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关于印发福建煤矿安全监管执法文书样式的通知

发布日期:2011/6/16 信息来源:安监局 浏览量:4350 字号:TT 收藏 打印 关闭
  

关于印发福建煤矿安全监管

执法文书样式的通知

 

各产煤市、县(区)煤炭行业管理部门:

为进一步规范我省煤矿安全监管执法活动,依据《行政处罚法》、《煤矿安全监察条例》和国家安全监管总局、国家煤矿安监局《关于切实加强对地方政府煤矿安全监管工作监督检查的意见》(安监总煤监〔200988号)的有关规定和要求,参照国家煤矿安监局制定的国家煤矿安全监察执法文书样式,结合我省实际,经我局研究,决定制定福建煤矿安全监管执法文书样式,现印发给你们,请参照执行。

 

 

 

一一年五月三十一日

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

卷(首 页)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

立案:                    结案:              

本卷共                      归档号:                  

承办人:                 

归档日期:                   保存期限:    

档 案 卷 内 目 录

 

 

顺序号

 

文件原编号

 

文件日期

 

     

文件所

在页号

 

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                     第       

————————————————————————————————————————————————

被检查单位(人员):               检查时间:            

检查地点(路线):                                            

采矿许可证:                    工商营业执照:                

矿长安全资格证:                矿长资格证:                  

安全生产许可证:                煤炭生产许可证:              

检查人(签字):                   记录人(签字):             

检查情况:                                                    

                                                             

                                                              

                                                             

                                                              

                                 

                                                              

                                                              

                                                              

                                            (下接续页第  页)

被检查单位负责人意见:              签名:       日期:      

                                                                          

备注:本文书一式两联,一联存档,一联交被检查单位(或个人)。

     

   页第  

                                       

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                         

                                                         

                                                         

  )煤管  [    ]第(  )号

                  

我局(办)于                日现场检查时,发现有下列违法违规行为:                                               

                                                             

                                                              

                               

                               

                                                             

                                      现作出如下现场处理决定:

                                                              

                                                             

                                                             

                                                             

                                                              

现场执法人员(签名):                      日期:        

被检单位收件人(签名):                  日期:                   

 

                                            (公章)

 

备注:本文书一式两联,一联交被现场处理单位(或个人);一联存档。

   )煤  [    ]第(    )号

                         

                                分,在对你煤矿安全检查时,发现                                                地点有

                                                             

                                                             

                                                               

                                                             

等威胁职工生命安全的紧急情况,现命令立即从                   

                                                             

危险区内撤出作业人员,待                                      

                                                             

                                                             

后,方可恢复作业。

此命令时间从                              分生效。

作业现场负责人意见:                      (签名):        

执法人员(签字):                         

                                               (公章)

 

 

备注:本文书一式两联,一联存档,一联交被命令单位(或个人)。

          (  )煤  [    ]第(    )号

————————————————————————————————————————————————

 

                            

 我局(办)于               日发现有    条违法违规行为,作出了                                                   

的决定[  )煤管     [    ]第(   )号]

[  ]应你单位申请 ;[  ]现整改期届满,经复查,意见如下:  

                                                              

                                                              

                                                             

                                                             

                                                             

                                                              

                                                             

被复查单位意见:                 (签字)                

复查人员:                       (签字)                 

                     

                                          (公章)

                                                             

 

备注:本文书一式两联,一联交被复查单位,一联存档。

  )煤管  [    ]第(    )号

    由:                                                   

案情摘要:                                                   

                                                             

                                                              

                                                             

                                                             

                                                             

                                                              

                                                             

                                                             

以上案由案情,决定自            日起立案调查处理,并指定                       为本案承办人。

 

承办人意见:            承办人:                          

审批人意见:            审批人:           审批日期:    

 

                                          (公章)

                                                             

备注:本文书一式两联,一联交承办人,一联存档。

调 查 取 证 笔 录

   页第  

    间:                          分至          

    点:                                                   

调查事由:                                                   

                                                              

被调查人:姓                                      

          工作单位                  职务(职业)             

政治面貌              文化程度                  

                                               

调 查 人:                      记录 人:                   

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                                          

                                         (下接续页第  页)

备注:被调查人员应在过目笔录后,签署意见,并签名押印。

  )煤管  [    ]第(    )号

                   

    经查,你单位(或个人)的以下行为                         

                                                             

                                                              

违反了                                                       

                                                      的规定,

依据                                                         

                                                      的规定,

拟对你单位(或个人)作出                                    

                                                    行政处罚。

 

根据《行政处罚法》和《安全生产违法行为行政处罚办法》的规定,你单位(或个人)可进行现场陈述[  ]、申辩[  ],或自收到本告知书三日内,就拟行政处罚向                          要求组织听证,逾期视为放弃听证要求。

 

行政相对人对拟行政处罚意见:               签名:       

拟行政处罚告知人(签字):         收件人(签名):       

我局(办)地址:                        邮政编码:            

我局(办)联系人:                      联系电话:             

 

                                               (公章)

                                                              

    备注:本文书一式两联,一联存根,一联送被处罚单位(或个人)。

        

                     第       

听证时间:                                         

听证地点:                                                   

听证主持人(签名):               记录人(签名):            

听证记录:                                                   

                                                             

                                                             

                                                              

                                                             

                                                             

                                                             

                                                              

                                                             

                                                             

                                                             

                                                              

                                                             

                                                             

听证参加人(签名或押印):                                    

                                                              

           (  )煤管  [    ]第(    )号

————————————————————————————————————————————————

被处罚单位(人):                    地址:                  

违法事实:                                                   

                                                              

                                                             

以上事实违反了                                              

                                                      的规定,

依据                                                          

                                                      的规定,

决定给予下列行政处罚:                                       

                                                             

                                                           

 

罚款于              日之前缴至           银行            分行(分理处),账号                     ,地址                               

如对本处罚决定不服,可在接到本决定书之日起60日内向                

申请行政复议或3个月内向人民法院提起行政诉讼,但不停止执行本决定。

本决定下达后,逾期15天不履行缴纳罚款,又不申请行政复议、不提起行政诉讼、不履行本处罚决定的,本局将申请人民法院强制执行。

 

 

                                      (公章)

                                                              

备注:本文书一式三联,一联交被处罚单位(人);一联交银行;一联存档。

行政处罚(行政复议)送达收执

————————————————————————————————————————————————

 

                 编号:                    

 

送达文书:                                              

文书字号:                                              

送达地点:                                              

送达方式:                                              

送达时间:                     

受送达单位(或个人)(签名):                        

送达人(签名):                                   

 

                                          (公章)

                                                             

备注1.本送达收执一式两联,一联交受送达人,一联存档。

2.被送达人不在时,可由其单位他人或成年亲属代收。

3.发生拒收情况时,其他人员在场,记明情况,留下送达文书即

为送达。

4.受送达单位(或个人)收下送达文书后,行政处罚(行政复议)

送达文书与行政处罚(行政复议)送达收执合并存档。

                     第       

申请时间:                                         

申请地点:                                                    

申请人姓名                        性别        年龄           

申请人单位                        职务        电话           

申请人住址:                                                 

记录人(签名):             

申请记录:                                                    

                                                             

                                                             

                                                             

                                                              

                                                             

                                                             

                                                             

                                                             

                                                             

                                                             

                                            (下接续页第  页)

以上笔录内容属实。                   申请人(签名):         

                      第       

时间:                              分至         

地点:                                                       

调查人(签名):                       记录人(签名):        

被调查人:姓名                        性别       年龄        

          单位                        职务       电话        

          地址                                               

                                                              

                                                             

                                                              

                                                             

                                                             

                                                             

                                                              

                                                             

                                                             

                                                             

                                                               

                                            (下接续页第  页)            

本笔录内容属实。               被调查人(签名):