配线线路绝缘电阻测试记录工程报验申请表

浙建监A5-3配线线路绝缘电阻测试记录工程报验申请表工程名称：温州欧亚木业家私厂展示楼编号：A5-3致湖北建设监理公司（监理单位）我单位已完成了配线线路绝缘电阻测试记录工程，按设计文件及有关规范进行了自检，质量合格，请予以审查和验收附件：1、工程质量控制资料□2、安全和功能检验（检测）报告□3、观感质量验收记录□√4、隐蔽工程验收记录□5、配线线路绝缘电阻测试记录质量验收记录□承包单位（章）项目经理：周崇芬日期：年月日审查意见：□所报隐蔽工程的技术资料□齐全/□不齐全，且□符合/□不符合要求，经现场检测、核查□合格/□不合格，□同意/□不同意隐蔽。□所报检验批的技术资料□齐全/□不齐全，且□符合□不符合要求，经现场检测、核查□合格/□不合格，□同意/□不同意进行下道工序。□检验批的技术资料基本齐全，且基本符合要求，因□砂浆/□混凝土试块强度试验报告未出具，暂同意进行下道工序施工，待□砂浆/□混凝土予以质量认定。□所报分项工程的各检验批的验收资料□完整/□不完整，且□全部/□未全部达到合格要求，经现场检测、核查□合格/□不合格。□所报分部（子分部）工程的技术资料□齐全/□不齐全，且□符合/□不符合□合格/□不合格。□纠正差错后再报。项目监理机构（章）：总/专业监理工程师：日期：年月日本表一式三份，经项目监理机构审核后，建设单位、监理单位、承包单位各存一份。 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业家私厂展示楼施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation一层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPE170110140150130160120100150150110140120110130150120100110150120160150120120140150160110160130150150150110120140110150160170120150150170150130140160监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业家私厂宿舍楼施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation二层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPE140100150120180130120120130180150160140120130150120140130120150170150100160160120180160150140130150130150140150140130130150180监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业家私厂宿舍楼施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation三层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPE160110180120150160140160100160140150140150110130150130180150110100120110110130120140120150130130130120140140140130130120160120监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业家私厂宿舍楼施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation四层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPE15013013010015017010014012010012013016015013010013014014011012011012013010013050150130120130130130150170160150160120130150140监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业家私厂宿舍楼施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation五层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPE130120120130100140150150130120160110120120170180130160140160100150120120180150150150120130130100130100140160140170150140160140监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业家私厂车间2施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation二层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPE170120150150170120140150130150120150160130150130120120140110130160120140120160120110140110100160130100120140170140130150监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业公司施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation四层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPEAL4-3W1BV2*2.5DA照明120W2BV3*4DA空调插座150120120W3BV3*4DA空调插座120140150W4BV3*4DA卫生间插座160130130W5BV3*4DA厨房插座130160140W6BV3*2.5DA起居室插座130130150W7BV3*2.5DA卧室插座140140130AL4-4W1BV3*2.5DA照明120120150W2BV3*4DA空调插座100140120W3BV3*4DA空调插座100140130W4BV3*4DA卫生间插座140100170W5BV3*4DA厨房插座160150130W6BV3*2.5DA起居室插座130130150W7BV3*2.5DA卧室插座120160100监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业公司施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation四层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPEAL4-5W1BV2*2.5DA照明120W2BV3*4DA空调插座120160100W3BV3*4DA空调插座110110150W4BV3*4DA卫生间插座150100150W5BV3*4DA厨房插座120160150W6BV3*2.5DA起居室插座110120170W7BV3*2.5DA卧室插座100120150AL4-6W1BV3*2.5DA照明150110W2BV3*4DA空调插座130150120W3BV3*4DA空调插座170170130W4BV3*4DA卫生间插座110130110W5BV3*4DA厨房插座130170120W6BV3*2.5DA起居室插座170160150W7BV3*2.5DA卧室插座100130180监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业公司施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation四层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPEAL4-1W1BV2*2.5DA照明150W2BV3*4DA空调插座150120170W3BV3*4DA空调插座150140120W4BV3*4DA卫生间插座160170120W5BV3*4DA厨房插座100130170W6BV3*2.5DA起居室插座100110130W7BV3*2.5DA卧室插座160160120AL4-2W1BV3*2.5DA照明160120140W2BV3*4DA空调插座170120140W3BV3*4DA空调插座110160100W4BV3*4DA卫生间插座140130140W5BV3*4DA厨房插座140160120W6BV3*2.5DA起居室插座110130180W7BV3*2.5DA卧室插座100100100监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业公司施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation五层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPEAL5-5W1BV2*2.5DA照明120W2BV3*4DA空调插座170160120W3BV3*4DA空调插座130100140W4BV3*4DA卫生间插座110100150W5BV3*4DA厨房插座150150120W6BV3*2.5DA起居室插座130160140W7BV3*2.5DA卧室插座150160140AL5-6W1BV3*2.5DA照明160100120W2BV3*4DA空调插座120160150W3BV3*4DA空调插座160140160W4BV3*4DA卫生间插座110110160W5BV3*4DA厨房插座120150120W6BV3*2.5DA起居室插座140120130W7BV3*2.5DA卧室插座130150150监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业公司施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation五层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPEAL5-3W1BV2*2.5DA照明140W2BV3*4DA空调插座120160130W3BV3*4DA空调插座140160140W4BV3*4DA卫生间插座140100150W5BV3*4DA厨房插座130150130W6BV3*2.5DA起居室插座150130140W7BV3*2.5DA卧室插座150150110AL5-4W1BV3*2.5DA照明110W2BV3*4DA空调插座140150150W3BV3*4DA空调插座160120140W4BV3*4DA卫生间插座180120160W5BV3*4DA厨房插座150130160W6BV3*2.5DA起居室插座110140150W7BV3*2.5DA卧室插座130150100监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业公司施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation五层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPEAL5-1W1BV2*2.5DA照明110W2BV3*4DA空调插座120110110W3BV3*4DA空调插座110160100W4BV3*4DA卫生间插座120150160W5BV3*4DA厨房插座130140130W6BV3*2.5DA起居室插座130180160W7BV3*2.5DA卧室插座170140120AL5-2W1BV3*2.5DA照明140150160W2BV3*4DA空调插座110120130W3BV3*4DA空调插座150110100W4BV3*4DA卫生间插座110130140W5BV3*4DA厨房插座160100130W6BV3*2.5DA起居室插座100110160W7BV3*2.5DA卧室插座100150150监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业公司施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation六层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPEAL6-5W1BV2*2.5DA照明130W2BV3*4DA空调插座130170170W3BV3*4DA空调插座120150140W4BV3*4DA卫生间插座140130150W5BV3*4DA厨房插座100150110W6BV3*2.5DA起居室插座130110150W7BV3*2.5DA卧室插座110110160AL6-6W1BV3*2.5DA照明170130150W2BV3*4DA空调插座140160110W3BV3*4DA空调插座150150120W4BV3*4DA卫生间插座180140110W5BV3*4DA厨房插座120110140W6BV3*2.5DA起居室插座120160150W7BV3*2.5DA卧室插座100110170监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业公司施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation六层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPEAL6-3W1BV2*2.5DA照明120W2BV3*4DA空调插座160130140W3BV3*4DA空调插座150140130W4BV3*4DA卫生间插座140150150W5BV3*4DA厨房插座160100150W6BV3*2.5DA起居室插座140140150W7BV3*2.5DA卧室插座130140100AL6-3W1BV3*2.5DA照明120100W2BV3*4DA空调插座130100160W3BV3*4DA空调插座150160140W4BV3*4DA卫生间插座130120100W5BV3*4DA厨房插座160180160W6BV3*2.5DA起居室插座170140150W7BV3*2.5DA卧室插座120170170监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day 配线线路绝缘电阻测试记录RecordofInsulationResistanceTestforDistributionLine电07编号No：单位工程名称Nameofunitproject温州欧亚木业公司施工日期Constructionduration2007.12.23分部工程名称Nameofdivisionalproject防雷及接地安装分部工程名称Nameofdivisionalproject配线线路绝缘测试施工图号ConstructiondrawingNo.电施-08检查部位Inspectionlocation六层测试仪器型号、精度Typeandprecisionoftestinstru2500V兆欧表线路编号CircuitNo.线路型号、规格、敷设方法Circuittype、layingmode绝缘电阻（MΩ）InsulationresistanceABBCCAANBNCNAPEBPECPENPEAL6-1W1BV2*2.5DA照明160W2BV3*4DA空调插座110140140W3BV3*4DA空调插座110140130W4BV3*4DA卫生间插座120170150W5BV3*4DA厨房插座150150140W6BV3*2.5DA起居室插座150150110W7BV3*2.5DA卧室插座100100140AL6-2W1BV3*2.5DA照明130110150W2BV3*4DA空调插座120140130W3BV3*4DA空调插座160110120W4BV3*4DA卫生间插座120140120W5BV3*4DA厨房插座150140130W6BV3*2.5DA起居室插座110110160W7BV3*2.5DA卧室插座140120120监理（建设）单位：SupervisionCompany(TheOwner):(公章)监理工程师：（Seal）SupervisingEngineer:(建设单位代表)：（RepresentativeoftheOwner）:年月日Year/Month/Day施工单位：ConstructionCompany:班组长：MonitorofWorkTeam:(公章)施工员：（seal）Technician:质检员：QualityInspector.年月日Year/Month/Day