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{"sheet":"一覧","index":0,"n_rows":77,"n_cols":5,"rows_kept":77,"cut":false,"hidden":false,"merged":[[42,4,43,4],[17,4,20,4],[1,1,1,2],[11,4,12,4],[19,3,20,3],[21,3,24,3],[29,3,30,3],[27,3,28,3],[27,4,28,4],[14,4,15,4],[29,4,30,4],[11,3,12,3],[31,3,32,3],[9,3,10,3],[40,3,41,3],[36,3,37,3],[126,5,127,5],[47,3,48,3],[59,4,60,4],[49,4,50,4],[47,4,48,4],[59,3,60,3],[53,3,54,3],[51,3,52,3],[49,3,50,3],[53,4,54,4],[63,3,64,3],[63,4,64,4],[71,3,72,3],[61,3,62,3],[67,3,68,3],[69,3,70,3],[69,1,70,1],[65,3,66,3],[61,4,62,4],[49,1,50,1],[51,1,52,1],[51,2,52,2],[53,1,54,1],[51,4,52,4],[61,1,62,1],[61,2,62,2],[67,2,68,2],[63,1,64,1],[67,1,68,1],[33,3,35,3],[42,3,45,3],[40,2,41,2],[2,0,32,0],[2,1,3,1],[27,1,28,1],[29,1,30,1],[4,1,5,1],[27,2,28,2],[6,2,8,2],[4,2,5,2],[6,1,8,1],[19,1,20,1],[31,1,32,1],[31,2,32,2],[29,2,30,2],[46,0,72,0],[71,2,72,2],[36,1,37,1],[40,1,41,1],[42,1,45,1],[55,1,58,1],[53,2,54,2],[47,1,48,1],[33,0,45,0],[36,2,37,2],[33,1,35,1],[33,2,35,2],[71,1,72,1],[59,1,60,1],[65,1,66,1],[65,2,66,2],[2,2,3,2],[2,3,3,3],[4,3,5,3],[21,1,24,1],[9,4,10,4],[6,3,8,3],[14,1,15,1],[9,1,10,1],[11,1,12,1],[11,2,12,2],[9,2,10,2],[17,1,18,1],[17,3,18,3]]}
[null,null,"掛川市土木工事施工に伴う提出書類一覧表"]
["提出時期","提 出 書 類",null,"リンク","適用規則等"]
["契約段階",1,"工程表",null,"工事執行規則第20条"]
[null,null,null,null,"請負契約約款第3条"]
[null,2,"変更工程表",null,"工事執行規則第34条"]
[null,null,null,null,"請負契約約款第21条"]
[null,3,"主任技術者等通知書",null,"工事執行規則第22条"]
[null,null,null,null,"請負契約約款第10条"]
[]
[null,4,"建設業退職金共済組合掛金収納書or理由書","リンク","建設業退職金共済制度"]
[]
[null,5,"施工計画書",null,"県共通第1編1-1-4"]
[]
[null,null,"現場閉所計画表",null,"週休2日推進工事実施要領"]
[null,null,"再生資源利用促進計画書","リンク","県共通第1編1-1-18"]
[null,null,"再生資源利用促進計画の作成に伴う確認結果票"]
[null,6,"工事実績データ（確認書）","リンク","県共通第1編1-1-5"]
[null,7,"施工体制台帳",null,"県共通第1編1-1-10"]
[null,null,"作業員名簿"]
[null,8,"施工体系図"]
[null,null,"施工体制台帳確認一覧表"]
[null,9,"下請負人通知書",null,"工事執行規則第15条"]
[null,null,"再下請負通知書",null,"請負契約約款第7条"]
[null,null,"　下請負契約書（写）",null,"請負契約約款第7条"]
[null,null,"　建設業の許可（写）"]
[null,10,"交通安全管理",null,"県共通第1編1-1-32"]
[null,11,"材料承認願",null,"県共通第2編1-2"]
[null,12,"建設リサイクル法届出書","リンク","建設ﾘｻｲｸﾙ法"]
[]
[null,13,"ＥＭＳ承諾書",null,"掛川市ＥＭＳ"]
[]
[null,14,"請負代金内訳書",null,"工事執行規則第20条"]
[null,null,null,null,"請負契約約款第3条"]
["施工段階",15,"指示・承諾・協議・提出・報告書",null,"請負契約約款第1条"]
[null,null,null,null,"工事執行規則第10条"]
[null,null,null,null,"監督員規程第5条"]
[null,16,"工事工程月報",null,"工事執行規則第20条"]
[null,null,null,null,"請負契約約款第3条"]
[null,17,"段階確認立会願",null,"県共通第3編1-1-6"]
[null,18,"休日・夜間作業届",null,"県共通第1編1-1-36"]
[null,19,"工期延長請求書",null,"工事執行規則第34条"]
[null,null,null,null,"請負契約約款第21条"]
[null,20,"出来形確認請求書",null,"工事執行規則第44条、第49条、第50条"]
[null,null,"出来形確認調書"]
[null,null,"工事出来形歩合調書",null,"請負契約約款第37条"]
[null,null,"請求明細書",null,"監督員執務規程第33条"]
["完成段階",21,"搬入搬出調書",null,"県共通第1編1-1-18"]
[null,22,"安全訓練等に関する計画書",null,"県共通第1編1-1-26"]
[null,null,"安全・訓練等の実施記録"]
[null,23,"創意工夫等実施状況",null,"県共通第3編1-1-16"]
[null,null,"同上説明資料"]
[null,24,"ＥＭＳチェックシート",null,"掛川市ＥＭＳ"]
[]
[null,25,"材料検査簿",null,"工事執行規則第25条"]
[]
[null,26,"施工管理",null,"県共通第1編1-1-23"]
[null,null,"　出来形管理",null,"土木工事施工管理基準5-(2)　"]
[null,null,"　品質管理",null,"土木工事施工管理基準5-(3)　"]
[null,null,"　写真管理",null,"土木工事施工管理基準7-(1)　"]
[null,27,"品質証明書",null,"県共通第3編1-1-9"]
[null,null,"同上チェックリスト"]
[null,28,"使用材料品質証明書",null,"県共通第2編1-2"]
[]
[null,29,"掛金充当実績総括表","リンク","県共通第1編1-1-40"]
[null,null,"建退共証紙受払簿（写）"]
[null,30,"工事記録簿",null,"工事執行規則第23号"]
[null,null,null,null,"請負契約約款第11条"]
[null,31,"工事写真帳",null,"工事執行規則第26条"]
[null,null,null,null,"請負契約約款第14条"]
[null,32,"完成届出書",null,"工事執行規則第43条"]
[null,null,"修補完了届書",null,"請負契約約款第31条"]
[null,33,"完成検査写真帳",null,"工事執行規則第26条"]
[null,null,null,null,"請負契約約款第14条"]
[null,null,"※作成に当たっては県発行の「土木工事書類作成提出要領」に準拠し、提出書類の簡素化に努めてください。"]
[null,null,"※写真管理については、管理基準による頻度で撮影し、提出頻度については監督員の指示に従うこと。"]
[null,null,"　　　　ただし、検査等必要時には撮影頻度による写真帳を準備すること。"]
[null,null,"※県の仕様に準ずるものは、改定があった場合は、改定したものに準拠すること。"]

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["契約関係書類チェックリスト（土木工事）",null,null,null,null,null,"令和７年度"]
[null,null,null,null,null,null,null,null,"№１"]
["項　目",null,"細　目","摘　　　　要",null,"小規模工事","少額\n工事","チェック欄"]
[null,null,null,null,null,null,null,"請負者","監督員"]
["契　約　書",null,"当初、変更"]
["建設業退職金共済組合掛金収納書or理由書",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）"]
["工　程　表",null,"当初","契約締結後10日以内",null,null,"省略"]
[null,null,"変更","契約締結後10日以内、変更した部分は朱書き"]
["主任技術者等",null,"4,500万円以上は専任、下請総額5,000万円以上は監理技術者（監理技術者資格者証の交付を受けている者）、変更増で該当金額以上になった場合は、直ちに変更が必要",null,null,null,"口頭\n通知"]
["品質証明員通知",null,"品質証明対象工事（請負金額１億円以上、低入札調査実施工事）"]
["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"]
["電子納品事前協議ﾁｪｯｸｼｰﾄ",null,null,"電子納品をする場合"]
["設計照査"]
["工事測量成果表",null,"設計図書と差異を生じた場合、又は測量標（仮BM）及び多角点を設置するための基準となる点の測量結果は提出"]
["施工計画書","工事概要","主要工種以外は、原則まとめて１式表示にする",null,null,"省略","別様式"]
[null,"計画工程表","主要工種以外は、原則まとめて１式表示にする",null,null,"省略"]
[null,"現場組織表"]
[null,"指定機械","機械の名称､規格､指定番号､台数",null,null,"省略"]
[null,"主要船舶・機械",null,null,null,"省略"]
[null,"主要資材","品名､規格､寸法､購入会社名"]
[null,"施工方法","仮設備計画､工事用地等含む",null,"コンクリートの打設高､型枠の取り外し時期等","省略"]
[null,"施工管理計画","工程管理､出来形管理､品質管理､写真管理、段階確認・立会願（計画）",null,null,"省略"]
[null,"現場閉所計画","週休2日推進工事"]
[null,"品質証明書（計画）","品質証明実施基準による"]
[null,"安全管理","予想される事故対策リスト、工事事故ハザードマップ(農林土木は不要）",null,"安全・訓練等に関する計画書の提出は任意"]
[null,"緊急時の体制及び対応","緊急時の連絡系統､連絡方法を系統図で記入"]
[null,"交通管理","発生土等の運搬､現場周辺の交通対策。車両が一般的制限値を超える場合は運搬計画を記載すること"]
[null,"環境対策","騒音､振動､水質汚濁について周辺住民対策",null,null,"省略"]
[null,"現場作業環境の整備",null,null,null,"省略"]
[null,"再生資源の利用の促進","建設副産物の量及び処理方法､処理場所"]
[null,null,"再生資源利用計画","土砂500㎥以上､砕石500ｔ以上、加熱アスファルト混合物200ｔ以上を工事現場に搬入する場合、公衆が見やすい場所に掲示する。"]
[null,null,"再生資源利用促進計画","建設発生土500㎥以上､コンクリート塊､アスファルト塊､建設発生木材200ｔ以上を工事現場から搬出する場合、公衆が見やすい場所に掲示する。"]
[null,null,"確認結果票","再生資源利用促進計画の作成に当たり、現場及び搬出先が法令に基づき適正であることを確認しその結果を提出する。また、公衆の見やすい居場所に掲示する。"]
[null,"創意工夫等","創意工夫、社会性等について提案を記載"]
[null,"その他","設計図書で施工計画書に記載することの指示があるもの。(総合評価方式の技術提案関係等）"]
["工事実績データ（確認書）",null,"登録用データ","登録内容確認書の提示","500万円以上はすべて､契約後祝祭日をのぞき10日以内"]
[null,null,"登録用データ（変更）","登録内容確認書の提示","変更があった日から祝祭日をのぞき10日以内"]
[null,null,"実績データ","登録内容確認書の提示","完成後祝祭日をのぞき10日以内"]
["施工体制台帳",null,"施工体制台帳(作業員名簿含む）","・下請契約額に拘わらず作成し、その写しを提出\n","・施工体系図は、工事現場の工事関係者の見やすい場所及び公衆の見やすい場所に掲示"]
[null,null,"再下請負通知書（作業員名簿含む）"]
[null,null,"施工体系図"]
[null,null,"施工体制台帳確認一覧表"]
[null,null,"下請負契約書（写）","金額、工種、数量を明記"]
["材料承認願","鋼材・ｺﾝｸﾘｰﾄ二次製品・その他材料","JIS規格品でJIS工場製品","品質規格証明書",null,"省略","省略"]
[null,null,"JIS規格外品","品質規格証明書・検査結果表"]
[null,null,"JIS規格品でJIS指定外工場製品","品質規格証明書・検査結果表"]
[null,"ｺﾝｸﾘｰﾄ積みﾌﾞﾛｯｸ　　　　　U型側溝用溝蓋","品質規格適合通知書の写し"]
[null,null,"製品検査表"]
[null,"ﾚﾃﾞｨｰﾐｸｽﾄｺﾝｸﾘｰﾄ　　（JIS工場）","JIS表示許可の写し"]
[null,null,"配合計画書（様式１）"]
[null,null,"配合計算書（様式２）"]
[null,null,"骨材試験成績表（様式３）"]
[null,null,"アルカリ骨材反応性試験成績表"]
[null,null,"化学混和材（AE剤、減水剤標準形、AE減水剤標準形を除く）の場合、結果報告書をもとに協議"]
[null,"ﾚﾃﾞｨｰﾐｸｽﾄｺﾝｸﾘｰﾄ　　　　（非JIS工場）\n上記の他に","プラント施設概要書"]
[null,null,"計量機器の検定証明書"]
[null,null,"品質管理データ"]
[null,null,"セメントの品質証明書"]
[null,"加熱ｱｽﾌｧﾙﾄ混合物","骨材試験成績表"]
[null,null,"ｱｽﾌｧﾙﾄ試験成績表"]
[null,null,"室内配合設計書"]
[null,null,"現場配合設計書"]
[null,"盛　土　材","路体材・路床材","試験結果表又は土木事務所の使用承諾通知書"]
[null,"路　盤　材","道路用砕石品質管理試験表"]
[null,"道路用砕石","品質証明書"]
[null,null,"盛土材料の使用承諾（写し）"]
[null,null,"材料試験結果報告書","粒度、含水比等"]
["EMS承諾書",null,null,"協力要請",null,null,"省略"]
["工事打合簿",null,"指示・協議・承諾・提出・報告・届出簿"]
["工事工程月報",null,null,null,null,null,"省略"]
["休日・夜間作業届",null,"随時"]
["中間検査復命書",null,"検査終了後、数日以内に資料（写真、検査結果等）を提出"]
["工期延長請求書"]
["工事写真帳"]
["完成届出書"]
["完成検査写真帳"]
[null,"小規模工事とは当初請負代金額500万円以上3,500万円未満､小額工事とは当初請負代金額500万円未満に適用する｡"]
["完成図書チェックリスト（土木工事）",null,null,null,null,null,{"$f":"G1","v":"令和７年度"}]
[null,null,null,"完成期限の5日前程度に担当監督員に提出し､審査を受ける｡",null,null,null,null,"№２"]
["項　目",null,"細　目","摘　　　　要",null,"小規模工事","少額\n工事","チェック欄"]
[null,null,null,null,null,null,null,"請負者","監督員"]
["表紙・目次",null,"目次はこのチェックリスト項目に準ずる。"]
["出来形管理",null,"数量総括表","設計計上数量に対する出来型数量の過不足のチェック（マイナスは規格値以内）",null,null,"出来形図または数量計算表"]
[null,null,"出来形管理表","面積計算、数量計算表等数箇所抽出してチェック\n中間検査検測値（朱書）・段階確認検測値（青書） ・品質証明員検測値（緑書）\n測点数が5点以上は出来形管理図表を作成"]
[]
["段階確認・立会願"]
["安全・訓練等の実施報告書",null,"１月に半日以上､実施ごとに写真（安全訓練等に使用した資料は提出不要）、安全・訓練等に関する実施書の提出は任意。",null,null,null,"省略"]
["EMSチェックシート",null,null,"協力要請",null,null,"省略"]
["材料検査簿",null,"主要な工事材料（鋼材、セメント、杭等）で完成検査時に外部から明視できないものについて、監督員の検印または署名を受ける。生コン等納入伝票等は検査時に提。.材料検収簿の提出は不要",null,null,"省略","省略"]
["建設副産物",null,"再生資源利用計画（実施書）及び再生資源利用促進計画(実施書）"]
[null,null,"搬入・搬出調書","上記で報告した建設副産物については不要"]
[null,null,"建設発生土受領書","建設発生土を搬出した場合。再生資源利用促進計画（実績）に記載した内容と一致すること",null,null,"省略"]
["残土処分",null,"残土処分地位置図、平面図、運搬経路、写真",null,null,null,"省略"]
["建設業退職金共済証紙受払簿（写）",null,null,"工事完成時、その他資料（受領書、辞退届）は提示"]
["創意工夫・社会性等に関する実施状況"]
["現場閉所計画（実績）　　"]
["マニフェスト",null,"監督員へ提示"]
["品質証明書",null,"品質証明書（様式27-1、-3）、品質証明資料",null,"対象工事：請負金額1億円以上"]
["品質管理表",null,"測点数が 5点以上は品質管理図表を作成（コンクリートダム等特殊な場合はヒストグラムを作成）",null,null,null,"自主管理・提出は省略"]
[null,"盛　土","土の粒度、含水量試験","路床材料1,000m3につき１回（１回＝３個）"]
[null,null,"現場密度試験","路体1,000m3に１回、路床500m3に１回（１回＝３個）"]
[null,null,"プルーフローリング試験","路床仕上げ後、全幅、全区間（モニタリング調査：沈下状況）"]
[null,"路　盤　　　　　　　　　　　　（300㎡以下省略可）","締固め密度試験","2,000㎡までは３個、2,000㎡以上は1,000㎡につき１個"]
[null,null,"平板載荷試験","1,000m3につき２回"]
[null,null,"プルーフローリング試験","全幅、全区間（300㎡以上）"]
[null,"舗　装　　　　　　　　　　　　（300㎡以下省略可）","骨材、As混合物の材料試験","試験練り検査結果により省略可"]
[null,null,"温度測定110℃以上、ﾄﾗｯｸ1台毎","随時、１日４回（午前・午後各２回）"]
[null,null,"密度測定","2,000㎡までは３個、2,000㎡以上は1,000㎡につき１個"]
[null,"ﾚﾃﾞｨｰﾐｸｽﾄｺﾝｸﾘｰﾄ","ﾚﾃﾞｨｰﾐｸｽﾄｺﾝｸﾘｰﾄ強度試験成績報告書（様式４）","１工種20㎥～150㎥ごとに1回実施　　　　１回６個、σ7（３個）、σ28（３個）"]
[null,null,"ﾚﾃﾞｨｰﾐｸｽﾄｺﾝｸﾘｰﾄ品質管理（スランプ・空気量）報告書（様式5-1）","1日1回以上実施"]
[null,null,"ﾚﾃﾞｨｰﾐｸｽﾄｺﾝｸﾘｰﾄ強度試験結果報告書（様式5-2）","１工種50m3未満の場合、生コン工場におけるσ7、σ28の品質結果を提出"]
[null,null,"ｺﾝｸﾘｰﾄ強度管理表（様式６）",null,"管理対象構造物　　　　　　　　　　　　　　　　　　　　・高さ２m以上の擁壁・橋台・橋脚　　　　　　　　　　・内空４㎡以上の函渠　　　　　　　　　　　　　　　　　　　・１工種10m3以上のもの"]
[null,null,"気温及びｺﾝｸﾘｰﾄ打設記録表（様式７）"]
[null,null,"ｺﾝｸﾘｰﾄﾃｽﾄﾊﾝﾏｰによる強度試験結果表（様式８）"]
[null,null,"ｺﾝｸﾘｰﾄ中の塩化物含有量測定資料","１工種当りの総使用量が50㎥以上の場合は、50㎥ごとに１回。測定中の写真提出、0.30kg/m3以下。用心鉄筋を有しない無筋ｺﾝｸﾘｰﾄは不要"]
[null,null,"アルカリ骨材反応抑制対策","コンクリート使用前に監督員に報告"]
[null,null,"単位水量測定結果","1日打設量100㎥以上の場合は実施"]
[null,null,"ひび割れ発生状況調査結果","高さ5m以上の鉄筋コンクリート擁壁、内空断面積25㎡以上の鉄筋コンクリートカルバート類、橋梁上・下部工及び高さ3m以上の堰・水門・樋門は実施"]
[null,"ｾﾒﾝﾄｺﾝｸﾘｰﾄ二次製品","ｺﾝｸﾘｰﾄ積ﾌﾞﾛｯｸ","1,000個又はその端数を１ロット（２個）として形状寸法、強度試験結果を監督員に報告"]
[null,null,"Ｕ型側溝用溝蓋","1,000枚又はその端数を２枚１組として形状寸法、強度試験結果を監督員に報告"]
[null,"ガス圧接","ガス圧接資格証明書"]
[null,null,"ガス圧接工事検査報告書"]
[null,null,"鉄筋ガス圧接部・超音波探傷検査成績書"]
["使用材料品質証明書",null,"使用材料品質証明書"]
[null,null,"鋼材","鋼材検査証明書"]
[null,null,"ｾﾒﾝﾄ及び混和材料（JIS製品以外）"]
[null,null,"ｾﾒﾝﾄｺﾝｸﾘｰﾄ製品（JIS製品以外）"]
[null,null,"塗装","塗料一般"]
[null,null,"その他","ﾚﾃﾞｨｰﾐｸｽﾄｺﾝｸﾘｰﾄ","ﾚﾃﾞｨｰﾐｸｽﾄｺﾝｸﾘｰﾄ取扱基準による"]
[null,null,null,"ｾﾒﾝﾄｺﾝｸﾘｰﾄ製品","ｾﾒﾝﾄｺﾝｸﾘｰﾄ製品取扱基準による"]
[null,null,null,"盛土材料","盛土材料取扱基準による"]
[null,null,null,"再生下層路盤","出荷日直近のﾃﾞｰﾀ、出荷量ﾃﾞｰﾀも併せて添付"]
[null,null,null,"その他","検査証明書及び出荷証明書等"]
[null,"小規模工事とは当初請負代金額500万円以上3,500万円未満､小額工事とは当初請負代金額500万円未満に適用する｡"]
[null,"※省略は書類の提出を省略するものであり、仕様書の規格に適合するよう、自主管理を行うとともに、監督員から求められた場合は提示すること。"]

{"sheet":"1","index":2,"n_rows":34,"n_cols":19,"rows_kept":34,"cut":false,"hidden":false,"merged":[[28,2,28,9],[31,9,31,10],[32,7,32,8],[32,9,32,10],[33,9,33,10],[17,2,17,3],[17,4,17,5],[18,2,18,3],[18,4,18,5],[19,2,19,3],[19,4,19,5],[13,10,13,11],[13,13,13,14],[13,16,13,17],[15,2,15,3],[15,4,15,5],[16,2,16,3],[16,4,16,5],[9,2,9,4],[9,6,9,7],[10,6,10,7],[13,2,14,3],[13,4,14,6],[13,7,13,8],[7,2,7,4],[7,6,7,7],[2,1,2,18],[4,1,5,1],[4,2,5,4],[4,9,4,18],[5,6,5,18]]}
[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,"（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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["NO.6"]
[]
["施工計画書(表紙)"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和",null,null,"年",null,"月",null,"日"]
[]
[null,null,null,null,null,"施　　　工　　　計　　　画　　　書"]
[]
["総括監督員"]
[null,null,null,null,null,null,null,null,"様"]
[]
[]
[null,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,null,"現場代理人"]
[]
[]
[null,null,null,"令和　  年度　　　　　　　　　　　　　　　　　　　　　　工事　施工計画書について(提出)　"]
[]
[]
[null,"標記について土木工事共通仕様書　第1編1-1-4に基づき提出します。"]
[]
[]
["目　　　　　次"]
[]
[null,null,null,null,"( 1)工事概要",null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"( 2)計画工程表",null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"( 3)現場組織表",null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"( 4)指定機械（使用機械）",null,null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"( 5)主要船舶・機械",null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"( 6)主要資材",null,null,null,null,null,null,null,null,null,null,null,null,"・・・・・・"]
[]
[null,null,null,null,"( 7)施工方法(主要機械、仮設備計画、工事用地等を含む)",null,null,null,null,null,null,null,null,null,null,null,null,null,"・・・"]
[]
[null,null,null,null,"( 8)施工管理計画",null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"( 9)現場閉所計画",null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"(10)品質証明書",null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"(11)安全管理",null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"(12)緊急時の体制及び対応",null,null,null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"(13)交通管理",null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"(14)環境対策",null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"(15)現場作業環境の整備",null,null,null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"(16)再生資源の利用の促進と建設副産物の適正処理方法",null,null,null,null,null,null,null,null,null,null,null,null,null,"・・・"]
[]
[null,null,null,null,"(17)創意工夫等",null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]
[]
[null,null,null,null,"(18)その他",null,null,null,null,"・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・・"]

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[]
[null,"現場閉所計画表　(　当初　・　変更　）"]
[null,"建設工事名：　　　年度　　　　　　　　　　　　　　　　　　　　　　　　工事"]
[null,"工　　 　　期：　　　　　年　　月　　日　　～　　　　　年　　月　　日"]
[]
[null,"月","月",null,null,null,null,null,null,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","対象期間日数"]
[null,"日",1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31]
[null,"曜日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水"]
[null,"行事等"]
[]
[]
[null,"計画"]
[]
[null,"月","月",null,null,null,null,null,null,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","対象期間日数"]
[null,"日",1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31]
[null,"曜日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水"]
[null,"行事等"]
[]
[]
[null,"計画"]
[]
[null,"月","月",null,null,null,null,null,null,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","対象期間日数"]
[null,"日",1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31]
[null,"曜日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水"]
[null,"行事等"]
[]
[]
[null,"計画"]
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[null,"月","月",null,null,null,null,null,null,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","対象期間日数"]
[null,"日",1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31]
[null,"曜日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水"]
[null,"行事等"]
[]
[]
[null,"計画"]
[]
[null,"月","月",null,null,null,null,null,null,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","対象期間日数"]
[null,"日",1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31]
[null,"曜日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水","木","金","土","日","月","火","水"]
[null,"行事等"]
[]
[]
[null,"計画"]
[]
[null,null,"凡例",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"休工日数",null,null,null,null,null,null,"日"]
[null,null,"○","：","休工日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"対象期間日数",null,null,null,null,null,null,"日"]
[null,null,"／","：","対象外",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現場閉所率",null,null,null,null,null,null,"％"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※現場閉所率（小数点第2位切捨て）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"＝（休工日数／対象期間日数）×100"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"週休2日補正",null,null,null,null,"4週8休以上"]

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["再生資源利用促進計画の作成に伴う確認結果票"]
[]
["工事名"]
["元請建設工事事業者等"]
["作成・更新年月日",null,null,null,"工事責任者"]
[]
["土砂の搬出に係わる土壌汚染対策法等の手続確認結果"]
["工区等",null,"結果\n区分","確認結果"]
[]
[]
[null,null,null,{"$f":"IF(C11=\"②\",\"手続確認済（搬出可能）\",IF(C11=\"①\",\"手続確認済（区域指定地域に該当し、所管の都道府県等へ汚染土壌の区域外搬出に関する届出済）\",\"\"))","v":""}]
[null,"注）　結果区分が①の場合には、建設発生土ではなく汚染土としての取扱いとなる"]
[]
["建設発生土の搬出先確認結果"]
["Ｎｏ","搬出先名称",null,null,"確認結果","詳細"]
[1]
[{"$f":"A16+1","v":2}]
[{"$f":"A17+1","v":3}]
[4]
[5]
[6]
[7]
[8]
[9]
[10]
[11]
[12]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"令和５年５月版"]

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["別添２",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和５年５月訂正版"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和５年３月"]
["確認結果票作成に当たっての解説"]
[]
[]
["（共通編・建設発生土の搬出先の確認編）"]
["Ⅰ 共通"]
[null,"　本確認結果票は、「建設業に属する事業を行う者の指定副産物に係る再生資源の利用の促進に関する判断の基準となるべき事項を定める省令（平成3年建設省令第20号）」（以下「省令」という。）の第８条第４項に規定する｢確認の結果を記載した書面」の記載例を示したものです。\n　建設工事の元請業者や自主施工者は、合計500m3以上の建設発生土を搬出しようとする場合、土壌汚染対策法等の手続確認等（同第８条第３項１号及び第３号）や搬出先の確認等（同項第２号及び第３号）を行い確認結果を記録する必要があります。また、確認結果は再生資源利用促進計画の添付資料として、発注者への報告・説明及び公衆の見えやすい場所へ掲示等を行う必要があります。"]
[]
[]
[]
[]
[]
[]
[]
["Ⅱ　建設発生土の搬出先確認"]
[" １．概要"]
[null,"　建設工事から搬出される土砂が不法な盛土等に悪用されたり、危険な盛土等になることを防止し、適正に利用又は処分されるよう搬出先の決定にあたり、搬出先ごとに以下の内容を確認し､その結果を確認結果票に記載ください。\n\n　（４）（２）及び（３）に該当しない場合、当該土地所有者等の盛土行為や土砂の一時堆積行為に\n　　　対する同意を確認する。"]
[]
[]
["（1）",null,"宅地造成及び特定盛土等規制法（昭和３６年法律第１９１号）(以下「盛土規制法」という。）に規定する宅地造成等工事規制区域（以下「宅造区域」という。）又は特定盛土等規制区域（以下「特盛区域」という。）の指定の有無、及び都道府県・市町村において土砂の埋立て等に関する規制条例（以下「土砂条例」という。）の制定の有無を確認する。"]
[]
[]
[]
["（２）",null,"搬出先が有している盛土規制法及び土砂条例の許可等又は届出の種類及び許可番号等を確認する。"]
[]
["（３）",null,"搬出先が盛土規制法及び土砂条例の許可等を要しない理由を確認する。\n（場合によっては、当該土地所有者等の盛土行為や土砂の一時堆積行為に対する同意を確認する。）"]
[]
[]
[]
[" ２．確認手順及び確認結果票の記載事項"]
[null,"　搬出土砂が不法な盛土等に悪用されたり、危険な盛土等となることを防ぐため、ⅰ）盛土規制法、ⅱ）都道府県等の定める土砂条例に基づき、以下の手順で確認し結果を確認結果票に記載してください。\n　記載にあたっては、下記事項に留意してください。\n\n\n\n"]
[]
[]
[]
[null,"・","ⅰ）盛土規制法の確認フローとⅱ）土砂条例の確認フローのどちらも確認することとする。"]
[]
[null,"・","ⅰ）盛土規制法確認フローとⅱ）土砂条例の確認フローで確認結果が異なる場合は、［規制未指定］を除く確認フロー上位にくる確認区分を確認結果として記載し、その詳細を記載することとする。"]
[]
[null,"・","どちらか一方の判定が［不適正］となった場合は適切な搬出先として認めない。"]
[]
[null,"・","ⅰ）盛土規制法の規制区域未指定かつⅱ）土砂条例未制定の場合、確認結果は［規制未指定］となるが、「詳細」欄に、［公共施設用地等］［他法令許可等］［許可不要工事等］［別途理由］の項目を参考に、搬出先の適正性の判断に資する情報（許認可や工事種類等）を記載することが望ましい。"]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"ⅰ）盛土規制法の確認フロー"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"盛土規制法の区域指定が行われていない場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"土砂条例も未制定の場合は、［公共施設用地等］［他法令許可等］［許可不要工事等］の項目を参考に、搬出先の適正性の判断に資する情報を記載することが望ましい"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"盛土規制法の許可・届出がなされている場合\n"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"許可にあっては許可の種類及び許可番号、許可の特例にあってはその旨、届出にあっては届出ていることを確認し届出日を記載"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"「公共施設用地」で盛土規制法が適用除外の場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"盛土規制法の公共施設用地の分類名称及び管理機関名を記載"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"盛土規制法で、他法令許可があり許可等不要な場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"許可等にあっては許可等の種類及び許可等番号、届出にあっては届出日を確認し記載"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"盛土規制法で、他法令等で許可等不要な場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"搬出先の工事分類、工事名及び元請業者名を確認し記載"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"別途理由がある場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"盛土規制法の許可等の対象規模未満であり許可等を要しない理由及び土地所有者又は管理者が盛土行為等に関して同意していることを書面確認し記載"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"規制区域外 の場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"搬出先の土地所有者又は管理者が盛土行為等に関して同意していることを書面確認し記載\n"]
[]
[null,"不適正"]
[null,"盛土規制法の規制区域に該当するが許可等を有しておらず、また、許可等が不要な理由もないため適正な搬出先ではない"]
[]
[]
[]
[]
[]
[null,"ⅱ）都道府県等の定める土砂条例の確認フロー"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"土砂条例の制定が行われていない場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"盛土規制法の区域指定も行われていない場合は、［公共施設用地等］［他法令許可等］［許可不要工事等］の項目を参考に、搬出先の適正性の判断に資する情報を記載することが望ましい"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"土砂条例の許可・届出がなされている場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"許可にあっては許可の種類及び許可番号、届出にあっては届出日を確認し記載"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"国又は地方公共団体の事業で土砂条例の許可等不要な場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"国又は地方公共団体の事業名及び事業機関名を記載"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"土砂条例で、他法令許可があり許可等不要な場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"許可等にあっては許可等の種類及び許可等番号、届出にあっては届出日を確認し記載"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"土砂条例で、許可等不要な場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"搬出先の工事分類、工事名及び元請業者名を確認し記載"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"別途理由がある場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"土砂条例の許可等の対象規模未満など許可等を要しない理由及び土地所有者又は管理者が盛土行為等に関して同意していることを書面確認し記載"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"規制区域外の場合"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"搬出先の土地所有者又は管理者が盛土行為等に関して同意していることを書面確認し記載"]
[]
[null,"不適正"]
[null,"土砂条例の許可等必要行為に該当するが許可等を有しておらず、また、許可等が不要な理由もないため適正な搬出先ではない"]
[]
[]
[null,"ⅰ）ⅱ）の確認・記載に加え搬出先がストックヤード運営事業者登録規程第3条第1項に規定する、国に登録されたストックヤードである場合には、当該登録番号も記載する。"]
[]
[]
[" ３．確認区分"]
[null,"ⅰ）盛土規制法の確認区分"]
[null,"（１）［規制未指定］"]
[null,null,"　盛土規制法の区域指定（宅地造成等工事規制区域又は特定盛土等規制区域）が行われていない場合。"]
[]
[]
[null,"（２）［盛土許可等］"]
[null,null,"　・盛土規制法第12条第１項（第16条第１項）又は第30条第１項（第35条第１項）に基づく許可\n　　（又は変更許可）\n　・盛土規制法第15条又は第34条に基づく許可の特例\n　・盛土規制法第21条第１項、第27条第１項（第28条第１項）又は第40条第１項に基づく届出\n　　（又は届出の変更）\n"]
[]
[]
[]
[]
[]
[null,"（３）［公共施設用地等］"]
[null,null,"　盛土規制法第2条第１号に規定する「公共施設用地」に該当し、同法の適用除外である場合（参考資料１．（３））。"]
[]
[]
[null,null,"表１　公共施設用地等の確認結果票への分類名称"]
[null,"公共施設用地",null,null,null,null,null,null,null,null,null,null,null,null,null,"国又は地方公共団体が管理する施設用地"]
[null,"道路",null,null,null,null,null,null,"飛行場",null,null,null,null,null,null,"学校",null,null,null,null,null,null,"水産飲雑用水"]
[null,"公園",null,null,null,null,null,null,"航空保安",null,null,null,null,null,null,"運動場",null,null,null,null,null,null,"農業集落排水"]
[null,"河川",null,null,null,null,null,null,"鉄道",null,null,null,null,null,null,"緑地",null,null,null,null,null,null,"漁業集落排水"]
[null,"砂防",null,null,null,null,null,null,"軌道",null,null,null,null,null,null,"広場",null,null,null,null,null,null,"林地荒廃防止"]
[null,"地すべり",null,null,null,null,null,null,"索道",null,null,null,null,null,null,"墓地",null,null,null,null,null,null,"急傾斜地崩壊防止"]
[null,"海岸保全",null,null,null,null,null,null,"無軌条電車",null,null,null,null,null,null,"廃棄物処理施設"]
[null,"津波防護",null,null,null,null,null,null,"雨水貯留浸透",null,null,null,null,null,null,"水道"]
[null,"港湾",null,null,null,null,null,null,"農業用ため池",null,null,null,null,null,null,"下水道"]
[null,"漁港",null,null,null,null,null,null,"防衛施設",null,null,null,null,null,null,"営農飲雑用水"]
[]
[]
[]
[null,"（４）［他法令許可等］"]
[null,null,"　盛土規制法第12条第1項ただし書、第27条第1項ただし書又は第30条第1項ただし書に基づき、他法令許可等により「災害の発生のおそれがないと認められる工事」（参考資料１．（２）①から④又は⑥、⑧から⑨）として盛土規制法の許可等を要しない場合。\n　"]
[]
[]
[]
[null,"（５）［許可不要工事等］"]
[null,null,"　盛土規制法の許可等を要しない「災害の発生のおそれがないと認められる工事」に該当する工事（参考資料１．（２）　⑤、⑦、⑩から⑫、⑭ハ）に該当する場合。\n"]
[]
[]
[null,null,"表2 許可不要工事等の確認結果票への分類名称"]
[null,null,"分類",null,null,null,null,null,null,"適用",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"備考"]
[null,null,"土地改良",null,null,null,null,null,null,"盛土規制法省令第8条第1号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"参考資料１．（２）⑤"]
[null,null,"家畜感染予防",null,null,null,null,null,null,"同第3号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同上⑦"]
[null,null,"放射性物質汚染対処",null,null,null,null,null,null,"同第6号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同上⑩"]
[null,null,"森林作業路網",null,null,null,null,null,null,"同第7号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同上⑪"]
[null,null,"非常災害応急措置",null,null,null,null,null,null,"同第8号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同上⑫"]
[null,null,"工事付随堆積",null,null,null,null,null,null,"同第10号ハ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"同上⑭ハ"]
[]
[null,"（６）［別途理由］"]
[null,null,"　盛土規制法の宅造区域又は特盛区域であって盛土規制法の許可等の要件未満であり許可等を要しない理由がある場合（参考資料１．（１））。\n"]
[]
[]
[]
[null,"（７）［規制区域外］"]
[null,null,"　搬出先が盛土規制法の宅造区域又は特盛区域のいずれにも該当しない場合。\n"]
[]
[null,"ⅱ）都道府県等の定める土砂条例の確認区分"]
[null,"（１）［規制未指定］"]
[null,null,"　都道府県等の定める土砂条例が制定されていない場合。\n\n"]
[]
[null,"（２）［盛土許可等］"]
[null,null,"　土砂条例が制定されている場合において、当該条例の許可又は届出を有している場合。\n"]
[]
[null,"（３）［公共施設用地等］"]
[null,null,"　土砂条例が制定されている場合において、「国又は地方公共団体の事業」等により、当該条例に規定する許可等を要しないもの（参考資料　２．（２））に該当する場合。"]
[]
[]
[null,"（４）［他法令許可等］"]
[null,null,"　土砂条例が制定されている場合において、当該条例に規定する他法令許可等により当該条例の許可等を要しないもの（参考資料２．（３））に該当する場合。\n"]
[]
[]
[null,"（５）［許可不要工事等］"]
[null,null,"　土砂条例が制定されている場合において、当該条例に規定する許可等を要しない事業等に該当する場合（参考資料　２．（２））。"]
[]
[]
[null,"（６）［別途理由］"]
[null,null,"　土砂条例が制定されている場合において、土砂条例の許可等の要件未満であるなど許可等を要しない理由がある場合（参考資料　２．（１））。\n"]
[]
[]
[null,"（７）［規制区域外］"]
[null,null,"　土砂条例が制定されている場合において、搬出先が土砂条例の対象地域に該当しない場合。\n"]
[]
["【参考資料】"]
["１．盛土規制法の許可等"]
["　（１）宅地造成等工事規制区域及び特定盛土等規制区域における許可・届出"]
[]
[null,"宅地造成等規制法施行令等で規定する許可や届出の対象要件の概要は次のとおり"]
[null,"区域",null,"行為",null,"      届出",null,null,null,null,null,null,null,null,null,null,null,null,"許可"]
[null,"宅造区域",null,"宅地造成",null,"－",null,null,null,null,null,null,null,null,null,null,null,null,"①盛土で高さ1m超の崖\n②切土で高さ2m超の崖\n③盛土と切土を同時に行って、高さ2m超の\n　崖（①、②を除く）\n④盛土で高さ2m超（①、③を除く）\n⑤盛土又は切土の面積500㎡超（①～④を\n　除く）"]
[]
[]
[null,null,null,"特定\n盛土等"]
[]
[]
[null,null,null,"土石の\n堆積",null,"－",null,null,null,null,null,null,null,null,null,null,null,null,"①堆積の高さ2m超かつ面積が300㎡超 \n②堆積の面積500㎡超"]
[]
[null,"特盛区域",null,"特定\n盛土等\n",null,"①盛土で高さ1m超の崖\n②切土で高さ2m超の崖\n③盛土と切土を同時に行って、高さ2m超の\n　崖（①、②を除く）\n④盛土で高さ2m超（①、③を除く）\n⑤盛土又は切土の面積500㎡超（①～④を\n　除く） ",null,null,null,null,null,null,null,null,null,null,null,null,"①盛土で高さ2m超の崖\n②切土で高さ5m超の崖\n③盛土と切土を同時に行って、高さ5m超の\n　崖（①、②を除く）\n④盛土で高さ5m超（①、③を除く）\n⑤盛土又は切土の面積3,000㎡超（①～④\n　を除く）"]
[]
[]
[]
[]
[]
[null,null,null,"土石の\n堆積",null,"①堆積の高さ2m超かつ面積が300㎡超 \n②堆積の面積500㎡超",null,null,null,null,null,null,null,null,null,null,null,null,"①堆積の高さ5m超かつ面積1,500㎡超  \n②堆積の面積3,000㎡超"]
[]
[]
[null,"※1 宅地造成等工事規制区域（宅造区域）及び特定盛土等規制区域（特盛区域）の指定状況に\n　　ついては、該当する都道府県、政令市、中核市にご確認ください。\n※2 「崖」とは宅地造成及び特定盛土等規制法施行令第１条第１項の規定により地表面が水平面\n　　に対し30度を超えるものを指します。\n※3 一定規模以下のものは許可等不要となる場合があります。詳細は盛土規制法及び宅地造成等\n　　規制法施行令及び宅地造成及び特定盛土等規制法施行規則をご確認ください。\n　（参考資料１．（２）⑬、⑭ロ）"]
[]
[]
[]
[]
[]
[]
[]
["（２）災害の発生のおそれがないと認められる工事"]
[null,"① 鉱山保安法（昭和24年法律第70号）第13条第1項の規定による届出をした者が行う当該届出\n　　に係る工事又は同法第36条、第37条、第39条第1項若しくは第48条第1項若しくは第2項の規\n　　定による産業保安監督部長若しくは鉱務監督官の命令を受けた者が行う当該命令の実施に係\n　　る工事\n② 鉱業法（昭和5年法律第289号）第63条第1項の規定による届出をし、又は同条第2項（同法第\n　　87条において準用する場合を含む。）若しくは同法第63条の2第1項若しくは第2項の規定によ\n　　る認可を受けた者（同法第63条の3の規定により同法第63条の2第1項又は第2項の規定により\n　　施業案の認可を受けたとみなされた者を含む。）が行う当該届出又は認可に係る施業案の実\n　　施に係る工事\n③ 採石法（昭和25年法律第291号）第33条若しくは第33条の5第1項の規定による認可を受けた者\n　　が行う当該認可に係る工事又は同法第33条の13若しくは第33条の17の規定による命令を受け\n　　た者が行う当該命令の実施に係る工事\n④ 砂利採取法（昭和43年法律第74号）第16条若しくは第20条第1項の規定による認可を受けた者\n　　が行う当該認可に係る工事又は同法第23条の規定による都道府県知事若しくは河川管理者の\n　　命令を受けた者が行う当該命令の実施に係る工事"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[null,"⑤ 土地改良法（昭和24年法律第195号）第2条第2項に規定する土地改良事業、同法第15条第2\n　　項に規定する事業又は土地改良事業に準ずる事業に係る工事\n⑥ 火薬類取締法（昭和25年法律第149号）第3条若しくは第10条第1項の許可を受け、若しく同条\n　　第2項の規定による届出をした者が行う火薬類の製造施設の設置に係る工事、同法第12条第1\n　　項の規定による許可を受け、若しくは同条第2項の規定による届出をした者が行う当該許可若し\n　　くは届出に係る工事又は同法第27条第1項の規定による許可を受けた者が行う当該許可に係る\n　　工事\n⑦ 家畜伝染病予防法（昭和26年法律第166号）第21条第1項若しくは第4項（同法第46条第1項の\n　　規定により読み替えて適用する場合を含む。）の規定による家畜の死体の埋却に係る工事又は\n　　同法第23条第1項若しくは第3項（同法第46条第1項の規定により読み替えて適用する場合を含\n　　む。）の規定による家畜伝染病の病原体により汚染し、若しくは汚染したおそれがある物品の埋\n　　却に係る工事\n⑧ 廃棄物の処理及び清掃に関する法律（昭和45年法律第137号）第7条第6項若しくは第14条第6\n　　項の許可を受けた者若しくは市町村の委託（非常災害時における市町村から委託を受けた者\n　　による委託を含む。）を受けて一般廃棄物の処分を業として行う者が行う当該許可若しくは委託\n　　に係る工事又は同法第8条第1項、第9条第1項、第15条第1項若しくは第15条の2の6第1項の\n　　許可を受けた者が行う当該許可に係る工事\n⑨ 土壌汚染対策法（平成14年法律第53号）第16条第1項の規定による届出をした者が行う当該届\n　　出に係る工事又は同法第22条第1項若しくは第23条第1項の許可を受けた者が行う当該許可に\n　　係る工事\n⑩ 平成23年3月11日に発生した東北地方太平洋沖地震に伴う原子力発電所の事故により放出さ\n　　れた放射性物質による環境の汚染への対処に関する特別措置法（平成23年法律第110号）\n　　第15条若しくは第19条の規定による廃棄物の保管若しくは処分、第17条第2項（同法第18条第\n　　5項において準用する場合を含む。）の規定による廃棄物の保管、同法第30条第1項若しくは第\n　　38条第1項の規定による除去土壌の保管若しくは処分又は同法第31条第1項若しくは第39条第\n　　1項の規定による除去土壌等の保管に係る工事\n⑪ 森林の施業を実施するために必要な作業路網の整備に関する工事\n⑫ 国若しくは地方公共団体又は次に掲げる法人が非常災害のために必要な応急措置として行う\n　　工事\n　イ　地方住宅供給公社\n　ロ　土地開発公社\n　ハ　日本下水道事業団\n　ニ　独立行政法人鉄道建設・運輸施設整備支援機構\n　ホ　独立行政法人水資源機構\n　ヘ　独立行政法人都市再生機構\n⑬ 宅地造成又は特定盛土等（令第3条第5号の盛土又は切土に限る。）に関する工事のうち、高さ\n　　が2メートル以下であつて、盛土又は切土をする前後の地盤面の標高の差が30センチメートル\n　　（都道府県が規則で別に定める場合にあつては、その値）を超えない盛土又は切土をするもの\n⑭ 次に掲げる土石の堆積に関する工事\n　イ　令第4条第1号の土石の堆積であつて、土石の堆積を行う土地の面積が300平方メートルを超\n　　　えないもの\n　ロ　令第4条第2号の土石の堆積であつて、土石の堆積を行う土地の地盤面の標高と堆積した土\n　　　石の表面の標高との差が30センチメートル（都道府県が規則で別に定める場合にあつては、\n　　　その値）を超えないもの\n　ハ　工事の施行に付随して行われる土石の堆積であつて、当該工事に使用する土石又は当該工\n　　　事で発生した土石を当該工事の現場又はその付近に堆積するもの\n\n"]
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["（３）公共施設用地（盛土規制法の適用除外）"]
[null,"　盛土規制法第2条第1号の規定による「公共施設用地」は、次のとおりである。なお、同法同条第1号から4号のとおり「公共施設用地」における盛土等は盛土規制法に基づく宅地造成、特定盛土又は土石の堆積の対象に含まれない。"]
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[null,"＜盛土規制法（昭和36年法律第191号）＞"]
[null,"・","第2条1号において、公共施設用地とは道路、公園、河川その他政令で定める公共の用に供する施設の用に供されている土地"]
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[null,"＜宅地造成等規制法施行令（政令）（昭和37年政令第16号）＞"]
[null,"・","第2条　盛土規制法第2条第1号の政令で定める公共の用に供する施設は、砂防設備、地すべり防止施設、海岸保全施設、津波防護施設、港湾施設、漁港施設、飛行場、航空保安施設、鉄道、軌道、索道又は無軌条電車の用に供する施設その他これらに準ずる施設で主務省令で定めるもの(※)及び国又は地方公共団体が管理する学校、運動場、墓地その他の施設で主務省令で定めるもの"]
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[null,"＜宅地造成及び特定盛土等規制法施行規則(主務省令)（昭和37年建設省第3号）＞"]
[null,"・","第1条第1項　宅地造成及び特定盛土等規制法施行令（昭和37年政令第16号）第2条の主務省令（昭和37年建設省第3号）で定める、砂防設備、地すべり防止施設、海岸保全施設、津波防護施設、港湾施設、漁港施設、飛行場、航空保安施設、鉄道、軌道、索道又は無軌条電車の用に供する施設その他これらに準ずる施設は、雨水貯留浸透施設、農業用ため池及び防衛施設周辺の生活環境の整備等に関する法律（昭和49年法律第101号）第2条第2項に規定する防衛施設をいう\n"]
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[null,"・","第1条第2項　施行令第2条の主務省令で定める国又は地方公共団体が管理する施設は、学校、運動場、緑地、広場、墓地、廃棄物処理施設、水道、下水道、営農飲雑用水施設、水産飲雑用水施設、農業集落排水施設、漁業集落排水施設、林地荒廃防止施設及び急傾斜地崩壊防止施設をいう"]
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[null,"＜宅地造成及び特定盛土等規制法施行規則(主務省令)＞<0210(パブコメ案)より記載>"]
[null,"・宅地造成及び特定盛土等規制法施行規則第１条において、施行令第2条の主務省令で定める、\n　砂防設備、地すべり防止施設、海岸保全施設、津波防護施設、港湾施設、漁港施設、飛行場、\n　航空保安施設、鉄道、軌道、索道又は無軌条電車の用に供する施設その他これらに準ずる施\n　設は、雨水貯留浸透施設、農業用ため池及び防衛施設周辺の生活環境の整備等に関する法\n　律（昭和49年法律第101号）第2条第2項に規定する防衛施設をいう。\n・同第２項において施行令第2条の主務省令で定める国又は地方公共団体が管理する施設は、\n　学校、運動場、緑地、広場、墓地、廃棄物処理施設、水道、下水道、営農飲雑用水施設、水産\n　飲雑用水施設、農業集落排水施設、漁業集落排水施設、林地荒廃防止施設及び急傾斜地崩\n　壊防止施設をいう。"]
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["２．都道府県・市町村の定める土砂条例"]
[null,"（１）土砂条例による許可等"]
[null,"　　　地方公共団体によっては土砂条例を制定し一定規模以上の行為について許可等を求めて\n　　いる場合がある。許可等を要する規模等については条例によって異なるため、該当する条例を\n　　参照若しくは所管する地方公共団体へお問合せください。"]
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[null,"（２）土砂条例の許可等を要しない事業等"]
[null,"　　　土砂条例において国又は地方公共団体等の事業等や非常災害のために必要な応急措置\n　　として行う盛土等の工事を当該条例の許可等を要しないものと規定している場合がある。条例\n　　やその規則によって対象事業等が異なるため、該当する条例を参照若しくは所管する地方公\n　　共団体へお問合せください。\n"]
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[null,"（３）土砂条例の許可等を要しない他法令許可等"]
[null,"　　　土砂条例において採石法や砂利採取法の認可等を受けている場合に当該条例の許可等を\n　　要しないものと規定している場合がある。条例やその規則によって対象法令等が異なるため、\n　　該当する条例を参照若しくは所管する地方公共団体へお問合せください。"]
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["問合せ先　国土交通省不動産･建設経済局建設業課 　０３－５２５３－８３８０（直通）"]

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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,"令和５年５月訂正版"]
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["確認結果票作成に当たっての解説"]
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["（土壌汚染対策法等の手続確認編）"]
["Ⅲ　土壌汚染対策法等の手続確認"]
[" １．概要"]
["　元請建設工事事業者等は建設発生土の搬出先の確認等において、省令第８条第３項１号及び第３号に基づき、発注者等が行った手続（土壌汚染対策法や条例の届出の要否等）を確認する必要があります。その他、調査命令や区域指定の有無等、建設発生土の搬出先の確認等を達成するために必要な情報についても、確認フローに沿って確認し、結果を確認結果票に記載し現場掲示ください。また、確認フローは確認結果票とともに記録・保存ください。"]
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["　"]
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[" ２．手続確認事項"]
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[" ２-1．土壌汚染対策法の手続確認事項"]
[null,"以下（１）～（３）についてご確認ください。ご不明な点は所管の都道府県等へお問合せください。"]
[null,"（１） 土壌汚染対策法（以下「法」という。）の届出の要否\n以下①～③の対応要否をご確認ください。④は２-１（３）に該当した場合に届出の要否をご確認ください。なお、２-１（２）の命令が有りの場合、調査結果の報告書の届出も併せてご確認ください。\n\n①法第３条関係\nア. 有害物質使用特定施設の使用を廃止したとき、土壌汚染状況調査を実施し、その結果を報告する必要があります（法第３条第１項）。\nイ. 操業を続けることを理由に一時的に２-１（１）①アの調査を免除された土地で、900ｍ２以上の土地の形質の変更を行う際には届出が必要になります（法第３条第７項）。\n\n②法第４条関係\nア. 3,000ｍ２以上の土地の形質の変更又は現に有害物質使用特定施設が設置されている土地等では900ｍ２以上の土地の形質の変更を行う際には届出が必要になります（法第４条第１項）。\nイ. 土地の所有者等の全員の同意を得て、２-１（１）②アの届出前に調査を行い、２-１（１）②アの届出に併せて当該調査結果を提出することができます（法第４条第２項）。\n\n③法第14条関係\n自主調査において土壌汚染が判明した場合に土地の所有者等が都道府県知事等に区域の指定を申請できます（法第14条第１項）。\n\n④法第16条関係\n法に基づき区域指定された土地の汚染土壌を区域外へ搬出する際には原則届出が必要になります（法第16条第１項）。"]
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[null,"（２） 法に基づく土壌汚染状況調査命令の有無\n以下①～③の命令の有無をご確認ください。\n\n①法第３条関係\n２-１（１）①イの届出後に、都道府県知事等からの命令を受けて、土地の所有者等が土壌汚染状況調査を実施し、その結果を報告する必要があります（法第３条第８項）。\n\n②法第４条関係\n２-１（１）②アの届出後に、土壌汚染のおそれがあると都道府県知事等が認めて、 都道府県知事等からの命令を受けた場合は、土地の所有者等が土壌汚染状況調査を実施し、その結果を報告する必要があります（法第４条第３項）。\n\n③法第５条関係\n土壌汚染により健康被害が生ずるおそれがあると都道府県知事等が認めて、 都道府県知事等からの命令を受けた場合は、土地の所有者等が土壌汚染状況調査を実施し、その結果を報告する必要があります（法第５条第１項）。"]
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[null,"（３） 法に基づく区域指定の有無\n２-１（１）（２）の届出による調査結果から、土壌の特定有害物質（法施行令第１条）の汚染状態が指定基準（法施行規則別表第４及び第５）を超過した場合、要措置区域又は形質変更時要届出区域に指定されます（法第６条第１項、法第11条第１項）。"]
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[" ２-２．都道府県等の土壌汚染に関する条例の手続確認事項"]
[null,"都道府県等のなかには、法以外で土壌汚染に関する条例により、２-１（１）～（３）の独自の届出要件及び区域指定制度を設けている都道府県等もありますので、併せてご確認ください。\nご不明な点は所管の都道府県等へお問合せください。"]
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[" ３．注意事項"]
[null,"・建設工事の工区等により、手続確認結果が異なる場合には、確認結果票に工区別等で記載ください。加えて、工区別等で記載する場合には、工区等を示した図面等も併せて保存ください。"]
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[null,"・法・条例等の対象外の土地で汚染された土壌が見つかった場合において、当該土壌を運搬及び処理する際には、汚染の拡散防止の観点から、法に準じて、適切に取り扱うことが望ましいと言えます。"]
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[" ４．補足説明"]
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[null,"（１） 有害物質使用特定施設\n水質汚濁防止法第２条第２項に規定する特定施設であって、特定有害物質をその施設において製造し、使用し、又は処理するものを言います。"]
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[null,"（２） 土地の形質の変更\n 「土地の形状を変更する行為全般」をいい、いわゆる掘削（切土）と盛土（土壌を仮置きする場合を含む）の別を問いません。ただし、土地の形質の変更の内容が盛土のみである場合や４（３）、４（４）に該当する行為の場合は、届出が不要になります。\n【対象例】地盤改良、掘削、盛土、杭・鋼矢板の打設 "]
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[null,"（３） ２-１（１）①イの適用除外となる行為（法第３条第７項）\n①土壌を区域外へ搬出すること ②土壌の飛散又は流出を伴う形質変更でないこと ③形質変更の深さが50cm以上であること、のいずれにも該当しない行為になります（なお、900m2未満の土地の形質変更を行う場合も適用対象外になります。）。"]
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[null,"（４） ２-１（１）②アの適用除外となる行為（法第４条第１項）\n①土壌を区域外へ搬出すること ②土壌の飛散又は流出を伴う形質変更でないこと ③形質変更の深さが50cm以上であること、のいずれにも該当しない行為になります。（なお、通常の農業、林業の作業路網の整備で区域外に土壌を搬出しない行為、非常災害のために必要な応急措置、鉱山関係の土地も適用対象外になります。）"]
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[null,"（５） 区域指定 \n要措置区域又は形質変更時要届出区域のことを指します。\n■要措置区域\n　汚染の摂取経路があり、健康被害が生ずるおそれがあるため、汚染の除去等の措置が必要な区域\n■形質変更時要届出区域\n　汚染の摂取経路がなく、健康被害が生ずるおそれがないため、汚染の除去等の措置が不要な区域（要措置区域において摂取経路の遮断が行われた区域を含みます。）"]
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[]
[]
[]
[]
[]
[]
[" ５．手続の確認フロー"]
[null,"　各手続確認事項と「２.手続確認事項」との対応箇所を以下のとおり記載しておりますので参考としてください。"]
[]
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[]
[]
[]
[]
[]
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[]
[]
[]
[]
[]
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[]
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[]
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[]
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[]
[null,"問合せ先　環境省水・大気環境局水環境課土壌環境室"]
[null,"               ０３－５５２１－８３２２"]

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["再生資源利用促進計画の作成に伴う確認結果票"]
[]
["工事名",null,null,"●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●●工事"]
["元請建設工事事業者等",null,null,"（株）○○○○○○○○○○"]
["作成・更新年月日",null,null,"2023-05-30","工事責任者","○○　○○"]
[]
["土砂の搬出に係わる土壌汚染対策法等の手続確認結果"]
["工区等",null,"結果\n区分","確認結果"]
["工事区域",null,"②",{"$f":"IF(C9=\"②\",\"手続確認済（搬出可能）\",IF(C9=\"①\",\"手続確認済（区域指定地域に該当し、所管の都道府県等へ汚染土壌の区域外搬出に関する確認済）\",\"\"))","v":"手続確認済（搬出可能）"}]
["▲▲工区",null,"①",{"$f":"IF(C10=\"②\",\"手続確認済（搬出可能）\",IF(C10=\"①\",\"手続確認済（区域指定地域に該当し、所管の都道府県等へ汚染土壌の区域外搬出に関する確認済）\",\"\"))","v":"手続確認済（区域指定地域に該当し、所管の都道府県等へ汚染土壌の区域外搬出に関する確認済）"}]
[null,null,null,{"$f":"IF(C11=\"②\",\"手続確認済（搬出可能）\",IF(C11=\"①\",\"手続確認済（区域指定地域に該当し、所管の都道府県等へ汚染土壌の区域外搬出に関する届出済）\",\"\"))","v":""}]
[null,"注）　結果区分が①の場合には、建設発生土ではなく汚染土としての取扱いとなる"]
[]
["建設発生土の搬出先確認結果"]
["Ｎｏ","搬出先名称",null,null,"確認結果","詳細"]
[1,"●●●●●●道路改良工事",null,null,"規制未指定","［公共施設用地等］分類：道路\n管理機関名：国土交通省●●河川国道事務所"]
[{"$f":"A16+1","v":2},"■■■■■■■■■■",null,null,"規制未指定","［他法令許可等］採石法第３３条の採取計画認可\n登録番号●●県第0000000号\n国交省登録ストックヤード第0000000-000000号"]
[{"$f":"A17+1","v":3},"●●●●●●道路改良工事",null,null,"公共施設用地等","分類：道路\n管理機関名：国土交通省●●河川国道事務所"]
[4,"●●県●●●●仮置場",null,null,"公共施設用地等","分類：河川\n管理機関名：●●県●●●●●事務所"]
[5,"●●●●●土砂処分場",null,null,"盛土許可等","盛土規制法第１２条許可\n許可番号　●●県第000000号"]
[6,"●●●●ストックヤード",null,null,"盛土許可等","盛土規制法第２１条届出\n令和●年●月●日届出（●●県）\n国交省登録ストックヤード第0000000-000000号"]
[7,"●●●●土質改良プラント",null,null,"盛土許可等","●●県●●●●●●●●に関する条例許可\n許可番号0000000\n国交省登録ストックヤード第0000000-000000号"]
[8,"●●●●●採石場跡地",null,null,"他法令許可等","採石法第３３条の採取計画認可\n登録番号●●県第0000000号"]
[9,"●●●●●●●●ビル新築工事",null,null,"許可不要工事等","分類：工事付随堆積\n元請業者：●●●●建設（株）"]
[10,"■■■■■■■■■■",null,null,"別途理由","盛土規制法（宅造区域）：許可対象規模未満\n土砂条例：許可等対象規模未満\n土地所有者：同意確認済"]
[11,"■■■■■■■■■■",null,null,"別途理由","盛土規制法（特盛区域）：届出対象規模未満\n土砂条例：該当なし\n土地所有者：同意確認済"]
[12,"■■■■■■■■■■",null,null,"規制区域外","盛土規制法：宅造区域及び特盛区域外\n土砂条例：該当なし\n土地所有者：同意確認済"]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,"令和５年５月版"]

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["土壌汚染対策法等手続の確認フロー（●●工区）"]
[]
[]
[null,"これまでに土壌汚染対策法等に関する手続が行われているか\n（土壌汚染対策法第３条・第４条・第５条・第14条関係及び都道府県等の土壌汚染に関する条例）"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No"]
[]
[]
[null,"手続の結果、土壌汚染対策法に基づき既に区域指定されている（区域指定の手続中を含む）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"本工事に関して、\n（１）一定規模（原則3,000m2、（２）を除く工場等における土地では900m2)以上の土地の形質の変更を行う予定\n又は\n（２）工場等で土壌汚染の調査が猶予されている土地における900m2以上の土地の形質の変更を行う予定はあるか"]
[]
[]
[]
[]
[null,null,null,null,"Yes",null,null,null,null,null,null,null,"No"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes",null,null,null,null,null,null,null,null,null,"No"]
[null,null,null,null,null,null,null,"都道府県等の土壌汚染に関する条例に基づき既に区域指定されている（区域指定の手続中を含む）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"都道府県等の土壌汚染に関する条例で規定される規模以上の土地の形質の変更を行う予定はあるか"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No"]
[null,null,null,null,null,null,null,null,null,null,"Yes"]
[null,null,null,"本工事に関して、都道府県等へ土壌汚染対策法又は都道府県等の土壌汚染に関する条例に基づき、汚染土壌の区域外への搬出に関する届出を行っているか（汚染土壌の区域外への搬出が無い場合は、その旨を確認したか）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes",null,null,null,null,"No"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"未届の場合、届出が必要（必要に応じて所管の都道府県等へ問合せをすること）"]
[]
[]
[]
[null,null,null,"Yes",null,null,null,null,null,null,null,null,null,null,"No"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"届出の結果、土壌調査が必要と判断されたか",null,null,null,null,null,null,null,null,null,null,"No"]
[null,null,null,null,null,null,null,null,null,null,"届出が必要（必要に応じて所管の都道府県等へ問合せをすること）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No",null,"土壌調査を実施した結果、土壌汚染対策法又は都道府県等の土壌汚染に関する条例に基づく基準に適合していたか",null,null,null,null,null,null,null,null,null,"Yes"]
[null,null,"①届出済\n(搬出無し確認済)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"②搬出可能"]
[]
[]
[]
[]
[null,"結果\n区分",null,null,"確認結果"]
[]
[null,"①",null,null,{"$f":"IF(B40=\"②\",\"手続確認済（搬出可能）\",IF(B40=\"①\",\"手続確認済\"&CHAR(10)&\"（区域指定地域に該当し、所管の都道府県等へ汚染土壌の区域外搬出に関する確認済）\",\"\"))","v":"手続確認済\n（区域指定地域に該当し、所管の都道府県等へ汚染土壌の区域外搬出に関する確認済）"}]
[]
[null,"（備　考）"]
[]
[]
[]
[]
[null,"【補足事項】"]
[]
[null,"・フローのうち該当する箇所（Yes又はNo）を赤色に着色ください。"]
[null,"・本フローは確認結果票とともに記録・保存してください。"]
[null,"・詳細は「確認結果票作成に当たっての解説（土壌汚染対策法等の手続確認編）」を参照ください。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和5年5月版"]

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["土壌汚染対策法等手続の確認フロー（●●工区）"]
[]
[]
[null,"これまでに土壌汚染対策法等に関する手続が行われているか\n（土壌汚染対策法第３条・第４条・第５条・第14条関係及び都道府県等の土壌汚染に関する条例）"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No"]
[]
[]
[null,"手続の結果、土壌汚染対策法に基づき既に区域指定されている（区域指定の手続中を含む）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"本工事に関して、\n（１）一定規模（原則3,000m2、（２）を除く工場等における土地では900m2)以上の土地の形質の変更を行う予定\n又は\n（２）工場等で土壌汚染の調査が猶予されている土地における900m2以上の土地の形質の変更を行う予定はあるか"]
[]
[]
[]
[]
[null,null,null,null,"Yes",null,null,null,null,null,null,null,"No"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes",null,null,null,null,null,null,null,null,null,"No"]
[null,null,null,null,null,null,null,"都道府県等の土壌汚染に関する条例に基づき既に区域指定されている（区域指定の手続中を含む）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"都道府県等の土壌汚染に関する条例で規定される規模以上の土地の形質の変更を行う予定はあるか"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No"]
[null,null,null,null,null,null,null,null,null,null,"Yes"]
[null,null,null,"本工事に関して、都道府県等へ土壌汚染対策法又は都道府県等の土壌汚染に関する条例に基づき、汚染土壌の区域外への搬出に関する届出を行っているか（汚染土壌の区域外への搬出が無い場合は、その旨を確認したか）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes",null,null,null,null,"No"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"未届の場合、届出が必要（必要に応じて所管の都道府県等へ問合せをすること）"]
[]
[]
[]
[null,null,null,"Yes",null,null,null,null,null,null,null,null,null,null,"No"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"届出の結果、土壌調査が必要と判断されたか",null,null,null,null,null,null,null,null,null,null,"No"]
[null,null,null,null,null,null,null,null,null,null,"届出が必要（必要に応じて所管の都道府県等へ問合せをすること）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Yes"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No",null,"土壌調査を実施した結果、土壌汚染対策法又は都道府県等の土壌汚染に関する条例に基づく基準に適合していたか",null,null,null,null,null,null,null,null,null,"Yes"]
[null,null,"①届出済\n(搬出無し確認済)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"②搬出可能"]
[]
[]
[]
[]
[null,"結果\n区分",null,null,"確認結果"]
[]
[null,"②",null,null,{"$f":"IF(B40=\"②\",\"手続確認済（搬出可能）\",IF(B40=\"①\",\"手続確認済\"&CHAR(10)&\"（区域指定地域に該当し、所管の都道府県等へ汚染土壌の区域外搬出に関する確認済）\",\"\"))","v":"手続確認済（搬出可能）"}]
[]
[null,"（備　考）"]
[]
[]
[]
[]
[null,"【補足事項】"]
[]
[null,"・フローのうち該当する箇所（Yes又はNo）を赤色に着色ください。"]
[null,"・本フローは確認結果票とともに記録・保存してください。"]
[null,"・詳細は「確認結果票作成に当たっての解説（土壌汚染対策法等の手続確認編）」を参照ください。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和5年5月版"]

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[null,"ＮＯ.８－１",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,null,"ＮＯ.８－２"]
[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　様式２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,null,null,"　　　　年　　月　　日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"《下請負人に関する事項》"]
[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,"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"]
["施　工　体　制　台　帳"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,"［会社名・事業者ID］"]
[null,"［事業所名・現場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,"工事名称及び\n工事内容"]
[]
[null,"建設業の\n許　　可",null,null,null,null,null,null,null,"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,"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,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,"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,"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,"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,"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,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,"発注者及び\n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,"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,"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,null,null,null,null,null,null,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,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,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,"契　約\n営業所",null,null,null,null,null,null,null,"区　分",null,null,null,null,null,"名　　称",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,"元請契約"]
[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,"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\nの有無",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\n整理記号等",null,null,null,null,null,null,null,"区　分",null,null,null,null,"営業所の名称",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,"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,"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,null,null,null,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,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,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,"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,"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,null,null,null,null,null,null,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\n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,"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,"権限及び\n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,null,null,"専　任",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,"※施工体制台帳の添付書類（建設業法施行規則第１４条の２第２項）"]
[null,"監理技術補佐\n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,"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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・発注者と作成建設業者の請負契約及び作成建設業者と下請負人の下請契約に係る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)\n・主任技術者又は監理技術者が主任技術者資格又は監理技術者資格を有する事を証する書面及び当該主任技術者又は監理技術者が作成建設業者に雇用期間を特に限定することなく雇用されている者であることを証する書面又はこれらの写し\n・専門技術者をおく場合は、その者が主任技術者資格を有することを証する書面及びその者が作成建設業者に雇用期間を特に限定することなく雇用されているものであることを証する書面又はこれらの写し"]
[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,null,null,null,null,null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,"資格内容"]
[]
[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,"担　　当\n工事内容"]
[]
[]
[null,"一号特定技能外国人の\n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,null,"有　無"]

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[null,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．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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（注）４．資格・免許等の写しを添付することが望ましい。"]
[]
[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．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、\n 建設国保、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\n ある等により、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\n 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）６．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）７．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\n 険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\n 除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）８．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）９．安全衛生に関する教育の内容（例：雇入時教育、職長教育、建設用リフト\n 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）１０．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）１１．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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[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。"]

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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"]
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[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,"外国人技能実習生の\n従事の状況(有無)",null,null,null,null,null,null,null,null,null,"有　無"]

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[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。"]

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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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[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。"]

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["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。"]

{"sheet":"17","index":25,"n_rows":25,"n_cols":13,"rows_kept":25,"cut":false,"hidden":false,"merged":[[24,1,24,10],[5,9,6,9],[5,10,6,10],[5,11,6,11],[5,12,6,12],[22,1,22,12],[23,1,23,12],[2,1,2,12],[3,1,3,12],[4,1,4,7],[4,8,4,12],[5,1,6,1],[5,2,6,2],[5,3,6,3],[5,4,5,6],[5,7,6,7],[5,8,6,8]]}
[null,"NO.30"]
[null,"建設工事監督要領　様式―7（第6条関係）"]
[null,"段階確認・立会願"]
[null,"工事名："]
[null,"受注者名：　",null,null,null,null,null,null,"確　認　書"]
[null,"NO","発議日","報告者氏名","確認内容",null,null,"施工予定時期\n年月日","確認方法","確　　認\n年月日","確認結果","確認者","監督員\n確認年月日"]
[null,null,null,null,"種　　別","細　　別","確認項目"]
[null,1]
[null,2]
[null,3]
[null,4]
[null,5]
[null,6]
[null,7]
[null,8]
[null,9]
[null,10]
[null,11]
[null,12]
[null,13]
[null,14]
[null,15]
[null,"  ※　①　この段階確認簿をもって、段階確認が実施され、確認されたものとする。なお、監督職員から段階確認の実施の通知については、「確認年月日」をもって通知とする。"]
[null,"　　　②　完成図書には、最終時のものを添付する。"]
[null,"　　　③　報告者、監督員の押印は省略する。"]

{"sheet":"18","index":26,"n_rows":27,"n_cols":7,"rows_kept":27,"cut":false,"hidden":false,"merged":[[5,5,6,5],[5,6,6,6],[25,1,25,6],[26,1,26,6],[2,1,2,6],[3,1,3,6],[4,1,4,5],[5,1,6,1],[5,2,6,2],[5,3,6,3],[5,4,6,4]]}
[null,"NO.38"]
[null,"建設工事監督要領　様式―５　（第6条関係）"]
[null,"休日・夜間作業届"]
[null,"工事名："]
[null,"受注者名： "]
[null,"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"]
[]
[null,1]
[null,2]
[null,3]
[null,4]
[null,5]
[null,6]
[null,7]
[null,8]
[null,9]
[null,10]
[null,11]
[null,12]
[null,13]
[null,14]
[null,15]
[null,16]
[null,17]
[null,18]
[]
[null,"※　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":"19","index":27,"n_rows":43,"n_cols":21,"rows_kept":43,"cut":false,"hidden":false,"merged":[[40,8,42,9],[40,10,40,11],[41,10,41,11],[42,10,42,11],[10,2,10,5],[10,8,10,14],[12,2,12,5],[14,3,14,5],[18,2,18,5],[36,2,36,8],[3,2,3,20],[6,2,6,5],[6,7,6,20],[8,2,8,5],[8,7,8,9],[8,11,8,16]]}
[]
[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)"]

{"sheet":"20","index":28,"n_rows":43,"n_cols":10,"rows_kept":43,"cut":false,"hidden":false,"merged":[[2,2,2,9],[10,5,10,7],[11,5,11,7],[13,4,13,5],[35,7,35,8]]}
[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,"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,"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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["NO.36"]
[]
["土木工事共通仕様書　第1編1-1-26"]
[]
[null,"安　全　・　訓　練　等　の　実　施　記　録"]
[]
[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"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,"実施状況写真の添付"]

{"sheet":"23","index":35,"n_rows":56,"n_cols":5,"rows_kept":56,"cut":false,"hidden":false,"merged":[[27,2,28,2],[24,2,26,2],[18,2,23,2],[5,1,28,1],[4,2,5,2],[6,2,8,2],[9,2,11,2],[12,2,17,2],[40,2,44,2],[39,3,39,5],[30,1,48,1],[38,2,39,2],[31,2,37,2],[29,2,30,2],[47,2,48,2],[48,3,48,5],[47,3,47,5],[46,3,46,5],[45,2,46,2],[38,3,38,5],[45,3,45,5],[44,3,44,5],[43,3,43,5],[42,3,42,5],[53,3,53,5],[54,1,54,5],[55,1,55,5],[49,2,53,2],[50,1,53,1],[50,3,50,5],[51,3,51,5],[52,3,52,5],[41,3,41,5],[40,3,40,5],[34,3,34,5],[35,3,35,5],[36,3,36,5],[37,3,37,5],[30,3,30,5],[31,3,31,5],[32,3,32,5],[33,3,33,5],[26,3,26,5],[27,3,27,5],[28,3,28,5],[29,3,29,5],[22,3,22,5],[23,3,23,5],[24,3,24,5],[25,3,25,5],[16,3,16,5],[17,3,17,5],[18,3,18,5],[19,3,19,5],[2,2,2,3],[1,1,1,5],[3,3,3,5],[4,3,4,5],[5,3,5,5],[6,3,6,5],[7,3,7,5],[8,3,8,5],[13,3,13,5],[14,3,14,5],[15,3,15,5],[9,3,9,5],[10,3,10,5],[11,3,11,5],[12,3,12,5]]}
[null,"（別紙6-1）"]
[null,"高度技術・創意工夫・社会性等に関する実施状況"]
[null,"工事名称",null,null,"施工者名"]
[null,"項　　目","評　価　内　容","備　　　考"]
[null,"□　高度技術","□ 施工規模"]
[null,"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,null,"□ 構造物固有","複雑な形状の構造物"]
[null,null,null,"既設構造物の補強、特殊な撤去工事"]
[]
[null,null,"□ 技術固有","特殊な工種及び工法"]
[null,null,null,"新工法（機器類を含む）及び新材料の適用"]
[]
[null,null,"□ 自然・地盤条件","湧水、地下水の影響"]
[null,null,null,"軟弱地盤、支持地盤の状況"]
[null,null,null,"制約の厳しい工事用道路・作業スペース等"]
[null,null,null,"気象現象の影響"]
[null,null,null,"地滑り・急流河川・潮流等、動植物等"]
[]
[null,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,null,"鉄道・供用中の道路、建築物等の近接施工"]
[null,null,null,"騒音・振動・水質汚濁等環境対策"]
[null,null,null,"作業スペース制約、現道上の交通規制"]
[null,null,null,"廃棄物処理"]
[]
[null,null,"□ 現場での対応","災害での臨機の処置"]
[null,null,null,"施工状況（条件）の変化への対応"]
[]
[null,null,"□ その他"]
[]
[null,"□　創意工夫","□ 準備・片付け"]
[null,"「高度技術」で評価するほどではない軽微な工夫"]
[null,null,"□ 施工関係","施工に伴う機械・器具・工具・装置類"]
[null,null,null,"二次製品・代替製品の利用"]
[null,null,null,"施工方法の工夫"]
[null,null,null,"施工環境の改善"]
[null,null,null,"仮設計画の工夫"]
[null,null,null,"施工管理・品質管理の工夫"]
[]
[null,null,"□ 品質関係"]
[]
[null,null,"□ 安全衛生関係","安全施設・仮設備の配慮"]
[null,null,null,"安全教育・講習会・パトロールの工夫"]
[null,null,null,"作業環境の改善"]
[null,null,null,"交通事故防止の工夫"]
[]
[null,null,"□ 施工管理関係"]
[]
[null,null,"□ その他"]
[]
[null,"□　社会性等","□ 地域への貢献等","地域の自然環境保全、動植物の保護"]
[null,"地域社会や住民に対する貢献",null,"現場環境の地域への調和"]
[null,null,null,"地域住民とのコミュニケーション"]
[null,null,null,"ボランティアの実施"]
[]
[null,"1　該当する項目の□にレマーク記入"]
[null,"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"]

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[null,"別紙6-2"]
[null,"高度技術・創意工夫・社会性等に関する実施状況（説明資料）"]
[null,"工 事 名",null,null,null,"　　　　　　/"]
[null,"項　　目",null,"評価内容"]
[null,"提案内容"]
[null,"（説明）"]
[]
[]
[]
[]
[]
[]
[null,"（添付図）"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"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。"]

{"sheet":"24","index":37,"n_rows":37,"n_cols":10,"rows_kept":37,"cut":false,"hidden":false,"merged":[[23,2,23,9],[25,2,25,3]]}
[]
[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又は署名"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[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\n又は署名"]

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["NO.23-1"]
["様式２７－１"]
["土木工事共通仕様書第3編1-1-9"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和",null,"年",null,"月",null,"日"]
["（計　画　・　実　施）　品　　質　　証　　明　　書"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工事名："]
[]
[null,"品　　質　　証　　明　　記　　事"]
[null,"品質証明事項",null,null,null,null,"実　　施　　日",null,null,null,null,"箇　　　　　所",null,null,null,null,null,"品質証明員氏名",null,null,null,null,"記　　　　　事"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"社内検査した結果、工事請負契約書、図面、仕様書、その他関係図書に示された品質を確保していることを確認したので報告します。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受注者",null,"住所"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名"]

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[]
["土木工事共通仕様書第3編1-1-9"]
[]
["様式27-3"]
[]
["　　　　　　　　　品　質　証　明　書（チェックリスト）"]
[]
["　　　1．工  事  名"]
["　　　2．工　　　期　　　　　　　年　　月　　日　～　　　　　年　　月　　日"]
["　　　3．受 注 者 名"]
[]
[]
["証明項目","確認項目","確　認　内　容","確　認　時　期",null,null,null,null,"記　事"]
[null,null,null,"着手前","施　工　中",null,null,"完成時"]
["契　　約","設計図書の照査","・共仕第1編共通編第1章総則1－1－3の2に係わる設計図書の照査を行っている。　　　　","（／）","（／）","（／）","（／）","（／）"]
[null,null,"（着手前、施工時適宜）","□","□","□","□","□"]
[null,null,"・現場との相違事実がある場合、その事実が確認できる資料を書面により提出して確認を受けた。","（／）","（／）","（／）","（／）","（／）"]
[null,null,"（着手前、施工時適宜）","□","□","□","□","□"]
["施工体制","施工体制台帳\n施工体系図","・共仕第1編共通編第1章総則1－1－13に基づき作成され、体系図は提示されている。","（／）","（／）","（／）","（／）"]
[null,null,"（着手前、施工時適宜）","□","□","□","□"]
["施工計画","施工計画書","・施工（変更を含む）に先立ち、提出した。 ","（／）","（／）","（／）","（／）"]
[null,null,"（着手前、変更時）","□","口","□","□"]
[null,null,"・記載内容が、設計図書・共仕・現場条件等を反映している。","（／）","（／）","（／）","（／）"]
[null,null," （着手前、変更時）","□","□","□","□"]
[null,null,"・出来形・品質・安全の確保のための対策など、施工に関する工夫が記載されている。　　       　　　","（／）","（／）","（／）","（／）"]
[null,null,"（着手前、変更時）","口","□","□","□"]
["工程管理","工程進捗の確認","・計画工程と実施工程を対比し、進捗状況を把握している。","（／）","（／）","（／）","（／）","（／）"]
["施工管理","見直しの実施","　（施工時適宜）","□","□","口","□","□"]
[null,null,"・工程の遅れ、現場条件の変化などに対応して臨機応変に施工体制を整え、工程管理している。　　　　 　　","（／）","（／）","（／）","（／）","（／）"]
[null,null,"（施工時適宜）","□","□","□","□","□"]
[null,"計画と実施状況","・施工計画書の記載内容と現場施工方法が一致している。　","（／）","（／）","（／）","（／）"]
[null,null,"（着手時、施工時適宜）","□","□","□","□"]
[null,null,"・記載内容（作業手順書等）と現場施工体制が一致している。",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"□","□","□"]
[]
[]
[]
[]
[]
[]
[]
[]
["証明項目","確認項目","確　認　内　容","確　認　時　期",null,null,null,null,"記　事"]
[null,null,null,"着手前","施　工　中",null,null,"完成時"]
["施工管理","材料仕様確認","・工事材料の資料の整理及び品質確認がなされ、管理している。",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"□","□","□"]
[null,"測定・試験","・設計図書、仕様書等で定められた測定・試験を実施している。",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"□","□","□"]
[null,"指定建設機械の確認","・指定建設機械（排ガス対策型・低騒音型・低振動型）を使用している。　",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"□","□","□"]
[null,"出来形管理","・施工計画書の出来形管理計画に基づき、実施している。",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"□","□","□"]
[null,null,"・出来形管理表による出来形の確認",null,"（／）","（／）","（／）","（／）"]
[null,null,"（施工時適宜、完成時）",null,"□","□","□","□"]
[null,"品質管理","・施工計画書の品質管理計画に基づき、実施している。",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"□","□","□"]
[null,null,"・品質管理図表による品質の確認",null,"（／）","（／）","（／）","（／）"]
[null,null,"（施工時適宜、完成時）",null,"□","□","□","□"]
[null,"写真管理","・施工計画書の写真管理計画に基づき、実施している。",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"□","□","□"]
[null,null,"・写真は分類・整理されいる。",null,"（／）","（／）","（／）","（／）"]
[null,null,"（施工中適宜、完成時）",null,"□","□","□","□"]
["安全管理","記録・写真","・施工計画及び社内安全管理規定に基づき実施し、記録が整備されている。",null,"（／）","（／）","（／）","（／）"]
[null,null,"（施工中適宜、完成時）",null,"□","□","□","□"]
[null,"安全訓練の実施","・訓練の内容は現場の作業状況に即したもので、月毎に実施し、記録が整備されている。",null,"（／）","（／）","（／）","（／）"]
[null,null,"（施工中適宜、完成時）",null,"□","□","□","□"]
[null,"過積載防止指導","・過積載防止に取り組んだ記録がある。",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"□","□","□"]
[null,"重機操作の安全","・誘導員の配置、重機作業範囲への作業員立入禁止措置など実施した記録がある。　　　　　　　　　",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"□","□","□"]
[null,"保安施設等の設置","・施工計画に基づき、的確に設置し、維持し、かつ記録がある。　",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"□","□","□"]
[null,"安全パトロール","・各種パトロールが実施され、指摘事項に対する是正がなされている記録がある。　　　　　　　　　",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"□","□","□"]
[]
[]
["証明項目","確認項目","確　認　内　容","確　認　時　期",null,null,null,null,"記　事"]
[null,null,null,"着手前","施　工　中",null,null,"完成時"]
["環境対策","騒音・振動・塵峡・水質汚染等の適切な処置","・施工内容に即した適切な処置がなされ、記録されている。",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"口","□","□"]
[null,"苦情に対する適切な処理","・苦情がない、または適切に処理され、その記録がある。　",null,"（／）","（／）","（／）"]
[null,null,"（施工時適宜）",null,"□","□","□"]
[null,"建設廃棄物の適切な処理","・工事で発生する廃棄物を正確に把握し、適切に処理し、マニフェスト等の記録が整備されている。",null,"（／）","（／）","（／）","（／）"]
[null,null,"（施工時、完成時）",null,"□","□","□","□"]
[null,"再生資源の適切な処理","・「再生資源利用計画書」及び「再生資源利用促進計画書」が作成されている。　　　　","（／）",null,null,null,"（／）"]
[null,null,"（着手時、完成時）","□",null,null,null,"□"]
["現場作業環境","イメージアップ実施","・実施した記録、写真がある。",null,"（／）","（／）","（／）"]
[null,null,"　（施工時適宜）",null,"□","□","□"]
["書類管理","指示・承諾・協議等の適切な処理","・共仕に基づき適切な時期に処理され、欠落がない。",null,"（／）","（／）","（／）","（／）"]
[null,null,"（施工時適宜、完成時）",null,"□","□","□","□"]
[]
["上記の通り社内検査した結果、工事請負契約書・図面・仕様書・その他関係図書に示された品質を確保している事を確認したので、証明します。"]
[]
[]
[null,null,null,null,null,"　品質証明員"]

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["NO.28"]
["土木工事共通仕様書第2編1"]
["使　用　材　料　品　質　証　明　書"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"令和",null,"年",null,"月",null,"日"]
[]
[]
[null,null,"監督員",null,null,null,null,null,null,"様"]
[]
[]
[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,"現場代理人"]
[]
[]
[null,null,"工事番号",null,null,null,"-",null,null,"-",null,"-",null,"-"]
[null,null,"建設工事名",null,null,null,"令和",null,"年度"]
[]
[]
[null,null,null,"標記建設工事について、下記の材料の品質を証明する資料を提出します。"]
[]
[null,null,"記"]
[]
[null,null,"材料名",null,null,"品質規格",null,null,"単位","使用数量",null,null,"製造メーカー及び工場名",null,null,null,null,"備考"]

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["様式第031号"]
[]
["建設業退職金共済制度掛金充当実績総括表"]
[]
[null,null,null,null,null,null,null,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,null,"月",null,null,"日"]
["発注者"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"殿"]
[]
[null,null,null,null,null,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,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,"名称"]
[null,"共済契約者番号"]
[]
[]
[null,"建設キャリアアップシステム事業者ID"]
[]
[]
[null,"工事番号および工事名"]
[]
[]
[null,"建設キャリアアップシステム現場ID"]
[]
[]
[null,"工事期間"]
[null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日",null,"～",null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,"上記工事に係る建設業退職金共済制度の掛金充当実績について、以下のとおり報告します。"]
[]
["（１）","工事全体"]
[]
[null,"労働者延べ就労日数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人日"]
[]
[null,"本工事に従事した事業者数（元請を含む）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"者"]
[]
[null,"本工事に従事した労働者数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人"]
[]
["（２）","建退共対象労働者"]
[]
[null,"建退共対象労働者延べ就労日数（掛金充当日数）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人日"]
[]
[null,null,"採用した方式"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"電子申請方式",null,null,null,null,null,null,null,null,null,"証紙貼付方式"]
[]
[null,"・","事業者数（元請を含む）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"者"]
[]
[null,"・","対象労働者数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人"]
[]
["（参考：工事全体の数を記入すること）"]
[]
[null,"・","建設キャリアアップシステムによる就労履歴数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人日"]
[]
[null,"・","建設キャリアアップシステムの施工体制を登録した事業者数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"者"]
[]
[null,"・","建設キャリアアップシステムの作業員登録を行った労働者数",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"人"]

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[null,"（様式第41号）"]
[null,"共　　済　　証　　紙　　受　　払　　簿"]
[]
[null,"共済契約者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑨決算日",null,null,null,null,"年",null,"月",null,"日",null,null,"◎","この受払簿は、受入・払出の都度、掛金収納書などをみて日付"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"決算　　期間",null,null,null,null,"年",null,"月",null,"日",null,null,null,"を所定欄に記入し、決算毎に合計を出して整理して下さい。"]
[null,"①共済契約成立年月日（Ｓ・Ｈ・Ｒ）",null,null,null,null,null,null,null,null,null,null,null,"年",null,"月",null,"日",null,null,null,null,null,null,null,"～",null,null,null,null,null,"◎","共済手帳に２５０日（掛金助成手帳は２００日）分の証紙を貼り、"]
[null,"②共済契約者番号",null,null,null,null,null,null,null,null,"－",null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,"月",null,"日",null,null,null,"手帳の更新をすませた時にはこの受払簿にも記帳して下さい。"]
[null,"受入・払出",null,null,null,null,null,"受　　　　　入",null,null,null,null,null,null,null,null,null,null,null,"払　　　　　出",null,null,null,null,null,null,null,null,null,null,null,"残　高",null,null,"払出欄の貼付の内訳",null,null,null,null,null,null,null,"更新年月日",null,null,null,null,null,"備　考"]
[null,"年　月　日",null,null,null,null,null,"購　入",null,null,"元請から受入",null,null,null,null,null,"計（Ａ）",null,null,"貼　　付",null,null,"下請へ交付",null,null,null,null,null,"計（Ｂ）",null,null,"(A)-(B)",null,null,"貼付人員",null,null,"就　労　月",null,null,null,null,"手帳更新数"]
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[null,"決算期間内　　　　　　の　合　計",null,null,null,null,null,null,null,"日分",null,null,null,null,null,"日分",null,null,null,null,null,null,null,null,null,null,null,"日分",null,null,null,"次頁へ　　　　（次年度へ）　　　転記",null,null,"③決算日の　　　被共済者数",null,null,"建　退　共",null,null,null,null,"④決算期間内　　　　　　　　の手帳更新数"]
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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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[]
[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,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)"]