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["持込 許可 番号",null,"道改０００１",null,null,null,null,null,null,null,null,"( １９年１０月分)"]
["持 込 業 者 名",null,"寿建設(株)"]
[null,"◯ = 法定点検項目",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ダブルロック  点  検  者"]
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[1,"走行ブレーキの効きはよいか",null,null,"○","○","○","○","○","○",null,"○","○","○","○","○","○",null,null,null,null,"○","○","○",null,"○","○","○","○","×",null,null,null,null,null,null,"部品手配"]
[2,"旋回ブレーキの効きはよいか",null,null,"○","○","○","○","○","○",null,"○","○","○","○","○","○",null,null,null,null,"○","○","○",null,"○","○","○","○","○",null,null,null,null,null,null,"点検良好"]
[3,"操作レバーのロックはよいか　",null,null,"○","○","○","○","○","○",null,"○","○","○","○","○","○",null,null,null,null,"○","○","○",null,"○","○","○","○","○",null,null,null,null,null,null,"部品手配"]
[4,"ブーム、バケットに異常はないか(損傷、亀裂、異音）",null,null,"○","○","○","○","○","○",null,"○","○","○","○","○","○",null,null,null,null,"○","○","○",null,"○","○","○","○","○",null,null,null,null,null,null,"点検良好"]
[5,"灯火、警報装置はよいか(作業灯、クラクション回転灯）",null,null,"○","×","×","○","○","○",null,"○","○","○","○","○","○",null,null,null,null,"○","○","○",null,"○","○","○","○","○",null,null,null,null,null,null,"未記入日有り始業前点検実施指示"]
[6,"ゲージの指針はよいか(油圧、水温、充電、回転数）",null,null,"○","○","○","○","○","○",null,"○","○","○","○","○","○",null,null,null,null,"○","○","○",null,"○","○","○","○","○",null,null,null,null,null,null,"代替機手配"]
[7,"冷却水、オイルの有無、油漏れはないか",null,null,"○","○","○","○","○","○",null,"○","×","×","×","○","○",null,null,null,null,"○","○","○",null,"○","○","○","○","○"]
[8]
[9]
[10,"TS運動の実施（毎週末職長または安責者が確認）"]
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[null,null,null,"処"]
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[null,null,null,"置"]

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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,5,{"$f":"VLOOKUP(AS1,内容,7)","v":"手摺等の取り外し及び脱落はないか"}]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,6,{"$f":"VLOOKUP(AS1,内容,8)","v":"作業床材の欠損・たわみ・浮きがないか"}]
[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,null,null,7,{"$f":"VLOOKUP(AS1,内容,9)","v":"手すり・中さん・巾木が基準どおりに設置されているか"}]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,9,{"$f":"VLOOKUP(AS1,内容,11)","v":"落下物防止設備（ネット・シート）の破れや緩みはないか"}]
[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,null,null,10,{"$f":"VLOOKUP(AS1,内容,12)","v":"作業通路の確保されているか"}]
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["持込許可年月日",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"統括者",null,null,"主  任",null,null,"担  当"]
["持込 許可 番号",null,null,null,null,null,null,null,null,null,null,"(        年      月分)"]
["持 込 業 者 名"]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"ダブルロック        点　検　者"]
[null,null,"   月      日",null,"判定（良 ○  否 ×）",null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"氏名月日"]
["No.","点 検 箇 所",null,null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30,31,null,"処  置"]
[1,{"$f":"IF(AS3=0,\"\",AS3)","v":"支柱・布・筋交い等の変形・損傷がないか"}]
[2,"壁つなぎの不足・外れ・変形がないか"]
[3,"ジャッキベースの沈下・ズレはないか"]
[4,"手摺等の取り外し及び脱落はないか"]
[5,"作業床材の欠損・たわみ・浮きがないか"]
[6,"手すり・中さん・巾木が基準どおりに設置されているか"]
[7,"手すり・中さん・巾木のガタつき・外れがないか"]
[8,"落下物防止設備（ネット・シート）の破れや緩みはないか"]
[9,"作業通路の確保されているか"]
[10,""]
["点検実施者  印"]
["確 認 者 検 印"]
["パトロール者確認欄","月 日 氏"," 名　　コ　メ　ン　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,null,null,null,null,null,null,null,null,"備　　考"]
[null,null,null,"処"]
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[null,null,null,"置"]
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["寿建設株式会社"]

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["No.","名称","詳細","項目１","項目２","項目３","項目４","項目５","項目６","項目７","項目８","項目９","項目１０"]
[1,"安全帯",null,"ベルトの摩耗・擦り切れ・切り傷・焼損・溶解はないか","ロープの切り傷、摩耗、キンク・形崩れ、薬品塗料、焼損はないか","バックルの変形、摩減、傷はないか","環類の変形、摩減、傷はないか","フックの変形、摩減、傷はないか","伸縮調節器の変形、摩減、傷はないか","ショックアブソーバの破損、変形がないか"]
[2,"グラウト機械",null,"機械周囲の状態はよいか(作業床の汚損､据付、固定状態）","配管、ホース等圧送設備に異状はないか(損傷、緩み、漏れ）","作業台の手摺、開口部 の養生はよいか","使用後の清掃、整備はよいか(ミキサー、ポンプ、配管）","防塵対策はよいか(防塵マスク、集塵機、送風機 ）","プーリーベルトカバーに異状はないか(グラウトミキサー　ポンプ）","合図の方法、連絡装置はよいか(電話、インターホン 笛）"]
[3,"親綱","繊維ロープ","ストランドが切れていないか","径が減少していないか","よりほぐれがないか","腐食していないか","焼き焦げていないか","表面が毛羽だっていないか"]
[4,"濁水処理プラント",null,"処理設備全般の整理状態はよいか(汚損、資材の整理、通路の確保）","立入禁止措置はよいか","送排泥ラインに異常はないか（漏れ、閉塞、ホースの脈動）","一次分離機に異常はないか（ボルトの緩み、振動、異音、漏れ ）","二次分離機に異常はないか （ボルトの緩み､振動、異音、漏れ）","濁水処理装置に異常はないか（ボンベの保管、漏れ ）"]
[5,"建設用リフト",null,"機械周囲の状態はよいか（立入禁止、開口部養生、飛来 防止網）","ワイヤーロープの異常はないか(乱巻、キン ク 摩耗、クリップ）","シーブに異常はないか(破損、摩耗、外れ止め）","安全装置は正常か(過巻、過負荷）　","ﾌﾞﾚｰｷの効きはよいか","落下防止装置はよいか　"]
[6,"セントル　　",null,"昇降設備","開口部及び手摺","作業足場及び通路","作業箇所の照明","移動時の障害物の有無"]
[7,"ターンテーブル",null,"据付状態は良いか(水平、アプローチ板の固定）","旋回範囲の立入禁止措置はよいか","走行、旋回テーブルに異常はないか(汚れ､歪み、ガタツキ","操作スイッチ、リミットスイッチ、の作動は良いか","電源、ケーブルに異常はないか(ＥＬＢ　ケーブル防護）","警報装置は良いか(駐車ﾌﾞﾚｰｷ、歯止め、旋回中）"]
[8,"足場",null,"支柱・布・筋交い等の変形・損傷がないか","壁つなぎの不足・外れ・変形がないか","ジャッキベースの沈下・ズレはないか","手摺等の取り外し及び脱落はないか","作業床材の欠損・たわみ・浮きがないか","手すり・中さん・巾木が基準どおりに設置されているか","手すり・中さん・巾木のガタつき・外れがないか","落下物防止設備（ネット・シート）の破れや緩みはないか","作業通路の確保されているか"]
[9,"小口径推進機",null,"機械周囲の状態はよいか（整理整頓、機械配置､汚損、照明）","機械の据付、固定は良いか（反力受け台、ワイヤー、ボルト の緩み）","電源、ケーブルに異常はないか（ＥＬＢの作動、被覆の損傷、行き先表示）"]
[10,"土留め支保工",null,"部材の損傷、変形、腐食、変位、脱落はないか","支保工は組立図に基づいて施工しているか","切梁及び腹起こしは矢板、杭等に確実に取りつけているか","圧縮材の継手は突け合わせ継手になっているか","切梁の接続部分及び交土部の強度は十分か","中間支持柱への取付け方法は良いか","支持物の強度は十分か"]
[11,"地山",null,"地山の掘削前に事前に地質、埋設物の調査をしたか","作業主任者が直接作業を指揮しているか","堀削面は安全な勾配か、土石等落下の恐れはないか","作業開始前、悪天候後の点検を行って記録はあるか","運搬機械等の運行経路を定め周知しているか","運搬機械等には誘導員を配置しているか","夜間作業に必要な照度が保持されているか","防護網、ガードフェンス、立入禁止表示等は適切か","安全な昇降設備が必要数設けてあるか"]
[12,"軌条",null,"軌条は枕木に堅固に固定してあるか","軌条の変形はないか","軌条の保守点検は良いか","枕木の強度は十分か（割れ､腐り）","枕木の間隔はよいか","軌条の終端に車止め設置は良いか"]