UBND TNH IN BIN CNG HO X HI CH NGHA VIT NAM

S XY DNG
c lp - T do - Hnh phc
S: 134 /HD-SXD

in Bin Ph, ngy 16 thng 3 nm 2010

HNG DN
V/v Quy trnh nghim thu cht lng thi cng
trn a bn tnh in Bin
Cn c Lut Xy dng, ngy 26 thng 11 nm 2003;
Cn c Lut s 38/2009/QH12, ngy 19/6/2009 sa i, b sung mt s iu
ca lut lin quan n u t xy dng c bn;
Cn c Ngh nh s 209/2004/N-CP ngy 16/12/2004 ca Chnh ph v
qun l cht lng cng trnh xy dng; Ngh nh s 49/2008/N-CP ngy
18/4/2008 ca Chnh ph v Sa i, b sung mt s iu ca Ngh nh s
209/2004/N-CP ngy 16/12/2004 ca Chnh ph v qun l cht lng cng trnh;
Cn c Ngh nh s 12/2009/N-CP ngy 12/02/2009 ca Chnh Ph v
qun l d n u t xy dng cng trnh; Ngh nh s 83/2009/N-CP ngy
15/10/2009 ca Chnh Ph v sa i, b sung mt s iu Ngh nh s
12/2009/N-CP ngy 12/02/2009;
Cn c Ngh nh 112/2009/N-CP ngy 14 thng 12 nm 2009 ca Chnh
Ph V qun l chi ph u t xy dng cng trnh;
Cn c Thng t s 03/2009/TT-BXD ngy 26/3/2009 ca B Xy dng quy
nh chi tit mt s ni dung ca Ngh nh s 12/2009/N-CP ngy 12/02/2009
ca Chnh ph v qun l d n u t xy dng cng trnh;
Cn c Quyt nh s 04/2006/Q-UBND ngy 07/6/2006 ca UBND tnh
in Bin, v vic ban hnh quy nh phn cp qun l Nh nc v cht lng
cng trnh xy dng trn a bn tnh in Bin;
Cn c Quyt nh s 1130/Q-UBND ngy 10/7/2009 ca UBND tnh in
Bin v vic kin ton t chc b my S Xy dng tnh in Bin;
Cn c tiu chun TCXDVN 371 : 2006 Nghim thu cht lng thi cng cng
trnh xy dng,
p dng thng nht v ph hp quy trnh nghim thu cht lng cng trnh
xy dng trn a bn tnh in Bin, S Xy dng hng dn mt s ni dung
nh sau:
Phn I
PHM VI P DNG
Tt c cc cng trnh xy dng s dng ngun vn ngn sch ca Nh nc
trn a bn tnh in Bin. i vi mt s cng trnh c yu cu ring v cng tc
nghim thu th ngoi vic p dng theo ni dung ca vn bn Hng dn ny cn
phi p dng cc tiu chun nghim thu chuyn ngnh lin quan quy nh.

Phn II
NI DUNG NGHIM THU
CHT LNG XY DNG CNG TRNH
I. QUY NH CHUNG:
1. nh ngha:
- Nghim thu: L vic kim tra, xem xt, nh gi a ra kt lun v cht
lng thi cng xy dng cng trnh sau khi hon thnh so vi thit k, tiu
chun, quy phm k thut c lin quan.
- Nghim thu ni b: L cng vic nghim thu trong ni b ca nh thu i
vi i tng hon thnh trc khi gi phiu yu cu nghim thu ti ch u t
(i din ch u t).
- Bn v hon cng: L bn v b phn cng trnh, hng mc cng trnh,
cng trnh xy dng hon thnh, trong th hin kch thc thc t so vi kch
thc thit k, c lp trn c s bn v thit k thi cng c ph duyt. Mi
sa i so vi thit k c duyt phi c th hin trn bn v hon cng. Trong
trng hp cc kch thc, thng s thc t thi cng ca b phn cng trnh xy
dng, cng trnh xy dng ng vi cc kch thc, thng s ca thit k bn v
thi cng th bn v thit k l bn v hon cng.
2. Cc quy nh chung:
- Ch c php a b phn cng trnh (hng mc cng trnh hoc cng
trnh) xy dng hon thnh vo s dng sau khi tin hnh cng tc nghim
thu theo ni dung vn bn hng dn.
- Ch c nghim thu nhng cng vic xy lp, b phn kt cu, thit b,
my mc, b phn cng trnh, giai on thi cng, hng mc cng trnh hon ton
ph hp vi thit k c duyt, tun theo nhng yu cu ca Hng dn ny v
cc tiu chun quy phm thi cng v nghim thu k thut chuyn mn lin quan.
(i vi cc cng tc xy dng mi cha c trong h thng nh mc xy dng
c cng b th ch u t (i din ch u t), nh thu, t chc t vn cn c
yu cu k thut, iu kin thi cng thc t v phng php xy dng nh mc do
B Xy dng hng dn xy dng nh mc hoc p dng nh mc xy dng
tng t cng trnh khc; Ch u t c trch nhim bo co ngi quyt nh
u t xem xt, quyt nh trong trng hp gi thu p dng hnh thc ch nh
thu).
- i vi cng trnh hon thnh nhng vn cn cc tn ti khim khuyt v
cht lng m nhng tn ti khng nh hng n bn vng v cc iu
kin s dng bnh thng ca cng trnh th c th chp nhn nghim thu ng
thi phi tin hnh nhng cng vic sau y:
+ Lp bng thng k cc tn ti v cht lng tham kho theo mu ph lc
N v quy nh thi hn sa cha, khc phc nh thu thc hin;
+ Cc bn lin quan c trch nhim theo di v kim tra vic sa cha, khc
phc cc tn ti ;
+ Tin hnh nghim thu li sau khi cc tn ti v cht lng c sa
cha khc phc xong (hoc kim nh cht lng).
2

- Cc bin bn nghim thu trong thi gian xy dng v bin bn nghim thu
bn giao a cng trnh vo s dng l cn c thanh ton sn phm xy lp v
quyt ton gi thnh cng trnh xy dng hon thnh.
- i vi cng vic c nghim thu nhng thi cng li hoc cc my
mc thit b lp t nhng thay i bng my mc thit b khc th phi tin
hnh nghim thu li.
- Cng tc qun l cht lng thi cng trn cng trng ca cc bn tham
gia xy dng cng trnh phi thc hin theo quy nh ca tiu chun TCVN
5637:1991 v Hng dn ny.
- Ch u t hoc n v gim st thi cng xy dng ca ch u t phi
thng xuyn kim tra cng tc qun l cht lng thi cng xy dng trn cng
trng ca nh thu xy lp. Kt qu kim tra ghi theo mu ti ph luc A ca tiu
chun TCXDVN 371:2006.
- i vi cng vic xy dng, giai on thi cng xy dng, b phn cng
trnh xy dng sau khi nghim thu c chuyn sang nh thu khc thi cng th
nh thu phi c tham gia nghim thu xc nhn vo bin bn.
- Cc cng vic xy dng, kt cu xy dng, b phn cng trnh xy dng
khng nghim thu c phi x l gia c th phi tin hnh nghim thu li theo
phng n x l k thut c n v thit k v ch u t ph duyt. Khng
tin hnh nghim thu khi khng p ng c yu cu bn vng v cc yu cu s
dng bnh thng ca cng trnh.
- Cng trnh xy dng phi c kim sot cht lng thi cng theo quy
nh:
+ Phi tin hnh kim tra, nghim thu cht lng ti hin trng tt c cc
loi vt liu, thit b, sn phm ch to sn trc khi s dng vo cng trnh;
+ Mi cng vic xy dng u phi kim tra, kim sot cht lng ngay
trong khi ang thi cng v phi tin hnh nghim thu sau khi hon thnh;
+ Cha c s kim tra v chp nhn nghim thu ca ch u t hoc n v
gim st thi cng xy dng ca ch u t th nh thu thi cng xy dng khng
c tin hnh thi cng cng vic tip theo, b phn cng trnh xy dng tip theo,
giai on thi cng xy dng tip theo.
+ Ch u t ch tr t chc nghim thu hon thnh hng mc cng trnh
xy dng, cng trnh xy dng a vo s dng.
II. CC H S LIN QUAN N CNG TC NGHIM THU:
1. H s php l:
1.1. Quyt nh ph duyt d n u t xy dng cng trnh, tng d n thnh
phn hoc tiu d n ca cp c thm quyn.
1.2. Vn bn chp thun ca cc c quan qun l chuyn ngnh c thm
quyn v vic cho php s dng cng trnh k thut bn ngoi hng ro:
- Cp in;
- S dng ngun nc (nu c);
- Khai thc nc ngm (nu c);
- Khai thc khong sn, khai thc m (nu c);
3

- Thot nc (u ni vo h thng nc thi chung);

- ng giao thng b, thy;
- An ton ca (cng trnh chui qua , gn , trong phm vi bo v ...);
- An ton giao thng (nu c).
1.3. Hp ng (ghi s, ngy, thng ca hp ng) gia Ch u t vi nh
thu t vn thc hin kho st xy dng, thit k, nh thu thi cng xy dng
chnh, gim st thi cng xy dng, kim nh cht lng, kim tra v chng nhn
s ph hp v cht lng; hp ng gia nh thu chnh (t vn, thi cng xy
dng) v cc nh thu ph (t vn, thi cng xy dng).
1.4. Cc ti liu chng minh iu kin nng lc ca nh thu t vn, nh thu
thi cng xy dng k c cc nh thu nc ngoi (thit k xy dng, thi cng xy
dng, gim st thi cng xy dng, kim tra v chng nhn s ph hp v cht
lng...)
1.5. Kt qu thm nh thit k c s ca cp c thm quyn ph duyt km
theo phn thit k c s theo quy nh c th:
- Cng tc kho st thit k c s gm c:
+ Hp ng kho st xy dng;
+ Nhim v kho st xy dng c ch u t ph duyt;
+ Phng n k thut kho st xy dng c ch u t ph duyt;
+ D ton kho st do n v t vn lp c ch u t chp nhn, ph
duyt;
+ Nht k kho st do n v kho st lp c xc nhn ca ch u t;
+ H s kho st iu chnh b sung (nu c);
+ Bo co kho st xy dng c ch u t kim tra, nghim thu ca
ch u t (cc mu th nghim phi c du LAS chuyn ngnh);
+ Bin bn v kt qu nghim thu bo co kt qu kho st xy dng.
- H s thit k c s gm c:
+ Quyt nh ph duyt kt qu u thu gi thu t vn (nu c) hoc
Quyt nh ch thu;
+ Cc vn bn: Chng ch quy hoch; cp php xy dng; h s cp t (nu
c);
+ Nhim v thit k c ch u t duyt (nu c);
+ Thuyt minh d n;
+ Thuyt minh thit k c s:
+ Bn v thit k c s:
+ D ton cng trnh xy dng (khi ton...);
+ H s thit k c s iu chnh b sung (nu c);
+ Bin bn nghim thu h s thit k giai on thit k c s ca ch u t.
1.6. Kt qu thm nh v ph duyt thit k k thut, thit k bn v thi cng
ca ch u t km theo h s thit k gm c:
- Cng tc kho st thit k k thut, thit k bn v thi cng: (cng tc
kho st c trnh t nh giai on thit k c s).
4

- H s thit k k thut, thit k bn v thi cng gm c:

+ Nhim v thit k c ch u t duyt (nu c);
+ Thuyt minh d n;
+ Thuyt minh thit k k thut (nu c), thuyt minh thit k bn v thi
cng;
+ D ton cng trnh xy dng do n v t vn thit k lp;
+ D ton cng trnh do n v t vn thm tra;
+ Bn v thit k k thut (nu c), thit k bn v thi cng c n v
c nng lc thm tra, ch u t ph duyt;
+ H s thit k k thut, thit k bn v thi cng iu chnh, b sung (nu
c) c thm tra;
+ Bo co kt qu thm tra ca n v c nng lc lp ch u t xc
nhn;
+ Bin bn nghim thu h s thit k giai on thit k bn v k thut, thit
k bn v thi cng ca ch u t.
+ Quyt nh ph duyt thit k bn v thi cng - D ton xy dng cng
trnh ca Ch u t; h s bn v c ng du ph duyt ca ch u t.
1.7. Bin bn ca c quan qun l nh nc theo phn cp kim tra s tun
th quy nh qun l cht lng cng trnh xy dng ca ch u t trc khi
nghim thu giai on xy dng, nghim thu hon thnh hng mc, cng trnh
bn giao a vo s dng.
2. Ti liu qun l cht lng:
2.1. Bn v hon cng cc hng mc v ton b cng trnh v kin trc, kt
cu, lp t thit b, h thng k thut cng trnh, hon thin..(c danh mc bn v
km theo).
2.2. Cc chng ch k thut xut xng xc nhn cht lng vt liu s dng
trong cng trnh thi cng cc phn: San nn, gia c nn, cc, i cc, kt cu
ngm v kt cu thn, c in v hon thin...
2.3. Cc phiu kim tra xc nhn cht lng vt liu s dng trong cng trnh
thi cng cc phn: San nn, gia c nn, cc, i cc, kt cu ngm v kt cu
thn, c in v hon thin... do mt t chc chuyn mn hoc mt t chc khoa
hc c t cch php nhn, nng lc v s dng phng th nghim hp chun thc
hin.
2.4. Chng ch xc nhn chng loi v cht lng ca cc trang thit b phc
v sn xut v h thng k thut lp t trong cng trnh nh: Cp in, cp nc,
cp gaz... do ni sn xut cp.
2.5. Thng bo kt qu kim tra cht lng vt t, thit b nhp khu s dng
trong hng mc cng trnh xy dng ca cc t chc t vn c t cch php nhn
c nh nc quy nh.
2.6. Cc ti liu, bin bn nghim thu cht lng cng tc xy dng, lp t
thit b km theo mi bin bn l bn v hon cng cng tc xy lp c nghim
thu (c danh mc bin bn nghim thu cng tc xy lp km theo).

2.7. Cc bin bn nghim thu thit b chy th n ng v lin ng khng

ti, nghim thu thit b chy th lin ng c ti, bo co kt qu kim tra, th
nghim, hiu chnh, vn hnh th thit b (khng ti v c ti).
2.8. Bin bn th v nghim thu cc thit b thng tin lin lc, cc thit b bo
v.
2.9. Bin bn th v nghim thu cc thit b phng chy cha chy, n.
2.10. Bin bn kim nh mi trng, mi sinh (i vi cc cng trnh thuc
d n phi lp bo co nh gi tc ng mi trng).
2.11. Bin bn kim tra cng tc qun l cht lng thi cng xy dng trn
cng trng ca ch u t (quy nh theo mu ph lc A TCXDVN371:2006).
2.11. Bo co kt qu cc th nghim hin trng (gia c nn, sc chu ti ca
cc mng; cht lng b tng cc, in tr ca h thng chng st cho cng trnh
v cho thit b, kt cu chu lc, th ti b cha, th ti ng cp nc, cht lng...)
2.12. Bo co cht lng kim tra ng hn ca cc mi ni: Cc, kt cu
kim loi, ng ng p lc (dn hi, cht lng) b cha bng kim loi...
2.13. Cc ti liu o c, quan trc ln v bin dng cc hng mc cng trnh,
ton b cng trnh v cc cng trnh ln cn trong phm vi ln nh hng trong
qu trnh xy dng ( ln, nghing, chuyn v ngang, gc xoay...)
2.14. Nht k thi cng xy dng cng trnh.
2.15. L lch thit b, my mc lp t trong cng trnh, hng dn quy trnh
vn hnh khai thc cng trnh, quy trnh bo hnh v bo tr thit b cng trnh.
2.16. Vn bn (bin bn) nghim thu, chp thun h thng k thut, cng
ngh iu kin s dng ca c quan nh nc c thm quyn v:
- Cp in;
- Cht lng sn phm nc sinh hot;
- S dng cc cht chng thm thi cng cc hng mc cng trnh cp thot
nc;
- Phng chy cha chy, n (nu c);
- Chng st; Bo v mi trng (nu c);
- An ton lao ng, an ton vn hnh;
- Thc hin giy php xy dng (i vi trng hp phi c giy php xy
dng);
- Ch gii t xy dng;
- u ni vi cng trnh k thut h tng (cp in, cp nc, thot nc,
giao thng...);
- An ton iu (nu c), an ton giao thng (nu c);
- Thng tin lin lc (nu c).
2.17. Chng ch s ph hp tng cng vic (thit k, thi cng xy dng) ca
cc hng mc cng trnh, ton b cng trnh do cc t chc t vn kim nh c
lp xem xt v cp trc khi ch u t t chc nghim thu hon thnh cc hng
mc cng trnh v ton b cng trnh (nu c).
2.18. Bn k cc thay i so vi thit k (k thut, bn v thi cng) c
ph duyt (nu c).
2.19. H s gii quyt s c cng trnh (nu c).

2.20. Bo co ca t chc t vn kim nh i vi nhng b phn, hng mc

cng trnh, hoc cng trnh c du hiu khng m bo cht lng trc khi ch
u t nghim thu (nu c).
2.21. Bin bn nghim thu giai on xy dng.
2.22. Bin bn nghim thu hng mc cng trnh, nghim thu hon thnh cng
trnh a vo s dng.
III. NI DUNG CNG TC NGHIM THU CHT LNG THI
CNG XY DNG CNG TRNH:
1. Cc bc nghim thu cht lng thi cng xy dng cng trnh:
- Bc 1: Nghim thu vt liu, thit b, sn phm ch to sn trc khi s
dng vo cng trnh;
- Bc 2: Nghim thu tng cng vic xy dng;
- Bc 3: Nghim thu b phn cng trnh xy dng, giai on thi cng xy
dng;
- Bc 4: Nghim thu hon thnh hng mc cng trnh xy dng, cng trnh
xy dng bn giao a vo s dng.
2. Ni dung nghim thu cng tc nghim thu cht lng thi cng xy
dng cng trnh.
2.1. Nghim thu vt liu, thit b, sn phm ch to sn trc khi s dng
vo cng trnh:
2.1.1. Thnh phn trc tip tham gia nghim thu:
- Ngi gim st thi cng xy dng cng trnh ca ch u t hoc ngi
gim st thi cng xy dng ca Tng thu i vi hnh thc hp ng tng thu;
- Ngi ph trch k thut thi cng trc tip ca nh thu thi cng xy dng
cng trnh.
Trong trng hp hp ng tng thu, ngi gim st thi cng xy dng cng
trnh ca ch u t tham d kim tra cng tc nghim thu cng vic ca tng
thu i vi nh thu ph.
2.1.2. Trch nhim ca thnh phn tham gia nghim thu:
Trc tip tin hnh nghim thu trong qu trnh xy lp nhng i tng sau
y khi nhn c phiu yu cu ca nh thu xy lp:
- Cc loi vt liu, sn phm ch to sn trc khi s dng vo cng trnh;
- Cc loi thit b, my mc trc khi a vo lp t cho cng trnh;
2.1.3. iu kin cn nghim thu:
- C chng ch k thut xut xng, l lch ca cc thit b, cc vn bn bo
him, bo hnh thit b (nu c), cc ti liu hng dn k thut, tiu chun k
thut vn hnh thit b my mc ca nh sn xut;
- C kt qu th nghim ly mu ti hin trng (nu thit k, ch u t hoc
tiu chun, quy phm yu cu).
2.1.4. Ni dung v trnh t nghim thu:
- Kim tra ti ch i tng nghim thu;

- Kim tra chng ch k thut xut xng, l lch ca cc thit b, cc vn bn

bo him, bo hnh thit b (nu c), cc ti liu hng dn k thut, tiu chun k
thut vn hnh thit b my mc ca nh sn xut;
- Kim tra cc ti liu th nghim;
- Trong khi nghim thu trng hp cn thit c th tin hnh thm cc cng
vic kim nh sau:
+ Yu cu nh thu xy lp ly mu kim nghim th nghim b sung;
+ Th nghim li i tng nghim thu;
+ Thm tra mc ng n ca cc kt qu th nghim c lin quan n
cht lng i tng nghim thu do nh thu xy lp thc hin v cung cp.
- i chiu cc kt qu kim tra, kim nh (nu c) vi ti liu thit k c
duyt, cc yu cu ca cc tiu chun, quy phm k thut chuyn mn khc c lin
quan, cc ti liu hng dn hoc cc tiu chun k thut vn hnh thit b my
mc nh gi cht lng.
- Trn c s nh gi cht lng ban nghim thu a ra kt lun:
+ Trng hp 1: Chp nhn nghim thu cc i tng xem xt v lp
bin bn; mu bin bn tham kho (theo mu ph lc C trong TCXDVN
371:2006).
+ Trng hp 2: Khng chp nhn nghim thu khi cc i tng kim tra sai
vi thit k c duyt hoc khng p ng c cc tiu chun nh gi cht
lng cng trnh v nhng yu cu ca cc tiu chun k thut chuyn mn khc
c lin quan. Ban nghim thu lp bin bn (vo s nht k thi cng) v ni dung
sau:
- Ghi r tn v s lng cc i tng khng chp nhn nghim thu;
- Thi gian nh thu xy lp phi a cc i tng khng chp nhn
nghim thu ra khi cng trng.
2.2. Nghim thu cng vic xy dng:
2.2.1. Thnh phn trc tip tham gia nghim thu: (Tng t nh mc 2.1)
2.2.2. Trch nhim ca cc thnh phn tham gia nghim thu:
Trc tip tin hnh nghim thu trong qu trnh xy lp nhng i tng cng
vic xy dng sau y sau khi nhn c phiu yu cu ca nh thu xy lp:
- Nhng cng vic hon thnh;
- Nhng cng vic lp t thit b tnh hon thnh;
- Nhng kt cu, b phn cng trnh s lp kn;
2.2.3. iu kin cn nghim thu:
- i tng nghim thu thi cng hon thnh.
- C y h s, ti liu:
+ Bin bn nghim thu vt liu, thit b, sn phm ch to sn trc khi s
dng (Khi lng vt liu, thit b, sn phm ch to sn nghim thu theo thc t
thi cng v ti thi im thi cng trn cng trng);
+ Cc phiu kt qu th nghim mu kim nghim c lin quan ly ti hin
trng;

+ Cc kt qu kim nghim, o lng, o c, quan trc m nh thu thi cng

xy lp thc hin ti hin trng xc nh cht lng v khi lng i
tng cn nghim thu;
+ H s thit k bn v thi cng c ch u t ph duyt; nhng thay i
so vi thit k c duyt cp nht trong h s hon cng.
+ Nht k thi cng, nht k gim st ca ch u t v cc ti liu vn bn
khc xc lp trong khi xy lp c lin quan n i tng nghim thu.
- C bin bn nghim thu ni b (Khi lng cng vic nghim thu theo thc
t thi cng v ti thi im thi cng trn cng trng) v phiu yu cu nghim thu
ca nh thu thi cng xy dng cng trnh.
2.2.4. Ni dung v trnh t nghim thu:
- Kim tra ti ch i tng nghim thu: Cng vic xy dng, thit b lp t
tnh ti hin trng;
- Kim tra cc h s ghi (im 4.2.3);
- Trong khi nghim thu, trng hp cn thit c th tin hnh thm cc cng
vic kim nh sau:
+ Kim tra s ph hp gia khi lng, cht lng cc cng vic hon thnh
vi s liu ghi trong bin bn, ti liu trnh nghim thu;
+ Yu cu nh thu xy lp ly mu kim nghim t i tng nghim thu
cng trnh th nghim b xung;
+ Th nghim li i tng nghim thu;
+ Kim tra mc ng n ca nhng kt lun ghi trong bin bn nghim
thu vt liu, thit b, sn phm ch to sn trc khi s dng, v cc kt qu th
nghim c lin quan n cht lng i tng nghim thu do nh thu xy lp thc
hin v cung cp.
- i chiu cc kt qu kim tra vi ti liu thit k c duyt, yu cu ca
cc tiu chun k thut chuyn mn khc c lin quan, cc ti liu hng dn hoc
cc tiu chun k thut vn hnh thit b my mc nh gi cht lng.
- Trn c s nh gi cht lng ban nghim thu a ra kt lun:
+ Trng hp 1: Chp nhn nghim thu cc i tng xem xt v lp
bin bn; mu bin bn tham kho (theo mt trong cc mu ghi ph lc D v E
trong TCXDVN 371:2006).
+ Trng hp 2: Khng chp nhn nghim thu khi cc i tng thi cng
cha xong, thi cng sai hoc c nhiu ch sai vi thit k c duyt, hoc khng
p ng c yu cu ca tiu chun nh gi cht lng cng trnh v nhng yu
cu ca tiu chun k thut chuyn mn khc c lin quan. Ban nghim thu lp
bin bn (vo s nht k thi cng) v ni dung sau:
- Nhng cng vic phi lm li;
- Nhng thit b phi lp t li;
- Nhng sai st hoc h hng cn sa li;
- Thi gian lm li, sa li; thi gian phi hon thnh;
- Ngy nghim thu li.

- Sau khi i tng c chp nhn nghim thu cn tin hnh ngay nhng
cng vic xy dng tip theo. Nu dng li, th ty theo tnh cht cng vic v thi
gian dng li ch u t hoc n v gim st thi cng ca ch u t c th xem
xt v quyt nh vic nghim thu li i tng .
2.3. Nghim thu b phn cng trnh xy dng, giai on thi cng xy
dng:
2.3.1. Thnh phn trc tip tham gia nghim thu: (Tng t nh im 2.1)
2.3.2. Trch nhim ca cc thnh phn tham gia nghim thu;
- Cn c quy m ca cng trnh phn chia b phn cng trnh xy dng,
giai on thi cng xy dng;
- Phi trc tip tin hnh cng tc nghim thu khng mun hn 1 ngy k t
khi nhn c phiu yu cu nghim thu ca nh thu chnh xy lp i vi cc
i tng sau y:
+ B phn cng trnh hon thnh;
+ Giai on thi cng xy dng hng mc hon thnh;
+ Thit b chy th n ng khng ti;
+ Thit b chy th lin ng khng ti;
2.3.3. iu kin cn nghim thu:
- i tng thi cng hon thnh.
- Tt c cc cng vic ca i tng nghim thu u c nghim thu theo
quy nh (im 2.2).
- C y h s ti liu:
+ Cc bin bn nghim thu ti liu, thit b, sn phm ch to sn trc khi
s dng;
+ Cc bin bn nghim thu cng vic xy dng c lin quan (Khi lng
cng vic nghim thu theo thc t thi cng v ti thi im thi cng trn cng
trng);
+ Cc bin bn nghim thu lp t tnh thit b c lin quan;
+ Cc bin bn nghim thu nhng kt cu, b phn cng trnh lp kn c
lin quan;
+ Cc phiu kt qu th nghim mu kim nghim c lin quan ly ti hin
trng;
+ Cc kt qu th nghim, o lng, o c, quan trc m nh thu thi cng
xy lp thc hin ti hin trng xc nh cht lng, khi lng i tng
cn nghim thu;
+ Bn v hon cng;
+ Nht k thi cng, nht k gim st ca ch u t v cc ti liu vn bn
khc xc lp trong khi xy lp c lin quan n i tng nghim thu.
- C bin bn nghim thu ni b (Khi lng nghim thu theo thc t thi
cng v ti thi im thi cng trn cng trng) v phiu yu cu nghim thu ca
nh thu thi cng xy dng cng trnh.
2.3.4. Ni dung v trnh t nghim thu:

10

- Kim tra ti ch i tng nghim thu: Cng vic xy dng, thit b lp t

tnh ti hin trng.
- Kim tra cc h s ghi ti (im 2.3.3).
- Trong khi nghim thu, trng hp cn thit c th tin hnh thm cc cng
vic kim nh sau:
+ Kim tra s ph hp gia khi lng, cht lng cc cng vic hon thnh
vi s liu ghi trong bin bn, ti liu trnh nghim thu;
+ Yu cu nh thu xy lp ly mu kim nghim t i tng nghim thu
cng trnh th nghim b sung;
+ Th nghim li i tng nghim thu;
+ Kim tra mc ng n ca nhng kt lun ghi trong bin bn nghim
thu vt liu, thit b, sn phm ch to sn trc khi s dng, v cc kt qu th
nghim c lin quan n cht lng i tng nghim thu do nh thu xy lp thc
hin v cung cp.
- i chiu cc kt qu kim tra vi ti liu thit k c duyt, yu cu ca
cc tiu chun k thut chuyn mn khc c lin quan, cc ti liu hng dn hoc
cc tiu chun k thut vn hnh thit b my mc nh gi cht lng.
- Trn c s nh gi cht lng ban nghim thu a ra kt lun:
+ Trng hp 1: Chp nhn nghim thu cc i tng xem xt v lp
bin bn; mu bin bn tham kho (theo mt trong cc mu ghi ph lc F v ph
lc G v H trong TCXDVN 371:2006).
+ Trng hp 2: Khng chp nhn nghim thu khi cc i tng thi cng
cha xong, thi cng sai hoc c nhiu ch sai vi thit k c duyt, hoc khng
p ng c nhng yu cu ca tiu chun nh gi cht lng ca cng trnh v
nhng yu cu ca cc tiu chun k thut chuyn mn khc c lin quan. Ban
nghim thu lp bin bn (vo s nht k thi cng) v ni dung sau:
- Nhng cng vic phi lm li;
- Nhng thit b phi lp t li;
- Nhng sai st hoc h hng cn sa li;
- Thi gian lm li, sa li; thi gian phi hon thnh;
- Ngy nghim thu li.
2.4. Nghim thu hon thnh hng mc cng trnh xy dng, cng trnh xy
dng a vo s dng:
2.4.1. Thnh phn trc tip tham gia nghim thu:
- Pha ch u t (Ch tr t chc thc hin):
+ Ngi i din theo php lut v ngi ph trch b phn gim st thi
cng xy dng cng trnh ca ch u t;
+ Ngi i din theo php lut v ngi ph trch b phn gim st thi
cng xy dng cng trnh ca nh thu t vn gim st thi cng xy dng cng
trnh.
- Pha nh thu thi cng xy dng cng trnh:
+ Ngi i din theo php lut v ngi ph trch thi cng trc tip ca
nh thu thi cng xy dng cng trnh;
11

+ Ngi i din theo php lut v ngi ph trch b phn gim st thi
cng xy dng cng trnh ca tng thu (i vi hnh thc hp ng tng thu).
- Pha nh thu thit k xy dng cng trnh tham gia nghim thu theo yu
cu ca ch u t xy dng cng trnh:
+ Ngi i din theo php lut;
+ Ch nhim thit k.
- i vi nhng cng trnh c chuyn gia nc ngoi th cn c i din
chuyn gia thit k v chuyn gia thi cng tham gia vo cng vic nghim thu. Cc
i din ny do c quan qun l chuyn gia nc ngoi ti cng trnh ngh, Ch
u t quyt nh.
- i vi nhng cng trnh c yu cu phng chy cao hoc c nguy c
nhim mi trng cn c i din ca c quan qun l nh nc v phng chy
chng chy, v mi trng tham gia nghim thu.
- V cc thnh phn khc trc tip tham gia nghim thu (theo yu cu ca ch
u t).
2.4.2. Trch nhim ca cc thnh phn tham gia nghim thu:
- Trc tip tin hnh nghim thu bn giao a vo s dng nhng i
tng sau:
+ Thit b chy th lin ng c ti;
+ Hng mc cng trnh xy dng hon thnh;
+ Cng trnh xy dng hon thnh;
+ Cc hng mc hoc cng trnh cha hon thnh nhng theo yu cu ca
ch u t cn phi nghim thu bn giao phc v cho nhu cu s dng.
- Thi gian bt u cng tc nghim thu khng mun qu 3 ngy k t khi
nhn c phiu yu cu nghim thu ca nh thu chnh xy lp; hoc nhn c
vn bn yu cu ca ch u t.
- Cng tc nghim thu phi kt thc theo thi hn quy nh ca ch u t.
2.4.3. iu kin cn nghim thu:
- i tng nghim thu thi cng hon thnh;
- Tt c cc cng vic xy dng, b phn cng trnh xy dng, giai on thi
cng xy dng ca i tng nghim thu u c ngim thu theo quy nh ti
(im 2.2 v 2.3).
- C kt qu th nghim, hiu chnh, vn hnh lin ng khng ti h thng
thit b cng ngh.
- C vn bn chp thun ca c quan qun l nh nc c thm quyn v
phng chng chy n; an ton mi trng; an ton vn hnh theo quy nh.
- C y cc h s, ti liu hon thnh xy dng c lin quan n i
tng nghim thu do nh thu lp v cung cp cho ch u t cng vi phiu yu
cu nghim thu; Danh mc cc h s ti liu hon thnh (nu ti mc II phn II).
- C y h s php l ca i tng nghim thu do ch u t lp theo
danh mc h s php l (nu ti mc II phn II).
- C bng k nhng thay i so vi thit k c duyt, lp tham kho
(theo mu ph lc L trong TCXDVN 371:2006).
12

- C bng k cc h s ti liu chun b cho nghim thu, lp tham kho (theo

mu P trong TCXDVN 371:2006).
- C bin bn nghim thu ni b ca nh thu thi cng xy lp.
- i vi trng hp nghim thu a vo s dng cc hng mc cng
trnh, cng trnh cha thi cng hon thnh th phi c quyt nh yu cu nghim
thu bng vn bn ca ch u t km theo bng k cc vic cha hon thnh, lp
tham kho (theo mu ph lc M trong TCXDVN 371:2006).
2.4.4. Ni dung v trnh t nghim thu:
- Kim tra ti ch hng mc cng trnh hoc cng trnh xy dng hon
thnh;
- Kim tra cc h s ti liu nu mc 2.4.3.
- Kim tra vic chy th thit b lin ng c ti.
- Kim tra nhng iu kin chun b a cng trnh vo s dng.
- Kim tra v nh gi cht lng cng tc xy lp, thit b, my mc, vt
liu, cu kin ch to sn s dng vo cng trnh trn c s nh gi cht
lng xy dng chung ca i tng nghim thu.
- Kim tra s ph hp ca cng sut thc t vi cng sut thit k c duyt.
- Trong khi nghim thu trng hp cn thit c th tin hnh thm cc cng
vic kim nh sau:
+ Yu cu cc nh thu xy lp ly mu kim nghim t i tng nghim
thu cng trnh th nghim b sung, th nghim li thit b kim tra;
+ Yu cu ch u t chy th tng hp h thng thit b my mc kim
tra;
+ Thnh lp cc tiu ban chuyn mn v kinh t; k thut kim tra tng
loi cng vic, tng thit b, tng hng mc cng trnh v kim tra kinh ph xy
dng.
- i chiu cc kt qu kim tra, kim nh vi ti liu thit k c duyt,
yu cu ca cc tiu chun k thut chuyn mn khc c lin quan, cc ti liu
hng dn hoc cc tiu chun k thut vn hnh thit b my mc nh gi
cht lng.
- Trn c s nh gi cht lng ch u t a ra kt lun:
+ Trng hp 1: Chp nhn nghim thu cc i tng xem xt v lp
bin bn; mu bin bn tham kho (theo mt trong cc mu ph lc J v K trong
TCXDVN 371 : 2006).
+ Trng hp 2: Khng chp nhn nghim thu hng mc, cng trnh khi
pht hin thy cc tn ti v cht lng trong thi cng xy lp lm nh hng n
bn vng, an ton v m quan cng trnh hoc gy tr ngi cho hot ng
bnh thng ca thit b khc khi sn xut sn phm.
Bng k cc tn ti v cht lng c lp, tham kho (theo mu ghi ph
lc N trong TCXDVN 371:2006) cc bn c lin quan thc hin. Ph tn sa
cha, khc phc do bn gy ra phi chu.
Trong trng hp cn thit, Ch u t c quyn thu t vn c lp phc tra
v kim tra cng tc sa cha cc tn ti v cht lng.
13

Sau khi cc tn ti v cht lng c sa cha khc phc xong, t vn

gim st phc tra lp bin bn nghim thu theo quy nh ca Hng dn ny v
bo co ch u t t chc nghim thu li.
- Sau khi nghim thu, Ch u t c trch nhim gi h s ti cp c thm
quyn xin php c bn giao a hng mc, cng trnh xy dng xong vo s
dng. Thi hn xem xt v chp thun khng qu 10 ngy lm vic sau khi nhn
h s hon thnh hng mc, cng trnh theo quy nh.
- Sau khi quyt nh chp thun nghim thu bn giao a hng mc, cng
trnh xy dng xong vo s dng ca cp c thm quyn, Ch u t phi tin
hnh ngay cng tc bn giao cho ch s hu, ch s dng hng mc, cng trnh
theo quy nh ca tiu chun TCVN 5640:1991.
- Tt c cc h s ti liu hon thnh hng mc cng trnh xy dng, cng
trnh xy dng (nh trong mc II phn II cc h s lin quan n cng tc nghim
thu trong Hng dn ny) phi c nh thu xy dng lp, ng quyn thnh 6
b theo quy nh. Trong 02 b do ch u t, 01 b do c quan qun l s dng
cng trnh, 02 b do nh thu xy lp chnh v 01 b do c quan lu tr nh nc
qun l.
Trn y l Hng dn ca S Xy dng v p dng quy trnh nghim thu
cht lng cng trnh trn a bn tnh in Bin. Nu cn r thm xin lin h s
in thoi 02303.825978 gii p./.
Ni nhn:

GIM C

- UBND tnh (b/c);

- UBND cc huyn, th, thnh ph;
- Cc S chuyn ngnh c cng trnh xy dng,
cc Ch u t, BQLDA trong tnh;
- Cc phng QL th, phng cng
thng cc huyn, th, thnh ph;
- Ln mng ca S;
- Lu VT, QLHXD.

Hong Vn Minh

14

Ph lc A
Mu "Bin bn kim tra cng tc qun l cht lng thi cng
xy dng trn cng trng"
Tn
Ch
u
t
...................................................
..
..........................................
...........

1.
2.
3.

4.

5.

cng ho x hi ch ngha vit nam

c lp T do Hnh phc
a im, ngy....... thng....... nm..........

Bin bn kim tra cng tc qun l cht lng thi cng

xy dng trn cng trng
Cng trnh: ....................................................................................................................
a im xy dng: ......................................................................................................
Thnh phn trc tip tham gia kim tra: Ghi r h tn, chc v
Ngi ph trch b phn gim st thi cng xy dng cng trnh ca ch u t
hoc ngi ph trch gim st thi cng xy dng cng trnh ca Tng thu i
vi hnh thc hp ng tng thu;
Ngi ph trch k thut thi cng trc tip ca nh thu thi cng xy dng cng
trnh.
Trong trng hp hp ng tng thu, ngi ph trch gim st thi cng
xy dng cng trnh ca ch u t tham d kim tra cng tc kim tra
ca tng thu vi nh thu ph.
Thi gian tin hnh kim tra:
Bt u :
....... ngy.......... thng ......... nm ...........
Kt thc :
....... ngy.......... thng ......... nm ...........
Ti: .......................................
Ni dung v kt qu kim tra.
ST
Ni dung kim tra
Kt qu kim tra
T
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16

H thng tiu chun, qui phm k thut

chuyn mn c lin quan

H thng m bo cht lng thi cng
C
xy dng trn cng trng
Ch qui nh trch nhim v cht
C
lng thi cng
Nng lc ca cn b qun l
Ph hp
Nng lc ca cn b k thut thi cng
Ph hp
Chng ch tay ngh ca cc loi th
C
chnh
Nng lc ca thu ph v ch qun
Ph hp
l i vi thu ph
Tnh php l ca bn v thi cng
C
Bng tng tin thi cng
C
Bin php thi cng
C
Ch kim nghim cht lng thi
C
cng
Phng th nghim hin trng
Chun
Nng lc trang thit b phc v thi
Ph hp
cng
iu kin kho bi ct gi v qun l vt
t Y/C
liu, thit b hin trng
Ch lp v lu tr h s qun l
C
cht lng xy dng cng trnh
...
.....
Ghi ch: ...........................................................................

15

Khng
Khng
Khng
Khng
Khng
Khng
Khng
Khng
Khng
Khng
Khng
Khng
Khng
Khng
Khng
..

6. Kt lun kim tra : ..........................................................................

7. Cc thnh phn tham gia kim tra: (K, ghi r h tn v chc v tng ngi tham gia)

Ph lc B
(Tham kho)
Phn chia b phn cng trnh, giai on thi cng xy dng
i vi cng trnh xy dng dn dng v cng nghip tu theo qui m xy dng,
tin thi cng ca tng i tng c th, cc b phn cng trnh, giai on thi cng xy
dng thng c chia nh sau:
ST
T

B phn cng
trnh, Giai on thi
cng

Nn, mng
khut di ct nn)

(phn

Kt cu chu lc
thn nh (phn t ct
nn ti mi)

Trang
tr,
thin kin trc

hon

H thng k thut

Thang my

10

Ch to, lp t
thit b

11

Chy th n ng
khng ti

12

Chy th lin ng
khng ti

13

Chy th lin ng
c ti

14

Thu li, chng st

Cc cng vic xy dng chnh

Lm t, X l nn mng, Mng cc, i

mng, Mng nh, Chng thm di mt t, Nn
nh,
Ct, dm, sn, tng bao che, vch ngn,

Mt nn; Mt sn nh; mt mi; Chng

thm, cch nhit, to dng kin trc, trt, hon
thin trong, ngoi nh, ca,
Cp nc, thot nc, si m; in cng trnh;
Kin trc thng minh ; Thng gi v iu ho
khng kh, ....
Lp t bung thang; lp t h thng
ti, lp t h thng in, h thng iu
khin, t ng ca thang,
Ch to tng thit b, lp t tnh tng
thit b.
Chy th n ng tng thit b.

Chy th lin ng khng ti tng cm thit

b.
Chy th lin ng c ti tng cm thit b,
tng dy chuyn sn xut.
H thng thu st, tip a.

16

Ph lc C
(Tham kho)
Mu bin bn nghim thu u vo
cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
a im, ngy.......... thng......... nm..........
Bin bn S .................
Nghim thu vt liu, thit b, sn phm ch to sn trc khi s dng
Cng trnh .................................................(ghi tn cng trnh xy
dng)...............................................
Hng mc: ...................................................(ghi tn hng mc cng trnh
xy dng)...........................
a im xy dng: .......(ghi r a im xy dng hng mc cng
trnh v cng trnh xy dng)........
1. i tng nghim thu: (ghi r tn vt liu, thit b, sn phm ch to sn cn
nghim thu )
2. Thnh phn trc tip tham gia nghim thu: (Ghi r t chc, h tn v chc v
c nhn)
Ngi gim st thi cng xy dng cng trnh ca ch u t hoc ngi gim st
thi cng xy dng cng trnh ca Tng thu i vi hnh thc hp ng tng
thu ;
Ngi ph trch k thut thi cng trc tip ca nh thu thi cng xy dng cng
trnh.
Trong trng hp hp ng tng thu, ngi gim st thi cng xy dng
cng trnh ca ch u t tham d kim tra cng tc nghim thu ca
tng thu vi nh thu ph.
3. Thi gian nghim thu :
Bt u :
.......... ngy.......... thng......... nm..........
Kt thc :
........... ngy.......... thng......... nm..........
Ti: ...........................
4. nh gi cng vic xy dng thc hin:
a) V ti liu lm cn c nghim thu
- Phiu yu cu nghim thu ca nh thu thi cng xy dng;
- H s thit k bn v thi cng c ch u t ph duyt v nhng thay i
thit k c chp thun: (Ghi r tn cc bn v thit k c lin quan n i
tng nghim thu)
- Tiu chun, quy phm xy dng c p dng: (Ghi r tn tiu chun, qui phm, ti
liu ch dn k thut chuyn mn c lin quan n i tng nghim thu)
- H s thu v hp ng xy dng;
- H s xut x, Chng ch k thut xut xng, kt qu th nghim mu kim
nghim cht lng;
- Danh mc tnh nng k thut ca cc i tng nghim thu;

17

Nht k thi cng, nht k gim st ca ch u t v cc vn bn khc c lin quan

n i tng nghim thu;
Bin bn nghim thu ni b i tng nghim thu;

b) V cht lng vt liu, thit b, sn phm ch to sn: (i chiu vi thit k, tiu

chun, qui phm k thut, ti liu ch dn k thut chuyn mn v yu cu k thut
ca cng trnh xy dng c lin quan n i tng nghim thu:
- a ra cc ni dung k thut cn kim tra khi nghim thu c c s nh gi
cht lng i tng nghim thu;
- Thc hin cng tc nghim thu nh qui nh iu 4.1 tiu chun ny;
- nh gi cht lng i tng nghim thu)
c) Cc kin khc nu c.
5. Kt lun : (ghi r theo cc ni dung sau)
Chp nhn hay khng chp nhn nghim thu, ng hay khng ng a
vo s dng cho cng trnh i tng nghim thu. Nu khng chp nhn
nghim thu phi ghi r l do,
Ghi r tn v s lng cc i tng khng chp nhn nghim thu. Thi gian nh thu xy lp phi a cc
i tng khng chp nhn nghim thu ra khi cng trng.

6. Cc thnh phn trc tip tham gia nghim thu:(K, ghi r h tn v chc v
tng ngi tham gia)
H s nghim thu bao gm:
Bin bn nghim thu vt liu, thit b, sn phm ch to sn trc khi s
dng v cc ph lc km theo nu c;
Cc ti liu lm cn c nghim thu.
Ph lc D
(Tham kho)
Mu bin bn nghim thu cng vic xy dng
cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
----------------a im, ngy.......... thng......... nm..........
Bin bn S ...........................
Nghim thu cng vic xy dng
Cng
trnh
.........(ghi
tn
cng
trnh
xy
dng).......................................................................................
Hng
mc:
.........(ghi
tn
hng
mc
cng
trnh
xy
dng).....................................................................
a im xy dng: .......(ghi r a im xy dng hng mc cng trnh
v cng trnh xy dng)........
1. i tng nghim thu: (ghi r tn cng vic hon thnh cn nghim thu v v tr
nm trong hng mc hoc cng trnh)
2. Thnh phn trc tip tham gia nghim thu: (Ghi r t chc, h tn v chc v c
nhn)
Ngi gim st thi cng xy dng cng trnh ca ch u t hoc ngi gim st
thi cng xy dng cng trnh ca Tng thu i vi hnh thc hp ng tng
thu ;
Ngi ph trch k thut thi cng trc tip ca nh thu thi cng xy dng cng
trnh.
Trong trng hp hp ng tng thu, ngi gim st thi cng xy dng
cng trnh ca ch u t tham d kim tra cng tc nghim thu ca
tng thu vi nh thu ph.
3. Thi gian nghim thu :
Bt u :
.......... ngy.......... thng......... nm..........
Kt thc :
........... ngy.......... thng......... nm..........
Ti: ...........................

4. nh gi cng vic xy dng thc hin:

a) V ti liu lm cn c nghim thu:
- Phiu yu cu nghim thu ca nh thu thi cng xy dng;

18

H s thit k bn v thi cng c ch u t ph duyt v nhng thay i

thit k c chp thun: (Ghi r tn cc bn v thit k c lin quan n i
tng nghim thu)
Tiu chun, quy phm xy dng c p dng: (Ghi r tn tiu chun, qui phm, ti
liu ch dn k thut chuyn mn c lin quan n i tng nghim thu)
H s thu v hp ng xy dng;
Bin bn nghim thu vt liu, thit b, sn phm ch to sn trc khi s dng;
Cc ti liu th nghim, quan trc, kt qu th nghim mu kim nghim ca
i tng nghim thu (nu thit k hoc tiu chun, qui phm c lin quan yu
cu)
Bn v hon cng;
Nht k thi cng, nht k gim st ca ch u t v cc vn bn khc c lin quan
n i tng nghim thu;
Bin bn nghim thu ni b i tng nghim thu.

b) V cht lng cng vic xy dng: (i chiu vi thit k, tiu chun qui phm k
thut, ti liu ch dn k thut chuyn mn v yu cu k thut ca cng trnh
xy dng c lin quan n i tng nghim thu:
- a ra cc ni dung k thut cn kim tra c c s nh gi cht lng cn
nghim thu;
- Thc hin cng tc nghim thu nh qui nh iu 4.2 tiu chun ny;
- nh gi cht lng i tng nghim thu)
c) Cc kin khc nu c.
5. Kt lun : (ghi r theo cc ni dung sau)
- Chp nhn hay khng chp nhn nghim thu, ng hay khng ng cho
trin khai cc cng vic xy dng tip theo. Nu khng chp nhn nghim thu
th ghi r l do.
- Cc sai st cn tn ti v cc khim khuyt cn sa cha. Thi gian nh thu
phi hon thnh cng tc sa cha.
6. Cc thnh phn trc tip tham gia nghim thu:(K ghi r h tn v chc v
tng ngi tham gia).
H s nghim thu cng vic xy dng gm:
- Bin bn nghim thu cng vic xy dng v cc ph lc km theo nu c;
- Cc ti liu lm cn c nghim thu.
Ph lc E
(Tham kho)
Mu bin bn nghim lp t tnh thit b
cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
----------------a im, ngy.......... thng......... nm..........
Bin bn S ...........................
Nghim thu lp t tnh thit b
Cng
trnh
.................................(ghi
tn
cng
trnh
xy
dng)...............................................................
Hng mc: .................................(ghi tn hng mc cng trnh xy
dng).............................................
a im xy dng: .......(ghi r a im xy dng hng mc cng
trnh v cng trnh xy dng).......
1. Thit b/Cm thit b c nghim thu: (ghi r tn thit b/cm thit b v v tr
lp t trn cng trnh)
2. Thnh phn trc tip tham gia nghim thu: (Ghi r t chc, h tn v chc v c
nhn)
Ngi gim st thi cng xy dng cng trnh ca ch u t hoc ngi gim st
thi cng xy dng cng trnh ca Tng thu i vi hnh thc hp ng tng
thu ;
Ngi ph trch k thut thi cng trc tip ca nh thu thi cng xy dng cng
trnh.

19

Trong trng hp hp ng tng thu, ngi gim st thi cng xy dng cng trnh ca ch u t
tham d kim tra cng tc nghim thu ca tng thu vi nh thu ph.

3. Thi gian nghim thu :

Bt u :
.......... ngy.......... thng......... nm..........
Kt thc :
........... ngy.......... thng......... nm..........
Ti: ......................

4. nh gi cng vic xy dng thc hin:

a) V ti liu lm cn c nghim thu:
- Phiu yu cu nghim thu ca nh thu thi cng xy dng;
- H s thit k bn v thi cng c ch u t ph duyt v nhng thay i
thit k c chp thun: (Ghi r tn cc bn v thit k c lin quan n i
tng nghim thu)
- Tiu chun, quy phm xy dng c p dng: (Ghi r tn tiu chun, qui phm, ti
liu ch dn k thut chuyn mn c lin quan n i tng nghim thu)
- H s thu v hp ng xy dng;
- Bin bn nghim thu vt liu, thit b, sn phm ch to sn trc khi s dng;
- Cc ti liu th nghim, quan trc, kt qu th nghim mu kim nghim ca
i tng nghim thu (nu thit k hoc tiu chun, qui phm c lin quan yu
cu)
- Bn v hon cng;
- Nht k thi cng, nht k gim st ca ch u t v cc vn bn khc c lin quan
n i tng nghim thu;
- Bin bn nghim thu ni b i tng nghim thu;
- Cng tc chun b trin khai cng vic xy dng tip theo.
b) V cht lng lp t tnh thit b: (i chiu vi thit k, tiu chun qui phm k
thut, ti liu ch dn k thut chuyn mn v yu cu k thut ca cng trnh
xy dng c lin quan n i tng nghim thu:
- a ra cc ni dung k thut cn kim tra c c s nh gi cht lng i tng
nghim thu;
- Thc hin cng tc nghim thu nh qui nh iu 4.2 tiu chun ny;
- nh gi cht lng i tng nghim thu)
c) Cc kin khc nu c.
5. Kt lun : (ghi r theo cc ni dung sau)
- Chp nhn hay khng chp nhn nghim thu, ng hay khng ng cho
trin khai cc cng vic xy dng tip theo. Nu khng chp nhn nghim thu
th ghi r l do.
- Cc sai st cn tn ti v cc khim khuyt cn sa cha. Thi gian nh thu
phi hon thnh cng tc sa cha.
- Cc yu cu khc nu c
6. Cc thnh phn trc tip tham gia nghim thu (K, ghi r h tn v chc v
tng ngi tham gia)
H s nghim thu lp t tnh thit b gm:
- Bin bn nghim thu lp t tnh thit b v cc ph lc km theo nu c;
- Cc ti liu lm cn c nghim thu.
Ph lc F
(Tham kho)
Mu bin bn nghim thu b phn cng trnh xy dng;
giai on thi cng xy dng

20

cng ho x hi ch ngha vit nam

c lp - T do - Hnh phc
a im, ngy.......... thng......... nm..........
Bin bn s ......................
Nghim thu hon thnh b phn cng trnh xy dng,
giai on thi cng xy dng
Cng
trnh
.........................(ghi
tn
cng
trnh
xy
dng)..............................................................................
Hng
mc:
....................(ghi
tn
hng
mc
cng
trnh
xy
dng).................................................................
a im xy dng: ....(ghi r a im xy dng hng mc cng trnh
v cng trnh xy dng)..................
1. i tng nghim thu: (ghi r tn b phn cng trnh xy dng hoc giai on thi
cng xy dng c nghim thu, v tr xy dng trn cng trnh).
2. Thnh phn trc tip tham gia nghim thu: (Ghi r t chc, h tn v chc v c
nhn)
a) Pha ch u t
Ngi ph trch b phn gim st thi cng xy dng cng trnh ca ch u t;
(nu t gim st, khng thu t vn);
Hoc ngi ph trch b phn gim st thi cng xy dng cng trnh ca nh
thu t vn gim st thi cng xy dng cng trnh;
b) Pha nh thu thi cng xy dng cng trnh:
Ngi ph trch thi cng trc tip ca nh thu thi cng xy dng cng trnh;
- V ngi ph trch b phn gim st thi cng xy dng cng trnh ca tng thu
(i vi hnh thc hp ng tng thu).
c) i vi nhng cng trnh c chuyn gia nc ngoi th cn c i din chuyn gia
thit k v chuyn gia thi cng tham gia vo cng vic nghim thu. Cc i din
ny do c quan qun l chuyn gia nc ngoi ti cng trnh ngh, Ch u t
quyt nh.
3. Thi gian nghim thu :
Bt u :
.......... ngy.......... thng......... nm..........
Kt thc :
........... ngy.......... thng......... nm..........
Ti: .................................
4. nh gi b phn cng trnh xy dng, giai on thi cng xy dng thc hin:
a) Ti liu lm cn c nghim thu:
- Phiu yu cu nghim thu ca nh thu thi cng xy dng;
- H s thit k bn v thi cng c ch u t ph duyt v nhng thay i
thit k c chp thun: (Ghi r tn cc bn v thit k c lin quan n i
tng nghim thu)
- Tiu chun, quy phm xy dng c p dng: (Ghi r tn tiu chun, qui phm, ti
liu ch dn k thut chuyn mn c lin quan n i tng nghim thu)
- H s thu v hp ng xy dng;
- Bin bn nghim thu vt liu, thit b, sn phm ch to sn trc khi s dng;
- Bin bn nghim thu cng vic xy dng c lin quan;
- Cc ti liu th nghim, quan trc ti hin trng (nu thit k hoc tiu chun,
qui phm c lin quan ch nh)
- Kt qu th nghim mu kim nghim ca i tng nghim thu;
- Bn v hon cng;
- Nht k thi cng, nht k gim st ca ch u t v cc vn bn khc c lin quan
n i tng nghim thu;
- Bin bn nghim thu ni b i tng nghim thu;
- Cng tc chun b trin khai b phn cng trnh, giai on thi cng xy
dng tip theo.
b) V cht lng xy dng b phn cng trnh hoc giai on thi cng xy dng:
(i chiu vi thit k, tiu chun qui phm k thut, ti liu ch dn k thut
chuyn mn v yu cu k thut ca cng trnh xy dng c lin quan n i tng nghim thu:
- a ra cc ni dung k thut cn kim tra c c s nh gi cht lng i tng
nghim thu;

21

Thc hin cng tc nghim thu nh qui nh iu 4.3 tiu chun ny;
nh gi cht lng i tng nghim thu)
c) Cc kin khc, nu c.
5. Kt lun :
- Chp nhn hay khng chp nhn nghim thu v ng trin khai giai on thi
cng xy dng tip theo.
- Cc sai st cn tn ti v cc khim khuyt cn sa cha. Thi gian nh thu
phi hon thnh cng tc sa cha.
- Cc yu cu khc nu c.
6. Cc thnh phn trc tip tham gia nghim thu (K, ghi r h tn v chc v tng
ngi tham gia)
H s nghim thu giai on thi cng xy dng, b phn cng trnh xy dng gm:
- Bin bn nghim thu hon thnh b phn cng trnh, giai on thi cng xy
dng v cc ph lc khc km theo;
- Cc ti liu lm cn c nghim thu.

22

Ph lc G
(Tham kho)
Mu bin bn nghim thu thit b chy th n ng khng ti
cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
----------------a im, ngy.......... thng......... nm..........
Bin bn S ...........................
Nghim thu thit b chy th n ng khng ti
Cng
trnh
.........................(ghi
tn
cng
trnh
xy
dng).......................................................................
Hng
mc:
....................(ghi
tn
hng
mc
cng
trnh
xy
dng)..........................................................
a im xy dng: ....(ghi r a im xy dng hng mc cng trnh v
cng trnh xy dng)...........
1. Thit b/Cm thit b c nghim thu: (ghi r tn thit b v v tr lp t
trn cng trnh)
2. Thnh phn trc tip tham gia nghim thu: (Ghi r t chc, h tn v chc v c
nhn)
a) Pha ch u t
Ngi ph trch b phn gim st thi cng xy dng cng trnh ca ch u t;
(nu t gim st, khng thu t vn);
Hoc ngi ph trch b phn gim st thi cng xy dng cng trnh ca nh
thu t vn gim st thi cng xy dng cng trnh;
b) Pha nh thu thi cng xy dng cng trnh:
Ngi ph trch thi cng trc tip ca nh thu thi cng xy dng cng trnh;
- V ngi ph trch b phn gim st thi cng xy dng cng trnh ca tng thu
(i vi hnh thc hp ng tng thu).
c) i vi nhng cng trnh c chuyn gia nc ngoi th cn c i din chuyn gia
thit k v chuyn gia thi cng tham gia vo cng vic nghim thu. Cc i din
ny do c quan qun l chuyn gia nc ngoi ti cng trnh ngh, Ch u t
quyt nh.
3. Thi gian nghim thu :
Bt u :
.......... ngy.......... thng......... nm..........
Kt thc :
........... ngy.......... thng......... nm..........
Ti: .................................
4. nh gi cng tc chy th thit b n ng khng ti thc hin:
a) V ti liu lm cn c nghim thu:
- Phiu yu cu nghim thu ca nh thu thi cng xy dng;
- H s thit k bn v thi cng c ch u t ph duyt v nhng thay i
thit k c chp thun: (Ghi r tn cc bn v thit k c lin quan n i
tng nghim thu)
- Tiu chun, quy phm xy dng c p dng: (Ghi r tn tiu chun, qui phm, ti
liu ch dn k thut chuyn mn c lin quan n i tng nghim thu)
- H s thu v hp ng xy dng;
- Bin bn nghim thu vt liu, thit b, sn phm ch to sn trc khi s dng;
- Bin bn nghim thu lp t tnh thit b c lin quan;
- Cc ti liu th nghim, quan trc ti hin trng (nu thit k hoc tiu chun,
qui phm c lin quan ch nh)
- Bn v hon cng;
- Nht k thi cng, nht k gim st ca ch u t v cc vn bn khc c lin quan
n i tng nghim thu;
- Bin bn nghim thu ni b i tng nghim thu;
- Cng tc chun b vic trin khai chy th n ng khng ti thit b
tip theo.
b) V cht lng thit b chy th n ng khng ti: (i chiu vi thit k, tiu
chun qui phm k thut, ti liu ch dn k thut chuyn mn v yu cu k thut
ca cng trnh xy dng c lin quan n i tng nghim thu:

23

a ra cc ni dung k thut cn kim tra c c s nh gi cht lng i tng

nghim thu;
- Thc hin cng tc nghim thu nh qui nh iu 4.3 tiu chun ny;
- nh gi cht lng i tng nghim thu)
c) Cc kin khc nu c.
5. Kt lun : (ghi r theo cc ni dung sau)
- Chp nhn hay khng chp nhn nghim thu v ng trin khai cc cng vic
xy dng tip theo.
- Cc sai st cn tn ti v cc khim khuyt cn sa cha. Thi gian nh thu
phi hon thnh cng tc sa cha.
- Cc yu cu khc nu c.
6. Cc thnh phn trc tip tham gia nghim thu ( K ghi r h tn v chc v
tng ngi tham gia)
H s nghim thu chy th thit b n ng khng ti gm:
- Bin bn nghim thu thit b chy th n ng khng ti;
- Cc ti liu lm cn c nghim thu.

24

Ph lc H
(Tham kho)
Mu bin bn nghim thu thit b chy th lin ng khng ti
cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
----------------a im, ngy.......... thng......... nm..........
Bin bn s ......................
Nghim thu thit b chy th Lin ng KHNG ti
Cng
trnh
.........................(ghi
tn
cng
trnh
xy
dng).......................................................................
Hng
mc:
....................(ghi
tn
hng
mc
cng
trnh
xy
dng)..........................................................
a im xy dng: ....(ghi r a im xy dng hng mc cng trnh v
cng trnh xy dng)...........
1. H thng thit b c nghim thu bao gm: (Ghi r tn h thng thit b v thi
gian chy th (bt u, kt thc), v tr lp t trn hng mc, cng trnh)
2. Thnh phn trc tip tham gia nghim thu: (Ghi r t chc; h tn v chc v c
nhn)
a) Ngi ph trch b phn gim st thi cng xy dng cng trnh ca ch u t hoc
ngi ph trch b phn gim st thi cng xy dng cng trnh ca Tng thu trong
trng hp nghim thu b phn cng trnh xy dng, giai on thi cng xy dng
do nh thu ph thc hin;
b) Ngi ph trch thi cng trc tip ca nh thu thi cng xy dng cng trnh;
Trong trng hp hp ng tng thu, ngi ph trch b phn gim st thi cng
xy dng cng trnh ca ch u t tham d kim tra cng tc nghim thu ca
tng thu vi cc nh thu ph.
c) i vi nhng cng trnh c chuyn gia nc ngoi cn c i din chuyn gia thit k
v chuyn gia thi cng tham gia vo cng vic nghim thu. Cc i din ny do c
quan qun l chuyn gia nc ngoi ti cng trnh ngh, Ch u t quyt nh.
3. Thi gian nghim thu :
Bt u :
.......... ngy.......... thng......... nm..........
Kt thc :
........... ngy.......... thng......... nm..........
Ti: .................................
4. nh gi cng tc chy th thit b lin ng khng ti thc hin:
a) V ti liu lm cn c nghim thu
- Phiu yu cu nghim thu ca nh thu thi cng xy dng;
- H s thit k bn v thi cng c ch u t ph duyt v nhng thay i
thit k c chp thun: (Ghi r tn cc bn v thit k c lin quan n i
tng nghim thu)
- Tiu chun, quy phm xy dng c p dng: (Ghi r tn tiu chun, qui phm, ti
liu ch dn k thut chuyn mn c lin quan n i tng nghim thu)
- H s thu v hp ng xy dng;
- Bin bn nghim thu vt liu, thit b, sn phm ch to sn trc khi s dng;
- Bin bn nghim thu lp t tnh thit b c lin quan;
- Bin bn nghim thu thit b chy th n ng khng ti c lin quan;
- Cc ti liu th nghim, quan trc ti hin trng (nu thit k hoc tiu chun,
qui phm c lin quan ch nh)
- Bn v hon cng;
- Nht k thi cng, nht k gim st ca ch u t v cc vn bn khc c lin quan
n i tng nghim thu;

25

Bin bn nghim thu ni b ca nh thu thi cng xy dng.

Cng tc chun b trin khai chy th lin ng khng ti h thng thit b
tip theo;
b) V cht lng thit b chy th lin ng khng ti: (i chiu vi thit k, tiu chun
qui phm k thut, ti liu ch dn k thut chuyn mn v yu cu k thut ca
cng trnh xy dng c lin quan n i tng nghim thu:
- a ra cc ni dung k thut cn kim tra c c s nh gi cht lng i tng
nghim thu;
- Thc hin cng tc nghim thu nh qui nh iu 4.3 tiu chun ny;
- nh gi cht lng i tng nghim thu)
c) Cc kin khc nu c.
5. Kt lun : (ghi r theo cc ni dung sau)
- Chp nhn hay khng chp nhn nghim thu v ng trin khai cc cng vic
xy dng tip theo.
- Cc sai st cn tn ti v cc khim khuyt cn sa cha. Thi gian nh thu
phi hon thnh cng tc sa cha.
- Cc yu cu khc nu c.
6. Cc thnh phn trc tip tham gia nghim thu ( K ghi r h tn v chc v
tng ngi tham gia)
H s nghim thu chy th thit b lin ng khng ti gm:
- Bin bn nghim thu thit b chy th lin ng khng ti v cc ph lc km theo
nu c;
- Cc ti liu lm cn c nghim thu.

26

Ph lc J
(Tham kho)
Mu bin bn nghim thu thit b chy th lin ng c ti
cng ho x hi ch ngha vit nam
c lp - T do - Hnh phc
----------------a im , ngy.......... thng......... nm..........
Bin bn s ......................
Nghim thu thit b chy th Lin ng c ti
Cng
trnh
.........................(ghi
tn
cng
trnh
xy
dng).......................................................................
Hng
mc:
....................(ghi
tn
hng
mc
cng
trnh
xy
dng)...........................................................
a im xy dng: ....(ghi r a im xy dng hng mc cng trnh v
cng trnh xy dng)............
1. H thng thit b c nghim thu bao gm: (Ghi r tn h thng thit b v
thi gian chy th (bt u, kt thc), v tr lp t trn hng mc, cng trnh)
1. Thnh phn trc tip tham gia nghim thu: (Ghi r t chc, h tn v chc v c
nhn)
a) Pha ch u t:
Ngi i din theo php lut v ngi ph trch b phn gim st thi cng xy dng
cng trnh ca ch u t;
Ngi i din theo php lut v ngi ph trch b phn gim st thi cng xy dng
cng trnh ca nh thu t vn gim st thi cng xy dng cng trnh.
b) Pha nh thu thi cng xy dng cng trnh:
Ngi i din theo php lut v ngi ph trch thi cng trc tip ca nh thu thi
cng xy dng cng trnh;
Ngi i din theo php lut v ngi ph trch b phn gim st thi cng xy dng
cng trnh ca tng thu i vi hnh thc hp ng tng thu.
c) Pha nh thu thit k xy dng cng trnh tham gia nghim thu theo yu cu ca
ch u t xy dng cng trnh:
Ngi i din theo php lut;
Ch nhim thit k.
d) i vi nhng cng trnh c yu cu phng chy cao hoc c nguy c nhim mi
trng th nht thit phi c i din ca c quan phng chy cha chy v c
quan ti nguyn mi trng cp tng ng trc tip tham gia nghim thu;
e) i vi nhng cng trnh c chuyn gia nc ngoi th cn c i din chuyn gia
thit k v chuyn gia thi cng tham gia vo cng vic nghim thu. Cc i din
ny do c quan qun l chuyn gia nc ngoi ti cng trnh ngh, Ch u t
quyt nh.
f) V cc thnh phn khc trc tip tham gia nghim thu (theo yu cu ca ch u t)
3. Thi gian nghim thu :

27

Bt u :
.......... ngy.......... thng......... nm..........
Kt thc :
........... ngy.......... thng......... nm..........
Ti: .................................
4. nh gi cng tc chy th thit b lin ng c ti thc hin:
V ti liu lm cn c nghim thu
- Phiu yu cu nghim thu ca nh thu thi cng xy dng;
- H s thit k bn v thi cng c ch u t ph duyt v nhng thay i
thit k c chp thun: (Ghi r tn cc bn v thit k c lin quan n i
tng nghim thu)
- Tiu chun, quy phm xy dng c p dng: (Ghi r tn tiu chun, qui phm, ti
liu ch dn k thut chuyn mn c lin quan n i tng nghim thu)
- H s thu v hp ng xy dng;
- Bin bn nghim thu vt liu, thit b, sn phm ch to sn trc khi s dng;
- Bin bn nghim thu lp t tnh thit b c lin quan;
- Bin bn nghim thu thit b chy th n ng khng ti c lin quan;
- Bin bn nghim thu thit b chy th lin ng khng ti c lin quan;
- Cc ti liu th nghim, quan trc ti hin trng (nu thit k hoc tiu chun,
qui phm c lin quan ch nh)
- Bn v hon cng;
- Nht k thi cng, nht k gim st ca ch u t v cc vn bn khc c lin quan
n i tng nghim thu;
- Vn bn chp thun ca c quan qun l nh nc c thm quyn v phng chng
chy, n; an ton mi trng; an ton vn hnh theo quy nh;
- Bin bn kim tra h s ti liu hon thnh giai on lp t thit b ca c
quan qun l nh nc theo phn cp;
- Bin bn nghim thu ni b ca nh thu thi cng xy dng;
- Cng tc chun b trin khai chy th lin ng c ti h thng thit b.
b)
V tin lp t thit b:
- Ngy khi cng:
- Ngy hon thnh
c)
V cng sut a vo vn hnh
- Theo thit k (hoc theo h s d thu)
- Theo thc t t c:
d) V c im bin php bo v an ton lao ng, an ton phng n, phng
chy, chng nhim mi trng v an ton s dng:
e)
V Khi lng
- Theo thit k c duyt:
- Theo thc t t c:
f) V cht lng thit b chy th lin ng c ti: (i chiu vi thit k, tiu chun qui
phm k thut, ti liu ch dn k thut chuyn mn v yu cu k thut ca cng
trnh :
- a ra cc ni dung k thut cn kim tra lm c s nh gi cht lng i tng
nghim thu;
- Thc hin cng tc nghim thu nh qui nh iu 4.4 tiu chun ny;
- nh gi cht lng i tng nghim thu)
g) Nhng sa i trong qu trnh thi cng so vi thit k c duyt:
h) Cc kin khc nu c.
a)

5. Kt lun : (ghi r theo cc ni dung sau)

b) Chp nhn hay khng chp nhn nghim thu v ng trin khai cc cng vic
xy dng tip theo.
c) Cc sai st cn tn ti v cc khim khuyt cn sa cha. Thi gian nh thu
phi hon thnh cng tc sa cha.
d) Cc yu cu khc nu c.
e) Cc bn trc tip nghim thu chu trch nhim trc php lut v quyt nh
nghim thu ny.
6. Cc thnh phn trc tip tham gia nghim thu ( K ghi r h tn v chc v v
ng du)

28

Nh thu gim st thi cng

xy dng cng trnh
(K tn, ghi r h tn, chc v v ng
du)

Ch u t
(K tn, ghi r h tn, chc v v ng
du)

Nh thu thit k
xy dng cng trnh
(K tn, ghi r h v tn, chc v v ng
du);

Nh thu thi cng

xy dng cng trnh
(K tn, ghi r h tn, chc v v ng
du)

Ghi ch : Tt c cc thnh phn khc trc tip tham gia nghim thu (theo yu cu
ca ch u t) k, ghi r h tn v chc v vo bin bn ny.
H s nghim thu thit b chy th lin ng c ti gm:
-

Bin bn nghim thu thit b chy th lin ng c ti v cc ph lc km theo bin

bn ny, nu c;
Cc ti liu lm cn c nghim thu.
Ph lc K
(Tham kho)
Mu bin bn nghim thu hng mc cng trnh
hoc cng trnh xy dng hon thnh a vo s dng

Tn Ch u t
...................................................
........

cng ho x hi ch ngha vit nam

c lp T do Hnh phc
a im, ngy....... thng....... nm........

bin bn
Nghim thu hon thnh hng mc cng trnh
hoc cng trnh xy dng a vo s dng
1, Cng trnh/hng mc cng
trnh:.
................................................................................................
2, a im xy dng:
..............................................................................................................................
3, Thnh phn tham gia nghim thu: (Ghi r t chc, h tn v chc v c nhn)
a) Pha ch u t:
- Ngi i din theo php lut v ngi ph trch b phn gim st thi cng xy
dng cng trnh ca ch u t;
- Ngi i din theo php lut v ngi ph trch b phn gim st thi cng xy
dng cng trnh ca nh thu t vn gim st thi cng xy dng cng trnh.
b) Pha nh thu thi cng xy dng cng trnh:
Ngi i din theo php lut v ngi ph trch thi cng trc tip ca nh thu
thi cng xy dng cng trnh;
Ngi i din theo php lut v ngi ph trch b phn gim st thi cng xy
dng cng trnh ca tng thu (i vi hnh thc hp ng tng thu)
c) Pha nh thu thit k xy dng cng trnh tham gia nghim thu theo yu cu ca
ch u t xy dng cng trnh:
Ngi i din theo php lut;
Ch nhim thit k.
d) i vi nhng cng trnh c yu cu phng chy cao hoc c nguy c nhim mi
trng th nht thit phi c i din ca c quan phng chy cha chy v c
quan ti nguyn mi trng cp tng ng trc tip tham gia nghim thu;

29

e) i vi nhng cng trnh c chuyn gia nc ngoi th cn c i din chuyn gia

thit k v chuyn gia thi cng tham gia vo cng vic nghim thu. Cc i din
ny do c quan qun l chuyn gia nc ngoi ti cng trnh ngh, Ch u t
quyt nh.
f) V cc thnh phn khc trc tip tham gia nghim thu (theo yu cu ca ch u t)
4, Thi gian tin hnh nghim thu :
Bt u :
....... ngy ........ thng ....... nm .........
Kt thc :
....... ngy ........ thng ....... nm ........
Ti: ...............................
5, nh gi hng mc cng trnh xy dng, cng trnh xy dng:
a) Ti liu lm cn c nghim thu;
- Phiu yu cu nghim thu ca nh thu thi cng xy dng;
- Tiu chun, quy phm xy dng c p dng: (Ghi r tn tiu chun, qui phm, ti
liu ch dn k thut chuyn mn c lin quan n i tng nghim thu)
- H s hon thnh xy dng cng trnh theo danh mc ti ph lc 10 ca tiu
chun ny;
- Vn bn chp thun ca c quan qun l nh nc c thm quyn v phng chng
chy, n; an ton mi trng; an ton vn hnh theo quy nh.
- Bin bn kim tra h s ti liu hon thnh xy dng hng mc, cng trnh xy
dng ca c quan qun l nh nc theo phn cp;
- Bin bn nghim thu ni b ca nh thu thi cng xy dng;
- Nhng iu kin chun b a hng mc, cng trnh vo s dng.
b) V tin xy dng hng mc, cng trnh:
- Ngy khi cng:
- Ngy hon thnh:
c) V cng sut a vo vn hnh ca hng mc, cng trnh:
- Theo thit k c duyt:
- Theo thc t t c:
d) V c im bin php bo v an ton lao ng, an ton phng n, phng
chy, chng nhim mi trng v an ton s dng.
- Theo thit k c duyt:
- Theo thc t t c:
e) Khi lng:
- Theo thit k (hoc theo h s d thu)
- Theo thc t t c:
f) V cht lng hng mc cng trnh xy dng, cng trnh xy dng (Tin hnh
nghim thu nh qui nh ti iu 4.4, i chiu vi thit k, tiu chun, qui phm k
thut, ti liu ch dn k thut chuyn mn v yu cu k thut ca cng trnh
nh gi cht lng)
g) Nhng sa i trong qu trnh thi cng so vi thit k c duyt:
h) Cc kin khc nu c.
6, Kt lun :
- Chp nhn hay khng nghim thu hon thnh hng mc cng trnh hoc cng
trnh xy dng bn giao a vo s dng. Nu khng chp nhn nghim
thu th phi ghi r l do;
- Cc tn ti v cht lng cn phi sa cha khc phc. Thi gian nh thu phi hon
thnh cng tc sa cha, khc phc;
- Cc yu cu khc nu c
7, Cc bn tham gia nghim thu: (k, ghi r h tn, chc v v ng du)
Nh thu gim st thi cng
xy dng cng trnh
(K tn, ghi r h tn, chc v v ng
du)

Ch u t
(K tn, ghi r h tn, chc v v ng
du)

Nh thu thit k
xy dng cng trnh

Nh thu thi cng

xy dng cng trnh

30

(K tn, ghi r h tn, chc v v ng

du);

(K tn, ghi r h tn, chc v v ng

du)

Ghi ch : Tt c cc thnh phn khc trc tip tham gia nghim thu (theo yu cu
ca ch u t) k, ghi r h tn v chc v vo bin bn ny.
H s nghim thu gm:
Bin bn nghim thu hon thnh hng mc, cng trnh xy dng v cc ph lc
km theo bin bn ny, nu c;
Cc ti liu lm cn c nghim thu.
-

31

Ph lc L
(Tham kho)
Mu bng k nhng thay i so vi thit k c duyt
Cng
trnh: .............................
Hng
mc: ..............................

cng ho x hi ch ngha vit nam

c lp T do Hnh phc
------------------a im, ngy......... thng......... nm.........

Bng k nhng thay i so vi thit k c duyt

S
th t

....
.
.

Ni dung thay
i v
s hiu bn v
ca t chc thit
k c duyt

..
..
..

Nguy
n nhn c
s thay i

C
quan duyt
hoc ng
s thay
i

.....
..
..

..
..
..

Tn, s,
ngy thng
vn bn cho
php thay
i

..
..
..

Ghi
ch

.....
..
..

i din nh thu gim st thi cng

xy dng cng trnh
(K, ghi r h tn, chc v)

i din ch u t
(K, ghi r h tn, chc v v ng du )

i din Nh thu thit k

(K, ghi r h tn, chc v v ng du);

i din nh thu chnh xy, lp

(K, ghi r h tn, chc v v ng du)

Ph lc M

32

(Tham kho)
Mu bng k cc cng vic cha hon thnh
Cng trnh: ......................
Hng mc: .......................

cng ho x hi ch ngha vit nam

c lp T do Hnh phc
a im, ngy....... thng....... nm........

Bng k cc cng vic cha hon thnh

S
th t
....
.
.

Cng
vic cha
hon thnh
..
..
..

Gi tr d
ton
(d thu)
..
..
..

n v thc
hin
..
..
..

Thi hn
hon thnh

Ghi
ch

..
..
..

..
..
..

i din nh thu gim st thi cng

xy dng cng trnh
(K, ghi r h tn, chc v)

i din ch u t
(K, ghi r h tn, chc v v ng
du )

i din Nh thu thit k

(K, ghi r h tn, chc v)

i din nh thu chnh xy, lp

(K, ghi r h tn, chc v v ng
du)

Ph lc N
(Tham kho)

33

Mu bng k nhng tn ti v cht lng

Cng
trnh: ........................
Hng mc: .........................

cng ho x hi ch ngha vit nam

c lp T do Hnh phc
a im, ngy....... thng....... nm........

Bng k nhng tn ti v cht lng

S

B phn
(thit b)

..

..

..

..

..

..

TT

M t
tnh trng

n v
chu trch
nhim sa
cha
..

Ngy
hon
thnh

Ghi
ch

..

..

..

..

..

..

..

..

.
.
.

i din nh thu gim st

thi cng xy dng cng trnh
(K, ghi r h tn, chc v)

i din ch u t
(K, ghi r h tn, chc v v ng
du)

i din Nh thu thit k

(K, ghi r h tn, chc v );

i din nh thu chnh xy,

lp
(K, ghi r h tn, chc v v ng
du)

Ph lc P

34

(Tham kho)
Mu bng k cc h s, ti liu chun b cho nghim thu
hng mc, cng trnh xy dng bn giao a vo s dng
Cng
trnh:..............................
Hng
mc: .............................

Cng ho x hi ch ngha vit nam

c lp T do Hnh phc
a im, ngy....... thng....... nm........

bng k cc h s ti liu chun b cho nghim thu Hng mc,

cng trnh bn giao a vo s dng

S TT

Danh mc h s, t liu.

C quan chun b

.....

.....

.....

i din ch u t
(K, ghi r h tn,chc
v)

i din nh
thu gim st
thi cng xy dng
(K, ghi r h tn, chc
v)

35

i din nh
thu chnh
xy lp
(K, ghi r h tn,
chc v v ng du)