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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,null,null,null,null,null,null,"※上位請負会社とは直近の注文者を記入してください。(貴社と契約を行っている会社)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"消防設備士"]
[null,null,"※以下には貴社の情報を入力して下さい。",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"技能検定"]
[]
[null,null,"会社名",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,"次下請負業者）"]
[]
[null,null,"住所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"郵便番号"]
[null,null,"電　話　番　号"]
[null,null,"Ｆ Ａ Ｘ 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,null,null,"代表者名"]
[null,null,"元　　請"]
[null,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,null,null,"現場代理人"]
[]
[null,null,"安全衛生責任者"]
[]
[]
[null,null,"主任技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"専門技術者"]
[]
[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,"資格内容"]
[]
[null,null,null,null,"専任・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,"担当工事内容"]
[]
[null,null,null,null,"監理技術者番号"]
[]
[]
[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,null,null,"工事内容"]
[null,null,"担当工種名"]
[]
[null,null,"工期",null,null,null,null,null,null,null,null,"自",null,"平成",null,null,null,null,"年",null,null,null,"月",null,null,null,"日",null,null,"至",null,"平成",null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]

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["関係請負業者の提出書類"]
[]
[]
["提出業者名",null,null,null,null,{"$f":"共通データ入力画面!L17","v":0}]
[]
[]
[]
[]
[]
[null,"※　","提出書類の維持管理について"]
[]
[null,"１．","安全衛生責任者が内容の変更、追加等常に維持・管理すること。"]
[]
[null,"２．","職員は内容を確認できるように保管場所等を決めておくこと。"]
[]
[null,"３．","原則として関係請負業者ごとに作成すること。"]
[]
[null,"４．","内容の変更・追加時、確認者は下記の確認実績に確認日、確認者名を記入すること。"]
[]
[]
[]
[]
[]
[]
[]
["確認実績（月・日、氏名）"]
[]
["変更・追加"]
[]
[]
["元請確認"]
[]
[]
[]
[]
[]
["会社名",null,null,{"$f":"共通データ入力画面!L17","v":0}]
[]
[]
["安全衛生責任者",null,null,null,{"$f":"共通データ入力画面!L25","v":0}]

{"sheet":"目次","index":2,"n_rows":53,"n_cols":3,"rows_kept":53,"cut":false,"hidden":false,"merged":[]}
["目      次"]
[]
[]
[1,"関係請負業者の提出書類（表紙）"]
[2,"関係請負業者の提出書類一覧"]
[3,"労務安全衛生確約書"]
[null,"＜労務安全衛生確約書＞","様式１"]
[null,"＜再下請負通知書＞","様式１－１"]
[null,"関係請負業者の安全衛生遵守事項"]
[4,"雇用管理状況調査"]
[null,"＜雇用管理状況調査票＞","様式２"]
[null,"＜外国人建設就労者建設現場入場届書＞","様式２－１"]
[5,"安全衛生責任者選任"]
[null,"＜安全衛生責任者選任報告書＞","様式３"]
[6,"新規入場者教育"]
[null,"＜新規入場者教育実施記録簿＞","様式４"]
[null,"＜新規入場者面接簿＞","様式５"]
[null,"作業員心得","様式５－１"]
[null,"＜資格取得者・教育修了者一覧表＞","様式６"]
[7,"就労状況調査"]
[null,"＜作業員名簿＞","様式７"]
[null,"＜社会保険加入状況調査票＞","様式７－１"]
[null,"＜作業員就労状況表＞","様式８"]
[8,"年少者就業制限業務（建設業）"]
[null,"＜年少者（１８才未満）就労報告書＞","様式９"]
[null,"＜同意書＞","様式９－１"]
[9,"高齢者の就労"]
[null,"＜高齢者（６０歳以上）就労報告書＞","様式１０"]
[10,"作業主任者の選任"]
[null,"＜作業主任者選任報告書＞","様式１１"]
[11,"作業手順書（作業計画）及び作業手順打ち合わせ記録"]
[null,"＜作業手順打ち合わせ記録（作業手順書鑑）","様式１２"]
[null,"車両系建設機械、クレーン、作業船等平・断面図（作業手順打合せ用）","様式１２－１"]
[null,"＜リース（移動式クレーン・車両系建設機械）等指示書＞","様式１３"]
[null,"ＴＢＭ・ＫＹＫ報告書","様式１４"]
[12,"各現場持ち込み・使用届"]
[null,"＜持込機械（移動式クレーン・車両建設機械）等指示書＞","様式１５"]
[null,"＜　　　　　　　　　　　　　〃　　　　　　　　　　　　持込時の点検＞","様式１５－１"]
[null,"＜持込機械（電気工具・電気溶接機械）等指示書＞","様式１６"]
[null,"＜　　　　　　　　　　　　　〃　　　　　　　　　　　　持込時の点検＞","様式１６－１"]
[null,"＜持込作業船等使用届＞","様式１７"]
[null,"＜　　　　　　〃　　　　　　持込時の点検＞","様式１７－１"]
[null,"＜危険物・有害物持込使用届＞","様式１８"]
[null,"＜通勤用・工事用車両届＞","様式１９"]
[null,"＜火気使用申請書＞","様式２０"]
[13,"作業計画書"]
[null,"＜移動式クレーン作業計画書＞","様式２１"]
[null,"＜移動式（積載型）クレーン作業計画＞","様式２２"]
[null,"＜杭打ち・杭抜き機作業計画＞","様式２３"]
[null,"＜車両系建設機械作業計画＞","様式２４"]
[null,"＜コンクリートポンプ車作業計画＞","様式２５"]
[null,"＜高所作業車作業計画＞","様式２６"]
[null,"＜フォークリフト作業計画＞","様式２７"]

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["２．関係請負業者の提出書類一覧"]
[]
[]
["当工事を施工するに当たり、下記の書類を提出してください。"]
[]
["様式","提出書類名","提出時期","提出義務者","提出期限"]
[1,"労務・安全衛生確約書","着工前","事業者（社長）"]
["1-1","再下請負通知書通知書(変更)","着工前","事業者（社長）"]
[2,"雇用管理状況調査表","着工前","事業者（社長）"]
["2-1","外国人建設就労者建設現場入場届書","着工前","安全衛生責任者"]
[3,"安全衛生責任者選任報告書","着工前","事業者（社長）"]
[4,"新規入場者教育実施報告簿","その都度","安全衛生責任者"]
[5,"新規入場者面接簿","その都度","　　　　〃"]
["5-1","作業員心得","その都度"]
[6,"資格取得者・教育修了者一覧表","その都度","　　　　〃"]
[7,"作業員名簿","その都度","　　　　〃"]
["7-1","社会保険加入状況調査票","その都度","　　　　〃"]
[8,"作業員就労状況表","毎作業月","　　　　〃"]
[9,"年少者（１８歳未満）就労報告書","その都度","　　　　〃"]
["9-1","年少者同意書","その都度","　　　　〃"]
[10,"高齢者（６０歳以上）就労報告書","その都度","　　　　〃"]
[11,"作業主任者選任報告書","その都度","　　　　〃"]
[12,"作業手順打ち合わせ記録","その都度","　　　　〃"]
["12-1","作業打合せ用平面図、断面図","その都度","　　　　〃"]
[13,"リース機械指示書","その都度","　　　　〃"]
[14,"ＴＢＭ・ＫＹ報告書","その都度","　　　　〃"]
[15,"持込機械等使用届","その都度","　　　　〃"]
["15-1","点検（移動式クレーン等）","その都度","　　　　〃"]
[16,"電動工具等持込使用届","その都度","　　　　〃"]
["16-1","点検（電動工具等）","その都度","　　　　〃"]
["17","持込作業船等使用届","その都度","　　　　〃"]
["17-1","点検（作業船等）","その都度","　　　　〃"]
["18","危険物・有害物持込使用届","その都度","　　　　〃"]
[19,"通勤用・工事用車両届","その都度","　　　　〃"]
[20,"火気使用申請書","その都度","　　　　〃"]
[21,"移動式クレーン作業計画","その都度","　　　　〃"]
[22,"ユニック車","その都度","　　　　〃"]
[23,"杭打ち・杭抜き機","その都度","　　　　〃"]
[24,"車両系建設機械","その都度","　　　　〃"]
[25,"コンクリートポンプ車","その都度","　　　　〃"]
[26,"高所作業車","その都度","　　　　〃"]
[27,"フォークリフト","その都度","　　　　〃"]

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["３．労務安全衛生確約書",null,null,null,null,null,null,"様式１",null,"書類一覧へ"]
[]
[null,null,null,null,null,"平成　　　年　　　月　　　日"]
[]
[]
[null,"関門港湾建設株式会社"]
[]
[null,"統括安全衛生責任者",{"$f":"共通データ入力画面!AP8","v":0},null,"殿"]
[]
[]
[]
[]
[]
["労務・安全衛生確約書"]
[]
[]
[]
["貴社発注の工事の施工に当たっては、"]
[]
["一．","適正な労働者を雇用し、法令（建設業法、労働基準法、労働安全衛生法、その他関係法令）に基づく使用者（事業者）としての責務を遂行します。"]
[]
["一．","貴社の諸規程並びに職員の指示に従い、安全・衛生管理活動を自主的かつ積極的に推進します。"]
[]
["一．","貴社の環境に配慮した環境保全活動に協力し、より良い環境の創造と地域社会との良好な関係の構築に努めます。"]
[]
["一．","別添「関係請負業者の安全衛生遵守事項」を忠実に実行します。"]
["以上を誓約いたします。"]
[]
[]
[]
[]
[]
[]
[null,null,null,"住所",{"$f":"共通データ入力画面!L19","v":0}]
[]
[]
[null,null,null,"会社名",{"$f":"共通データ入力画面!L17","v":0}]
[]
[]
[null,null,null,"代表者名",{"$f":"共通データ入力画面!AP21","v":0}]

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["全建統一様式第1号－甲",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"書類一覧へ"]
[]
[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,"再下請負通知書（変更届）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"《再下請負関係》",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通り報告いたします。"]
[]
[]
["直近上位の",null,null,null,null,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",null,null,null,null,null,null,null,null,null,null,null,null,"代表者名"]
["注文者名",null,null,{"$f":"共通データ入力画面!AP10","v":0},null,null,null,null,null,null,null,null,"【報告下請負業者】"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒",{"$f":"共通データ入力画面!AU19","v":0},null,null,null,null,null,null,null,null,null,null,null,null,"住　　所\n電話番号",null,null,null,"〒"]
["現場代理人名",null,null,null,{"$f":"共通データ入力画面!AP11","v":0},null,null,null,null,null,null,"殿",null,"住所",null,{"$f":"共通データ入力画面!L19","v":0}]
["（所長名）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＴＥＬ",null,{"$f":"共通データ入力画面!L20","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（ＴＥＬ",null,null,null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＦＡＸ",null,{"$f":"共通データ入力画面!L21","v":0},null,null,null,null,null,null,null,null,null,null,"工事名称\n及　　び\n工事内容"]
[null,null,null,"関門港湾建設株式会社"]
["元請名称",null,null,null,null,null,null,null,null,null,null,null,null,"会　社　名",null,null,{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,null,{"$f":"共通データ入力画面!AP21","v":0},null,null,null,null,null,null,null,"印",null,null,null,null,"工　　期",null,null,null,"自",null,null,"年",null,"月",null,"日",null,"契 約 日",null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
["《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,"至",null,null,"年",null,"月",null,"日"]
[]
["工事名称\n及　　び\n工事内容",null,null,{"$f":"共通データ入力画面!L6","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"建設業の\n許　　可",null,null,"施工に必要な許可業種",null,null,null,null,null,"許　可　番　号",null,null,null,null,null,null,null,null,"許可（更新）年月日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工事業",null,"　",null,null,null,null,"第",null,null,"号",null,null,null,"年",null,"月",null,"日"]
[null,null,null,{"$f":"共通データ入力画面!L38","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"共通データ入力画面!AM37","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工事業",null,"　",null,null,null,null,"第",null,null,"号",null,null,null,"年",null,"月",null,"日"]
["工　　期",null,null,null,"自",{"$f":"共通データ入力画面!Q40","v":0},null,"年",{"$f":"共通データ入力画面!U40","v":0},"月",{"$f":"共通データ入力画面!Y40","v":0},"日",null,"注文者と\nの契約日",null,null,null,null,null,"年",null,"月",null,"日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　"]
[]
[null,null,null,null,"至",{"$f":"共通データ入力画面!AI40","v":0},null,"年",{"$f":"共通データ入力画面!AM40","v":0},"月",{"$f":"共通データ入力画面!AQ40","v":0},"日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人名",null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者名"]
[]
["建設業の\n許　　可",null,null,"施工に必要な許可業種",null,null,null,null,null,"許　可　番　号",null,null,null,null,null,null,null,null,"許可（更新）年月日"]
[null,null,null,null,null,null,null,"工事業",null,"　 ",null,null,null,null,"第",null,null,"号",null,null,"年",null,"月",null,"日",null,null,null,null,null,"　権限及び\n　意見申出方法",null,null,null,null,null,null,null,null,null,null,null,"安全衛生推進者名"]
[null,null,null,null,null,null,null,null,null,"　 "]
[null,null,null,null,null,null,null,"工事業",null,"　 ",null,null,null,null,"第",null,null,"号",null,null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,null,"　 ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※主任技術者名",null,null,null,null,null,null,null,null,null,null,null,null,"雇用管理責任者名"]
[]
[null,null,null,null,null,{"$f":"共通データ入力画面!AP11","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"共通データ入力画面!L25","v":0}]
["監　督　員　名",null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資　格　内　容"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※専門技術者名"]
[null,"　権限及び\n　意見申出方法"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生推進者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資　格　内　容"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　※登録基幹技能者\n　　名・種類"]
[null,null,null,null,null,{"$f":"共通データ入力画面!AP23","v":0}]
["現場代理人名",null,null,null,null,null,null,null,null,null,null,null,null,"雇用管理責任者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当工事内容"]
[]
[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,{"$f":"IF(共通データ入力画面!AP28=\"\",\"\",共通データ入力画面!AP28)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"※専門技術者名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険等の加入状況",null,"保険加入の\n有無",null,null,"健康保険",null,null,null,null,null,null,"厚生年金",null,null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,"　",null,{"$f":"共通データ入力画面!L28","v":0},null,null,null,null,null,null,null,null,null,null,{"$f":"IF(共通データ入力画面!AR30=\"\",\"\",共通データ入力画面!AR30)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　"]
["※主任技術者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所\n整理記号等",null,null,"営業所の名称",null,null,null,null,"健康保険",null,null,null,null,"厚生年金保険",null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,"　",null,null,null,null,null,null,null,null,"資　格　内　容"]
[]
[null,null,null,null,null,{"$f":"共通データ入力画面!N30","v":0},null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(共通データ入力画面!AM37=\"\",\"\",共通データ入力画面!AM37)","v":""}]
[null,"　資　格　内　容",null,null,null,null,null,null,null,null,null,null,null,null,"担当工事内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"外国人建設就労者の\n従事状況(有無)",null,null,null,null,null,null,"有　　　無",null,null,null,null,"外国人技能実習生の\n従事状況(有無)",null,null,null,null,null,null,null,"有　　　無"]
[]
[]
["※登録基幹技能者名\n  種  類"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所整理記号及び事業所番号（健康保険組合にあっては組合名）を、一括適用の承認に係る営業所の場合は、本店の整理記号及び事業所番号を、厚生年金保険欄には、事業所整理記号及び事業所番号を、一括適用の承認に係る営業所の場合は、本店の整理記号及び事業所番号を、雇用保険欄には、労働保険番号を、継続事業の一括の認可に係る営業所の場合は、本店の労働保険番号をそれぞれ記載する。\nなお、この様式左側について、直近上位の注文者との請負契約に係る営業所以外の営業所で再下請業者との請負契約を行う場合には欄をそれぞれ追加する。\n"]
[]
[]
["健康保険等の\n加入状況",null,"保険加入の\n有無",null,null,"健康保険",null,null,null,null,null,null,"厚生年金",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,"事業所\n整理記号等",null,null,"営業所の名称",null,null,null,null,"健康保険",null,null,null,null,"厚生年金保険",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,"※［主任技術者、専門技術者、登録基幹技能者の記入要領］"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 1　主任技術者の配属状況について［専任・非専任］のいずれかに○印を付すこと。"]
[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,null,null,null,null," 2　","専門技術者には、土木・建築一式工事を施工する場合等でその工事に含まれる専門工事を施工するために必要な主任技術者を記載する。（一式工事の主任技術者が専門工事の主任技術者としての資格を有する場合は専門者術者を兼ねることができる。）複数の専門工事を施工するために複数の専門技術者を要する場合は適宜欄を設けて全員を記載する。"]
["（記入要領）",null,null,"1　報告下請負業者は直近上位の注文者に提出すること。"]
[null,null,null,"2　再下請負契約がある場合は、《再下請負契約関係》欄（当用紙の右部分）を記入するとともに、次の契約",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," 　書類（金額記載）の写しを全ての階層について提出する。なお、再下請がある場合は、《再下請負契約関",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"   "]
[null,null,null,"　 係》欄をコピーして使用する。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 3　登録基幹技能者が複数いる場合は、適宣欄を設けて全員を記載する。"]
[null,null,null," 　　①請負契約書、〈注文書・請書等〉　②請負契約約款",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4　主任技術者の資格内容（該当するものを選んで記入する。）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"   "]
[null,null,null,"3　一次下請負業者は、二次下請負業者以下の業者から提出された書類とともに様式第１号－乙に準じ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　①経験年数による場合",null,null,null,null,null,null,null,null,null,null,null,null,"②資格等による場合"]
[null,null,null," 　下請負業者編成表を作成の上、元請に届け出ること。",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,null,"　1）大学卒［指定学科］",null,null,null,null,null," 3年以上の実務経験",null,null,null,null,null,"　1）建設業法「技術検定」"]
[null,null,null,"4　この届出事項に変更があった場合は直ちに再提出すること。",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,null,"　　（短大・高専卒業者を含む。）",null,null,null,null,null,null,null,null,null,null,null,"　2）建築士法「建築士試験」"]
[null,null,null,"5　健康保険等の加入状況の保険加入の有無欄には、各保険の適用を受ける営業所について届出を行っている",null,null,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）高校卒［指定学科］",null,null,null,null,null," 5年以上の実務経験",null,null,null,null,null,"　3）技術士法「技術士試験」"]
[null,null,null,"　 場合は「加入」を、行っていない場合（適用を受ける営業所が複数あり、そのうち一部について行ってい",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,"　3）その他",null,null,null,null,null,"10年以上の実務経験",null,null,null,null,null,"　4）電気工事士法「電気工事士試験」"]
[null,null,null,"　 ない場合を含む）は「未加入」を、従業員規模等により各保険の適用が除外される場合は「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,"　5）電気事業法「電気主任技術者国家試験等」"]
[null,null,null,"　 を○で囲む。事業所整理記号等の営業所の名称欄には、請負契約に係る営業所の名称を、健康保険欄には、",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　6）消防法「消防設備士試験」"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　7）職業能力開発促進法「技能検定」"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　 "]

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["全建統一様式第1号－甲",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（一次下請負業者）",null,null,null,null,null,null,null,null,"（二次下請負業者）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,"年",null,"月",null,"日"]
[]
[null,null,"再下請負通知書（変更届）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"《再下請負関係》",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通り報告いたします。"]
[]
[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,"　(株)　松　本　組",null,null,null,null,null,null,null,null,null,null,null,null,"　　松本　○○"]
["直近上位の",null,null,null,"関門港湾建設株式会社",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",null,null,null,null,null,null,null,null,null,null,null,null,"代表者名"]
["注文者名",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,"〒","101-XXXX",null,null,null,null,null,null,null,null,null,null,null,null,"住　　所\n電話番号",null,null,null,"〒","750－ＸＸＸＸ"]
["現場代理人名",null,null,null,"　　○　○　○　○",null,null,null,null,null,null,"殿",null,"住所",null,null,"○○○○－Ｘ－Ｘ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"下関市・・・・・・・・－Ｘ"]
["（所長名）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＴＥＬ",null,"083","－","XXX",null,"－","XXXX",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（ＴＥＬ",null,null,"０８２－○○○－ＸＸＸＸ",null,null,null,null,null,null,null,null,"）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ＦＡＸ",null,"083","－","XXX",null,"－","XXXX",null,null,null,null,null,"工事名称\n及　　び\n工事内容",null,null,null,"○○防波堤工事に係る\n型枠工事のうち上部型枠工事"]
[null,null,null,"関門港湾建設株式会社",null,null,null,null,null,null,null,null,null,"会　社　名",null,null,"　　　　海洋建設株式会社"]
["元請名称",null,null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,null,"海　洋　　広",null,null,null,null,null,null,null,"印"]
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[]
["《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,"至","平成25",null,"年","△","月","25","日"]
[]
["工事名称\n及　　び\n工事内容",null,null,"　○○防波堤工事\n　に係る型枠工事",null,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,"施工に必要な許可業種",null,null,null,null,null,"許　可　番　号",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,null,"　　大　工",null,null,null,"工事業",null,"　",null,null,null,"16","第","2351",null,"号","平成 23",null,null,"年","10","月","15","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,"工事業",null,"　",null,null,null,null,"第",null,null,"号",null,null,null,"年",null,"月",null,"日"]
["工　　期",null,null,null,"自","平成25",null,"年","6","月","10","日",null,"注文者と\nの契約日",null,null,null,"平成25",null,"年","5","月","5","日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　"]
[]
[null,null,null,null,"至","平成25",null,"年","12","月","20","日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人名",null,null,null,null,"　中　村　◇　◇",null,null,null,null,null,null,null,"安全衛生責任者名",null,null,null,null,"　田　中　◇　◇"]
[]
["建設業の\n許　　可",null,null,"施工に必要な許可業種",null,null,null,null,null,"許　可　番　号",null,null,null,null,null,null,null,null,"許可（更新）年月日"]
[null,null,null,"　　大　工",null,null,null,"工事業",null,"　 ",null,null,null,null,"第","5000",null,"号","平成22",null,"年","5","月","6","日",null,null,null,null,null,"　権限及び\n　意見申出方法",null,null,null,"・下請負契約書第○条記載のとおり\n・文書による",null,null,null,null,null,null,null,"安全衛生推進者名",null,null,null,null,"　利　根　○　○"]
[null,null,null,null,null,null,null,null,null,"　 "]
[null,null,null,null,null,null,null,"工事業",null,"　 ",null,null,null,null,"第",null,null,"号",null,null,"年",null,"月",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,null,null,null,null,"※主任技術者名",null,null,null,null,"　",null,"　中　村　◇　◇",null,null,null,null,null,"雇用管理責任者名",null,null,null,null,"　総務部長　田　中　△　△"]
[]
[null,null,null,null,null,"　　安全　太郎",null,null,null,null,null,null,null,null,null,null,null,null,"　　安全　太郎"]
["監　督　員　名",null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資　格　内　容",null,null,null,"　建設業法「技術検定」又は\n　10年以上の実務経験等"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※専門技術者名"]
[null,"　権限及び\n　意見申出方法",null,null,null,"　 ・下請負契約書第○条記載のとおり\n　 ・文書による",null,null,null,null,null,null,null,null,null,null,null,null,"　　合図　良郎"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生推進者名",null,null,null,null,null,null,null,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,"　※登録基幹技能者\n　　名・種類"]
[null,null,null,null,null,"　　安全　太郎",null,null,null,null,null,null,null,null,null,null,null,null,"　　総務部長　規則　　正"]
["現場代理人名",null,null,null,null,null,null,null,null,null,null,null,null,"雇用管理責任者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当工事内容"]
[]
[null,"　権限及び\n　意見申出方法",null,null,null,"　　・請負契約書第○条記載のとおり\n　　・文書による"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"※専門技術者名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険等の加入状況",null,"保険加入の\n有無",null,null,"健康保険",null,null,null,null,null,null,"厚生年金",null,null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,"　",null,"　　衛生　次郎"]
["※主任技術者名",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,"事業所\n整理記号等",null,null,"営業所の名称",null,null,null,null,"健康保険",null,null,null,null,"厚生年金保険",null,null,null,null,null,"雇用保険"]
[null,null,null,null,null,"　",null,null,null,null,null,null,null,null,"　資格内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（株）松本組",null,null,null,null,"○△健康保険組合\nxx－xxxx",null,null,null,null,"xx－xxxx\n－xxxxx",null,null,null,null,null,"xxxx－xxxxxx－x"]
[]
[null,null,null,null,null," 　　その他　10年以上の実務経験",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"事業所整理記号及び事業所番号（健康保険組合にあっては組合名）を、一括適用の承認に係る営業所の場合は、本店の整理記号及び事業所番号を、厚生年金保険欄には、事業所整理記号及び事業所番号を、一括適用の承認に係る営業所の場合は、本店の整理記号及び事業所番号を、雇用保険欄には、労働保険番号を、継続事業の一括の認可に係る営業所の場合は、本店の労働保険番号をそれぞれ記載する。\nなお、この様式左側について、直近上位の注文者との請負契約に係る営業所以外の営業所で再下請業者との請負契約を行う場合には欄をそれぞれ追加する。\n参照：H24.7.4付　国土交通省「社会保険の加入に関する下請指導ガイドライン」"]
[null,"　資　格　内　容",null,null,null,null,null,null,null,null,null,null,null,null,"　担当工事内容"]
[]
[]
["※登録基幹技能者\n　名・種類"]
[]
[]
[]
["健康保険等の\n加入状況",null,"保険加入の\n有無",null,null,"健康保険",null,null,null,null,null,null,"厚生年金",null,null,null,null,null,"雇用保険"]
[]
[null,null,"事業所\n整理記号等",null,null,"営業所の名称",null,null,null,null,"健康保険",null,null,null,null,"厚生年金保険",null,null,null,null,"雇用保険",null,null,null,null,null,null,null,null,"※［主任技術者、専門技術者、登録基幹技能者の記入要領］"]
[null,null,null,null,null,"大山建設株式会社",null,null,null,null,"○△健康保険組合\nxx－xxxx",null,null,null,null,"xx－xxxx\n－xxxxx",null,null,null,null,"xxxx－xxxxxx－x",null,null,null,null,null,null,null,null," 1　主任技術者の配属状況について［専任・非専任］のいずれかに○印を付すこと。"]
[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,null,null,null,null," 2　","専門技術者には、土木・建築一式工事を施工する場合等でその工事に含まれる専門工事を施工するために必要な主任技術者を記載する。（一式工事の主任技術者が専門工事の主任技術者としての資格を有する場合は専門者術者を兼ねることができる。）複数の専門工事を施工するために複数の専門技術者を要する場合は適宜欄を設けて全員を記載する。"]
[]
["（記入要領）",null,null,"1　報告下請負業者は直近上位の注文者に提出すること。",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,"   "]
[null,null,null,"2　再下請負契約がある場合は、《再下請負契約関係》欄（当用紙の右部分）を記入するとともに、次の契約",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," 　書類（金額記載）の写しを全ての階層について提出する。なお、再下請がある場合は、《再下請負契約関",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 3　登録基幹技能者が複数いる場合は、適宣欄を設けて全員を記載する。"]
[null,null,null,"　 係》欄をコピーして使用する。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4　主任技術者の資格内容（該当するものを選んで記入する。）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"   "]
[null,null,null," 　　①請負契約書、〈注文書・請書等〉　②請負契約約款",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　①経験年数による場合",null,null,null,null,null,null,null,null,null,null,null,null,"②資格等による場合"]
[null,null,null,"3　一次下請負業者は、二次下請負業者以下の業者から提出された書類とともに様式第１号－乙に準じ下請負",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　1）大学卒［指定学科］",null,null,null,null,null," 3年以上の実務経験",null,null,null,null,null,"　1）建設業法「技術検定」"]
[null,null,null," 　下請負業者編成表を作成の上、元請に届け出ること。",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,null,"　　（短大・高専卒業者を含む。）",null,null,null,null,null,null,null,null,null,null,null,"　2）建築士法「建築士試験」"]
[null,null,null,"4　この届出事項に変更があった場合は直ちに再提出すること。",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,null,"　2）高校卒［指定学科］",null,null,null,null,null," 5年以上の実務経験",null,null,null,null,null,"　3）技術士法「技術士試験」"]
[null,null,null,"5　健康保険等の加入状況の保険加入の有無欄には、各保険の適用を受ける営業所について届出を行っている",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　3）その他",null,null,null,null,null,"10年以上の実務経験",null,null,null,null,null,"　4）電気工事士法「電気工事士試験」"]
[null,null,null,"　 場合は「加入」を、行っていない場合（適用を受ける営業所が複数あり、そのうち一部について行ってい",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,null,null,"　5）電気事業法「電気主任技術者国家試験等」"]
[null,null,null,"　 ない場合を含む）は「未加入」を、従業員規模等により各保険の適用が除外される場合は「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,"　6）消防法「消防設備士試験」"]
[null,null,null,"　 を○で囲む。事業所整理記号等の営業所の名称欄には、請負契約に係る営業所の名称を、健康保険欄には、",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　7）職業能力開発促進法「技能検定」"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　 "]

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["関係請負業者の安全衛生遵守事項",null,null,null,null,null,null,null,null,null,null,"書類一覧へ"]
[]
["１．","法令の遵守"]
[null,"（１）","関係請負業者（二次以下の下請業者も含む。以下同じ）は、労働安全衛生法（以下「安衛法」という）、船員法及び関係諸法令に定められた業務及び関門港湾建設㈱（以下「当社」という）の指示事項を遵守すると共に、安全で快適な職場環境づくりに協力し、作業員の安全と健康を確保する。"]
[]
[]
[null,"（２）","当社より受注した工事の全部または一部を、当社の承諾を得て、二次以下の関係請負業者に発注するときは、当該業者に本遵守事項の徹底を図ると共に、連帯して安全衛生管理の責任を負う。"]
[]
[null,"（３）","関係請負業者は、安全衛生責任者を選任し、当社の災害防止についての必要な措置に協力し、作業員に対し常に安全作業を行うように指導監督する。"]
[]
[]
["２．","安全衛生管理体制"]
[null,"（１）","安全衛生責任者"]
[null,"①","安全衛生責任者を選任し、速やかに統括安全衛生責任者に報告するとともに、安衛法第１６条及び安衛則第１９条に定める連絡その他災害防止事項を行わせる。"]
[]
[null,"②","安全衛生責任者は、安衛法第６０条に定める職長教育修了者とする。"]
[null,"③","安全衛生責任者が事故その他の事由により、職務を行うことができないときは、代理者を選任する。"]
[null,"④","安全衛生責任者にその職務を行うに足りる権限を与える。"]
[null,"⑤","安全衛生責任者を現場で作業する作業員全員に対し、周知する。"]
[]
[null,"（２）","作業主任者"]
[null,"①","安衛法第１４条に定める業務を行う場合には、作業主任者技能講習を修了した者の内から当該作業主任者を選任し、その者の氏名及び修了証の写しを統括安全衛生責任者に報告する。"]
[]
[null,"②","作業主任者に対し、別に定める「作業主任者の職務」を遵守させる。"]
[]
[null,"（３）","作業指揮者"]
[null,null,"作業指揮者を必要とする業務に作業員を就労させる場合は、作業指揮者を選任し、その者の氏名等を統括安全衛生責任者に報告すると共に、その者の直接指揮の元に当該作業を行わせる。"]
[]
[]
[null,"（４）","安全施工サイクル"]
[null,"①","安全衛生責任者、職長他全ての作業者を現場で定めた安全施工サイクル（朝礼、ＴＢＭ、ＫＹ、打ち合わせ、片づけ）に積極的に参加、協力させる。"]
[]
[null,"②","関係請負業者は、工事施工中、安全衛生責任者及び職長等工事関係者を安全衛生協議会に必ず出席させる。"]
[]
[]
["３．","教育・訓練（雇い入れ時、送り出し時、新規入場時等）"]
[]
[null,"（１）","安全衛生教育"]
[null,null,"労働者を雇い入れたとき及び労働者の作業内容を変更したときは、所定の安全衛生教育を実施の上、就業させる。"]
[]
[]
[null,"（２）","特別教育"]
[null,null,"安衛法第５９条第３項に定める危険または有害な業務については、その業務についての安全または衛生のための特別な教育を修了した労働者を就業させる。"]
[]
[]
[null,"（３）","職長教育"]
[null,null,"安衛法第６０条に定める職長教育を行う。"]
[]
[null,"（４）","再教育及び安全・訓練への参加"]
[null,null,"元請が行う特別教育、職長教育、再教育及び安全・訓練には、積極的に労働者を参加させる。"]
[]
["４．","就業制限"]
[]
[null,"（１）","安衛法第６１条第１項及び第２項に定める業務については、適格者を指名し、免許証または技能講習修了証を提示して、統括安全衛生責任者に報告する。"]
[]
[null,"（２）","当該業務に従事中は、安衛法第６１条第３項の定めにより免許証または技能講習修了証を携帯させる。"]
[]
[]
["５．","健康管理"]
[null,null,"常時使用する作業員に対し、雇入時及び定期に健康診断を実施し、常に作業員の健康状態を具体的に把握し、適正配置及び健康の保持増進に努める。"]
[]
["６．作業員の配置"]
[null,"（１）","技能、経験、安全衛生意識等を考慮して作業員を配置し、就業することが著しく不適当と認められる者は交替させる。"]
[]
[null,"（２）","作業員名簿を現場に備え付け、作業員を常時適正に管理すること。"]
[null,"（３）","年少者（１８才未満）及び高齢者（６０才以上）は、統責者に報告し、就業制限及び就業条件を遵守し、適正配置する。"]
[]
[null,"（４）","成人病所見者、身体障害者等特に配慮を必要とする者の就業に当たっては、これらの者の心身の条件に応じた適正な配置を行う。"]
[]
[]
["７．","安全作業基準の遵守"]
[null,"（１）","保護具・工具"]
[null,null,"作業員の使用する保護具・工具等は、常に点検整備し、保護帽、安全帯、作業用救命衣等法令に定められた保護具を必ず着用させ、その正しい使用方法を徹底させる。"]
[]
[]
[null,"（２）","脚立足場、脚立、足場板"]
[null,null,"脚立足場、脚立及び足場板の使用は、法の基準に基づき、適正に使用させる。"]
[]
[null,"（３）","玉掛け作業"]
[null,"①","吊り上げ荷重１ｔ以上のクレーン等の玉掛け作業については、技能講習修了者を就かせる。"]
[null,"②","吊り上げ荷重１ｔ未満のクレーン等の玉掛け作業については、特別教育修了者を就かせる。"]
[]
[null,"（４）","火薬の使用"]
[null,null,"火薬を取り扱う場合には、保安責任者の指示に基づき、その保管に細心の注意を払い、保管設備の維持に努めると共に、消費に当たっては消費量の適正管理に当たること。"]
[]
[]
[null,"（５）持ち込み機械等"]
[null,null,"機械器具等（電動機械工具を含む）を現場内に持ち込み、使用するときは、統責者に報告し、当該機械に「持込受理証」を貼付する。"]
[]
[]
[null,"（６）","防護設備の除去と復旧（安衛則第２９条）"]
[null,"①","作業員に危険個所（開口部、足場、桟橋、踊場等）の囲い、手すりまたは覆い並びに壁つなぎ、その他防護設備を無断で取り外しをさせない。"]
[]
[null,"②","やむを得ず、臨時に防護設備を取り外し、またはその機能を失わせる必要があるときは、あらかじめ、当社の許可を受けること。"]
[]
[null,"③","前号の許可を受けて防護設備を取り外し、またはその機能を失わせたときは、その必要がなくなった後、直ちにこれを現状に復しておくこと。"]
[]
[null,"④","防護設備が取り外され、またはその機能を失ったことを発見したときは、速やかにその旨を当社に申し出ること。"]
[]
[]
["８．","労働環境"]
[null,"（１）","宿舎の環境衛生整備"]
[null,null,"使用する作業員宿舎について、「建設業付属寄宿舎規則」に基づく環境衛生整備を常に行い、管理者を定めて十分な管理に当たらせる。"]
[]
[null,"（２）","整理整頓"]
[null,null,"常に自己の作業場所を整頓して作業を行い、毎日の作業終了後、不用材、発生残材は分別し、適正に処理する。また、機械、工具、備品材料等は当社の指定する場所に集積または格納して整理整頓する。"]
[]
[]
["９．","災害予防"]
[null,"（１）","火災予防"]
[null,null,"たき火、溶接その他火気を使用する場合は、その都度あらかじめ届け出るものとし、火気取扱責任者を定めると共に消化器、防火用水等を設置して十分な防火管理を行う。"]
[]
[null,"（２）","交通災害の防止"]
[null,null,"通勤・現場内及び公道で交通規則を遵守すること及び他社を優先させることを作業員等に対して教育をする。"]
[]
[null,"（３）","第三者、公衆災害の防止"]
[null,null,"作業員は第三者（近隣家屋、軌道、公衆施設、通行人等）に迷惑を及ぼさない作業を実施する。"]
[]
[null,"（４）","災害発生時の処理"]
[null,null,"作業員が、事故または災害を発見したとき、直ちに臨機の処置を取ると共に、直ちに当社に報告する。"]
[]
["１０．","労働者災害補償保険の特別加入"]
[null,null,"一人親方及び事業主などの労働者災害補償保険法（以下「労災法」という）の強制適用外の者に工事の全部または一部を施工させるときは労災法第３３条～第３５条に定める労働者災害補償保険の特別加入をさせる。"]

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["４．雇用管理状況調査",null,null,null,null,null,null,null,null,null,null,"様式２",null,null,"書類一覧へ"]
[]
[null,null,null,null,null,null,"平成",null,"年",null,"月",null,"日"]
[]
[]
["雇用管理状況調査表"]
[]
[]
[null,"関門港湾建設株式会社"]
[null,"統括安全衛生責任者",{"$f":"共通データ入力画面!AP8","v":0},null,"殿"]
[null,null,null,null,null,"所在地",{"$f":"共通データ入力画面!L19","v":0}]
[null,null,null,null,null,"名称",{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,"代表者",{"$f":"共通データ入力画面!AP21","v":0},null,null,null,null,null,"印"]
[null,null,null,null,null,"雇用管理責任者","　　　　　　　　　　　　　　　　　　　　　　　"]
[]
["就労","労働条件の明示","１．雇入通知書　　　２．労働契約書　　　３．口頭その他"]
[null,"就業規則の制定","１．有　（平成　　　年　　　月　　　日労基署届出済）　　　２．無"]
[null,"労働時間管理","１．３６協定書　有　（平成　　　年　　　月　　　日労基署提出済）　　　２．無"]
["賃金","賃金台帳","１．有　（設置場所　イ．本支店　　ロ．現場　）　　　２．無"]
[null,"締切・支払日","締切日　　毎月　　　　日　　　　支払日　　　　日"]
[null,"支払方法","１．作業員に直接払い　　　　２．その他（　　　　　　　　　　　　　）"]
["健康診断","雇入時健康診断","１．実施　　　　２．未実施"]
[null,"定期健康診断","１．実施（　　　　　　　年　　　　月）　　　２．未実施"]
[null,"特殊健康診断","１．実施（　　　　　　　年　　　　月）　　　２．該当なし　　　３．未実施"]
[null,null,"種類  ："]
["社会保険等","雇用保険","１．加入　　　　２．未加入"]
[null,"健康保険","１．加入　　　　２．未加入"]
[null,"厚生年金保険","１．加入　　　　２．未加入"]
[null,"労災保険","本件工事　　　１．元請加入　　　　２．第一次下請にて加入"]
[null,null,"本件工事以外の単独加入　　１．加入　　　　２．未加入"]
[null,"建退共","１．加入（　　　　　人）　　　　２．未加入"]
[null,null,"※加入業者は建退共加入者名簿一覧を添付のこと"]
["安全衛生教育","実施時期","１．その都度　　２．一定期間ごと（月　　　回）　　　３．未実施"]
[null,"特別教育","１．自社実施　　２．元請実施　　３．その他　",null,null,null,"種類は","（　　　　　　　　）",null,null,"（　　　　　　　　）"]
[null,"職長教育","１．自社実施　　２．元請実施　　３．その他　",null,null,null,null,"（　　　　　　　　）",null,null,"（　　　　　　　　）"]
[null,"安全衛生推進者","１．初任時の能力向上教育は　　　　イ．済　　ロ．一部実施　　ハ．未実施"]
[null,null,"２．定期・随時の能力向上教育は　　イ．済　　ロ．一部実施　　ハ．未実施"]
[null,"危険・有害業務従事者","１．初任時の能力向上教育は　　　　イ．済　　ロ．一部実施　　ハ．未実施"]
[null,null,"２．定期・随時の能力向上教育は　　イ．済　　ロ．一部実施　　ハ．未実施"]
[]
[null,"従業員を被保険者とする障害保険、労災上積み保険"]
["加入状況",null,"１．加入（下記のとおり）　　　２．未加入"]
["対象保険者",null,"１．全員加入　　　　　　　　　 ２．限定加入"]
["保険金",null,"１．死亡時　　　　　　　　　　万円　　　　２．後遺症　　　　　　　　　　万円"]
["元請チェック及び助言・指導",null,null,null,null,"氏名",null,null,null,null,null,null,"印"]

{"sheet":"2-1.外国人建設就労者建設現場入場届書","index":9,"n_rows":54,"n_cols":65,"rows_kept":54,"cut":false,"hidden":false,"merged":[[0,41,0,42],[23,2,23,17],[23,18,23,56],[28,2,28,12],[28,13,28,23],[28,24,28,34],[28,35,28,45],[28,46,28,56],[12,25,13,33],[12,34,13,52],[22,2,22,17],[22,18,22,56],[0,43,0,45],[0,46,0,47],[0,48,0,50],[0,51,0,52],[3,0,4,52],[10,25,11,33],[10,34,11,52],[8,1,8,11],[7,1,7,11],[7,12,8,23],[0,1,1,12],[0,38,0,40],[30,2,30,12],[30,13,30,23],[30,24,30,34],[30,35,30,45],[30,46,30,56],[29,2,29,12],[29,13,29,23],[29,24,29,34],[29,35,29,45],[29,46,29,56],[32,2,32,12],[32,13,32,23],[32,24,32,34],[32,35,32,45],[32,46,32,56],[31,2,31,12],[31,13,31,23],[31,24,31,34],[31,35,31,45],[31,46,31,56],[34,2,34,12],[34,13,34,23],[34,24,34,34],[34,35,34,45],[34,46,34,56],[33,2,33,12],[33,13,33,23],[33,24,33,34],[33,35,33,45],[33,46,33,56],[35,46,35,56],[40,2,40,19],[40,20,40,56],[41,2,41,19],[41,20,41,56],[39,2,39,19],[39,20,39,56],[35,2,35,12],[35,13,35,23],[35,24,35,34],[35,35,35,45],[42,2,42,19],[44,2,44,19],[44,20,44,56],[42,20,42,23],[42,32,42,35],[42,24,42,31],[42,36,42,43],[43,20,43,23],[43,24,43,31],[43,32,43,35],[43,36,43,43],[43,2,43,19],[62,8,62,52],[45,2,45,19],[45,20,45,56],[46,2,46,19],[46,20,46,56],[55,8,55,52],[56,8,56,52],[57,8,57,52],[58,8,58,52],[59,8,59,52],[60,8,60,52],[61,8,61,52]]}
[null,"様式－２－１",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,"年",null,null,null,null,"月",null,null,null,null,"日",null,null,null,null,null,null,null,null,null,null,null,null,"書類一覧へ"]
[]
[]
["外国人建設就労者建設現場入場届書"]
[]
[]
[]
[null,"関門港湾建設株式会社",null,null,null,null,null,null,null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0}]
[null,"統括安全衛生責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"殿"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受入建設企業の　　　名称",null,null,null,null,null,null,null,null,{"$f":"共通データ入力画面!L17","v":0}]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"責任者の職・氏名",null,null,null,null,null,null,null,null,{"$f":"共通データ入力画面!AP23","v":0}]
[]
[]
[]
[null,null,null,"外国人建設就労者の建設現場への入場について下記の通り届出ます。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"記"]
[]
[null,"１．建設工事に関する事項"]
[]
[null,null,"建設工事の名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"共通データ入力画面!L6","v":0}]
[null,null,"施工場所"]
[]
[null,"２．建設現場への入場を届け出る外国人建設就労者に関する事項"]
[]
[null,null,null,null,"※5名以上の入場を申請する場合、必要に応じて欄の追加や別紙とする等対応すること。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"外国人建設就労者1",null,null,null,null,null,null,null,null,null,null,"外国人建設就労者2",null,null,null,null,null,null,null,null,null,null,"外国人建設就労者3",null,null,null,null,null,null,null,null,null,null,"外国人建設就労者4"]
[null,null,"氏名"]
[null,null,"生年月日"]
[null,null,"性別"]
[null,null,"国籍"]
[null,null,"従事させる業務"]
[null,null,"現場入場の期間"]
[null,null,"在留期間満了日"]
[]
[null,"３．受入建設企業・適正監理計画に関する事項"]
[]
[null,null,"適正監理計画認定番号"]
[null,null,"受入建設企業の所在地",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"共通データ入力画面!L19","v":0}]
[null,null,"元請企業との関係\n（直近上位の企業名その他）"]
[null,null,"責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"役職",null,null,null,null,null,null,null,null,null,null,null,"氏名"]
[null,null,"管理指導者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"役職",null,null,null,null,null,null,null,null,null,null,null,"氏名"]
[null,null,"就労場所"]
[null,null,"従事させる業務の内容"]
[null,null,"従事させる期間（計画期間）"]
[]
[null,null,"○添付書類"]
[null,null,"　","提出にあたっては下記に該当するものの写しを各1部を添付すること"]
[null,null,null,"１．適正監理計画認定証"]
[null,null,null,"２．パスポート（国籍、氏名等と在留許可のある部分）"]
[null,null,null,"３．在留カード又は外国人登録証明書"]
[null,null,null,"４．受入建設企業と外国人建設就労者との間の雇用契約書及び雇用条件書（労働条件通知書）"]

{"sheet":"3.安衛責任者選任","index":10,"n_rows":42,"n_cols":20,"rows_kept":42,"cut":false,"hidden":false,"merged":[[39,0,39,17],[18,0,18,17],[24,1,24,11],[24,13,24,17],[27,3,27,4],[27,12,27,13],[27,14,27,17],[27,1,27,2],[23,1,23,5],[23,12,23,13],[25,1,25,2],[26,1,26,2],[37,0,37,17],[20,1,20,17],[21,1,21,17],[22,1,22,17],[7,0,7,17],[16,0,16,17],[12,9,12,11],[13,9,13,11],[11,2,11,6],[10,0,10,1],[11,0,11,1],[12,12,12,17],[13,12,13,16]]}
["５．安全衛生責任者選任",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"書類一覧へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式３"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"平成",null,"年",null,"月",null,"日"]
[]
[]
[]
["安全衛生責任者選任報告書"]
[]
[]
["関門港湾建設株式会社"]
["統括安全衛生責任者",null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,"殿"]
[null,null,null,null,null,null,null,null,null,"協力会社名",null,null,{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,null,null,null,null,"代表者",null,null,{"$f":"共通データ入力画面!AP21","v":0},null,null,null,null,"印"]
[]
[]
["　当工事に従事する安全衛生責任者を下記のとおり選任し、以下の職務を行わせる権限を与えたので、報告します。"]
[]
["記"]
[]
["工事名",{"$f":"共通データ入力画面!L6","v":0}]
["職種"]
["氏名",{"$f":"共通データ入力画面!L25","v":0}]
["生年月日","昭和　・　平成",null,null,null,null,null,"年",null,"月",null,"日生",null,null,"才"]
["現住所",null,null,null,null,null,null,null,null,null,null,null,"℡"]
["経験年数",null,null,"年",null,"ヶ月"]
["勤続年数",null,null,"年",null,"ヶ月"]
["備考","職長教育",null,"実施年月日",null,"平成",null,"年",null,"月",null,"日","実施者"]
["選任月日",null,null,"平成",null,"年",null,"月",null,"日"]
[]
[]
[]
[]
["安全衛生責任者の職務"]
[]
["１．統括安全衛生責任者及び他の安全衛生責任者と日常の連絡調整"]
["２．統括安全衛生責任者から指示された事項の部下への周知徹底及び実施結果の報告"]
["３．新規入場者面接、就労者状況表の作成、作業主任者の選任等作業員の安全衛生に関する事項"]
["４．作業計画・手順書の作成等作業方法・手順の確立及び作業員への周知徹底"]
["５．朝礼、ＴＢＭ－ＫＹ、施工打ち合わせ等当該現場で定められた安全施工サイクルへの参加及び実施"]
["６．持ち込み機械、器具等について、使用届の提出及び点検整備等"]
["７．事故・災害が発生した場合、統括安全衛生責任者への速やかな報告"]

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["６．新規入場者教育",null,null,null,null,null,null,null,null,null,"様式４",null,"書類一覧へ"]
[]
["新規入場者教育実施記録簿"]
[]
["受講者一覧表"]
[null,null,null,null,null,null,"所属会社名",null,null,{"$f":"共通データ入力画面!L17","v":0}]
["整理番号","氏名","職種","年齢","経験\n年数","実施者","年","月","日","確認","備考"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["（注）","教育を実施した安全衛生責任者が記入する。"]
[null,"確認、備考欄は、元請担当者が記入する。"]
[null,"新規入場者面接簿の業者ごとの表紙として安全衛生責任者が管理する。"]

{"sheet":"5.新規入場者面接簿 ","index":12,"n_rows":53,"n_cols":26,"rows_kept":53,"cut":false,"hidden":false,"merged":[[53,0,53,22],[54,0,54,22],[51,0,51,3],[51,4,51,5],[51,6,51,13],[51,15,51,16],[51,17,51,22],[52,0,52,3],[52,4,52,22],[43,13,43,17],[43,18,43,22],[47,1,47,22],[48,1,48,14],[48,15,50,16],[48,17,50,22],[45,8,45,12],[45,13,45,17],[45,18,45,22],[46,0,46,22],[44,0,45,2],[44,3,44,7],[44,8,44,12],[44,13,44,17],[44,18,44,22],[45,3,45,7],[50,1,50,14],[39,18,39,22],[39,6,39,7],[39,8,39,12],[39,13,39,17],[40,0,43,2],[40,3,40,7],[40,8,40,12],[40,13,40,17],[40,18,40,22],[35,0,39,2],[35,3,35,7],[35,8,35,12],[35,13,35,17],[39,3,39,4],[42,3,42,7],[42,8,42,12],[42,13,42,17],[42,18,42,22],[41,3,41,7],[41,8,41,12],[41,13,41,17],[41,18,41,22],[43,3,43,7],[43,8,43,12],[35,18,35,22],[36,3,36,7],[36,8,36,12],[36,13,36,17],[36,18,36,22],[37,8,37,12],[37,13,37,17],[37,18,37,22],[38,3,38,7],[38,8,38,12],[38,13,38,17],[38,18,38,22],[37,3,37,7],[6,3,6,8],[10,11,10,12],[10,13,10,19],[6,11,6,16],[5,18,6,22],[4,15,5,15],[0,19,0,22],[8,16,8,17],[8,18,8,22],[1,17,1,18],[1,19,1,22],[4,16,5,16],[4,17,5,17],[9,3,9,22],[4,18,4,22],[2,0,2,22],[4,14,5,14],[10,1,10,2],[10,3,10,9],[7,1,7,2],[7,3,7,22],[8,1,8,2],[8,3,8,8],[32,0,34,2],[32,3,32,7],[31,0,31,12],[22,17,22,18],[27,0,28,5],[29,0,30,5],[29,6,30,22],[31,13,31,22],[34,3,34,7],[34,8,34,12],[34,13,34,17],[34,18,34,22],[32,8,32,12],[32,13,32,17],[32,18,32,22],[33,3,33,7],[33,8,33,12],[33,13,33,17],[33,18,33,22],[25,0,26,2],[25,4,25,10],[25,12,25,21],[26,4,26,10],[26,12,26,21],[20,4,20,22],[9,0,11,0],[9,1,9,2],[23,4,23,7],[18,6,18,7],[19,4,19,7],[19,17,19,18],[22,4,22,7],[19,19,19,22],[23,17,23,18],[23,19,23,22],[21,4,21,7],[21,17,21,18],[12,0,14,2],[10,21,10,22],[13,12,13,16],[15,0,15,2],[15,15,15,17],[22,19,22,22],[3,12,3,14],[3,15,3,16],[4,0,8,0],[4,1,4,2],[4,3,4,8],[4,12,5,12],[4,13,5,13],[5,1,5,2],[5,3,5,8],[6,1,6,2],[13,7,13,10],[14,7,14,11],[12,7,12,13],[21,19,21,22],[11,1,11,2],[11,3,11,12],[11,13,11,22],[16,0,17,2],[18,0,24,2],[17,9,17,22]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式５",null,null,null,null,null,"書類一覧へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"整理番号",null,"　　　　　　　　　　　"]
["新 規 入 場 者 面 接 簿"]
[null,null,null,null,null,null,null,null,null,null,null,null,"面接年月日",null,null,"平成",null,null,"年",null,"月",null,"日"]
["本人","ﾌﾘｶﾞﾅ",null,null,null,null,null,null,null,null,null,"昭和",null,"年",null,"月",null,"日","職種"]
[null,"氏名",null,null,null,null,null,null,null,"生年月日",null,"平成"]
[null,"血液型",null,"Ｏ　・　Ａ　・　Ｂ　・　ＡＢ",null,null,null,null,null,null,null,null,null,null,null,null,null,"才"]
[null,"住所"]
[null,"電話",null,null,null,null,null,null,null,"□","自宅",null,"□","寮",null,"□","その他＝"]
["緊急連絡先","住所"]
[null,"氏名",null,null,null,null,null,null,null,null,"続柄",null,null,null,null,null,null,null,null,null,"続柄"]
[null,"電話"]
["貴方は一人親方           又は事業主ですか？",null,null,"□","はい"," ","→","保険の特別加入はしていますか？",null,null,null,null,null,null,"→","□","はい",null,"□","いいえ"]
[null,null,null,"□","いいえ",null,"→","①所属会社名は　→",null,null,null,"（",null,null,null,null,null,"：",null,"年",null,"月入社）"]
[null,null,null,null,null,null,null,"給料をもらっている会社を記入"]
["経験年数",null,null,"仕事を始めてから何年ですか？",null,null,null,null,null,null,null,"年",null,"ヶ月",null,"職種では？",null,null,null,"年",null,"ヶ月"]
["健康診断",null,null,"□","受けた",null,null,"年",null,"月",null,"日",null,"血圧","；","最高",null,null,null,"最低"]
[null,null,null,"□","受けていない",null,null,null,null,"※雇い入れ時の健康診断は診断後３ヶ月を経過しないものは有効です。"]
["有 害 業 務 経 験                   特 殊 健 康 診 断",null,null,"□","有",null,"経験年数",null,null,"年"]
[null,null,null,null,"□　じ　　ん　　肺　 ：",null,null,null,null,"年　　　月　　　日",null,null,null,"場所：",null,null,null,"結果：",null,"管理 １ or ２ or ３"]
[null,null,null,null,"※　じん肺健康診断については本日より前後3ヶ月を経過しないものについて有効です。"]
[null,null,null,null,"□　有　機　溶　剤 ：",null,null,null,null,"年　　　月　　　日",null,null,null,"場所：",null,null,null,"結果："]
[null,null,null,null,"□　振　　動　　病  ：",null,null,null,null,"年　　　月　　　日",null,null,null,"場所：",null,null,null,"結果："]
[null,null,null,null,"□　高圧室内業務 ：",null,null,null,null,"年　　　月　　　日",null,null,null,"場所：",null,null,null,"結果："]
[null,null,null,"□","無"]
["健康状態",null,null,"□","現在の身体の具合は",null,null,null,null,null,null,"（","良好   ・　不良  =　　　　",null,null,null,null,null,null,null,null,null,"）"]
[null,null,null,"□","今までにした大きな病気・ケガは",null,null,null,null,null,null,"（","無し   ・   有り   =",null,null,null,null,null,null,null,null,null,"）"]
["貴方はこの現場にどのように通勤していますか",null,null,null,null,null,"通勤経路",null,null,"□","自宅から直接",null,null,"□","会社・事務所経由",null,null,null,"□","他"]
[null,null,null,null,null,null,"通勤手段",null,null,"□","自家用車",null,null,"□","社有車",null,null,null,"□","他"]
["＜通勤ルート＞",null,null,null,null,null,"　　自宅　⇒"]
[]
["本現場で該当する資格・教育の確認（該当資格を○で囲む）",null,null,null,null,null,null,null,null,null,null,null,null,"その他の資格"]
["免許",null,null,"自動車運転",null,null,null,null,"移動式クレーン"]
[null,null,null,"潜水士",null,null,null,null,"ガス溶接作業主任者"]
[null,null,null,"海技免許"]
["技能講習修了証",null,null,"酸素欠乏作業主任者",null,null,null,null,"有機溶剤作業主任者"]
[null,null,null,"車両系建設機械",null,null,null,null,"小型移動式クレーン"]
[null,null,null,"地山掘削作業主任者",null,null,null,null,"土留支保工作業主任者"]
[null,null,null,"足場組立作業主任者",null,null,null,null,"型枠支保工作業主任者"]
[null,null,null,"ガス溶接",null,null,"玉掛け",null,"小型クレーン"]
["特別教育",null,null,"アーク溶接",null,null,null,null,"低電圧"]
[null,null,null,"研削砥石",null,null,null,null,"クレーンの運転"]
[null,null,null,"巻き上げ機",null,null,null,null,"酸素欠乏"]
[null,null,null,"潜水送気員"]
["教　　育",null,null,"職長教育",null,null,null,null,"安全衛生責任者教育"]
[null,null,null,"海上起重作業管理技士",null,null,null,null,"海上起重基幹技能士"]
["　私は教育資料により、新規入場者教育を受けました。"]
["一","作業員心得を守り、安全基準に従って作業に従事し、自分の身の安全を守ります。"]
["一","環境保全に対して法規を遵守し、環境に配慮して作業に従事します。",null,null,null,null,null,null,null,null,null,null,null,null,null,"署  名 ："]
["一","この個人情報は本工事のみで使用することを承諾します。"]
["一","本工事における行政情報流出防止対策を理解し、行政情報流出対策を守ります。"]
["面接した人",null,null,null,"会社名 ：",null,null,null,null,null,null,null,null,null,null,"氏  名 ："]
["面 接 者 コ メ ン ト  ："]

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[null,"＜参考資料　5-1＞",null,"書類一覧へ"]
[]
["作業員心得"]
[]
[]
[1,"作業時間は原則として、　　　　時　　　　分から　　　　時　　　分までです。"]
[2,"朝礼・体操・ミーティングには、全員で参加してください。なお、体調が悪いときは申し出てください。"]
[3,"服装は作業に適したものを着用してください。"]
[4,"保護帽の顎ひもは確実に締めてください。"]
[5,"高所作業で決められた場所では、安全帯を必ず使用してください。また、高所からものを投げないでください。"]
[6,"海上作業（岸壁等含む）では作業用救命胴衣を着用してください。"]
[7,"作業に必要な保護具（手袋、めがね、マスク、耳栓）は必ず使用してください。"]
[8,"使用する機械・設備は、毎日の作業開始前に使用者が必ず点検してください。"]
[9,"災害防止用の安全設備・装置は勝手に外さないでください。"]
[10,"作業範囲・順位・方法等は打ち合わせとおり行い、自分だけの判断や思いつきで勝手に行動はしないでください。"]
[11,"資格の必要な作業や運転は、必ず指名された有資格者が行ってください。"]
[12,"次の場所は危険ですので立ち入らないでください。"]
["①","クレーン等による吊り荷の下"]
["②","旋回する機械等の作業半径内"]
["③","ワイヤロープの屈曲部内側"]
["④","高所作業で墜落のおそれのある場所"]
["⑤","上下作業で飛来・落下のおそれのある場所"]
["⑥","地山の崩壊、土石の落下のおそれのある場所"]
["⑦","事故現場"]
[13,"危険があるときは直ちに作業を中止し、退避してください。"]
[null,"退避の合図があったら直ちに従ってください。"]
[14,"作業場の整理・整頓・清掃に努め、毎日の作業終了時には必ず片づけて掃除をしてください。"]
[15,"毎日　　　時　　　分から安全工程打ち合わせを実施しますので、各職責任者は出席してください。"]
[16,"その他、細部に関しては、現場職員の指示を守ってください。"]
[]
["＜特記事項＞"]

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["資格取得者・教育修了者一覧表",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式６",null,"書類一覧へ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"業者名（会社）",null,{"$f":"共通データ入力画面!L17","v":0}]
[]
["資格・教育の種類",null,null,"氏　　　　　名",null,null,null,null,null,"資格・教育の種類",null,null,"氏　　　　　名"]
["免許",1,"移動式クレーン運転士",null,null,null,null,null,null,"特別教育",1,"研削といし取替・試運転"]
[null,2,"クレーン運転士",null,null,null,null,null,null,null,2,"アーク溶接作業"]
[null,3,"デリック運転士",null,null,null,null,null,null,null,3,"低圧電気取扱業務"]
[null,4,"潜水士",null,null,null,null,null,null,null,4,"フォークリフト運転業務"]
[null,5,"高圧室内作業主任者",null,null,null,null,null,null,null,5,"ショベル・フォークローダ"]
[null,6,"ガス溶接作業主任者",null,null,null,null,null,null,null,6,"不整地運搬車"]
[null,7,"ボイラー取扱主任者",null,null,null,null,null,null,null,7,"揚荷装置の運転"]
[null,8,"火薬類取扱保安責任者",null,null,null,null,null,null,null,8,"チェーンソーの伐木業務"]
[null,9,"自動車運転免許",null,null,null,null,null,null,null,9,"車両系建設機械整地積込掘削用"]
[null,10,"電気工事士",null,null,null,null,null,null,null,10,"車両系建設機械基礎工事用"]
[null,11,"船舶海技免許",null,null,null,null,null,null,null,11,"車両系建設機械解体用"]
[null,12,"発破技師",null,null,null,null,null,null,null,12,"基礎工事用建設機械運転"]
["技能講習修了者",1,"地山の掘削作業主任者",null,null,null,null,null,null,null,13,"車両系建設機械の作業装置"]
[null,2,"土止支保工作業主任者",null,null,null,null,null,null,null,14,"ローラー等締固機械運転"]
[null,3,"足場の組立作業主任者",null,null,null,null,null,null,null,15,"コンクリートポンプ車運転"]
[null,4,"型枠支保工作業主任者",null,null,null,null,null,null,null,16,"ボーリングマシーンの運転"]
[null,5,"ずい道掘削作業主任者",null,null,null,null,null,null,null,17,"高所作業車の運転"]
[null,6,"酸素欠乏作業主任者",null,null,null,null,null,null,null,18,"巻き上げ機の運転"]
[null,7,"鉄骨の組立作業主任者",null,null,null,null,null,null,null,19,"軌道装置の動力車の運転"]
[null,8,"ずい道覆工作業主任者",null,null,null,null,null,null,null,20,"小型ボイラーの取扱"]
[null,9,"有機溶剤作業主任者",null,null,null,null,null,null,null,21,"クレーンの運転"]
[null,10,"コンクリート破砕器作業主任者",null,null,null,null,null,null,null,22,"移動式クレーンの運転"]
[null,11,"はい作業主任者",null,null,null,null,null,null,null,23,"デリックの運転"]
[null,12,"コンクリート工作解体作業主任者",null,null,null,null,null,null,null,24,"建設用リフトの運転"]
[null,13,"鋼橋架設等作業主任者",null,null,null,null,null,null,null,25,"玉掛け業務"]
[null,14,"コンクリート橋架設作業主任者",null,null,null,null,null,null,null,26,"ゴンドラの操作"]
[null,15,"車両系建設機械整地積込掘削用",null,null,null,null,null,null,null,27,"高圧室内作業の空気圧縮機運転"]
[null,16,"車両系建設機械基礎工技能講習",null,null,null,null,null,null,null,28,"高圧室内作業送気調節作業"]
[null,17,"車両系建設機械解体用技能講習",null,null,null,null,null,null,null,29,"高圧室内作業排気調節作業"]
[null,18,"ガス溶接技能講習",null,null,null,null,null,null,null,30,"潜水士への送気調節の作業"]
[null,19,"玉掛け技能講習",null,null,null,null,null,null,null,31,"再圧室の操作の業務"]
[null,20,"特定化学物質等作業主任者",null,null,null,null,null,null,null,32,"高圧室内業務"]
[null,21,"ショベルローダ等運転技能講習",null,null,null,null,null,null,null,33,"酸素欠乏危険作業"]
[null,22,"床上操作式クレーン運転技能講習",null,null,null,null,null,null,null,34,"特定粉じん作業"]
[null,23,"小型移動式クレーン運転技能講習",null,null,null,null,null,null,null,35,"ずい道等の建設の作業"]
[null,24,"不整地運搬車運転技能講習"]
[null,25,"高所作業車運転技能講習"]
["教育",1,"職長教育"]
[null,2,"振動工具の取扱業務"]
[null,3,"騒音作業従事者"]
[null,null,"資格は、４作業（特定建設作業、薬液注入作業、特別管理廃棄物の処理、アスベスト発生作業）を行う際に必要な資格、教育です。"]

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[null,"様式７",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"書類一覧へ"]
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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,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"元　 請\n確認欄"]
[" 作業所の名称",null,null,null,null,null,null,null,{"$f":"共通データ入力画面!L8","v":0}]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",null,null,null,"年",null,null,null,"月",null,null,null,"日　 作成）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,null,"月",null,null,null,"日"]
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[" 所　長　名",null,null,null,null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,null,null,null,null,null,null,null,null,null,null,"殿",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。"]
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[null,null,"（注） 1.　☆印欄には次の記号を入れる。（該当するものを全て記入すること）",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※1　左欄に健康保険の名称（健康保険組合、協会けんぽ、建設国保、国民健康保険）、右欄に健康保険被保険者証の番号の"]
[null,null,null,null,null,null,null,null,"現：現場代理人　　　主：作業主任者（正副2名選任すること）　女：女子作業員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"親：一人親方",null,null,null,null,null,null,null,null,null,null,null,null,null,"　下4けた（番号が4桁以下の場合は、当該番号）を記載。上記の保険に加入しておらず。後期高齢者である等より、国民"]
[null,null,null,null,null,null,null,null,"事：事業主　　　 　 職：職長　　安：安全衛生責任者  　 未：18歳未満の作業員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健康保険の適用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,"2.　経験年数は現在担当している仕事の経験年数を記入する。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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",null,null,"左欄に年金保険の名称（厚生年金、国民年金等）を記載。各年金の受給者である場合は、左欄に「受給者」と記載。"]
[null,null,null,null,null,null,"3.　各社別に作成するのが原則ですが、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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※3",null,null,"右欄に被保険者番号の下４桁を記載。（日雇労働被保険者の場合には、左欄に「日雇保険」と記載）事業主である等により"]
[null,null,null,null,null,null,"4.　資格・免許等の写しを添付すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"雇用保険の適用除外である場合には左欄に「適用除外」と記載。"]
[null,null,null,null,null,null,"5.　教育・講習・免許等資格名は、別紙(教育・講習･免許等資格名と番号一覧)の番号を記入する。"]

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["社会保険加入状況調査票"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"健　康　保　険",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年　金　保　険",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"雇　用　保　険"]
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[null,null,null,"（注）個人情報保護の観点から、被保険者番号等は本人の同意を得たうえで記載する。"]
[null,null,null,"（記入要領）"]
[null,null,null,"1.健康保険欄には、上段に健康保険の名称（健康保険組合、協会けんぽ、建設国保、国民健康保険）"]
[null,null,null,null,"を、下欄に健康保険被保険者証の番号の下４けた（番号が４けた以下の場合は、当該番号）を記載する。"]
[null,null,null,"2.年金保険欄には、上段に年金保険の名称（厚生年金、国民年金）を、各年金の受給者である場合は、"]
[null,null,null,null,"上段に「受給者」と記載する。"]
[null,null,null,"3.雇用保険欄には、下段に被保険者番号の下４けた（日雇労働被保険者の場合は、上段に「日雇保険」"]
[null,null,null,null,"と）を、事業主である等により雇用保険の適用除外である場合は、上段に「適用除外」と記載する。"]

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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,null,null,null,null,null,null,null,null,null,null,null,null,"様式８",null,"書類一覧へ"]
["作業員就労状況表"]
[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,"所属会社名",null,null,{"$f":"共通データ入力画面!L17","v":0}]
[]
["整理\n番号","所属会社","フリガナ","年齢","職種","※",null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,"月分　　勤労状況表",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合計","備考"]
[null,null,"氏名",null,null,null,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]
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[]
["合計"]

{"sheet":"9.年少者","index":18,"n_rows":51,"n_cols":25,"rows_kept":51,"cut":false,"hidden":false,"merged":[[3,15,3,16],[7,0,7,22],[13,16,13,21],[12,16,12,22],[12,12,12,15],[10,0,10,4],[11,5,11,9],[13,12,13,15],[11,0,11,4],[50,16,50,21],[50,11,50,15],[33,0,33,2],[25,0,25,3],[30,11,30,14],[30,8,30,10],[26,8,26,10],[28,0,28,3],[26,11,26,14],[27,11,27,14],[30,15,30,22],[29,11,29,14],[28,8,28,10],[29,8,29,10],[28,15,28,22],[25,8,25,10],[42,15,42,16],[45,0,45,22],[23,15,24,22],[29,15,29,22],[28,11,28,14],[26,15,26,22],[27,15,27,22],[29,0,29,3],[23,4,23,7],[23,8,24,10],[17,1,17,7],[30,0,30,3],[21,0,21,22],[27,0,27,3],[23,11,24,14],[25,11,25,14],[27,8,27,10],[23,0,24,3],[26,0,26,3],[25,15,25,22]]}
["９．年少者就業制限業務（建設業）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"書類一覧へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式９"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,"年",null,"月",null,"日"]
[]
[]
[]
["年少者（１８才未満）就労報告書"]
[]
[]
["関門港湾建設株式会社"]
["統括安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,"殿"]
[null,null,null,null,null,null,null,null,null,null,null,null,"会社名",null,null,null,{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,{"$f":"共通データ入力画面!L25","v":0},null,null,null,null,null,"印"]
[]
[]
[]
["（",{"$f":"共通データ入力画面!L6","v":0},null,null,null,null,null,null,"）","工事を施工するに当たり、下記の者、満１８才未満につき、"]
["年少者就労となるので、別紙年齢証明書及び親の同意書を添付し、報告します。"]
["　また、就労にあたっては、年少者にかかわる下記就労制限を遵守することを誓約します。"]
[]
["記"]
[]
["氏名",null,null,null,"生年月日",null,null,null,"職種",null,null,"作業内容",null,null,null,"現住所"]
[null,null,null,null,"Ｓ・Ｈ","年","月","日"]
[]
[]
[]
[]
[]
[]
[]
[]
["就業制限",null,null,1,"労働時間の遵守（労基法第６０条）"]
[null,null,null,2,"深夜作業の禁止（労基法第６１条）"]
[null,null,null,3,"危険有害業務の禁止（労基法第６２条）"]
[null,null,null,4,"坑内労働の禁止（労基法第６３条）"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,"年",null,"月",null,"日"]
[]
[]
["受領確認"]
[]
[]
["上記の者の就労報告書を受理します。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"統括安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,null,"印"]

{"sheet":"9-1.年少者同意書","index":19,"n_rows":43,"n_cols":20,"rows_kept":43,"cut":false,"hidden":false,"merged":[[26,5,26,10],[29,5,29,16],[35,5,35,16],[2,10,2,11],[16,12,16,17],[32,14,32,15],[22,0,22,2],[22,3,22,5],[20,1,20,3],[0,14,0,17],[10,12,10,17],[14,12,14,17],[12,12,12,16],[6,0,6,15],[10,6,10,7],[14,9,14,11],[12,9,12,11],[10,9,10,11]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式９－１",null,null,null,null,"書類一覧へ"]
[]
[null,null,null,null,null,null,null,null,null,null,"平成",null,null,"年",null,"月",null,"日"]
[]
[]
[]
["同　　　意　　　書"]
[]
[]
[]
[null,null,null,null,null,null,"親権者",null,null,"住所",null,null,"　　　　　　　　　　　　　　　　　　　　"]
[]
[null,null,null,null,null,null,null,null,null,"氏名",null,null,"　　　　　　　　　　　　　　　　",null,null,null,null,"印"]
[]
[null,null,null,null,null,null,null,null,null,"電話",null,null,"　　　　　　　　　　　　　　　　　　"]
[]
[null,null,null,null,null,null,null,null,null,"本人との関係",null,null,"　　　　　　　　　　　　　　　　　　"]
[]
[]
[]
["（",{"$f":"共通データ入力画面!L6","v":0},null,null,"）","工事の施工に下記の者が就労することに同意いたします。"]
[]
["なお、年齢証明として、　　　　　　　　　　　　　　",null,null,null,null,null,"を提出します。"]
[]
[]
[]
[null,null,"氏名"]
[]
[]
[null,null,"現住所"]
[]
[]
[null,null,"生年月日",null,null,"昭和・平成",null,"年",null,"月",null,"日","生まれ","満",null,null,"才"]
[]
[]
[null,null,"学校名"]
[]
[]
[]
[]
[]
[]
["（注）年齢証明書は、住民票、健康保険証、免許証等の写しでよい。"]

{"sheet":"10.高齢者","index":20,"n_rows":45,"n_cols":25,"rows_kept":45,"cut":false,"hidden":false,"merged":[[28,0,28,2],[26,8,26,12],[25,8,25,12],[29,0,29,2],[26,0,26,2],[27,0,27,2],[29,8,29,12],[25,0,25,2],[25,3,25,7],[26,3,26,7],[28,8,28,12],[1,21,1,22],[23,0,23,22],[11,0,11,4],[12,0,12,4],[7,0,7,22],[14,16,14,21],[18,1,18,7],[12,5,12,9],[2,15,2,16],[14,12,14,15],[13,16,13,22],[13,12,13,15],[20,0,21,21],[39,0,39,21],[44,16,44,21],[29,13,29,17],[29,18,29,22],[44,11,44,15],[29,3,29,7],[30,3,30,7],[30,18,30,22],[30,8,30,12],[30,0,30,2],[36,15,36,16],[30,13,30,17],[25,13,25,17],[26,18,26,22],[27,3,27,7],[27,8,27,12],[28,13,28,17],[26,13,26,17],[28,3,28,7],[27,13,27,17],[27,18,27,22],[28,18,28,22],[25,18,25,22]]}
["１０．高齢者の就労",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"書類一覧へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式10"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,"年",null,"月",null,"日"]
[]
[]
[]
[]
["高齢者（６０才以上）就労報告書"]
[]
[]
[]
["関門港湾建設株式会社"]
["統括安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,"殿"]
[null,null,null,null,null,null,null,null,null,null,null,null,"会社名",null,null,null,{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,{"$f":"共通データ入力画面!L25","v":0},null,null,null,null,null,"印"]
[]
[]
[]
["（",{"$f":"共通データ入力画面!L6","v":0},null,null,null,null,null,null,"）","工事を施工するに当たり、高齢者（６０才以上）の者を"]
["次の通り就労させますので、報告します。"]
["　また、就労にあたっては、作業員の体力、技能等に応じて、業務の種類、作業時間等を十分考慮して、適正に配置することを誓約します。"]
[]
[]
["記"]
[]
["氏名"]
["生年月日"]
["健康状態"]
["職種"]
["作業経験"]
["就労時間"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,"年",null,"月",null,"日"]
[]
[]
["受領確認"]
[]
[]
["上記の者の就労報告書を受理します。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"統括安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,null,"印"]

{"sheet":"11.作業主任者","index":21,"n_rows":50,"n_cols":27,"rows_kept":50,"cut":false,"hidden":false,"merged":[[26,11,26,17],[22,11,22,17],[22,4,22,10],[19,0,19,24],[26,0,26,3],[21,0,21,3],[21,4,21,10],[6,0,6,24],[41,18,41,23],[1,23,1,24],[2,17,2,18],[9,0,9,4],[11,18,11,24],[12,18,12,23],[15,1,15,7],[22,0,22,3],[26,18,26,24],[27,4,27,10],[27,11,27,17],[27,18,27,24],[21,11,21,17],[21,18,21,24],[22,18,22,24],[10,5,10,9],[46,2,46,23],[10,0,10,4],[23,0,23,3],[24,0,24,3],[25,0,25,3],[33,17,33,18],[35,0,35,24],[41,13,41,17],[27,0,27,3],[24,4,24,10],[24,11,24,17],[24,18,24,24],[11,13,11,17],[12,13,12,17],[26,4,26,10]]}
["１１．作業主任者の選任",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,"書類一覧へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式11"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,"年",null,"月",null,"日"]
[]
[]
[]
["作業主任者選任報告書"]
[]
[]
["関門港湾建設株式会社"]
["統括安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,"殿"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"会社名",null,null,null,null,{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!L25","v":0},null,null,null,null,null,"印"]
[]
[]
["（",null,null,null,null,null,null,null,"）",null,"工事を施工するに当たり、下記のとおり作業主任者を"]
["選任しましたので、資格証（資格・修了証）を添付し、報告します。"]
[]
[]
["記"]
[]
["免許・技能講習の種類"]
["氏名"]
["生年月日",null,null,null,"S･H",null,"年",null,"月",null,"日","S･H",null,"年",null,"月",null,"日","S･H",null,"年",null,"月",null,"日"]
["作業経緯"]
["取得年月日",null,null,null,"S･H",null,"年",null,"月",null,"日","S･H",null,"年",null,"月",null,"日","S･H",null,"年",null,"月",null,"日"]
["免許・修了証番号"]
["備考"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,"年",null,"月",null,"日"]
[]
["受領確認"]
[]
[]
[null,"上記の者の作業主任者選任報告書を受理します。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"統括安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,null,"印"]
[]
[]
[null,"但し、下記の事項を遵守して作業主任者の職務を行わせること。"]
[null,"（別紙一覧表の職務内容を参考にしてください。）"]
[null,1,"作業主任者は原則的に直接作業に従事せず、指揮監督及び監視の業務に専念させること。"]
[null,2,"当該作業に対して、指揮監督する権限を与えていること。"]
[null,3,"作業主任者には腕章を着用させ、作業員全員に認識させること。"]
[null,4,"作業主任者の職務及び氏名を作業現場に掲示すること。"]

{"sheet":"12.作業手順打合せ記録","index":22,"n_rows":32,"n_cols":13,"rows_kept":32,"cut":false,"hidden":false,"merged":[[2,0,2,10],[5,0,5,4],[5,5,5,10],[6,8,8,8],[6,9,8,9],[6,10,8,10],[4,7,4,10],[6,0,8,4],[6,5,8,5],[6,6,8,6],[6,7,8,7],[17,4,17,10],[12,4,12,10],[13,1,13,3],[13,4,13,10],[18,1,18,3],[18,4,18,10],[15,4,15,10],[20,0,30,0],[20,2,20,3],[20,4,20,10],[21,2,21,3],[21,4,21,10],[22,2,22,3],[22,4,22,10],[23,2,23,3],[23,4,23,10],[24,2,24,3],[27,2,27,3],[27,4,27,10],[28,2,28,3],[28,4,28,10],[24,4,24,10],[25,2,25,3],[25,4,25,10],[26,2,26,3],[26,4,26,10],[29,2,29,3],[29,4,29,10],[30,2,30,3],[30,4,30,10],[35,8,35,10],[31,0,40,0],[31,1,31,2],[31,3,31,10],[32,5,32,7],[32,8,32,10],[40,5,40,7],[33,5,33,7],[33,8,33,10],[34,5,34,7],[34,8,34,10],[35,5,35,7],[40,8,40,10],[38,5,38,7],[38,8,38,10],[39,5,39,7],[39,8,39,10],[36,5,36,7],[36,8,36,10],[37,5,37,7],[37,8,37,10],[9,0,19,0],[9,1,9,3],[9,4,9,10],[10,1,10,3],[10,4,10,10],[11,1,11,3],[11,4,11,10],[14,1,14,3],[14,4,14,10],[15,1,15,3],[12,1,12,3],[19,1,19,3],[19,4,19,10],[16,1,16,3],[16,4,16,10],[17,1,17,3]]}
["１２．作業手順書（作業計画）及び作業手順打ち合わせ記録",null,null,null,null,null,null,null,null,null,null,null,"書類一覧へ"]
[null,null,null,null,null,null,null,null,null,null,"様式１２"]
["作業手順打ち合わせ記録（作業手順書鑑）"]
[]
[null,null,null,null,null,null,null,"№"]
["対象工事",null,null,null,null,"打合せ日"]
[null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[]
["使用機械・船舶器具","機械・船舶・器具",null,null,"仕様"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["作業員名・作業分担","氏名","作業分担",null,"免許・資格"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["参加者サイン","元請",null,"関係請負業者"]

{"sheet":"12-1.平・断面図","index":23,"n_rows":44,"n_cols":57,"rows_kept":44,"cut":false,"hidden":false,"merged":[[38,0,43,0],[0,51,0,54]]}
["車両系建設機械、クレーン、作業船等　平・断面図（作業打ち合わせ用）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"参考　12-1",null,null,null,null,"書類一覧へ"]
[]
["使用機械・器具・船舶・所有者名"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["記入事項","１．法定事項（則１５１の３，１５５）　　車両系荷役運搬機械・車両系建設機械の種類及び能力運行経路、作業の方法（土石の積み卸し場所への出入方法、作業に係る場所の広さ及び地形、荷の種類及び形状）"]
[null,"２．転落・転倒防止の措置（則１５６～１５７）　制限速度決定、路肩の崩壊防止、地盤の不同沈下防止、道路幅員の保持等の措置及び作業指揮者、誘導者（員）の氏名及び作業位置についての指示"]
[null,"３．作業員、第三者との接触防止措置（則１５８，１５９）　立入禁止区域の明示、上下作業となる場合の措置、誘導者（員）の作業位置、合図の方法並びに接触防止措置について記入"]
[null,"４．駐停車中の逸走防止等の措置（則１６０，１６５，１６６）　駐停車場所、キーの保管、逸走防止修理等作業中の安全対策について記入"]
[null,"５．その他（則１６１～１６４）　移送及び搭乗、使用、用途以外使用の制限について記入"]
[null,"６．運転者資格等の確認"]

{"sheet":"13.リース等指示書","index":24,"n_rows":51,"n_cols":19,"rows_kept":51,"cut":false,"hidden":false,"merged":[[10,2,10,16],[12,2,12,16],[11,2,11,9],[11,10,11,11],[3,5,3,9],[11,12,11,16],[8,9,8,11],[8,12,8,16],[6,0,6,1],[4,5,4,9],[3,10,4,12],[7,9,7,11],[3,2,4,4],[7,12,7,16],[6,2,6,7],[15,15,15,16],[15,0,15,14],[36,1,39,16],[41,1,44,16],[26,1,29,16],[31,1,34,16],[16,15,16,16],[19,15,19,16],[10,0,10,1],[11,0,11,1],[20,0,44,0],[45,0,49,0],[16,0,19,0],[13,0,13,1],[12,0,12,1],[50,1,50,16],[45,1,49,16],[21,1,24,16],[17,15,17,16],[18,15,18,16]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式１３",null,"書類一覧へ"]
[null,null,null,null,null,null,null,null,null,null,"平成",null,"年",null,"月",null,"日"]
[]
[null,null,"リース",null,null,"移動式クレーン",null,null,null,null,"等指示書"]
[null,null,null,null,null,"車両系建設機械"]
[]
["工事名",null,{"$f":"共通データ入力画面!L6","v":0}]
[null,null,null,null,null,null,null,null,null,"使用会社名",null,null,{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,{"$f":"共通データ入力画面!L25","v":0}]
[]
["貸与会社名"]
["機械名",null,null,null,null,null,null,null,null,null,"型式"]
["運転者名"]
["使用予定期間",null,"平成",null,"年",null,"月",null,"日","～","平成",null,"年",null,"月",null,"日"]
[]
["確認・指示事項内容",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"確認者"]
["確認事項","１．持込機械使用届（様式１３）の提出の有無"]
[null,"２．年次検査・月例検査・始業前点検の実施"]
[null,"３．運転者の免許証・技能講習修了証の有無"]
[null,"４．機械の能力・特性その他使用上の注意事項を記載した書面の有無"]
["指示事項","５．作業内容"]
[]
[]
[]
[]
[null,"６．指揮の系統"]
[]
[]
[]
[]
[null,"７．連絡・合図の方法"]
[]
[]
[]
[]
[null,"８．運行の経路・制限速度その他当該機械等の運行に関する事項"]
[]
[]
[]
[]
[null,"９．機械の操作による労働災害を防止するため必要な事項"]
[]
[]
[]
[]
["備考"]
[]
[]
[]
[]
["※","関係請負人が安衛令１０条の移動式クレーン等をリースして使用する場合は、関係請負人の「安責者」は上記の１～４の確認事項をリース業者に確認し、５～９の指示事項を運転者に指示して下さい。\nまた、本紙は元請「統責者」に提出してください。"]

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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,null,null,null,null,"様式１４",null,"書類一覧へ"]
["危 険 予 知 活 動 表"]
[]
[]
[]
[]
["作業実施日：平成    年     月     日（    ）",null,null,null,null,null,null,null,null,null,null,null,null,null,"職　員　確　認　欄"]
[]
[]
[]
[]
[null,"会　社　名",null,null,null,null,null,null,null,null,null,null,"職　長　名",null,null,null,null,null,null,null,"リスク見積りと評価",null,null,"起きる可能性極めて高い",null,"起きる可能性比較的高い",null,"たまに起きる可能性有り",null,"殆ど起きない"]
[null,"（グループ名）",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,"参　加　者　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　死亡・重度障害",null,"×","（Ａ）　即時対策が必要"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　休業１ヶ月以上",null,"▲"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　休業４日～１ヶ月未満",null,"△",null,null,"　　　（Ｂ）　何らかの対策が必要"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　不休～３日以内",null,"○",null,null,null,null,"（Ｃ）　注意は必要、現時点で対策不要"]
[null,"今日の健康状態",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"リスク評価"]
[null,"良いは○、少し悪い△",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ａ","××、×▲、▲▲、×△",null,null,"Ｂ","×○、▲○、▲△、△△、",null,null,"Ｃ","○△、○○"]
[]
[null,"作業内容",null,"どんな危険があるか                                          誰が、いつ、どこで、　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　何が原因でどのようになったか(被災状況)",null,null,null,null,null,null,null,null,null,"リスク見積り",null,null," リスク対策内容          　    　　                           　　　　　だれが、いつ、どこで、                                                      どんな防止対策を実施するか",null,null,null,null,null,null,"確認者            職長名等",null,"対策実施　            後の評価",null,"ポイント"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"重大性","可能性","評　価"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"安　全　指　示　　　　　　　　　連　絡　事　項　　　",null,"①　作業員の健康確認は必ず、職長が確認すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"④"]
[]
[null,null,null,"②",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑤"]
[]
[null,null,null,"③",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑥"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"関門港湾建設株式会社"]

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["１２．各現場持込・使用届",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"書類一覧へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式15"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,"年",null,"月",null,"日"]
[]
[null,null,"持込機械",null,null,null,null,"移動式クレーン",null,null,null,null,null,null,"等使用届"]
[null,null,null,null,null,null,null,"車両系建設機械"]
[]
["関門港湾建設株式会社"]
["統括安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,"殿"]
[null,null,null,null,null,null,null,null,null,null,null,null,"会社名",null,null,null,null,{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!L25","v":0},null,null,null,null,null,null,"印"]
[]
[]
["　下記機械を点検表により点検整備の上、持込・使用しますので、届けます。"]
["なお、使用に際しては、関係法令に定められた事項を遵守します。"]
[]
["記"]
[]
["機械","名称",null,null,null,null,"環境対策の\n設定・指定",null,null,null,null,"性能",null,null,null,null,"製造年",null,null,null,"管理番号"]
[null,"メーカー",null,null,null,null,null,null,null,null,null,"（能力）",null,null,null,null,null,null,null,null,"整理番号"]
[null,null,null,null,null,null,"排ガス",null,null,null,null,null,null,null,null,null,null,"年",null,"月"]
[null,null,null,null,null,null,"低騒音・振動等"]
["持込年月日","平成",null,null,null,"年",null,null,"月",null,null,"日","使用場所"]
["使用期間",null,"平成",null,null,null,"年",null,null,"月",null,null,"日","～","平成",null,null,null,"年",null,null,"月",null,null,"日"]
[null,"氏名",null,null,null,null,null,"資格の種類"]
["運転者"]
["取扱者"]
["年次点検",null,"年",null,"月",null,"日","移動式クレーン等の性能検査有効期限",null,null,null,null,null,null,null,null,"自動車検査証有効期限"]
["月例点検",null,"年",null,"月",null,"日",null,null,null,null,"年",null,"月",null,"日",null,null,null,null,"年",null,"月",null,"日"]
["特定自主検査",null,"年",null,"月",null,"日"]
["任意保険","加入額",null,"対人",null,null,null,null,null,null,"千円","搭乗者",null,null,null,null,null,null,"千円","有効期限"]
[null,null,null,"対物",null,null,null,null,null,null,"千円","その他",null,null,null,null,null,null,"千円",null,"年",null,"月",null,"日"]
["機械等の特性・その他使用上注意すべき事項"]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,"年",null,"月",null,"日"]
[]
[]
["受領確認"]
[]
[]
["上記機械等の持込使用届を受理します。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"統括安全衛生責任者",null,null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,null,"印"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式15-1",null,null,null,"書類一覧へ"]
["持込時の点検"]
[]
["持込使用会社",null,null,null,{"$f":"共通データ入力画面!L17","v":0},null,null,null,null,null,null,"機械所有会社名",null,null,null,"　　　　　　　　　　　　　　　　　　　　　"]
["安全衛生責任者",null,null,null,{"$f":"共通データ入力画面!L25","v":0},null,null,null,null,null,null,"代表者名",null,null,null,"　　　　　　　　　　　　　　　　　　　　　"]
[null,null,null,null,null,null,null,null,null,null,null,"点検責任者名",null,null,null,"　　　　　　　　　　　　　　　　　　　　　"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"点検日",null,"平成",null,null,"年",null,"月",null,"日"]
["移動式クレーン等",null,null,null,null,null,null,null,"車両系建設機械",null,null,null,null,null,null,null,"機械名"]
["点検事項",null,null,null,null,null,"点検","結果","点検事項",null,null,null,null,null,"点検","結果",1,"クレーン"]
[null,null,null,null,null,null,"ａ","ｂ",null,null,null,null,null,null,"ａ","ｂ",2,"移動式クレーン"]
["Ａクレーン部・上部走行体","安全装置","巻過防止装置",null,null,null,null,null,"Ｄ安全装置","各種ロック","旋回",null,null,null,null,null,3,"デリック"]
[null,null,"荷負荷防止装置",null,null,null,null,null,null,null,"バケット",null,null,null,null,null,4,"エレベーター"]
[null,null,"フックの外れ止め",null,null,null,null,null,null,null,"ブーム・アーム",null,null,null,null,null,5,"建設用リフト"]
[null,null,"起伏制御装置",null,null,null,null,null,null,null,null,null,null,null,null,null,6,"高所作業車"]
[null,null,"旋回警報装置",null,null,null,null,null,null,null,null,null,null,null,null,null,7,"ゴンドラ"]
[null,"制動装置・作業装置","主巻・補巻",null,null,null,null,null,null,null,null,null,null,null,null,null,8,"ブル･トーザー"]
[null,null,"起伏・旋回",null,null,null,null,null,null,"警報装置",null,null,null,null,null,null,9,"モーターグレーター"]
[null,null,"クラッチ",null,null,null,null,null,null,"アウトリガ",null,null,null,null,null,null,10,"トラクターショベル"]
[null,null,"ブレーキ・ロック",null,null,null,null,null,null,"ヘッドガード",null,null,null,null,null,null,11,"ずり積機"]
[null,null,"ジブ",null,null,null,null,null,null,"照明",null,null,null,null,null,null,12,"スクレーパー"]
[null,null,"滑車",null,null,null,null,null,"Ｅ作業装置","操作装置",null,null,null,null,null,null,13,"スクレープドーザー"]
[null,null,"フック・バケット",null,null,null,null,null,null,"バケット・ブレード",null,null,null,null,null,null,14,"パワーショベル"]
[null,null,"ﾜｲﾔｰﾛｰﾌﾟﾁｪｰﾝ",null,null,null,null,null,null,"ブーム・アーム",null,null,null,null,null,null,15,"ドラグショベル"]
[null,null,"玉掛用具",null,null,null,null,null,null,"ジフ",null,null,null,null,null,null,16,"ドラグライン"]
[null,"その他","操作装置",null,null,null,null,null,null,"リーダー",null,null,null,null,null,null,17,"クラムシェル"]
[null,null,"性能表示",null,null,null,null,null,null,"ﾊﾝﾏｰ･ｵｰｶﾞｰ･ﾊﾞｲﾌﾞﾛ",null,null,null,null,null,null,18,"バケット掘削機"]
[null,null,"照明",null,null,null,null,null,null,"油圧駆動装置",null,null,null,null,null,null,19,"トレンチャー"]
["B車両部・下部走行体","走行部","ブレーキ",null,null,null,null,null,null,"ﾜｲﾔﾛｰﾌﾟ･ﾁｪｰﾝ",null,null,null,null,null,null,20,"コンクリート圧砕機"]
[null,null,"クラッチ",null,null,null,null,null,null,"つり具等",null,null,null,null,null,null,21,"杭打ち機"]
[null,null,"ハンドル",null,null,null,null,null,null,"滑車",null,null,null,null,null,null,22,"杭抜き機"]
[null,null,"タイヤ",null,null,null,null,null,"Ｆ走行部","ブレーキ",null,null,null,null,null,null,23,"アース・ドリル"]
[null,null,"クローラー",null,null,null,null,null,null,"駐車ブレーキ",null,null,null,null,null,null,24,"ﾘﾊﾞｰｽ･ｻｰｷｭﾚｰｼｮﾝﾄﾞﾘﾙ"]
[null,"安全装置等","警報装置",null,null,null,null,null,null,"ブレーキロック",null,null,null,null,null,null,25,"穿孔機"]
[null,null,"各種ミラー",null,null,null,null,null,null,"クラッチ",null,null,null,null,null,null,26,"アース･オーガー"]
[null,null,"方向指示器",null,null,null,null,null,null,"操縦装置",null,null,null,null,null,null,27,"ﾍﾟｰﾊﾟｰ･ﾄﾞﾚｰﾝ･ﾏｼｰﾝ"]
[null,null,"前後照灯",null,null,null,null,null,null,"タイヤ・鉄輪",null,null,null,null,null,null,28,"地下連続壁施工機械"]
[null,null,"左折プロテクター",null,null,null,null,null,null,"クローラー",null,null,null,null,null,null,29,"ローラー"]
[null,null,"アウトリガ",null,null,null,null,null,"Ｇ電気","配電盤",null,null,null,null,null,null,30,"クローラードリル"]
[null,null,"昇降装置",null,null,null,null,null,null,"配線",null,null,null,null,null,null,31,"ドリルジャンボ"]
[null,null,"ベッセル",null,null,null,null,null,null,"絶縁",null,null,null,null,null,null,32,"ロードヘッダー"]
[null,null,"後方監視装置",null,null,null,null,null,null,"アース",null,null,null,null,null,null,33,"アスファルトフィニッシャー"]
["Cゴンドラ","突りょう",null,null,null,null,null,null,"Ｈその他",null,null,null,null,null,null,null,34,"スタビライザ"]
[null,"作業床",null,null,null,null,null,null,null,null,null,null,null,null,null,null,35,"ロードプレーナ"]
[null,"昇降装置",null,null,null,null,null,null,null,null,null,null,null,null,null,null,36,"ロードカッター"]
[null,"電気装置",null,null,null,null,null,null,null,null,null,null,null,null,null,null,37,"コンクリート吹付機"]
[null,"ワイヤ・ライフライン",null,null,null,null,null,null,null,null,null,null,null,null,null,null,38,"ボーリングマシン"]
[1,"持込機械等の届出は、当該機械を持ち込む会社（貸与を受けた会社が下請の場合はその会社）の代表者が所長に届け出ること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,39,"重ダンプトラック"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,40,"ダンプトラック"]
[2,"点検表の点検結果には該当する箇所へレ印を記入すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,41,"ドラックミキサー"]
[3,"機械名１～6まではＡ，Ｂ欄を、７はＣ欄を、８～38まではＤ，Ｅ，Ｆ，Ｇ欄を、38～43まではＢ欄を、44はＢ，Ｄ，Ｅを使用して点検すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,42,"散水車"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,43,"不整地運転車"]
[4,"点検結果のａは機械所有会社の確認欄とし、ｂは持込会社又は機械使用会社の確認欄とする。元請が確認するときはｂ欄を利用すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,44,"コンクリートポンプ車"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,45,"その他"]
[5,"定期自主検査の記録表を添付すること。"]

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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,"様式16",null,"書類一覧へ"]
[null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,null,null,"持込機械",null,"電気工具",null,null,"等使用届"]
[null,null,null,null,null,"電気溶接機械"]
[]
[]
["関門港湾建設株式会社"]
["統括安全衛生責任者",null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,"殿"]
[null,null,null,null,null,null,null,"持込会社名",null,null,null,null,null,{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,{"$f":"共通データ入力画面!L25","v":0},null,null,null,null,null,null,null,"印"]
[]
[]
["　下記機械を点検表により、点検整備の上、持込・使用しますので、届けます。"]
["なお、使用に際しては、関係法令に定められた事項を遵守します。"]
[]
["記"]
[]
["番号","機械名",null,null,"規格・性能","受理番号","点検者","持込年月日",null,null,null,null,null,"搬出予定年月日",null,null,null,null,null,"取扱者"]
[null,null,null,null,null,null,null,"受理年月日"]
[1,null,null,null,null,null,null,null,"年",null,"月",null,"日",null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[2,null,null,null,null,null,null,null,"年",null,"月",null,"日",null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[3,null,null,null,null,null,null,null,"年",null,"月",null,"日",null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[4,null,null,null,null,null,null,null,"年",null,"月",null,"日",null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[5,null,null,null,null,null,null,null,"年",null,"月",null,"日",null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[6,null,null,null,null,null,null,null,"年",null,"月",null,"日",null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[7,null,null,null,null,null,null,null,"年",null,"月",null,"日",null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[8,null,null,null,null,null,null,null,"年",null,"月",null,"日",null,"年",null,"月",null,"日"]
[null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
["機械等の特性その他使用上注意すべき事項",null,null,null,null,"使用前点検の励行"]
[null,null,null,null,null,"アースの確実な接地"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,null,"年",null,null,"月",null,null,"日"]
[]
["受領確認"]
[]
["上記の機械等の持込使用届を受理します。"]
[]
[null,null,null,null,null,null,null,null,"統括安全衛生責任者",null,null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,null,null,"印"]
[]
["※","機械に貼付するステッカーには受理番号を記入する。"]

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[]
["持込時の点検表"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"点検日",null,"平成",null,null,"年",null,"月",null,"日"]
[]
["電動工具・電気溶接機械等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"機械名"]
["点検事項",null,null,null,"番号",null,1,2,3,4,5,6,7,8,9,10,1,"電動カンナ"]
["アース線",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,2,"電動ドリル"]
["接地クランプ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,3,"電動丸の子"]
["キャップタイヤ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,4,"グラインダー等"]
["コネクタ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,"アーク溶接機"]
["接続端子の締結",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,"ウインチ"]
["充電部の絶縁",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,7,"発電機"]
["自動電撃防止装置",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,8,"トランス"]
["絶縁ホルダー",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9,"コンプレッサー"]
["溶接保護面",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,10,"送風機"]
["操作スイッチ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,11,"ポンプ類"]
["絶縁抵抗値測定",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,12,"ミキサー類"]
["各種ブレーキの作動",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,13,"コンベヤー類"]
["手摺り・囲い",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,14,"吹付機"]
["フックの外れ止め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,15,"ボーリングマシーン"]
["ワイヤーロープ・チェーン",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,16,"振動コンパクター"]
["滑車",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,17,"バイブレーター"]
["回転部の囲い等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,18,"鉄筋加工機"]
["点検表示",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,19,"電動チェーンブロック"]
["その他",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,20,"その他"]
["圧力スイッチ"]
["安全弁"]
["圧力計"]
[]
[]
[]
[]
[]
[]
[1,"持込機械等の届出は、当該機械を持ち込む会社（貸与を受けた会社が下請の場合はその会社）の代表者が所長に届け出ること。"]
[]
[2,"点検表の点検結果欄には、該当する箇所へレ印を記入すること。"]
[3,"絶縁抵抗測定値については、実測値（ＭΩ）を記入すること。"]
[4,"持込機械届受理証を持込機械に貼付すること。"]

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[]
[null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,"年",null,"月",null,"日"]
[]
[]
["持込作業船等使用届"]
[]
[]
["関門港湾建設株式会社"]
["統括安全衛生責任者",null,{"$f":"共通データ入力画面!AP8","v":0},null,"殿"]
[null,null,null,null,null,null,"持込会社名",null,null,null,null,{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!L25","v":0},null,null,null,null,null,null,"印"]
[]
[]
["　下記作業船を点検表により、点検整備の上、持込・使用しますので、船舶検査証、任意保険等必要書類を添付し、届けます。"]
[]
["　なお、使用に際しては、関係法令に定められた事項を遵守します。"]
[]
["記"]
[]
["作業船種類・船名",null,null,"形式・能力","使用期間"]
[]
[null,null,null,null,"平成",null,"年",null,"月",null,"日","～","平成",null,"年",null,"月",null,"日"]
[]
[]
[]
[null,null,"氏　　　名",null,"資格・種別"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,"年",null,"月",null,"日"]
[]
[]
["受領確認"]
[]
["上記作業船等の持込使用届を受理します。"]
[]
[null,null,null,null,null,null,"統括安全衛生責任者",null,null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,null,"印"]

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[null,null,null,null,null,null,null,null,null,"様式17-1",null,null,null,null,null,"書類一覧へ"]
[]
["持込時の点検表"]
["船名"]
[null,null,null,null,"点検日","平成",null,"年",null,"月",null,"日"]
["作業船等"]
["点検事項",null,"点検\n結果","点検事項",null,"点検\n結果","作業船の種類"]
["船体","ビルジの有無",null,"潜水士船","電話機の感度",null,1,"ドラグサクション浚渫船"]
[null,"ケーシングの損傷",null,null,"送気管の状況",null,2,"ポンプ浚渫船"]
[null,"甲板の損傷",null,null,"各計器の状況",null,3,"クラブ浚渫船"]
[null,"バッチ蓋の損傷",null,null,"回転部の囲い等",null,4,"ディッパー浚渫船"]
[null,"係留装置の損傷",null,"浚渫船","ラダー・スパットの状況",null,5,"起重機船"]
[null,"防舷材の損傷",null,null,"カッターの状況",null,6,"杭打船"]
[null,"転落防止装置",null,null,"ワイヤロープの状況",null,7,"砕岩船"]
[null,"消火装置の良否",null,"起重機船","クレーンの検査証",null,8,"サンドドレーン船"]
[null,"救命設備の良否",null,null,"駆動装置の状況",null,9,"サンドコンパクション船"]
[null,"法定形象物の有無",null,null,"安全装置の状況",null,10,"深層混合処理船"]
[null,"標識灯・灯火",null,null,"玉掛け用具の状況",null,11,"引船"]
[null,"安全装身具の備付",null,"グラブ船","バケット・ブームの状況",null,12,"土運船"]
[null,"居住区の状況",null,null,"旋回内の立入禁止",null,13,"ガット船"]
["機関部","排気管の状況",null,null,"ワイヤロープの異常",null,14,"押船"]
[null,"蒸気管の状況",null,null,null,null,15,"磁気探"]
[null,"ＬＯ，ＦＯの状況",null,"土運船","積載量の表示",null,16,"潜水士船"]
[null,"漏水の有無",null,null,"曳航索の取付状況",null,17,"ＳＥＰ"]
[null,"歯車、プーリー囲い",null,null,"泥倉扉の開閉状況",null,18,"フローティングドッグ"]
[null,"引火物等の保管",null,"ガット船","船舶検査証の備付",null,19,"コンクリートミキサー船"]
[null,"灯火の良否",null,null,"船倉の異常の有無",null,20,"揚錨船"]
[null,"各標識の表示",null,null,"揚荷装置の異常",null,21,"測量船"]
[null,"室内の整理整頓",null,null,null,null,22,"クレーン台船"]
["電気部","防火措置の状況",null,"杭打船","櫓・リーダーの状況",null,23,"台船"]
[null,"損傷の有無",null,null,"ハンマーの状況",null,24,"フローター"]
[null,"開閉器の状況",null,null,"杭の取込装置",null,25,"その他"]
[null,"充電部の露出状況",null,"ＳＥＰ","船舶検査証の有無"]
["装置","揚荷装置の状況",null,null,"船体と昇の設備"]
[null,"ウインチの状況",null,null,"昇降設備の状況"]
[null,"溶接装置の状況",null,null,"夜間灯柱等"]
[null,"炊事設備の状況",null,"ＦＤ","クレーン検査証"]
[null,"踊場・階段・手摺",null,null,"各種安全装置"]
[null,null,null,null,"注水装置の状況"]
[null,null,null,null,"玉掛け用具の状況"]

{"sheet":"18.危険物・有害物","index":32,"n_rows":57,"n_cols":25,"rows_kept":57,"cut":false,"hidden":false,"merged":[[52,0,52,22],[56,4,56,5],[56,11,56,15],[56,16,56,21],[39,0,42,3],[40,4,42,22],[0,21,0,22],[1,15,1,16],[3,0,3,22],[50,6,50,9],[35,0,38,3],[36,4,38,22],[27,4,27,22],[31,0,34,3],[32,4,34,22],[24,0,24,3],[27,0,30,3],[28,4,30,22],[23,12,25,14],[26,5,26,6],[26,14,26,15],[26,0,26,3],[23,4,25,11],[23,15,25,22],[19,0,22,3],[20,4,22,22],[18,4,18,7],[18,8,18,11],[18,12,18,14],[18,15,18,18],[18,19,18,22],[13,0,18,3],[16,19,16,22],[17,4,17,7],[17,8,17,11],[17,12,17,14],[17,15,17,18],[16,4,16,7],[16,15,16,18],[15,4,15,7],[15,8,15,11],[15,12,15,14],[15,15,15,18],[14,4,14,7],[14,8,14,11],[17,19,17,22],[7,12,7,15],[8,12,8,15],[14,19,14,22],[15,19,15,22],[7,16,7,21],[14,12,14,14],[14,15,14,18],[8,16,8,21],[13,12,13,14],[13,15,13,18],[13,19,13,22],[16,8,16,11],[16,12,16,14],[5,0,5,4],[6,0,6,4],[6,5,6,10],[13,4,13,7],[13,8,13,11]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式18",null,null,"書類一覧へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,"年",null,"月",null,"日"]
[]
["危険物・有害物持込使用届"]
[]
["関門港湾建設株式会社"]
["統括安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,null,"殿"]
[null,null,null,null,null,null,null,null,null,null,null,null,"持込会社名",null,null,null,{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,{"$f":"共通データ入力画面!L25","v":0},null,null,null,null,null,"印"]
[]
["　このたび、下記危険物・有害物を持込・使用しますので、届けます。"]
["なお、使用に際しては、関係法令に定められた事項を遵守するとともに盗難予防に努めます。"]
[]
["使用材料",null,null,null,"商品名",null,null,null,"メーカー名",null,null,null,"搬入量",null,null,"種別",null,null,null,"含有成分"]
[]
[]
[]
[]
[]
["作業名及び\n使用場所",null,null,null,"（災害又は健康障害の発生しやすい場所は必ず記入する）"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,"使用器具\n又は工具"]
["保管場所"]
[]
["使用期間",null,null,null,null,"平成",null,null,"年",null,"月",null,"日","～","平成",null,null,"年",null,"月",null,"日"]
["作業主任者",null,null,null,"（屋内作業場、タンク等で許容消費量の有機溶剤を取扱う作業又は特別化学物質等を取扱う作業は技能講習修了者）"]
[]
[]
[]
["危険物取扱責任者",null,null,null,"（消防法で決められた量以上を貯蔵する場合は危険物取扱の免許取得者）"]
[]
[]
[]
["換気方法・種類",null,null,null,"（主なものを記入する。詳細は別に計画書を作成する）"]
[]
[]
[]
["備考",null,null,null,"（防毒マスク等の使用又はほかの職種に関係ある事項等を記入する）"]
[]
[]
[]
[]
["注",1,"商品名、種別、含有成分等は材料に添付されているラベル成分表等から写し、記入する。"]
[null,2,"危険物とは、ガソリン、軽油、灯油、プロパン、アセチレンガス等をいう。"]
[null,3,"有害物とは、塗装、防水等に使用する有機溶剤、特定化学物質等をいう。"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,"年",null,"月",null,"日"]
[]
["受領確認"]
[]
["上記の持込使用届を受理します。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"統括安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,null,"印"]

{"sheet":"19.通勤・工事用車両届","index":33,"n_rows":48,"n_cols":25,"rows_kept":48,"cut":false,"hidden":false,"merged":[[47,4,47,5],[43,0,43,22],[47,11,47,15],[47,16,47,21],[26,12,26,14],[27,1,27,3],[30,1,30,3],[40,6,40,9],[26,1,26,3],[27,4,27,11],[29,1,29,3],[28,1,28,3],[26,15,26,22],[27,0,28,0],[29,12,29,14],[25,1,25,3],[25,4,25,22],[30,8,30,10],[29,4,29,11],[26,4,26,11],[24,0,26,0],[24,1,24,3],[30,19,30,21],[23,1,23,3],[22,0,23,0],[17,0,17,3],[18,0,20,3],[30,16,30,18],[29,0,31,0],[30,4,30,6],[30,11,30,14],[29,16,29,21],[24,4,24,11],[27,16,27,21],[18,21,20,21],[31,1,31,3],[24,12,24,14],[24,15,24,16],[27,12,27,14],[0,20,0,22],[4,0,4,22],[8,0,8,4],[7,0,7,4],[22,4,22,11],[22,1,22,3],[14,0,15,22],[21,16,21,22],[22,15,22,22],[21,0,21,3],[22,12,22,14],[8,5,8,10],[9,12,9,15],[16,0,16,22],[21,4,21,10],[19,16,19,18],[9,16,9,21],[10,12,10,15],[12,1,12,7],[21,11,21,15],[18,19,20,19],[10,16,10,21]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式19",null,null,null,"書類一覧へ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,"年",null,"月",null,"日"]
[]
[]
["通勤用・工事用　車両届"]
[]
[]
["関門港湾建設株式会社"]
["統括安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,null,"殿"]
[null,null,null,null,null,null,null,null,null,null,null,null,"持込会社名",null,null,null,{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,{"$f":"共通データ入力画面!L25","v":0},null,null,null,null,null,"印"]
[]
["（",{"$f":"共通データ入力画面!L6","v":0},null,null,null,null,null,null,"）","工事を施工するに当たり、下記のとおり車両を運行します"]
["ので、車検証、運転免許証、保険証、運行経路平面図等必要書類を添付し届け出ます。"]
["但し、交通法規はもとより、貴所の指示事項を遵守し、当社の使用車両並びに運転手に対しては、常に適切な安全措置を講じ、車両、交通災害防止に努めます。"]
[]
["記"]
["使用期間",null,null,null,null,"自","平成",null,"年",null,"月",null,"日","～","至","平成",null,"年",null,"月",null,"日"]
["運行時刻",null,null,null,"出勤","自",null,"時",null,"分",null,"至",null,"時",null,"分"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所要時間",null,null,null,"時間",null,"分"]
[null,null,null,null,"退勤","自",null,"時",null,"分",null,"至",null,"時",null,"分"]
["所有者氏名",null,null,null,null,null,null,null,null,null,null,"安全運転管理者氏名"]
["車両","型式",null,null,null,null,null,null,null,null,null,null,"車両番号"]
[null,"車検期間",null,null,null,"自","平成",null,"年",null,"月",null,"日","～","至","平成",null,"年",null,"月",null,"日"]
["運転手","氏名",null,null,null,null,null,null,null,null,null,null,"生年月日",null,null,"昭和・平成",null,null,"年",null,"月",null,"日"]
[null,"住所"]
[null,"免許の種類",null,null,null,null,null,null,null,null,null,null,"免許番号"]
["自責","保険会社名",null,null,null,null,null,null,null,null,null,null,"証券番号",null,null,"第",null,null,null,null,null,null,"号"]
[null,"保険期間",null,null,null,"自","平成",null,"年",null,"月",null,"日","～","至","平成",null,"年",null,"月",null,"日"]
["任意","保険会社名",null,null,null,null,null,null,null,null,null,null,"証券番号",null,null,"第",null,null,null,null,null,null,"号"]
[null,"対人",null,null,null,null,null,"万円","対物",null,null,null,null,null,null,"万円","搭乗者",null,null,null,null,null,"万円"]
[null,"保険期間",null,null,null,"自","平成",null,"年",null,"月",null,"日","～","至","平成",null,"年",null,"月",null,"日"]
[]
["注",1,"この届出書は車両1台ごとに提出すること。"]
[null,2,"この届出書に「任意保険」の証書の写しを添付して提出すること。"]
[null,3,"マイクロバス等についても記載すること。"]
[null,4,"運転者が変わった場合はその都度届け出ること。"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,"年",null,"月",null,"日"]
[]
[]
["受領確認"]
[]
["上記の車両届を受理します。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"統括安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,null,"印"]

{"sheet":"20.火気使用","index":34,"n_rows":39,"n_cols":25,"rows_kept":39,"cut":false,"hidden":false,"merged":[[0,21,0,22],[2,15,2,16],[18,0,18,22],[10,12,10,15],[11,12,11,15],[10,16,10,21],[8,0,8,4],[9,0,9,4],[9,5,9,10],[14,1,14,7],[5,0,5,22],[11,16,11,21],[28,0,28,3],[23,0,23,3],[25,8,25,22],[21,0,22,1],[21,2,21,3],[25,4,25,7],[22,2,22,3],[28,4,28,22],[24,0,25,3],[22,4,22,9],[22,10,22,11],[26,4,27,22],[21,12,21,13],[22,12,22,13],[20,4,20,22],[20,0,20,3],[38,0,41,3],[33,0,33,3],[34,8,35,20],[36,8,37,20],[38,4,41,22],[33,6,33,8],[34,21,35,21],[36,21,37,21],[33,14,33,15],[33,11,33,13],[34,0,37,3],[34,4,35,7],[36,4,37,7],[26,0,26,3]]}
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式20",null,null,"書類一覧へ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"平成",null,null,"年",null,"月",null,"日"]
[]
[]
["火気使用申請書"]
[]
[]
["関門港湾建設株式会社"]
["統括安全衛生責任者",null,null,null,null,{"$f":"共通データ入力画面!AP8","v":0},null,null,null,null,null,"殿"]
[null,null,null,null,null,null,null,null,null,null,null,null,"持込会社名",null,null,null,{"$f":"共通データ入力画面!L17","v":0}]
[null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,{"$f":"共通データ入力画面!L25","v":0},null,null,null,null,null,"印"]
[]
[]
["（",{"$f":"共通データ入力画面!L6","v":0},null,null,null,null,null,null,"）","工事を施工するに当たり、下記要領で火気を使用したく、"]
["許可願います。"]
["なお、火気の使用終了時には、必ずその旨報告します。"]
[]
["記"]
[]
["使用場所"]
["使用\n目的",null,"工事",null,"溶接、溶断、圧接、防水、乾燥",null,null,null,null,null,null,null,"使用時間",null,null,"時",null,"分","～",null,"時",null,"分"]
[null,null,"日常",null,"採暖、湯沸、炊事、その他",null,null,null,null,null,"(　　　　)",null,"使用期間",null,null,"月",null,"日","～",null,"月",null,"日"]
["火気の種類",null,null,null,"電気、ガス、灯油、重油、木炭、薪、その他（　　　　　　　）"]
["管理方法",null,null,null,"消火器、防火用水、消化砂、防災シート、受皿、標識、監視"]
[null,null,null,null,"取扱上の注意"]
["火元責任者"]
["(後始末巡回者)"]
["火気使用責任者"]
[]
["※","使用目的、火気の種類、管理方法は該当事項を○で囲んでください。"]
[]
[]
["許可番号",null,null,null,null,"第",null,null,null,"号",null,"許可年月日",null,null,"平成",null,null,"年",null,"月",null,"日"]
["火気使用許可",null,null,null,"防火管理者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印"]
[]
[null,null,null,null,"担当係員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"印"]
[]
["許可条件"]

{"sheet":"21.移動式クレーン","index":35,"n_rows":107,"n_cols":82,"rows_kept":107,"cut":false,"hidden":false,"merged":[[105,47,108,48],[61,8,62,13],[61,14,62,22],[61,23,62,28],[61,29,62,37],[63,8,64,13],[63,14,64,22],[83,20,85,37],[87,26,90,31],[89,8,90,19],[97,8,98,19],[99,8,100,19],[101,8,102,19],[103,8,104,19],[85,8,86,19],[105,44,108,45],[35,48,36,79],[37,48,38,79],[33,44,34,44],[33,45,34,79],[33,25,36,37],[41,8,42,15],[42,31,43,37],[27,38,34,43],[35,38,38,47],[33,20,36,24],[43,21,46,25],[43,9,46,12],[43,29,46,30],[37,36,40,37],[43,13,46,15],[37,33,40,35],[37,8,40,8],[37,9,40,12],[44,32,46,35],[29,20,32,25],[6,29,7,29],[11,45,12,79],[31,44,32,44],[31,45,32,79],[21,44,22,44],[21,45,22,79],[23,44,24,44],[23,45,24,79],[17,44,18,44],[19,38,26,43],[25,44,26,44],[25,45,26,79],[27,44,28,44],[27,45,28,79],[29,44,30,44],[29,45,30,79],[2,39,7,43],[9,38,18,43],[6,1,7,3],[6,4,7,4],[6,5,7,10],[6,11,7,13],[13,27,16,27],[9,28,12,28],[6,15,7,18],[6,19,7,19],[9,0,12,7],[9,19,12,20],[6,20,7,22],[6,23,7,23],[81,21,82,22],[79,29,80,37],[0,44,1,48],[2,44,7,48],[2,59,7,63],[0,49,1,58],[2,49,7,58],[19,45,20,79],[13,44,14,44],[9,45,10,79],[11,44,12,44],[15,44,16,44],[9,44,10,44],[13,45,14,79],[17,45,18,79],[15,45,16,79],[19,44,20,44],[2,64,7,79],[0,77,1,79],[6,26,7,26],[6,27,7,28],[9,25,12,25],[9,26,12,27],[29,26,32,29],[105,46,108,46],[44,31,46,31],[44,36,46,36],[44,37,46,37],[69,29,70,37],[75,28,76,37],[77,23,78,32],[81,28,82,29],[79,28,80,28],[51,29,54,32],[93,27,94,30],[81,30,82,30],[81,31,82,32],[81,23,82,23],[81,24,82,25],[81,26,82,27],[105,38,108,42],[51,26,54,27],[51,28,54,28],[47,20,50,24],[51,36,54,37],[51,33,54,35],[58,36,60,36],[56,31,57,37],[79,24,80,27],[81,33,82,35],[79,19,80,22],[83,8,84,19],[33,18,36,19],[33,13,36,17],[37,16,40,17],[37,18,40,18],[81,12,82,13],[81,14,82,15],[57,29,60,30],[57,21,60,25],[51,16,54,17],[37,26,40,27],[43,16,46,17],[37,19,40,22],[79,14,80,17],[37,23,40,25],[43,18,46,20],[51,18,54,18],[57,18,60,20],[37,13,40,15],[69,8,70,13],[65,8,68,13],[101,27,102,30],[105,32,106,35],[96,21,97,24],[96,33,97,36],[101,22,102,25],[101,32,102,35],[67,23,68,25],[63,26,64,37],[65,26,66,37],[75,27,76,27],[69,14,70,22],[65,23,66,25],[67,26,68,37],[63,23,64,25],[71,36,72,37],[71,32,72,35],[71,20,72,20],[71,25,72,27],[71,28,72,31],[73,28,74,37],[79,23,80,23],[71,24,72,24],[77,22,78,22],[73,24,74,27],[106,1,107,4],[106,5,107,6],[104,1,105,4],[104,5,105,6],[105,8,106,19],[107,8,108,19],[81,19,82,20],[81,17,82,18],[61,0,70,7],[102,5,103,6],[77,18,78,21],[79,8,80,8],[79,9,80,12],[77,8,78,11],[77,12,78,12],[79,18,80,18],[95,8,96,19],[81,11,82,11],[79,0,80,7],[81,0,82,7],[102,1,103,4],[87,8,88,19],[81,8,82,10],[81,16,82,16],[100,1,101,6],[83,0,98,7],[73,8,74,9],[73,10,74,10],[73,11,74,12],[75,17,76,17],[77,17,78,17],[73,17,74,18],[75,8,76,11],[75,12,76,12],[75,13,76,16],[77,13,78,16],[73,13,74,16],[91,8,92,19],[93,8,94,19],[79,13,80,13],[9,8,12,11],[9,12,12,12],[25,0,28,7],[25,8,28,37],[29,0,32,7],[29,30,32,33],[13,17,16,18],[13,16,16,16],[21,0,24,7],[29,8,32,10],[17,8,20,37],[9,33,12,34],[9,31,12,31],[9,37,12,37],[9,32,12,32],[9,35,12,36],[33,0,60,7],[73,0,74,7],[71,0,72,7],[75,0,76,7],[71,13,72,16],[29,17,32,19],[29,34,32,37],[77,0,78,7],[51,8,54,8],[29,11,32,16],[47,8,50,12],[47,13,50,17],[47,18,50,19],[71,8,72,9],[71,11,72,12],[51,13,54,15],[71,10,72,10],[33,8,36,12],[57,9,60,12],[71,21,72,23],[75,18,76,21],[73,20,74,22],[71,17,72,19],[69,23,70,28],[0,0,4,21],[0,22,4,36],[6,24,7,25],[13,19,16,19],[0,64,1,76],[23,8,24,37],[13,11,16,11],[13,12,16,14],[9,29,12,30],[9,21,12,24],[9,18,12,18],[9,16,12,17],[9,13,12,14],[21,8,22,37],[9,15,12,15],[13,8,16,10],[13,20,16,22],[13,24,16,26],[17,0,20,7],[13,0,16,7],[13,23,16,23],[13,15,16,15],[0,59,1,63],[0,39,1,43],[75,23,76,26],[73,23,74,23],[73,19,74,19],[75,22,76,22],[65,14,66,22],[51,19,54,22],[57,13,60,15],[57,16,60,17],[37,28,40,28],[43,26,46,28],[47,25,50,37],[51,23,54,25],[57,26,60,28],[55,8,56,15],[51,9,54,12],[67,14,68,22],[58,37,60,37],[58,31,60,31],[37,29,40,32],[58,32,60,35]]}
["移 動 式 ク レ ー ン",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作　業　計　画　書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"統責者",null,null,null,null,"元方安管者",null,null,null,null,"担当職員",null,null,null,null,null,null,null,null,null,"措置義務者",null,null,null,null,"打合せ参加者サイン",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"書類一覧へ"]
[]
[]
[]
[]
[]
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[]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 2."]
[]
["作　業　時　間",null,null,null,null,null,null,null,null,null,null,"時",null,null,null,"分",null,"～",null,null,null,null,null,"時",null,null,null,"分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 3."]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4."]
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["作　業　場　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," 5."]
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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,null,null,null,null,null,null,null,null,null,null,null,null,"指 示 事 項",null,null,null,null,null," 1."]
[]
["作　業　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," 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,null,null,null,null,null,null,null,null,null,null,null,null," 3."]
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["使　用　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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4."]
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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,null,null,null,null,null,null,null,null,null,null,null,null,"特 記 事 項",null,null,null,null,null," 1."]
[]
["使 用 ク レ ー ン",null,null,null,null,null,null,null,"形式",null,null,null,null,null,null,null,null,"能力",null,null,null,null,null,null,null,null,"元請リース",null,null,null,"下請持込",null,null,null,"下請リース",null,null,null,null,null,null,null,null,null," 2."]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 3."]
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["作　業　条　件",null,null,null,null,null,null,null,"最大作業半径",null,null,null,null,null,null,null,null,null,"ｍ",null,"吊荷の種類",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4."]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【  作 業 平 面 図  】",null,null,null,null,null,null,null,null,null,"・作業場所全体を示す平面図、必要に応じて側面図を記載"]
[]
[null,null,null,null,null,null,null,null,"①","フック荷重",null,null,null,null,null,null,"ｔ",null,"②","吊具荷重",null,null,null,null,null,null,"ｔ",null,"③","吊荷最大荷重",null,null,null,null,null,null,"ｔ",null,null,null,null,null,null,null,null,null,null,null,"･運行経路、各作業者の位置、立入禁止場所を明示する"]
[]
[]
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[null,null,null,null,null,null,null,null,"※吊能力の検討結果※"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"定格荷重の90％"]
[null,null,null,null,null,null,null,null,null,"定格荷重",null,null,null,null,null,null,"ｔ",null,"≧",null,null,"作業最大荷重　　　　（①+②+③）",null,null,null,null,{"$f":"IF(N38=\"\",\"\",N38+X38+AH38)","v":""},null,null,"ｔ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",{"$f":"IF(N44=\"\",\"\",N44*0.9)","v":""},null,null,null,"ｔ","）"]
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[null,null,null,null,null,null,null,null,"最大作業半径",null,null,null,null,null,null,null,null,null,"ｍ",null,"吊荷の種類"]
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[]
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[null,null,null,null,null,null,null,null,"①","フック荷重",null,null,null,null,null,null,"ｔ",null,"②","吊具荷重",null,null,null,null,null,null,"ｔ",null,"③","吊荷最大荷重",null,null,null,null,null,null,"ｔ"]
[]
[]
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[null,null,null,null,null,null,null,null,"※吊能力の検討結果※"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"定格荷重の90％"]
[null,null,null,null,null,null,null,null,null,"定格荷重",null,null,null,null,null,null,"ｔ",null,"≧",null,null,"作業最大荷重　　　　（①+②+③）",null,null,null,null,{"$f":"IF(N52=\"\",\"\",N52+X52+AH52)","v":""},null,null,"ｔ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",{"$f":"IF(N58=\"\",\"\",N58*0.9)","v":""},null,null,null,"ｔ","）"]
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["人　員　配　置",null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業指揮者"]
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[null,null,null,null,null,null,null,null,"運　転　者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格名"]
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[null,null,null,null,null,null,null,null,"玉　掛　者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格名"]
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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,"資格名"]
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[null,null,null,null,null,null,null,null,"合　図　者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監　視　者"]
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["架　空　線　等",null,null,null,null,null,null,null,"無",null,"・","有",null,"防護措置",null,null,null,"防護管",null,null,"・","移設",null,null,"・","監視",null,null,"離隔距離",null,null,null,null,null,null,null,"ｍ"]
[]
["地下埋設物等",null,null,null,null,null,null,null,"無",null,"・","有",null,"埋設位置",null,null,null,"ＧＬ",null,null,null,null,null,"ｍ","防護方法"]
[]
["立入禁止措置",null,null,null,null,null,null,null,"バリケード",null,null,null,"・","カラーコーン",null,null,null,"・","ロープ",null,null,null,"・","看板",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
[]
["転倒防止措置",null,null,null,null,null,null,null,"鉄板",null,null,null,"・","敷板",null,null,null,"・","敷角",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
[]
["合　図　方　法",null,null,null,null,null,null,null,null,"無線",null,null,null,"・","手合図",null,null,null,"・","笛",null,null,null,"・","旗",null,null,null,"・","その他（　　　　　　　　　　　）"]
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["玉　掛　方　法",null,null,null,null,null,null,null,"形状",null,null,"φ",null,null,"mm",null,"・","長さ",null,null,null,"ｍ",null,"・","本数",null,null,null,"本",null,"・",null,null,"点吊り"]
[]
["遵　守　事　項",null,null,null,null,null,null,null,"・移動式クレーン十則を厳守のこと",null,null,null,null,null,null,null,null,null,null,null,"指 揮 命 令 系 統 図"]
[]
[null,null,null,null,null,null,null,null,"・作業打合せ以外の作業をしないこと"]
[]
[null,null,null,null,null,null,null,null,"・クレーン空車時の定格総荷重表で",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者　　　　　　（職　　長）"]
[]
[null,null,null,null,null,null,null,null,"　確認すること"]
[]
[null,null,null,null,null,null,null,null,"・吊荷重が定格荷重の90％を超える"]
[]
[null,null,null,null,null,null,null,null,"　場合は、吊能力が限界に近いことを",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業指揮者"]
[]
[null,null,null,null,null,null,null,null,"　作業員全員に周知させること。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監視者",null,null,null,null,null,null,null,null,null,null,null,"合図者"]
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[]
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[null,"該当法条文"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"運転者",null,null,null,null,"関係作業員",null,null,null,null,"玉掛者"]
[null,"法30-1-5",null,null,null,"○"]
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[null,"法31-2",null,null,null,"-"]
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[null,"法33",null,null,null,"-"]

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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 3."]
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["作　業　条　件",null,null,null,null,null,null,null,"最大作業半径",null,null,null,null,null,null,null,null,null,"ｍ",null,"吊荷の種類",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4."]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【  作 業 平 面 図  】",null,null,null,null,null,null,null,null,null,"・作業場所全体を示す平面図、必要に応じて側面図を記載"]
[]
[null,null,null,null,null,null,null,null,"①","フック荷重",null,null,null,null,null,null,"ｔ",null,"②","吊具荷重",null,null,null,null,null,null,"ｔ",null,"③","吊荷最大荷重",null,null,null,null,null,null,"ｔ",null,null,null,null,null,null,null,null,null,null,null,"･運行経路、各作業者の位置、立入禁止場所を明示する"]
[]
[]
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[null,null,null,null,null,null,null,null,"※吊能力の検討結果※"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"定格荷重の90％"]
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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,null,null,null,null,null,"（",{"$f":"IF(N44=\"\",\"\",N44*0.9)","v":""},null,null,null,"ｔ","）"]
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[null,null,null,null,null,null,null,null,"最大作業半径",null,null,null,null,null,null,null,null,null,"ｍ",null,"吊荷の種類"]
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[]
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[null,null,null,null,null,null,null,null,"①","フック荷重",null,null,null,null,null,null,"ｔ",null,"②","吊具荷重",null,null,null,null,null,null,"ｔ",null,"③","吊荷最大荷重",null,null,null,null,null,null,"ｔ"]
[]
[]
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[null,null,null,null,null,null,null,null,"※吊能力の検討結果※"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"定格荷重の90％"]
[null,null,null,null,null,null,null,null,null,"定格荷重",null,null,null,null,null,null,"ｔ",null,"≧",null,null,"作業最大荷重　　　　（①+②+③）",null,null,null,null,{"$f":"IF(N52=\"\",\"\",N52+X52+AH52)","v":""},null,null,"ｔ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（",{"$f":"IF(N58=\"\",\"\",N58*0.9)","v":""},null,null,null,"ｔ","）"]
[]
[]
["人　員　配　置",null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業指揮者"]
[]
[null,null,null,null,null,null,null,null,"運　転　者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格名"]
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[null,null,null,null,null,null,null,null,"玉　掛　者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格名"]
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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,"資格名"]
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[null,null,null,null,null,null,null,null,"合　図　者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監　視　者"]
[]
["架　空　線　等",null,null,null,null,null,null,null,"無",null,"・","有",null,"防護措置",null,null,null,"防護管",null,null,"・","移設",null,null,"・","監視",null,null,"離隔距離",null,null,null,null,null,null,null,"ｍ"]
[]
["地下埋設物等",null,null,null,null,null,null,null,"無",null,"・","有",null,"埋設位置",null,null,null,"ＧＬ",null,null,null,null,null,"ｍ","防護方法"]
[]
["立入禁止措置",null,null,null,null,null,null,null,"バリケード",null,null,null,"・","カラーコーン",null,null,null,"・","ロープ",null,null,null,"・","看板",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
[]
["転倒防止措置",null,null,null,null,null,null,null,"鉄板",null,null,null,"・","敷板",null,null,null,"・","敷角",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
[]
["合　図　方　法",null,null,null,null,null,null,null,null,"無線",null,null,null,"・","手合図",null,null,null,"・","笛",null,null,null,"・","旗",null,null,null,"・","その他（　　　　　　　　　　　）"]
[]
["玉　掛　方　法",null,null,null,null,null,null,null,"形状",null,null,"φ",null,null,"mm",null,"・","長さ",null,null,null,"ｍ",null,"・","本数",null,null,null,"本",null,"・",null,null,"点吊り"]
[]
["遵　守　事　項",null,null,null,null,null,null,null,"・移動式クレーン十則を厳守のこと",null,null,null,null,null,null,null,null,null,null,null,"指 揮 命 令 系 統 図"]
[]
[null,null,null,null,null,null,null,null,"・作業打合せ以外の作業をしないこと"]
[]
[null,null,null,null,null,null,null,null,"・クレーン空車時の定格総荷重表で",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者　　　　　　（職　　長）"]
[]
[null,null,null,null,null,null,null,null,"　確認すること"]
[]
[null,null,null,null,null,null,null,null,"・吊荷重が定格荷重の90％を超える"]
[]
[null,null,null,null,null,null,null,null,"　場合は、吊能力が限界に近いことを",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業指揮者"]
[]
[null,null,null,null,null,null,null,null,"　作業員全員に周知させること。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監視者",null,null,null,null,null,null,null,null,null,null,null,"合図者"]
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[]
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[null,"該当法条文"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"運転者",null,null,null,null,"関係作業員",null,null,null,null,"玉掛者"]
[null,"法30-1-5",null,null,null,"○"]
[]
[null,"法31-2",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,null,null,null,"玉掛補助者",null,null,null,null,null,"特 定 作 業",null,null,null,null,null,"有",null,"・","無"]
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["人　員　配　置",null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業主任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4."]
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[null,null,null,null,null,null,null,null,"運　転　員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格名"]
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[null,null,null,null,null,null,null,null,"玉　掛　者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 3."]
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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,"資格名"]
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[null,null,null,null,null,null,null,null,"監　視　者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"誘　導　員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"･運行経路、各作業者の位置、立入禁止場所を明示する"]
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[null,null,null,null,null,null,null,null,"使用業者名"]
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[null,null,null,null,null,null,null,null,"機　械　名"]
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[null,null,null,null,null,null,null,null,"機　械　能　力"]
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["土　　　　　　質",null,null,null,null,null,null,null,null,"硬岩",null,"・","軟岩",null,"・","レキ",null,"・","砂レキ",null,null,"・","粘性土",null,null,"・","泥炭",null,"・","　その他（　　　　　　　　　　）"]
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["架　空　線　等",null,null,null,null,null,null,null,"無",null,"・","有",null,"防護措置",null,null,null,"防護管",null,null,"・","移設",null,null,"・","監視",null,null,"離隔距離",null,null,null,null,null,null,null,"ｍ"]
[]
[]
["地下埋設物等",null,null,null,null,null,null,null,"無",null,"・","有",null,"埋設位置",null,null,null,"ＧＬ",null,null,null,null,null,"ｍ","防護方法"]
[]
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["立入禁止措置",null,null,null,null,null,null,null,"誘導員",null,null,null,"・","バリケード",null,null,null,"・","カラーコーン",null,null,null,"・","トラロープ",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
[]
[]
["墜落・転倒防止措置",null,null,null,null,null,null,null,"鉄板",null,null,null,"・","敷板",null,null,null,"・","敷角",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
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["合　図　方　法",null,null,null,null,null,null,null,null,"無線",null,null,null,"・","手合図",null,null,null,"・","笛",null,null,null,"・","旗",null,null,null,"・","その他（　　　　　　　　　　　）"]
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[]
["玉　掛　方　法",null,null,null,null,null,null,null,"形状",null,null,"φ",null,null,"mm",null,"長さ",null,null,null,"ｍ","本数",null,null,null,"本","・",null,null,"点吊り"]
[]
[]
["遵　守　事　項",null,null,null,null,null,null,null,"・誘導員は重機作業半径内立入禁止",null,null,null,null,null,null,null,null,null,null,null,"指 揮 命 令 系 統 図"]
[]
[null,null,null,null,null,null,null,null,"・用途外使用の禁止"]
[]
[null,null,null,null,null,null,null,null,"・重機、ダンプ運転手の合図の確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者　　　　　　　　　　　　　　　　　（職　長）"]
[]
[null,null,null,null,null,null,null,null,"・作業主任者の直接指揮"]
[]
[null,null,null,null,null,null,null,null,"・架線直下は監視員指示での作業"]
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[null,null,null,null,null,null,null,null,"・無資格作業の禁止",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業主任者"]
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[null,null,null,null,null,null,null,null,"・終了時は手摺を復元"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監視者",null,null,null,null,null,null,null,null,null,null,null,"合図者"]
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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,"運転者",null,null,null,null,null,"関係作業員",null,null,null,null,null,"誘導員"]
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[null,"該当法条文"]
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[null,"法30-1-5",null,null,null,"○"]
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[null,"法31",null,null,null,"-"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特 定 作 業",null,null,null,null,null,"有",null,"・","無"]
[null,"法33",null,null,null,"-"]

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[null,"作業所名",null,null,"：",{"$f":"共通データ入力画面!L8","v":0},null,null,null,null,null,"作業所",null,null,null,"作成年月日",null,null,null,"：",null,null,null,"年",null,null,"月",null,null,"日"]
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["作業期間・作業年月日",null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","～",null,null,null,null,null,"年",null,null,"月",null,null,"日","（",null,null,"日間",null,"）","作 業 方 法",null,null,null,null,null," 1."]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 2."]
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["作　業　時　間",null,null,null,null,null,null,null,null,null,null,"時",null,null,null,"分",null,"～",null,null,null,null,null,"時",null,null,null,"分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 3."]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4."]
["作　業　場　所"]
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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,null,null,null,null,null,null,null,null,null,null,null,null,"指 示 事 項",null,null,null,null,null," 1."]
["作　業　内　容"]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 3."]
["人　員　配　置",null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業主任者"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4."]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特 記 事 項",null,null,null,null,null," 1."]
[null,null,null,null,null,null,null,null,"合　図　者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監　視　者"]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 3."]
[null,null,null,null,null,null,null,null,"誘　導　員"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4."]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【  作 業 平 面 図  】",null,null,null,null,null,null,null,null,null,"・作業場所全体を示す平面図、必要に応じて側面図を記載"]
["使用機械",null,null,null,null,null,null,"規格",null,null,null,"運転者名",null,null,null,null,null,null,null,"資格名",null,null,null,null,null,null,"使用目的",null,null,null,null,null,"業　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,"･運行経路、各作業者の位置、立入禁止場所を明示する"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["地　　　　　　形",null,null,null,null,null,null,null,null,"平　地",null,null,"・","傾斜地",null,null,"（",null,null,"％）",null,"・","段差地",null,null,"・","　その他（　　　　　　　　　　）"]
[]
[]
["土　　　　　　質",null,null,null,null,null,null,null,null,"硬岩",null,"・","軟岩",null,"・","レキ",null,"・","砂レキ",null,null,"・","粘性土",null,null,"・","泥炭",null,"・","　その他（　　　　　　　　　　）"]
[]
[]
["架　空　線　等",null,null,null,null,null,null,null,"無",null,"・","有",null,"防護措置",null,null,null,"防護管",null,null,"・","移設",null,null,"・","監視",null,null,"離隔距離",null,null,null,null,null,null,null,"ｍ"]
[]
[]
["地下埋設物等",null,null,null,null,null,null,null,"無",null,"・","有",null,"埋設位置",null,null,null,"ＧＬ",null,null,null,null,null,"ｍ","防護方法"]
[]
[]
["立入禁止措置",null,null,null,null,null,null,null,"誘導員",null,null,null,"・","バリケード",null,null,null,"・","カラーコーン",null,null,null,"・","トラロープ",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
[]
[]
["墜落・転倒防止措置",null,null,null,null,null,null,null,"鉄板",null,null,null,"・","敷板",null,null,null,"・","敷角",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
[]
[]
["合　図　方　法",null,null,null,null,null,null,null,null,"無線",null,null,null,"・","手合図",null,null,null,"・","笛",null,null,null,"・","旗",null,null,null,"・","その他（　　　　　　　　　　　）"]
[]
[]
["遵　守　事　項",null,null,null,null,null,null,null,"・誘導者は重機作業半径内立入禁止",null,null,null,null,null,null,null,null,null,null,null,"指 揮 命 令 系 統 図"]
[]
[null,null,null,null,null,null,null,null,"・用途外使用の禁止"]
[]
[null,null,null,null,null,null,null,null,"・重機及びダンプ運転手の合図確認",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者　　　　　　　　　　　　　　　　　（職　長）"]
[]
[null,null,null,null,null,null,null,null,"・作業主任者の直接指揮"]
[]
[null,null,null,null,null,null,null,null,"・架線直下は監視員の指示により作業"]
[]
[null,null,null,null,null,null,null,null,"・無資格作業の禁止",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業主任者"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監視者",null,null,null,null,null,null,null,null,null,null,null,"合図者"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"運転者",null,null,null,null,null,"関係作業員",null,null,null,null,null,"誘導員"]
[]
[null,"該当法条文"]
[]
[null,"法30-1-5",null,null,null,"○"]
[]
[null,"法31",null,null,null,"-"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特 定 作 業",null,null,null,null,null,"有",null,"・","無"]
[null,"法33",null,null,null,"-"]

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["コ ン ク リ ー ト ポ ン プ 車",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作　業　計　画　書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"統責者",null,null,null,null,"元方安管者",null,null,null,null,"担当職員",null,null,null,null,null,null,null,null,null,"措置義務者",null,null,null,null,"打合せ参加者サイン",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"書類一覧へ"]
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[]
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[null,"作業所名",null,null,"：",{"$f":"共通データ入力画面!L8","v":0},null,null,null,null,null,"作業所",null,null,null,"作成年月日",null,null,null,"：",null,null,null,"年",null,null,"月",null,null,"日"]
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[]
["作業期間・作業年月日",null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日","～",null,null,null,null,null,"年",null,null,"月",null,null,"日","（",null,null,"日間",null,"）","作 業 方 法",null,null,null,null,null," 1."]
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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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 2."]
[]
["作　業　時　間",null,null,null,null,null,null,null,null,null,null,"時",null,null,null,"分",null,"～",null,null,null,null,null,"時",null,null,null,"分",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 3."]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4."]
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["作　業　場　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," 5."]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"指 示 事 項",null,null,null,null,null," 1."]
[]
["作　業　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," 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,null,null,null,null,null,null,null,null,null,null,null,null," 3."]
[]
["人　員　配　置",null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業指揮者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4."]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特 記 事 項",null,null,null,null,null," 1."]
[]
[null,null,null,null,null,null,null,null,"合　図　者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"車両監視者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 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,null,null,null,null,null,null,null,null,null,null,null,null," 3."]
[]
[null,null,null,null,null,null,null,null,"誘　導　員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"型枠監視者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4."]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"【  作 業 平 面 図  】",null,null,null,null,null,null,null,null,null,"・作業場所全体を示す平面図、必要に応じて側面図を記載"]
[]
[null,null,null,null,null,null,null,null,"筒先管理者（正）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"筒先管理者（副）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"･運行経路、各作業者の位置、立入禁止場所を明示する"]
[]
[]
[]
["使用機械",null,null,null,null,null,null,"規格",null,null,null,"運転者名",null,null,null,null,null,null,null,"資格名",null,null,null,null,null,null,"使用目的",null,null,null,null,null,"業　者　名"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["生コン車制限速度",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," ｋｍ/ｈ",null,null,"配管長さ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ｍ"]
[]
[]
[]
["地　　　　　　形",null,null,null,null,null,null,null,null,"平　地",null,null,"・","傾斜地",null,null,"（",null,null,"％）",null,"・","段差地",null,null,"・","　その他（　　　　　　　　　　）"]
[]
["地　　　　　　盤",null,null,null,null,null,null,null,null,"軟弱",null,null,"・","普通",null,null,"・","堅固",null,null,"・","　その他（　　　　　　　　　　）"]
[]
["架　空　線　等",null,null,null,null,null,null,null,"無",null,"・","有",null,"防護措置",null,null,null,"防護管",null,null,"・","移設",null,null,"・","監視",null,null,"離隔距離",null,null,null,null,null,null,null,"ｍ"]
[]
["地下埋設物等",null,null,null,null,null,null,null,"無",null,"・","有",null,"埋設位置",null,null,null,"ＧＬ",null,null,null,null,null,"ｍ","防護方法"]
[]
["立入禁止措置",null,null,null,null,null,null,null,"誘導員",null,null,null,"・","バリケード",null,null,null,"・","カラーコーン",null,null,null,"・","トラロープ",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
[]
["墜落・転倒防止措置",null,null,null,null,null,null,null,"鉄板",null,null,null,"・","敷板",null,null,null,"・","敷角",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
[]
["合　図　方　法",null,null,null,null,null,null,null,null,"無線",null,null,null,"・","手合図",null,null,null,"・","笛",null,null,null,"・","旗",null,null,null,"・","その他（　　　　　　　　　　　）"]
[]
["遵　守　事　項",null,null,null,null,null,null,null,"・作業計画内容を関係者全員に周知",null,null,null,null,null,null,null,null,null,null,null,"指 揮 命 令 系 統 図"]
[]
[null,null,null,null,null,null,null,null,"・アウトリガーは両側とも最大限張り"]
[]
[null,null,null,null,null,null,null,null,"　出しで使用",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者　　　　　　　　　　　　　　　　　（職　長）"]
[]
[null,null,null,null,null,null,null,null,"・ブームの下は立入禁止"]
[]
[null,null,null,null,null,null,null,null,"・ブームで資機材の吊り上げ等、用途"]
[]
[null,null,null,null,null,null,null,null,"　外使用禁止",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業主任者"]
[]
[null,null,null,null,null,null,null,null,"・ホッパースクリーンを必ず使用"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"監視者",null,null,null,null,null,null,null,null,null,null,null,"合図者"]
[null,null,null,null,null,null,null,null,"・生コン車の洗車は現場では行わな"]
[]
[null,null,null,null,null,null,null,null,"　いこと"]
[]
[null,null,null,null,null,null,null,null,"・ポンプ車の洗車については、指定"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"運転者",null,null,null,null,null,null,null,null,null,null,null,"誘導員"]
[null,null,null,null,null,null,null,null,"　場所で実施の事"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"筒先管理者",null,null,null,null,null,"型枠監視者",null,null,null,null,null,"関係作業員"]
[]
[]
[]
[null,"該当法条文"]
[]
[null,"法30-1-5",null,null,null,"○"]
[]
[null,"法31-2",null,null,null,"-"]
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[null,"法33",null,null,null,"○"]

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["作　業　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," 2."]
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[null,null,"使用業者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"使用業者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 2."]
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[null,null,"機　械　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"機　械　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 4."]
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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,null,null,null,null,null,null,null,null,null,null,null,null,"【  作 業 平 面 図  】",null,null,null,null,null,null,null,null,null,"・作業場所全体を示す平面図、必要に応じて側面図を記載"]
[]
[null,null,"能　　　力",null,null,null,null,null,"積載荷重",null,null,null,null,null,null,"ｔ",null,null,null,null,"能　　　力",null,null,null,null,null,"積載荷重",null,null,null,null,null,null,"ｔ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"･運行経路、各作業者の位置、立入禁止場所を明示する"]
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[]
[]
["人　員　配　置",null,"安全衛生責任者"]
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[null,null,"監 視 者",null,null,null,null,"要",null,"・","不要",null,null,null,null,null,null,null,null,null,"監 視 者",null,null,null,null,"要",null,"・","不要"]
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["土　　　　　　質",null,null,null,null,null,null,null,null,"硬岩",null,"・","軟岩",null,"・","レキ",null,"・","砂レキ",null,null,"・","粘性土",null,null,"・","泥炭",null,"・","　その他（　　　　　　　　　　）"]
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["立入禁止措置",null,null,null,null,null,null,null,"誘導員",null,null,null,"・","バリケード",null,null,null,"・","カラーコーン",null,null,null,"・","トラロープ",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
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["転倒防止措置",null,null,null,null,null,null,null,"鉄板",null,null,null,"・","敷板",null,null,null,"・","敷角",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
[]
["最大作業位置高さ",null,null,null,null,null,null,null,null,null,null,null,null,"　ｍ"]
[]
["制限速度",null,null,null,null,null,null,null,null,null,null,null,null,"　km/ｈ",null,null,null,"（作業床高、ブーム長、地形及び地盤の状況等に応じた制限速度）"]
[]
["合　図　方　法",null,null,null,null,null,null,null,null,"無線",null,null,null,"・","手合図",null,null,null,"・","笛",null,null,null,"・","旗",null,null,null,"・","その他（　　　　　　　　　　　）"]
[]
["遵　守　事　項",null,null,null,null,null,null,null,"・アウトリガーは最大張り出しのこと",null,null,null,null,null,null,null,null,null,null,null,"指 揮 命 令 系 統 図"]
[]
[null,null,null,null,null,null,null,null,"・ブーム降下防止装置を確実に実施"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者　　　　　　　　　　　　　　　　　（職　長）"]
[null,null,null,null,null,null,null,null,"・年次点検の実施を確認"]
[]
[null,null,null,null,null,null,null,null,"・前照燈、尾照燈の点検"]
[]
[null,null,null,null,null,null,null,null,"・主たる用途以外に使用不可"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業主任者"]
[null,null,null,null,null,null,null,null,"・移動時はブームを最小限縮め作業床"]
[]
[null,null,null,null,null,null,null,null,"　を降下する",null,null,null,null,null,null,null,null,null,null,null,null,"監視者",null,null,null,null,null,null,null,null,null,null,null,"合図者"]
[]
[null,null,null,null,null,null,null,null,"・高所作業車は水平に設置"]
[]
[]
[null,"該当法条文"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"運転者",null,null,null,null,null,"関係作業員",null,null,null,null,null,"誘導員"]
[null,"法30-1-5",null,null,null,"○"]
[]
[null,"法31",null,null,null,"-"]
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[null,null,"使用業者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"使用業者名"]
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[null,null,"機　械　名　　　　　　　　　　　　　　（車両番号）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"機　械　名　　　　　　　　　　　　　　（車両番号）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 3."]
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[null,null,"月例検査実施状況",null,null,null,null,null,"年　　　　月　　　　日",null,null,null,null,null,null,null,null,null,null,null,"月例検査実施状況",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,"･運行経路、各作業者の位置、立入禁止場所を明示する"]
[]
[]
[null,null,"特定自主検査実施日",null,null,null,null,null,"年　　　　月　　　　日",null,null,null,null,null,null,null,null,null,null,null,"特定自主検査実施日",null,null,null,null,null,"年　　　　月　　　　日"]
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["人　員　配　置",null,"安全衛生責任者"]
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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,"第　　　　　　号",null,null,null,null,null,"年  　月 　 日",null,null,null,null,"　　年"]
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[null,null,"作業指揮者"]
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[null,null,"誘 導 員",null,null,null,null,null,"要",null,"・","不要",null,"氏名"]
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[null,null,"合 図 者",null,null,null,null,null,"要",null,"・","不要",null,"氏名"]
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[null,null,"監 視 者",null,null,null,null,null,"要",null,"・","不要",null,"氏名"]
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["立入禁止措置",null,null,null,null,null,null,null,"誘導員",null,null,null,"・","バリケード",null,null,null,"・","カラーコーン",null,null,null,"・","トラロープ",null,null,null,"・","　その他（　　　　　　　　　　　　）"]
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["合　図　方　法",null,null,null,null,null,null,null,null,"無線",null,null,null,"・","手合図",null,null,null,"・","笛",null,null,null,"・","旗",null,null,null,"・","その他（　　　　　　　　　　　）"]
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["パレット等の点検状況",null,null,null,null,null,null,null,"荷の重量に応じた十分な強度",null,null,null,null,null,null,null,null,null,"割れ・ひび・変形の有無",null,null,null,null,null,null,null,null,null,"釘等突起物の有無"]
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[null,null,null,null,null,null,null,null,"良",null,null,null,"・",null,"否",null,null,null,"有",null,null,null,"・",null,"無",null,null,null,"有",null,null,null,"・",null,"無"]
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["遵　守　事　項",null,null,null,null,null,null,null,"・保護帽等保護具の完全着用",null,null,null,null,null,null,null,null,null,null,null,"指 揮 命 令 系 統 図"]
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[null,null,null,null,null,null,null,null,"・シートベルトを着用する"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者　　　　　　　　　　　　　　　　　（職　長）"]
[null,null,null,null,null,null,null,null,"・修了証を携帯し、始業前点検をする"]
[]
[null,null,null,null,null,null,null,null,"・制限速度を守り、接触の恐れがある"]
[]
[null,null,null,null,null,null,null,null,"　時は誘導員を配置する"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業主任者"]
[null,null,null,null,null,null,null,null,"・急発進,急停止せず側方の安全確認"]
[]
[null,null,null,null,null,null,null,null,"・ﾌｫｰｸ又は荷の下の立入禁止",null,null,null,null,null,null,null,null,null,null,null,null,"監視者",null,null,null,null,null,null,null,null,null,null,null,"合図者"]
[]
[null,null,null,null,null,null,null,null,"・運転中は人を乗せず許容荷重を超え"]
[]
[null,null,null,null,null,null,null,null,"　た積載をしない"]
[null,"該当法条文"]
[null,null,null,null,null,null,null,null,"・運転席を離れる場合はキーを抜く",null,null,null,null,null,null,null,null,null,null,null,null,"運転者",null,null,null,null,null,"関係作業員",null,null,null,null,null,"誘導員"]
[null,"則151-3",null,null,null,"○"]
[null,null,null,null,null,null,null,null,"・ﾌｫｰｸに人を乗せ昇降機替りにしない"]
[null,"則151-21",null,null,null,"○"]
[null,null,null,null,null,null,null,null,"・ﾌｫｰｸの先端をてこ替りに使用しない"]
[null,"則151-22",null,null,null,"○"]
[]
[]
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