"merged":[[8,20,8,21],[8,22,8,28],[10,24,10,25],[11,0,14,2],[11,3,12,3],[11,4,14,4],[11,5,12,7],[11,9,14,13],[11,14,12,26],[12,8,13,8],[13,3,14,3],[13,5,14,5],[13,6,14,6],[13,7,14,7],[13,14,14,14],[13,15,14,15],[4,0,4,29],[6,20,6,21],[6,22,6,29],[7,18,7,19],[7,20,7,21],[7,22,7,29],[13,20,14,20],[13,29,14,29],[15,0,16,2],[15,3,16,4],[15,5,16,5],[15,6,16,6],[15,7,16,7],[15,8,16,8],[13,21,14,21],[13,22,14,22],[13,23,13,24],[13,25,13,26],[13,27,13,28],[13,16,14,16],[13,17,14,17],[13,18,14,18],[13,19,14,19],[17,8,18,8],[19,0,20,2],[19,3,20,4],[19,5,20,5],[19,6,20,6],[19,7,20,7],[19,8,20,8],[17,0,18,2],[17,3,18,4],[17,5,18,5],[17,6,18,6],[17,7,18,7],[21,8,22,8],[23,0,24,2],[23,3,24,4],[23,5,24,5],[23,6,24,6],[23,7,24,7],[23,8,24,8],[21,0,22,2],[21,3,22,4],[21,5,22,5],[21,6,22,6],[21,7,22,7],[25,8,26,8],[27,0,28,2],[27,3,28,4],[27,5,28,5],[27,6,28,6],[27,7,28,7],[27,8,28,8],[25,0,26,2],[25,3,26,4],[25,5,26,5],[25,6,26,6],[25,7,26,7]]}
["NO.3"]
[]
["掛川市建設工事執行規則　様式第10号(第20条関係)"]
[]
["工　　　事　　　工　　　程　　　月　　　報"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住　所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"請負者",null,"商　号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏　名",null,"(法人にあっては、代表者の氏名)"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,"月末現在"]
["建設工事名",null,null,"河川","名等","箇所",null,null,null,"工期",null,null,null,null,"工　　　　　　　程",null,null,null,null,null,null,null,null,null,null,null,null,"上段　　計画　　%"]
[null,null,null,null,null,null,null,null,"契約額",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下段　　実績　　%"]
[null,null,null,"路線",null,"市郡","町村","大字",null,null,null,null,null,null," 4月"," 5月"," 6月"," 7月"," 8月"," 9月","10月","11月","12月"," 1月",null," 2月",null," 3月",null,"摘　要"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"前半","後半","前半","後半","前半","後半"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[null,null,null,null,null,null,null,null,null,null,"・",null,"・"]
[]
["（注）"]
["　 1　　複数の建設工事を受注している場合には、上から順に列記し、完成した建設工事があっても消さないものとする。"]
["　 2　　監督員が指示した場合には、工程表により進ちょく状況を説明するものとする。"]

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[]
[null,"掛川市建設工事執行規則　様式第14号(第34条関係)"]
[]
[null,null,"工　期　延　長　請　求　書"]
[]
[]
[null,null," 1　建設工事名"]
[]
[null,null," 2　建設工事箇所",null,null,null,null,"掛川市",null,null,null,"　　　　　　地内"]
[]
[null,null," 3　請負代金額",null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[null,null," 4　契約年月日",null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[null,null,5,"工　　　期",null,null,null,"着　手",null,null,null,"年",null,"月",null,"日"]
[]
[null,null,null,null,null,null,null,"完　成",null,null,null,"年",null,"月",null,"日"]
[]
[null,null," 6　変更完成期日",null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[null,null," 7　工期延長の理由"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"上記のとおり工期の延長を請求します。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[]
[]
[null,null,"（あて先）発注者　掛川市長"]
[]
[]
[]
[null,null,null,null,null,null,null,null,"請負者",null,"住所"]
[null,null,null,null,null,null,null,null,null,null,"商号"]
[null,null,null,null,null,null,null,null,null,null,"氏名",null,null,"(法人にあっては、代表者の氏名)"]

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[null,null,"様式第19号（掛川市建設工事執行規則第49条関係）"]
[]
[null,null,"出 来 形 確 認 請 求 書"]
[]
[null,null,"１　建設工事名"]
[]
[]
[null,null,"２　建設工事箇所",null,"掛川市",null,"地内"]
[]
[]
[null,null,"３　工　 　 　期",null,"着手","　　　　年　　月　　日"]
[null,null,null,null,"完成","　　　　年　　月　　日"]
[]
[null,null,"４　請負代金額",null,27300000,null,"円"]
[]
[]
[null,null,"５　出来形の内容"]
[]
[null,null,"工　　　　種","単　位","設　計\n数　量\n\nＡ","出来高\n数　量\n\nＢ","出来高歩合\n\nＢ÷Ａ\n×100＝Ｃ","構　成\n比　率\n\nＤ","通　計\n出来高\n歩　合\nＣ×Ｄ","摘　要"]
[null,null,"道路土工","式",1,1,34,7.0000000000000007E-2,{"$f":"ROUNDDOWN(G20*H20,0)","v":2}]
[null,null,"地盤改良工","式",1,1,0,0.04,{"$f":"ROUNDDOWN(G21*H21,0)","v":0}]
[null,null,"小型水路工","式",1,1,81,0.33,{"$f":"ROUNDDOWN(G22*H22,0)","v":26}]
[null,null,"舗装工","式",1,1,0,0.23,{"$f":"ROUNDDOWN(G23*H23,0)","v":0}]
[null,null,"構造物取壊し工","式",1,1,0,0.01,{"$f":"ROUNDDOWN(G24*H24,0)","v":0}]
[]
[]
[]
[null,null,"小　計",null,null,null,null,0.57999999999999996,{"$f":"SUM(I20:I27)","v":28},"Ｃ×Ｄ／Ｄ　　　＝49"]
[null,null,"諸経費","式",1,1,49,0.42,20]
[null,null,"合　計",null,null,null,null,{"$f":"H28+H29","v":1}]
[]
[null,null,null,null,null,"計",null,null,48]
[]
[null,null,"　　  年  月  日","現在における第１回出来形の確認を請求します。"]
[]
[null,null,null,null,null,null,null,"　　　年　　月　　日"]
[]
[]
[null,null,"（あて先）発注者　掛川市長"]
[]
[null,null,null,null,null,null,"住所"]
[null,null,null,null,null,"請負者","商号"]
[null,null,null,null,null,null,"氏名","(法人にあっては、代表者の氏名)"]

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[null,null,"様式第19号（掛川市建設工事執行規則第49条関係）"]
[]
[null,null,"出 来 形 確 認 調 書"]
[]
[null,null,"1 建設工事名"]
[]
[]
[null,null,"2　建設工事箇所",null,"掛川市",null,null,"地内"]
[]
[]
[null,null,"3 工 　 　 　期",null,"着手","　　　　年　　月　　日"]
[null,null,null,null,"完成","　　　　年　　月　　日"]
[]
[null,null,"4　請負代金額",null,null,null,"円"]
[]
[]
[null,null,"5　出来形の内容"]
[]
[null,null,"工　　　　種","単　位","設　計\n数　量\n\nＡ","出来高\n数　量\n\nＢ","出来高歩合\n\nＢ÷Ａ\n×100＝Ｃ","構　成\n比　率\n\nＤ","通　計\n出来高\n歩　合\nＣ×Ｄ","摘　要"]
[null,null," "," "]
[]
[]
[]
[]
[]
[]
[]
[null,null,"小　   計",null,null,null,null,null,null,"Ｃ×Ｄ／Ｄ"]
[null,null,"諸経費"]
[null,null,"合　    計"]
[]
[null,null,"総出来形歩合"]
[]
[null,null,"  年  月  日","現在における第  回出来形は、上記のとおり相違ないことを証明します。"]
[]
[null,null,null,null,null,null,null,"　　　　年　　月　　日"]
[]
[]
[null,null,"（あて先）発注者　掛川市長"]
[]
[]
[]
[null,null,null,null,null,null,"監督員","（職　名　　氏　　　名）"]

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[]
[null,"様式第２号（第33条関係）"]
[null,null,null,null,null,null,null,"工事出来形歩合調書"]
[]
[null,null,"１",null,"工事番号",null,null,"　　　　　　　年度　　　第　　　　　号"]
[null,null,"２",null,"建設工事名"]
[null,null,"３",null,"請負代金額",null,null,"￥"]
[null,null,"４",null,"前払金額",null,null,"￥"]
[null,null,"５",null,"部分払済額",null,null,"￥"]
[null,null,"６",null,"工事出来形",null,null,"別表のとおり"]
[null,null,"７",null,"工事出来形部分の"]
[null,null,null,null,"請負代金相当額",null,null,"￥"]
[null,null,"８",null,"請負者"]
[null,null,"年　月　日",null,null,null,"現在における第　回出来形は、上記のとおり相違ないことを証明します。"]
[null,"　　　　　　　","　　　　　　　　年　　月　　日"]
[null,null,null,null,null,null,null,null,"検査員","職　名",null,"氏　　　　名㊞"]
[]
[null,null,"前払金額　￥"]
[]
[null,null,"　　　",null,"区分","出来形歩合",null,"部分払金額","返済金額","差引支払額",null,"摘要"]
[null,null,"回数",null,null,"（％）",null,"円","円","（請求額）円"]
[null,null,null,null,null,null,"(　)"]
[null,null,null,null,null,null,"(　)"]
[null,null,null,null,null,null,"(　)"]
[null,null,null,null,null,null,"(　)"]
[null,null,"計",null,null,null,"(　)"]
[null,"　備考"]
[null,"　　１　出来形歩合の欄の（　）内は、その回の実出来形を示す。"]
[null,"　　２　部分払金額＝請負代金額×出来形歩合×0.9"]
[null,"　　３　返済金額＝前払金額×出来形歩合"]
[null,"　　４　差引支払額＝部分払金額－返済金額"]
[null,"　　５　工事出来形部分の請負代金相当額＝請負代金額×工事出来形"]
[null,"　　６　竣工の場合は、精算による。"]
[null,"　　７　部分払金額は１万円未満を切り捨て、返済金額については切り上げる。"]

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[]
[null,null,"様式第18号（第44条、第49条、第50条関係）"]
[null,null,"請　　　求　　　明　　　細　　　書"]
[null,null,"請負代金額",null,1000000,null,"円",null,null,null,null,{"$f":"ROUNDDOWN(E4*0.4,-3)","v":400000},null,null,"円",null,null,null,null,{"$f":"R14-U14","v":250000},null,null,"円"]
[null,null,"（部分引渡しに係",null,null,null,null,"前払金額",null,null,null,null,null,null,null,"今回請求額"]
[null,null,"る請負代金額）",null,null,null,null,null,null,null,null,null,null,null,null,null,"（第",1,"回）"]
[null,null,"Ａ",null,null,null,null,"Ｂ",null,null,null,null,null,null,null," （しゅん工）    "]
[null,null,null,null,null,null,null,"出来高金額"]
[null,null,null,null,null,null,null,"  ","一部引渡指定部分に相応する請負代金の額",null,null,null,null,null,null,null,null," 差引き額",null,null,"支払額"]
[null,null,"区　　分　","年　月　日",null,"出来高歩合",null,null,null,null,null,"   　９",null," 前払償却額",null,null,null,null,"Ｅ－Ｆ＝Ｇ",null,null,"Ｇ－前回までの支払額の合計額"]
[null,null,"　　　　　","　　　　　",null,null,null,"  ",null,null,null," Ｄ×―の額",null,null,null,null,null," ","しゅん工の場合にあっては",null," "]
[null,null,null,null,null,null,null,null,null,null,null," 　  10",null," Ｂ×Ｃ＝Ｆ"]
[null,null,null,null,null,"Ｃ",null,"Ｄ",null,null,"Ｅ",null,null,null,null,null,null," "," Ｄ－Ｆ＝Ｇ",null,"              "]
[null,null,null,null,null,50,"％",{"$f":"ROUNDDOWN(F14*E4/100,0)","v":500000},null,"円",{"$f":"ROUNDDOWN(H14*0.9,-4)","v":450000},null,"円",{"$f":"ROUNDUP(L4*F14/100,-4)","v":200000},null,null,"円",{"$f":"K14-N14","v":250000},null,"円",0,null,"円"]
[null,null," 第　１　回 "]
[null,null," 第　２　回 "]
[null,null," 第　３　回 "]
[null,null," 第　４　回 "]
[null,null," 第　５　回 "]
[null,null," 第　６　回 "]
[null,null,"  しゅん工  "]
[null,"　（注）Ｅの算出については１万円未満を切り捨て、Ｆの算出については１万円未満を切り上げること。"]

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[]
[null,null,"掛川市建設工事執行規則　様式第16号(第43条関係)"]
[]
[null,null,null,"完　　成　　届　　出　　書"]
[]
[]
[null,null,null,"１　建設工事名"]
[]
[]
[null,null,null,"２　建設工事箇所",null,null,null,null,"掛川市",null,null,null,null,null,null,null,"地内"]
[]
[]
[null,null,null,"３　請負代金額",null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[]
[null,null,null,"４　契約年月日",null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[]
[null,null,null,"５　工　　　　期",null,null,null,null,"着手",null,null,null,"年",null,"月",null,"日"]
[]
[null,null,null,null,null,null,null,null,"完成",null,null,null,"年",null,"月",null,"日"]
[]
[]
[null,null,null,"６　完成年月日",null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[]
[]
[null,null,null,"上記のとおり完成したので、届け出ます。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[]
[]
[null,null,"（あて先）発注者　掛川市長"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"住所"]
[null,null,null,null,null,null,null,null,null,null,null,"請負者",null,"商号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,"(法人にあっては、代表者の氏名)"]

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[]
[null,null,"掛川市建設工事執行規則　様式第17号(第43条関係)"]
[]
[null,null,null,"修　補　完　了　届　出　書"]
[]
[]
[null,null,"１","建設工事名"]
[]
[]
[null,null,"２","建設工事箇所",null,null,null,null,"掛川市",null,null,null,null,null,null,null,"地内"]
[]
[null,null,"３","請負代金額",null,null,null,null,null,null,null,null,null,null,null,null,"円"]
[]
[null,null,"４","契約年月日",null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[null,null,"５","工　　　　期",null,null,null,null,"着手",null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,"完成",null,null,null,"年",null,"月",null,"日"]
[]
[null,null,"６","完成年月日",null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[null,null,"７","検査年月日",null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[null,null,"８","修補事項"]
[]
[null,null,"９","修補完了年月日",null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[]
[null,null,null,"上記のとおり修補を完了したので、届け出ます。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[]
[]
[null,null,"（あて先）発注者　掛川市長"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"住所"]
[null,null,null,null,null,null,null,null,null,null,null,"請負者",null,"商号"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名",null,"(法人にあっては、代表者の氏名)"]

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[null,"No.36"]
[null,"建設工事執行規則　様式第12号(第23条関係)"]
[]
[null,null,"工　事　記　録　簿"]
[null,null,null,null,null,null,null,null,null,"（",null,"／",null,"）"]
[null,null,"建 設  工  事  名"]
[null,null,"建 設 工 事 箇 所"]
[null,null,"着 手  年  月  日"]
[null,null,"完 成  年  月  日"]
[]
[null,null,"年　月　日",null,"天　候","記　　　　　　録",null,null,null,"摘　　　要"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,"備考　1　記録欄には、現場の作業状況若しくは安全・訓練等の実施状況又は監督員の指示等"]
[null,null,"　　　 　若しくは指示等に対する処理状況等について記入すること。"]
[null,null,"　　  2　摘要欄については、指示等を行った監督員名等を記入すること。"]
[]
[null,null,null,null,null,null,null,null,null,"（",null,"／",null,"）"]
[null,null,"年　月　日",null,"天　候","記　　　　　　録",null,null,null,"摘　　　要"]

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[null,"様式１"]
[]
[]
[null,"現場閉所（現場休息）率確認書"]
[]
[null,"建設工事名"]
[null,"発注方式","発注者指定型　／　受注者希望型"]
[null,"対象期間","　　　　年　　月　　日　～　　　年　　月　　日"]
[null,null,"（うち、対象外とした期間：　　　　　　　　　　　）"]
[null,"取組レベル","　　ア　４週８休以上"]
[null,null,"　　イ　４週７休以上４週８休未満"]
[null,"※受注者希望型のみ","　　ウ　４週６休以上４週７休未満"]
[null,"現場閉所（現場休息）日数","◇◇　日"]
[null,"対象期間日数","◆◆　日"]
[null,"現場閉所（現場休息）率"]
[null,null,"　　　　　　　　　　　　       ＝ ◇◇ ／ ◆◆ ＝ △△．△％"]
[null,null,"　　　　　　　　　　　　　　　　※百分率小数点第２位以下切捨て表示　"]
[]
[null,"週休２日実施状況の判定","ア ４週８休以上　　　　　　　　【現場閉所(現場休息)率28.5%以上】"]
[null,null,"イ ４週７休以上４週８休未満　　【現場閉所(現場休息)率25％以上28.5%未満】"]
[null,null,"ウ ４週６休以上４週７休未満　　【現場閉所(現場休息)率21.4％以上25%未満】"]
[null,null,"エ ４週６休未満　　　　　　　　【現場閉所(現場休息)率21.4%未満】"]
[null,null,"※受注者希望型は取組レベルを上限として判定　"]
[]
[]
[]
[]
[]
[null,"　　「掛川市週休２日推進工事（建築工事）実施要領」に基づき、上記のとおり現場閉所（現場休息）\n    率を確認しました。"]
[]
[null,null,"年　　　月　　　日"]
[]
[]
[null,null,"　　　　　　　〇〇〇〇課　　　（担当監督員）　　　氏　名　　"]

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[null,"（様式第41号）"]
[null,"共　　済　　証　　紙　　受　　払　　簿"]
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[null,null,null,null,"（注）",null,null,null,null,null,"の箇所に必要事項入力。"]
[null,null,null,null,null,null,null,"必ず、受入・払出年月日を入力。"]

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["土木工事共通仕様書　第1編1-1-26"]
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[null,"安　全　・　訓　練　等　の　実　施　記　録"]
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[null,"実施年月日",null,"　令和　　年　　月　　日　(　曜日)　　　　　時　～　　　　　時"]
[null,"実施場所"]
[null,"参加者",null,"　安全管理者　氏　　　　　　　　名　　　、外作業員　　　名"]
[null,"研　　　修　　　訓　　　練　　　等　　　の　　　内　　　容"]
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[]
[null,null,null,null,"実施状況写真の添付"]

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[null,"安全・訓練等に関する計画書（実施書）"]
[]
[null,"1","工事名",null,null,null,"年度"]
[null,"2","施工箇所",null,"掛川市",null,null,null,null,null,"地内"]
[null,"3","工期",null,"着手",null,null,null,null,"年",null,"月",null,"日"]
[null,null,null,null,"完成",null,null,null,null,"年",null,"月",null,"日"]
[null,"4","実施計画予定表（作業員全員の参加により月当たり4時間以上の時間を割り当てる。）"]
[null,null,null,"        月",null,null,"        月",null,null,"        月",null,null,"        月",null,null,"        月",null,null,"        月",null,null,"        月",null,null,"        月",null,null,"        月",null,null,"        月"]
[]
[null,"実  施  工  期"]
[]
[null,"月間予定日／時間"]
[]
[null,"日予定日数×時間"]
[]
[null,"月","実施場所","事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他"]
[]
[null,"予","参加人数",null,null,"人",null,null,"人",null,null,"人",null,null,"人",null,null,"人",null,null,"人",null,null,"人",null,null,"人",null,null,"人",null,null,"人"]
[]
[null,"定","内    容","1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6"]
[]
[null,"日","実施場所","事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他",null,null,"事務所･現場･その他"]
[]
[null,"予","参加人数",null,null,"人",null,null,"人",null,null,"人",null,null,"人",null,null,"人",null,null,"人",null,null,"人",null,null,"人",null,null,"人",null,null,"人"]
[]
[null,"定","内    容","1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6",null,null,"1 2 3 4 5 6"]
[]
[null,"合計時間"]
[]
[null,"     注）実施内容は下記項目の中から当てはまるものに○をつける"]
[null,null,"内容項目","1.安全活動のビデオ等視聴覚資料による安全教育"]
[null,null,null,"2.本工事内容等の周知徹底"]
[null,null,null,"3.本工事安全施工技術指針等の周知徹底"]
[null,null,null,"4.本工事における災害対策訓練"]
[null,null,null,"5.本工事現場で予想される事故対策"]
[null,null,null,"6.その他安全訓練として必要な事項                "]

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[null,"No.22"]
[null,"土木工事共通仕様書第1編1-1-19（用紙　日本工業規格A4横型）"]
[]
[null,null,"搬　入　・　搬　出　調　書"]
[]
[null,"[様式-3]"]
[]
[null,"再生材\n発生資源","名　称","規　　　格",null,"　搬入","量( t or m3)","　年　　月　　日",null,"搬　入　先",null,"備　　  考"]
[null,null,null,null,null,"　搬出",null,null,null,"搬　出　先"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"注)　適用しないものは　　　　　　　　で消すこと。"]

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[null,"創意工夫・工事特性・社会性等に関する実施状況"]
["工事名称",null,null,"施工者名"]
["項　　目","評　価　内　容","備　　　考"]
["□　創意工夫","□　準備・片付け"]
["「高度技術」で評価するほどではない軽微な工夫"]
[null,"□　施工関係","施工に伴う機械・器具・工具・装置類"]
[null,null,"二次製品・代替製品の利用"]
[null,null,"施工方法の工夫"]
[null,null,"施工環境の改善"]
[null,null,"仮設計画の工夫"]
[null,null,"施工管理・品質管理の工夫"]
[]
[null,"□　品質関係"]
[]
[null,"□　安全衛生関係","安全施設・仮設備の配慮"]
[null,null,"安全教育・講習会・パトロールの工夫"]
[null,null,"作業環境の改善"]
[null,null,"交通事故防止の工夫"]
[]
[null,"□　施工管理関係"]
[]
[null,"□　その他"]
[]
["□　工事特性","□　建物規模"]
["工事全体を通して他の類似工事に比べて、特異な技術力"]
[null,"□　建物固有","建物の耐震レベル"]
[null,null,"建物機能の特殊性"]
[]
[null,"□　技術固有","特殊な工種及び工法"]
[null,null,"新工法（機器類を含む）及び新材料の適用"]
[]
[null,"□　自然・地盤条件","湧水、地下水の影響"]
[null,null,"軟弱地盤、支持地盤の状況"]
[null,null,"作業スペースの制限"]
[null,null,"気象現象の影響"]
[null,null,"地滑り・急流河川・潮流等、動植物等"]
[]
[null,"□　周辺環境等、社会条件","埋設物等の地中内の作業障害物"]
[null,null,"鉄道・供用中の道路、建築物等の近接施工"]
[null,null,"騒音・振動・水質汚濁等環境対策"]
[null,null,"作業スペース制約、現道上の交通規制"]
[null,null,"廃棄物処理"]
[]
[null,"□　現場での対応","長期工事への対応"]
[null,null,"災害での臨機の処置"]
[null,null,"施工状況（条件）の変化への対応"]
[null,null,"工事時間の制限（停電、給排水等の制限を含む）"]
[]
[null,"□　その他"]
[]
["□　社会性等","□　地域への貢献等","救援活動への協力"]
["地域社会や住民に対する貢献",null,"地域の自然環境保全、動植物の保護"]
[null,null,"現場環境の地域への調和"]
[null,null,"地域住民とのコミュニケーション"]
[null,null,"ボランティアの実施"]
[]
["1　該当する項目の□にレマーク記入"]
["2　具体的内容の説明として、写真・略図等を説明資料に整理"]
[]
["創意工夫・工事特性・社会性等に関する実施状況（説明資料）"]
["　　工　事　名"]
["項　　目",null,"評価内容"]
["提案内容"]
["（説明）\n"]
[]
[]
[]
[]
[]
[]
["（添付図）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["説明資料は簡潔に作成するものとし、必要に応じて別葉とする。"]

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[]
[null,null,null,null,null,null,null,"総括監督員","主任監督員","担当監督員"]
[]
[]
[]
[null,"様式第１号"]
[]
[null,null,null,null,null,null,null,null,null,"　　   年   月   日"]
[]
[null,null,null,null,"年度","公共工事に関する環境配慮チェックリスト"]
[]
[]
[]
[null,null,"工事名"]
[]
[]
[]
[null,null,null,null,null,null,"請負業者名"]
[null,null,null,null,null,null,"現場代理人"]
[]
[]
[]
[]
[null,null,"特定建設作業及び特定作業等の対応策のチェック"]
[]
[null,null,"低騒音型作業機械の採用",null,"低振動型作業機械の採用","排出ガス対策型機械の採用","アイドリングストップの実施","防音ﾊﾟﾈﾙの設置等防音対策","粉塵等の飛散の防止","提出書類における両面印刷及び再生紙利用"]
[]
[]
[]
[]
[]
[null,"備考"]
[null,null,"・工事毎に作成し、工事終了後直ちに提出して下さい。"]
[null,null,"・項目に以下の評価を記入して下さい。"]
[null,null,"　　　できた：２　　部分的にできた：１　　できなかった：０"]
[null,null,"　で記入して下さい。                       "]
[null,null,"・担当課において原本を保管してください。保存期間は３年です。"]

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[null,"No.29"]
[null,"建設工事執行規則　様式第13号（第25条関係）（用紙　日本工業規格A4横型）"]
[null,"材　　料　　検　　査　　簿"]
[null,"1　建  設  工  事  名"]
[null,"2　建  設 工 事 箇 所"]
[]
[null,"品　　　　　種","規　　格",null,"設計数量","単　　位","検査年月日","検査数量","合格数量","不合格数量","累計合計　　　数　　量","検印\nまたは署名"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"品　　　　　種","規　　格",null,"設計数量","単　　位","検査年月日","検査数量","合格数量","不合格数量","累計合計　　　数　　量","検　　印"]