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[null,null,null,null,"鋼製建具工事","[現]",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"職長教育",null,null,null,"有機溶剤",null,null,null,"サッシ施工"]
[null,null,null,null,"電気工事","[技]",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"高所作業車",null,null,null,"酸素欠乏",null,null,null,"カーテンウオール施工"]
[null,null,null,null,"土木工事","[主]",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"粉塵作業",null,null,null,"ガス溶接",null,null,null,"電気工事士"]
[null,null,null,null,"建築工事","[職]",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"動力巻上",null,null,null,"玉掛",null,null,null,"施工管理技士"]
[null,null,null,null,"建築工事","[安]",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アーク溶接",null,null,null,"リフト運転",null,null,null,"クレーン運転"]
[null,null,null,null,"大工工事","[女]",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"低圧電路",null,null,null,"移動式クレーン",null,null,null,"移動クレーン"]
[null,null,null,null,"左官工事","[未]",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"リフト運転",null,null,null,"ショベル運転",null,null,null,"発破"]
[null,null,null,null,"とび・土工工事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"建設用リフト",null,null,null,"建設機械"]
[null,null,null,null,"石工事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ｼｮﾍﾞﾙ運転",null,null,null,"運搬車"]
[null,null,null,null,"さく井工事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"建設機械",null,null,null,"ブレーカー"]
[null,null,null,null,"建具工事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"動力巻上機",null,null,null,"高所作業車"]
[null,null,null,null,"水道施設工事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"クレーン運転",null,null,null,"特定化学物質"]
[null,null,null,null,"消防施設工事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動クレーン",null,null,null,"鉛作業"]
[null,null,null,null,"清掃施設工事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"玉掛作業"]
[null,null,null,null,"地盤改良工事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"危険作業"]
[null,null,null,null,"推進工事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ゴンドラ"]
[null,null,null,null,"下水道工事",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"運搬車"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ポンプ車"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ボーリング"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ずい道"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"エレベータ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"研削といし"]
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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,"特殊健康診断","じん肺","じん肺にかかるおそれのある粉じん作業（じん肺則第2条、同則別表）",null,null,null,"じん肺法第3条"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"石綿","石綿作業従事者",null,null,null,"石綿障害予防規則第40条～43条"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有機溶剤","有機溶剤を取り扱う業務またはそのガス、蒸気を発散する場所における業務",null,null,null,"有機則第29条"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（安衛法施行令第22条第１項第５号）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"鉛","鉛等を取り扱う業務または、その蒸気、粉じんを発散する場所における業務",null,null,null,"鉛則第53条"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（安衛法施行令第２条第１項第４号）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電離放射線","ｴｯｸｽ線、その他有害放射線にさらされる業務",null,null,null,"電離則第56条"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（安衛法施行令第２２条第１項第２号）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"特定化学物質","１.安衛法施行令別表第３第１号もしくは第２号に掲げる物を製造し、",null,null,null,"特化則第39条"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"もしくは取り扱う業務または安衛法施行令第１６号第１項各号に掲げるものを",null,null,null,"同則別表第3,4"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"試験研究のために製造し、もしくは使用する業務"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（安衛法施行令第２２号第１項第３号）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"２.安衛法施行令第２２条第２項に掲げる物を過去に製造し、または取り扱っていた"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ことのある労働者で現に使用しているもの（安衛法施行令第２２条第２項）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"高気圧作業","潜函工事などの高圧室内業務または潜水業務（安衛法施行令第２２条第１項第１条）",null,null,null,"高圧則第38条"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"四アルキル鉛","四アルキル鉛の製造、混入、取扱い業務またはそのガス、蒸気を発散する",null,null,null,"四ｱﾙｷﾙ則第22条"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"場所における業務（安衛法施行令第２２条第1項第5号）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"歯科健康診断","酸、黄りん、その他歯またはその支持組織に有害な物質のガス、",null,null,null,"安衛則第４８条"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"蒸気または粉じんの発散する場所における業務（安衛則第４８条）"]

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[null,null,"作成　Ｍｅｎｕ",null,"下記項目より選択して下さい",null,null,null,null,null,null,"基本データ"]
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[null,null,"表紙",null,"協力会社安全関係提出書類",null,null,null,null,null,null,"発注者・元請データ"]
[null,null,"表紙裏",null,"取扱要領/提出書類刷新状況確認表",null,null,null,null,null,null,"一次下請会社データ"]
[null,null,2,null,"協力会社の皆様へ",null,null,null,null,null,null,"二次下請会社データ",null,null,null,null,null,null,"　"]
[null,null,3,null,"協力会社安全関係提出書類一覧表",null,null,null,null,null,null,"三次下請会社データ"]
[null,null,4,null,"誓約書",null,null,null,null,null,null,"四次下請会社データ"]
[null,null,5,null,"施工体制台帳作成建設工事通知"]
[null,null,6,"第1号　甲","建設業法、雇用改善法等に基づく届出書(変更届)",null,null,null,null,null,null,"作業員データ"]
[null,null,7,"第1号　乙","下請負業者編成表",null,null,null,null,null,null,"使用機械データ"]
[null,null,8,"第2号","作業員名簿"]
[null,null,null,null,"作業員名簿記入報告のポイント、特殊診断が必要な業務",null,null,null,null,null,null,"書類作成前に上記基本データを入力して下さい"]
[null,null,null,null,"労働安全衛生法等に定める作業ごとに必要な資格一覧"]
[null,null,9,"第3号","持込機械等（移動式クレーン、車両系建設機械等）使用届"]
[null,null,10,"第4号","持込機械等（電動工具、電気溶接機等）使用届"]
[null,null,11,"第6号","工事用車両届"]
[null,null,12,"第7号","危険物・有害物持込使用届"]
[null,null,13,"第8号","火気使用願"]
[null,null,14,"第9号","事業所安全衛生管理計画書"]
[null,null,15,"第11号","送り出し教育シート・新規入場者アンケート用紙"]
[null,null,16,null,"年少者・高年齢者・高血圧者就労報告書 (1)"]
[null,null,17,null,"年少者・高年齢者・高血圧者就労報告書 (2)"]
[null,null,18,null,"事業主・一人親方等就労届"]
[null,null,19,null,"不法就労外国人等を雇用しない契約書"]
[null,null,20,"第12号","作業　（予定報告書・指示書）"]
[null,null,21,"第13号","安全ミーティング・危険予知活動報告書"]
[null,null,22,null,"店社自主安全衛生パトロール点検表"]

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[null,"Menuへ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"取　扱　要　領"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"この安全関係提出書類（施工体制届出書）は、作業所に入場する協力会社とその下請負関係、就労する"]
[null,"協力会社安全関係提出書類",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業員と、その雇用関係を正確に把握し、適正な施工体制の確保と、技術者の適正な配置等を図る為の"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"基本的な書類であり、法的に義務づけられているものです。"]
[null,null,"(２０２３年度)"]
[null," 施工体制届出書 ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"※記載された個人情報は、安全衛生管理及び施工等の目的のみに使用し、他の目的には"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"使用しませんが、本人の同意を得た上で、提出して下さい。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（１）当社発注の工事施工にあたり、作業所長宛「提出書類一覧表」にもとづいて必要な書類を工事着手"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　７日前迄に一次下請会社から提出してください。"]
[null,"株式会社 アイムホーム",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（２）ファイルされている各用紙は一枚ずつですので、枚数不足のときはコピーしてください。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（３）記入については、ゴム印等使用出来る所は使用して下さい。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（４）この「提出書類ファイル」は、会社幹部現場巡回時（自主パトロール含む）や災害防止協議会出席時"]
[null,{"$f":"IF(A!F5<>0,CONCATENATE(A!F5,\" 作業所\"),\"\")","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　（一次、二次を問わない）に内容を見直し、変更箇所は速やかに訂正（変更月日を記載）又は差し替え"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　を行ない、常に刷新された状態で保管してください。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　なお、作業所担当者は、下表により刷新状況を確認してください。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"提出書類刷新状況確認表"]
[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,null,null,"（該当欄にサインのこと）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"活動内容",null,null,"　　　月  　  日",null,"　　　月  　  日",null,"　　　月  　  日",null,"　　　月  　  日",null,"　　　月  　  日",null,"　　　月  　  日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"協力","作業所","協力","作業所","協力","作業所","協力","作業所","協カ","作業所","協カ","作業所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社","確認","会社","確認","会社","確認","会社","確認","会社","確認","会社","確認"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"災害防止協議会時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社幹部巡回時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（自主パトロール合む）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"活動内容",null,null,"　　　月  　  日",null,"　　　月  　  日",null,"　　　月  　  日",null,"　　　月  　  日",null,"　　　月  　  日",null,"　　　月  　  日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"協力","作業所","協力","作業所","協力","作業所","協力","作業所","協カ","作業所","協カ","作業所"]
[null,"（一次協力会社名を記載して下さい）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社","確認","会社","確認","会社","確認","会社","確認","会社","確認","会社","確認"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"災害防止協議会時"]
[null,{"$f":"IF(B!F4<>0,CONCATENATE(\"協力会社名 ： \",B!F4),\"\")","v":""},"会社名：",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社幹部巡回時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（自主パトロール合む）"]
[]
[null,null,null,null,null,null,null,"元 請 受 付 者",null,null,null,null,null,null,null,null,null,null,null,"活動内容",null,null,"　　　月  　  日",null,"　　　月  　  日",null,"　　　月  　  日",null,"　　　月  　  日",null,"　　　月  　  日",null,"　　　月  　  日"]
[null,null,null,null,null,null,null,"年月日",null,null,"印又はサイン",null,null,null,null,null,null,null,null,null,null,null,"協力","作業所","協力","作業所","協力","作業所","協力","作業所","協カ","作業所","協カ","作業所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社","確認","会社","確認","会社","確認","会社","確認","会社","確認","会社","確認"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"災害防止協議会時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社幹部巡回時"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（自主パトロール合む）"]

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[null,"Menuへ"]
[]
[]
[]
[null,"協力会社の皆様へ"]
[]
[]
[]
[null,"　平素は株式会社アイムホームの事業活動にご理解ご協力を賜り、厚く御礼申し上げます。"]
[]
[null,"つきましては、貴社労働者の安全衛生管理を適正に行うようお願いするとともに当社と"]
[]
[null,"いたしましてもその状況を把握し、相互協力のもと、安全活動の着実な実行を図るため、"]
[]
[null,"工事下請基本契約約款に基づくものを含め、別紙　（協力会社安全関係提出書類"]
[]
[null,"一覧表）にある書類の提出をお願い致します。"]
[]
[null,"　尚、提出書類には提出時期が異なるものがありますので下記事項参照の上、"]
[]
[null,"遺漏なきよう願い致します。"]
[]
[]
[]
[null,"記"]
[]
[]
[null,"1.","提出書類のうち、提出時期が着手前とあるものは、工事受注後すみやかに提出して下さい。"]
[null,null,"　　"]
[null,"2.","提出書類は、フラットファイルに原本を綴じて提出してください。コピーを保管して下さい。"]
[null,null,"　　"]
[null,"3.","提出時期が着手前以外のものは、その都度当社現場係員に提出して下さい。"]
[null,null,"　　"]
[null,"4.","用紙が不足する場合には、コピーして使用して下さい。"]
[null,null,"　　"]
[null,"5.","着手前提出の書類は、安全関係提出書類表紙に貴社名等を記入し、提出して下さい。"]
[]
[]
[]
[]
[null,"　　"]

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["Menuへ"]
["協力会社安全関係提出書類一覧表"]
[]
["※毎年度初めに提出とする"]
["№",null,null,"書　類　名",null,null,null,null,null,null,null,"提出時期",null,null,"提出チェック"]
["表紙",null,null,"協力会社安全関係提出書類"]
["表紙裏",null,null,"取扱要領/提出書類刷新状況確認表",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,"安全衛生管理に関する誓約書"]
[2,null,null,"協力会社の皆様へ",null,null,null,null,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　記　録　簿"]
[3,null,null,"協力会社安全関係提出書類一覧表",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,"第1号. ～甲（A4版）　　　建設業法、雇用改善法に基づく届出書（変更届）(再下請負通知書様式)　"]
[4,null,null,"誓約書",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第1号. ～甲（A3版）　　　建設業法、雇用改善法に基づく届出書（変更届）(再下請負通知書様式)　"]
[5,null,null,"施工体制台帳作成建設工事の通知",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第1号. ～乙(A3) 　　　　 下請業者編成表　"]
[6,"第1号. 甲",null,"建設業法・雇用改善法等に基づく届出書(変更届)",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第2号 作業員名簿"]
[null,null,null,"※建設業許可証・主任技術者等資格・建退共加入等の各写しを添付。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第3号 持込機械等使用届（移動式クレーン・車両系建設機械等）"]
[7,"第1号. 乙",null,"下請負業者編成表(全建統一様式第1号－乙)",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第4号 持込機械等使用届（電動工具等）"]
[8,null,null,"作業員名簿記入報告のポイント、特殊診断が必要な業務",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第6号 工事用車両届"]
[null,null,null,"労働安全衛生法等に定める作業ごとに必要な資格一覧",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"二次下請業者がある場合は、注文書・請書も付すること。",null,null,null,"第7号 危険物・有害物持込使用届"]
[null,"第5号.",null,"作業員名簿",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第8号 火気使用願い"]
[9,"第5号.",null,"社会保険加入状況",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第9号 安全衛生管理計画書"]
[10,"第3号.",null,"持込機械等使用届　（移動式クレーン、車両系建設機械）",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第10号 事業所安全衛生管理計画書"]
[11,"第4号.",null,"持込機械等使用届　（電動工具、電気溶接機）",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第11号 新規入場時等教育実施報告書"]
[12,"第6号.",null,"工事用車両届　（工事、通勤）",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第12号 作業予定報告書/指示書"]
[13,"第7号.",null,"危険物・有害物持込使用届",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"第13号 安全ミーティング・危険予知活動報告書"]
[114,"第8号.",null,"火気使用願",null,null,null,null,null,null,null,"年度初め"]
[15,"第9号.",null,"事業所安全衛生管理計画書",null,null,null,null,null,null,null,"年度初め"]
[16,null,null,"株式会社アイムホーム作業所就業規則",null,null,null,null,null,null,null,"年度初め"]
[17,"第11号.",null,"送り出し教育シート、新規入場者アンケート用紙",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式　第1号―甲　　建設業法、雇用改善法等に基づく届出書（変更届）"]
[18,null,null,"年少者・高年齢者・高血圧者就労報告書 (1)",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　　　　　　（再下請負通知書様式）"]
[19,null,null,"年少者・高年齢者・高血圧者就労報告書 (2)",null,null,null,null,null,null,null,"年度初め"]
[20,null,null,"事業主・一人親方等就労届",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式　第1号―乙　　下請業者編成表"]
[21,null,null,"不法就労外国人を雇用しない誓約書",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　（参　考）　　　 　施工体制台帳作成建設工事通知"]
[22,"第12号.",null,"作業予定報告書/指示書",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　（参　考）　　　　 施工体制台帳"]
[23,"第13号.",null,"安全ミーティング・危険予知活動報告書",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　（参　考）　　　 　工事作業所災害防止協議会　兼　施工体系図"]
[24,null,null,"店社自主安全衛生パトロール点検表",null,null,null,null,null,null,null,"年度初め",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"様式　第2号　　　　作業員名簿"]
["備　考"]
[]
[null,null,null,null,null,null,null,null,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　第3号　　　　持込機械等　　　　　　　　  等　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,null,null,null,null,null,null,null,"様式　第4号　　　　持込機械等　　　　　　　等　 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,null,null,null,null,null,null,null,"様式　第5号―甲　　持込機械届受理証"]
[null,null,null,null,null,null,null,null,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　第5号―乙　　持込機械届受理証（ラベル）"]
[null,null,null,null,null,null,null,null,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　第6号　　　　工事用車両届"]
[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,null,null,null,null,null,null,"様式　第7号　　　　危険物・有害物持込使用届"]
[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,null,null,null,null,null,null,null,"様式　第8号　　　　火気使用願"]
[null,null,null,null,null,null,null,null,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　第10号　　　　事業所安全安全管理計画書"]
[null,null,null,null,null,null,null,null,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　第11号        新規入場時等教育実施報告書"]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,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　第12号　　　　作業　　　　　　　　　"]
[]
[null,null,null,null,null,null,null,null,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　第13号　　　　安全ミーティング・危険予知活動報告書"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〔様式改定について〕"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　建設業法の改定により、建設工事の適正な施工を確保し、技術と経営に優れた専門"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　工事業者を育成するため、工事現場ごとに、施工体制台帳を作成し備え付けること、"]
[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,"　及び施工体系図を作成し、見やすい場所に表示することとなったため、次のとおり改"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　正を行った。"]
[null,null,null,null,null,null,null,null,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　第1号―甲　　建設業法・雇用改善法等に基づく届出書（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,null,null,null,null,null,null,"　　　　　　　　　　　　（再下請負通知書様式）"]
[null,null,null,null,null,null,null,null,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　第1号―乙　　下請負業者編成表"]
[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,null,"　　　（参　考）　　　　施工体制台帳作成建設工事通知"]
[null,null,null,null,null,null,null,null,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）　　　　施工体制台帳"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　（参　考）　　　　工事作業所災害防止協議会　兼　施工体系図"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"また、その他の様式についても、記載事項の見直し等の所要の改正を行った。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〔使用方法〕のり付けの部分を一枚づつはがして記入し、記入し終わったら一括して表"]
[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,null,"　　　　　　紙ごとホチキスで止めて提出してください。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　　なお、用紙が不足の場合は、適宜コピーする等して利用してください。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有資格者報告書(様式－8)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有資格者、免許、技能講習修了証の写し"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移動式クレーン作業計画･打合せ記録"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"車両系荷役運搬機械作業計画"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"車両系建設機械作業計画"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"リース　　　　　　　　　持込時指示書(様式－11)"]

{"sheet":"04.誓約書","index":5,"n_rows":76,"n_cols":23,"rows_kept":76,"cut":false,"hidden":false,"merged":[[16,0,16,16],[14,1,14,15],[6,1,6,6],[0,1,0,2],[2,0,3,16],[9,7,9,8],[10,7,10,8],[11,7,11,8],[5,1,5,6]]}
[null,"Menuへ"]
[]
["誓　　約　　書"]
[]
[]
[null,"株式会社 アイムホーム"]
[null,"代表取締役社長　　三家本　真大　　殿"]
[]
[null,null,null,null,null,null,null,null,null,"〒"]
[null,null,null,null,null,null,null,"住所"]
[null,null,null,null,null,null,null,"会社名"]
[null,null,null,null,null,null,null,"代表者氏名",null,null,null,null,null,null,null,null,"印"]
[null,null,null,null,null,null,null,null,null,"TEL：",null,null,null,"FAX："]
[]
[null,"貴社の注文にかかる工事を施工するにあたり、下記の事項を遵守することを誓約致します。"]
[]
["記"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　貴社の注文にかかる工事を施工するに当り、労働者の使用に際しては、労働安全衛生法、"]
["１．","労働基準法、労働安全衛生法、その他労働関係法令、及び貴社で定める安全衛生管理規則等の安全衛生基準に",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　同規則、その他関係法令に定められた事業者として義務を遂行するほか、特に安全衛生"]
[null,"則り、貴作業所における安全衛生管理に自主的、積極的に取り組み、忠実に遵守致します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　管理については下記条項を遵守履行いたします。"]
["２．","建設業法、労働者派遣法、その他関係法令を遵守し、法違反は絶対に致しません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１．安全衛生について"]
["３．","道路交通法、道路法、道路運送車両法、貨物自動車運送事業法、ダンプ規制法等を遵守し、違反車両",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（１）貴社の統括安全衛生責任者、安全管理者、衛生管理者その他安全衛生関係者の指"]
[null,"（過積載、排ガス規制、白トラ等）は絶対に使用致しません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　示に従います。"]
["４．","弊社の担当工事現場ごとに法令に定める作業主任者を選任し、氏名を貴社に報告致します。"]
["５．","法令に定める免許又は資格の必要な作業においては、それぞれ有資格者に実施させるとともに名簿を貴社に",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（２）弊社の担当工事現場ごとに法令に定める作業主任者を選任し、氏名を貴社に届出"]
[null,"届出ます。又、貴社より要求ある場合は、資格証を提示致します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　ます。"]
["６．","外国人の不法就労者を絶対に使用いたしません。（出入国管理及び難民認定法）"]
["７．","暴力団関係者を絶対に使用いたしません。（暴力団対策法）"]
["８．","万一、賃金不払い等の問題が生じた場合には、責任を持って対処致します。"]
["９．","貴社の作業所において知りえた個人情報等は、いかなる第三者に対しても開示、漏洩致しません。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（３）車両の運転、クレーン・デリック・玉掛作業、ガス溶接・溶断・火薬取扱、電気"]
["１０．","貴社で行なう災害防止協議会、教育及び行事等には進んで参加するとともに、弊社においても同種会議及び行事を",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　工事等法令に定める免許又は資格の必要な作業においては、それぞれ有資格者に実"]
[null,"企画し、さらに自主的に現場パトロールを実施致します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　施させるとともに名簿を貴社に届出ます。又貴社より要求ある場合は、資格証を提"]
["１１．","安全衛生教育を自主的に実施します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　示致します。"]
[null,"　　①雇入時教育　②作業内容変更時教育　③特別教育　④職長教育",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（４）弊社従業員については、法規に決められた健康診断を実施致します。"]
["１２．","保護帽その他必要とする保護具は、弊社の責任において調達整備し、従業員に確実に使用させます。"]
["１３．","担当工事現場の整理整頓及び跡片付けは、弊社の責任において確実に行ないます。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（５）貴社で行なう災害防止協議会、教育及び行事等には進んで参加するとともに、"]
["１４．","この誓約書の諸事項に違反して貴社に損害を与えた場合及び万一弊社の責によって労働災害、作業所通退勤時の",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　弊社においても同種会議及び行事を企画し、さらに自主的に現場パトロールを"]
[null,"交通事故等が発生した場合、災害・事故等の大小にかかわらず、一切の責任は弊社において負うことを確約致します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　実施致します。"]
[null,"また、災害・事故等が発生したときは、必ず報告し、適正な労災手続きを致します。"]
["１５．","作業所で働く者のうち、労働者でない者（一人親方および中小事業主）については、労災保険法による"]
[null,"特別加入制度を利用した労災保険の加入の有無を確認し、報告致します。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（６）安全衛生教育を自主的に実施する"]
["１６．","当社の関係下請負人会社にも、上記事項を指導徹底し、遵守させます。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　①雇入時教育　②作業内容変更時教育　③特別教育　④職長教育"]
[]
[null,"なお、以下の提出書類についても、内容に相違ありません。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（７）安全設備（仮設備を含む）については、自主的に設備いたしますが特に貴社よ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　り指示がある場合は、その指示に従い実施するとともに保守については確実にこ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　れを行ないます。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（８）弊社持込みの機械、器具類で法令で規制をうけるものは、使用に先立ち貴社"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　現場責任者に検査証等を提示し、確認を得たものでなければ使用致しません。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（９）弊社持込み及び貴社貸与の機械、器具類については法令で規制をうけるものは、"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　常に点検整備し、貴社貸与のものについて異常を認めた場合は、貴社責任者に"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　報告し、指示を受けます。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（10）保護帽その他必要とする保護具は、弊社の責任において調達整備し、従業員"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　に確実に使用させます。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（11）担当工事現場の整理整頓及び跡片付けは、弊社の責任において確実に行ない"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　ます。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（12）工事現場内の火気使用については、責任者を定めて管理を行ないます。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　2.貴社より請負った工事を弊社が更に下請施工させる場合は、この念書の諸事"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　項については弊社が責任をもって確実に履行させます。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　3.この念書の諸事項に違反して貴社に損害を与えた場合及び万一弊社の責によ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　って災害が発生したときは、一切の責任は弊社において負うことを確約いた"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　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,"（13）作業所で働く者のうち、労働者でない者（一人親方および中小事業主）につ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　いては、労災保険法による特別加入制度を利用した労災保険の加入の有無を確"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　認する。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（14）災害発生時は必ず報告し、適正な労災手続きをする。"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"以　　上"]

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[null,"Menuへ"]
[null,"施工体制台帳作成建設工事通知"]
[]
[null,"協力業者の皆様へ"]
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["施工体制台帳作成建設工事の通知"]
[]
[]
[]
[null,"　当工事は、建設業法(昭和24年法律第100号)　第24条の7に基づく施工体制台帳の作成を要する"]
[null,"建設工事です。"]
[null,"　この建設工事に従事する下請負業者の方は、一次、二次等の層次を問わず、その請け負った建設"]
[null,"工事を他の建設業を営む者(建設業の許可を受けていないものを含みます。)に請け負わせたときは、"]
[null,"速やかに次の手続きを実施してください。"]
[null,"　なお、一度提出いただいた事項や書類に変更が生じたときも、遅滞なく、変更の年月日を付記して"]
[null,"再提出しなければなりません。"]
[]
[null,"①","再下請負通知書の提出"]
[null,null,"建設業法第24条の7第2項の規定により、遅滞なく、建設業法施行規則(昭和24年建設省令"]
[null,null,"第14号)第14条の4に規定する再下請負通知書により、自社の建設業登録や主任技術者等の"]
[null,null,"選任状況及び再下請負契約がある場合はその状況を、直近上位の注文者を通じて元請業者に"]
[null,null,"報告されるようお願いします。"]
[null,null,"一次下請負業者の方は、後次の下請負業者から提出される再下請負通知をとりまとめ、下請負"]
[null,null,"業者編成表とともに提出してください。"]
[]
[null,"②","再下請負業者に対する通知"]
[null,null,"他に下請負を行わせる場合は、この書面を複写して、「もしさらに他の者に工事を請け負わせた"]
[null,null,"ときは、『再下請負通知書』を提出するとともに、関係する後次の下請負業者に対してこの書面の"]
[null,null,"写しの交付が必要である」旨を伝えなければなりません。"]
[null,null,"なお、当工事の概要は次の通りですが、不明な点は下記の担当者に照会ください。"]
[]
[null,"正式工事名",null,null,null,{"$f":"IF(A!F5=\"\",\"\",A!F5)","v":""}]
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[null,"監督員名"]
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[null,"同人の権限",null,null,null,"工事施工に関する一切の権限"]
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[null,"意見申出方法",null,null,null,"理由を明示した書面による　"]
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[null,"提出先及び担当者",null,null,null,"株式会社アイムホーム"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　"]

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["Menuへ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　年　　　月　　　日"]
["建設業法・雇用改善法等に基づく届出書(変更届)　　　　　　　　　　　　　　　　　　　　　　　　　　　　(再下請負通知書様式)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"《下請負人に関する事項》",null,null,null,null,null,null,null,"　再下請負業者及び再下請負契約関係について次のとおり報告いたします。"]
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[null,"直近上位の　　　　　　　　注文者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所　　　　　　　　　　　電話番号",null,null,null,null,null,"〒",{"$f":"IF(B!F6=\"\",\"\",B!F6)","v":""},null,null,{"$f":"IF(B!F7=\"\",\"\",B!F7)","v":""}]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,"【報告下請業者】",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,"TEL",null,null,null,{"$f":"IF(B!F8=\"\",\"\",B!F8)","v":""}]
[null,"現場代理人名　　　　　　　（所長名）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"〒",null,null,null,null,null,null,null,null,null,null,"工事名称　　　　　　　　及び　　　　　　　　　　工事内容",null,null,null,null,null,{"$f":"IF(A!F5=\"\",\"\",A!F5)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住     　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,"TEL"]
[null,"元請名称",null,null,null,null,null,{"$f":"IF(A!F12=\"\",\"\",A!F12)","v":"株式会社アイムホーム"},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工　　期",null,null,null,null,null,"自",null,{"$f":"IF(B!G11=\"\",\"\",B!G11)","v":""},null,null,null,null,"契約日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"FAX"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会 社 名",null,null,null,{"$f":"IF(B!I5=\"\",\"\",B!I5)","v":""}]
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["《自社に関する事項》"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(B!F19=\"\",\"\",B!F19)","v":""},null,null,"工事業",null,"大臣",null,"特定",null,null,"第",null,"第",{"$f":"IF(B!K19=\"\",\"\",B!K19)","v":""},"号",null,{"$f":"IF(B!F20=\"\",\"\",B!F20)","v":""}]
[null,"工事名称　　　　　　　及び　　　　　　　　　　　工事内容",null,null,null,null,null,{"$f":"IF(A!F5=\"\",\"\",A!F5)","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"知事",null,"一般"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"知事",null,"一般"]
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[null,"工　　　期",null,null,null,null,null,"自",null,{"$f":"IF(A!G10=\"\",\"\",A!G10)","v":""},null,null,null,null,"契約日",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,{"$f":"IF(B!F12=\"\",\"\",B!F12)","v":""},null,null,null,null,null,null,"安全衛生　　　　　　　責任者名",null,null,null,null,null,{"$f":"IF(B!F16=\"\",\"\",B!F16)","v":""}]
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[null,null,null,null,null,null,null,"至",null,{"$f":"IF(A!J10=\"\",\"\",A!J10)","v":""}]
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[]
[null,"建設業の　　　　　　　　許　　　可",null,null,null,null,null,"施工に必要な許可業種",null,null,null,null,"許　　可　　番　　号",null,null,null,null,null,null,null,null,null,"許可(更新)年月日"]
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[null,null,null,null,null,null,null,null,null,null,null,null,"知事",null,"一般"]
[null,null,null,null,null,null,null,{"$f":"IF(A!F26=\"\",\"\",A!F26)","v":""},null,null,"工事業",null,"大臣",null,"特定",null,null,"第",{"$f":"IF(A!K26=\"\",\"\",A!K26)","v":""},null,null,"号",{"$f":"IF(A!F27=\"\",\"\",A!F27)","v":""},null,null,null,null,null,null,null,null,"資格内容",null,null,null,null,null,null,null,null,null,null,"※専門技術者名",null,null,null,null,null,{"$f":"IF(B!F15=\"\",\"\",B!F15)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,"知事",null,"一般"]
[]
[null,"監督員名",null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生　　　　　　　責任者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"資格内容",null,null,null,{"$f":"IF(B!K15=\"\",\"\",B!K15)","v":""}]
[]
[null,null,null,"権限及び　　　　　意見申出方法",null,null,null,"文書による",null,null,null,null,null,null,"安全衛生　　　　　　　推進者名"]
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[null,"現場代理人名",null,null,null,null,null,null,null,{"$f":"IF(A!F18=\"\",\"\",A!F18)","v":""},null,null,null,null,"雇用管理責任者名",null,null,null,null,null,{"$f":"IF(A!K18=\"\",\"\",A!K18)","v":""}]
[]
[null,null,null,"権限及び　　　　　意見申出方法",null,null,null,"文書による",null,null,null,null,null,null,"※専門技術者名"]
[]
[null,"※主任技術者名",null,null,null,null,null,{"$f":"IF(A!K19=\"\",\"\",A!K19)","v":""},null,null,null,null,null,null,null,null,"資格内容",null,null,null,null,null,null,null,null,null,null,null,null,"※ [ 主任技術者、専門技術者の記入要領 ]",null,null,null,null,null,null,null,null,null,null,null,null,null,"3　主任技術者の資格内容(該当するものを選んで記入する)"]
[]
[null,null,null,"資格内容",null,null,null,{"$f":"IF(A!F20=\"\",\"\",A!F20)","v":""},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,"1　主任技術者の配属状況について[専任・非専任]の",null,null,null,null,null,null,null,null,null,null,null,null,null,"①経験年数による場合\n　"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"   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,"1) 大学卒[指定学科]　　3 年以上の実務経験\n　"]
[null,"(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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2) 高校卒[指定学科]　　5 年以上の実務経験\n　"]
[null,null,null,1,"報告下請け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,"2　専門技術者には、土木・建築一式工事を施工する",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3) その他　　　　　　　　　10年以上の実務経験"]
[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、次の契約書類(金額の記載は不要)の写しを提出する。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 　場合等でその工事に含まれる専門工事を施工する"]
[null,null,null,null,"なお、再下請が複数ある場合は、《再下請負契約関係》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,"　 ために必要な主任技術者を記載する。",null,null,null,null,null,null,null,null,null,null,null,null,null,"②資格等による場合"]
[null,null,null,null,"　　　①契約書、注文書・請書等　②下請基本契約書",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"   (一式工事の主任技術者が専門工事の主任技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"1) 建設業法 「技術検定」\n　"]
[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1-乙に準じ下請負業者編成表を作成の上、",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"   としての資格を有する場合は専門技術者を兼ねる\n",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2) 建築士法 「建築士試験」\n　"]
[null,null,null,null,"元請に届出ること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"   ことができる。)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3) 技術士法 「技術士試験」\n"]
[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,"   複数の専門工事を施工するために複数の専門技術者を",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4) 電気工事士法 「電気工事士試験」\n　"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"   要する場合は適宜欄を設けて全員を記載する。",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」\n　"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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」\n　"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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 「技能試験」"]

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[null,"Menuへ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　年　　　月　　　日"]
[null,"下請負業者編成表"]
[null,"（一次下請負業者＝作成下請負業者）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(B!F10=\"\",\"\",B!F10)","v":""},null,"会社名",null,null,null,null,null,null,{"$f":"IF(B!F4=\"\",\"\",B!F4)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生責任者",null,null,null,null,null,null,{"$f":"IF(B!F16=\"\",\"\",B!F16)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,{"$f":"IF(B!F13=\"\",\"\",B!F13)","v":""}]
[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,null,null,{"$f":"IF(B!F15=\"\",\"\",B!F15)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工事",null,null,"担当工事内容",null,null,null,null,null,{"$f":"IF(B!F14=\"\",\"\",B!F14)","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工期",null,null,{"$f":"IF(B!G11=\"\",\"\",B!G11)","v":""},null,null,null,null,null,null,"～",null,null,{"$f":"IF(B!J11=\"\",\"\",B!J11)","v":""}]
[]
[]
[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,"（二次下請負業者）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（二次下請負業者）"]
[null,{"$f":"IF('C'!F9=\"\",\"\",'C'!F9)","v":""},null,"会社名",null,null,null,null,{"$f":"IF('C'!F4=\"\",\"\",'C'!F4)","v":""},null,null,null,null,null,null,null,null,null,"会社名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社名"]
[null,null,null,"安全衛生　　　　責任者",null,null,null,null,{"$f":"IF('C'!F15=\"\",\"\",'C'!F15)","v":""},null,null,null,null,null,null,null,null,null,"安全衛生　　　　責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生　　　　責任者"]
[null,null,null,"主任技術者",null,null,null,null,{"$f":"IF('C'!F12=\"\",\"\",'C'!F12)","v":""},null,null,null,null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主任技術者"]
[null,null,null,"専門技術者",null,null,null,null,{"$f":"IF('C'!F14=\"\",\"\",'C'!F14)","v":""},null,null,null,null,null,null,null,null,null,"専門技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"専門技術者"]
[null,"工事",null,null,"担当　　　　　工事内容",null,null,null,{"$f":"IF('C'!F13=\"\",\"\",'C'!F13)","v":""},null,null,null,null,null,null,null,"工事",null,null,"担当　　　　　工事内容",null,null,null,null,null,null,null,null,null,null,null,"工事",null,null,"担当　　　　　工事内容"]
[null,"工　期",null,null,{"$f":"IF('C'!G10=\"\",\"\",'C'!G10)","v":""},null,null,null,null,"～",{"$f":"IF('C'!J10=\"\",\"\",'C'!J10)","v":""},null,null,null,null,null,"工　期",null,null,null,null,null,null,null,"～",null,null,null,null,null,null,"工　期",null,null,null,null,null,null,null,"～"]
[]
[]
[null,null,null,null,"（三次下請負業者）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（三次下請負業者）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（三次下請負業者）"]
[null,{"$f":"IF(D!F9=\"\",\"\",D!F9)","v":""},null,"会社名",null,null,null,null,{"$f":"IF(D!F4=\"\",\"\",D!F4)","v":""},null,null,null,null,null,null,null,null,null,"会社名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社名"]
[null,null,null,"安全衛生　　　　責任者",null,null,null,null,{"$f":"IF(D!F15=\"\",\"\",D!F15)","v":""},null,null,null,null,null,null,null,null,null,"安全衛生　　　　責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生　　　　責任者"]
[null,null,null,"主任技術者",null,null,null,null,{"$f":"IF(D!F12=\"\",\"\",D!F12)","v":""},null,null,null,null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主任技術者"]
[null,null,null,"専門技術者",null,null,null,null,{"$f":"IF(D!F14=\"\",\"\",D!F14)","v":""},null,null,null,null,null,null,null,null,null,"専門技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"専門技術者"]
[null,"工事",null,null,"担当　　　　　工事内容",null,null,null,{"$f":"IF(D!F13=\"\",\"\",D!F13)","v":""},null,null,null,null,null,null,null,"工事",null,null,"担当　　　　　工事内容",null,null,null,null,null,null,null,null,null,null,null,"工事",null,null,"担当　　　　　工事内容"]
[null,"工　期",null,null,{"$f":"IF(D!G10=\"\",\"\",D!G10)","v":""},null,null,null,null,"～",{"$f":"IF(D!J10=\"\",\"\",D!J10)","v":""},null,null,null,null,null,"工　期",null,null,null,null,null,null,null,"～",null,null,null,null,null,null,"工　期",null,null,null,null,null,null,null,"～"]
[]
[]
[null,null,null,null,"（四次下請負業者）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（四次下請負業者）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（四次下請負業者）"]
[null,{"$f":"IF(E!F9=\"\",\"\",E!F9)","v":""},null,"会社名",null,null,null,null,{"$f":"IF(E!F4=\"\",\"\",E!F4)","v":""},null,null,null,null,null,null,null,null,null,"会社名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社名"]
[null,null,null,"安全衛生　　　　責任者",null,null,null,null,{"$f":"IF(E!F15=\"\",\"\",E!F15)","v":""},null,null,null,null,null,null,null,null,null,"安全衛生　　　　責任者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生　　　　責任者"]
[null,null,null,"主任技術者",null,null,null,null,{"$f":"IF(E!F12=\"\",\"\",E!F12)","v":""},null,null,null,null,null,null,null,null,null,"主任技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"主任技術者"]
[null,null,null,"専門技術者",null,null,null,null,{"$f":"IF(E!F14=\"\",\"\",E!F14)","v":""},null,null,null,null,null,null,null,null,null,"専門技術者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"専門技術者"]
[null,"工事",null,null,"担当　　　　　工事内容",null,null,null,{"$f":"IF(E!F13=\"\",\"\",E!F13)","v":""},null,null,null,null,null,null,null,"工事",null,null,"担当　　　　　工事内容",null,null,null,null,null,null,null,null,null,null,null,"工事",null,null,"担当　　　　　工事内容"]
[null,"工　期",null,null,{"$f":"IF(E!G10=\"\",\"\",E!G10)","v":""},null,null,null,null,"～",{"$f":"IF(E!J10=\"\",\"\",E!J10)","v":""},null,null,null,null,null,"工　期",null,null,null,null,null,null,null,"～",null,null,null,null,null,null,"工　期",null,null,null,null,null,null,null,"～"]
[]
[null,"(記入要領)",null,null,null,null,1,"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「届出書」(様式1号-甲)に基づいて本表を作成"]
[null,null,null,null,null,null,null,"の上、元請に届出ること。"]
[null,null,null,null,null,null,2,"この下請負業者編成表でまとめきれない場合には、本様式をコピーするなどして適宜使用すること。"]

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[]
[]
[]
[]
[]
[null,"作　業　員　名　簿"]
[]
[]
[null,"◎ 記入・報告のポイント"]
[]
[null,null,"（１）　実際に当社の作業所で就労する作業員について記入する。"]
[]
[null,null,"（２）　作業員が変わったときは、そのつど追記削除する。"]
[]
[null,null,"（３）　名簿は各会社（一次、二次・・・・・）別に作成する。"]
[]
[null,null,"（４）　健康診断"]
[null,null,null,"＊健康診断日を必ず記入し、会社の安全衛生責任者が健康診断原簿と照合して"]
[null,null,null,"　確認印を捺印する。"]
[null,null,null,"＊特殊健康診断が必要な業務に従事する者（次頁参照）については、特殊健康診断日を"]
[null,null,null,"　 必ず記入し、健康診断書の写しを添付する（作業員名簿の後）。"]
[]
[null,null,"（５）　教育・資格・免許"]
[null,null,null,"＊就労資格（免許、技能講習、特別教育）は、工事に必要なものを該当する各欄に記入する。"]
[null,null,null,"＊資格者がいない場合には、現場の小型クレーン、荷上げリフト等使用できないので、"]
[null,null,null," 　有資格者を配置する。"]
[]
[null,null,"（６）　現住所、家族連絡先"]
[null,null,null,"＊現住所は必ず記入する。"]
[null,null,null,"＊家族連絡先は記入することが望ましいが、記入できない場合は会社で住所録を"]
[null,null,null,"　作成して保管する。"]
[null,null,null,"＊関係先から問い合わせに返答できるようにしておく。"]
[]
[null,null,"（７）　※印には次の記号を入れる。"]
[null,null,null,"現","：　現場代理人"]
[null,null,null,"職","：　職長"]
[null,null,null,"安","：　安全衛生責任者"]
[null,null,null,"主","：　作業主任者（正副２名専任すること）"]
[null,null,null,"女","：　女子作業員"]
[null,null,null,"高","：　65才以上の高齢作業員"]
[null,null,null,"未","：　18才未満の男子作業員"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"〈 特 殊 診 断 が 必 要 な 業 務 〉"]
[]
[null,"（法66、令22、則45）\n"]
[null,"１．特別な項目の健康診断"]
[null,null,"　①　高圧室内業務、潜水業務"]
[null,null,"　②　有機溶剤"]
[null,null,"　③　振動業務"]
[]
[null,"２．じん肺健康診断　　（じん肺法－３，粉じん則別表－１）"]
[null,null,"　①　鉱物等を掘削する場合における作業"]
[null,null,"　②　鉱物等を積卸す場所における作業"]
[null,null,"　③　坑内の鉱物を破砕ふるい分け積卸す場所における作業"]
[null,null,"　④　坑内において鉱物等を運搬する作業"]
[null,null,"　⑤　粉じんが付着し、又はたい積した機械設備又は電気設備を移設し、撤去し、点検し、"]
[null,null,"　　　又は補修する作業"]
[null,null,"　⑥　岩石又は鉱物を裁断し、彫り又は仕上げする場所における作業"]
[null,null,"　⑦　研磨材の吹付により研磨し、又は研磨材を用いて動力により岩石、鉱物、金属を"]
[null,null,"　　　研磨し、若しくは裁断する場所における作業"]
[null,null,"　⑧　セメント、フライアッシュ又は粉状の鉱石、炭素原料若しくは炭素製品を乾燥し、"]
[null,null,"　　　袋詰めし、積卸しする場所における作業"]
[null,null,"　⑨　粉状の鉱石又は炭素原料を材料とするものを製造又は加工する場所における作業"]
[]
[null,"３．高血圧について"]
[]
[null,null,"どこからが高血圧か？",null,null,null,null,null,null,null,"見逃すな！こんな前触れシグナル"]
[]
[]
[null,null,"ＷＨＯ（世界保健機関）の血圧分類\n"]
[null,null,null,null,null,null,null,null,"（単位：mm水銀柱）",null,null,"●","頭が痛い"]
[null,"最高血圧",160,null,null,null,null,null,"高血圧",null,null,"●","めまいがする"]
[null,null,140,null,null,null,null,"境界域高血圧\n（高血圧予備軍）",null,null,null,"●","肩がこる"]
[null,null,null,null,null,"正常血圧",null,null,null,null,null,"●","耳鳴りがする"]
[null,null,100,null,null,null,null,null,null,null,null,"●","のぼせる"]
[null,null,null,"低血圧\n（参考値）",null,null,null,null,null,null,null,"●","動悸がする"]
[null,null,null,null,null,null,null,null,null,null,null,"●","疲れやすい"]
[null,null,null,null,55,null,90,95]
[]
[]
[null,"高血圧・動脈硬化を防ぐ日常生活１０か条"]
[]
[]
[null,"①","食塩は１日10ｇ以下に",null,null,null,null,null,null,"⑥","毎日適度に運動する"]
[null,"②","新鮮な野菜や果物を、たっぷり食べる",null,null,null,null,null,null,"⑦","肉の脂身、バターなど動物性脂肪控えめに"]
[null,"③","腹八分目を守り、肥満に注意",null,null,null,null,null,null,"⑧","お酒はほどほどに"]
[null,"④","ストレスをためない",null,null,null,null,null,null,"⑨","月に一度は血圧測定を"]
[null,"⑤","タバコをやめる",null,null,null,null,null,null,"⑩","定期的に健診を"]

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["Menuへ"]
[]
[]
["労働安全衛生法等に定める作業ごとに必要な資格一覧",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"参考"]
[]
[null,"免許及び技能講習","：",null,"安衛生法14、16",null,null,null,null,null,"免許者",null,null,null,null,null,"特別教育修了者"]
[]
[null,"特別教育","：",null,"安衛法59③",null,null,null,null,null,"技能講習修了者",null,null,null,null,null,"選任・指名・配置"]
[]
[null,"職長教育","：",null,"安衛法60"]
[]
[]
[0,"建設業全般",null,null,null,null,null,null,null,null,"職長教育"]
[]
[null,null,null,null,null,null,null,null,null,null,"令19、則40"]
[1,"高圧室内作業",null,null,"作業主任者",null,null,null,null,null,"空気圧縮機運転者"]
[]
[null,"（大気圧を越える気圧下の",null,null,"令6、則16、62、高10",null,null,null,null,null,"（作業室、気閘室）則36、高11"]
[null,"室内、シャフトの内部）　　",null,null,null,null,null,null,null,null,"送気調節担当者"]
[]
[null,null,null,null,null,null,null,null,null,null,"（作業室）則36、高11"]
[null,null,null,null,null,null,null,null,null,null,"加圧・減圧担当者"]
[]
[null,null,null,null,null,null,null,null,null,null,"（気閘室）則36、高11"]
[2,"木工加工用機械作業",null,null,null,null,null,"作業主任者",null,null,"救急再圧員"]
[]
[null,null,null,null,null,null,null,"令6、則16、129",null,null,"則36、高11"]
[3,"コンクリート破砕器作業",null,null,null,null,null,"作業主任者",null,null,"作業員"]
[]
[null,null,null,null,null,null,null,"令6、則16、321の3",null,null,"（高圧室内）則36、高11"]
[4,"地山の掘削作業",null,null,null,null,null,"作業主任者",null,null,null,null,null,"作業指揮者",null,null,"誘導者"]
[]
[null,null,null,null,null,null,null,"（2ｍ以上）令6、則16、359",null,null,null,null,null,"（ガス導管防護）則362",null,null,"（後進時、転落防止）則365"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"点検者",null,null,"測定者"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"（浮石、き裂）則358",null,null,"（可燃性ガス）則322"]
[5,"土止め支保工作業",null,null,null,null,null,"作業主任者"]
[]
[null,"（切りばり、腹起こし等の取付け、取外し）",null,null,null,null,null,"令6、則16、374"]
[6,"ずい道等の　　　　　　　　掘削等の作業",null,null,null,null,null,"作業主任者",null,null,null,null,null,"作業指揮者",null,null,"誘導者"]
[]
[null,"（掘削、支保工、ロックボルト、吹付け、ずり出し）",null,null,null,null,null,"令6、則16、383の2",null,null,"坑内作業者",null,null,"（ガス溶接等）則389の3",null,null,"（後進時、転落防止）則388"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"防火担当者"]
[7,"ずい道等の覆工の作業",null,null,null,null,null,"作業主任者",null,null,"則36"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"（火気、アーク溶接）則389の4"]
[null,"（組立、移動、解体、コンクリート打設）",null,null,null,null,null,"（2ｍ以上）令6、則16、383の4",null,null,null,null,null,"点検者",null,null,"測定者"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"（浮石、き裂、湧水等）則382",null,null,"（可燃性ガス）則382の2"]
[8,"はい作業",null,null,null,null,null,"作業主任者"]
[]
[null,"（高さ2ｍ以上のはい）",null,null,null,null,null,"令6、則16、428"]
[9,"砕石のための掘削作業",null,null,null,null,null,"作業主任者",null,null,null,null,null,"点検者"]
[]
[null,null,null,null,null,null,null,"（2ｍ以上）令6、則16、403",null,null,null,null,null,"（浮石、き裂等）則401"]
[10,"型わく支保工の　　　　　　　組立等作業",null,null,null,null,null,"作業主任者",null,null,null,null,null,"作業指揮者",null,null,"監視人"]
[]
[null,"（組立・解体）",null,null,null,null,null,"令6、則16、246",null,null,null,null,null,"（作業主任者選任作業を除く墜落危険作業）則529",null,null,"（3ｍ以上よりの投下）則536"]
[11,"足場の組立等作業",null,null,null,null,null,"作業主任者",null,null,null,null,null,"作業指揮者",null,null,"監視人"]
[]
[null,"（組立・解体・変更）",null,null,null,null,null,"（つり屋根、張り出し足場、",null,null,null,null,null,"（作業主任者選任作業を除く墜落危険作業）則529",null,null,"（3ｍ以上よりの投下）則536"]
[null,null,null,null,null,null,null,"５ｍ以上の足場）令6、則16、565"]
[12,"鉄骨組立等作業",null,null,null,null,null,"作業主任者",null,null,null,null,null,"作業指揮者",null,null,"監視人"]
[]
[null,"（建築鉄骨・鉄塔・その他）",null,null,null,null,null,"（５ｍ以上）令6、則16、246、517の4",null,null,null,null,null,"（作業主任者選任作業を除く墜落危険作業）則529",null,null,"（3ｍ以上よりの投下）則536"]
[13,"鋼橋架設等作業",null,null,null,null,null,"鋼橋架設等　　　　　　　　　　作業主任者",null,null,null,null,null,"作業指揮者"]
[]
[null,null,null,null,null,null,null,"則517の8",null,null,null,null,null,"（作業主任者選任作業を除く墜落危険作業）則529"]
[null,null,null,null,null,null,null,"コンクリート橋架設　　　　　　等作業主任者",null,null,null,null,null,"作業指揮者"]
[]
[null,null,null,null,null,null,null,"則517の8",null,null,null,null,null,"（作業主任者選任作業を除く墜落危険作業）則529"]
[14,"木造建築物の　　　　　　　組立て等作業",null,null,null,null,null,"作業主任者",null,null,null,null,null,"作業指揮者"]
[]
[null,"（構造部材組立・屋根下地・外壁下地）",null,null,null,null,null,"（５ｍ以上）令6、則16、517の7",null,null,null,null,null,"（作業主任者選任作業を除く墜落危険作業）則529"]
[15,"コンクリート造工作物の　　　　　解体等作業",null,null,null,null,null,"作業主任者",null,null,null,null,null,"作業指揮者",null,null,"監視人"]
[]
[null,"（解体・破壊）",null,null,null,null,null,"（５ｍ以上）令6、則16、517の12",null,null,null,null,null,"（作業主任者選任作業を除く墜落危険作業）則529",null,null,"（3ｍ以上よりの投下）則536"]
[16,"第一種酸素　　　　　　　　欠乏危険作業",null,null,null,null,null,"作業主任者"]
[null,null,null,null,null,null,null,null,null,null,"作業者",null,null,null,null,null,"監視人"]
[null,"（第二種以外の酸欠危険作業）",null,null,null,null,null,"（一種、二種）令6、則16、酸11"]
[17,"第二種酸素　　　　　　　　欠乏危険作業",null,null,null,null,null,"作業主任者",null,null,"則36、酸12",null,null,null,null,null,"（作業の状態）酸13"]
[]
[null,"（硫化水素中毒危険場所）",null,null,null,null,null,"（二種）令6、則16、酸11"]
[18,"有機溶剤作業",null,null,null,null,null,"作業主任者"]
[]
[null,null,null,null,null,null,null,"令6、則16、有19"]
[19,"特定粉じん作業",null,null,null,null,null,null,null,null,"作業者"]
[]
[null,null,null,null,null,null,null,null,null,null,"則36、粉22"]
[20,"特定化学物質取扱作業",null,null,null,null,null,"作業主任者"]
[]
[null,null,null,null,null,null,null,"令6、則16、特化則27"]
[21,"クレーン・デリック　　　　　運転業務",null,null,"運転士",null,null,null,null,null,"運転者",null,null,"作業指揮者"]
[]
[null,null,null,null,"(5ｔ以上)令20、ク22、108",null,null,null,null,null,"(5ｔ以上)令36、ク21、107",null,null,"（組立・解体）ク33、ク108"]
[22,"移動式クレーン運転業務",null,null,"運転士",null,null,"運転者",null,null,"運転者",null,null,"作業指揮者"]
[]
[null,null,null,null,"(5ｔ以上)令20、ク68",null,null,"(5ｔ未満～1ｔ以上)令20、則41、ク68",null,null,"(1ｔ未満)則36、ク67",null,null,"（ジブ組立・解体）ク75の2"]
[23,"床上操作式　　　　　　　　クレーン運転業務",null,null,null,null,null,"運転者",null,null,"運転者"]
[]
[null,null,null,null,null,null,null,"(5ｔ以上)令20、則41、ク22",null,null,"（5ｔ未満)則36、ク21"]
[24,"跨線テルハ運転業務",null,null,null,null,null,null,null,null,"運転者"]
[24]
[null,null,null,null,null,null,null,null,null,null,"(5ｔ以上)則36、ク21"]
[25,"ガス溶接作業",null,null,null,null,null,"作業者"]
[25]
[null,null,null,null,null,null,null,"令20、則41"]
["法令略語"]
[null,"令：労働安全衛生法施行令",null,null,"ク：クレーン等安全規則",null,null,"高：高気圧作業安全衛生規則",null,null,"ゴ：ゴンドラ安全規則",null,null,"酸：酸素欠乏症等防止規則"]
[null,"則：労働安全衛生規則",null,null,"粉：粉じん障害防止規則",null,null,"有：有機溶剤中毒予防規則",null,null,"火：火薬類取締法",null,null,"火則：火薬類取締法施行規則"]
[]
[]
[26,"高所作業車運転業務",null,null,null,null,null,"運転者",null,null,"運転者",null,null,"作業指揮者",null,null,"合図者"]
[]
[null,null,null,null,null,null,null,"（１０ｍ以上）令20、則41",null,null,"（１０ｍ未満～２ｍ以上）則36",null,null,"（作業・修理等）則１９４の６",null,null,"（作業床外操作）則１９４の６"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"（作業・修理等）則１９４の１４"]
[null,"車両系建設機械　　　　　　運転業務",null,null,null,null,null,"運転者",null,null,"運転者",null,null,"作業指揮者",null,null,"誘導者"]
[27]
[null,"（整地・積込・運搬用、掘削用、解体用）",null,null,null,null,null,"（３ｔ以上）令20、則41",null,null,"（３ｔ未満）則36",null,null,"（修理・アタッチメント交換）",null,null,"（転倒、転落、接触防止）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"則１６５",null,null,"則１５７、１５８"]
[]
[28,"車両系建設機械　　　　　　運転業務",null,null,null,null,null,"運転者",null,null,"運転者",null,null,"作業指揮者",null,null,"誘導者"]
[]
[null,"（基礎工事用）",null,null,null,null,null,"（３ｔ以上）令20、則41",null,null,"（３ｔ未満）則36",null,null,"（修理・組立・解体等）",null,null,"（転倒、転落、接触防止）"]
[null,null,null,null,null,null,null,null,null,null,"作業装置操作者",null,null,"則１６５，１９０",null,null,"則１５７、１５８"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"合図者"]
[null,null,null,null,null,null,null,null,null,null,"則36"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"則１８９"]
[29,"車両系建設機械　　　　　運転業務",null,null,null,null,null,null,null,null,"運転者",null,null,"作業指揮者",null,null,"誘導者"]
[]
[null,"（締固め用）",null,null,null,null,null,null,null,null,"（３ｔ未満）則36",null,null,"（修理・アタッチメント交換）",null,null,"（転倒、転落、接触防止）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"則１６５",null,null,"則１５７、１５８"]
[30,"コンクリートポンプ車　　　　　　使用作業",null,null,null,null,null,null,null,null,"作業装置操作者",null,null,"作業指揮者",null,null,"誘導者"]
[]
[null,null,null,null,null,null,null,null,null,null,"則36",null,null,"（油送管組立・解体、",null,null,"（転倒、転落、接触防止）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"アタッチメント着脱）",null,null,"則１５７、１５８"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"則１６５，１７１の３",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,"則１７１の２"]
[31,"フォークリフト運転業務",null,null,null,null,null,"運転者",null,null,"運転者",null,null,"作業指揮者",null,null,"誘導者"]
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[null,null,null,null,null,null,null,"（最大荷重１ｔ以上）令20、則41",null,null,"（最大荷重１ｔ未満）則36",null,null,"（作業・修理・アタッチメント着脱）",null,null,"（転倒、転落、接触防止）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"則１５１の４，１５１の１５",null,null,"則１５１の６、１５１の７"]
[32,"ｼｮﾍﾞﾙﾛｰﾀﾞｰ･ﾌｫｰｸﾛｰﾀﾞｰ運転業務",null,null,null,null,null,"運転者",null,null,"運転者",null,null,"作業指揮者",null,null,"誘導者"]
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[null,null,null,null,null,null,null,"（最大荷重１ｔ以上）令20、則41",null,null,"（最大荷重１ｔ未満）則36",null,null,"（作業・修理・アタッチメント着脱）",null,null,"（転倒、転落、接触防止）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"則１５１の４，１５１の１５",null,null,"則１５１の６、１５１の７"]
[33,"不整地運搬車運転業務",null,null,null,null,null,"運転者",null,null,"運転者",null,null,"作業指揮者",null,null,"誘導者"]
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[null,null,null,null,null,null,null,"（最大荷重１ｔ以上）令20、則41",null,null,"（最大荷重１ｔ未満）則36",null,null,"（作業・修理・アタッチメント着脱）",null,null,"（転倒、転落、接触防止）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"則１５１の４，１５１の１５",null,null,"則１５１の６、１５１の７"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"作業指揮者"]
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[34,"建設用リフト運転業務",null,null,null,null,null,null,null,null,"運転者",null,null,"作業指揮者"]
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[null,null,null,null,null,null,null,null,null,null,"則36、ク１８３",null,null,"（組立、解体）ク１９１"]
[35,"玉掛業務",null,null,null,null,null,"作業者",null,null,"作業者",null,null,null,null,null,"合図者"]
[]
[null,"（組立・解体）",null,null,null,null,null,"（吊り上げ荷重１ｔ以上）",null,null,"（吊り上げ荷重１ｔ未満）",null,null,null,null,null,"ク２５，７１，１１１"]
[null,null,null,null,null,null,null,"令２０、則４１、ク２２１",null,null,"則36、ク２２２"]
[36,"巻上げ機運転業務",null,null,null,null,null,null,null,null,"運転者"]
[]
[null,null,null,null,null,null,null,null,null,null,"則３６"]
[37,"ボーリングマシン　　　　　運転業務",null,null,null,null,null,null,null,null,"運転者",null,null,"作業指揮者",null,null,"合図者"]
[]
[null,null,null,null,null,null,null,null,null,null,"則３６",null,null,"（組立、解体、変更、移動）則１９０",null,null,"則１８９"]
[38,"ゴンドラ操作業務",null,null,null,null,null,null,null,null,"操作者",null,null,null,null,null,"合図者"]
[]
[null,null,null,null,null,null,null,null,null,null,"則３６、ゴ１２",null,null,null,null,null,"ゴ１６"]
[39,"軌道装置運転業務",null,null,null,null,null,null,null,null,"運転者",null,null,"誘導者",null,null,"監視人"]
[]
[null,null,null,null,null,null,null,null,null,null,"則３６",null,null,"（後押運転）則２２４",null,null,"（接触、踏切、軌道接近）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"則２０５，５５０，５５４"]
[40,"火薬・発破業務",null,null,"発破技士",null,null,null,null,null,null,null,null,"作業指揮者",null,null,"監視人"]
[]
[null,null,null,null,"令２０、則４１",null,null,null,null,null,null,null,null,"（導火線、電気発破）則３１９，３２０",null,null,"（受渡し、出納）火則１６，５３"]
[null,null,null,null,"取扱保安責任者",null,null,null,null,null,null,null,null,"点検員",null,null,"見張人"]
[]
[null,null,null,null,"火２０、火則６９",null,null,null,null,null,null,null,null,"（発破後）則３５８",null,null,"（発破時）火則５３"]
[41,"潜水業務",null,null,"潜水士",null,null,null,null,null,"送気調節担当者",null,null,"連絡員"]
[]
[null,null,null,null,"令２０、則４１、高１２",null,null,null,null,null,"則３６、高１１",null,null,"高３６"]
[42,"ｱｰｸ溶接業務",null,null,null,null,null,null,null,null,"作業者"]
[]
[null,null,null,null,null,null,null,null,null,null,"則36"]
[43,"研削といし試運転業務",null,null,null,null,null,null,null,null,"作業者"]
[]
[null,"（といしの取り替えを含む）",null,null,null,null,null,null,null,null,"則36"]
[44,"電気取扱業務",null,null,"電気主任技術者"]
[]
[null,null,null,null,"電事法７２",null,null,null,null,null,"電気取扱者",null,null,"作業指揮者",null,null,"監視人"]
[]
[null,null,null,null,"電気工事士",null,null,null,null,null,"（特別、高、低圧）則３６",null,null,"（停電、活線）則３５０",null,null,"則３３９，３４５，３４９"]
[]
[null,null,null,null,"電工法３"]
[45,"エレベーターの　　　　　　組立解体業務",null,null,null,null,null,null,null,null,null,null,null,"作業指揮者"]
[]
[null,"（屋外設置のもの）",null,null,null,null,null,null,null,null,null,null,null,"（昇降路塔等）ク１５３"]
[46,"貨物取扱業務",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,"（１００kg以上の積卸し）則１５１の６２，１５１の７０"]
[]
[]
[]
["法令略語"]
[null,"令：労働安全衛生法施行令",null,null,"ク：クレーン等安全規則",null,null,"高：高気圧作業安全衛生規則",null,null,"ゴ：ゴンドラ安全規則",null,null,"酸：酸素欠乏症等防止規則"]
[null,"則：労働安全衛生規則",null,null,"粉：粉じん障害防止規則",null,null,"有：有機溶剤中毒予防規則",null,null,"火：火薬類取締法",null,null,"火則：火薬類取締法施行規則"]

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[null,null,"（注）１．※印欄には次の記号を入れる。",null,null,null,null,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,"[現]　…　現場代理人",null,"[主]　…　作業主任者（正副２名専任すること）",null,null,"[技]　…　主任技術者","[女]　…　女子従業員",null,null,null,"３．資格・免許等の写しを添付すること。"]
[null,null,null,"[安]　…　安全衛生責任者　",null,"[職]　…　職　　　　長",null,null,null,"[未]　…　１８歳未満の男子従業員　　　　　　　　　　　　",null,null,null,"※記載された個人情報は、安全衛生管理及び施工等の目的のみに使用し、他の目的には"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"   使用しませんが、本人の同意を得た上で、提出して下さい。"]
[null,null,"全建統一書式 第２号"]
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[null,null,null,null,null,null,"経 験 年 数","年　　　齢",null,"（ＴＥＬ）",null,"血　　　　　圧",null,"種　　　　　類","雇入・職長　　　　　特別教育","技能講習","免　　　許"]
[null,null,null,null,null,null,null,null,"  家　族　連　絡　先"]
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[null,null,"（注）１．※印欄には次の記号を入れる。",null,null,null,null,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,"[現]　…　現場代理人",null,"[主]　…　作業主任者（正副２名専任すること）",null,null,"[技]　…　主任技術者","[女]　…　女子従業員",null,null,null,"３．資格・免許等の写しを添付すること。"]
[null,null,null,"[安]　…　安全衛生責任者　",null,"[職]　…　職　　　　長",null,null,null,"[未]　…　１８歳未満の男子従業員　　　　　　　　　　　　",null,null,null,"※記載された個人情報は、安全衛生管理及び施工等の目的のみに使用し、他の目的には"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"   使用しませんが、本人の同意を得た上で、提出して下さい。"]

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["全建統一様式第５号－別紙",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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"]
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[]
[]
["社会保険加入状況"]
[]
[null,null,null,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,"作成",null,null,null,"）"]
[]
["事業所の名称"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一次",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"二次"]
["所長名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"殿",null,null,"会社名",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,null,null,null,null,null,"㊞"]
[]
[]
["番号",null,null,"ふりがな",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"社　会　保　険"]
[null,null,null,"氏名"]
[null,null,null,null,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,"年　金　保　険",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"雇　用　保　険"]
[]
[1,null,null,{"$f":"PHONETIC(D23)","v":""}]
[]
[2,null,null,{"$f":"PHONETIC(D25)","v":""}]
[]
[3,null,null,{"$f":"PHONETIC(D27)","v":""}]
[]
[null,null,null,{"$f":"PHONETIC(D29)","v":""}]
[]
[null,null,null,{"$f":"PHONETIC(D31)","v":""}]
[]
[null,null,null,{"$f":"PHONETIC(D33)","v":""}]
[]
[null,null,null,{"$f":"PHONETIC(D35)","v":""}]
[]
[null,null,null,{"$f":"PHONETIC(D37)","v":""}]
[]
[null,null,null,{"$f":"PHONETIC(D39)","v":""}]
[]
[null,null,null,{"$f":"PHONETIC(D41)","v":""}]
[]
[]
[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,"（記入要領）"]
[null,"1.",null,null,"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、下段に健康保険被保険者証の番号の下４桁（番号が４桁以下の場合は、当該番号）を記載す"]
[null,null,null,null,"る。なお、上記の保険に加入しておらず、後期高齢者である等により、国民健康保険の適用除外で"]
[null,null,null,null,"ある場合には、上段に「適用除外」と記載する。"]
[null,"2.",null,null,"年金保険欄には、上段に年金保険の名称（厚生年金、国民年金等）を、各年金の受給者である場合"]
[null,null,null,null,"は、上段に「受給者」と記載する。"]
[null,"3.",null,null,"雇用保険欄には、下段に被保険者番号の下４桁（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,"戻る",null,null,null,null,"機械データシート"]
[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]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　年　　　月　　　日","持込時の点検表"]
[]
[null,null,"持込機械等（移動式クレーン・車両系建設機械等）使用届　",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所　　有　　会　　社　　名",null,null,null,null,null,null,null,null,"代　　　表　　　者　　　名",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,{"$f":"IF(U21=\"\",\"\",$U$21)","v":""},null,null,null,null,null,null,null,null,{"$f":"IF(U23=\"\",\"\",$U$23)","v":""},null,null,null,null,null,null,null,null,null,"１","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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"２","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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"３","デリック"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"移　動　式　ク　レ　ー　ン　等",null,null,null,null,null,null,null,null,"車　両　系　建　設　機　械　等",null,null,null,null,null,null,null,null,null,"４","エレベーター"]
[null,null,null,"事業所の名称"]
[null,null,null,null,null,null,null,null,null,null,null,"作業所",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,"５","建設用リフト"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"点　検　事　項",null,null,null,null,null,null,"点検結果",null,"点　検　事　項",null,null,null,null,null,null,"点検結果",null,null,"６","高所作業車"]
[null,null,null,"所長名",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,null,null,null,null,"(a)","(b)",null,null,null,null,null,null,null,"(a)","(b)",null,"７","ゴンドラ"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ａ　クレーン部（上部旋回体）","安全装置",null,"巻過防止装置",null,null,null,null,null,"Ｄ　安全装置","各種ロック",null,"旋回",null,null,null,null,null,null,"８","ブル・ドーザー"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"一次会社名",null,null,null,null,null,null,null,null,null,null,null,null,null,"過負荷防止装置",null,null,null,null,null,null,null,null,"バケット",null,null,null,null,null,null,"９","モーター・グレーダー"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フックのはずれ止め",null,null,null,null,null,null,null,null,"ブーム･アーム",null,null,null,null,null,null,"10","トラクターショベル"]
[null,null,null,null,null,null,null,null,null,null,null,"持込会社名"]
[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,"起伏制御装置",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"11","ずり積機"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"(２次)",null,null,null,null,null,null,null,null,null,null,null,null,null,"旋回警報装置",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"12","スクレーパー"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"制御装置･作業装置",null,"主　巻・補　巻",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"13","スクレープ・ドーザー"]
[null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,null,null,null,"㊞"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"起　伏・旋　回",null,null,null,null,null,null,null,null,"警報装置",null,null,null,null,null,null,"14","パワー・ショベル"]
[]
[null,null,null,null,null,null,null,null,null,null,null,"電話",null,null,null,null,null,null,null,null,null,null,null,null,null,"クラッチ",null,null,null,null,null,null,null,null,"アウトリガ",null,null,null,null,null,null,"15","ドラグ・ショベル"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ブレーキ・ロック",null,null,null,null,null,null,null,null,"ヘッドガード",null,null,null,null,null,null,null,"（油圧ショベル）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ジブ",null,null,null,null,null,null,null,null,"照明",null,null,null,null,null,null,"16","ドラグライン"]
[null,null,null,null,null,"　このたび、下記機械等を別添の点検表により、点検整備のうえ持込・使用しますので、お届けします。"]
[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,"滑車",null,null,null,null,null,"Ｅ　作業装置",null,null,"操作装置",null,null,null,null,null,null,"17","クラムシェル"]
[]
[null,null,null,null,null,"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。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フック・バケット",null,null,null,null,null,null,null,null,"バケット・ブレード",null,null,null,null,null,null,"18","バケット掘削機"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ﾜｲﾔｰﾛｰﾌﾟ・ﾁｪｰﾝ",null,null,null,null,null,null,null,null,"ブーム･アーム",null,null,null,null,null,null,"19","トレンチャー"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"玉掛用具",null,null,null,null,null,null,null,null,"ジブ",null,null,null,null,null,null,"20","コンクリート圧砕機"]
[null,null,"使　　　用　　　会　　　社　　　名",null,null,null,null,null,null,null,null,null,null,null,"代　　　　表　　　　者　　　　名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"その他",null,"操作装置",null,null,null,null,null,null,null,null,"リーダ",null,null,null,null,null,null,"21","くい打機"]
[]
[null,null,{"$f":"IF(U21=\"\",\"\",$U$21)","v":""},null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(U23=\"\",\"\",$U$23)","v":""},null,null,null,null,null,null,"㊞",null,null,null,"性能表示",null,null,null,null,null,null,null,null,"ﾊﾝﾏ･ｵｰｶﾞ･ﾊﾞｲﾌﾞﾛ",null,null,null,null,null,null,"22","くい抜機"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"照明",null,null,null,null,null,null,null,null,"油圧駆動装置",null,null,null,null,null,null,"23","アース・ドリル"]
[]
[null,null,null,null,null,null,null,"名称",null,null,"メーカー",null,"規格・性能",null,null,null,null,"製造年",null,"管 理 番 号                                            （整理番号）",null,null,"Ｂ　車両部（下部走行体）","走行部",null,"ブレーキ",null,null,null,null,null,null,null,null,"ﾜｲﾔﾛｰﾌﾟ･ﾁｪｰﾝ",null,null,null,null,null,null,"24","リバース・サーキュレーション"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"クラッチ",null,null,null,null,null,null,null,null,"つり具等",null,null,null,null,null,null,null,"・ドリル"]
[]
[null,null,null,"機械",null,null,null,null,null,null,{"$f":"IF(H57=\"\",\"\",(LOOKUP(H57,G!A5:'G'!A34,G!B5:'G'!B34)))","v":""},null,{"$f":"IF(H57=\"\",\"\",(LOOKUP(H57,G!A5:'G'!A34,G!C5:'G'!C34)))","v":""},null,null,null,null,{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!E5:'G'!E34)=\"\",\"年\",((LOOKUP(G28,G!A5:'G'!A34,G!E5:'G'!E34)&\"年\"))))","v":""},null,null,null,null,null,null,null,"ハンドル",null,null,null,null,null,null,null,null,"滑車",null,null,null,null,null,null,"25","せん孔機"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"タイヤ",null,null,null,null,null,"Ｆ　走行部",null,null,"ブレーキ",null,null,null,null,null,null,"26","アース・オーガー"]
[null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(H57=\"\",\"\",(LOOKUP(H57,G!A5:'G'!A34,G!D5:'G'!D34)))","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"クローラ",null,null,null,null,null,null,null,null,"駐車ブレーキ",null,null,null,null,null,null,"27","ペーパー・ドレーン・マシン"]
[null,null,null,"持込年月日",null,null,null,"　　　　　年　　月　　日 ",null,null,"使用場所",null,null,null,null,null,null,"自社・リースの区別"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全装置等",null,"警報装置",null,null,null,null,null,null,null,null,"ブレーキロック",null,null,null,null,null,null,"28","地下連続壁施工機械"]
[]
[null,null,null,"搬出予定年月日",null,null,null,"　　　　　年　　月　　日 ",null,null,null,null,null,null,null,null,null,"自社　・　リース",null,null,null,null,null,null,null,"各種ミラー",null,null,null,null,null,null,null,null,"クラッチ",null,null,null,null,null,null,"29","ローラー"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"方向指示器",null,null,null,null,null,null,null,null,"操縦装置",null,null,null,null,null,null,"30","クローラドリル"]
[null,null,null,"運転者\n（取扱者）",null,null,null,"氏名",null,null,null,null,"資     格     の     種     類"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"前後照灯",null,null,null,null,null,null,null,null,"タイヤ・鉄輪",null,null,null,null,null,null,"31","ドリルジャンボ"]
[]
[null,null,null,null,null,null,null,"（正）",{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!F5:'G'!F34)=\"\",\"\",(LOOKUP(G28,G!A5:'G'!A34,G!F5:'G'!F34))))","v":""},null,null,null,{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!G5:'G'!G34)=\"\",\"\",(LOOKUP(G28,G!A5:'G'!A34,G!G5:'G'!G34))))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,"左折プロテクター",null,null,null,null,null,null,null,null,"クローラ",null,null,null,null,null,null,"32","ロードヘッター"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アウトリガ",null,null,null,null,null,"Ｇ電気装置",null,null,"配電線",null,null,null,null,null,null,"33","アスファルトフィニッシャー"]
[null,null,null,null,null,null,null,"（副）",{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!H5:'G'!H34)=\"\",\"\",(LOOKUP(G28,G!A5:'G'!A34,G!H5:'G'!H34))))","v":""},null,null,null,{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!I5:'G'!I34)=\"\",\"\",(LOOKUP(G28,G!A5:'G'!A34,G!I5:'G'!I34))))","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"昇降装置",null,null,null,null,null,null,null,null,"配線",null,null,null,null,null,null,"34","スタビライザ"]
[]
[null,null,"有効期限            自主検査",null,"定期","年次",null,{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!J5:'G'!J34)=\"\",\"平成　年　月　日\",(LOOKUP(G28,G!A5:'G'!A34,G!J5:'G'!J34))))","v":""},null,null,"移動式クレーン等の　　　　　　　性能検査有効期限",null,null,null,{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!M5:'G'!M34)=\"\",\"平成　年　月　日\",(LOOKUP(G28,G!A5:'G'!A34,G!M5:'G'!M34))))","v":""},null,null,null,null,{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!N5:'G'!N34)=\"\",\"平成　年　月　日\",(LOOKUP(G28,G!A5:'G'!A34,G!N5:'G'!N34))))","v":""},null,null,null,null,null,"ベッセル",null,null,null,null,null,null,null,null,"絶縁",null,null,null,null,null,null,"35","ロードプレーナー"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自動車　　　　　　検査証　　　　　　　　有効期限",null,null,null,null,null,null,null,"後方監視装置",null,null,null,null,null,null,null,null,"アース",null,null,null,null,null,null,"36","ロードカッター"]
[null,null,null,null,null,"月次",null,{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!K5:'G'!K34)=\"\",\"平成　年　月　日\",(LOOKUP(G28,G!A5:'G'!A34,G!K5:'G'!K34))))","v":""}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Ｃゴンドラ",null,null,"突りょう",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"37","コンクリート吹付機"]
[]
[null,null,null,null,"特定",null,null,{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!L5:'G'!L34)=\"\",\"平成　年　月　日\",(LOOKUP(G28,G!A5:'G'!A34,G!L5:'G'!L34))))","v":""},null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業床",null,null,null,null,null,"Ｈその他",null,null,null,null,null,null,null,null,null,"38","ボーリングマシーン"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"昇降装置",null,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,"任意保険",null,null,null,"加入額",null,"対人",{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!O5:'G'!O34)=\"\",\"\",(LOOKUP(G28,G!A5:'G'!A34,G!O5:'G'!O34))))","v":""},null,"千円　",null,"搭乗者",{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!Q5:'G'!Q34)=\"\",\"\",(LOOKUP(G28,G!A5:'G'!A34,G!Q5:'G'!Q34))))","v":""},null,"千円　",null,"有効期限"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電気装置",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"40","ダンプトラック"]
[]
[null,null,null,null,null,null,null,null,null,"対物",{"$f":"IF(G28=\"\",\"\",IF(LOOKUP(G28,G!A5:'G'!A34,G!P5:'G'!P34)=\"\",\"\",(LOOKUP(G28,G!A5:'G'!A34,G!P5:'G'!P34))))","v":""},null,"千円　",null,"その他",{"$f":"IF(G28=\"\",\"\",IF(LOOKUP(G28,G!A5:'G'!A34,G!R5:'G'!R34)=\"\",\"\",(LOOKUP(G28,G!A5:'G'!A34,G!R5:'G'!R34))))","v":""},null,"千円　",null,{"$f":"IF(H57=\"\",\"\",IF(LOOKUP(H57,G!A5:'G'!A34,G!S5:'G'!S34)=\"\",\"平成　年　月　日\",(LOOKUP(G28,G!A5:'G'!A34,G!S5:'G'!S34))))","v":""},null,null,null,null,null,"ﾜｲﾔ･ﾗｲﾌﾗｲﾝ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"41","トラックミキサー"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(a)","点検日",null,null,"点検者",null,null,null,null,"(b)","点検日",null,null,"点検者",null,null,null,null,null,"42","散水車"]
[null,null,"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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"43","不整地運搬車"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"45","その他"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(注)","　１　持込機械等の届け出は、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）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　の代表者が所長に届出ること。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　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。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　３　自社の点検表にて点検したものは、その点検表を貼付する（転記の必要はなし）。"]
[]
[null,null,"元　　　請　　　確　　　認　　　欄",null,null,null,null,null,null,null,null,"受　　理　　番　　号",null,null,null,null,"受 　理 　年 　月 　日",null,null,null,null,null,null,"　４　機械名１から６まではＡ、Ｂ欄を、７はＣ欄を、３から38まではＤ、Ｅ、Ｆ、Ｇ　欄を、39から43まではＢ欄を、"]
[]
[null,null,null,null,null,null,null,null,"担当者",null,null,null,null,null,null,null,"　　　　　年　　　月　　　日　　",null,null,null,null,null,null,"　　  44はＢ、Ｄ、Ｅ欄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,null,null,null,null,null,null,null,null,null,"　５　点検結果の(a)は､機械所有会社の確認欄とし､(b)は持込会社または機械使用会社の確認欄とする。  "]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　元請が確認するときは、(b)の欄を利用すること。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[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,"ﾚ"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
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[null,"Menuへ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　年　　　月　　　日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"持込時の点検表",null,null,null,null,null,null,null,null,null,null,null,null,null,"点検：",null,null,null,null,"　　　　　　年　　　　月　　　　日"]
[null,"持込機械等（電動工具･電気溶接機等）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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電  動  工  具  ・  電  気  溶  接  機  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,null,null,null,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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"番   号",null,null,null,null,null,1,2,3,4,5,6,7,8,9,10,null,"①","電動カンナ"]
[null,"事業所の名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業所"]
[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,"点検事項"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"②","電動ドリル"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"アース線"]
[]
[null,"所 長 名",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"③","電動丸のこ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"接地クランプ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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","グラインダー等"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一次会社名"]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"キャップタイヤ",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑤","アーク溶接機"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"持込会社名"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(　　　次)",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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","ウインチ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"コネクタ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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","発電機"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"接地端子の締結"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑧","トランス"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"充電部の絶縁",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑨","コンプレッサー"]
[]
[]
[null,"このたび、下記機械等を右面の点検表により、点検整備のうえ持込・使用しますので、お届けします。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑩","送風機"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"自動電撃防止装置"]
[]
[null,"　　　　　　　　　　　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。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑪","ポンプ類"]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,"絶縁ホルダー"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑫","ミキサー類"]
[null,"記"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"溶接保護面",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑬","コンベヤー"]
[]
[]
[null,"番号",null,"機械名",null,null,null,null,null,null,null,"規     格\n性     能",null,null,null,null,null,null,null,"管理番号",null,null,null,null,"持 込 年 月 日\n",null,null,null,null,null,null,null,null,"点検者",null,null,null,"取扱者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑭","吹付機"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"操作スイッチ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"受理番号",null,null,null,null,"搬出予定年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑮","ボーリングマシン"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"絶縁抵抗測定値　　　     "]
[null,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,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑯","振動コンパクター"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," （MΩ）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,null,null,null,"各種ブレーキの作動",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑰","バイブレーター"]
[]
[]
[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,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑱","鉄筋加工機"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"手すり・囲い"]
[]
[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,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑲","電動チェーンブロック"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"フックのはずれ止め"]
[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,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"⑳","その他"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,null,null,null,"ワイヤロープ・チェーン"]
[]
[]
[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,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"滑車"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"回転部の囲い等"]
[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,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,null,null,null,"危険表示"]
[]
[]
[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,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,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,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,null,null,"そ        の        他"]
[]
[]
[null,8,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"圧力スイッチ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全弁"]
[null,9,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日",null,null,null,null,null,null,null,null,null,"圧力計"]
[]
[]
[null,10,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,null,"月",null,null,"日"]
[]
[]
[null,"機械の特性、　　　　　　　　　　　　その他その使用上\n注意すべき事項"]
[]
[]
[]
[]
[]
[]
[null,"元  請  確  認  欄",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 理 証 確 認 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,"(注)",null,"1.持込機械等の届け出は、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"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  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,null,null,null,null,null,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.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。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　",null,null,"年",null,"月",null,"日",null,null,null,null,null,null,null,null,"3.絶縁抵抗の測定については、測定値(ＭΩ)を記入すること。"]
[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,"4.持込機械届受理証を持込機械に貼付すること。(作業所より配布）"]

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[null,null,"(副）"]
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["使　　用　　期　　間"]
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[null,null,null,null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
["会　社　名"]

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[null,"Menuへ",null,null,null,null,null,null,null,null,null,"No.1",null,null,"シートは横方向に10枚用意しています。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.2",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.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,"No.4",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.5",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.6",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.7",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.8",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.9",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"No.10"]
[null,"全建統一様式第６号",null,null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄",null,null,null,null,null,null,null,null,null,"全建統一様式第６号",null,null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄",null,null,null,null,null,null,null,null,null,"全建統一様式第６号",null,null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄",null,null,null,null,null,null,null,null,null,"全建統一様式第６号",null,null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄",null,null,null,null,null,null,null,null,null,"全建統一様式第６号",null,null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄",null,null,null,null,null,null,null,null,null,"全建統一様式第６号",null,null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄",null,null,null,null,null,null,null,null,null,"全建統一様式第６号",null,null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄",null,null,null,null,null,null,null,null,null,"全建統一様式第６号",null,null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄",null,null,null,null,null,null,null,null,null,"全建統一様式第６号",null,null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄",null,null,null,null,null,null,null,null,null,"全建統一様式第６号",null,null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄"]
[]
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[null,null,null,"3.","マイクロバス等についても記載すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3.","マイクロバス等についても記載すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3.","マイクロバス等についても記載すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3.","マイクロバス等についても記載すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3.","マイクロバス等についても記載すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3.","マイクロバス等についても記載すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3.","マイクロバス等についても記載すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3.","マイクロバス等についても記載すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3.","マイクロバス等についても記載すること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"3.","マイクロバス等についても記載すること。"]
[null,null,null,"4.","運転者が変った場合はその都度届出ること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.","運転者が変った場合はその都度届出ること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.","運転者が変った場合はその都度届出ること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.","運転者が変った場合はその都度届出ること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.","運転者が変った場合はその都度届出ること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.","運転者が変った場合はその都度届出ること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.","運転者が変った場合はその都度届出ること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.","運転者が変った場合はその都度届出ること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.","運転者が変った場合はその都度届出ること。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"4.","運転者が変った場合はその都度届出ること。"]

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[null,"Menuへ"]
[null,"全建統一様式第７号",null,null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄"]
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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,"　　　　　年　　　月　　　日"]
[null,"危険物・有害物持込使用届"]
[null,null,null,null,null,{"$f":"IF(A!F5=\"\",\"\",A!F5)","v":""}]
[null,"事業所の名称",null,null,null,null,null,null,null,null,null,null,null,null,"一次会社名",null,null,null,{"$f":"IF(B!F4=\"\",\"\",B!F4)","v":""}]
[]
[null,"所長名",null,null,null,{"$f":"IF(A!F13=\"\",\"\",A!F13)","v":""},null,null,null,null,null,"殿",null,null,"使用会社名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　次）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人　　（現場責任者）",null,null,null,null,null,null,null,null,null,"㊞"]
[]
[null,null,"このたび、下記の危険物・有害物を持込み使用するのでお届けします。なお、使用に際しては、"]
[null,null,"関係法規に定められた事項を遵守するとともに盗難防止に努めます。"]
[]
[null,"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"]
[]
[]
[]
[]
[]
[null,"工事名及び",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,"使用場所"]
[null,"保　管　場　所",null,null,null,null,null,null,null,null,null,null,null,"使用機械"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"又は工具"]
[null,"使　用　期　間",null,null,null,null,null,null,null,"年",null,"月",null,"日","～",null,null,"年",null,"月",null,"日",null,"（予定）"]
[null,"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り扱う作業又は特定化学物質等を取り扱う作業は技能講習修了者）"]
[]
[]
[]
[null,"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）"]
[]
[]
[null,"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）"]
[]
[null,"備             考",null,null,null,"（防毒マスクなどの使用又は他の職種に関係ある事項などを記入する）"]
[]
[]
[]
[]
[null,"（注）",null,"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、記入して下さい。"]
[null,null,null,"2.","危険物とは、ガソリン、軽油、灯油、プロパン、アセチレンガスなどをいう。"]
[null,null,null,"3.","有害物とは、塗装、防水などに使用する有機溶剤、特定化学物質などをいう。"]

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[null,"Menuへ"]
[null,"全国統一様式第８号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄"]
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[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,"火　気　使　用　願"]
[]
[]
[null,"事業所の名称",null,null,null,null,null,null,null,null,null,null,null,"一次会社名"]
[]
[null,"所長名",null,null,null,null,null,null,null,null,null,"殿",null,"使用会社名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　次）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"現場代理人"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"（現場責任者）",null,null,null,null,null,null,null,null,null,"㊞"]
[]
[null,"下記の要領で火気を使用したく許可願います。なお、火気使用の終了時には、必ずその旨報告致します。"]
[null,"使用場所"]
[null,"使用目的",null,null,null,"溶接、溶断、圧接、防水、乾燥、採暖、湯沸",null,null,null,null,null,null,null,"使用期間",null,null,null,"　　月　　日　～　　　月　　日"]
[null,null,null,null,null,"炊事、その他（　　　　　　　　　　　　）",null,null,null,null,null,null,null,"使用時間(原則)",null,null,null,"　　時　　分　～　　　時　　分"]
[null,"火気の種類",null,null,null,"電気、ガス、灯油、重油、木炭、薪、その他（　　　　　　　　　　　　　　　　　　　　　　　　）"]
[null,"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,null,"取扱上の注意（　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　）"]
[null,"火元責任者"]
[null,"後始末巡回者"]
[null,"火気使用責任者"]
[]
[null,"※　使用目的、火気の種類、管理方法は該当事項を〇で囲んで下さい。"]
[null,"許可第　　号",null,null,null,"許可年月日",null,null,null,null,null,"年",null,"月",null,"日"]
[null,"火気使用許可",null,null,null,"防火係員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[null,null,null,null,null,"担当係員",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[null,"許可条件"]
[]
[]
[null,"※　毎日時間で管理する場合は、この様式を参考にして書式を作成して下さい。"]

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["全国統一様式第10号"]
[null,null,null,null,null,null,null,null,null,null,null,null,"元請確認欄"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年　　　月　　　日"]
["事業所安全衛生管理計画書"]
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["株式会社アイムホーム"]
["安全衛生責任者　　　　大宜見 徹　　　　　",null,null,null,null,null,"殿",null,null,null,null,"会　社　名"]
[null,null,null,null,null,null,null,null,null,null,null,"現場代理人\n（現場責任者）",null,null,null,null,null,"㊞"]
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["工事名称"]
["1工事概要","イ","工　　　種"]
[null,"ロ","工事内容"]
[null,"ハ","工　　　期",null,null,"～"]
[null,"二","主な持込機械・設備等"]
["2安　全　衛　生　管　理　体　制","店社による安全パトロール実施予定",null,null,null,null,null,null,null,"有　　（月　　　　　回）",null,null,null,null,"予定なし"]
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[null,"（　店　社　）"]
[null,null,null,"[安全衛生担当役員]",null,null,null,null,null,null,null,"[工事担当役員]"]
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[null,null,"役職",null,null,"氏名",null,null,null,null,"役職",null,null,"氏名"]
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[null,null,null,"[安全衛生担当責任者]",null,null,null,null,null,null,null,"[工事担当責任者]"]
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[null,null,"役職",null,null,"氏名",null,null,null,null,"役職",null,null,"氏名"]
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[null,null,null,"[安全衛生担当者]",null,null,null,null,null,null,null,"[工事担当者]"]
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[null,null,"役職",null,null,"氏名",null,null,null,null,"役職",null,null,"氏名"]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,"[職　　　長]"]
[null,"（　事　業　所　）"]
[null,null,null,"[所長（現場代理人）]",null,null,null,null,null,null,"[　　　次下請]"]
[]
[null,null,"氏名",null,null,null,null,null,null,"氏名",null,null,null,null,"作業員数（　　　名）"]
[]
[]
[null,null,null,"[安全衛生責任者]",null,null,null,null,null,null,"[　　　次下請]"]
[]
[null,null,"氏名",null,null,null,null,null,null,"氏名",null,null,null,null,"作業員数（　　　名）"]
[]
[null,null,null,null,null,null,null,null,null,null,"[　　　次下請]"]
[]
[null,null,null,null,null,null,null,null,null,"氏名",null,null,null,null,"作業員数（　　　名）"]
[]
[]
[]
["3作成手順書","作　業　手　順　書　の　名　称",null,null,null,null,null,null,null,null,null,null,null,"提出（作成予定）年月日"]
[null,"作成済",null,null,null,null,null,null,null,null,null,null,null,"　　　年　　　月　　　日"]
[null,"（提出済）",null,null,null,null,null,null,null,null,null,null,null,"　　　年　　　月　　　日"]
[null,"作成予定",null,null,null,null,null,null,null,null,null,null,null,"　　　年　　　月　　　日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　年　　　月　　　日"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　年　　　月　　　日"]
[]
["4安全衛生教育の計画","ＮＯ.","教　育　内　容",null,null,null,null,null,"実　施　時　期",null,null,null,null,"備　　　考"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["5健康診断の計画","ＮＯ.","健　康　診　断　の　内　容",null,null,null,null,null,"実　施　時　期",null,null,null,null,"備　　　考"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
["6重点的に実施しようとする活動","ＮＯ.","実　施　内　容　と　活　動　予　定",null,null,null,null,null,null,null,null,null,null,"備　　　考"]

{"sheet":"19.作業所就業規則","index":20,"n_rows":64,"n_cols":18,"rows_kept":64,"cut":false,"hidden":false,"merged":[[2,17,2,18],[61,3,61,7],[3,17,3,18],[56,17,56,18],[2,3,3,16],[55,1,55,18],[4,17,4,18],[5,17,5,18],[4,3,5,16]]}
[]
[]
[null,null,null,"株式会社アイムホーム作業所就業規則",null,null,null,null,null,null,null,null,null,null,null,null,null,"2010-10-01"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2013-07-30"]
[null,null,null,"（乗込前教育の実施）",null,null,null,null,null,null,null,null,null,null,null,null,null,"2017-04-10"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"2023-04-13"]
[null,null,"企業理念　（使命）"]
[null,null,null,"　お客様にとってより良い住まい、これまでに無い新しい付加価値を持つ住宅を創造し、"]
[null,null,null,"あらゆる人々に、良い住宅に住む喜び、幸せ、満足を提供します。"]
[]
[null,null,"行動理念　（私たちの行動規範）"]
[null,null,null,"一、私たちは、お客様の喜びのために存在します。"]
[null,null,null,"一、私たちは、お客様のかけがえのない財産を守ります。"]
[null,null,null,"一、私たちは、お客様の想い（心）を大切にします。"]
[null,null,null,"一、私たちは、仲間の想い（心）を大切にします。"]
[]
[null,"■ 主 旨"]
[null,null,"　株式会社アイムホームは、より良い建物をお客様に引き渡す為、また弊社と協力会社が良い関係で"]
[null,null,"付き合っていく為に、下記の規則を定めます。"]
[]
[null,"Ａ． 作業所入場について"]
[]
[null,null,"①","入場教育修了証のシールをヘルメットに必ず貼って入場して下さい。"]
[null,null,null,"※ 入場前に以下規則を従業員に周知しヘルメットにシールを貼って下さい。"]
[null,null,null,"　（シールの貼られていない方は、教育を受けていないものとみなし、現場に入場出来ません）"]
[null,null,"②","現場に入場したら、作業開始前に必ず全員でＫＹ活動を実施してから作業開始して下さい。"]
[null,null,null,"※ 当日の稼働人員及び、各作業員全員の氏名を記入して下さい。"]
[null,null,"③","作業時間は基本的に、８時から１８時までとします。"]
[null,null,null,"※ 時間外に作業する必要がある時は、現場担当者に相談して下さい。"]
[null,null,"④","原則として作業員の単独作業は、禁止とします。"]
[null,null,"⑤","健康・服装に注意し、体調の悪い時は、申し出て指示を受けて下さい。"]
[]
[null,"Ｂ．安全について"]
[]
[null,null,"①","防護具（ヘルメット、フルハーネス、安全靴）は完全着用とし、防塵マスク・防護メガネについては"]
[null,null,null,"作業内容に応じて着用して下さい。"]
[null,null,"②","作業施設は大切に扱い、無断で取り外ししないで下さい。（シート、ブレス、作業床、階段等）"]
[null,null,null,"※ 止むを得ずはずす場合は、現場責任者の許可をもらい終了後の復旧まで行って下さい。"]
[null,null,"③","作業主任者は、作業主任者の任務を確実に遂行して下さい。"]
[null,null,"④","作業施設に不備がある場合には、直ちに連絡して下さい。"]
[]
[null,"Ｃ．産業廃棄物の取扱いについて"]
[]
[null,null,"①","弁当ガラ、空き缶は産業廃棄物ではありませんので、コンテナに入れてはいけません。"]
[null,null,null,"※ 廃棄物処理法により保健所より指導が入ります。"]
[null,null,"②","材工の場合は、全て持ち帰りになります。"]
[null,null,null,"※ 止むを得ず捨てる場合には、相談の上、貴社にて処分費負担とします。"]
[]
[null,"Ｄ．作業所内での行動について"]
[]
[null,null,"①","場内での喫煙は禁止と致します。"]
[null,null,"②","場内での飲食は禁止と致します。"]
[null,null,"③","作業終了時には、当日作業範囲の１０分間清掃を行って下さい。"]
[null,null,"④","次工程の業者にすみやかに引渡しが出来る様に、引渡し前の清掃・片付けを行って下さい。"]
[]
[null,"※ 各作業所には、それぞれの特性（駐車場、近隣関係等）がありますのでその都度、代理人の指示に従って下さい。"]
[]
[]
[null,null,"上記の規則を各従業員に周知し、従業員を入場させます。"]
[null,null,"※ 規則を守れない従業員の方が入場していた場合には、現場の規律を保つ為、退場とします。"]
[]
[null,null,null,"　　　　　　年　　　月　　　日",null,null,null,null,null,null,"会社名"]
[]
[null,null,null,null,null,null,null,null,null,null,"代表者氏名",null,null,null,null,null,"印"]

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[null,"Menuへ"]
[]
[null,"送り出し教育シート",null,null,null,null,null,null,null,"新規入場者アンケート用紙"]
[]
[null,"　※  ","作業員は、①送り出し教育シート　②新規入場者アンケート用紙を、送り出し教育時に記入して作業所に持参し、"]
[null,"      ","作業所の新規入場者教育を受けること。",null,null,null,null,null,null,"※記載の個人情報は、安全衛生管理の目的のためのみに使用し、他の目的には使用しません"]
[null,"工事概要・作業所のルール（作業所記入欄）",null,null,null,null,null,null,null,"ふりがな",null,null,null,null,null,null,null,"入場年月日（入場当日記入）",null,"写真"]
[null,null,null,null,null,null,null,null,null,"一次会社名",null,null,null,null,null,null,null,"　　　　　　年　　　月　　　日"]
[null,null,"元請会社　　　　　","株式会社アイムホーム",null,null,"作業所の安全衛生方針"]
[null,null,"工事名称",null,null,null," ・",null,null,"ふりがな",null,null,null,null,null,null,null,"入社年月日　雇用契約　有 ・ 無"]
[null,null,"作業所長",null,null,null," ・",null,null,"所属会社名",null,null,null,null,null,null,null,"　　　　　　年　　　月　　　日"]
[null,null,"所在地",null,null,null," ・",null,null,"(給料をもらっている会社)"]
[null,null,"　TEL",null,null,null," ・",null,null,"ふりがな",null,null,null,null,null,null,"職種","生年月日"]
[null,null,"　FAX",null,null,null,"作業所の品質・環境活動",null,null,"氏名",null,null,null,null,null,null,null,"昭・平　　　年　　　月　　　日生"]
[null,null,"作業時間","（　　　：　　　～　　　：　　　）",null,null," ・見積条件書の内容を確実に実行する",null,null,null,null,null,null,null,null,null,null,"（　　　　　歳）"]
[null,null,null,null,null,null," ・産業廃棄物の分別を徹底する",null,null,"現住所",null,null,null,null,null,null,null,null,"配偶者",null,"同居"]
[null,null,null,null,null,null,null,null,null,null,null,null,"ＴＥＬ　　　　　－　　　　　　　－　　　　　　　",null,null,null,null,null,"子　（　　 　　）人"]
[null,"送り出し教育事項（教育実施者記入欄）",null,null,null,null,null,null,null,"家族の連絡先",null,null,null,null,null,null,null,null,"父  ・  母",null,"別居"]
[null,null,null,null,null,null,null,null,null,"氏名",null,null,"ＴＥＬ　　　　　－　　　　　　　－　　　　　　　"]
[null,"教育資料　　　①送り出し教育シート（本書）　　　②作業所就業規則（裏面）　　　③その他",null,null,null,null,null,null,null,"最近の健康診断日",null,null,"平成　　　　　年　　　　　月　　　　　日",null,null,null,null,"経験年数","　　　　年　 　　ヶ月"]
[]
[null,null,null,null,null,null,null,null,null,"健康診断時の血圧",null,null," 最高　　　　最低　　　　",null,null,"服薬して　いる ・ いない",null,"血液型","Ａ  ・  Ｂ  ・  ＡＢ  ・  O 　 Rh ＋ ・ －"]
[]
[null,null,null,null,null,null,null,null,null,"　ケガ及び病気、又は体の具合が悪く医師の治療を受けていますか？",null,null,null,null,null,null,null,null,"職長認定","□1級  □2級 　□3級"]
[null,null,null,null,null,null,null,null,null,null,"いる","⇒","心臓病・高血圧・弱視・難聴・腰痛・その他（　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,"いない"]
[]
[null,null,null,null,null,null,null,null,null,"資格確認（□をぬりつぶして下さい）"]
[null,null,null,null,null,null,null,null,null,"免許・技能講習","□01.移動式ｸﾚｰﾝ(5t以上)運転業務の免許",null,null,null,null,"□10.小型移動式ｸﾚｰﾝ運転(1t以上5t未満)",null,null,"□18.潜水士(免許)"]
[null,null,null,null,null,null,null,null,null,null,"□02.地山の掘削及び土止め支保工作業主任者",null,null,null,null,"□11.ガス溶接",null,null,"□19.ずい道等の掘削作業主任者"]
[null,null,null,null,null,null,null,null,null,null,"□03.石綿作業主任者技能講習",null,null,null,null,"□12.フォークリフト運転(1t以上)",null,null,"□20.ずい道等の覆工作業主任者"]
[null,null,null,null,null,null,null,null,null,null,"□04.型枠支保工の組立等作業主任者",null,null,null,null,"□13.車輌系建設機械運転(整地･積込用･",null,null,"□21.その他（　　　　　　　　　　　　　　　　　）"]
[null,null,null,null,null,null,null,null,null,null,"□05.足場の組立等作業主任者(高さ5m以上)",null,null,null,null,"　　　　掘削用･基礎工事用･解体用)"]
[null,null,null,null,null,null,null,null,null,null,"□06.建築物の鉄骨の組立等作業主任者",null,null,null,null,"　　　　(機械重量3t以上）"]
[null,null,null,null,null,null,null,null,null,null,"□07.ｺﾝｸﾘｰﾄ造の工作物の解体又は",null,null,null,null,"□14.高所作業車運転(10m以上)"]
[null,null,null,null,null,null,null,null,null,null,"　　　　破壊の作業主任者(高さ5m以上)",null,null,null,null,"□15.玉掛け(1t以上)"]
[null,null,null,null,null,null,null,null,null,null,"□08.酸素欠乏危険作業主任者",null,null,null,null,"□16.高圧室内作業主任者(免許)"]
[null,null,null,null,null,null,null,null,null,null,"□09.有機溶剤作業主任者",null,null,null,null,"□17.発破技師(免許)"]
[]
[null,null,null,null,null,null,null,null,null,"特別教育","□01.研削といしの取替え又は取替え時の",null,null,null,null,"□08.クレーンの運転の業務(5t未満)",null,null,"□17.振動業務の安全衛生教育"]
[null,null,null,null,null,null,null,null,null,null,"　　　　試運転業務",null,null,null,null,"□09.建設用リフトの運転の業務",null,null,"□18.高圧室内作業者"]
[null,null,null,null,null,null,null,null,null,null,"□02.アーク溶接、溶断等",null,null,null,null,"□10.ゴンドラの操作の業務",null,null,"□19.坑内作業者"]
[null,null,null,null,null,null,null,null,null,null,"□03.フォークリフト(1t未満)",null,null,null,null,"□11.酸素欠乏危険場所における作業に",null,null,"□20.特定粉じん作業者"]
[null,null,null,null,null,null,null,null,null,null,"□04.車輌系建設機械の運転の業務",null,null,null,null,"　　　　係わる業務",null,null,"□21.軌道装置運転者"]
[null,"　送り出し教育実施日　　　平成　　　　年　　　　月　　　　日（　　　　）　　　　　　　雇用契約　　　有　 ・　無",null,null,null,null,null,null,null,null,"　　　　(機械重量3t未満)",null,null,null,null,"□12.振動業務の安全衛生教育",null,null,"□22.低圧電気取扱者"]
[null,null,null,null,null,null,null,null,null,null,"□05.コンクリートポンプ車の操作の業務",null,null,null,null,"□13.安全衛生推進者教育",null,null,"□23.ボーリングマシン運転者"]
[null,"私が送り出し教育を実施しました",null,null,null,"私は送り出し教育を受けました",null,null,null,null,"□06.高所作業車の運転の業務(10m未満)",null,null,null,null,"□14.危険予知訓練(KYT)トレーナー教育",null,null,"□24.石綿取扱い作業従事者特別教育"]
[null,null,null,null,null,null,null,null,null,null,"□07.巻上げ機の運転の業務",null,null,null,null,"□15.職長教育",null,null,"□25.フルハーネス特別教育講習"]
[null,"教育実施会社",null,null,null,"所属会社　　　　　　　　　　（給料をもらっている会社）",null,null,null,null,null,null,null,null,null,"□16.安全衛生責任者教育",null,null,"□26.その他（　　　　　　　　　　　　　　　　　）"]
[]
[null,"教育実施者（自筆）",null,null,null,"氏名（自筆）",null,null,null,"　※　以下は入場当日作業所で記入"]
[null,null,null,null,null,null,null,null,null,"建設業退職金共済（建退共）",null,null,null,null,"手帳を　　　　　　　持っている　　・　　持っていない"]
[null,null,null,null,null,null,null,null,null,"新規入場時の\n血圧測定値",null,null,"最高　　 　　最低",null,"事業者（経営者）ですか？",null,null,"はい ・ いいえ","※はいの人は労災特別加入をしていないと       入場禁止です。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"一人親方ですか？",null,null,"はい ・ いいえ"]
[null,null,null,null,null,null,null,null,null,"　私は、作業所のルールを守ります。　　　　　　　　　　　　　　氏名（自筆）"]
[null,null,null,null,null,null,null,null,null,"ルール違反をした場合は、退場を命じられてもそれに従います。"]
[null,null,null,null,null,null,null,null,null,"万一、ケガをした場合には、直ちに作業所職員に報告します。　　　　"]
[null,null,null,null,null,null,null,null,null,"確認欄",null,"統責者",null,"元方安衛管理者",null,null,null,"係員",null,"職長名"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,"株式会社アイムホーム"]
[null,null,null,null,null,null,null,null,null,null,null,"使命(企業理念)"]
[null,null,null,null,null,null,null,null,null,null,null,null,"　お客様にとってより良い住まい、これまでに無い新しい付加価値を持つ住宅を創造し、あらゆる人々に、"]
[null,null,null,null,null,null,null,null,null,null,null,null,"良い住宅に住む喜び、幸せ、満足を提供します。"]
[null,null,null,null,null,null,null,null,null,null,null,"私たちの行動規範(行動理念)"]
[null,null,null,null,null,null,null,null,null,null,null,null,"一、私たちは、お客さまの喜びのために存在します"]
[null,null,null,null,null,null,null,null,null,null,null,null,"一、私たちは、お客さまのかけがえの無い財産を守ります"]
[null,null,null,null,null,null,null,null,null,null,null,null,"一、私たちは、お客さまの想い(心)を大切にします"]
[null,null,null,null,null,null,null,null,null,null,"作業員心得"]
[null,null,null,null,null,null,null,null,null,null,"1.","新規入場者は教育終了後、（新規入場時教育修了者シール）を作業所から受取り、保護帽に貼り付けて作業すること。"]
[null,null,null,null,null,null,null,null,null,null,null,"※シールの貼られていない方は、教育を受けていないもとみなし、現場に入場できません。"]
[null,null,null,null,null,null,null,null,null,null,"2.","作業時間は原則として",null,null,"８：００","～","１８：００","です。"]
[null,null,null,null,null,null,null,null,null,null,null,"時間外に作業する必要がある時は、現場担当者に相談してください。"]
[null,null,null,null,null,null,null,null,null,null,"3.","朝礼・体操・現地ＫＹ活動には、必ず全員が参加して下さい。尚、体調が悪い時は申し出て下さい。"]
[null,null,null,null,null,null,null,null,null,null,"4.","当日の稼働人員、各作業員全員の氏名および作業内容をＫＹ活動報告書に記入してください。"]
[null,null,null,null,null,null,null,null,null,null,null,"原則として作業員の単独作業は、禁止とします。"]
[null,null,null,null,null,null,null,null,null,null,"5.","作業着は長袖とし、保護帽のあごヒモはきちんと締め、安全帯と適正な保護具（マスク・メガネ・耳栓・手袋等）を"]
[null,null,null,null,null,null,null,null,null,null,null,"必ず使用して下さい。"]
[null,null,null,null,null,null,null,null,null,null,"6.","高所作業は、安全帯を必ず使用して下さい。"]
[null,null,null,null,null,null,null,null,null,null,"7.","使用する機械・設備は、毎日の作業開始前に必ず点検して下さい。"]
[null,null,null,null,null,null,null,null,null,null,"8.","手摺等の安全施設は、勝手に取り外さないで下さい。"]
[null,null,null,null,null,null,null,null,null,null,null,"止むを得ず取り外す場合は、現場代理人の承諾を受け、作業終了後は直ちに復旧すること。"]
[null,null,null,null,null,null,null,null,null,null,"9.","作業施設は大切に扱い、不備がある場合には、直ちに連絡してください。"]
[null,null,null,null,null,null,null,null,null,null,"10.","作業範囲・順序・方法等は、打合せの通り行い、自分だけの判断や思いつきで勝手な行動はしないで下さい。"]
[null,null,null,null,null,null,null,null,null,null,"11.","資格の必要な作業や運転は、必ず有資格者が行って下さい。"]
[null,null,null,null,null,null,null,null,null,null,"12.","次の場合は危険ですので立ち入らないで下さい。"]
[null,null,null,null,null,null,null,null,null,null,null,"イ","　クレーン等による吊荷の下"]
[null,null,null,null,null,null,null,null,null,null,null,"ロ","　旋回する機械等の作業半径内"]
[null,null,null,null,null,null,null,null,null,null,null,"ハ","　ワイヤーロープの屈曲部内側"]
[null,null,null,null,null,null,null,null,null,null,null,"ニ","　高所作業で墜落のおそれのある場所"]
[null,null,null,null,null,null,null,null,null,null,null,"ホ","　上下作業で飛来・落下のおそれのある場所"]
[null,null,null,null,null,null,null,null,null,null,null,"ヘ","　地山の崩壊、土石の落下のおそれのある場所"]
[null,null,null,null,null,null,null,null,null,null,null,"ト","　事故現場"]
[null,null,null,null,null,null,null,null,null,null,"13.","危険があるときは、直ちに作業を中止し、退避して下さい。退避の合図があったら直ちに従って下さい。"]
[null,null,null,null,null,null,null,null,null,null,"14.","作業場の整理・整頓・清掃に努め、毎日の作業終業時には、必ず清掃・片付けをして下さい。"]
[null,null,null,null,null,null,null,null,null,null,"15.","毎日",null,"から安全工程打合わせをしますので、各職責任者は出席して下さい。"]
[null,null,null,null,null,null,null,null,null,null,"16.","その他、細部に関しましては、現場職員の指示を守って下さい。"]
[null,null,null,null,null,null,null,null,null,null,"産業廃棄物の取り扱いについて"]
[null,null,null,null,null,null,null,null,null,null,"1.","原則として、支給品以外の廃棄物は、コンテナに入れてはいけません。材工請負の場合は、全て持ち帰りとします。"]
[null,null,null,null,null,null,null,null,null,null,null,"やむを得ず捨てる場合には、相談の上、貴社にて処分費負担とします。"]
[null,null,null,null,null,null,null,null,null,null,"2.","弁当ガラ・空き缶は産業廃棄物ではありません。産廃法により保健所より指導が入ります。"]
[null,null,null,null,null,null,null,null,null,null,null,"・弁当ガラについては、弁当屋の袋に捨ててください。袋がない場合には、各自持ち帰り処分とします。"]
[null,null,null,null,null,null,null,null,null,null,null,"・空き缶・ペットボトルは、分別し、クズカゴへ捨ててください。"]
[]
[null,null,null,null,null,null,null,null,null,null,"【 特記事項 】"]

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[null,"Menuへ"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　　年　　　　月　　　　日"]
[]
[null,"年少者・高年齢者・高血圧者就労報告書 (1)"]
[]
[]
[null,"安全衛生責任者"]
[null,"大宜見 徹",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,"一次会社名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"(　　　）次会社名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"所在地"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者氏名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安責者(職長)"]
[]
[null,"（１）年少者就労報告書"]
[null,null,null,"貴作業所の工事を施工するにあたり、下記の者は年少者（満18歳未満）ですが、当社の責任において"]
[null,null,null,"就労させますので報告します。また、危険有害業務には就労させません。"]
[]
[null,"記"]
[]
[null,"氏　　　　名",null,null,null,null,null,null,"生年月日（満年令）",null,null,null,null,null,null,null,null,null,"現　　　　住　　　　所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電　　　　話"]
[]
[null,null,null,null,null,null,null,null,"昭",null,"　.　　　.　　　（ 　　）"]
[null,null,null,null,null,null,null,null,"平"]
[null,null,null,null,null,null,null,null,"昭",null,"　.　　　.　　　（ 　　）"]
[null,null,null,null,null,null,null,null,"平"]
[null,null,null,null,null,null,null,null,"昭",null,"　.　　　.　　　（ 　　）"]
[null,null,null,null,null,null,null,null,"平"]
[]
[]
[null,"（２）高齢者就労報告書"]
[null,"　　下記の者、健康診断書等により、就業に支障のないことを確認のうえ、就労させることを","貴作業所の工事を施工するにあたり、下記の者は高齢者（満60才以上）ですが、当社の責任において"]
[null,"　　報告します。","就労させますので報告いたします。"]
[null,null,"原則的には危険有害業務の就労はさけ、やむを得ず就労させる場合は職長の直接指揮により、"]
[null,null,"安全措置等を講じて就労させます。"]
[]
[null,"記"]
[]
[null,"氏　　　　名",null,null,null,null,null,null,"生年月日（満年令）",null,null,null,null,null,null,null,null,null,"現　　　　住　　　　所",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電　　　　話"]
[]
[null,null,null,null,null,null,null,null,"昭",null,"　.　　　.　　　（ 　　）"]
[null,null,null,null,null,null,null,null,"平"]
[null,null,null,null,null,null,null,null,"昭",null,"　.　　　.　　　（ 　　）"]
[null,null,null,null,null,null,null,null,"平"]
[null,null,null,null,null,null,null,null,"昭",null,"　.　　　.　　　（ 　　）"]
[null,null,null,null,null,null,null,null,"平"]
[null,null,null,null,null,null,null,null,"昭",null,"　.　　　.　　　（ 　　）"]
[null,null,null,null,null,null,null,null,"平"]
[null,null,null,null,null,null,null,null,"昭",null,"　.　　　.　　　（ 　　）"]
[null,null,null,null,null,null,null,null,"平"]

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[null,"Menuへ"]
[]
[null,"年少者・高年齢者・高血圧者就労報告書 (2)"]
[null,"（15歳以上18歳未満・60歳以上・最低血圧95以上、最高血圧160以上）"]
[]
[null,"安全衛生責任者"]
[null,null,null,null,"大宜見 徹",null,"殿"]
[]
[null,null,null,"一次会社名：",null,{"$f":"B!F4","v":0},null,"(　　　）次会社名"]
[null,null,null,null,null,null,null,"所在地"]
[null,null,null,null,null,null,null,"代表者氏名",null,null,null,null,null,"㊞"]
[null,null,null,null,null,null,null,"安責者(職長)"]
[]
[null,"※記載された個人情報は、安全衛生管理及び施工等の目的のみに使用し、"]
[null,"　他の目的には使用しませんが、本人の同意を得た上で、提出して下さい。",null,null,null,null,null,null,null,null,null,null,null,null,"（　　　　　年　　月　　日　作成）"]
[]
[null,"氏名",null,null,null,null,null,"生年月日",null,null,null,null,"男   ・   女"]
[null,"住所",null,null,null,null,null,null,null,null,null,"年齢",{"$f":"IF(I17<>0,CONCATENATE(DATEDIF(I17,NOW(),\"Y\")),\" \")","v":" "},"歳"]
[null,"職種",null,null,null,null,null,"作業内容"]
[null,"血圧測定値",null,null,null,"最高血圧：","mmHg","最低血圧：","mmHg",null,null,"定期検診日："]
[null,"高血圧者のﾌｫﾛｰ",null,null,null,"現在通院中",null,"服薬の有無","有",null,"無"]
[null,"作業員、安全衛生責任者（職長）に下記の就労制限業務内容を周知しましたので報告します。"]
[null,"年少者の就業制限業務の内容"]
[]
[null,null,1,".","高さが5メートル以上で墜落のおそれのある場所での作業禁止"]
[null,null,2,".","足場の組立、解体作業（地上、床上での補助作業を除く）禁止"]
[null,null,3,".","さく岩機等（電動チッパー、ブレーカー等）身体に著しい振動を与える機械・器具を用いる作業禁止"]
[null,null,4,".","じんあい、粉末を著しく飛散する場所での作業禁止"]
[null,null,5,".","30kg以上の重量物の取り扱い（断続作業）作業禁止"]
[null,null,6,".","その他の禁止作業（作業所記入）",null,null,"・"]
[null,null,null,null,null,null,null,"・"]
[]
[null,null,"※年少者の場合は、年齢を証明する書類及び親（保護者）の就労承認書を添付すること。"]
[]
[null,null,"注）","最低年齢　満15歳未満の児童を使ってはならない。"]
[null,null,null,"就業制限　満18歳未満の年少者については時間外労働、休日労働、深夜業（午後10時～午前5時）及び"]
[null,null,null,"危険有害業務、坑内労働をさせてはならない。但し、深夜業については、交代制によってしようする満16歳以上の"]
[null,null,null,"男子についてはこの限りではない。"]
[]
[]
[null,"高年齢者・高血圧者の就業制限業務の内容"]
[]
[null,null,1,".","単独作業禁止"]
[null,null,2,".","2メートル以上の足場、脚立、ローリング、高所作業車を使用しての作業禁止"]
[null,null,3,".","30kg以上の重量物の取り扱い（断続作業）20kg以上の重量物の取り扱い（継続作業）作業禁止"]
[null,null,4,".","衝撃吸収性の高い安全靴（エアークッション機能等）の着用義務"]
[null,null,5,".","その他の禁止作業（作業所記入）",null,null,"・"]
[null,null,null,null,null,null,null,"・"]
[]
[null,null,"・事業主は雇い入れ時に免許証、住民票等で年齢の確認をおこなうこと。"]
[null,null,"・事業主は安全衛生責任者（職長）、作業員本人に就業制限業務内容の写しを渡し、周知すること。"]
[null,null,"・安全衛生責任者（職長）は就業制限業務内容を考慮し、作業員の適性配置をおこなうこと。"]

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[null,"Menuへ"]
[]
[null,"事業主・一人親方等就労届"]
[]
[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,null,null,null,"　　　　　年　　　月　　　日"]
[]
[null,"事業所の名称",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"作業所"]
[]
[null,"所　 長　 名",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,"住所"]
[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,null,null,"代表者名",null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話"]
[]
[null,null,"貴事業所における当社受注工事の施工にあたり下記の事業主・一人親方等を使用することを報告します。"]
[null,null,"なお、工事の施工・労務安全管理については充分監督指導を行い万全を期しますとともに、万一労災事故等が"]
[null,null,"発生した場合は責任をもって解決し、貴社に一切の迷惑をかけません。"]
[]
[null,"会社名",null,null,null,null,null,null,"住所　",null,null,null,null,null,null,null,null,null,"労災特別加入労働保険番号",null,null,null,null,null,null,"労災上補償加入有無"]
[null,"事業主・親方名",null,null,null,null,null,null,"使用予定期間　",null,null,null,null,null,null,null,null,null,"委託事務組合名",null,null,null,null,null,null,"補償金額"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有　・　無"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有　・　無"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有　・　無"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有　・　無"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有　・　無"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有　・　無"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"有　・　無"]
[]
[null,"（注） 1.　当事業所より一次下請で工事を受注されている事業主・一人親方等も記入をお願いします。"]
[null,"　　　 2.　労災特別加入申請書（写）及び労災上積補償加入証書（写）を添付の事。"]

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[null,"Menuへ"]
[]
[]
[]
[]
[null,null,"株式会社アイムホーム"]
[null,null,"代表取締役社長",null,null,null,null,null,null,"三家本 真大",null,null,null,null,null,null,null,"殿"]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"住所"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会社名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"代表者名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"㊞"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"電話"]
[]
[null,"不法就労外国人等を雇用しない誓約書"]
[]
[]
[]
[]
[]
[]
[null,null,"　貴作業所の工事施工にあたり、弊社及び関係請負人は出入国管理および難民認定法に"]
[]
[null,null,"違反して不法に就労する外国人を雇用していないことを誓約いたします。"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"参　考"]
[]
[]
[null,"◎外国人労働者の就労に関する法規制とチェック方法"]
[]
[null,"（出入国管理及び難民認定法＝入管法）"]
[]
[]
[null,"法  の  主  旨",null,null,null,null,null,null,null,null,null,null,null,"外国人の建設労働者は、「単純労働者」として、建設現場での就労は"]
[null,"（建設業の基本姿勢）",null,null,null,null,null,null,null,null,null,null,null,"認められない。（不法就労者を雇用し、使用しない）"]
[]
[]
[null,"就労可能者",null,null,null,null,"在 留 資 格",null,null,null,null,null,null,"就  労  条  件",null,null,null,null,null,null,null,null,null,null,null,null,"チ ェ ッ ク 方 法"]
[]
[null,null,null,null,null,null,"・留       学",null,null,null,null,null,null,"アルバイトとして就学可能であるが、",null,null,null,null,null,null,null,null,null,null,null,null,"「旅券」及び「資格外活動許可証」"]
[null,null,null,null,null,null,"・就       学",null,null,null,null,null,null,"就労条件として、１週20時間以内、１日",null,null,null,null,null,null,null,null,null,null,null,null,"の在留期間"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"４時間以内であること。"]
[]
[]
[null,null,null,null,null,null,"・研       修",null,null,null,null,null,null,"就労（収入を伴う活動、または、報酬",null,null,null,null,null,null,null,null,null,null,null,null,"研修生を受け入れる会社が法務省等関"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"を受ける活動）としてではなく、あくま",null,null,null,null,null,null,null,null,null,null,null,null,"係省庁に申請した、受付番号の入った"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"で研修の一部分で技能・技術の修得及",null,null,null,null,null,null,null,null,null,null,null,null,"関係書類の写し、研修生の名簿、指導"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"実践の場としてとらえる。",null,null,null,null,null,null,null,null,null,null,null,null,"員名、通訳者、研修内容（現場での技能、"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"技術の習得内容、研修期間）"]
[]
[]
[null,null,null,null,null,null,"・永住者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・基本的には「外国人登録証明書」"]
[null,null,null,null,null,null,"・日本人の配偶者等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," （カード型と冊子型）で確認。"]
[null,null,null,null,null,null,"・永住者の配偶者等",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・「就労資格証明証」は、本人の申請"]
[null,null,null,null,null,null,"・平和条約関連国籍",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  により所持することになっているので"]
[null,null,null,null,null,null,"  離脱者の子",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"  持っていない人もいる。"]
[null,null,null,null,null,null,"・定住者",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・定住者は、上記の他に「旅券」または"]
[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,"  「難民認定証明証」の場合もある。"]
[]
[]
[]
[null,"罰        則",null,null,null,null,null,null,null,null,null,null,null,"事 業 者（ 雇 用 者 ）",null,null,null,null,null,null,null,null,null,null,null,null,"元請（不法就労助長罪）"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"①","外国人に不法就労活動をさせた者。",null,null,null,null,null,null,null,null,null,null,null,"元請として当該外国人を雇用していない"]
[null,"3年以下の懲役",null,null,null,null,null,null,null,null,null,null,null,"②","外国人に不法就労活動をさせるため、",null,null,null,null,null,null,null,null,null,null,null,"場合であっても、下請業者が雇用して"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"これを自己の支配下に置いた者。",null,null,null,null,null,null,null,null,null,null,null,"不法就労させることを強く関与した場合"]
[null,"または200万円以下の罰金",null,null,null,null,null,null,null,null,null,null,null,"③","業として、外国人に不法就労活動を",null,null,null,null,null,null,null,null,null,null,null,"（日常のチェックを元請として実施して"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"させる行為または、①、②の行為に",null,null,null,null,null,null,null,null,null,null,null,"いなかったような場合をいう)"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,"関し斡旋した者。",null,null,null,null,null,null,null,null,null,null,null,"助長罪を適用される。"]
[]
[]
[null,"不法就労外国人を雇用しない誓約書の注意事項"]
[null,null,"１",null,"提出会社は、当社と直接契約を締結した会社（一次下請）とする。"]
[null,null,"２",null,"提出先、日付を記入し、会社名、所在地、代表者名はゴム印を押す。"]

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[null,"Menuへ"]
[null,"全建統一様式第１２号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"年",null,"月",null,"日"]
[]
[null,null,null,null,null,null,null,"予定報告書"]
[null,null,null,null,"作　業",null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会　社　名",null,{"$f":"IF(B!F4=\"\",\"\",B!F4)","v":""}]
[null,null,null,null,null,null,null,"指示書",null,null,null,null,null,null,null,null,null,null,null,"現場代理人　　　　　（現場責任者）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,{"$f":"IF(B!F12=\"\",\"\",B!F12)","v":""},null,null,null,null,null,null,null,"㊞"]
[]
[null," 現 場 名 ："]
[null,"作　　業　　内　　容",null,null,null,null,"開始",null,null,null,"作 業 場 所",null,null,"人　員",null,"配置資格者　　　　　　（下記記号使用）",null,"作 業 上 の 留 意 点　　　　　　　　　　　　　　(危険防止措置等)",null,null,null,null,null,"元  請  指  導  欄"]
[null,null,null,null,null,null,null,null,"時刻"]
[null,null,null,null,null,null,"修了"]
[null,null,null,null,null,null,null,"時",null,"分",null,null,null,"人"]
[null,null,null,null,null,null,null,"～"]
[null,null,null,null,null,null,null,"時",null,"分"]
[null,null,null,null,null,null,null,"時",null,"分",null,null,null,"人"]
[null,null,null,null,null,null,null,"～"]
[null,null,null,null,null,null,null,"時",null,"分"]
[null,null,null,null,null,null,null,"時",null,"分",null,null,null,"人"]
[null,null,null,null,null,null,null,"～"]
[null,null,null,null,null,null,null,"時",null,"分"]
[null,null,null,null,null,null,null,"時",null,"分",null,null,null,"人"]
[null,null,null,null,null,null,null,"～"]
[null,null,null,null,null,null,null,"時",null,"分"]
[null,null,null,null,null,null,null,"時",null,"分",null,null,null,"人"]
[null,null,null,null,null,null,null,"～"]
[null,null,null,null,null,null,null,"時",null,"分"]
[null,null,null,null,null,null,null,"時",null,"分",null,null,null,"人"]
[null,null,null,null,null,null,null,"～"]
[null,null,null,null,null,null,null,"時",null,"分"]
[]
[null,"(注)　","この記載例は、作業予定報告書であり、工程打合時に決定した作業",null,null,null,null,null,null,null,null,null,null,null,null,"(技)… 技能講習修了者　　(特)… 特別教育修了者　　(免)… 免許取得者"]
[null,null,"予定を記入する。元請業者は、元請指導欄に必要事項を記入し、",null,null,null,null,null,null,null,null,null,null,null,null,"(揮)… 作業指揮者　　(監)… 監視員　　(合)… 合図者　　(誘)… 誘導員"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（技）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（特）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（免）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（揮）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（監）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（合）"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"（誘）"]

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[null,"Menuへ",null,null,"　　"]
[null," 全建統一様式第13号",null,null,null,null,null,null,null,null,"元　請　　　　　　　　確認欄"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"　　　　　年　　　月　　　日 (　　    )曜日　天候(　   　 )"]
[null,null,"安全ミーティング・危険予知活動報告書"]
[null,null,null,null,null,null,null,null,null,"会　社　名",{"$f":"IF(B!F4=\"\",\"\",B!F4)","v":""}]
[null,null,null,null,null," ",null,null,null,"現場代理人　　　　(現場責任者)"]
[null,null,null,null,null,null,null,null,null,null,{"$f":"IF(B!F12=\"\",\"\",B!F12)","v":""},null,null,"㊞"]
[]
[null,"作　　業　　内　　容",null,null,"作 業 の ポ イ ン ト",null,null,"危 険 の ポ イ ン ト",null,null,"特　　記　　事　　項"]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"今　日　の　行　動　目　標"]
[]
[null,null,null,null," "]

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[null,"Menuへ"]
[null,"店社自主安全衛生パトロール点検表"]
[]
[null,"点検日　　　　　　年　　　月　　　日"]
[null,"工 事 名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"会 社 名"]
[]
[null,"職 長 名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"点 検 者"]
[]
[]
[null,"点  検  項  目",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"処  置  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,"改 善 日"]
[null,"　・安全衛生責任者は安全作業打合わせに出席し、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,"　　を周知徹底しているか。"]
[null,"　・職長会に積極的に参加しているか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・作業計画書を作成し、計画書通り実施しているか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・新規入場者教育は職長が実施しているか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・持込機器の点検を実施しているか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・有資格者を配置しているか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・高所作業では安全帯を使用しているか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・開口部の養生はよいか。（手すり・囲い・蓋・防網）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・必要な保護具（メガネ・マスク等）を使用しているか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・重機等との接触防止（立入禁止・誘導者）はよいか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・火気使用場所に消火器を設置しているか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・決められたルールを守っているか。（くわえタバコ・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[null,"　　服装・保護帽・あごひも・不安全行動　等）"]
[null,"　・事務所、休憩所、詰所の清掃はよいか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・資料の整理整頓はできているか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・作業終了後の片付け、清掃は毎日しているか。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"　・",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"その他改善指導事項"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"・"]
[]
[null,"元請への要望事項",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null," 元請確認欄"]
[]
[]
[]
[]
[null,"注）この様式は、社長をはじめとする店社の幹部の安全パトロール時に使用のこと。"]

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[null,"戻る"]
[null,"全建統一様式第9号",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"元　　請　　　　　確　認　欄"]
[null,"2021年度（ 2021年４月 ～ 2022年３月 ）安全衛生管理計画書"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"提出日：　　　　　年　　　月　　　日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"基本方針",null,"安全はすべての作業に優先させ、"]
[null,"基本方針",null,null,null,null,"安全はすべての作業に優先させ、災害ゼロから危険ゼロを目指す　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　株式会社アイムホームは、弊社建築現場で働く人々が安心でき、安全で衛生的な職場環境の向上と整備に努め、労働災害の防止を図ることにより、顧客の信頼及び、社会からも信頼される企業を目指します。　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　",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,"役　　職　　名",null,null,null,null,null,"氏　　　　名",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"災害ゼロから危険ゼロを目指す"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"担当役員"]
[null,"安全衛生目標",null,null,null,null,"① アイムホーム作業就業規則を周知共有し、より良い現場運営を共に目指す事により、無災害を目指す。",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,"雇用管理責任者",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(B!F18=\"\",\"\",B!F18)","v":""}]
[null,null,null,null,null,null,"② 各現場において、朝礼を行い現場でのルールを厳守し、お互いにルールを守ることにより、より安全への意識を高める。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"統括安全衛生責任者",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(B!F16=\"\",\"\",B!F16)","v":""}]
[null,null,null,null,null,null,"③ 指定場所での喫煙、弁当ガラ、空き缶の持ち帰り、日々の清掃片付けの意識を高め、きれいな現場環境をにする。",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,"安全管理者",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,null,null,null,null,null,null,"安全衛生",null,"１．作業打ち合せの充実と作業手順書の励行"]
[null,null,null,null,null,null,"④ 自主的に上記の目標に取り組む雰囲気作りに努め、明るく楽しい現場をめざす努力をする。",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,"衛生管理者",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,null,null,null,null,null,null,"目　　標",null,"２．危険を予知した交通ヒヤリマップの作成と活用"]
[null,"安全衛生上の課題             及び特定した                        危険有害又は有害性　",null,null,null,null,"１．協力業者間の連絡調整が機能していない",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,"安全衛生推進者",null,null,null,null,null,null,null,null,null,null,{"$f":"IF(B!F17=\"\",\"\",B!F17)","v":""}]
[null,null,null,null,null,null,"２．非定常作業の作業打ち合せが不十分である",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,"工事担当責任者"]
[null,null,null,null,null,null,"３．交通災害が多発している",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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生上の課題及び特定した危険有害又は有害性　"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"常時使用する\n労　働　者",null,null,"→","１００人以上の場合",null,null,null,null,null,"→","総括安全衛生管理者を",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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．協力業者間の連絡調整が機能していない"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"１．作業打ち合せの充実と作業手順書の励行",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"→","５０人以上の場合",null,null,null,null,null,"→","安全管理者、衛生管理者、産業医を",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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．非定常作業の作業打ち合せが不十分である"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"２．危険を予知した交通ヒヤリマップの作成と活用",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"→","１０人以上５０人未満の場合",null,null,null,null,null,"→","安全衛生推進者(又は衛生推進者)を選任する",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,"３．交通災害が多発している"]
[]
[null,"重点施策",null,null,null,null,null,null,"実施項目",null,null,null,null,null,null,null,null,null,"目標",null,null,null,null,null,"担当",null,null,null,"年間(年度)　スケジュール",null,null,null,null,null,null,null,null,null,null,null,"実施上の留意点",null,null,null,null,null,null,null,"適　　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,4,5,6,7,8,9,10,11,12,1,2,3]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生方針",null,null,null,null,null,null,null,null,null,null,"株式会社アイムホームは、弊社建築現場で働く人々が安心でき、安全で衛生的な職場環境の向上と整備に努め、                   労働災害の防止を図ることにより、顧客の信頼及び、社会からも信頼される企業を目指します。　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　　"]
[]
[]
[]
[]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"安全衛生目標",null,null,null,null,null,null,null,null,null,null,"① アイムホーム作業就業規則を周知共有し、より良い現場運営を共に目指す事により、無災害を目指す。"]
[]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"② 各現場において、朝礼を行い現場でのルールを厳守し、お互いにルールを守ることにより、より安全への意識を高める。"]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"③ 指定場所での喫煙、弁当ガラ、空き缶の持ち帰り、日々の清掃片付けの意識を高め、きれいな現場にする。"]
[]
[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,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"④ 自主的に上記の目標に取り組む雰囲気作りに努め、明るく楽しい現場をめざす努力をする。"]

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["戻る"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"工　　程　　表"]
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["工　事　概　要","月"]
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[null,"数　量","単位"]

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[null,null,null,null,null,null,null,null,null,null,"　　　　　　　　　　　　　実　施　工　程　表"]
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["戻る"]
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[null,null,null,null,null,null,null,null,null,null,"ネットワーク工程表作成に大変便利なソフトがあります。",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,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]
[null,null,null,null,null,null,null,null,null,null,"shigkenさんのホームページでフリーソフトとしてダウンロードできます。ファイル名ネットワーク工程表　　シンプルで使いやすいです。"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"http://www.ne.jp/asahi/shigiken/home/"]
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[null,"2.","工事場所",null,null,null,null,null,null,null,{"$f":"IF(A!F6=\"\",\"\",A!F6)","v":""}]
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[null,null,null,"二次下請会社基本データシート"]
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[null,null,null,"三次下請会社基本データシート"]
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[null,null,null,"四次下請会社基本データシート"]
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[null,"17.","2　建設業の許可（業種）",null,null,null,null,null,"工事業","許可番号"]
[null,"18.","　　許可（更新）年月日"]

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[null,"Menuへ","名簿1へ"]
[null,null,"名簿2へ"]
[null,null,"名簿3へ"]
[]
[]
[null,"作業員データ"]
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[93]
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[94]
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[95]
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[96]
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[97]
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[]
[null,null,"鋼製建具工事","[現]",null,null,null,null,null,null,null,null,null,"職長教育","有機溶剤","サッシ施工"]
[null,null,"電気工事","[技]",null,null,null,null,null,null,null,null,null,"高所作業車","酸素欠乏","カーテンウオール施工"]
[null,null,"土木工事","[主]",null,null,null,null,null,null,null,null,null,"粉塵作業","ガス溶接","電気工事士"]
[null,null,"建築工事","[職]",null,null,null,null,null,null,null,null,null,"動力巻上","玉掛","施工管理技士"]
[null,null,"建築工事","[安]",null,null,null,null,null,null,null,null,null,"アーク溶接","リフト運転","クレーン運転"]
[null,null,"大工工事","[女]",null,null,null,null,null,null,null,null,null,"低圧電路","移動式クレーン","移動クレーン"]
[null,null,"左官工事","[未]",null,null,null,null,null,null,null,null,null,"リフト運転","ショベル運転","発破"]
[null,null,"とび・土工工事",null,null,null,null,null,null,null,null,null,null,"建設用リフト","建設機械"]
[null,null,"石工事",null,null,null,null,null,null,null,null,null,null,"ｼｮﾍﾞﾙ運転","運搬車"]
[null,null,"さく井工事",null,null,null,null,null,null,null,null,null,null,"建設機械","ブレーカー"]
[null,null,"建具工事",null,null,null,null,null,null,null,null,null,null,"動力巻上機","高所作業車"]
[null,null,"水道施設工事",null,null,null,null,null,null,null,null,null,null,"クレーン運転","特定化学物質"]
[null,null,"消防施設工事",null,null,null,null,null,null,null,null,null,null,"移動クレーン","鉛作業"]
[null,null,"清掃施設工事",null,null,null,null,null,null,null,null,null,null,"玉掛作業"]
[null,null,"地盤改良工事",null,null,null,null,null,null,null,null,null,null,"危険作業"]
[null,null,"推進工事",null,null,null,null,null,null,null,null,null,null,"ゴンドラ"]
[null,null,"下水道工事",null,null,null,null,null,null,null,null,null,null,"運搬車"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"ポンプ車"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"ボーリング"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"ずい道"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"エレベータ"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,"研削といし"]

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["Menuへ","持込機械等仕様届へ"]
["クレーン・車両系建設機械等データーシート"]
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