2/14/2019 SP

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監⼯計劃書
表格 Form
Supervision Plan
《建築物條例》（第 123 章）第 39A 條 監⼯計劃書技術備忘錄
Buildings Ordinance (Chapter 123) Section 39A - Technical Memorandum for Supervision Plans
SP
僅供職員使⽤ For official use only
• 細閱《注意事項》。
檢查編號:
• Complete in BLOCK LETTERS; read the “Matters to Note”.
Inspection Number:

致建築事務監督 To the Building Authority

新提交 更新 - 檔號：
New submission Revision - Reference No.:

序⾔
Preamble

標上 * 的項⽬必需填寫。
Items marked with asterisks * are compulsory.
地盤地址* Address of Site*

地段號數* Lot No.*

建築⼯程類型* Type of Building Works*

電郵地址 E-mail Address
現場⼟地勘測⼯程
Ground investigation field works

涉及顯著岩⼟⼯程成分的建築⼯程 (地基) 作認收電郵之⽤ (電⼦呈交適⽤)

Building works with significant geotechnical content (Foundation) For acknowledgement email (e-submission)

涉及顯著岩⼟⼯程成分的建築⼯程 (其他)
Building works with significant geotechnical content (Others)
基礎⼯程 (涉及顯著岩⼟⼯程成分的地基⼯程除外)
Foundation works (other than foundation works with significant geotechnical content)
所有其他建築⼯程 (⼩型⼯程除外) 或街道⼯程
All other building works (other than minor works) or street works

第 I 級別⼩型⼯程 (只須委聘認可⼈⼠的⼯程)
Class I Minor Works (works where only appointment of AP is required)

第 I 級別⼩型⼯程 (也需委聘註冊結構⼯程師的⼯程的額外適任技術⼈員)
Class I Minor Works (additional TCPs for works where RSE is required)
第 I 級別⼩型⼯程 (也需委聘註冊岩⼟⼯程師的⼯程的額外適任技術⼈員)
Class I Minor Works (additional TCPs for works where RGE is required)

1 按照《建築物條例》第 39A 條發布的監⼯計劃書技術備忘錄（《技術備忘錄》），我們現就有關

上述地盤進⾏以上⼯程⼀事，提交這份地盤監⼯計劃書。
In accordance with the Technical Memorandum for Supervision Plans issued under section 39A
of the Buildings Ordinance (the ‘Technical Memorandum’), we submit this Supervision Plan for
the above works at the site located at the above address.

2 我們已各⾃簽署本監⼯計劃書的第⼀、第⼆、第三和第四部分。我們的簽署表⽰我們保證本地盤
的監督會按照本監⼯計劃書，《技術備忘錄》和《地盤監督作業守則》（作業守則）執⾏。我們
亦保證本監⼯計劃書所包括的⼯程地盤安全和質量監督的管理和執⾏，將遵照《建築物條例》和
其規例所訂明的條款進⾏。
We have signed under Part I, II, III and IV respectively of this Supervision Plan. Our signatures
indicate our undertaking that the supervision at this site will be carried out in accordance with
this Supervision Plan, the Technical Memorandum and the Code of Practice for Site Supervision
(the ‘Code of Practice’). We also undertake that the management and execution of both site
safety and quality supervision of the works covered by this Supervision Plan will be carried out
in the manner prescribed by the provisions of the Buildings Ordinance and Regulations.

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第⼀部分 認可⼈⼠的監⼯計劃書
Part I Supervision Plan of the Authorized Person (AP)

標上 * 的項⽬必需填寫。
Items marked with asterisks * are compulsory.

3 本監⼯計劃書所包括的⼯程如下：
The works covered by this Supervision Plan are:

批准⽇期
建築⼯程或街道⼯程的類型* ⼯程費⽤／樓⾯⾯積／數量* 規模系數*
Date of Approval
Type of Building Works or Street Works* Cost/Area/Quantity* Scale Factor*
(⽇dd ⽉mm 年yyyy)

4 監督資源調整／組合（表格 C）的細節附於附錄 1A 中。
Details of adjustment/combination of supervision resources (Form C) are attached at Appendix 1A.

認可⼈⼠的監⼯計劃書 必需填寫以下標上 * 的項⽬。

Supervision Plan of Authorized Person Following items marked with asterisks * are compulsory

5 根據作業守則確定的⼯程類型，隸屬於認可⼈⼠⼯作班⼦之下的地盤監督適任技術⼈員為：
The Technically Competent Persons for site supervision under the Authorized Person’s stream required under the Code of Practice for the type of
works identified are:
職級 姓名（英文） 姓名（中文） 香港⾝分證號碼 地盤檢查頻率⽔平
Role Name in English Name in Chinese HKID No. Frequency Level of
姓⽒先⾏ Surname first 姓⽒先⾏ Surname first Site Inspection

認可⼈⼠* AP* ( )
代表* Representative* ( )
T4 ( )
T3 ( )
( )

如空位不敷應⽤，請於附加⾴填寫。 另加附加⾴ 張
If space is insufficient, please fill in the additional sheet(s). Additional Pages

他們的履歷，包括相關經驗和學歷附於附錄 1B 中。假如擬議由超過⼀名監督⼈員出任⼀個適任技術⼈員職位，則須遞交他們職責劃分的資料。
The CVs showing their relevant experience and academic qualifications are attached at Appendix 1B. If more than one supervisor is proposed for a TCP
post, the demarcation of their responsibility should be provided.

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6 在⼯程的關鍵階段，隸屬於認可⼈⼠⼯作班⼦之下的地盤監督適任技術⼈員為：
The Technically Competent Persons for site supervision under the Authorized Person’s stream during critical stages of the works are :

⼯程的關鍵階段 適任技術⼈員職級 姓名 # 香港⾝分證號碼 檢查頻率

Critical Stages of Works Grade of TCP Name # HKID No. Inspection
姓⽒先⾏ Surname first Frequency

( )

( )

如空位不敷應⽤，請於附加⾴填寫。 另加附加⾴ 張
If space is insufficient, please fill in the additional sheet(s). Additional Pages

# 如該適任技術⼈員有別於第 5 段表內列出的適任技術⼈員，他的履歷，包括有關資格和經驗必須列入附錄 1B 中。
# CV showing relevant qualifications and experience need to be included in Appendix 1B if the TCP is different from those listed in paragraph 5 above.

7
認可⼈⼠姓名 Name of Authorized Person
中文姓名* Name in Chinese* 姓⽒先⾏ Surname first 英文姓名* Name in English* 姓⽒先⾏ Surname first

本⼈為獲委任認可⼈⼠，證實本監⼯計劃書的第⼀部分（第 3 ⾄第 6 段）是由我擬備的，並符合《技術備忘錄》、作業守則，以及《建築物條例》及其規
例的要求。我亦已閱讀和藉此確定本監⼯計劃書第 1 及第 2 段的序⾔。
I, Authorized Person, certify that Part I (paragraphs 3 to 6) of this Supervision Plan is prepared by me and complied with the Technical Memorandum,
the Code of Practice and the requirements of the Buildings Ordinance and Regulations. I have also read and hereby confirm paragraphs 1 and 2 in the
Preamble of this Supervision Plan.
委任適任技術⼈員確認書: *
Confirmation for appointment of TCPs (Annex): *
以附件形式與此監⼯計劃書⼀併提交。
is submitted with this Supervision Plan.
將會在表格 BA10 述明的展開⼯程⽇期 7 天內提交。
shall be submitted within 7 days from the date of commencement of works as indicated in the Form BA10.
將會在⼩型⼯程展開通知書述明的展開⼯程⽇期 7 天內提交。
shall be submitted within 7 days from the date of commencement of works as indicated in the notice of commencement of minor works.

註冊證書編號* Certificate of Registration Number* 註冊屆滿⽇期* Date of Expiry of Registration*

/
⽇ dd ⽉ mm 年 yyyy
簽署* Signature*
任何失實核證或聲明可引致法律⾏動。##
Any false certification or declaration
may be subject to legal action.##
⽇期* Date*

⽇ dd ⽉ mm 年 yyyy

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第⼆部分 註冊結構⼯程師的監⼯計劃書
Part II Supervision Plan of the Registered Structural Engineer (RSE)

註冊結構⼯程師的監⼯計劃書 必需填寫以下標上 * 的項⽬。

Supervision Plan of Registered Structural Engineer Following items marked with asterisks * are compulsory

8 按照本監⼯計劃書第⼀部分指定的⼯程類型，監督資源調整／組合（表格 C）的細節附於附錄 2A 中。
In accordance with the type of works specified in Part I of this Supervision Plan, details of adjustment/combination of supervision resources
(Form C) are attached at Appendix 2A.

9 根據指定的⼯程類型，隸屬於註冊結構⼯程師⼯作班⼦之下的地盤監督適任技術⼈員為：
The Technically Competent Persons for site supervision under the Registered Structural Engineer’s stream required for the specified type of works
are:

職級 姓名（英文） 姓名（中文） 香港⾝分證號碼 地盤檢查頻率⽔平

Role Name in English Name in Chinese HKID No. Frequency Level of
姓⽒先⾏ Surname first 姓⽒先⾏ Surname first Site Inspection

註冊結構⼯程師* RSE* ( )
代表* Representative* ( )
T5 ( )
T3 ( )
( )
如空位不敷應⽤，請於附加⾴填寫。 另加附加⾴ 張
If space is insufficient, please fill in the additional sheet(s). Additional Pages

他們的履歷，包括相關經驗和學歷附於附錄 2B 中。假如擬議由超過⼀名監督⼈員出任⼀個適任技術⼈員職位，則須遞交他們職責劃分的資料。
The CVs showing their relevant experience and academic qualifications are attached at Appendix 2B. If more than one supervisor is proposed for a TCP
post, the demarcation of their responsibility should be provided.

10 在⼯程的關鍵階段，隸屬於註冊結構⼯程師⼯作班⼦之下的地盤監督適任技術⼈員為：
The Technically Competent Persons for site supervision under the Registered Structural Engineer’s stream during critical stages of the works are:
⼯程的關鍵階段 適任技術⼈員職級 姓名 # 香港⾝分證號碼 檢查頻率
Critical Stages of Works Grade of TCP Name # HKID No. Inspection
姓⽒先⾏ Surname first Frequency

( )

( )
如空位不敷應⽤，請於附加⾴填寫。 另加附加⾴ 張
If space is insufficient, please fill in the additional sheet(s). Additional Pages

# 如該適任技術⼈員有別於第 9 段表內列出的適任技術⼈員，他的履歷，包括有關資格和經驗必須列入附錄 2B 中。
# CV showing relevant qualifications and experience need to be included in Appendix 2B if the TCP is different from those listed in paragraph 9 above.

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