国际工程项目班组安全标准 Standard for Safety Management of Working Teams for Overseas Projects
中国电建集团国际工程有限公司 POWERCHINA International Group Limited
2024 年 11 月
November, 2024
批准Approved by: 陈观福Chen Guanfu
审查Verified by: 唐玉华Tang Yuhua 方树旺Fang Shuwang
审核Reviewed by: 万 军Wan Jun 曹蓓蓓Cao Beibei 黑 生 龙 Hei
Shenglong
徐 波Xu Bo 刘晨清Liu Chenqing 梁宗高LiangZonggao
刘更新Liu Gengxin 王 宝Wang Bao
编制Prepared by: 张 烁Zhang Shuo 高西望Gao Xiwang 王 曦Wang Xi 庞绪峰Pang Xufeng 罗俊峰Luo Junfeng 程 喆Cheng Zhe 左辉斌Zuo Huibin 关爱华Guan Aihua 周 龙Zhoulong
郭 波Guo Bo 赵一楠Zhaoyinan 权伟隆Quan Weilong
孙龙浩Sun Longhao 张 强Zhang Qiang 张路鑫Zhang Luxin
郭冬莉GuoDongli 贺娇娇He Jiaojiao 高义民GaoYimin
田福兴TianFuxing 刘欣凯Liu Xinkai 刘晨清Liu Chenqing
李悦Li Yue 赵鸿Zhao Hong 顾永彬GuYongbin
黄仕鑫Huang Shixin 韩志敏Han Zhimin 翟成浩ZhaiChenghao
潘沫羽Pan Moyu 吴一凡Wu Yifan
英文审核 English Review
审核单位：
Reviewing organization:
中国电建中南勘测设计研究院有限公司
POWERCHINA Zhongnan Engineering Corporation Limited
总负责：
Directed by:
李彦广、穆君 Li Yanguang, Mu Jun
审核人员：
Reviewed by:
刘小芬Liu Xiaofen、陈蕾Chen Lei、
杨虹Yang Hong、刘明明Liu Mingming、
蔡志强Cai Zhiqiang、徐莉Xu Li
文件修改记录 Revision History
序号 SN
修改日期 Revision Date
修改页码 Page
修改内容 Description
修改人 Revised by
批准人 Approved by
1 2023年6月
June, 2023 1-9
增加了包保制说法，删除了 班组安全协管员的说法，只 保留了安全员，并修改了其 他文字描述和翻译不准确的 内容。
Added the assurance responsibility of project leaders, Deleted "Safety Coordinator", and retain
"Safety Officer", and modified some inaccurate words and translation.
万军，庞绪 峰 Wan Jun, Pang Xufeng
陈观福 Chen Guanfu
2 2025年3月
March, 2025 9,13-20
增加了“6.6班组安全验 证”一节以及相应的附表4
和附表5，修改了附表3。
Added the 6.6 Safety Verification for Working Teams, and Annex 4 and Annex 5, and modified Annex 3.
万军，庞绪 峰 Wan Jun, Pang Xufeng
陈观福 Chen Guanfu
目录 Contents
第1节-目的Purpose...1
第2节-范围Scope...1
第3节-术语Terminology...1
第4节-引用文件Normative References... 1
第5节-职责Duties and Responsibilities...1
第6节-程序Procedures... 4
第7节-记录Records...10
附表Annex 1：班组成员记录表Form of Team Member Records...12
附表Annex 2：班组安全教育记录表 Sheet of Pre-shift Safety Education Records...13
附表Annex 3：班组安全检查记录表Sheet of Safety Inspection Records of Working Team 14 附表Annex 4：XXX班组安全验证记录表（通用要求） Safety Verification Form of [XXX] Working Team(General Requirements)...17
附表Annex 5：班组安全验证动态台账Safety Verification Form of Working Team...21
附表Annex 6：班组安全标准化岗位标准Standardized Safety Requirements for Posts of Working Team... 22
附表Annex 7：岗位达标评定表Post Requirement Compliance Assessment Form...25
第1节-目的Purpose
1.1为规范国际工程班组安全管理，提高作业人员的安全自我防范能力，控 制和减少事故的发生，制订本标准。
This Standard is developed to standardize the working team safety management for overseas projects, improve the safety protection capability of working personnel, and control and reduce the accidents.
第2节-范围Scope
2.1本标准适用于国际工程项目班组（以下简称“班组”）安全管理活动。
This Standard is applicable to the work safety management activities of the working teams for overseas projects (hereinafter referred to as “working teams”).
第3节-术语Terminology 3.1无。None.
第4节-引用文件Normative References
4.1 GB/T 24001-2016/ISO 14001：2015环境管理体系 要求及使用指南。
Environmental Management Systems ‒ Requirements with Guidance for Use
4.2 GB/T 45001-2020/ISO45001:2018职业健康安全管理体系 要求及使用指 南。Occupational Health and Safety Management Systems—Requirements with Guidance for Use
4.3 GB/T 33000-2016《企业安全生产标准化基本规范》。Guideline of China Occupational Safety and Health Management System
第5节-职责Duties and Responsibilities
5.1施工管理部门负责建立项目领导成员班组“包保制清单”并监督实施；
负责组织班组安全验证；负责班组岗位达标评比、班组活动的监督。
The Construction Office is responsible for establishing and supervising the implementation of the assurance responsibility with working teams list of project leaders, organizing safety verification of working teams, and supervising the comparison of the post reaching standard and working teams activities.
5.2班组职责Duties and Responsibilities of Working Teams
5.2.1遵守项目HSE体系要求、操作规程；
Abide by the HSE system requirements, operating procedures;
5.2.2将作业范围HSE责任分解落实到人，并开展自检、互查活动；
Divide HSE responsibility of the work area to assign the responsible persons, and organize self-inspection and mutual inspection;
5.2.3班组每天应开展班前、班中、班后安全活动，每周开展安全警示、安
全分享活动。
Each working team shall carry out pre-shift, during-shift, post-shift safety activities and every week safety education, safety share.
5.2.4对安全检查中发现的问题，按要求及时落实整改；
For any problem that is found in production safety inspection, the working team shall make rectification without delay as required;
5.2.5配合事故调查，如实反映情况。
The working teams shall provide active cooperation and truthful information in accident investigation.
5.3班组长职责Responsibilities of Team Head
5.3.1负责带领班组作业人员执行项目HSE体系要求、操作规程。督促作业
人员落实HSE岗位职责，组织开展班组安全活动。
Lead the team members to implement the HSE management rules and operation procedures of the project, supervise the operation personnel to fulfill the HSE
responsibilities, and organize the working team to carry out production safety activities.
5.3.2组织作业人员接受项目经理部HSE培训，及时传达项目HSE管理要
求。
Organize the operation personnel to participate in the HSE training of the Project Management Department and convey timely the HSE management requirements of the project department.
5.3.3落实班前作业人员的考勤，掌握作业人员施工作业分布情况，考勤信
息应每天向项目经理部报告。
Check the attendance of operation personnel before the work and be acquainted with their distribution in the work. The attendance information shall be reported to the Project Management Department on a daily basis.
5.3.4每天对作业人员健康状况进行询问，不得安排身体不适作业人员上岗。
Daily enquiring about the health status of the workers, and do not deploy anyone who is unsuitable for the work.
5.3.5应根据施工特点进行班前安全交底，不得违章指挥和强令作业人员冒 险作业。安全交底内容应包括：
Carry out targeted pre-shift safety briefing according to the construction characteristics, avoid any instructions in violation of the regulations and rules, and never force anyone to perform dangerous operation. The safety briefing shall include the following:
1）存在的危险源及有害因素检测情况；Detection results of hazards and harmful factors;
2）安全操作规程；Safe operating procedures;
3）防护用品、施工机具的正确使用和操作方法；Proper use and operation of protective equipment and construction equipment;
4）发现事故隐患应采取的措施；Measures to be taken when any accident hazard is identified;
5）发生事故后应采取的避险和急救措施。Rescue and first aid measures to be taken in case of accident.
5.3.6监督作业人员正确使用安全防护用品和规范操作施工机具，检查班组
作业现场的安全隐患，制止违章作业和不文明施工行为，及时处置隐患；
Supervise the operators to correctly use the personal protective equipment and operate the construction machinery, check the accident potentials of the site, stop any operation against the relevant regulations and any uncivilized construction behavior, and deal with the potential hazard timely;
5.3.7发生险情或安全事故后，应要求作业人员停止作业，立即报告项目经
理，组织开展自救，防止事态扩大，保护现场。
When any danger or accident occurs, urge the operators to stop the operation, report to the Project Management Department immediately, organize self-rescue, prevent the accident from getting worse, protect the scene.
5.4班组安全员职责Responsibilities of Safety Officer of the Working Team 5.4.1协助班组长实施班组HSE管理；Assist the team head in carrying out HSE management of the working team;
5.4.2对作业现场安全设施进行班前检查，提醒作业人员正确穿戴安全防护
用品、正确操作施工机具；
Check on the safety facilities before the work, and remind the operators to use the safety protection equipment and construction equipment correctly;
5.4.3对作业现场进行安全巡查，维护作业区域安全防护设施和警示标志的 完好，做好安全巡检记录；
Perform patrol inspection during the operation process, maintain the safety protection facilities and warning signs in the operation area, and make records of the production safety inspection;
5.4.4及时制止安全巡查中发现的违章作业和不文明行为。制止无效时，应
向班组长和HSE部门负责人报告。
Stop the operation against the relevant rules and the uncivilized behavior found in the safety inspection without delay. If unable to stop it, report it to the immediate leadership, or HSE Office;
5.4.5负责班后安全检查，不留安全隐患；Conduct safety inspection when the work in a day is completed to eliminate any safety hazard;
5.4.6发生险情或安全事故后，应立即报告班组长或HSE部门。
When any danger or safety accident occurs, immediately report to the team head or HSE Officer.
5.5作业人员职责Responsibilities of Operators
5.5.1服从班组长的管理，遵守项目HSE体系要求，参与班组安全活动，接
受HSE培训；
Obey the management of the team head, comply with the HSE system requirements of the project site, participate in the safety activities of the working team, and accept HSE training;
5.5.2严格遵守操作规程，正确穿戴劳动防护用品，正确操作施工机具，遵
守劳动纪律，不损坏安全设施和警示标志；
Comply strictly with the operating procedures, properly use the personal protective equipment and construction machinery, obey the labor discipline, and do not damage any safety facilities and warning signs;
5.5.3发生事故或安全险情后应停止作业，不得擅自处理或冒险作业；
When any danger or accident occurs, stop operation, and do not deal with it without authorization or take the risk;
5.5.4做好作业场所清理工作，保持作业现场整洁，杜绝不文明工作行为。
Clear up the work site to keep it tidy once completing the work, and put an end to uncivilized behavior.
第6节-程序Procedures 6.1一般要求General Requirements
6.1.1班组作业人员数不宜超过30人（隧洞作业工作面不宜超过9人），作
业人员应相对固定。班组长是班组HSE工作的第一责任人，对班组HSE工作负 全责。班组应配备专职安全员，协助班组长开展HSE工作。班组分散作业时，
班组长应为临时作业小组指定临时安全员。班组应按岗位要求穿戴合格的劳动 防护用品。
The number of operators of a working team should not be greater than 30 (or 9 on the working surface in tunnel). The team shall be relatively stable. The team head, as the chief responsible person, shall take full responsibility for the HSE of the working team. Safety Officer shall be assigned to assist the team head in carrying out HSE work. When the team members are working at different locations, the temporary Safety Officer assigned by the team head shall be the responsible person for the safety of the team. The working team shall be equipped with qualified personal protective equipment according to the post requirements and follow the requisition procedures.
6.1.2特种作业人员应持符合规定的证书(证件)。
The special operators shall hold the relevant certificates.
6.1.3新作业人员应佩带明显的标识，在熟练作业人员带领下工作3个月后
方可独立作业。
New workers shall wear obvious signs for identification and shall not work independently unless he/she has worked for no less than three months under the guidance or custody of an experienced operator who is familiar with the site environment.
6.1.4班组长应具有一定的文化知识和组织协调管理能力，熟悉相关工种操
作技能；其工作技能、管理能力与承担施工作业的难易程度相匹配。
The team head shall have the required degree of education and have the
organization, coordination and management capabilities, be acquainted with the skills related to the work, and have the technical and management capabilities compatible with the work.
6.1.5安全员应具有相关的HSE知识和紧急救护技能。作业现场安全员应佩
戴明显的标识，应掌握作业区域安全风险及防范措施，应及时向班组长反馈
HSE信息。
The Safety Officer shall be knowledgeable in HSE and first aid. The Safety Officers on duty shall wear obvious signs, be acquainted with the safety risks and prevention of the working area, and report the relevant HSE information to the team
head in time.
6.1.6班组应按本标准第7节记录每天班组活动。记录应清晰、准确、真实、
有效，内容与实际相一致，具有可追溯性。分类编制成册，形成班组安全活动 台帐。
The working team shall make daily records according to the items listed in Section 7 of this standard. The records shall be clear, accurate, authentic, valid, and traceable, and reflect the actual conditions. The records shall be cataloged to form the ledger of production safety activities of the working team.
6.2班前管理Pre-shift Management
6.2.1班组长应填写或及时更新《班组成员记录表》（附表1），每天记录
作业人员的出勤情况，考勤结果按项目经理部规定及时上报。
The team head must keep records of the attendance of team members, fill out the Form of Team Member Records (Annex 1). The attendance and arrangement results shall be reported according to the Project Management Department in time.
6.2.2应对施工作业区域的安全防护设施、周边环境进行检查后，实施班前
安全交底（安全教育），填写《班前安全教育记录表》（附表2）。
After inspecting the safety protection facilities and surrounding environment of the working area, make pre-shift safety briefing (safety education) and fill out the Sheet of Pre-shift Safety Education Records (Annex 2).
6.2.3应组织作业人员根据作业环境，自检互查个人劳动防护用品穿戴情况。
Organize the operators to conduct self-inspection and mutual inspection on the wearing of personal protective equipment according to the operation and
environmental requirements.
6.2.4应安排作业人员对使用的机具进行检查，发现有异常情况，应按操作
规程立即排除，必要时由班组长向项目主管部门申请专业处置。
Arrange the operators to inspect the machinery and tools to be used, and eliminate any abnormal condition once found according to the relevant operating procedures. If necessary, the team head shall apply to the relevant office of the project for troubleshooting.
6.3班中管理During-shift Management
6.3.1作业人员应严格按操作规程和班前安全交底作业，正确穿戴劳动防护
用品、正确操作机具。
The operators shall perform operation in strict accordance with the operating
procedures and pre-shift briefing requirements, and use the personal protective equipment and tools correctly.
6.3.2作业人员应按规定堆放物料，保持作业场所通道畅通、作业现场整洁。
The operators shall work in a civilized manner, place the materials orderly according to relevant regulations, and keep the workplace access unobstructed and the work site clean and tidy.
6.3.3作业现场的安全设施、警示标志、机具标识牌应注意保护，不得擅自
拆除和随意挪动。
The safety equipment and facilities, warning signs and signage in the work area shall be protected to prevent arbitrary removal and move.
6.3.4实施危险施工作业时，必须安排安全人员进行全过程监控。
When any highly risky operation is performed, an on-site safety supervisor must be assigned according to the relevant regulations to monitor the whole process of operation.
6.3.5班组长每天对作业区域的安全巡查不少于2次，填写《班组安全检查
记录表》（附表3），应及时处置安全隐患，制止违章作业和不文明施工行为。
The team head shall conduct safety inspection on the working area no less than twice a day, fill out the Sheet of Safety Inspection Records of Working Team (Annex 3), eliminate the hazards in time, and stop any operation in violation of the regulations and any uncivilized construction behavior.
6.3.6 班组之间应密切配合，做好上下工序的衔接及交叉作业的配合工作。
Working teams shall cooperate closely with each other to ensure the processes proceed smoothly and cross-operations are carried out properly.
6.3.7发现安全险情时，必须立即停止作业并上报项目经理，不得擅自处理，
险情排除后方可恢复作业。
When any sign of danger is discovered, stop the operation immediately and report to the project manager, and do not take any measures without authorization.
Never resume the operation until the danger is eliminated according to the requirements of the Project Management Department.
6.3.8发生事故后，必须立即组织自救、防止事故扩大、保护现场，及时报
告项目经理。
When an accident occurs, organize self-rescue immediately to prevent the accident from getting worse, protect the scene, and report to the project manager.
6.4班后管理Post-shift Management
6.4.1对施工过程中发现的问题和好的经验，班组长应组织整改和讲评。
For the problems found and experience learned during the construction process, the team head shall organize rectifying and explanation.
6.4.2每天工作完工时，应做好场地清理、清点作业人员。
Clear the site when the work of a day is completed, and check the number of operators.
6.4.3每天工作完工时，对作业区域的安全隐患进行排查，发现安全隐患立
即整改。因客观原因暂时无法解除的隐患，应做好警示标识，及时上报项目主 管部门。
When the work of a day is completed, inspect the accident potentials in the working area. Once any accident potentials is found, make rectification and take proper measures, or report any outstanding problem to relevant office of the project and make the warning signs.
6.4.4对使用的机具、危险品等，按规定返还仓库，办理相关手续。
Return the equipment and hazardous articles to the warehouse after use in accordance with the relevant regulations, and go through the formalities.
6.4.5作业人员应按规定安全使用生活设施，保持良好的个人卫生习惯，保
护环境卫生，发现人员生病应立即报告。
The operators shall use the living facilities safely according to the relevant regulations, maintain civilized and healthy living habits, protect the environmental health, and report any person be ill immediately once found.
6.4.5班组应积极参加HSE培训和健康的文娱活动，遵守社会公德。
The working team shall actively participate in the HSE training, and healthy recreational activities and abide by social ethics.
6.5班组安全活动Safety Activities of Working Team
班组每周必须组织一次安全活动，时间一般不少于1小时。主要内容：
The working team must organize safety activities for no less than one hour each week. The safety activities shall mainly include the following.
6.5.1对各岗位HSE进行讲评，研究布置下周HSE工作；
Propose comments on each post of the team, and deploy the work of this week;
6.5.2学习项目HSE要求、操作规程；讨论班组存在的HSE问题，提出合 理化建议；分享安全经验、分析事故案例，举一反三，防止类似事故重复发生；
结合本班组的作业特点辨识岗位危险源、环境有害因素，讨论预防措施。
Study HSE requirements and operation regulations of the project; study the problems in production safety of the working team and propose reasonable
suggestions to resolve them; share the experience in production safety and analyze the accident case to prevent similar accidents; organize the operators to identify the hazards in the work and the harmful factors in the environment according to the work characteristics of the working team, and discuss preventive measures.
6.6班组安全验证Safety Verification for Working Teams
6.6.1施工管理部门应针对项目不同班组按照附表4要求制定《班组安全验
证记录表》，所有班组入场前均需要进行班组安全验证；班组施工过程中，工 程管理部门应不定期开展班组安全验证复核工作。
In accordance with the requirements of Annex 4, the Construction Office shall formulate the team safety verification form for different working teams of the project.
All teams are required to undergo safety verification before entering the site. During the teams' construction process, the Construction Office shall conduct irregular review work on the team safety verification.
6.6.2工程管理部门应建立班组安全验证动态台账，加强班组安全管理，在
班组作业现场醒目处张贴“红黄蓝绿”安全验证标识，在《班组安全验证动态 台账》（见附表5）上按下表记录安全验证结果标识。
The Construction Office should establish a Working Team Safety Verification Form to strengthen the safety management of teams. Post the "Red, Yellow, Blue, Green" safety verification labels in prominent locations at the team's operation site, and mark the corresponding "Red, Yellow, Blue, Green" sections on the Safety Verification Form of Working Teams with a checkmark(Annex 5), as required in the following table.
序号
No. 安全验证结果标识Safety Verification Result Label 结果Results
1 通过
Passed 绿Green --
2 一次“不通过”
First Failed 蓝Blue 停工培训
Time-out training 3 两次“不通过”
Second Failed 黄Yellow 警告
Warning 4 三次“不通过”
Third Failed 红Red 清退出场
Off-site
6.7岗位达标Compliance with Post Requirements
6.7.1施工管理部门应根据施工岗位特点，按照附表6的要求建立项目各班
组岗位达标标准，形成《班组安全标准化岗位标准》；
The Construction Office shall, according to the requirements of Annex 6 and the characteristics of each post, establish the requirements for each post of the working team, and prepare the Standardized Safety Requirements for Posts of Working Team;
6.7.2施工管理部门每年一次对各班组的岗位达标情况进行评定（见附表
7），对不符合《班组安全标准化岗位标准》要求的，要制定整改方案，限时整 改。
The Construction Office shall assess the compliance with the requirements for each post of the working team once a year (see Annex 7), and require the working team to work out a rectification plan and complete rectification within a time limit for the posts failing to meet the requirements of the Standardized Safety Requirements for Posts of Working Team.
6.7.3施工管理部门每年一次对《班组安全标准化岗位标准清单》进行评审、
修订和完善，确保岗位标准符合安全管理要求。
The Construction Office shall review, revise and improve the Standardized Safety Requirements for Posts of Working Team on an annual basis to ensure the post requirements meet the actual production safety requirements continually.
6.7.4在法律法规、标准、施工工艺和设备设施、岗位职责等发生变化时，
应及时对《班组安全标准化岗位标准清单》进行修订、完善。
When the laws and regulations, codes, standards, production processes, equipment and facilities, and job responsibilities change, revise and improve the Standardized Safety Requirements for Posts of Working Team timely.
第7节-记录Records
项目经理部应完整保存班组管理记录，按照班组分类建档。记录资料至少 应包括班组成员记录表、班前安全教育记录表、班组安全检查记录表、班组安 全活动记录等记录、图片、视频等。
The Project Manager Department shall keep the complete management records and data of each working team, and archive the records and data by working team.
The records and data shall include the Form of Team Member Records, the Sheet of Pre-shift Safety Education Records, the Sheet of Safety Inspection Records of
Working Team, records of working team safety activities, and other records, pictures, and videos.
附表Annex 1：班组成员记录表。Form of Team Member Records
附表Annex 2：班前安全教育记录表。Sheet of Pre-shift Safety Education Records 附表Annex 3：班组安全检查记录表。Sheet of Safety Inspection Records of Working Team
附表Annex 4：XXX班组安全验证记录表（通用要求） Safety Verification Form of [XXX] Working Team(General Requirements)
附表Annex 5：班组安全验证动态台账Safety Verification Form of Working Teams 附表Annex 6：班组安全标准化岗位标准。Standardized Safety Requirements for Posts of Working Team
附表Annex 7：岗位达标评定表。Post Requirement Compliance Assessment Form
附表Annex 1：班组成员记录表Form of Team Member Records
班组名称Working Team：日期Date：编号No.：
班组长
Team Head 安全员
Safety Officer 班组成员名单List of Team Members 序号
No. 姓名
Name
工种 Type of
work
电话
Tel. 序号
No. 姓名
Name
工种 Type of
work
电话 Tel
班组安全协 同要求 Coordination requirements for safety of working team
（一）互相提醒：发现对方有不安全行为，可能发生意外情况时，要 及时提醒纠正，工作中要呼唤应答。
Remind others: Remind the others to correct the behavior when finding any unsafe behavior of others during work that may cause accidents, and give response to any call during the work.
（二）互相照顾：工作中要根据工作任务、操作对象合理分工，互相 关心。
Mutual custody: deploy the work reasonably according to the tasks and operation objects; care each other;
（三）互相监督：工作中要互相监督，严格执行劳动防护用品穿戴标 准，严格执行安全规程和有关制度。
Mutual supervision: supervise each other in the work to ensure strict compliance with the requirements for wearing of personal protective equipment and the safety regulations and relevant rules;
（四）互相保证：保证对方安全作业，互不伤害、不发生人身安全事 故。Mutual guarantee: guarantee the safe operation of others, and avoid injury and personal safety accident.
安全员（记录人）：
Safety Officer (recorded by):
附表Annex 2：班组安全教育记录表 Sheet of Pre-shift Safety Education Records
班组名称Working Team：日期Date：编号No.：
工程名称 Project Name
施工日期 Date of Construction 施工部位
Part of construction 施工班组 Working Team
作业人数 Number of Operators 工作内容Content of work：
安全交底内Content of safety briefing：
1）作业环境，危险源Work environment and hazards；
2）安全操作规程Safe operating procedures；
3） 防护用品、 施 工机 具的正确 使 用 Proper use of protective equipment and construction machinery；
4）发现事故隐患应采取的措施Measures to be taken when accident hazard is found；
5）发生事故后应采取的避险和急救措施Mitigation and first aid measures to be taken in the event of accident。
活动负责人
Responsible person of activity
天气（晴、阴、雨）
Weather (sunny, cloudy, rainy) 班组人员签名Signature of team members：
附表Annex 3：班组安全检查记录表Sheet of Safety Inspection Records of Working Team
班组名称Working Team： 日期Date： 编号No.：
班组人数Number of Team Members： 班组长Team Head： 安全员Safety supervisor of team：
填表人Prepared by：
序 号 No .
类 别 Typ
e
检查项目
Items 检查记录Inspection record
1
班 前 管 理 Pre- shif t ma nag eme nt
巡查、交底 Patrol inspection
and briefing
1.☐安全防护设施完整Safety protection facilities are intact
☐安全设施有缺陷Safety protection facilities are defective. 。 2.☐周边环境对施工无影响Surroundings have no impact on the work
☐周边环境对施工有影响Surroundings have impact on the work
。
2
1.班组人员知晓作业中存在的危险源和不利环境因素The team members are
aware of the hazards and adverse environmental factors existing in the work。☐
是Yes ☐否No
2.有危险源、不利环境因素控制要求和应急措施。There are control and
emergency measures for hazards and adverse environmental factors.☐是Yes ☐ 否No
3
班组考勤 Attendance
of team
☐全勤，人数Full attendance，No. ，作业人员健康All operators are healthy ☐是Yes ☐否No； 有缺勤，人数☐ Absences, No. ，报告工程管理 部门Report to the Construction Office ☐是Yes ☐否No
4
自检互查 Self- inspection and mutual inspection
☐PPE穿戴符合要求人数Wearing PPE in compliance, No. ； ☐PPE 穿 戴不符合要求人数Wearing PPE non-compliance, No. 。
5
机具检查 Inspection
on equipment
and tools
☐机具正常Equipment and tools are normal ☐机具异常Equipment and tools are abnormal
向工程管理部门报告Report to the Construction Office ☐是Yes ☐否No
6 班
中 管 理 Dur ing-
规范操作 Standardiza
tion of operations
1.☐遵守操作规程Compliance with operating procedures ☐未遵守操作规程 Non-compliance with operating procedures 2.☐按照施工方案作业Compliance with construction plan ☐未按照施工方案作业 Deviation from construction plan
3.☐正确操作机具Operate equipment and tools correctly. ☐未确操作机具 Operate equipment and tools incorrectly
7
作业文明 Civilized work
1.☐按规定堆放物料Store materials properly ☐未按规定堆放物料Store materials improperly 2.☐场容场貌整洁Site appearance is neat and tidy. ☐场 容场貌不整洁 Site appearance is untidy.3.☐作业场所通道畅通 Access routes are clear and unobstructed. ☐作业场所通道不畅通 Access routes are unclear and obstructed.
4.不文明行为Uncivilized behavior☐吸烟smoking ☐随地大小便Urinating and defecating in worksite ☐野蛮施工disorderly construction ☐玩手机Using mobile while working.
8
9
10
设施维护 Maintenanc
e of facilities
1.☐有安全防护设施Safety protection facilities in order ☐无安全防护设施No safety protection facilities。 批 准移动/拆除数量Approved relocations or removals(No.) ，未经批 准移动/拆除数量Unauthorized relocations or removals(No.) 。
2.☐有安全警示标志Safety warning signs in order ☐无安全警示标志No safety warning signs 。 批 准移动/拆除数量 Approved relocations or removals(No.) ，未经批 准移动/拆除数量Unauthorized relocations or removals(No.) 。
11
作业监控 Monitoring
of work
☐有安全监护人员Supervisor ☐无安全监护人员 No supervisor
12
制止违章 Stop of violation
☐违章次数Violations No. ，☐已整改Rectified ☐未整改Not rectified
13
工序衔接 Linking between work processes
1.☐无交接No shift handover ☐有交接Shift handover conducted
2.☐无交 叉作 业 No Intersecting Operations ☐有交 叉作 业Intersecting Operations，责任人姓名Responsible person 。
14
险情处理 Emergency
response
☐无险情No hazardous conditions ☐有险情 Hazardous conditions present，☐
停止作业Stop Work ☐立即上报Immediate reporting □险情已排除，恢复作
业The hazardous condition has been eliminated; resume work.□险情未排除，
继续停止作业The hazardous condition has not been eliminated; continue to suspend work.
15
事故处理 Accident handling
☐无事故No accident ☐有事故Accident occurred，□开展自救Self-rescue
□保护现场Protect the accident scene. □上报Reported
16
工完清场 Site clearing after work
1.☐无余料No residual materials ☐有余料Residual materials 2.☐场地整洁 Neat and tidy ☐场地不整洁Untidy
17 清点复查
Check and
离场人数leaving the site, No. ，继续作业人数Continuing work,No.
18 ☐安 全 防护设 施 设备未 移动/拆除Safety protection facilities have no
recheck
relocations or removals ☐安全防护设施设备存在移动/拆除Safety protection facilities relocations or removals ，隐患数量Hazards No. 。
19
1.☐按规定堆放物料Store materials properly ☐未按规定堆放物料Store materials improperly 2.☐场容场貌整洁Site appearance is neat and tidy. ☐场 容场貌不整洁 Site appearance is untidy.3.☐作业场所通道畅通 Access routes are clear and unobstructed. ☐作业场所通道不畅通 Access routes are unclear and obstructed.
20 工后活动
End-of-shift activities
1.☐组织工后活动End-of-shift activities organized ☐未组织工后活动End- of-shift activities not organized.
2.☐现场无隐患No hazards ☐现场有隐患Hazards □已上报Reported □已标 识Marked
21
22
入库管理 Warehousin
g manageme
nt
1.☐工器具已返还仓库Tools returned to warehouse ☐工器具未返还仓库，
数量Tools unreturned，No.
2.☐剩余危险品已返还仓库Remaining hazardous materials returned to warehouse
☐剩余危险品未返还仓库，数量Remaining hazardous materials not returned to warehouse,No.
23
班 后 管 理 Pos
t- shif
t ma nag eme nt
用餐文明 Civilized dining
□有序就餐Dine in an orderly manner. □不喧闹No noise □饮用清洁水Drink clean water □无食物中毒No food poisoning □有食物中毒Food poisoning occurred □已报告 Reported
24
环保节能 Environme
ntal protection and energy-
saving
1.☐文明使用生活设施Use living facilities in a civilized manner ☐不文明使 用生活设施Use living facilities uncivilizedly 2.☐不乱丢垃圾杂物Do not litter trash or miscellaneous items ☐ 乱 丢 垃 圾 杂物 Litter trash or miscellaneous items
3.☐不乱倒剩菜余饭Do not indiscriminately pour out leftover food ☐乱倒剩 菜余饭Do not indiscriminately pour out leftover food
4.☐无长明灯No "always-on" lights ☐有长明灯Always-on lights 5.☐无长流 水No water left running ☐有长流水 Water left running
25
26
宿舍文明 Dormitory
1.☐不违规使用电器No improper use of electrical appliances ☐违规使用电器 Improper use of electrical appliances 2.☐不违规动用明火No improper use of open flames ☐违规动用明火Improper use of open flames
3.☐不存放易燃易爆物品No storage of flammable or explosive materials ☐ 存放易燃易爆物品Storage of flammable or explosive materials
27
28
业余生活 Healthy
and Entertainm
ent activities
1.☐积极参加健康的文娱活动Actively participate in healthy and entertainment activities ☐不积极参加健康的文娱活动Do not actively participate in healthy and entertainment activities
2.☐遵守社会公德Obey social ethics ☐不遵守社会公德Violated social ethics
29 其他Others
附表Annex 4：XXX班组安全验证记录表(通用要求)Safety Verification Form of [XXX] Working Team(General Requirements)
包保人Designated Officer： 班组长Head of team ： 日期Date： 序号
No. 验证人Verifier 验证内容Verification Content 验证结果Verification Result
1 工 程 管 理 部 门 Construction Office
验证人Verifier： 日期Date：
人Man 1.人员数量：说明班组人员数量，岗位/工种。
1.Team members: Describe the team members, no., roles, type of work. ☐符合Yes☐不符合No
☐通过Passed ☐未通过Failed，
不符合要求人员_____人，占比 ______
The number of personnel who do not meet the requirements is _____, accounting for _____.
2.人员资质：说明班组人员中国或当地资质证书要求。
2.Qualifications: Describe the China or local goverment’s certificate rules of the team members.
☐符合Yes☐不符合No
3.安全培训：说明班组人员安全培训要求.
3.Safety Training: Describe the safety training requirements for team members ☐符合Yes☐不符合No 4.原题复核：对以前的安全培训考试题进行现场验证考试。
4.Retest on site:Conduct a retest on-site using the previous safety training exam questions.
5.作业技能：说明对班组人员作业技能要求，工作年限等。
5.Skills: Describe the requirements for the team members’ skills, experience, etc. ☐符合Yes☐不符合No 6.健康情况：说明班组人员健康要求。
6.Health: Describe the requirements for the team members’ health. ☐符合Yes☐不符合No 7.精神状态：检查班组人员精神状态，例如无精打采、疲倦、疲劳、筋疲力尽、有气无力、迟钝、
四肢乏力、困倦、缺乏活力等。
7.Mental state: Check team members’ mental state.,such as Lethargic, Weary, Fatigued, Exhausted, Sluggish, Heavy-limbed, Sleepy, Drowsy, Unenergetic etc.
☐符合Yes☐不符合No
序号
No. 验证人Verifier 验证内容Verification Content 验证结果Verification Result
8.饮酒、毒品：班组人员无饮酒、吸毒。
8.Alcohol and Drugs: Team members have no. alcohol and drugs ☐符合Yes☐不符合No
9.职业禁忌：说明中国或当地规定的职业禁忌，如高处作业人员不允许有心脏病、高血压、恐高 症、癫痫等。
9.Occupational Contraindications: Describe China and local government stipulated occupational contraindications, For example, personnel engaged in high-altitude work are not allowed to have heart diseases, hypertension, acrophobia, epilepsy, etc.
☐符合Yes☐不符合No
10.个人防护：说明需要配备的防护用品种类及佩戴要求。
10.PPE: Describe the types of PPE and the wearing requirements. ☐符合Yes☐不符合No
2 设 备 物资部 门
Equipment and Materials Office 验证人Verifier： 日期Date：
机Machine 1.合规文件：设备合格证、使用说明书、检验证书、备案证明等。
1.Compliance Documentation: Quality Certificate, Specification, Inspection certificate, Record-keeping, etc.
☐符合Yes☐不符合No
☐通过Passed ☐未通过Failed，
不符合要求设备_____台，占比 ______
The number of equipment units that do not meet the requirements is _____, accounting for _____.
2.设备型号与数量：按照施工方案说明班组作业使用的设备型号、数量。
2.Models & Quantity: According to the construction plan, describe the models and quantities of equipment used by the team.
☐符合Yes☐不符合No
3.设备用电：电气设备和电缆无损坏、磨损，无裸露电线；电气设备正确接地；“一机一闸
一保护”设置规范。
3.Electrical Safety: Electrical equipment and cables are in good condition, free from damage and wear, with no exposed wires; all electrical devices are properly grounded;
and the “one machine, one switch, one leakage protection” setup is correctly implemented.
☐符合Yes☐不符合No
序号
No. 验证人Verifier 验证内容Verification Content 验证结果Verification Result
4.Safety Facilities: Describe the requirements for the safety facilities on equipment used by working team，such as Protective Cover, Safety Valve, Emergency Stop Button, etc.
5.维护保养：说明班组作业设备维护保养要求。
5.Maintenance: Describe the requirements for the maintenance of the equipment used by working team.
☐符合Yes☐不符合No
6.设备稳定性：说明班组作业设备基础稳定性要求。
6.Stability: Describe the requirements for the foundation stability of the equipment used by working team.
☐符合Yes☐不符合No
3
设 备 物资部 门 Equipment and Materials Office 验证人Verifier： 日期Date：
料Material
1.合规文件：材料合格证、使用说明书、质量检测报告等。
1.Compliance Documentation: Quality Certificate, Specification, Inspection certificate, etc.
☐符合Yes☐不符合No
☐通过Passed ☐未通过Failed 2.材料堆放：说明班组使用的材料堆放、存储要求。
2.Storage：Describe the requirements for the stacking and storage of materials used by the working team.
☐符合Yes☐不符合No
3.废弃物：说明班组对废弃物处置要求。
3.Waste：Describe the requirements for the disposal of waste produced by the working team.
☐符合Yes☐不符合No
4.小型工器具：说明对班组使用的小型工器具的安全要求。
4.Tools: Describe the safety requirements for the tools used by the working team. ☐符合Yes☐不符合No 4 技 术管 理 部 门
Technical Office 验证人Verifier：
法Method 1.施工计划：班组作业符合项目施工计划要求。
1.Construction Plan: The team's work comply with the requirements of the project construction plan.
☐符合Yes☐不符合No ☐通过Passed ☐未通过Failed，
熟悉施工方案、安全措施的人 数
序号
No. 验证人Verifier 验证内容Verification Content 验证结果Verification Result
2.交 底：施工方案、安全措施已交底，班组人员熟悉交底内容。
2.Briefing: The construction plan and safety measures have been briefed, and the team members are familiar with the briefing content.
☐符合Yes☐不符合No
3.操作规程：说明班组设备安全操作规程的名称，班组人员熟悉安全操作规程内容。
3.Operating Procedures: Describe the names of the safety operating procedures for the working team's equipment. Working team members are familiar with the content of these procedures.
☐符合Yes☐不符合No
4.作业许可：危险作业已办理《危险施工作业许可证》。
4.Work Permits: The hazardous work has been authorized with a Permit to Hazardous Construction Work.
☐符合Yes☐不符合No
5.过程监督：说明对班组作业过程的监督要求，如带班、旁站、协管员等。
5.Supervision: Describe the requirements for the supervision of the team's work process, such as management on duty, on-site supervision, on-site coordinators, etc.
☐符合Yes☐不符合No
5 工程管理部门/技术 管 理 部 门 Construction Office/Technical Office
验证人Verifier： 日期Date：
环
Environment 1.气象条件：说明作业对气象条件的要求。
1.Weather: Describe the requirements for meteorological conditions for the work. ☐符合Yes☐不符合No
☐通过Passed ☐未通过Failed
2.场地条件：说明作业对场地的要求，如平整、坚实、边坡稳定、无积水等。
2.Site Conditions: Describe the requirements for the work site, such as levelness, firmness, slope stability, and absence of standing water.
☐符合Yes☐不符合No
3.现场布局：说明对现场布局的要求，如安全作业区域、安全通道等。
3.Layout: Describe the requirements for the site layout, such as the safety work area and safety passages.
☐符合Yes☐不符合No
序号
No. 验证人Verifier 验证内容Verification Content 验证结果Verification Result
4.Warning Signs: Describe the safety warning signs should be set up at the team's work site.
5.周边环境：说明周边环境要求，如噪音、扬尘、高压线、建筑物等。
5.Surroundings: Describe the requirements for the surroundings, such as noise, dust emissions, power lines, and buildings, etc.
☐符合Yes☐不符合No
6.其他设施：说明现场通风、照明、供排水、厕所、临时用电等要求。
6.Utilities:Describe the requirements for on-site ventilation, lighting, water supply and drainage, toilets, temporary electricity, etc.
☐符合Yes☐不符合No
综合确认结果Comprehensive Verification Result ☐通过Passed ☐未通过Failed
说明Note：验证内容全部符合时，为“通过”，否则为“未通过”。If all the verification items meet the requirements, it is marked as "Passed"; otherwise, it is marked as "Failed".
附表Annex 5：班组安全验证动态台账Safety Verification Form of Working Teams
工程名称Project name： 填表人Recorded by： 创建日期Date：
序 号 No.
班组名称 Working Team
包保人 Designated
Officer
班组长Head of team 班组安全员Safety
supervisor of team 班组人数 Team Members
(No.)
验证结果Verification Result 验证日期 Verification
Date
作业许可 Permit to 姓名 work
Name 电话Tel. 姓名Name 电话Tel.
1
第一次 First
☐绿Green☐蓝Blue
☐黄Yellow☐红Red
☐已办理 obtained
☐不涉及 not involved 第二次
Second
☐绿Green☐蓝Blue
☐黄Yellow☐红Red 第三次
Third
☐绿Green☐蓝Blue
☐黄Yellow☐红Red
…… ☐绿Green☐蓝Blue
☐黄Yellow☐红Red
2
第一次 First
☐绿Green☐蓝Blue
☐黄Yellow☐红Red
☐已办理 obtained
☐不涉及 not involved 第二次
Second
☐绿Green☐蓝Blue
☐黄Yellow☐红Red 第三次
Third
☐绿Green☐蓝Blue
☐黄Yellow☐红Red
…… ☐绿Green☐蓝Blue
☐黄Yellow☐红Red ...
附表Annex 6：班组安全标准化岗位标准Standardized Safety Requirements for Posts of Working Team
班组名称Working Team：日期Date：编号No.：
序 号No. 项目Item 具体内容及要求Content and Requirements
1
岗位人员基 本要求
Basic requirements
岗位名称 Name of post 年龄要求Age
学历要求Education
上岗证要求 Qualification 职业禁忌症 Occupational contraindicatio
n
2
岗位安全生产职责 Production safety
responsibilities
主要内容和要求：本部门、专业及岗位的特点 建立岗位安全生产职责。Main content and requirements: Define the production
responsibilities of the post according to the characteristics of the department, discipline, and post.
3
岗位知识技能要求 Knowledge and skill
requirements
主要内容和要求：本岗位的危险有害因素（危 险源）及其预防控制措施、安全操作规程、岗 位关键点和主要工艺参数的控制、自救互救及 应急处置措施等.Main content and requirements:
hazardous and harmful factors (hazards) and the prevention and control measures, safe operating procedures, control of key points and main process parameters, self-aid and mutual-aid, emergency measures, etc.
4
作业行为安全要求 Requirements for operation
safety
主要内容和要求：严格按操作规程进行作业，
执行作业审批、交接班等规章制度，禁止各种 不安全行为及与作业无关行为，对关键操作进 行安全确认，不具备安全作业条件时拒绝作业 等。Main content and requirements: Perform operation in strict accordance with the operating procedures, comply with the operation approval and shift-handover systems, prohibit any unsafe and unrelated behavior, verify the safety of key operations, and refuse to perform any operation when the conditions for operation safety are not met.
