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1、【精品文档】如有侵权，请联系网站删除，仅供学习与交流特种劳动防护用品安全标志换证申请书2.精品文档.附件1 特种劳动防护用品安全标志换证申请书申请单位 （公章）法定代表人 （签字）填写日期 年 月 日国家安全生产监督管理总局监制填 表 说 明1.申请书必须用打印方式填写,并装订成册。内容须完整准确，不得漏项。2.填写申请单位名称应与申请单位公章一致。3.基本情况表(表一)：a.注册地址应于营业执照住所一致。b.生产场所地址应按所在省份、所属市县、乡镇及具体街道、路门牌号详细填写。c.产品名称参照表三的产品名称填写。d.企业性质：是指按照我国相关法律、法规规定，将公司、企业的种类划分为：全民所有
2、制企业（即国有企业）、集体所有制企业、联营企业、三资企业、私营企业及其它企业。4.申请单位简介（表二）：填写单位概况、生产规模、产值产量、生产方式等。5.产品类别(表三)，用符号“”标注。6.企业基本状况表（表四）：所填各项均为与特种劳动防护用品生产有关的数字。 7.主要生产设备表（表六）、主要工艺装备表（表七）、主要检测设备、仪器及器具表（表八），参照特种劳动防护用品安全标志申请单位必备的主要生产设备、工艺装备和检测设备一览表（见安标中心网站）填写。8. 特种劳动防护用品安全标志管理中心联系方式：地 址: 北京市朝阳区惠新西街17号邮政编码: 100029联系电话: (010)6489012
3、7、64973361 传真:（010）64986090网 址: (国家安全生产监督管理总局) E-mail: la一、基本情况表申请单位名称申请单位英文名称法定代表人（负责人）职务注册资金（万元）注册商标企业性质电子邮件地址联 系 人固定电话移动电话传真电话注册地址生产地址通讯地址邮政编码序号产品名称序号产品名称172839410511612申请单位不是独立企业法人的需填写下列法人单位相关各项栏目法人单位名称法人单位签署意见年 月 日(盖章)法人营业执照注册号 联系电话法定代表人姓名企业类型注册资金二、申请单位简介三、产品类别表3 第1页共9页序号产品名称产品类别1安全帽塑料基本技术性能（包含
4、侧向刚性）特殊技术性能(防静电、电绝缘、阻燃、耐低温)玻璃钢基本技术性能（包含侧向刚性）特殊技术性能(防静电、电绝缘、阻燃、耐低温)橡胶基本技术性能（包含侧向刚性）特殊技术性能(防静电、电绝缘、阻燃、耐低温)金属基本技术性能（包含侧向刚性）特殊技术性能(防静电、电绝缘、阻燃、耐低温)植物编织基本技术性能（包含侧向刚性）特殊技术性能 (耐低温)2防尘口罩随弃式面罩KN90、KN95、KN100、KP90、KP95、KP100可更换式半面罩KN90、KN95、KN100、KP90、KP95、KP100可更换式全面罩KN95、KN100、KP95、KP1003过滤式防毒面具面罩半面罩全面罩4过滤式防
5、毒面具滤毒罐大型1L#、1#、2L#、3L#、3#、4L#、4#、5#、6#、7L#、7#、8L#、8#中型1L#、1#、2L#、3L#、3#、4L#、4#、5#、6#、7L#、7#、8L#、8#小型1L#、1#、2L#、3L#、3#、4L#、4#、5#、6#、7L#、7#、8L#、8#5过滤式防毒面具滤毒盒3#、4#、6#、7#6自给开路式压缩空气呼吸器G-F-Q，根据额定贮气量Q，标记代号为：6、8、12、16、20、24G-G-Q，根据额定贮气量Q，标记代号为：6、8、12、16、20、24X-F-Q，根据额定贮气量Q，标记代号为：6、8、12、16、20、24续表3 第2页共9页序号产
6、品名称产品类别7长管面具自吸式、送风机式、定量供气式、按需供气式、复合供气式8焊接面罩钢板纸HM-1手持式HM-2-A头戴式HM-4头盔式HM-3-A安全帽与面罩连接式塑料HM-1手持式HM-2-A头戴式HM-4头盔式HM-3-A安全帽与面罩连接式9焊接遮光片遮光号：1.2#、1.4#、1.7#、2#、2.5#、3#、 4#、5#、6#、7#、8#、9#、10#、11#、12#、13#、14#、15#、16#10焊接眼镜遮光号：1.2#、1.4#、1.7#、2#、2.5#、3#、 4#、5#、6#、7#、8#、9#、10#、11#、12#、13#、14#、15#、16#11防冲击眼镜普通型L带
7、侧光板型L12防冲击眼罩开放型L、M封闭型L、M13防冲击面罩手持式全面罩L、M、H头盔式面罩L、M、H头戴式全面罩L、M、H半面罩L、M、H安全帽与面罩组合全面罩L、M、H半面罩L、M、H14阻燃防护服15防酸工作服透气型一级、二级、三级不透气型一级、二级16防静电工作服A级、B级17防静电毛针织服A级、B级续表3 第3页共9页序号产品名称产品类别18保护足趾安全鞋橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足趾安全靴橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴19保护足趾防护鞋橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足
8、趾防护靴橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴20防静电鞋橡胶材料类外底皮鞋聚合材料类外底皮鞋橡胶材料类外底布面鞋聚合材料类外底布面鞋全橡胶材料类鞋全聚合材料类鞋防静电靴橡胶材料类外底皮靴聚合材料类外底皮靴橡胶材料类外底布面靴聚合材料类外底布面靴全橡胶材料类靴全聚合材料类靴续表3 第4页共9页序号产品名称产品类别21导电鞋橡胶材料类外底皮鞋聚合材料类外底皮鞋橡胶材料类外底布面鞋聚合材料类外底布面鞋全橡胶材料类鞋全聚合材料类鞋导电靴橡胶材料类外底皮靴聚合材料类外底皮靴橡胶类材料外底布面靴聚合材料类外底布面靴全橡胶材料类靴全聚合材料类靴22防刺穿鞋橡胶材料类外底皮鞋聚合材
9、料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋防刺穿靴橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴23电绝缘鞋橡胶材料类外底皮鞋6kV聚合材料类外底皮鞋6kV橡胶材料类外底布面鞋5kV、15kV聚合材料类外底布面鞋5kV、15kV全橡胶材料类鞋6kV、10kV、15kV、20kV、30kV全聚合材料类鞋6kV、10kV、15kV、20kV、30kV电绝缘靴橡胶材料类外底皮靴6kV聚合材料类外底皮靴6kV橡胶类材料外底布面靴5kV、15kV聚合材料类外底布面靴5kV、15kV全橡胶材料类靴6kV、10kV、15kV、20kV、30kV全聚合材料类靴6kV、10kV、15kV、20k
10、V、30kV续表3 第5页共9页序号产品名称产品类别24多功能安全鞋保护足趾防刺穿橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足趾防静电橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足趾导电橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足趾（非金属包头）电绝缘橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足趾防刺穿防静电橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足趾防刺穿导电橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足趾（非金属包头）防刺穿（非金属刺穿垫
11、）电绝缘橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋续表3 第6页共9页序号产品名称产品类别24多功能安全靴保护足趾防刺穿橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴保护足趾防静电橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴保护足趾导电橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴保护足趾（非金属包头）电绝缘橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴保护足趾防刺穿防静电橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴保护足趾防刺穿导电橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料
12、类靴全聚合材料类靴保护足趾（非金属包头）防刺穿（非金属刺穿垫）电绝缘橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴续表3 第7页共9页序号产品名称产品类别25多功能防护鞋保护足趾防刺穿橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足趾防静电橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足趾导电橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足趾（非金属包头）电绝缘橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足趾防刺穿防静电橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护
13、足趾防刺穿导电橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋保护足趾（非金属包头）防刺穿（非金属刺穿垫）电绝缘橡胶材料类外底皮鞋聚合材料类外底皮鞋全橡胶材料类鞋全聚合材料类鞋续表3 第8页共9页序号产品名称产品类别25多功能防护靴保护足趾防刺穿橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴保护足趾防静电橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴保护足趾导电橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴保护足趾（非金属包头）电绝缘橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴保护足趾防刺穿防静电橡胶材料
14、类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴保护足趾防刺穿导电橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴保护足趾（非金属包头）防刺穿（非金属刺穿垫）电绝缘橡胶材料类外底皮靴聚合材料类外底皮靴全橡胶材料类靴全聚合材料类靴续表3 第9页共9页序号产品名称产品类别26耐酸碱皮鞋橡胶材料类外底皮鞋聚合材料类外底皮鞋27耐化学品的工业用橡胶靴28耐化学品的工业用塑料模压靴29安全带DW1Y、DW1F、T1W2Y、 T2W2Y、DxW2YJ1XY、J2XY、LXY、DxXY、T1XY、T2XS、T1XB、T2XB、T3XB、T4XBT1PH、T2PH、TPG30安全网平网
15、P-宽（ ）长（ ）立网L-宽（ ）长（ ）31密目式安全立网ML-宽（ ）长（ ）备注有特别需要注明的产品类别在此处填写四、企业基本状况表企业名称企业开工年份企业人员统计数职工总数管理人员技术人员实验室检验人员工 人备 注高 级工程师工程师助 理工程师技术员占地面积M2建筑面积M2生产面积M2设 备 数 （台）生产设备总台数设备完好率（%）通用设备专用设备年 份2006年 2007年2008年2009年近四年总产值（万元）五、产品近四年销售情况表年 份产品名称型 号规 格内销数量（件）出口数量（件）出 厂 价国内销价（人民币：元）国外销价（美元）注：此表可复制续表填写。六、主要生产设备表序号
16、设备名称型号规格数量（台）生产厂家进厂日期完好状况备 注注：此表可复制续表填写。七、主要工艺装备表序号工艺装备名称数量（件、套）用 途完成日期技术状况备 注注：工艺装备是指制造产品所用的刀具、夹具、量具、模具等工具的总称。适用于制造特定的产品，有利于提高劳动生产率和产品的安全防护性能。八、主要检测设备、仪器及器具表序号名 称型号规格数量（台、套）生产厂精度等级完好状况备 注注：此表可复制续表填写。九、出厂自验合格率汇总表产品名称： 自检日期自检次数合格率（%）不合格项目不合格原因2006年2007年2008年2009年注：此表的检验是指对成品的安全防护性能检验。特种劳动防护用品安全标志管理中心
17、综合审查结论 （印） 年 月 日核发的特种劳动防护用品安全标志证书编号、标识编号、有效期限备 注（英文版 ） easily blame, to prevent the broken window effect. Supervise the leading cadres to play an exemplary role, take the lead in the strict implementation of the and , lead to safeguard the solemnity and authority of the party discipline, ensure that
18、 the party discipline and the laws and regulations for implementation in place. Throughout the discipline in the daily supervision and management, strengthen supervision and inspection, from the thorough investigation of violations of discipline behavior. Strengthen to key areas, key departments and
19、 key projects as well as the masses reflect the concentration of the units and departments for supervision. - strengthening supervision, discipline inspection and supervision of cadres to set an example for compliance with the and is a man must be hexyl, blacksmith needs its own hardware. Discipline
20、 inspection organs as the executor of the party discipline, and supervisor of the defenders, for its supervision must be more strictly, discipline inspection and supervision of cadres to firmly establish the awareness of Party Constitution, sense of discipline and rules consciousness, politics loyal
21、ty, sense obey. Action speak Ji Ordinance to set an example of the regulations of the rule of law, strengthen supervision and accept the supervision of the firmness and consciousness, do comply with and . To firmly establish the discipline must first be disciplined, the supervisor will be subject to
22、 the supervision of concept, and consciously safeguard and implement party compasses party, take the lead in practicing three strict real strict, so loyal, clean, play. To be good at learning, the Constitution and the as morality, politics and brought to fruition; to implement , do not want to, dare
23、 not, not with disciplinary ruler to supervision; to discipline a ruler, often the control inspection, and consciously in the ideological red line to draw the row Ming Good accumulation is indeed the bottom line, so that the heart has fear, said to have quit, the line has ended. Attached: indifferen
24、t to heart, calmly to the table in our life, there are many unpredictable things will happen, some good, some bad things, we cannot control is powerless to stop, but with time, you will find in life sometimes turns out to be not good, some bad things finally turned out to be a good thing, but then w
25、e muddy however did not know, this is the life teach us things. 1, life can be complex, can also be simple. Want simple life of precipitation, to have enough time to reflect, to make Become more perfect. Life is the most important thing is not to win, but the struggle; not to have conquered, but to
26、have fought well. 2, the plain is the background of life. Live a plain life, give up on themselves is not a coward, but the wise answers; not disillusioned after the heart, such as ashes, but experience the storm after the enlightenment; not unrewarding perfunctorily, but calm attitude of life of un
27、restrained self-confidence. Plain living, there is no noise noisy, no earthly troubles, more did not fill in the discontent of desire, some just a calm, a calm. 3, memory of heart will not good things to erase the, life is a When no movie, pain is a beginning, the struggle is a kind of process, deat
28、h is a kind of ending. Give up this giving up is the helpless, do not give up the abandoned, do not give up this giving up is ignorance, do not give up should not give up is persistent. 4, a thing figured is heaven, think impassability is hell. Since the living, to live better. Sometimes we because
29、of too narrow-minded, too care around the chores and penny wise and pound foolish, not worth the candle. Some things to attract trouble and worry, completely depends on how we look at and deal with it. Dont always take everything back to things, and dont get into a blind alley, dont want to face, do
30、nt be narrow-minded. Poke to care, is a kind of open-minded, a free and easy. 5, I am not afraid of others behind me a knife, I afraid to look back and see stab me, is my intention to treat people; I am not afraid of the truth to tell the best friend, Im afraid he turned to it as a joke to tell dont
31、 6, when we are in a positive frame of mind, you will find many good things; and when we are in a negative state of mind, you will find many depressed things; life happy and worry, all is you of life attitude, optimistic, good luck; loss of sink, Eritrea company. When you are in adversity, may wish
32、to change a point of view to think everything over to the good Think, because good mentality decided the fate of the! 7, people are tired, rest; heart tired, calm. Grow up, mature, this society read. Tired and sad, squat down, to their a hug. Because the world no one can sympathize with you, have me
33、rcy on you. You cry, tears is your own; you pain, no one can understand. Then you only tears to smile. 8, each people have youth,Each youth are a story, the life of the world never gets easier, I want what, wish the world all know, as has been the same; now want anything, for fear that others know,
34、or like to lose the same. 9, the heart move, everything in the world is followed by birth, Rangrang, important thing is often the most difficult to open ones mouth, because words will reduce its importance; to let strangers people care about your life in the good things, the original is not easy 10,
35、 do not blame, do not laugh at who, also dont envy who. Like a person is a kind of feeling, not like a person is true. The truth is easy to explain, I feel Is unspeakable. The best travel life is that you in a strange place found a long lost touched. 11, happy life not in the bustling in, and in the
36、 peace of mind; no matter how many grievances, how uncomfortable, and ultimately to heal themselves or their own, others may got you to comfort, but never know your heart is how wanjianchuanxin. 12, maam, like a movie, learn to appreciate, learn to be grateful, learn tolerance, and goodness, helping
37、 others. Instead of accusing the society, as into one; and an exception is better to give than to what 13, dont envy him A sum of, dont lose your life and the life, respectively is: the former is a we experienced cannot escape in a day finally will last minute, while the latter is our persistent, we
38、 want to cherish the memory of those people and things. 14, learn to smile, learn to strong, the world you know so many people, so many people and you are, you cannot change also cant let everyone like you, so also do not want to do. Life is too short to go crazy to love to go to waste, to chase the dream to regret. 15, when temper, a blessing to go. A wounding elegant people, the key is to control their own emotions. With the mouth is