建筑工程竣工消防验收报告-2

建筑工程竣工消防验收报告工程名称________验收日期________建设单位（盖章）:标准层建筑平面图（加盖建设单位、设计单位、施工单位公章）非标准层建筑平面图（加盖建设单位、设计单位、施工单位公章）填表说明:、本表由建筑工程建设单位在组织消防验收时填写，建设、设计、施1工、监理单位对本职责范围内的验收质量负责；、建设单位申报建筑工程消防验收或备案时，应报送本表，建设单位2必须如实填写；、本表不得使用圆珠笔、铅笔填写，表内内容不得涂改；

3、随本表应当附送建筑总平面布置图、标准层和非标准层建筑平面布4置图

一、建筑工程基本情况建设单位联系人工程名称联系电话设计单位联系人土建施工单位联系人消防工程施工单联系人位监理单位联系人装修单位联系人建筑地点建筑面积建筑高度建筑层数建筑类别□多层民用建筑口高层民用建筑口多层工业建筑口高层工业建筑建设类别□新建口改建口扩建口内部装修消防许可（备案）文号主要使用功能备注

二、土建及装修工程验收情况验收项目抽查部位及检查情况抽查部位_______________________________________________________________耐火等级口符合口不符合□___________________________________________________________________主控建筑分类和耐火项目__________________________________________________________________一等级□_____________________________________________________________________一般项目____________________________________________________________________O建筑幕墙设置口符合口不符合□_____________________________________________________________________主控抽查部位_______________________________________________________________防火间距口符合口不符合□_____________________________________________________________________主控项目__________________________________________________________________;□_____________________________________________________________________一般项目__________________________________________________________________O总平面布局和平消防车道口符合口不符合面布置口主控项目_____________________________________________________________;□______________________________________________________________________一般项目___________________________________________________________________O消防登高扑救面口符合口不符合□______________________________________________________________________主控项目__________________________________________________________________;抽查部位_______________________________________________________________防火、防烟分区口符合口不符合□_____________________________________________________________________主控项目____________________________________________________________________;□_____________________________________________________________________一般项目____________________________________________________________________O防火墙、隔墙和楼板及变形缝、伸缩缝口符合口不符合防火、防烟分区和口主控项目_____________________________________________________________;建筑构造□______________________________________________________________________一般项目___________________________________________________________________O电梯井、管道井等竖向井道口符合口不符合□______________________________________________________________________主控项目__________________________________________________________________:□______________________________________________________________________一般项目___________________________________________________________________O防火门、防火窗口符合口不符合抽查部位_______________________________________________________________疏散楼梯间和楼梯口符合口不符合口主控项目_____________________________________________________________;□______________________________________________________________________一般项目___________________________________________________________________O安全出口、疏散走道和疏散门口符合口不符合安全疏散和消防□______________________________________________________________________主电梯控项目__________________________________________________________________;□______________________________________________________________________一般项目___________________________________________________________________O避难层（间）口符合口不符合□______________________________________________________________________主控项目__________________________________________________________________;□______________________________________________________________________一抽查部位_______________________________________________________________吊顶、隔墙、墙面、地面口符合口不符合装修工程□主控项目_____________________________________________________________;□一般项目_____________________________________________________________O备注

三、消防给水和灭火设备验收项目抽查部位及检查情况抽查部位_______________________________________________________________消防水源□天然口市政□符合口不符合消防水源、室外消主控项目______________________________________________________________；n火栓给水系统□______________________________________________________________________一般项目_________________________________________________________________室外消防火栓给水系统口符合口不符合□______________________________________________________________________主抽查部位_______________________________________________________________室内消火栓系统口符合口不符合室内消火栓给水□主控项目____________________________________________________________；系统、消防水泵房一般项目_______________________________________________________________n o和消防水泵消防水泵房和消防水泵口符合口不符合□主控项目____________________________________________________________；一般项目______________________________________________________________抽查部位_______________________________________________________________n o系统形式口湿式口干式口预作用系统设置口符合口不符合自动喷水灭火系□主控项目______________________________________________________________；统一般项目______________________________________________________________n o系统功能口符合口不符合□主控项目_____________________________________________________________；一般项目_______________________________________________________________抽查部位_______________________________________________________________n系统设置口符合口不符合主控项目______________________________________________________________；n水喷雾灭火系统□一般项目____________________________________________________________系统功能口符合口不符合主控项目______________________________________________________________；n□一般项目______________________________________________________________抽查部位_______________________________________________________________o系统设置口符合口不符合□______________________________________________________________________主水幕系统控项目___________________________________________________________________；□_____________________________________________________________________一般项目____________________________________________________________________O系统功能口符合口不符合□_____________________________________________________________________主控抽查部位_______________________________________________________________系统设置口符合口不符合雨淋喷水灭火系□主控项目_____________________________________________________________:统一般项目______________________________________________________________n系统功能口符合口不符合□主控项目____________________________________________________________；抽一查般部项位目_______________________________________________________________________________________________________________________________n o系统设置口符合口不符合主控项目______________________________________________________________；n泡沫灭火系统□一般项目____________________________________________________________o系统功能口符合口不符合主控项目______________________________________________________________；n□一般项目_____________________________________________________________抽查部位______________________________________________________________o_系统设置口符合口不符合□_____________________________________________________________________主气体灭火系统控项目__________________________________________________________________；□____________________________________________________________________一般项目___________________________________________________________________O系统功能口符合口不符合抽查部位_______________________________________________________________系统名称_______________________________________________________________系统设置口符合口不符合其他灭火系统□主控项目____________________________________________________________；一般项目_______________________________________________________________n o系统功能口符合口不符合□主控项目____________________________________________________________；一般项目_______________________________________________________________n o备注

四、防烟、排烟和通风、空气调节验收项目抽查部位及检查情况抽查部位_______________________________________________________________自然排烟系统口符合口不符合自然排烟系统主控项目_______________________________________________________________；n□一般项目_____________________________________________________________o抽查部位_______________________________________________________________机械防烟系统口符合口不符合□______________________________________________________________________主机械防烟排烟系控项目_________________________________________________________________；统设置□______________________________________________________________________一般项目___________________________________________________________________O机构排烟系统口符合口不符合□______________________________________________________________________主抽查部位_______________________________________________________________机械防烟系统口符合口不符合防烟、排烟系统功□主控项目_____________________________________________________________:能一般项目______________________________________________________________n机构排烟系统口符合口不符合□主控项目____________________________________________________________；抽一查般部项位目_______________________________________________________________________________________________________________________________n o通风、空气调节口符合口不符合通风、空气调节主控项目_______________________________________________________________；n□一般项目_____________________________________________________________o备注

五、电气验收项目抽查部位及检查情况抽查部位_______________________________________________________________消防电源口符合口不符合口主控项目____________________________________________________________；消防电源及其配□______________________________________________________________________一电般项目___________________________________________________________________O消防配电口符合口不符合□______________________________________________________________________主抽查部位_______________________________________________________________火灾应急照明□符合口不符合口主控项目_____________________________________________________________:火灾应急照明和□______________________________________________________________________一疏散指示标志般项目___________________________________________________________________O疏散指示标志口符合口不符合口主控项目_____________________________________________________________:抽查部位_______________________________________________________________电力线路口符合口不符合□______________________________________________________________________主电力线路及电器控项目__________________________________________________________________;装置□______________________________________________________________________一般项目___________________________________________________________________O电器装置口符合口不符合抽查部位_______________________________________________________________系统形式口区域报警系统□集中报警系统口控制中心报警系统探测器类型口离子感烟口光电感烟口感温口火焰口可燃气体口线型口其他系统设置火灾自动报警系□符合口不符合口主控项目_____________________________________________________________;统□一般项目______________________________________________________________O系统功能□符合口不符合口主控项目_____________________________________________________________;□一般项目____________________________________________________________抽查部位_______________________________________________________________漏电火灾报警系统□符合口不符合漏电火灾报警系统口主控项目_____________________________________________________________;□一般项目____________________________________________________________

六、建筑灭火器配置验收项目抽查部位及检查情况抽查部位_______________________________________________________________配置类型口清水口ABC干粉DBC干粉口化学泡沫口其他建筑灭火器配置建筑灭火器配置口符合口不符合□主控项目_____________________________________________________________:□一般项目_____________________________________________________________备注

七、验收综合结论经综合评定，该工程消防验收口合格但仍存在以下一般不合格项口不合格存在的以下问题口主控项目□一般项目土建工程施工单位消防工程施工单装修施工单位建设单位设计单位监理单位位（盖章）（盖章）（盖章）（盖章）（盖章）（盖章）负责人负责人签负责人签名签名负责人签名负责人签名负责人签名名八参加验收人员姓名单位职务职称签名。